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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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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/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.

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Case/Care Management - Roanoke, Transition Services, Blue Ridge Independent Living Center

Partners with school systems and other agencies to help students with disabilities in transition from middle school to high school and post graduate opportunities. Helps people transition from nursing facilities and other institutions back into the community.

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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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Case Management - Exmore, Care Coordination, Eastern Shore Area Agency On Aging/Community Action Agency

Assists individuals who are 60 years of age or older, have dependencies in two or more activities of daily living (bathing, dressing, toileting, feeding) and have two or more unmet needs, remain in their homes.

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Veteran Supportive Services - Washington, Supportive Services for Veteran Families, Housing Counseling Services

Provides services to very low-income veterans who are homeless or face potential homelessness.

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Case Management - South Hill, Lake Country Area Agency on Aging

Assess the needs of the client and recommend services which will help enable the client to live as independently as possible. The Case Management Department will then coordinate the needs of the client with all available LCAAA and Community Resources. At the time of the initial assessment, a Plan of Care will be formulated, and all clients will be reassessed annually or as their conditions/needs change. Case Management clients will be reassessed bi-annually.

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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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Options Counseling - Big Stone Gap, Care Coordination, Mountain Empire Older Citizens

Provides decision support whereby individuals, with support from family members, caregivers, and/or significant others, are supported in their deliberations to make informed long-term support choices in the context of the individual's preferences, strengths, needs, values and individual circumstances. MEOC is a No Wrong Door agency.

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Case/Care Management - Floyd, 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.

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Adult Services - Buckingham, Buckingham 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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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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Case Management Services - Richmond, Southside Health Center, Daily Planet Health Services

Provide case management to coordinate needed services such as medical, mental health, substance use services, housing, employment, benefits acquisition. Assist people enrolling for Medicaid.

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Adult Services - Tappahannock, Essex Department of Social Services

Provides case management, assessment and direct services to Virginia's citizens who have disabilities or who are over the age of 60. Specific services include home based services (companion, chore, homemaker services), adult foster care, adult day care, case management, nutrition, assistance for assisted living applicants and residents, and participation on nursing home preadmission screening teams.

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Care Management - Fairfax, ElderLink, Fairfax County Department of Family Services

ElderLink provides affordable care management to older adults in Northern Virginia. Services include: An in-home assessment to determine what type of care is needed; Development of a comprehensive care plan; Assistance in finding and obtaining services; Monitoring to ensure appropriate care.

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Adult Services - Martinsville, Henry Martinsville 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.; 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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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.

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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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Case Management - Richmond, YWCA Richmond

Clients of the YWCA's Early Childhood and/or Domestic and Sexual Violence Services are automatically eligible for supportive services. Community-based Counseling clients or others experiencing sexual and/or domestic violence may contact us to receive services and/or referrals to appropriate resources. Those in crisis may call the 24-hour Richmond Regional Hotline, a confidential and free resource for survivors and their advocates.

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Case Management - Hampton, Intellectual and Developmental Disabilities Services for Youth, Hampton-Newport News Community Services Board

Offers services for children and adolescents with intellectual disabilities. Assesses consumer strengths and needs, links consumers and family members with community services and supports, monitors consumer's response to treatment and the quality of care provided.

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Intellectual Disability Services - Luray, Page County Clinic, Northwest Community Services Board

Provide an array of outpatient services for individuals age 18+ with mental illness, substance abuse disorders and intellectual disabilities. Services include psychiatric treatment, medication management, case management, in-home services, psychosocial clubhouse, and peer support. The Page County Clinic is a satellite office of the Shenandoah County Clinic and as such, it is part of the Adult Regional Center serving the counties of Frederick, Page, Shenandoah, Warren, Clarke, and the City of Winchester. New Clients, please call the Triage Call Center in Front Royal: (540)635-4804

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Options Counseling - Charlottesville, Aging Services Coordination, Jefferson Area Board for Aging

Person-centered Aging Services Coordination is an interactive decision support process where people are supported in making long-term support choices that reflect their unique preferences, strengths, needs, values, and circumstances. Aging Services Coordination is provided by individuals trained and practicing according to Virginia's Statewide Standards.

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Exceptional Family Member Program - Arlington, Marine Corps Community Services, Henderson Hall

The Exceptional Family Member Program (EFMP) provides assistance for active duty Marine Corps family members that require special medical and/or educational services based upon a diagnosed mild to severe physical, psychological or educational need.

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Intellectual Disability Services - Front Royal, Child and Family Outpatient Services, Northwestern Community Services Board

Provides an array of outpatient services for children with serious emotional disturbances, substance abuse disorders and intellectual and developmental disabilities. Services include psychiatric treatment, medication management, individual, family and group counseling, school-based day treatment, Intensive In-Home Services, Infant/Toddler Case Management, and case management for children 3-18. Services are for children only. Child and Family Outpatient Services is the Regional Children's Center which serves the counties of Frederick, Page, Shenandoah, Warren, Clarke, and the City of Winchester. New Clients, please call the Triage Call Center in Front Royal: (540)635-4804

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