Provide "wraparound" services, focusing on the individuals receiving assistance and developing unique service plans to fit their circumstances and needs. Participants are assigned Care Managers to provide continual, confidential assessments and follow-up. Participants receive in-home assessments to identify their needs and be directly connected to agency programs, including those providing nutrition, transportation, housing, health and wellness, and care services. Advocacy, informational resources, and referrals to other community service organizations are also available.

Case managers assist children and their families in finding medical, psychiatric, social, educational, and other services which are needed for the child to thrive in the community. This would include help with referrals to other services, transportation to appointments, and assistance in working with school staff, physicians, and other agencies. Case managers work with children with serious emotional disturbances. They help families access outpatient treatment, intensive in-home treatment, and ongoing psychiatric treatment and medication. Case managers also assist children with mental retardation to gain access to the Mental Retardation Waiver, which can provide personal assistance, respite, assistive technology and other services. Case managers also work with a child's IEP team in the schools.

Assists adults with brain injuries and their families in developing a plan and obtaining services for maximizing independence and quality of life. Services provided include: information and referral, assessment, long-term case management, independent living skills training, job training/finding/coaching, transportation, respite care, socialization and recreation, mental health and behavioral services, day activity programs, and supervised independent living. Call ahead for sign language.

Provides women facing unplanned pregnancies with resources, referrals, adoption services and information, allowing them to make good decisions regarding the health and well-being of both themselves and their unborn child. Offers answers to questions and supports in the pregnancy decision making process. Locates available resources in the community that may be able to assist with medical care and related expenses. Works with both parents, either separately or together, in planning for your baby's needs. Services include: *Free counseling for pregnant women; *Adoption planning; *Referral services; *Follow up and support; *Baby items.

Provides permanent supportive housing and case manage services for chronically homeless individuals. Participants contribute 30% of their income for rent. Participants pay off debt or save approximately 5% of their income. Bus Line: CUE, Metrobus.

Case management and care coordination services with independent, private specialists and practitioners regardless of a family's income. Provides a "pool of funds" for uninsured and underinsured children with special health care needs. The CHKD Care Connection for Children pulls together case managers, medical personnel, educators and family members to determine how children with special health care needs - those with chronic physical disorders that are expected to last for at least 12 months - can reach their maximum potential.

Uses Coleman Transition Intervention to help people after they are discharged from a health care facility. Following hospital discharge, patients often require care from different medical professionals in many different settings. This program is designed to improve the continuity of care for persons with chronic conditions across different health settings and ensure that each transfer between setting goes smoothly. This is a FREE service to assist people to recover, understand and manage your medications better, prevent hospital re-admissions, and plan for a follow-up appointment with your primary care physician.

Assists low-income families with children ages and 6 and under and pregnant women with access to medical and dental services and acts as a link to other human service organizations/providers in the NRV. Offers comprehensive case management in the home where children receive consistent and comprehensive care in a familiar setting. CHIP services, provided by a nurse and a home visitor team, include helping families make and keep appointments and follow physician recommendations, educational home visits, parenting education, helping families set and reach personal and family goals, transportation to medical and dental appointments, medical case management, and referrals to other community-based services to help meet the multifaceted needs of families. All services emphasize prevention and early intervention. This is not the state CHIP insurance, but will help families access Medicaid or FAMIS (state CHIP insurance). Not a substance abuse/ mental health provider but can connect families to those resources. Transports only if no other means available.

Needs assessment, case management, and referral to a network of providers to help youth exhibiting negative behaviors. TOP (Teamwork ~ Options ~ Pathways to Success) is an interest and needs based prevention program designed to connect youth and their families with services that can refocus youth in the right direction by building on their strengths and providing them with a positive support system.

JSSA's care managers act as consultants, educators, and advocates, helping clients manage the growing demands and responsibilities of aging or caring for an aging loved one. First, comprehensive assessment to determine a senior's needs takes place at home or in the office. Next, care managers will coordinate and monitor a personalize care plan to help ensure safety, independence, and quality of life. Services may include counseling, transportation to medical appointments, home-delivered meals, home care services, and socialization programs. JSSA's Senior Services department also cares for the community's aging Holocaust population.

Assists individuals who are 60 years of age or older, have dependencies in two or more activities of daily living (bathing, dressing, toileting, feeding) and have two or more unmet needs, remain in their homes.

Provides planned combinations of individualized activities, supports, training, supervision and transportation to individuals with intellectual disabilities to improve their skills or maintain an optimal level of functioning. The program is designed to provide training and support in non-vocational areas such as self care, independent living, communication, socialization and motor skills.

The Healthy Start Loving Steps program provides case management services to reduce infant deaths. The Loving Steps provides nutrition counseling and case management services during pregnancy and after the baby is born. Also serve families that have an infant or toddler with nutrition related medical problems.

Provides case management services, as identified in a detailed person centered plan, to assess the needs (medical, psychiatric, social, educational, residential, etc) of individuals with intellectual disabilities and coordinates, links, and monitors supports for qualifying individuals.

Community Resource Center in Harrisonburg offers one-on-one case management services for anyone in the community! Our community resources are free for anyone. Identify your personal life goals Receive referrals to needed community services and get help navigating enrollment Get help obtaining birth certificates, ID’s and other documents needed to qualify for services Receive assistance applying for rental housing, employment, Medicaid, public benefits & other resources Use of public computer lab with Wi-Fi, fax & printer access

Links older people with appropriate long-term care services, so they can maintain their independence. Care coordinators provide outreach, assessment, and care planning. Through this program, individuals learn about and/or receive assistance from AASC and partner organizations. Here are just a few of Care Coordination's services: Medicare Part D enrollment; Insurance counseling (VICAP); Information and assistance Farm Market Fresh; Tele-N-Touch telephone reassurance; Emergency services; Disease prevention and health promotion; Fan care; Heating and cooling assistance; Medication management; My Medicare Matters computer training, and Centenarian birthday recognition.

James House provides an abundance of services for men, women, and children struggling with domestic violence and sexual violence and are in search of effective ways to improve the emotional, mental, and physical health in their current living situation. James House works one-on-one with clients to assess their goals, resources, and needs to provide opportunities that give them a better quality of life

Adult Services are designed to allow the adult to remain in the least restrictive setting and function as independently as possible. Services are provided to impaired adults age 18 or older. Services may include the provision of home-based care, transportation, adult day care, placement in an assisted living or nursing home using the screening process and referral to other supportive services.

Blue Ridge Behavioral Healthcare Child, Youth & Family Services Division programs offer therapeutic services and support for families of children and adolescents with, or at risk of developing serious emotional disturbance, substance use disorders, or developmental disabilities.

Provide an array of outpatient services for adults age 18+ with mental illness, substance abuse disorders and intellectual disabilities. Services include psychiatric treatment, medication management, case management, in-home services, psychosocial clubhouse, and peer support. The Winchester Area Clinic is an Adult Regional Center serving the counties of Frederick, Page, Shenandoah, Warren, Clarke; City of Winchester. New Clients may also call the Triage Call Center in Front Royal: (540)635-4804.

The goal of the SSVF Program is to promote housing stability among very low-income Veteran families who reside in or are transitioning to permanent housing. SSVF provides outreach and case management services, and will assist participants to obtain VA benefits and other public benefits. SSVF may be able to provide temporary rental and/or security deposit assistance to veterans who are at imminent risk of losing their housing while also meeting the required vulnerability targeting criteria. In order to be considered for assistance, veterans must call the SSVF Intake Coordinator at the main office line and complete the screening questionnaire. SSVF is unable to assist veterans who have a dishonorable discharge.

Assists adults with brain injuries and their families in developing a plan and obtaining services for maximizing independence and quality of life. Services provided include: information and referral, assessment, long-term case management, independent living skills training, job training/finding/coaching, transportation, respite care, socialization and recreation, mental health and behavioral services, day activity programs, and supervised independent living. Call ahead for sign language.

The Regional Post-Adoption Consortium Services (RPACS) provides basic and enhanced post-adoption services to adoptive families with children or youth under the age of 18 who reside in the Central and Eastern regions of the state at no cost. The Regional Post-Adoption Consortium Services (RPACS) is a collaboration between C2Adopt, Children's Home Society, and Catholic Charities of Eastern Virginia.

Provides an array of outpatient services for children with serious emotional disturbances, substance abuse disorders and intellectual and developmental disabilities. Services include psychiatric treatment, medication management, individual, family and group counseling, school-based day treatment, Intensive In-Home Services, Infant/Toddler Case Management, and case management for children 3-18. Services are for children only. Child and Family Outpatient Services the Regional Children's Center serving the counties of Frederick, Page, Shenandoah, Warren, Clarke and the City of Winchester. New Clients, please call the Triage Call Center in Front Royal: (540)635-4804