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Mental Health-Outpatient - Blacksburg, Montgomery Center, New River Valley Community Services

Individual, family, and group therapy. Psychological Testing and reports to the court Crisis Debriefing after school or industrial accidents/tragedies Mental Health Consultation for Head Start programs Representatives to participate on all five Family Assessment and Planning Teams(FAPT) Provides Case Management Services

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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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Long Term Care/Case Management - Norfolk, Care Coordination, Senior Services of Southeastern Virginia

Work with individuals and caregivers to develop person-centered plans to meet the individual's needs so she/he can age in place in their community of choice. Some of the supports and services offered may include home-delivered meals, transportation to medical appointments, referral for in-home personal or homemaker care, wellness classes, or other community-based services.

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Case Management - Leesburg, Brain Injury Services

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.

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Social Services Program, Fairfax, Ayuda

Ayuda Social Services provides trauma-informed, holistic case management, culturally specific counseling, and emotional accompaniment and advocacy to survivors of crime who live in DC, Maryland, and Virginia. Our services are provided in multiple languages All social services and programs are voluntary and at no cost Social services participation does not require a legal case with Ayuda

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Case/Care Management - Christiansburg, CHIP, New River Community Action

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.

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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.

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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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HIV Prevention Services - Roanoke, 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 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.

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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 - 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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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.

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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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Subsidized Housing and Case Management for Veterans - Roanoke, HUD Veterans Affairs Supportive Housing, United States Department of Veterans Affairs

Combines Housing Choice Voucher (HCV) rental assistance for homeless Veterans with case management and clinical services provided by the Department of Veterans Affairs (VA). Provides these services for participating veterans at Veteran's Administration medical centers (VAMCs) and at community based outreach clinics.

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Case Management - Fredericksburg, FAHASS (Fredericksburg Area Health and Support Services)

Provides information and referral services, case management, client services, emotional support, support group, housing and other emergency assistance, medical transportation, education, advocacy, resource referral, and other assistance to those infected and affected by HIV/AIDS.

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Assistance Services - Bethesa, Compass Program, Cystic Fibrosis Foundation, Metropolitan Washington, DC Chapter

Compass is a personalized service to help with complex challenges, including understanding insurance basics, troubleshooting insurance coverage issues, seeking financial assistance for medical care and other living expenses, finding answers to legal questions related to work, school, disability/government benefits, and much more.

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Adult Services - Henrico, Henrico County Social Services

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.

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Intellectual Disability Services - Lexington, Rockbridge Area Community Services

Provides services to help prevent and treat Intellectual Disabilities and to enhance the quality of life of individuals who experience these conditions in the Cities of Buena Vista and Lexington and the Counties of Rockbridge and Bath, Virginia by providing individualized treatments, establishing and expanding programs and support systems, and promoting integration into the community. Offers group homes and adult day activities programs to enhance the quality of life for adults with intellectual disabilities by providing comprehensive support services.

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Intellectual Disabilities - Suffolk, Western Tidewater Community Services Board

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.

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Adult Services - Rocky Mount, Franklin 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 in an adult home, nursing homes, etc.; transportation when needed; companion services designed to 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.

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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 Care Services - Marion, 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/Care Management - Cedar Bluff, Care Coordination, Appalachian Agency for Senior Citizens

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.

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Parenting Education - Charlottesville, Child Health Partnership

Serves at-risk low income children ages 0-6 and their families. Offers prevention education and intervention services, case management services through home visits to families, and group activities where families can learn from and support each other. Satellite office in Louisa/Fluvanna County is also available for parenting needs: 434-589-0927 The mission of Child Health Partnership is to engage in partnership with low-income families with preschool children to improve family health and self-sufficiency. Serves the counties of Albemarle, Fluvanna, Louisa and the city of Charlottesville.

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