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Case/Care Management - Cedar Bluff, Care Transitions, Appalachian Agency for Senior Citizens
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.
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.
What's Here
Case/Care Management
Substance Use Treatment - Portsmouth, Portsmouth Department of Behavioral Health Care Services
Provides comprehensive substance use services such as medication-assisted treatment, case management, and individual, family, and group counseling.
Provides comprehensive substance use services such as medication-assisted treatment, case management, and individual, family, and group counseling.
What's Here
Case/Care Management
Medication Assisted Maintenance Treatment for Substance Use Disorders
Assessment for Substance Use Disorders
Drug Detoxification
Alcohol Detoxification
Alcohol/Drug Impaired Driving Prevention
Drug Use Disorder Education/Prevention
Alcohol Use Disorder Education/Prevention
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.
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.
What's Here
Case/Care Management
Case Management - Harrisonburg, Brain Injury Connections of the Shenandoah Valley
Provides community-based case management for individuals affected by brain injury. Case management includes identifying needs and developing a plan of action to meet those needs. Help individuals and their caregivers find their way through the rehabilitation process which can last for years following an injury. After determining what an individual needs and would like to accomplish, we identify and coordinate services to help them reach their goals. Monitor progress toward those goals and build partnerships and teams to create a lasting network for continued support. Primary function is to help individuals affected by brain injury return to their lives - to their homes, careers, school and communities - to the greatest extent possible.
Provides community-based case management for individuals affected by brain injury. Case management includes identifying needs and developing a plan of action to meet those needs. Help individuals and their caregivers find their way through the rehabilitation process which can last for years following an injury. After determining what an individual needs and would like to accomplish, we identify and coordinate services to help them reach their goals. Monitor progress toward those goals and build partnerships and teams to create a lasting network for continued support. Primary function is to help individuals affected by brain injury return to their lives - to their homes, careers, school and communities - to the greatest extent possible.
What's Here
Condition Specific Rehabilitation Services
Case/Care Management
Independent Living Skills Instruction
Inpatient Rehabilitation
Adult Case Management - Woodbridge, Prince William County Social Services
Provides case management, assessment and direct services to elderly citizens (60+) and to adults with disabilities. Services include assessment for assisted living facility applicants and residents, participation on nursing home pre-admission screening teams, home-based services (homemaker services), referrals for adult day care and the Senior Center, investigations for Adult Protective Services and Case Management. Also provides services to adults so that they can remain in the least restrictive environment.
Provides case management, assessment and direct services to elderly citizens (60+) and to adults with disabilities. Services include assessment for assisted living facility applicants and residents, participation on nursing home pre-admission screening teams, home-based services (homemaker services), referrals for adult day care and the Senior Center, investigations for Adult Protective Services and Case Management. Also provides services to adults so that they can remain in the least restrictive environment.
What's Here
Case/Care Management
Advocacy - Duffield, Frontier Health
The Family Partner Program works together for families in Southwest Virginia to help support each individual family in service development according to their unique needs. Advocates for your family. Also affiliated with the local chapter of the Federation of Families for Children's Mental Health.
The Family Partner Program works together for families in Southwest Virginia to help support each individual family in service development according to their unique needs. Advocates for your family. Also affiliated with the local chapter of the Federation of Families for Children's Mental Health.
What's Here
Case/Care Management
Advocacy
Care Management - Richmond, JFS Richmond
JFS offers each client an individualized Care Management plan based on a comprehensive assessment. Care Management staff will work and discuss services you would like to receive to enhance your quality of life. Once a plan is set in motion, we review it regularly to ensure your needs and expectations are being met.
JFS offers each client an individualized Care Management plan based on a comprehensive assessment. Care Management staff will work and discuss services you would like to receive to enhance your quality of life. Once a plan is set in motion, we review it regularly to ensure your needs and expectations are being met.
What's Here
Case/Care Management
Case Management/Mental Health - Roanoke, Youth, Blue Ridge Behavioral Healthcare
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.
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.
What's Here
Mental Health Screening
Mental Illness/Emotional Disabilities
Case/Care Management
Case/Care Management - Narrows, CHIP, New River Community Action
Assists low-income families with children up to age 6 and pregnant women with access to medical and dental services and act 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.
Assists low-income families with children up to age 6 and pregnant women with access to medical and dental services and act 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.
What's Here
CHIP Programs
Case/Care Management
Health Care - Richmond, East Cary Health Center, Daily Planet Health Services
East Cary Health Center will provide services to underserved individuals throughout the Richmond region including those experiencing homelessness and housing instability, living in or around public housing, and/or living with HIV. Provides primary care, dental, and case management.
East Cary Health Center will provide services to underserved individuals throughout the Richmond region including those experiencing homelessness and housing instability, living in or around public housing, and/or living with HIV. Provides primary care, dental, and case management.
What's Here
Dental Care
Community Clinics
Case/Care Management
Case Management - Richmond, Richmond City Health District
Nursing case management services are provided by public health nurses in a number of different services for adults and children. Children with elevated blood lead levels are followed to ensure they receive all needed services and follow up care. Additionally, our public health nurses provide long term care and pre-admission screening for DMAS; communicable disease investigations and services and immunization services. Some case management services are also provided to active TB cases and to Newcomer / Refugee services.
Nursing case management services are provided by public health nurses in a number of different services for adults and children. Children with elevated blood lead levels are followed to ensure they receive all needed services and follow up care. Additionally, our public health nurses provide long term care and pre-admission screening for DMAS; communicable disease investigations and services and immunization services. Some case management services are also provided to active TB cases and to Newcomer / Refugee services.
What's Here
Public Health Nursing
Case/Care Management
Care Management - Lynchburg, Generation Solutions
Care management aims to individualize health care to meet each patient's specific needs.
Care management aims to individualize health care to meet each patient's specific needs.
What's Here
Case/Care Management
Veteran Supportive Services - Washington, Supportive Services to Veteran Families, United States Veterans Initiative (U.S. VETS - Washington D.C.)
This program offers temporary assistance to at-risk, low-income families in an effort to keep them from becoming homeless. This grant program is designed to house these at-risk families as quickly as possible by providing legal counseling and financial aid for rent, utilities, moving costs, childcare and bus transportation, employment assistance and benefits counseling.
This program offers temporary assistance to at-risk, low-income families in an effort to keep them from becoming homeless. This grant program is designed to house these at-risk families as quickly as possible by providing legal counseling and financial aid for rent, utilities, moving costs, childcare and bus transportation, employment assistance and benefits counseling.
What's Here
Case/Care Management
At Risk/Homeless Housing Related Assistance Programs
Transitional Housing - Alexandria, Christ House, Catholic Charities of the Diocese of Arlington
Christ House offers transitional housing to homeless men, provides intensive case management, workforce development and job coaching to increase clients' prospects of long-term financial independence and sustained housing success.
Christ House offers transitional housing to homeless men, provides intensive case management, workforce development and job coaching to increase clients' prospects of long-term financial independence and sustained housing success.
What's Here
Case/Care Management
Transitional Housing/Shelter
Rehabilitation Services - Washington, DeafBlind Program, Columbia Lighthouse for the Blind
Offers instruction in independent living skills including personal finance, cooking and housekeeping, instruction in Braille keyboarding, orientation and mobility training, the use of white canes, and transportation systems. Services provided include teaching techniques that enable individuals with visual impairments to maintain and retain independence.
Offers instruction in independent living skills including personal finance, cooking and housekeeping, instruction in Braille keyboarding, orientation and mobility training, the use of white canes, and transportation systems. Services provided include teaching techniques that enable individuals with visual impairments to maintain and retain independence.
What's Here
Assistive Technology Equipment
Case/Care Management
Independent Living Skills Instruction
Veteran Supportive Services - Richmond, Supportive Services for Veteran Families, SupportWorks Housing
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.
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.
What's Here
Homeless Permanent Supportive Housing
Case/Care Management
Veteran Homes
Senior Services - Fairfax, Aging in Place Services, JSSA
Comprehensive programs are designed to address older adults’ physical, emotional, and social needs, ensuring they receive the necessary support to live independently at home.
Comprehensive programs are designed to address older adults’ physical, emotional, and social needs, ensuring they receive the necessary support to live independently at home.
What's Here
Case/Care Management
Home Management Instruction
Geriatric Counseling
Activities of Daily Living Assessment
Adult Day - Tasley, No Limits Brain Injury Services, No Limits Eastern Shore
Operate the No Limits day support club and provide information and referral services to survivors of brain injury.
Operate the No Limits day support club and provide information and referral services to survivors of brain injury.
What's Here
Case/Care Management
Adult Day Programs
Case/Care Management - Cedar Bluff, Medicaid Case Management, Appalachian Agency for Senior Citizens
Provides case management for elderly Medicaid recipients. Services include assessment, development of a care plan, assistance with enrollment in public benefit programs, counseling and coordination of services. Works with families and other care providers to assure the provision of needed services which will allow elderly individuals to remain independent and in their own homes.
Provides case management for elderly Medicaid recipients. Services include assessment, development of a care plan, assistance with enrollment in public benefit programs, counseling and coordination of services. Works with families and other care providers to assure the provision of needed services which will allow elderly individuals to remain independent and in their own homes.
What's Here
Case/Care Management
Mental Health and Substance Use Issues - Chesterfield, Child and Adolescent Services Team, Chesterfield County Department of Mental Health Support Services
Child and Adolescent Services Team (CAST) help young people with mental health and substance use issues. Services include family and individual therapy, case management, crisis intervention, and coordination of other specialized services. CAST is flexible in addressing individual needs and provides services in the home, in the community at Chesterfield Mental Health Support Services. For routine Intakes, individuals are encouraged to call our main telephone number and request an Intake and Assessment.
Child and Adolescent Services Team (CAST) help young people with mental health and substance use issues. Services include family and individual therapy, case management, crisis intervention, and coordination of other specialized services. CAST is flexible in addressing individual needs and provides services in the home, in the community at Chesterfield Mental Health Support Services. For routine Intakes, individuals are encouraged to call our main telephone number and request an Intake and Assessment.
What's Here
Individual Counseling
Family Counseling
Crisis Intervention
Case/Care Management
Comprehensive Outpatient Substance Use Disorder Treatment
Parent Education and Support Services - Ashburn, Parenting Wisely, Loudoun County Department of Family Services
The Youth and Family Support Services Program assists families with youth between the ages of 3-17 experiencing challenging peer and family relationships and life crises by strengthening parental and family relationships through prevention, education, and supportive case management services.
The Youth and Family Support Services Program assists families with youth between the ages of 3-17 experiencing challenging peer and family relationships and life crises by strengthening parental and family relationships through prevention, education, and supportive case management services.
What's Here
Parenting/Family Support Groups
Parenting Education
Case/Care Management
Case Management - Kilmarnock, No Limits Brain Injury Services, No Limits Eastern Shore
Case management team works with survivors to develop a person-centered plan for success and work with individuals to help locate and access supports in the community.
Case management team works with survivors to develop a person-centered plan for success and work with individuals to help locate and access supports in the community.
What's Here
Case/Care Management
Adult Day Programs
Advocacy - Newport News, Senior Citizen Programs, Peninsula Agency on Aging
Serves senior citizens through programs and services enabling the individual to remain independent and productive. Also participates with the Hampton Roads chapter Alzheimer's Association for subsidized in-home respite care. Agency provides in home care, care coordination, transportation, congregate and home delivered meals.
Serves senior citizens through programs and services enabling the individual to remain independent and productive. Also participates with the Hampton Roads chapter Alzheimer's Association for subsidized in-home respite care. Agency provides in home care, care coordination, transportation, congregate and home delivered meals.
What's Here
Case/Care Management
Advocacy
Respite Care
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.
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.
What's Here
Chronic Disease Self Management Programs
Case/Care Management
Developmental Disabilities - Roanoke, DePaul Community Resources
Sponsored Residential: Program offers people with developmental disabilities a family based solution to their needs. Family Care homes provide a person-centered, family-based home in which an individual with developmental disabilities can become an active member of a family. Family based residential options for children with developmental disabilities.
Sponsored Residential: Program offers people with developmental disabilities a family based solution to their needs. Family Care homes provide a person-centered, family-based home in which an individual with developmental disabilities can become an active member of a family. Family based residential options for children with developmental disabilities.
What's Here
Adult Foster Homes
Case/Care Management
Home/Community Based Developmental Disabilities Programs
