Middlesex County Department of Human Services - 2007 Middlesex County Mental Health Plan

It is my sincere pleasure to share with you a copy of the 2007 Middlesex County Mental Health Plan. The Middlesex County Board of Chosen Freeholders support many services that enhance the quality of life for our residents. For many years the Board has funded a mental health continuum of care, with flexible services tailored to consumers, families, and special populations, ranging from women with post partum depression to isolated older adults, along with coordination of the local mental health response to disaster or traumatic community incidents.

The 2007 Middlesex County Mental Health Plan serves as a guide for the delivery of mental health services to residents of Middlesex County. The Plan identifies needs and barriers that exist within the mental health continuum of care and also highlights important resources that are available. The Plan provides recommendations for improving the service delivery system, reducing stigma, ensuring cultural competence and promoting the principles of wellness and recovery.

It is a great privilege to serve the people of Middlesex County as the Freeholder Liaison to the Department of Human Services and I hope you will find the 2007 Middlesex County Mental Health Plan helpful. If you desire any further information or would like additional copies of the Plan, please call the Middlesex County Department of Human Services (732) 745-3280 or e-mail: lori.dillon@co.middlesex.nj.us.

The 2007 Middlesex County Mental Health Plan is dedicated to all consumers and families, who have for too long suffered the unfounded stigma of mental illness. We salute your courage and resilience. We pledge to support your transition to wellness and look forward to partnering with you throughout all phases of the recovery process. We welcome your voice and presence.

Division of Behavioral Health & Children's Services
Lori Dillon, Mental Health Administrator

As reported by the National Institute for Mental Health (2006), mental illnesses are among the most prevalent health concerns in America today. While mental illness can be devastating, research has demonstrated that individuals affected by mental illness can achieve wellness and recovery.�� As a result of a growing body of research in the recovery field, many consumers, family members, providers and policy makers have been imbued with a new sense of hope.

2006 was a historic year for our mental health community. The legacy of the Governor�s Task Force on Mental Health, combined with the emergence of best practice, evidence based models and a strong consumer voice that expects a recovery oriented system promoting wellness, have all put New Jersey at the forefront of a national movement.

At the county level, planning for services that support recovery is essential. The 2007 Middlesex County Mental Health Plan will serve as a guide for the delivery of mental health services to residents of Middlesex County.�� The Plan identifies needs and barriers that exist within the mental health continuum of care, and also highlights important resources that are available. The unique challenges faced by individuals with co-occurring disorders, the homeless mentally ill and young people aging into the adult system are also considered.� Finally, the Plan provides recommendations for improving the service delivery system, reducing stigma, ensuring cultural competence and promoting the principles of wellness and recovery.��

The New Jersey Community Mental Health Services Act of 1957 contributed to the expansion of public funding and other resources supporting community mental health services and mandates the establishment of a Mental Health Board and Mental Health Professional Advisory Committee (PAC) in each county. The NJ Division of Mental Health Services Regulations (N.J.A.C. 10:37) stipulate that County Mental Health Boards develop a Plan for mental health services, to serve as a basis for future funding and program development.

Shortly after the enactment of the Community Mental Health Services Act, the Middlesex County Board of Chosen Freeholders adopted a resolution appointing the first Middlesex County Mental Health Board. The Department of Human Services, Division of Behavioral Health & Children�s Services is the unit of county government designated to support the Board and to plan for mental health services in Middlesex County.

The Middlesex County Department of Human Services, in partnership with the Mental Health Board and the Professional Advisory Committee (PAC), coordinated the development of the Plan and established a Planning Committee. The Mental Health Planning Committee, comprised of representatives of the Board, the PAC, consumers and family members, developed the outline and timelines for the Plan and oversaw its progress.

Countywide participation in the planning process was solicited through confidential surveys and a series of focus groups.� The 2007 Middlesex County Mental Health Plan will be presented to the Middlesex County Mental Health Board and PAC for their review, comment, and approval, prior to submission of the plan to the County Board of Chosen Freeholders. The Middlesex County Board of Chosen Freeholders is responsible for final approval of the Plan.�

The following principles provide a context for the 2007 Middlesex County Mental Health Plan:

v Looks holistically at the overall needs of the individual and empowers persons in recovery to make purposeful choices that lead to a more satisfying and healthy lifestyle

v Prioritizes recovery awareness, prevention, cultural competency & de-stigmatization

v Includes psycho-educationally based family services as an essential element in mental health services

It is our expectation that input from individuals and families affected by mental illness and their advocates will be included in all phases of administration, planning, decision making, implementation, and monitoring of the overall mental health system.� We fully support and value a strong consumer presence and voice.

We are committed to improving the quality of life for residents of Middlesex County through a comprehensive, inclusive, integrated, community based system of mental health services & supports accessible to all residents of the county.

Cultural competence is a vital part of service delivery. Mental health services should be flexible and responsive to the diverse population of Middlesex County, with access to bilingual / bicultural care available to people of all backgrounds.

Our mental health system must embrace evidence based and best practices that promote wellness throughout the continuum of care, and should be driven by outcome measures and consumer satisfaction.

Evidence based practices are mental health services that have established positive outcomes in multiple research studies.� Over the past 15 years, researchers have gathered extensive data to support the effectiveness of several psychosocial and pharmacological treatments. The Robert Wood Johnson Foundation convened a consensus panel of researchers, clinicians, administrators, consumers and family advocates to review the research and to determine which practices demonstrated a strong evidence base. Six practices were identified as demonstrating a strong evidence base:

�      Illness management & recovery skills
�      Family psycho-education
�      Programs of assertive community treatment (PACT)
�      Integrated dual disorders treatment (IDDT / substance abuse and mental illness)
�      Supported employment
�      Standardized pharmacological treatment

Additional evidence based practices are currently being identified and will be promoted as the research evolves. Some promising practices being researched include peer support programming, supported housing, trauma services and treatment for individuals with borderline personality disorder (SAMHSA, 2006.) For more information on evidenced based practices, go to http://www.samhsa.gov.)

Middlesex County is one of the fastest growing and most multicultural counties in the nation.�� According to the 2000 Census, Middlesex County residents speak 90 distinct languages.� As of 2004, languages other than English are spoken at home in 39.1% of Middlesex County households and 29.4% of people living in the county were born outside of the United States (American Community Survey, US Census.)� In light of this data, it is essential that program development be sensitive to the needs of diverse populations and that programs are linguistically appropriate and culturally relevant to underserved minority groups within the community.

Middlesex County, New Jersey

Language other than English spoken at home:	33.4%
Spanish:	12.2%
Other Indo-European languages:	12.1%
Asian and Pacific Island languages:	6.9%

Source: US Census Bureau, Census 2000

Middlesex County, New Jersey

*Nativity and Place of Birth*	*Number*	*Percent*
Total population in 2000	750,162
Native	568,401	75.8
Foreign Born	181,761	24.2
Region of Birth of Foreign Born:
Europe	34,136	18.8
Asia	82,374	45.3
Africa	10,256	5.6
Oceania	256	0.1
Latin America	53,276	29.3
Northern America	1,463	0.8

Source: US Census Bureau, Census 2000

Middlesex County, New Jersey, 2000

*RACE*	*Number*	*Percent*
One race	730,665	97.4
White	513,298	68.4
Black or African American	68,467	9.1
American Indian and Alaska Nativ e	1,521	0.2
Asian	104,212	13.9
Asian Indian	54,880	7.3
Chinese	21,999	2.9
Filipino	12,397	1.7
Japanese	778	0.1
Korean	5,988	0.8
Vietnamese	2,149	0.3
Other Asian¹	6,021	0.8
Native Hawaiian and other Pacific Islander	300	-
Native Hawaiian	48	-
Guamanian or Chamorro	62	-
Samoan	46	-
Other Pacific Islander²	144	-
Some other race	42,867	5.7
Two or more races	19,497	2.6

1 Other Asian alone, or two or more Asian categories
2 Other Pacific Islander alone, or two or more Native Hawaiian and Other Pacific Islander categories
Source: US Census Bureau, Census 2000

Middlesex County, New Jersey, 2000

*HISPANIC OR LATINO AND RACE*	*Number*	*Percent*
Total population	750,162	100
Hispanic or Latino (of any race)	101,940	13.6
Mexican	14,262	1.9
Puerto Rican	34,676	4.6
Cuban	4,524	0.6
Other Hispanic or Latino	48,478	6.5
Not Hispanic or Latino	648,222	86.4
White alone	464,537	6.9

Source: US Census Bureau, Census 2000

The following statistics illustrate utilization of mental health services by Middlesex County residents, as well as the ongoing, serious overcrowding at Trenton Psychiatric Hospital.

FY 2005 Middlesex County Clients Served by Program Element

*PROGRAM ELEMENT*	*Mental Health Consumers*	*Co-occurring Consumers*	*TOTAL*
ICMS	829	397	1226
Youth Case Management	322	63	385
Designated Screening	458	229	687
Emergency Services	3844	1589	5433
Children's Mobile Outreach	42	12	54
Inpatient	1328	254	1582
Liaison Services	45	79	124
Outpatient	34582	8284	42866
Partial Care	1736	374	2110
Residential	329	192	521
Systems Advocacy	351	22	373
Other	826	218	1044
Miscellaneous�	269	6	275
*Total*	*44961*	*11719*	*56680*

Source: NJ Department of Human Services, USTF

Middlesex County, New Jersey

*Psychiatric Hospital*	*Number*
Trenton Psychiatric Hospital: Total Admissions SY 2006	337

Source: Middlesex County Systems Review Committee

Middlesex County, New Jersey

Substance Abuse Admissions: Total Admissions CY 2005	3,328
Primary drug: Alcohol: 880 (26.4%) Cocaine: 380 (11.4%) Heroin & Opiates: 1,427 (42.9%) Marijuana: 488 (14.7%) Other & Unknown: 153 (4.6%)

Source: NJ Division of Addiction Services

Qualitative and quantitative data were collected from various sources to assess service needs.� A confidential survey was distributed to a broad range of consumers, family members and professionals within the Middlesex County mental health community in order to gain diverse perspectives. The survey contained an open ended question, which asked respondents to describe barriers, gaps, and strengths affecting the mental health system.��

County staff facilitated a series of focus groups in natural settings to gather additional qualitative data. A focus group conducted at a local consumer operated self-help center gave invaluable voice to consumers who shared their perspectives on the strengths and challenges within the mental health system of care.

A focus group held at a NAMI New Jersey meeting provided rich information from family members. A focus group with the Middlesex County Systems Review Committee allowed providers within the acute care system to discuss their perspective.� A final focus group held at a Comprehensive Emergency Assistance System (CEAS) Committee meeting gathered information from consumers and providers working with those at risk of homelessness.�
Open ended questions were utilized to frame the discussions.� These questions included:

� What are the most serious issues faced by individuals affected by mental illness in Middlesex County?

� Please identify challenges or� barriers� with regard mental health services and access to care.

� Looking ahead, can you offer any other recommendations for addressing the identified challenges / barriers to care?

Over 150 responses were collected through the survey and focus group process for data analysis.� Several recurring themes emerged.� This section provides an overview of the following identified concerns: stigma; wellness and recovery; housing; family support; barriers to employment; transportation and staffing.

Additional areas for consideration affecting special populations (co-occurring, aging out, the homeless, and more) are presented in the next section.

Stigma and the discrimination associated with mental illness were identified by many respondents as persistent challenges.� A number of consumer and family members surveyed emphasized stigma as a major issue affecting the mental health system.� One respondent stated:

�People think all mentally ill people are dangerous�There is a stigma that mentally ill people are not very intelligent��

According to the U.S. Surgeon General�s Report on Mental Health, stigmatization of people with mental illness has persisted throughout history.� Manifestations of stigma include: bias, stereotyping, fear, anger and avoidance (www.stopstigma.samhsa.gov, September, 2006.) Detrimental affects of stigma for the consumer include: delays in diagnosis, isolation, loss of housing and vocational opportunities, low self-esteem, hopelessness, and suicide in severe cases. �Stigma deprives people of their dignity and interferes with their full participation in society (ibid.)� As a mental health community, it is our responsibility to stop institutional stigma and to educate the public about mental illness, wellness and recovery.�

The Governor�s Task Force on Mental Health Final Report (2005) noted that addressing stigma is fundamental in order to improve the mental health system.� Much like racism, stigma against mental illness is insidious. Increasing public awareness through education, media campaigns and outreach will reduce stigma by promoting a better understanding of mental illness and sensitivity to the challenges faced by those affected.�

When asked if she could change one thing in the mental health system, one family member stated:

�I would like the public to be more aware of the issues that those with mental illness have to deal with, as well as their successes.�

Surveyed respondents identified the recent shift to the wellness and recovery philosophy as a major strength in the mental health system.� Earlier this year, the NJ Division of Mental Health Services issued a Wellness and Recovery Transformation Statement.� The purpose of the Statement is to inform the mental health community of the state and county mandate for evidence based, recovery oriented services that promote wellness.

�As defined by SAMHSA, �mental health recovery is a journey of healing and transformation enabling a person with a mental illness to live a meaningful life in a community of his or her choice, while striving to achieve his or her full potential.� Key components of recovery include:

�        Individualized and Person-Centered
�        Self-Direction
�        Hope
�        Responsibility
�        Empowerment
�        Respect
�        Peer Support
�        Strengths-Based
�        Non-Linear
�        Holistic

Wellness, as defined by the National Wellness Institute (2006), is �an active process through which people become aware of, and make choices towards, a more successful existence.�� The NWI proposes the following tenets of wellness:

�        Wellness is a conscious, self-directed and evolving process of achieving full potential
�        Wellness is a multi-dimensional and holistic, encompassing lifestyle, mental and spiritual well-being, and the environment
�        Wellness is positive and affirming

Wellness includes physical, emotional, intellectual, social, environmental, occupational, leisure and spiritual dimensions, and incorporates disease prevention and health promotion strategies.
The long overdue shift to a recovery orientation challenges all of us. Our responsibilities in government, as providers, consumers and family members will evolve as our system embraces evidence based and promising practices that promote wellness throughout the continuum of care.

New Jersey ranks among the top 5 costliest states in the nation (National Low Income Housing Coalition, Out of Reach, 2005).� The lack of affordable housing was frequently cited by survey respondents as a significant barrier faced by individuals with mental illness in Middlesex County, where the Fair Market Rate for renting a two-bedroom apartment is $1,187. Mental health consumers need a full range of housing options to meet their needs and to provide them with choices.� �The lack of housing with support services complicates discharge from the psychiatric hospital and contributes to unnecessary overcrowding there.��

The Governor�s Task Force on Mental Health Final Report (2005) recognized the need to secure permanent, affordable housing as a crucial step toward recovery for individuals with mental illness and established a Special Needs Housing Trust Fund. This $200 million trust fund, administered by the New Jersey Housing and Mortgage Finance Agency and supported by bonds issued by the state's Economic Development Authority, promises to create 10,000 housing opportunities over the next 10 years. �In addition to the expansion of affordable housing stock, support services, including:� case management, career counseling, representative payee arrangements, rental assistance and transportation services must also be developed.�

The importance of family support services was another priority identified.� According to the New Jersey Association of Mental Health Agencies (NJAMHA), one in every five families is affected by mental illness.� With over 50% of adult mental health consumers living with family members, many respondents noted that support for family caregivers is essential.

Research in best practices has shown that family members can often be the best resource for people in recovery from mental illness.� When families are informed and provided with support, services, and hope, they are better able to support their loved ones.� Many respondents described positive experiences with family support groups, NAMI NJ, and the Integrated Family Support Services (IFSS.)

Respite beds were recommended to give families some time apart, when needed. An expanded �family to family� mentor program for the acute care system was recommended for families experiencing serious mental illness for the first time.

Employment is a critical issue for mental health consumers in their recovery.� In addition to gaining financial resources and independence, employment offers consumers a sense of purpose and accomplishment which can have a dramatic affect on their overall sense of self, often leading to a reduction in symptoms and hospitalization.

Historically, many barriers to employment have existed for consumers which have prevented many from pursuing their educational or career goals.� Survey respondents confirmed that obstacles to employment continue to persist. �When asked what change he would recommend within the mental health system, one consumer respondent stated:

�Living arrangements and job placement assistance should be considered immediately so that you�re not floundering around for years seeking intervention.�

Today, we know that employment contributes to recovery. As consumers transition into work, they will likely need assistance along the way to reach their employment goals.� This may include: support in determining job interests and preferences; navigating the effect work may have on entitlement benefits such as SSI/SSDI; and exploring disclosure concerns.

As a mental health system, it is incumbent upon us to support consumers as they prepare to return to work, and to provide the necessary supports for them to become and remain gainfully employed.� Programs which offer free training and employment related supports for consumers and technical assistance to providers include:

� Consumer Connections � a statewide program of the Mental Health Association in NJ.� Consumer Connections provides training leading to certification, support and job placement services to their consumer graduates.� For more information, please call 973/571-4100 ext. 120.

� Integrated Employment Institute (IEI) � a program of UMDNJ School of Health Related Programs, Department of Psychiatric Rehabilitation.� The IEI strives to expand employment opportunities for consumers by offering training and technical assistance.� For more information, call 800/593-2434.

The Governor�s Task Force on Mental Health Final Report (2005) recommended the expansion of funding for all supported employment services. Locally, it is recommended that the Middlesex County Employment Consortium, which promotes employment opportunities for individuals with psychiatric illnesses and seeks to remove barriers to their employment, continue to be supported. Expanding educational opportunities and creating career development training for young people who are aging into the adult system of care is also strongly recommended.

On a final note, as we move towards a recovery oriented mental health system, the employment goals of the individuals we serve must become a paramount part of the treatment and support process.

Unfortunately, in mental health service planning, transportation does not always receive the consideration it merits, and rising fuel and insurance costs have only compounded the problem. Survey respondents reported many concerns related to transportation, including the need for transportation to and from employment and for medical appointments.

�The lack of accessible transportation is a serious barrier for individuals with mental� illness who are trying to work towards wellness and recovery.��

Respondents� recommendations included free or reduced fares for consumers and expanded bus routes and shuttle services.

Many provider respondents reported the challenge of retaining qualified staff as significant and ongoing.� The deadly combination of low salaries and high caseloads contributes to staff turnover, and directly affects consumers by decreasing the continuity and quality of care.� Another gap in service that is closely tied into this problem is the availability of Advanced Practice Nurses (APN), who not only can prescribe and monitor psychotropic medication, but also can provide more extended care. Finally, a shortage of psychiatrists was also reported, perhaps due to outdated, unrealistic Medicaid reimbursement rates.

As noted by the New Jersey Association of Mental Health Agencies (NJAMHA), Medicaid reimbursement rates were established almost 30 years ago and have remained largely stagnant in most service elements.� Recommendations include state support for annualized cost of living adjustments (COLA), and an immediate increase of Medicaid rates for mental health services.�

Many respondents described myriad difficulties with community placement and hospital discharge, due to the lack of housing, or entitlements, medications, and follow-up appointments not being in place. Recommendations include a pilot, at Trenton Psychiatric Hospital, of a Community Assessment Tool, developed by the Middlesex County PAC and approved the Middlesex County Mental Health Board, to assist hospital social workers, case managers and consumers at discharge.

Other issues reported by several respondents included the shortage of bilingual services; the lack of specialized services for children aging into the adult system; individuals with co-occurring mental illness and substance abuse; mental illness and developmental disability; individuals involved in the criminal justice system; sex offenders and the homeless. A lack of socialization and recreational opportunities for special populations, especially young people, was also reported.�� Areas for special consideration affecting these populations are presented in the next section.��

Untreated mental illness costs New Jersey $4 billion a year, with increased hospitalizations, incarcerations, homelessness and disability (New Jersey Association of Mental Health Agencies. Perhaps even more significant is the terrible cost in human suffering. Funding to support mental health services is a sound investment that benefits all of us.

The Governor�s Task Force Final Report was subtitled the Long & Winding Road. While it is true that the road to recovery may be long, with certain basic supports in place � services, housing, employment, transportation � it is sure to be shorter, and a little less winding.

One issue related to culture, race, and ethnicity is that of unequal access to mental health services.� While mental illness affects people of all cultures, minorities are least likely to access mental health services, less likely to receive needed care, and often receive poorer quality of care (US Department of Health & Human Services, Office of Minority Health, 2006).

African Americans, Asians, Latinos and other minorities with mental illness are among the most underserved communities in the state.� Many institutional barriers preventing these communities from seeking mental health services have been identified. In particular, the absence of culturally appropriate services, with few bilingual/bicultural screeners, doctors, therapists, nurses or psychologists is of great concern.

Cultural competence is an approach grounded in the assumption that services are most effective when they are provided within the most relevant cultural, gender sensitive and age appropriate context for the people being served (SAMHSA, 2003.)� Culturally competent mental health care can build trust and improve access by acknowledging the diverse attitudes, beliefs, and behaviors of all consumers.�

The Hispanic Directors Association of New Jersey (HDANJ) recently collaborated with the New Jersey Mental Health Institute to develop a set of recommendations to further cultural competence within the mental health system, including:

� Public education and media campaigns to heighten awareness, acceptance and understanding of mental illness within the Latino and other minority communities;

� Development of mandatory mental health training programs for law enforcement officials, which address cultural diversity and race relations, to ensure minorities are appropriately referred to treatment;

� Assurance that minorities are appointed to all state and county Mental Health Boards, in reflection of population demographics;

� Assurance that at least one bilingual/bicultural mental health screener is on call at each designated screening center;

� Building on the Student Loan Forgiveness Initiative enacted by Acting Governor Codey, establishment of a scholarship program for minority students interested in pursuing mental health careers;

� Encourage recovering minority consumers to explore peer support and other mental health career possibilities (adapted with permission from HDANJ.)

�Co-occurring disorders, previously termed MICA, refer to a condition in which a person has co-occurring psychiatric and substance use disorders. �According to a report published in the Journal of the American Medical Association (JAMA), roughly 50 percent of individuals with mental illness are affected by substance abuse, yet only a small percentage actually receive treatment to address both disorders.
Co-occurring disorders are complex, as the illnesses often interact and exacerbate one another.� People with mental illness may self medicate with alcohol or other drugs, developing tolerance and dependence. This is of particular concern for young people aging out of the children�s system of care, who may be vulnerable to substance abuse.
Research in best practice has indicated that the most effective services for people with co-occurring disorders provide integrated treatment. Integrated treatment considers the biological, cognitive, affective and interpersonal aspects of the individual, including, if indicated, the need for psychotropic medication (Ziedonis, 2004.)� This holistic model combines substance abuse and mental health interventions that treat both disorders concurrently.
Guidelines for Best Practices in the Treatment of Co-occurring Disorders were recently developed by the NJ Division of Mental Health Services. �In addition, statewide training efforts have focused on the introductions and implementation of 2 treatment practices: Integrated Dual Disorders Treatment (IDDT) and Illness Management & Recovery (IMR.)

In support of system level integration and collaboration, the Middlesex County Co-occurring Task Force has requested that the state restore funding for training from both the NJ Division of Mental Health Services and the NJ Division of Addiction Services (DAS) to enhance the skills of Middlesex County providers working with this population. If this funding were restored, the Task Force would be able to offer training on IDDT and IMR to further integrated treatment at the local level.

Another issue affecting this population is the potential loss of benefit eligibility for individuals with co-occurring disorders, who have been convicted of a drug related crime.� Within the federal welfare reform legislation, one component prohibits any person convicted of a drug offense from eligibility for federally funded benefits including food stamps and public housing assistance.� While New Jersey passed legislation opting out of the strict federal welfare ban and allowing Work First New Jersey benefits and food stamps to those who complete a residential treatment program, many individuals with a co-occurring diagnosis do not have access to integrated treatment and - unable to successfully complete traditional treatment programs� - lose needed benefits.

Providing appropriate, integrated services has long range benefits for both the consumer and the community. By assisting co-occurring consumers to engage in appropriate treatment, obtain housing, employment, and develop better coping skills, other issues frequently associated with co-occurring disorders -� homelessness, HIV/AIDS, poverty -� may also be reduced (National Alliance on Mental Illness.)

There is a need to expand services for individuals who are dually diagnosed with a mental illness and a developmental disability (MI/DD.) Traditionally, there has been a lack of appropriate mental health care for this special population.�� With few exceptions, psychiatric hospitals, inpatient, outpatient, partial hospital, partial care and psychiatric emergency services lack specialized MI/DD services.

The New Jersey Division of Developmental Disabilities (NJDDD) serves more than 35,000 people with developmental disabilities, including mental retardation, cerebral palsy, autism, epilepsy, spina bifida, traumatic brain injuries and other neurological impairments.� Frequently, NJDDD case workers are called upon to refer their clients to a mental health system that is often unable to accommodate their special needs.

Over the past few years there has been recognition of the need for increased collaboration and cross training between the NJ Division of Developmental Disabilities and the NJ Division of Mental Health Services. Recently, some strides have been made in this area.

In 2006, the Middlesex County Mental Health Board and PAC supported the successful expansion into Middlesex County of a community outreach treatment team which assists in diverting MI/DD inappropriate psychiatric hospital admissions and provides linkages to community services for this population. The Integrated Service Delivery Team (ISDT), a multidisciplinary team approach for individuals dually diagnosed with a mental illness and a developmental disability based at Trinitas, works in collaboration with two other services also at Trinitas for individuals with MI / DD:

� Statewide Clinical Consultation & Training (SCCAT)
� Inpatient unit for MI / DD.

Together, these programs provide a continuum of care model to maintain individuals in the community, which should be replicated and expanded to meet the specific needs of this population.

People with mental illness are languishing in jail or prison at unprecedented rates.� The US Department of Justice reports that the percentage of people with mental illness in prison or jail is three times that of the general population.� There are a similar disproportionate number of individuals in New Jersey prisons and jails, largely as a result of non-violent crimes.

The Governor�s Task Force on Mental Health identified many factors contributing to the over-representation, including: lack of stable housing, employment, socialization and access to mental health services.�� Ensuring an accessible mental health system with a comprehensive, community based continuum of care is one of the first steps to decrease the numbers of inappropriately incarcerated mentally ill.� Collaboration between the mental health and criminal justice systems is also essential (Council for State Governments, 2002.)

Individuals with mental illness who are involved in the criminal justice system face challenges at every stage of the system, as they progress from initial contact to adjudication to incarceration, and then back into the community (Criminal Justice/Mental Health Consensus Project, 2002.)� One recommendation is to enhance partnerships between law enforcement and community mental health agencies in order to educate police officers about how to assess non-violent individuals with mental illness.� When possible, officers can divert these individuals to treatment instead of the criminal justice system.

It is also recommended that mental health courts be developed.�� With mental health court, individuals with mental illness are linked to community based treatment that includes individualized treatment and ongoing judicial monitoring to address their mental health needs, as well as, public safety concerns for the community (Center for Court Innovation, 2006).

Incarceration and reentry into the community present another set of challenges, along the criminal justice system continuum.� Identifying inmates with mental illness, providing adequate treatment while incarcerated, and assisting in their preparation for release will help improve the outcomes towards successful reintegration into the community (Council for State Government, 2002.)� In addition to mental health courts, diversion and reentry program development are needed to meet the needs of this forgotten population.

According to the National Resource Center on Homelessness and Mental Illness (2006), thirty-nine percent of people who are homeless report a mental health concern, with 20to 25% meeting the criteria for serious mental illness.� The Governor�s Task Force on Mental Health reported that an estimated 8,000 individuals with mental illness are chronically homeless in New Jersey.�
Individuals with serious mental illness have a greater difficulty overcoming homelessness and tend to be on the street more often than other homeless people.� The National Resource Center on Homelessness and Mental Illness, SAMHSA, (2006), reported the following with respect to homeless people with mental illness:

� Their symptoms are often active and untreated, making it difficult to negotiate basic needs for food, shelter and safety, often causing distress to others who observe them.

� They are impoverished, and many are not receiving the benefits for which they may be eligible.

� They are twice as likely as other people who are homeless to be arrested or jailed, mostly for misdemeanors.

� They are often good candidates for diversion from jail to more appropriate treatment, support, and housing.

Research has shown that mental health consumers are often more responsive to treatment after secured housing is obtained.� The National Alliance for the Mentally Ill reports that many mental health consumers prefer to work on housing goals before anything else.� The Governor Task Force recognized the potential of this �housing first� philosophy and established the Special Needs Housing Trust Fund, which promises to create 10,000 housing opportunities over the next 10 years.

A focus group conducted at a Middlesex County CEAS Committee meeting recommended specialized and consistent outreach for homeless individuals with mental illness. There is a need to improve communication across systems - mental health, homeless prevention, criminal justice � to more effectively serve this population.� Finally, there is a need to educate homeless service providers about mental illness, available services, wellness and recovery, with a focus on reducing stigma.

Young adults, who are transitioning from children�s behavioral health into the adult mental health system, are another marginalized, at risk population.� Very often, young adults who were not under Division of Youth & Family Services (DYFS) supervision are not eligible for ongoing support services, due to inflexible exclusionary criteria.� Unable to access supported housing, case management or in home services due to exclusionary criteria created years ago, many of these vulnerable young people become runaways or self medicate with alcohol or other drugs.

The Middlesex County Council for Children�s Services / CIACC identified transitional services for aging out youth, including housing, education, transportation, daily living skills, and work-force readiness, as priorities for funding. Another recommendation is to foster the development of natural supports for youth through community based partnerships with faith based organizations and volunteer groups. Such community partnerships would enable young adults aging out of the children�s system to connect and be supported by their community.

�The fact that multiple systems share responsibility for these youth suggests that our service response should be collaborative in nature, with services that are developmentally appropriate and sensitive to issues of gender, ethnicity, race, age, sexual orientation and faith. The Middlesex County Department of Human Services fosters collaboration with the structure of the Division of Behavioral Health & Children�s Services, to maximize the opportunity for integrated service planning at the county level.

One final recommendation would be to develop specialized units within psychiatric hospitals for young adults, 18 to 25, who, when hospitalized, face unique challenges. These special units would include education and employment support, with emphasis on developing skills for illness management and recovery, holistic stress reduction and recreation.

Postpartum depression (PPD) affects one in every 8 to 10 women. It usually occurs within the first year after a birth, miscarriage or stillbirth. The symptoms of PPD range from the blues to mild, moderate or severe depression. Postpartum depression is treatable, but many women don�t know where to turn. In partnership with the NJ Office of Women�s Health (NJOWH), the NJ Division of Mental Health Services has a statewide Postpartum Wellness Initiative to increase public awareness, education and to offer free mental health screening for all new mothers.

Postpartum depression can be devastating to women and families.� By learning to recognize and understand PPD, individuals can seek support and get medical help.� The state now operates a Post Partum Depression/Family Health Line.� The UMDNJ / University Behavioral Health Care (UBHC) Access Center is linked to the Family Health Line for callers who require clinical services or have questions about treatment.� UBHC clinicians are available through the Access Center 24 hours a day, 7 days a week.

In Middlesex County, Raritan Bay Mental Health Center is the lead agency for this important initiative. Qualified clinical practitioners are available to provide support, encouragement, information, and treatment for anyone suffering from postpartum depression.

For more information, visit www.speakupnj.gov , call Raritan Bay Mental Health Center at 732/442-1666 or call the Post Partum Depression/Family Health Line,�� 24 / 7 at 1/800-328-3838.

AGENCY	SERVICE	CLIENTS / LOS	PROGRAM DESCRIPTION
Bridgeway	Residential Intensive Service Teams (RIST)	25 subsidy slots	A unique supportive housing model incorporating intensive residential support, which is flexible in design as well as mobile, targeting 25 state hospital consumers for discharge into their own apartments. Consumers are full partners in planning their own care and support needs, directing types of activities/services to assist in maximizing opportunities for successful community living. Staff support is provided through a flexible team approach, encouraging consumer use of other community mental health treatment, employment and rehabilitation services, as needed and appropriate.

Catholic Charities	Outpatient Adult	995	Outpatient mental health services are provided to children, adolescents and adults.� Services include comprehensive assessment, individual, couple, family and group therapy; psychiatric evaluations; medication monitoring; outreach to boarding homes; case management and psycho education.

Catholic Charities	PATH	60	Two full-time case managers provide engagement, assessment, counseling and linkage services to homeless persons with serious mental illness throughout Middlesex County.� Consumers receive services from the PATH team on the streets, in the train station, shelters, soup kitchen, hospitals and other community locations.� Workers assist consumers in accessing mental health, substance abuse, medical, dental, financial and housing services.� PATH involvement continues for up to six months after the client finds permanent housing.

Catholic Charities	PACT / North Brunswick	60	PACT is a mobile multi-disciplinary mental health program providing comprehensive, continuing and consumer centered integrated� treatment and support services to persons with serious mental illness, as evidenced by repeated hospitalization and who are at risk for psychiatric hospitalization.� PACT is the most intensive program element in the continuum of ambulatory community mental health care. Services to an individual may vary in type and intensity. Treatment has no predetermined end point.

Catholic Charities	PACT/East Brunswick	60	PACT is a mobile multi-disciplinary mental health program providing comprehensive, continuing and consumer centered integrated treatment and support services to persons with serious and persistent mental illness, as evidenced by repeated hospitalization and who are at risk for psychiatric hospitalization.� PACT is the most intensive program element in the continuum of ambulatory community mental health care. Services to an individual may vary in type and intensity. Treatment has no predetermined end point.

AGENCY	SERVICE	CLIENTS / LOS	PROGRAM DESCRIPTION
Catholic Charities	PACT /�� Perth Amboy	60	�PACT is a mobile multi-disciplinary mental health program providing comprehensive, continuing and consumer centered integrated treatment and support services to persons with serious and persistent mental illness, as evidenced by repeated hospitalization and who are at risk for psychiatric hospitalization.� PACT is the most intensive program element in the continuum of ambulatory community mental health care. Services to an individual may vary in type and intensity. Treatment has no predetermined end point.

Catholic Charities	�Outpatient APN	150	Consumers who have been discharged from psychiatric hospitalization or are at risk of psychiatric hospitalization or re-hospitalization receive a comprehensive assessment by an Advanced Practice Nurse and are provided with ongoing medication monitoring and services. Consumers who are reluctant to engage or maintain treatment are a special focus. Support services are provided to family, caregiver / support persons. Limited outreach is available.��


Central Jersey Legal Services	Advocacy/ Legal Services	175	The Mental Health Advocacy Unit provides legal assistance and representation to eligible people with mental health problems who reside in Middlesex County.� An attorney or legal assistant will assist in cases such as SSI, Medicaid, Medicare, Family, Food Stamps, Housing, Consumer Employment, and Individual Rights.

Easter Seals	Adult Residential	8 beds	Traditional Level A services in 2 Town House settings, one male and one female. The Program provides 12-24 hrs. of staff coverage to clients discharged directly from state and county hospitals and/or transitioning from contracted Level A+ services. Consumers receive assistance/training in ADL skills, medication monitoring, supportive counseling, and social/recreational activities.

The Multicultural Family Institute	Behavioral Research & Training	Up to 200 professional staff	Provide training to professional staff in order to improve the capacity of mental health agencies in Central New Jersey to provide culturally competent services, with a specific emphasis on African American, Latino and Asian consumers.� Two conferences will be open to staff in agencies not involved in the training.� Trainings will be designed to increase participant�s knowledge, attitudes, behavioral intentions, perceived self-efficacy and skills related to culturally competent mental health care.
Princeton House	Short Term Care Facility	21	This acute care unit, serving Middlesex, Somerset and Hunterdon, treats both involuntary and voluntary adults. All patients committed to this unit must be referred by a designated Screening Center. The goal of the STCF is to provide intensive treatment and a multidisciplinary treatment approach to stabilize patients quickly and transfer them to a less restrictive level of care, as soon as possible. �
AGENCY	SERVICE	CLIENTS / LOS	PROGRAM DESCRIPTION
Raritan Bay Medical Center	Emergency Services	2500	Crisis intervention services include assessment, counseling, medication, supervision/observation, linkage, and referral to hospital care and other community services.� Services are provided by trained personnel 24 hours a day, 7 days a week.� Emphasis is on stabilization, so that the client can actively participate in needs assessment and service planning.� Within DMHS Emergency Services programs are affiliated with Designated Screening Centers.

Raritan Bay Mental Health Center	�Outpatient Services	2890 Adults�� 730 Children	A set of counseling interventions provided by trained clinicians to clients including children, adolescents and adults living in the community who require non-immediate care that can be delivered on a scheduled basis.� Interventions may include individual, group, and family therapy; medication counseling and maintenance; assessment and testing; outreach services; and referral.

Raritan Bay Mental Health Center	Adult Partial Care Services	146 Adults	Comprehensive, facility-based, structured, non-residential day treatment mental health services that may reduce the risk of hospitalization and that may include structured support, rehabilitation, relapse prevention, and/or the development of community living skills.� Services may include counseling, psycho education, medication monitoring, vocational support, direct skills teaching, and recreation and social events.

SERV	Residential Services	151 beds	Respite group home beds provide intensive services to SERV clients to avoid hospitalization.� Housing and supportive services are integrated into a broad-based approach that addresses the most basic needs of each individual (food, shelter, clothing) while allowing them to safely adjust to living in the community and gradually build a more independent life.� Two levels of residential services are provided under this contract: Level A+ and Level B.

Triple C	Residential Services - Adult	38	A live-in setting that helps consumers achieve independent living.� Residents live in the least restrictive environment necessary to assure safety and promote growth.� Residential programs include Housing, Daily Living Education and Service Procurement services.� 15 beds in Supervised Residence A+, 1 bed in Supervised Residence A+ respite and 9 beds in Supervised Residence C.� The Client totals reflect number of persons to be served.

AGENCY	SERVICE	CLIENTS / LOS	PROGRAM DESCRIPTION
Triple C	Supportive Housing	26	Supportive Housing is permanent housing with community support services tailored by the consumer.� It does not involve on-site supervision.�
*NOTE:� Supervised Residence A+ refers to housing with on-site staff coverage 24 hours per day, seven days per week. �Supervised Residence A refers to housing with on-site staff coverage of less than 24 hours per day, but at least 12 hour a day on-site coverage, Monday through Friday and at least 12 hours on-site coverage on weekends and holidays.� Supervised Residence C refers to housing with on-site staff coverage at a minimum of one hour per week.� Typically, staff is "on-site" providing services three to four hour a week.

UMDNJ/UBHC	Designated Screening Center and Expansion	3150	UBHC-Piscataway is the Designated Screening Center for Middlesex County and provides on-site screening and psychiatric emergency services at the UBHC main facility.� The program also provides screening outreach to two outside hospitals and to unstructured sites in the community at any location in Middlesex County.� All services are provided 24 hours/day, seven days/week.� The screening coordinator is Gregory Fitzpatrick.

UMDNJ/UBHC	CCIS -Emergency Services -Children	950	Children's Crisis Intervention Services offers screening for hospitalization, information and referral services, crisis intervention and follow-up, and inpatient services for youth ages 5 through 17.� These services are offered to youth in Middlesex, Mercer, Somerset and Hunterdon counties.�

UMDNJ/UBHC	RRU Emergency Children's Outreach Services	325	RRU provides mobile outreach mental health services to youth in the shelter detention centers.� The services provided include:� screening, individual and group treatment, activities therapy and referrals.� Youth in Middlesex County also receive on-site services of a child psychiatrist at the shelter and at detention.� The psychiatrist offers medication evaluation and medication monitoring.� The Child Family Crisis Clinician offers screening, crisis intervention, consultation to youth and families in crisis; also offers consultation to screening sites in Middlesex.�

UMDNJ/UBHC	Outpatient Services -Extended Treatment Adult	30	Assess and evaluate clients to detect alcohol and drug problems as needed.� Provides substance abuse counseling and psychotherapy.� Provides group counseling for mentally ill chemical abusers and their families who seek treatment at Extended Treatment Piscataway Office.

AGENCY	SERVICE	CLIENTS / LOS	PROGRAM DESCRIPTION
UMDNJ/UBHC	Partial Care -Redirect	35	The Redirect Partial Hospital Program will include: psychiatric evaluation and diagnosis, comprehensive assessment including substance abuse, medication prescription, group therapy, psycho-education groups, skills training including medication self-management, community reintegration, illness management, health maintenance, interpersonal skills, problem solving, social skills, pre-vocational skills, case management and advocacy for basic needs, MICA support and education groups, drug screens and transportation.�

UMDNJ/UBHC	Partial Care -Mentally Ill Chemical Abusers (MICA)	45	MICA services include:� psychiatric evaluations and diagnosis, comprehensive assessment, medication prescription, skill groups, psycho-educational groups, group therapy, pre-vocational groups, MICA education groups, drug screens, MICA support meetings, AA speakers meeting, case management & advocacy for basic needs and transportation.� MICA clients receive the full compliment of services as the rest of the New Brunswick Partial Hospital program with an increased focus of substance use/abuse issues.� When clients have demonstrated proficiency with managing both mental illness and substance abuse issues the client is discharged to a less intensive treatment modality.�

UMDNJ/UBHC	Supported Employment	80	Supported Employment (SE) serves adults diagnosed with a serious and persistent mental illness.� The goal of the program is to provide a wide range of vocational services and supports to consumers who wish to enter the work force.� These services include: career choice and planning, job development and search, job retention skills, job coaching, self presentation skills, work support groups, and benefit analysis.

UMDNJ/UBHC	Supported Housing Program	96	In the Supportive Housing Services program, housing using a variety of financial sources, will be integrated, scattered, normalized housing in the community.� Mental Health Consumers must receive services & supports designed to make their choice of living arrangement an ongoing reality.� All housing support services will be individualized & tailored to a persons needs based on a service plan developed by the case manager & the consumer.� Service Plans are reviewed regularly.� Support Services will include case management, ADL skill training, including budgeting & apartment maintenance, interpersonal skill training, peer & community development, family psycho-education, crisis support & intervention, transportation referral & linkage to appropriate community mental & medic al health services.� Since this project will be managed by UBHC all consumer participants will have access to UBHC�s broad range of services.� Referral and linkage to other community resources will be made as appropriated.

AGENCY	SERVICE	CLIENTS / LOS	PROGRAM DESCRIPTION
UMDNJ/UBHC	Integrated Case Management Services	820	Middlesex County ICMS is a county-wide program providing "in-vivo" case management services to designated adults with serious and persistent mental illness.� The target groups are all new state hospital admissions and discharges.� Each consumer will be assigned a risk of hospitalization score to determine the level of service to be provided:� intensive, supportive or maintenance.

UMDNJ/UBHC	Homeless PATH	60	The Case Management Services Unit includes a Homeless Program which provides community-based mental health outreach and care to homeless mentally ill adults.� The Homeless Case Management team consists of a team of case managers who work closely with clinical and psychiatric staff.� The team's core mission is to engage seriously mentally ill homeless adults, who are sometimes unwilling or unable to access existing mental health services and are at risk for hospitalization.� The team provides a broad range of services including outreach assessment, service planning, linkage to concrete services and necessary community resources as a means of linking clients to mental health care and substance abuse services.� Clinical and concrete services will be integrated in the UBHC care delivery system.� The Clinical Case Management Services Unit, in collaboration with the Department of Community Affairs, operates a transitional residence (TR) for homeless mentally ill adults.� These adults live in TR apartments for six months to two years, and upon graduation from the program, are eligible for Section 8 independent housing.

UMDNJ/UBHC	Intensive Family Support Services	250	This program provided education and support to enhance the overall functioning of families with a member who has mental illness in Middlesex County.� The following services are offered:� Psycho educational Workshops, Single Family Consultation, Multi-Family Groups, in home, respite and family advocacy.� In addition, families will receive assistance with crisis stabilization.

UMDNJ/UBHC	Post Partum Depression	N/A	The Department of Health and Senior Services (DOHSS) operates a 24/7 helpline which has the capacity to provide callers with information regarding Post Partum Mood Disorder (PPMD).� DOHSS has also initiated a major public information campaign to draw attention to PPMD.� To provide access to clinical resources for such callers, the Division of Mental Health Services has arranged for UBHC to link its existing Access Center to the DOHSS helpline.� Callers that require clinical services, or questions about treatment will be warm transferred by helpline staff directly to clinicians available through the UBHC Access Center.

AGENCY	SERVICE	CLIENTS / LOS	PROGRAM DESCRIPTION
UMDNJ/UBHC	Psychiatric APN	250	This program will consist of two full time psychiatric APN positions.� These positions will augment and enhance medication management and monitoring services for a case load of seriously and persistently mentally ill adults who are defined as "difficult" to engage in traditional outpatient treatment.� The comprehensive initial assessment performed by the APN will determine the appropriate level of care to be provided:� safety, stabilization, recovery/rehabilitation, or community integration.

UMDNJ/UBHC	Residential, Adult Middlesex	5	The MICA Group Home is a 5-bed, 24 hour residential group home for adults, 18 years and older.� The program is designed for a co-ed group of adults who have both a diagnosis of a major mental illness as well as a diagnosis of addiction to drugs or alcohol.� The residential program offers ADL, substance abuse, as well as case management counseling, links residents to community based services to include mental health counseling and supports, vocational supports and recreational opportunities.� In-house services include medication and nutritional education, supervision of self administration of medication, groups that address addiction, teach activities of daily living, socialization skills and self symptom management.

UMDNJ/UBHC	Youth Case Management Services	1232	Provides outreach, linkage to mental health treatment programs and providers and case management services such as transportation, advocacy, financial, legal and educational assistance to SED Youth and their families who are discharged from state hospitals.� Targets those most in need in Middlesex County and triage process employed in weekly staff meetings.

UMDNJ/UBHC	Children's Transitional Residence	18	The Children's Transitional Residence is a 24/7 days week Psychiatric Community residence for youth, boys and girls, ages 5-10, maximum capacity is 8 children.� Referrals made by in-patient and community based programs and must be authorized for this level of service by the Contract System Administrator, Value Options, of the NJ Division of Child Behavioral Health Services.� Children receive intensive treatment for a period of time determined by the treatment team including the parent or legal guardian, the CSA, and the availability of suitable discharge placement.

� Volunteers of America	Supportive Housing	27	The Middlesex Supportive Housing Program serves� individuals with severe and persistent mental illness in their own homes.� individuals is referred� Volunteers of America provides case management services which focus on the establishment of linkages to community supports and the enhancement of independent living skills.�� Staff is available 7 days per week to provide consultation and support.� Staff works in conjunction with each individual's community based and natural supports to facilitate wellness and recovery.

AGENCY	SERVICE	CLIENTS / LOS	PROGRAM DESCRIPTION
� Volunteers of America	Supervised Residential	26	The Bay City Residence is a 24-hour per day supervised residential health care facility in Perth Amboy, NJ.� This facility is licensed by the NJ Department of Community Affairs.� Twenty-five of the residents are referred from Trenton State Psychiatric Hospital and the other five come directly through referrals from family members and community based organizations.� Residents are provided with assistance in a myriad of daily living skills.� They participate in day treatment and vocational/educational programs to promote wellness and recovery.

� Volunteers of America	Supervised Residential	24	Myrtle House is a group home for men with mental illness and substance abuse disorders.� They are referred from Trenton State Psychiatri c Hospital.� Staff are available on site for 24-hour support of residents' rehabilitation and support needs.� Provided services include daily living skills training, social skills, vocational/educational support, recovery services., and linkages to community and natural supports with a focus on wellness and recovery.

2007 Middlesex County Mental Health Services
Resource Inventory*

emergency services Providing Crisis Intervention Services Including Assessment, Screening, and a Range of Psychiatric Emergency Services Emphasizing Stabilization
Raritan *Bay Medical Center*	Perth Amboy *(732) 324-5095�� Emergency Room* *(732) 324-5289�� Crisis Stabilization* *www.rbmc.org*
*UMDNJ � University Behavioral Health Care*	Piscataway *(732) 235-5700�� Crisis/Screening* *(800) 969-5300�� Access Center* *(877) 652-7624 Children�s Mobile Response & Stabilization* *www.umdnj.edu*
Inpatient Services Providing the Most Intensive Psychiatric Care & Treatment
*Carrier Clinic*	Belle Mead *(800) 933-3579* *www.carrier.org*
*East* *Mountain Hospital*	Belle Mead *(800) 379-1949*
*Princeton* *House Behavioral Health*	Princeton (800) 242-2550 (609) 497-3355 *www.princetonhcs.org*
*Raritan* *Bay Medical Center* *� The Center for Living*	Perth Amboy *(732) 324-5119* *www.rbmc.org*
*Runnells Specialized Hospital*	Berkeley Heights *(908) 771-5875* *www.ucnj.org*
�Trinitas	Elizabeth *(908) 884-5000* *www.trinitashospital.org*
*Summit* *Oats Hospital* � � *Psychiatric* � *Dual Diagnosis*	Summit *(800) 753-5223* *www.summitoakshospital.com*
*UMDNJ � University Behavioral Health Care* *Adult Inpatient Unit* *CCIS Children�s Inpatient Unit*	Piscataway *(800) 969-5300* *www.umdnj.edu*
partial care/partial hospitalization programs *Providing Comprehensive Day Treatment Including Structured Support, Rehabilitation, Relapse Prevention, Psycho-Education, and Related Services*
*Catholic Charities (Youth Partial Care � Child/Adolescent)*	Edison *(800) 655-9491* *www.ccdom.org*
*Community Care Behavioral Health*	Piscataway *(732) 572-4666* *www.communitycare.us*
*Princeton* *House Behavioral Health*	North Brunswick *(732) 729-3636* *www.princetonhcs.org/princetonhouse*
*Raritan* *Bay* *Mental Health Center* �*(Adult Partial Care)*	Perth Amboy *(732) 442-1666* *www.co.middlesex.nj.us*
*SERV Centers of NJ (Partial Care ADAPT Program � Medicaid only)*	Plainsboro *(800) 987-7378* *www.servbhs.org*
*St Peter�s University HospitalFamily* Health Center (Children�s Acute Partial Hospitalization � For Keeps; ages 5-12)**	New Brunswick *(732) 565-5494* *www.saintpetersuh.com*
*UMDNJ � University Behavioral Health Care -* *Acute Partial Care* *New Brunswick* *Partial Hospital* *Program* *Horizons* *Partial Hospital* *Program* *CARRI* *Family Center*	Piscataway *(800) 969-5300* New Brunswick *(800) 969-5300* Monmouth Junction *(800) 969-5300* *(732) 235-5910* Piscataway *(732) 235-3480* *www.umdnj.edu*
cASE mANAGEMENT programs Providing Outreach, Linkage, Advocacy and Related Case Management Services
*Catholic Charities PACT �(Programs of Assertive Community Treatment)* *PATH Services for the Homeless*	East Brunswick *(732) 257-6100* Edison *(732) 661-2013* Perth Amboy *(732) 324-9802* *(732) 738-1323* *www.ccdom.org*
*UMDNJ � University Behavioral HealthCare* � *Intensive Case Management Services (ICMS)* � *Specialized Case Management Services (SCMOS)* � *Youth Case Management (YCM)* � *Homeless Case* *Management Program*	Piscataway *(732) 235-6184* *(800) 969-5300* *www.umdnj.edu*
outpatient programs Providing Individual, Group & Family Therapy; Medication Support & Education; Assessment & Testing; Outreach &Referral
*Catholic Charities (Mental Health Center)*	East Brunswick *(732) 257-6100* *(800) 655-9491 (Access #)* *www.ccdom.org*
Family & Children�s Services of Central NJ	East Brunswick *(732) 418-7077* *www.nj-counseling.org*
Holy Redeemer Home Care � Psychiatric Home Care	Elizabeth *(800) 255-8986 (Intakes)*
*Jewish Family & Vocational Service*	Edison *(732) 777-1940* *www.jfvs.org*
*Jewish Family Service of Southern Middlesex County*	East Brunswick *(732) 257-4100*
JFK *Center for Behavioral Health*	Edison *(732) 321-7189*
*Princeton* *House Behavioral Health*	North Brunswick *(732) 729-3636* *www.princetonhcs.org*
*Raritan* *Bay* *Mental Health Center*	Perth Amboy *(732) 442-1666* *www.co.middlesex.nj.us*
*Summit* *Oaks Hospital* *Intensive Outpatient*	Summit *(800) 753-5223* *www.summitoakshospital.com*
*UMDNJ - UBHC*	*(800) 969-5300* *www.umdnj.edu*
Residential/housing Programs Providing a Range of Housing and Supportive Services
*Bridgeway RIST Program*	*(908) 355-7200 ext 104*
*Catholic Charities PATHServices for the Homeless*	*(732) 738-1323*
*Easter Seals*	*(732) 257 � 6662*
*Info Line Homeless Hotline (24/7)*	*�211� OR�(888) 908-4636***
*SERV Centers of NJ*	*(800) 987-7378* *www.servbhs.org*
*The Supportive Housing Association of NJ*	*www.shanj.org/index.htm*
*Triple C Housing, Inc.*	New Brunswick *(732) 745-0920*
*UMDNJ � University Behavioral Health Care*	(732) 235-6184 Homeless Case Management & One Time Housing Assistance Program *(732) 235-5353* *Supportive Housing Program* *(732) 235-6184* *Transitional Residence Program* *(732) 235-7016* *MICA Group Home* *www.umdnj.edu*
*Volunteers of America*	*Project Promise* *(732) 827-2453* Or *(732) 324-1914* Or *(732) 321-0093*
Co-Occurring Disorders (Previously MICA) Programs *Providing Support & Services for Individuals with Co-occurring Mental Health & Substance Abuse Diagnoses*
*Carrier ClinicMICA Inpatient***	Belle Mead *(800) 933-3579* *www.carrier.org*
*Catholic CharitiesMICA Outpatient (Adults)***	East Brunswick *(732) 257-6100* *(800) 655-9491�� (Access #)* *www.ccdom.org*
*CHOICES � (Consumers Helping Others Improve Their Condition by Ending Smoking) - UMDNJ -RWJ Division of Addiction Psychiatry*	Piscataway *(732) 235-4873* *www.njchoices.org*
*Community Care Behavioral HealthMICA Partial Care Program***	Piscataway *(732) 572-4666* *www.communitycare.us*
*East* *Mountain HospitalMICA Inpatient***	Belle Mead *(800) 379-1949*
*Screening to Detoxification Services:* *Maryville* *New Hope Foundation* *Turning Point* *Straight & Narrow*	*The following agencies can provide detoxification services, but are most appropriately accessed through a Designated Screening Center 732/235-5700* *(856) 629-0244 ext. 237* (*732) 946-3030 ext. 206 or 208* *(973) 239-4600 (8:00am-4:30pm)* *(973) 239-9400 ext. 116 (evenings, weekends, holidays)* *(973) 345-6000 ext. 6528*
*Princeton* *House Behavioral HealthDual Diagnosis Program***	North Brunswick *(732) 729-3636 (Outpatient)* Princeton *(609) 497-3355 (Inpatient)* *www.princetonhccs.org*
*Summit* *Oaks Hospital* *Inpatient* *Intensive Outpatient* *Children &* *Adolescents*	Summit *(800) 753-5223* *www.summitoakshospital.com*
*UMDNJ � UBHC:* *MICA Program (formerly The Club)* *Brief Treatment Outpatient* *CARRI* *Family Center* *Horizons* *Monmouth Junction Partial Hospital* *Program* *MICA Group Home*	New Brunswick *(800) 969-5300* Edison *(732) 235-8400* Piscataway *(732) 235-3480* Monmouth Junction *(800) 969-5300* *(732) 235-5910* *(732) 235-7016* *www.umdnj.edu*
*Myrtle House (VOA)*	*(732) 321-0093*
MI / DD PROGRAMS *(MENTAL ILLNESS/DEVELOPMENTAL DISABILITIES) Providing Support & Services for Individuals with Mental Health & Developmental Disabilities Diagnoses*
Community Care Behavioral Health *MI/DD Partial Care Program*	Piscataway *(732) 572-4666* *www.communitycare.us*
NJ Department of Human Services � Division of Developmental Disabilities	Trenton *(609) 292-4500*
*Trinitas* *Hospital* *Mental* Illness & Developmental Disabilities Services: Statewide Clinical Consultation & Training Program (SCCAT) *Integrated Service Delivery Team (Middlesex)* *Specialized MI/DD Inpatient Unit* *Child & Adolescent Unit*	*(908) 497-9636 (for general information on MI/DD services) OR (888) 393-3007 (for emergencies only)* *(908) 497-9636 (for general information on MI/DD services* *(must be referred through DDD)- (609) 292-4500 OR* *(908) 497-0922, ext. 205 (for general information)* *(must be referred by local screening center)* *(must be referred by local hospital)* *(908) 994-7131 (for general information)*
FAMILY, CHILDREN, & ADOLESCENT PROGRAMS Serving the Needs of Children, Adolescents, Families & Caregivers
*Affinity Counseling Group*	North Brunswick *(732) 249-3737*
*Catholic Charities* *Domestic Violence* *Inner City Counseling (Spanish)*	*(800) 655-9491* *(Access Center)* East Brunswick *(732) 257-6100* *(732) 826-9160*
*Catholic Charities Youth Partial Care Program � Safe Harbor*	Edison *(732) 738-1323 Or (800) 655-9491*
*Children�s Mobile Response & Stabilization System*	*To access services, must call Value Options:* *(877) 652-7624*
*Coordinated Family Care(Middlesex Care Management Organization)***	*To access services, must call Value Options:* *(877) 652-7624*
*Family Crisis Intervention Unit (FCIU)*	*To access services, must call Value Options:* *(877) 652-7624*
*NJ Division of Youth & Family Services (DYFS)*	*(800) 531-1258 (State)* *(732) 980 - 9312 (Western Middlesex)* *((732) 293-5060 (Coastal Middlesex)* *(732) 388-7959 (Central Middlesex)*
*NJ Division of Child Behavioral Health Care Services*	*(609) 292-5322* *www.njkidsoc.org��* �
*Family & Children�s Services of Central NJ*	New Brunswick *(732) 545-0366*
*Family* *Support Center* *of New Jersey*	*www.familysupportnj.com*
*Family Support Organization of Middlesex County*	North Brunswick *(732) 940-2837* *www.njfamily.org*
*Fire Watch � a program designed to reduce the fire setting activities of youth*	New Brunswick *(732) 745-4049* *www.firewatchnj.com*
*Jewish Family & Vocational Services*	Edison *(732) 777-1940*
*Jewish Family Service of Southern Middlesex Co*	East Brunswick *(732) 257-4100*
*JFK* *Center* *for Behavioral Health*	*(732) 321-7189*
*Multicultural Family Institute*	Highland Park *(732) 565-9010* *www.multiculturalfamily.org*
*My Daughter�s Keeper*	North Brunswick *(732) 565-9313* *www.mydaughterskeeper.org*
*National Alliance for the Mentally Ill (NAMI NJ)*	North Brunswick *(732) 940-0991* *www.naminj.org*
*Princeton* *House Behavioral Health*	North Brunswick *(732) 729-3636 (Outpatient)* Princeton *(609) 497-3355 (Inpatient)*
*Raritan* *Bay* *Mental Health Center*	Perth Amboy *(732) 442-1666* *www.co.middlesex.nj.us*
*St Peter�s University H ospitalFamily* Health Center � For Keeps**	New Brunswick *(732) 565-5494*
*Summit* *Oaks Hospital*	Summit *(800) 753-5223* *www.summitoakshospital.com�*
*Support Program of Teens Counseling (SPOT)*	Edison *(732) 777-1940*
*UMDNJ - UBHC:* *Youth Case Management (YCM)* *UMDNJ � UBHC:* *Intensive Family Support Service (IFSS)* *�Integrated Case Management Service (ICMS)* *Brief Treatment*	*To access services, must call Value Options:* *(877) 652-7624* *(800) 969-5300* *(732) 235-8400 (Edison)* *(732) 235-5790 (Monmouth Junction)* *(732) 235-6800 (New Brunswick)* *www.umdnj.edu*
*Value Options � Contracted Systems Administrator (CSA)*	*(877) 652-7624*
AGING OUT YOUTH PROGRAMS Serving the Needs of the 16-24 Year Old Adolescent/Young Adult
*Affinity Counseling Group*	North Brunswick *(732) 249-3737*
*Catholic Charities*	East Brunswick *(732) 257-6100 or (800) 655-9491* *www.ccdom.org*
*Jewish Family &Vocational Services*	Edison *(732) 777-1940* *www.jfvs.org*
*JFK* *Center* *for Behavioral Health*	Edison *(732) 321-7189*
*Multicultural Services (MCS)*	Edison *(732) 650-0330*
*Princeton* *House*	North Brunswick *(732) 729-3636*
*Raritan* *Bay* *Mental Health Center*	Perth Amboy *(732) 442-1666* *www.co.middlesex.nj.us*
*UMDNJ � University Behavioral HealthCare*	Piscataway *(800) 655-5300*
Older Adults programs Serving the Needs of the Older Adult & Caregiver
Carrier Clinic	Belle Mead *(800) 933-3579*
*UMDNJ � University Behavioral Health Care* *Comprehensive Services on Aging (COPSA) Community Outreach Program* *E.A.R.S. for Caregivers* *COPSA Institute for Alzheimers Disease & Related Disorders � Dementia Diagnostic Clinics/Day Program & Clinical Drug Trials* *COPSA* *Institute Resource Center* *Help-Line*	Edison *(732) 235-8400* *(866) 300-3277* Piscataway *(732) 235-5840* *(800) 424-2494*
*Holy Redeemer Home Care*	Elizabeth *(800) 255-8986 (Intakes)*
*Jewish Family &Vocational Services*	Woodbridge/Edison *(732) 777-1940* *Elder Day Care Program for the Frail & Elderly* *Alzheimer* *Day Care Center* *Case Management for the Elderly* *Meals on Wheels* *www.jfs.org*
Jewish Family Service of Southern Middlesex County	Monroe Township *(609) 395-7979*
*Princeton* *House Behavioral Health � Seniors Link*	North Brunswick *(732) 729-3636*
*Raritan* *Bay* *Mental Health Center*	Perth Amboy *(732) 442-1666* *www.co.middlesex.nj.us*
Visiting Nurse Association of Central NJ	Red Bank *(800) 862-3330*
Woodbridge *Multi-Service Program on Aging*	Colonia *(732) 382-4700*
*advocacy, self help, support & Referral*
*Area Wide Transportation Services (AWTS)*	(800) 221-3520 (reservations) *(732) 745-7456* *(Office*)
*Central Jersey Legal Services, Inc.* *Middlesex DivisionMental Health Advocacy Unit***	New Brunswick *(732) 249-7600* Perth Amboy *(732) 324-1613*
*Choices � (Consumers Helping Others Improve Their Condition by Ending Smoking) A Program of UMDNJ - RWJ Division of* *Addiction Psychiatry*	Piscataway *(732) 235-4873* *www.njchoices.org*
*Coalition for Mental Health Consumer Organizations (COMHCO)*	*(973) 778-8810*
*Collaborative Support Programs of NJ (CSP NJ)*	*(800) 227-3729* *(732) 780-1175* *www.cspnj.org*
*Depression & Bipolar Support Alliance of NJ*	*(609) 494-3211* *(888) 226-6437*
*INFO � Line of Middlesex County*	*(888) 908-INFO*
*Integrated Employment Initiative (Program of UMDNJ School of Health Related Programs � Dept of Psychiatric Rehabilitation)*	*(800) 593-2434*
*Medicaid Office*	*(732) 819-7272*
*Mental Health Association in NJ �* *Advocacy, Training & Referral*	*(800) 367-8850* *(973) 571-4100* *www.mhanj.org*
*Middlesex County Board of Social Services (transportation, entitlements, housing)*	New Brunswick *(732) 745-3500*
*Middlesex County Division of Behavioral Health & Children�s Services*	New Brunswick *(732) 745-4186*
*Middlesex Medical Assistance (DHS)*	Avenel *(732) 499-5700 � Customer Center*
*The Moving Forward Self Help Center of New Brunswick*	New Brunswick *(732) 317-3893* *Email: movinforwardshc@optonline.net*
*National Alliance for the Mentally Ill -� New Jersey (NAMI NJ)*	North Brunswick *(732) 940-0991*
*National Association of Social Workers � NJ Chapter*	*(800) 932-0004*
*NJ Association of Mental Health Agencies, (NJAMHA)*	*www.njamha.org*
*NJ Department of Community Affairs Bureau of Housing & Community Affairs* *(Administers Section 8 program)*	North Brunswick *(732) 246-3137* *(609) 292-4080*
*NJ Division of Mental Health Services (DMHS)*	Trenton *(800) 382-6717* *www.state.nj.us/humanservicesdmhs/*
*NJ Mental Health Cares-Mental Health Information & Referral***	*(866) 202-HELP (4357)* *www.njmentalhealthcares.org*
*NJ Psychiatric Association*	*(800) 685-0650*
*NJ Protection & Advocacy*	*(800) 922-7233* *www.njpanda.org*
*NJ Psychological Association*	*(800) 281-6572*
*NJ Self Help Clearinghouse*	*(800) 367-6274* *www.njgroups.org*
*Panic Relief, Inc.*	North Brunswick *(732) 937-4832*
*Pharmaceutical Assistance to the Aged & Disabled (PAAD)*	*(609) 588-7049*
*Recovery, Inc. �* *Support for Anxiety &* *Depression*	*(201) 612-8153*
*Social Security*	*(800) 772-1213*
*Turn A Frown Around Foundation*	*(973) 594-9059* *www.frown2smile@aol.com*
Employment, Vocational & Training Programs *Providing� Employment & Educational Services & Support*
*Consumer Connections � A program of the Mental Health Association in NJ providing training and support to consumers*	*(973) 571-4100* *www.mhanj.org*
*Division of Vocational Rehabilitation Services (DVRS)*	New Brunswick *(732) 937-6300*
*Jewish Family and Vocational Services*	Edison *(732) 777-1940* *www.jfvs.org*
*Middlesex* *County* *Workforce Development*	New Brunswick *(732) 745-3970*
*Middlesex County One-Stop Career Centers*	New Brunswick *(732) 937-6200* Perth Amboy *(732)826-3200* *www.co.middlesex.nj.us/employment*
*UMDNJ Integrated Employment Institute �*	*(800) 742-5877* *www.shrp.umdnj.edu/smi*
*UMDNJ UBHC Right Fit*	New Brunswick *(732) 235-6927*
*UMDNJ* *School* *of Health Related Programs � Dept of Psychiatric Rehabilitation*	*www.shrp.umdnj.edu/programs/index.htm* *(908)889-2430*
*UMDNJ Supported Employment Program*	*(732) 235-6927*
*MULTICULTURAL RESOURCES*�
*Affinity Counseling Group*	North Brunswick *(732) 249-3737*
*Catholic Charities �* *Inner City Counseling Program (Spanish)*	New Brunswick *(732) 826-9160*
*Clinica Latina � A� Program of UMDNJ*	New Brunswick *(888) 342-9832 or (888) 34 AYUDA* *www.umdnj.edu*
*Manavi � a program for South Asian women who have suffered abuse*	New Brunswick *(732) 435-1414* *www.manavi.org*
*Multicultural Family Institute*	Highland Park *(732) 565-9010* *www.multiculturalfamily.org*
*National Alliance for the Mentally Ill, (NAMI NJ):* *Family to Family* *NAMI Espanol* *Camhop- Asian Americans* *Samhaj � South Asian Americans*	North Brunswick *(732) 940-0991* *www.naminj.org*
*Puerto Rican Action Board*	New Brunswick *(732) 828-4510* *www.prab.org*
*Puerto Rican Association for Human Development*	Perth Amboy *(732) 442-1081*
*NATIONAL MENTAL HEALTH RESOURCES*
*American Psychiatric Association*	*(888) 357-7924* *www.psych.org*
*American Psychological Association*	*(800) 964-2000* *www.apahelpcenter.org*
*Center for Mental Health Services (CMHS)*	*www.mentalhealth.samhsa.gov/cmhs/*
*Center for Psychiatric Rehabilitation, Boston University*	*(617) 353-3549* *http://www.bu.edu/sarpsych*
*NARSAD (The Mental Health Research Association)*	*(800) 829-8289* *www.narsad.org*
*National Alliance for the Mentally Ill (NAMI)*	*(800) 950-NAMI (6264)* *(703) 524-7600* *www.nami.org*
*National Depressive/Manic Depressive Association*	*(800) 82-NDMDA* *(312) 642-0049* *www.ndmda.org*
*National* *Empowerment Center*	*www.power2u.org/*
*National Institute of Mental Health*	*(301) 443-4513* *www.nimh.nih.gov*
*National Mental Health Association*	*(800) 969-NMHA (6642)* *(800) 433-5969* *(703) 684-7722* *www.nmha.org*
*National Mental Health Consumers� Self Help Clearinghouse*	*(800) 553-4KEY* *(312) 642-0049* *http://www.mhselfhelp.org/*
*National Schizophrenia Foundation*	*(800) 482-9534* *www.NSFoundation.org*
*Parents Med Guide*	*http://parentsmedguide.org/*
*Substance Abuse and Mental Health Services Administration (SAMHSA)*	*www.samhsa.gov*
*US Psychiatric Rehabilitation Association (Formerly IASPRS)*	*http://www.uspra.org*

*��Please Note:� A Resource Directory of Middlesex County mental health services is available on the County website: www.co.middlesex.nj.us

VI. APPENDICES

APPENDIX A

Middlesex County Table of Organization

APPENDIX B

Mental Health Community Partners

The Middlesex County Mental Health Board

With the passage of the New Jersey Community Mental Health Services Act of 1957, Mental Health Boards were created in every county.� The Middlesex County Mental Health Board, under the auspices of the Middlesex County Board of Chosen Freeholders, is an advisory board, established to provide leadership in the area of mental health services.� The NJ Division of Mental Health Services Regulations (N.J.A.C. 10:37) stipulate that County Mental Health Boards develop a Plan for mental health services, to serve as a basis for future funding and program development.

The Mental Health Board oversees mental health services in Middlesex County, with a focus on recovery awareness, prevention, cultural competence, and ending stigma.� The Board advocates for consumer empowerment, consumer centered services and consumer involvement in policy and planning. Board members provide review, recommendation, and onsite monitoring of State and County funded services and advocate for an accessible, comprehensive, community based system of mental health services. For more information, please call 732/745-3280.

The Middlesex County Mental Health Professional Advisory Committee (PAC)

The Mental Health Professional Advisory Committee (PAC) is comprised of representatives from licensed mental health, and other agencies, that provide services to Middlesex County residents. Agencies that receive state or county funding to deliver mental health services are required to attend PAC monthly meetings, which serve as a forum to share information on training and other resources. In partnership with the Board, the PAC advocates to improve the status of people working in mental health services and to provide quality, accessible care to individuals and families affected by mental illness. For more information, please call 732/745-3280.

The Middlesex County Department of Human Services�

The Middlesex County Department of Human Services plans and facilitates the delivery of social services, including mental health services, to the residents of Middlesex County. The Department includes the following:

�      Division of Behavioral Health & Children�s Services
�      Office of Children�s Services
�      Division of Addiction Services
�      Intoxicated Driver Resource Center
�      Ryan White HIV / AIDS Program
�      Division of Social Work Services
�      Veterans� Services
�      The Office for the Disabled

For more information, please call 732/745-4186.

Middlesex County Division of Behavioral Health & Children�s Services

The Division of Behavioral Health & Children�s Services is the unit of county government designated to support the Board and the PAC, and to plan for and monitor mental health services within Middlesex County.� The Division also contains the�� Office of Children�s Services, which facilitates the delivery of services for children involved with, or at risk, of involvement with the juvenile justice system. The Division also staffs the Commission on Child Abuse & Missing Children and the Fire Watch Advisory Committee, a juvenile fire setting prevention program.� Finally, the Division serves as the local coordinator of the New Jersey Division of Mental Health Services mental health response to declared disasters or community incidents. For more information, please call 732/745-3280.

Middlesex County Mental Health Planning Committee

The Middlesex County Department of Human Services, Division of Behavioral Health & Children�s Services, in partnership with the Mental Health Board and the Professional Advisory Committee (PAC), established the Mental Health Planning Committee. The Mental Health Planning Committee, comprised of representatives of the Board, the PAC, consumers and family members, developed the outline and timelines for the Plan and oversaw its progress. For more information, please call 732/745-4518.

The Moving Forward Self Help Center

The Moving Forward Self-Help Center (SHC) is run by and for people who are affected by mental illness.� The Moving Forward SHC is for Middlesex County mental health consumers who are 18 years of age or older.� Members must either be accessing mental health services currently, or have accessed services at one point in their lives.

Wellness and recovery is the philosophy of the Moving Forward SHC.� A weekly schedule of groups offers the opportunity for education, recreation and mutual support. The daily operation of the Center is flexible.� Members come and go as they please. Recently, members created a computer lab with five computers and Internet access.� For more information, please call 732/296-0303.

Raritan Bay Mental Health Center

Raritan Bay Mental Health Center is a department of Middlesex County which provides outpatient mental health services to residents of Middlesex County of all ages. Services provided are based on individualized assessments and treatment plans, and may include individual, couple, family or group psychotherapy, medication evaluation and/or counseling. Adult partial care services are also available. Services are available in English and Spanish. For more information, please call 732/442-1666.

APPENDIX C

Other Committees / Commissions / Task Forces

� Acute Care Systems Review Committee (SRC)

In Middlesex County, the SRC, convened by the Designated Screening Center at UMDNJ, in consultation with the NJ Division of Mental Health Services, includes representatives from the following services which comprise the acute care system:�� Affiliated Emergency Services, Trenton Psychiatric Hospital, short term care facilities (STCF) and voluntary psychiatric inpatient units. To facilitate system review, Integrated Case Management Services (ICMS), PACT and the Mental Health Board are also represented. Membership is also open to family and consumer organizations concerned with the quality and provision of acute care services, and/or consumers and family members who have been recipients of acute care services.

The mission of the SRC is to identify gaps in the acute care system, monitor utilization of acute care resources, review the flow of admissions from the Screening Center to inpatient services, review transfers from short term care facilities to the Trenton Psychiatric Hospital, review cases which indicate possible service gaps and the need for systems change, and discuss additional issues pertinent to the acute care system.

� Co-Occurring Task Force

The Co-Occurring Task Force is comprised of mental health and addiction service providers, consumers and county staff dedicated to improving:

-         Services for people with co-occurring diagnoses of psychiatric/substance use disorder
-         Coordination across systems�
-         Training for agencies

The Co-Occurring Task Force supports integrated programming through sharing best practice information, resource inventory and cross training.� For more information, please call 732/745-4042.

Council for Children�s Services / CIACC

The Middlesex County Council for Children�s Services functions as a merged Youth Services Commission (YSC) and County Interagency Coordinating Council (CIACC.)� The purpose of the Council is to identify, plan and monitor children�s behavioral health and juvenile justice services in Middlesex County.�� The Council collaborates with the State Division of Child Behavioral Healthcare Services (DCBHS) and the Juvenile Justice Commission (JJC) to support programs that provide services for children with behavioral healthcare needs, juveniles charged or adjudicated as delinquent and delinquency prevention programs.� The Council encourages consumer family and youth participation to enhance community services for children. For more information, please call 732/745-3290.

Commission on Child Abuse & Missing Children

The Middlesex County Commission on Child Abuse and Missing Children (CCAMC) develops and conducts activities and events that educate the public and increase awareness about child abuse and missing children. The Commission arranges for educational programs, including workshops and classes for parents and children, and disseminates information on services available in Middlesex County for abused children, their parents, and the parents of missing children. The Commission also participates in municipal events, such as street fairs, where information on child abuse and missing children is distributed. For more information, please call 732/745-3655.

Fire Watch Advisory Committee

The Fire Watch Program mission is to reduce the fire setting activities of youth in Middlesex County through identification, education, and referral.� The Fire Watch Advisory Committee, with support by the Middlesex County Mental

PROGRAM DESCRIPTION

SERVICE

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

2007 Middlesex County Mental Health Services
Resource Inventory*

cASE mANAGEMENT programs
Providing Outreach, Linkage, Advocacy and Related Case Management Services

outpatient programs
Providing Individual, Group & Family Therapy; Medication Support & Education; Assessment & Testing; Outreach &Referral

MI / DD PROGRAMS
(MENTAL ILLNESS/DEVELOPMENTAL DISABILITIES)
Providing Support & Services for Individuals with Mental Health & Developmental Disabilities Diagnoses

FAMILY, CHILDREN, & ADOLESCENT PROGRAMS
Serving the Needs of Children, Adolescents, Families & Caregivers

AGING OUT YOUTH PROGRAMS
Serving the Needs of the 16-24 Year Old Adolescent/Young Adult

Older Adults programs
Serving the Needs of the Older Adult & Caregiver

Employment, Vocational & Training Programs
Providing� Employment & Educational Services & Support


	Departments:

PROGRAM DESCRIPTION

SERVICE

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

PROGRAM DESCRIPTION

2007 Middlesex County Mental Health Services Resource Inventory*

cASE mANAGEMENT programs Providing Outreach, Linkage, Advocacy and Related Case Management Services

outpatient programs Providing Individual, Group & Family Therapy; Medication Support & Education; Assessment & Testing; Outreach &Referral

MI / DD PROGRAMS (MENTAL ILLNESS/DEVELOPMENTAL DISABILITIES) Providing Support & Services for Individuals with Mental Health & Developmental Disabilities Diagnoses

FAMILY, CHILDREN, & ADOLESCENT PROGRAMS Serving the Needs of Children, Adolescents, Families & Caregivers

AGING OUT YOUTH PROGRAMS Serving the Needs of the 16-24 Year Old Adolescent/Young Adult

Older Adults programs Serving the Needs of the Older Adult & Caregiver

Employment, Vocational & Training Programs Providing� Employment & Educational Services & Support

2007 Middlesex County Mental Health Services
Resource Inventory*

cASE mANAGEMENT programs
Providing Outreach, Linkage, Advocacy and Related Case Management Services

outpatient programs
Providing Individual, Group & Family Therapy; Medication Support & Education; Assessment & Testing; Outreach &Referral

MI / DD PROGRAMS
(MENTAL ILLNESS/DEVELOPMENTAL DISABILITIES)
Providing Support & Services for Individuals with Mental Health & Developmental Disabilities Diagnoses

FAMILY, CHILDREN, & ADOLESCENT PROGRAMS
Serving the Needs of Children, Adolescents, Families & Caregivers

AGING OUT YOUTH PROGRAMS
Serving the Needs of the 16-24 Year Old Adolescent/Young Adult

Older Adults programs
Serving the Needs of the Older Adult & Caregiver

Employment, Vocational & Training Programs
Providing� Employment & Educational Services & Support