Adult Case Management

Adult Case Management
Adult Case Management

PO Box 3516
Kingston, NY  12402

Staff:  13 full-time and 1 part time (Health Home Worker)

Program Director: Victoria Read
Assistant Program Directors: Amy Colon, Rissa Przekop, Andrea Rodriguez

Service Locations:
39 John Street, Kingston
Family of New Paltz, 51 North Chestnut St., New Paltz
Family of Ellenville, 221 Canal St., Ellenville
Hudson Valley Mental Health clinics in Kingston, Ellenville and New Paltz

Program Hours:    9:00am to 5:00 pm, Monday through Friday. Program supervisory staff are available 24 hours a day through the county-wide hotline and textline.

PRIMARY FUNCTIONS:   Case management services for homeless individuals and families in transition; case management services for those struggling with mental health issues and/or at risk of or who are currently substance abusers; long term case management and housing assistance to support individuals and families who at the time of intake are homeless, have a disability and are not yet capable of self-sufficiency; care management assistance to stabilize the medical/mental health needs of individuals with 2 chronic illnesses, or who have one and are at high risk of a second; care for individuals with HIV, a Severe and Persistent Mental Illness, or a Substance Abuse disorder, who have Medicaid benefits; assistance to attain security deposits, first month rent, or rent arrears as part of a program to prevent homelessness, or to house those who are already homeless; services to those re-entering the county from state prison, county jail or offenders who have minor children; sponsorship of the Moral Reconation Therapy program, a cognitive behavioral change curriculum; and, provision of specialized case management for Hispanic and Latino individuals and individuals dealing with immigration issues.

ANCILLARY SERVICES: Crisis intervention and prevention; assistance with short and long-term housing; information and referral, and when necessary advocacy to assist individuals to access entitlements, mental health and drug/alcohol treatment, and vocational and employment assistance services; job preparedness and one on one life skills training; limited transportation assistance; individual counseling; community education and training on issues of homelessness; assistance with immigration issues; translations; and other legal services.

During 2017 the program has provided care coordination in an effort to respond to the needs of individuals who are high users of Medicaid and have either serious chronic physical ailments or mental health or substance abuse disabilities. The program involves outreach to, sign up in, and ongoing care coordination in collaboration with the Health Home established by the Institute for Family Health. Leadership of the staff have been actively involved in the development of procedures and policies to manage this Health Home effort. In 2017, the program enrolled 54 individuals in the Health Home program.

The agency continues to participate in the two major DSRIP efforts for the Hudson Valley, namely one established under the leadership of Montefiore Hospital, and the second under the leadership of Westchester Medical Center.

The program has stationed case managers in Ellenville and in New Paltz, in addition to Kingston, to better address the needs of the residents of those communities. They work out of Family’s walk-in centers and are able to provide localized service to respond to the lack of transportation available in the county.

The program has also begun a collaboration with Step One, an outpatient substance use disorder treatment facility in Highland. The program has assigned a case manager to be stationed in that facility to provide case management services to clients in substance use disorder treatment.

The program strives to maintain Family of Woodstock’s philosophy amidst funding pressures. We believe that we are “people helping people help themselves”.