CSPOA Service Providers & Referral Information
Northern Rivers/Parson
Services: Provides Home and Community Based Services (HCBS) waiver services including intensive care coordination, therapeutic support, respite care, skill-building, and family support. Comprehensive wraparound services delivered in home and community settings to prevent out-of-home placement.
Eligibility: Children and youth ages 5-21 with serious emotional disturbance who meet HCBS waiver criteria. Must be Medicaid eligible and at risk of residential placement or have complex behavioral health needs requiring intensive home and community-based supports.
When to Refer: Youth is at imminent risk of out-of-home placement, requires intensive wraparound services to remain at home, has exhausted traditional outpatient services, family needs comprehensive support and respite, or child has complex behavioral health needs requiring coordinated team approach.
St. Mary’s HHSC (Health Home Serving Children)
Services: Health Home Serving Children provides comprehensive care coordination for youth with serious emotional disturbance and chronic health conditions. Coordinates medical, behavioral health, educational, and social services. Offers care planning, health monitoring, provider coordination, and linkage to community resources.
Eligibility: Children and youth with serious emotional disturbance plus at least one chronic physical health condition (asthma, diabetes, obesity, etc.). Must be Medicaid eligible. Designed for youth with complex, co-occurring health and mental health needs.
When to Refer: Youth has both mental health and chronic physical health conditions, needs coordination across multiple medical and behavioral health providers, has complex medication regimen, family struggles to manage multiple appointments and services, or child requires integrated whole-person care management.
St. Mary’s HHBS (Health Home Behavioral Services)
Services: Health Home Behavioral Services provides intensive care coordination focused specifically on behavioral health needs. Coordinates mental health services, substance use treatment (if applicable), psychiatric care, therapy services, and community supports. Includes crisis planning and family support.
Eligibility: Children and youth with serious emotional disturbance requiring intensive behavioral health care coordination. Must be Medicaid eligible. Appropriate for youth with complex mental health needs and multiple behavioral health providers.
When to Refer: Youth has serious emotional disturbance with multiple behavioral health service needs, requires coordination of psychiatric care and therapy services, has history of crisis episodes needing proactive planning, family needs support navigating behavioral health system, or child has frequent service gaps or transitions.
St. Mary’s Youth ACT (Assertive Community Treatment)
Services: Youth Assertive Community Treatment provides the most intensive level of community-based mental health services. Multidisciplinary team delivers comprehensive treatment in home and community including: individual and family therapy, crisis intervention (24/7 availability), medication management, skills training, care coordination, family support, and school liaison. Very low staff-to-youth ratio ensures intensive support.
Eligibility: Youth ages 5-21 with serious emotional disturbance and: history of multiple psychiatric hospitalizations (3+ in past year), at imminent risk of residential or hospital placement, significant functional impairment across multiple life domains, difficulty maintaining treatment engagement with traditional services, and complex service needs requiring team-based approach.
When to Refer: Youth has pattern of repeated psychiatric hospitalizations or crisis episodes, traditional outpatient services have been insufficient, youth is at risk of or returning from residential treatment, family cannot maintain youth at home without intensive support, or child has co-occurring disorders requiring comprehensive treatment team.
Children & Youth CCR (Community Residence)
Services: Children’s Community Residence provides 24-hour supervised residential treatment in a home-like community setting. Offers structured therapeutic environment with: individual and group therapy, psychiatric services, medication management, life skills training, educational support, family therapy, recreational activities, and discharge planning. Focus on stabilization and skill development for community reintegration.
Eligibility: Youth ages 5-21 with serious emotional disturbance who: cannot be safely maintained at home despite intensive community services, require 24-hour therapeutic structure and supervision, do not require hospital-level security, are able to participate in treatment and community activities, and have goal of returning to less restrictive community setting.
When to Refer: Youth cannot remain safely at home despite Youth ACT or intensive services, requires 24-hour therapeutic milieu to stabilize, needs intensive skill-building in structured setting before returning home, is stepping down from hospital and needs transition support, or family needs time to prepare for youth’s return while youth receives intensive treatment.
OMH RTF (Residential Treatment Facility)
Services: Residential Treatment Facility provides the highest level of non-hospital residential mental health treatment. Offers highly structured 24-hour therapeutic environment with: intensive individual and group therapy, comprehensive psychiatric care, crisis intervention, medication management, behavioral programming, educational services, family therapy, and intensive discharge planning. Secure setting with high staff-to-youth ratio.
Eligibility: Youth ages 5-21 with serious emotional disturbance and: severe functional impairment requiring most intensive residential treatment, significant risk of harm to self or others, multiple failed placements at lower levels of care, complex psychiatric needs requiring intensive medical and therapeutic intervention, and cannot be safely treated in less restrictive setting.
When to Refer: Youth requires most intensive level of residential treatment, has failed at CCR or other residential settings, presents significant safety risk requiring secure therapeutic environment, has severe psychiatric symptoms requiring intensive intervention, or is stepping down from inpatient psychiatric hospitalization and needs extended stabilization before community return.
Captin (Community Support)
Services: Community-based support services providing: respite care for families, mentoring and positive role modeling, recreational and social activities, community integration support, skill-building activities, and family support services. Focuses on building strengths, positive relationships, and community connections for youth with mental health needs.
Eligibility: Children and youth ages 5-21 with mental health challenges who would benefit from community-based supports, positive activities, and mentoring. Appropriate for youth receiving other mental health services who need additional community support and family respite.
When to Refer: Youth needs positive community connections and pro-social activities, family requires respite support to prevent burnout, child would benefit from mentoring relationship and positive role model, youth needs structured recreational activities to build social skills, or as supplement to other treatment services to support community integration.
Together for Youth
Services: Youth-centered care management and support services providing: individualized care coordination, strength-based service planning, educational advocacy, family partnership and support, connection to community resources, transition planning (school, services, adulthood), and youth empowerment activities. Emphasizes youth voice and family collaboration.
Eligibility: Youth ages 5-21 with serious emotional disturbance requiring care coordination and support services. Appropriate for youth with multiple service needs, educational challenges, or transitioning between services or life stages. Medicaid eligible.
When to Refer: Youth needs comprehensive care coordination with youth-centered approach, has multiple service providers requiring coordination, requires educational advocacy and school-based support, is transitioning between services or into adulthood, family seeks collaborative partnership in service planning, or child needs help building self-advocacy skills.