Case Management

Catholic Charities provides individuals with serious mental illness, complex medical needs and substance abuse issues with comprehensive care coordination and case management services. Our BHCC team works with New York City’s Department of Health and Mental Hygiene and New York State’s Health Homes program to help individuals meet their goals and continue living in the community. By helping them gain access to services tailored to their individual needs, we help people maintain a baseline level of functioning and sense of personal satisfaction.

This program provides case management to homebound, older adults so that they can remain safely in their own homes.  Services include assessment, creation of comprehensive care plans, benefits/entitlements counseling, linkage to home-delivered meals and home care, counseling, information and referrals, and caregiver support. The program addresses all issues associated with advanced age.

The CABIT Program provides high need individuals with linkages to Catholic Charities programs and services, as well as with linkages to other agencies when appropriate.

Children’s Care Coordination provides services to children ages 5 to 18 enrolled in the various Health Homes. The primary goal and service philosophy of the program is to provide recovery-oriented care coordination which is widely available, accessible, flexible, personally tailored and responsive to the individual child and family needs. The goal is to connect clients and families to various community resources identified as beneficial to the clients' overall holistic well-being in order to reduce ER visits, inpatient stays and incarcerations.

HCBS provides community habilitation services to individuals who are diagnosed with Developmental Disability. Community Habilitation provides skill training in areas of activities of daily living, academics, socialization and community inclusion. The program also provides family support by assisting families in applying for Medicaid and accessing other needed services.

The Justice for Juveniles Initiative provides trauma, mental health and substance abuse assessments to young people in New York City who are involved in the justice system. Staff members provide referrals to Catholic Charities programs and other agencies.

Queens Care Coordination provides services to individuals with a history of serious mental illness and/or multiple hospitalizations. Services are tailored to meet individual needs. Services include treatment planning, connecting patients with necessary mental and physical health providers, medication education and management, assistance with benefits and entitlements, client empowerment, and Wellness Recovery Action Plan (WRAP) education.

The Queens Transitional Team provides intensive wraparound services for the severely chronically mentally ill with 6-9 months of intensive case management. Services include counseling, coordination of psychiatric and medical care, community access to services, nursing and medication management.