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CARE MANAGEMENT SERVICES

Children’s Care Management

BHSN’s Care Management Program consists of Health Home Care Management for Medicaid clients, as well as Non-Medicaid Care Coordination services. We work with youth between the ages of 5 and 21, who have a qualifying mental health diagnosis or other chronic condition that affects their daily functioning. Youth that are referred to our program typically struggle with things such as aggression, depression, anxiety, conduct issues, self-harming, etc. Families that access services are often experiencing stress and crisis within the home, school or community setting. The length of stay within the program is intended to be around 12 months.

The goal of the program is to meet the needs of the youth by developing a team of supports around the family. The team comes together to help the family reach their identified goal. Typical goals for youth in our program might include developing healthy coping mechanisms, positive family interactions, appropriate social skills and communication, or attaining academic success.

In addition, maintaining safety and promoting safe choices are always objectives while in the program. As Care Coordinators, we help by developing the team, communicating and collaborating with all team members, and facilitating the creation of plans. Our hope is that we can support and strengthen families so they feel empowered in making their own plans.

Support Services

  • Connecting to health care providers,
  • Connecting to mental health and substance abuse providers,
  • Connecting to needed medications,
  • Help with housing,
  • Social services (such as food, benefits and transportation) or,
  • Other community programs that can support and assist you.

 

Eligibility

You can contact us at any time to find out if your child/youth is eligible to enroll and to complete a self-referral. You can also be referred by Medicaid, Managed Care Plans, doctors, specialists, social service staff, counselors or other service providers. If you are under age 21 and are pregnant, parenting or married, or are over the age of 18, you can contact us at any time to complete a self-referral.

Intensive Case Management (ICM)

Intensive Case Management (ICM) provides intensive, flexible outreach linkage, support and coordination of service to children with serious emotional disturbance. 

The recipients of ICM tend to be frequent users of emergency services, at high risk of psychiatric hospitalization and/or have not engaged in traditional mental health services. A selection committee, comprised of various community service providers, meets monthly to determine whether a referral is appropriate for ICM or another community-based case management program. Referrals may be made by: schools, private practitioners, parents, DSS or other agencies.The goal of the program is to meet the needs of the youth by developing a team of supports around the family. The team comes together to help the family reach their identified goal. Typical goals for youth in our program might include developing healthy coping mechanisms, positive family interactions, appropriate social skills and communication, or attaining academic success.

 

Adult Care Management

Care Management facilitates access to and coordination of the full array of primary and acute physical and behavioral health services. Services are designed to help people manage chronic health conditions, improve health outcomes and reduce the use of avoidable inpatient and emergency room care. In order to qualify for services, an individual must be on the Health Home roster or referred for services and reviewed and accepted by the Single Point of Access Committee.

Support Services

  • Connecting to health care providers,
  • Connecting to mental health and substance abuse providers,
  • Connecting to needed medications,
  • Help with housing,
  • Social services (such as food, benefits, and transportation) or,
  • Other community programs that can support and assist you.

 

Eligibility

This is Medicaid-funded. Some individuals may qualify for free services even without Medicaid.  Call for information. 

Several Care Management services are intended to improve coordination of care. Although basic processes of care coordination should be an integral part of routine primary care, specific care coordination requirements vary among populations and among individuals. For high-risk and/or high-cost populations, personalized care plans play a critical role in coordinating care among various providers. Other services, such as coordination of specialty referrals, assistance with ancillary services, and referrals to and coordination with community services, also support high-risk and/or high-cost populations.

 

Self-management support is particularly important for clients dealing with chronic diseases and those with emerging modifiable risks. Understanding an individual’s readiness to change, or his or her activation level, can help care managers employ motivational interviewing to set goals, track progress towards these goals, and foster individuals’ self-management of their medical conditions.

 

Those interested in learning more about Care Management services should contact our program supervisor:

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Care Management Services

762 NY-3, Suite 2
Plattsburgh, NY 12901
Phone: (518) 563.8000

Care Management

Contact Us

Corporate Office: 518.563.8206
22 US Oval, Suite 218, Plattsburgh, NY 12903

Programs

Crisis Helpline: 1.866.577.3836
Adult & Child Clinic: 518.563.8000
STOP DV Hotline: 1.888.563.6904