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Case/Care Management - Newport News, Care Coordination, Peninsula Agency on Aging

As someone seeking support, our Care Coordination services offer you, older adults, persons with disabilities, and family caregivers, the chance to explore diverse community options for aging in place. Our dedicated Care Coordinators work closely with older adults to understand their strengths, needs, and preferences. They provide assistance with referrals and follow-up as necessary to ensure a tailored and effective care plan.

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Case/Care Management - Roanoke, Project LINK, Blue Ridge Behavioral Healthcare

Project LINK provides an array of services to meet the multiple needs of substance-abusing pregnant women, mothers and their infants, and women of childbearing age. On-site Project LINK services include case management, education, parenting skills, and support groups. Treatment modalities include case management, housing assistance and group therapy. Also provide Fatherhood Initiative program.

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Disability Resources for Children - Fairfax, Care Connection for Children of Northern Virginia

Free ongoing support for families of children/youth with special needs. Help families to coordinate care and to connect with the medical and community-based services specific to each child’s individual needs, including special education. We offer information and resources to anyone seeking information about children with disabilities (enrollment not required).

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In Home Assistance Programs - Christiansburg, Warm Hearth at Home, Warm Hearth Village

Offers Warm Hearth at Home, a senior care management services program. Assists older adults to live as independently and as safely as possible through the coordination of needed services. Provides the additional support necessary to assist clients to maintain their current living arrangement or can help to prepare clients to navigate the transition to a higher level of care when needed. These services include in home care and rehabilitative services, companion services, housekeeping, meal preparation and delivery, maintenance and lawn services, transportation and much more.

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Family Support Services - Alexandria, Child and Family Network Centers, The

The Child & Family Network Centers (CFNC) support parents as they work toward self-sufficiency to support their children's education. Counseling, case management, home visits, social skills groups, ESL classes, financial literacy classes, job referrals, a mother's group, and a variety of workshops are provided on-site to further empower our families. More information can be found at www.cfnc-online.org

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Case Management - Roanoke, Assisted Living Facilities (ALF) Care Coordination, Blue Ridge Behavioral Healthcare

Consultation and support to enhance linkages with area assisted living facilities (ALF). Complete wrap-around services include case management, ALF staff training, consumer education, medication monitoring, physician/nursing consultation, skills training and supportive counseling. Adult Habilitative Services programs consist of case management, habilitation services, community living services, and supports to consumers with intellectual / developmental disability. The goal of this community support system is to maximize each consumer's potential for independence, improved quality of life, and optimum level of functioning.

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Case Management - Goochland, GoochlandCares

The goal of case management is to optimize client functioning by providing services to individuals with multiple and complex needs. Case management helps individuals make changes to improve their life situation.

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Adult Services - Hopewell, Hopewell Department of Social Services

Home and community-based services are provided to adults over 60 years of age, and to disabled adults over 18 years of age, in an effort to allow them to remain in their homes rather than move to institutional placements. Screening for adult care residences and nursing home placements are also provided. Eligible adults may receive up to 15 hours/week home based services, such as cleaning and meal preparations.

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Adult Services - Charles City, Charles City Department of Social Services

Home and community-based services that allow the elderly or adults with disabilities to remain in their homes rather than move to institutional placements. Screening for adult care residence and nursing facility placements is provided.

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Foster Care - Charlottesville, Community Attention

Provides a network of therapeutic foster homes for children 8 to 18 years of age. This treatment foster care program is for children in the community who don't need to be in a group home, but need more attention and support than is provided by traditional foster care. Youth and families benefit from extra support and supervision. The program is able to accept emergency placements and to provide long term foster care leading to permanency. Case management and educational support are provided. For more information or assistance, please call: (434)970-3735

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HIV Prevention Services - Roanoke, Drop-In Center, Council of Community Services

Provides free access to HIV and Hepatitis C prevention information/education, HIV Pre-Exposure Prophylaxis (PrEP) and non-occupational Post-Exposure Prophylaxis (nPEP) counseling. Service Navigation for linkage to STI testing, PrEP and nPEP navigation, basic needs (i.e., food, housing, etc.), insurance enrollment, etc., available to anyone regardless of HIV or HCV status.

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Adult Services - Farmville, Prince Edward County Social Services

Adult Services are provided to impaired adults 18 years of age and over adults 60 years of age and over. The scope of services is intended to maximize self-sufficiency, to prevent abuse, neglect, and exploitation, to prevent, delay and/or reduce inappropriate institutionalization, or to assist with appropriate placement if required.

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HIV Care Services - Marion, Appalachian Drop-In Center, Council of Community Services

Entry point for Ryan White Part B Services. Case Management and Patient Navigation services for persons living with HIV or HCV. CHARLI (Comprehensive HIV/AIDS Resources for Inmates) coordination for persons recently released from incarceration and are HIV positive.

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Case Management-Mental Health - Williamsburg, Adult Case Management Services, Colonial Behavioral Health

Case Management Services for adults collaborates with individuals to access the supports and services they need to meet their basic needs and to provide guidance on their journey as they work towards meeting their personal goals.

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Case Management - Woodbridge, Steps Toward Eliminating Poverty Program, Salvation Army Prince William Corps

One on one counseling and mentoring program designed to help people get out of poverty.

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Housing Services - Fairfax, FACETS

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.

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Transitional Housing - Arlington, Sullivan House, Bridges to Independence

Bridges operates an emergency family shelter, known as the Sullivan House, which has approximately 45 beds across 10 separate apartment units. The program provides shelter and case management services to homeless families leading to employment, permanent housing, and achieving self-sufficiency. It is a temporary solution for those with little or no resources. While there, families receive intensive case management - assessing their situation, providing Bridges program resources, or referring to other resources. The families receive whatever immediate needs they may have - food, diapers, personal supplies, basic kitchen items, gift cards and more. The length of stay generally is between 30-90 days, and then Bridges works with the families to move them into permanent solutions

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Adult Services - Amelia, Amelia County Social Services

Adult Services include the provision of companion services to the elderly and screening to determine the need for possible nursing home or adult home placements.

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Adult Services - Stuart, Patrick County Social Services

Services are provided to impaired persons 18 years of age and older, persons of 60 years of age and older, and to their families when appropriate. The services provided include, but are not limited to assisting in placement such as an adult home, nursing homes, etc.; companion services designed assist a person who is unable to care for themselves and needs assistance with activities of daily living; and nursing home/personal care screenings performed by the Adult Services Worker for persons who receive Medicaid or will receive within a 6 month period. These services are intended to maximize self-sufficiency, prevent abuse/neglect/exploitation, and to prevent, delay, and/or reduce inappropriate institutionalization. Companion services are available based on funds, there is a waiting list.

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Care Management and Care Coordination - Washington, La Clinica del Pueblo

Bilingual case managers will conduct a comprehensive assessment of Latinos and others to obtain health care services, cultural, and social needs and develop a patient-centered care plan with mutually agreed upon goals.

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Case Management - Henrico, Community Rehabilitation, Virginia Department of Aging and Rehabilitative Services

The DARS Community Rehabilitation Case Management Services (CRCMS) Program assists people with severe physical and sensory disabilities to build a quality of life of their choosing through self-direction, support, and community resources. CRCMS Rehabilitation Specialists provide individualized long-term case management to people across the Commonwealth, as well as outreach and support services to residents of nursing facilities. CRCMS also provides Support Coordination Services to recipients of Virginia's Development Disabilities Medicaid Waiver. May provide limited transportation to clients when no other options are available. If there are any questions relative to transportation, please call.

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Adult Services - Chesterfield, Chesterfield-Colonial Heights Department of Social Services

Adult Services are provided to adults age 18 and older who have a disability and to their families when appropriate. Adult Services may include the provision of case management, home - based care, transportation, adult day care, nutrition services, placement services, long term care pre-screening for Medicaid-funded services, guardianship monitoring, and other activities to aid the adult.

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Case Mangement - Charlottesville, Child and Family Services, Region Ten Community Services Board

Case Management is a service that is responsive and flexible to the needs of each child and family. Each child and his/her family are assisted in gaining timely access to needed medical, psychiatric, therapeutic, social, educational and other supports. The core of the case management process is teamwork and trust. Case Managers work in partnership with families in order to develop goals that will enhance a child’s potential and quality of life in the community. Case managers assess the child’s needs, develop plans to meet those needs, help the family find services near where they live, navigate school and educational services, monitor the child’s progress, provide follow-up with family to ensure needs are met, and advocate for services and supports.

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Veteran Supportive Services - Burke, SSVF Program, Volunteers of America Chesapeake & Carolinas

A community based, Housing First Case Management program which will provide a range of supportive service to veterans and their families transitioning from homelessness to permanent housing. We work to prevent at-risk families from becoming homeless and house homeless veteran families. Provide energy assistance through the EnergyShare program.

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Developmental Disability Services - Louisa, Region Ten Community Services Board

Region Ten's Adult Developmental Services Center offers a wide range of person-centered services designed to support individuals with developmental disabilities in living a safe, healthy, and productive life as independently as possible. These services include case management, group home residential, sponsored residential, in-home support services, independent living supports, day support services, and community engagement.

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