Villa of Hope has a commitment to individualized services; and data has shown that children with significant disabilities are more apt to attain optimal development when supported in their home and community environment. Our community programs utilize a strength-based, individualized care model to promote wellness, leading to success for the child, the adult, and the family. They cover children within the juvenile justice system; those under the Office of Mental Health umbrella; and those in foster care, leaving care, or at risk of needing foster care. Our programs also cover adults!
Our programs ensure effective interventions by implementing a collaborative partnership with the family, treatment provider(s), core waiver services and other natural supports.
Take your first step to getting services with these numbers …
Robin Kreitzberg, LMSW
Director of Care Coordination
Office: (585) 328-0740 ext: 535
Fax: (585) 328-0815
Click on a program below to read more about a specific service.
Adult Care Management
Adult Care Management at the Villa comes under the umbrella of the NYS Health Homes Network. ´Health Home´ is not a physical place; it is a group of health care and service providers working together to make sure you get the care and services you need to stay healthy. Once you are enrolled in a Health Home, you will have a care manager that works with you to develop a care plan. A care plan maps out the services you need, to put you on the road to better health. Some of the services may include:
- Connecting to health care providers,
- Connecting to mental health and substance abuse providers,
- Connecting to needed medications,
- Social services (such as food, benefits, and transportation) or,
- Other community programs that can support and assist you.
The After Care Program at Villa of Hope provides home-based services to adolescents transitioning from residential, group home or specialized foster care, back home to their families and communities. The Program serves adolescents, ages 12-20 and their families, when they return home from placement.
These services and expertise have traditionally included individual and family counseling, parent skill training, life skill development, advocacy and some case management services with systems such as schools, mental health, and DHS. The program uses the evidenced based curriculum Parenting Wisely: Teen Edition (ages 11 and up) for the parent skill training piece of the program. The program also uses the evidenced based curriculum Winning Futures with the youth.
Services can open up to three months prior to a planned discharge, so refer early! It makes the transition easier!
Required documents include 928 & 929 MCDHS referral forms, and the most recent FASP. Requested documents include any psychiatric assessments, psychological assessments, intake or psycho-social assessments, report cards and IEP’s (if applicable).
Children’s Care Management
Villa of Hope’s Case Management Program consists of Health Home Care Management for Medicaid clients, as well as Non-Medicaid Care Coordination services. We work with youth between the ages of 5 and 21, who have a qualifying mental health diagnosis or other chronic condition that affects their daily functioning. Youth that are referred to our program typically struggle with things such as aggression, depression, anxiety, conduct issues, self-harming, etc. Families that access services are often experiencing stress and crisis within the home, school, or community setting. The length of stay within the program is intended to be around 12 months.
The goal of our program is to meet the needs of the youth by developing a team of supports around the family. The team comes together to help the family reach their identified goal. Typical goals for youth in our program might include developing healthy coping mechanisms, positive family interactions, appropriate social skills and communication, or attaining academic success.
In addition, maintaining safety and promoting safe choices are always objectives while in the program. As Care Coordinators, we help by developing the team, communicating and collaborating with all team members, and facilitating the creation of plans. Our hope is that we can support and strengthen families so they feel empowered in making their own plans.
Referrals may be made for Health Home Care Management, or Non-Medicaid Care Coordination.
Contact the Intake Coordinator for more information at (585) 328-0740 x 549
Family Support Services
Family Support Services at Villa of Hope provides an opportunity for caregivers to feel empowered in managing challenges within their family. The Family Peer Advocate can work with caregivers one-on-one; and offers groups and family events for families to attend throughout the year. Family Support Services believes in family-driven and youth-guided process, which allows families to receive individualized support based on your family’s needs. The Family Peer Advocate is able to support caregivers in advocacy, connections to resources in your community, educational support, and empowerment. To qualify for Family Support Services, the family must currently be enrolled in HCBS services (Waiver).
The General Counseling Program at Villa of Hope provides home-based services to families who have been identified as having children who are at risk of foster care placement or CPS involvement due to unmet parent or child service needs. The program is voluntary and families must want to participate in services.
Traditionally these services have included individual and family counseling, parent skill training and education, and some casework services. The program is now utilizing two evidenced based models for our parent skill training. They are Parents as Teachers (ages birth-3) and Parenting Wisely: Teen Edition (ages 11 and up). Individualized plans of care are developed by the family to include other supports the family would like involved. Goals are established based on identified needs and solutions.
Health and Recovery Plan (HARP)
Villa of Hope offers Home and Community-Based Services (HCBS) which provide opportunities for Medicaid beneficiaries with behavioral health conditions to receive services in their own home or in community settings.
Health and Recovery Plans (HARPs) manage the enhanced benefit package of HCBS. HARPs will use HCBS to provide person-centered recovery services to eligible people with mental illness and/or substance use disorders.
Services are geared for adults ages 18-28 years old. Services offered include Psychosocial Rehabilitation (PSR), Habilitation, Family Support & Training, Education Support, Pre-Vocational Services, Ongoing Supported Employment and Empowerment Services/Peer Supports.
Juvenile Reporting Center (JRC)
The Villa’s JRC program engages youth in supervised activities to reduce the need for detention stays and out of home placements for youth. JRC provides an intensive evening reporting program and community activities for youth 13 -21 years of age (including Raise the Age youth) for up to 3 months. JRC provides continuity, accountability, and responsibility for each youth so that in a very short period of time they may be able to approach life with new tools for success and productivity.
JRC provides transportation to and from the program site and operates five days per week after school. The program is designed from pick up to drop off to have the youth working to explore, experience and learn alternatives to behaviors that have led them to JRC. The program offers school advocacy, drug and alcohol awareness, positive social skills, career exploration and recreational activities.
The JRC also meets with family parents/guardians regularly to provide them with resources when necessary, taking a youth focused and family driven approach to service. The JRC program creates an individualized service plan to assist youth and their families in overcoming barriers.
The young person must have a Family Court status of Person In Need of Supervision (PINS) or Juvenile Delinquent (JD) and live in the City of Rochester. Participants are referred by the Alternative Program Review (APR) committee, Family Court or Probation.
The Villa of Hope’s Transitional Services Program provides direct services to adolescents who are residing in foster care and who have been identified by their Monroe County Foster Care worker as being at risk of not successfully achieving their goal of independent living, upon discharge from foster care. The program uses the evidenced based curriculum Winning Futures with the youth that focuses on future planning.
The Transitional Services Program is administered by the Youth Opportunity Unit (YOU Team) at Monroe County Department of Human Services. Referrals are made or authorized by the YOU Team, and decisions regarding the case are made collaboratively with the YOU Team, the transitional social worker, and the youth. The Villa of Hope’s Transitional Services Program serves youth ages 14-20. Services can also be offered to 18-20-year-old youth who have signed themselves out of care, but for whom Monroe County will be their guardian until they are 21. The program uses a community based approach, and the primary goal is to prepare adolescents to develop skills and succeed as independent young adults. The program focuses on helping clients develop their emotional and social maturity, as well as teach basic life skills necessary for independent living. Additionally, the role of the social worker is to link, refer, and support youth.
Youth Mentor Program
This special program gives part-time jobs as peer mentors to young adults, ages 18 to 25, in Monroe County who’ve had personal experience in juvenile justice, mental health, or the child welfare system. Our staff coach and supervise the mentors and help them build job readiness, empowerment and advocacy skills as they help other youth.
The Hope Place Psychiatric Diversion Program is a division of Villa of Hope; a peer-run Living Room Program, staffed by our own Certified Peer Support Specialists. Our team members are compassionate, flexible professionals who have self-identified as individuals who have first-hand experience with social, emotional, medical, developmental, substance use, and/or behavioral challenges. They are able to use their lived experience to assist in supporting adults experiencing difficulties with their resiliency, recovery and wellness.
Our compassionate staff makes Villa of Hope’s HOPE PLACE unique.
Located in Water Tower Park, 1099 Jay Street, Building P, Hope Place is open 3 pm – 11 pm, seven days per week. You can drop in anytime, and YOU are our GUEST at Hope Place. We mean that. Using the term guest is consistent with our living room setting and culture. We want you to feel at home. This is a place you can relax and renew; and we will not use language such as “client,” or “patient” to describe you.
Our Peer Support staff is ready to help you. They are experienced in:
- group development
- recognizing and embracing diverse teams
- facilitation of peer-to-peer groups and activities
- coordinating services, community resources and natural supports
- supporting and developing the strengths of each individual, youth, and family
For more info, stop in, or call 585-325-3599.
Community Apartment Program (CAP)
Young people ages 16 ½ to 21 who have been in the foster care system have the opportunity to learn to live on their own in one of our community apartments. Youth live in one or two-bedroom apartments in a northeast Rochester complex with our staff on-site and available around the clock. This program promotes independence, prevents homelessness, and decreases the dependence on public assistance. Residents are required to work and/or be enrolled in an educational or vocational program. We help them master independent living skills, including budgeting and cooking, and help them set and achieve personal goals.