ASPOA Service Providers & Referral Information
Mental Health Association – Community Residence (CR-24 HR Supervised)
Overview: Person-centered recovery program with 24-hour staff providing trauma-sensitive care. Includes meals, personal care items, transportation, recreational activities, and structured support. Social Security rates are based on Congregate Care Level II rates with monthly personal needs allowance.
Eligibility: Adults 18+ with serious mental illness requiring 24-hour supervision and support. Must be able to participate in community-based treatment.
When to Refer: Client needs 24-hour supervision, is homeless or unstably housed, transitioning from higher level of care, or needs assistance with medication management and daily living activities.
Mental Health Association – Respite/Crisis Program
Services: Short-term residential crisis stabilization program providing safe, supportive environment during mental health crisis. Includes 24-hour staff support, crisis intervention, stabilization services, and connection to ongoing care. The program provides a 2-week stay with a firm discharge plan at the end of the 2 weeks.
Eligibility: Adults 18+ experiencing mental health crisis who need stabilization but do not require hospitalization. Must be voluntary and able to participate in crisis planning.
When to Refer: Client is in crisis but does not meet inpatient criteria, needs brief stabilization period, requires respite from current living situation, or as step-down from hospital to prevent readmission.
Mental Health Association – Supported Housing/SPSRO
Services: Independent and client leased/own housing with flexible and in home once a month supports. Social activities, crisis assistance, and person centered services.
Eligibility: Adults with serious mental illness who can live independently with support. History of homelessness or housing instability preferred. Must be willing to engage with support services.
When to Refer: Client is ready for independent living with supports, has barriers to housing due to mental illness, needs affordable housing with built-in services, or is stepping down from more intensive residential care.
Mental Health Association – Apartment Treatment Program
Program Description: The Apartment Treatment Program (ATP) operated by the Mental Health Association in Fulton and Montgomery Counties is a New York State Office of Mental Health (OMH)–licensed residential treatment program for adults with serious and persistent mental illness.
Services: ATP provides individuals with independent apartment living combined with intensive mental health services and supports. The program is designed to promote mental health and substance use recovery, increase self-sufficiency, and help residents build the skills needed to successfully transition toward independent community living. Residents work closely with staff multiple times per week using a person-centered, trauma-informed, and non-judgmental approach. A 24-hour crisis line is available to all residents.
Apartment Locations: Amsterdam (including Holland Circle).
Eligibility: To be eligible for the Apartment Treatment Program, an individual must: Be 18 years of age or older; Have a primary diagnosis of a serious and persistent mental illness; Be appropriate for a certified apartment-based level of care; Be willing to participate in a collaboratively developed individualized service plan; Have a physician verify eligibility for the program. Additional considerations: Referrals may be made by mental health providers, case managers, or self-referrals. Social Security benefits are based on Congregate Care Level II rates, providing increased income and a monthly personal needs allowance. Residents must be able to live in an apartment setting with support.
When to Refer: An individual may be referred to the Apartment Treatment Program if they: Need structured mental health support but do not require 24-hour staffed congregate care; Are transitioning from psychiatric hospitalization, Community Residence or higher level of care, or unstable or unsafe housing; Would benefit from support with medication management and appointment coordination, daily routines and self-care, budgeting, grocery shopping, and cooking, benefits management, developing coping skills and relapse prevention; Are working toward improved mental health stability, substance use recovery, employment, education (GED/college), or vocational goals, increased community involvement and social connection; Would benefit from regular staff contact, peer support, groups, recreational outings, and social opportunities; Need a least-restrictive, recovery-oriented residential setting with crisis support available 24/7.
DePaul-Veddersburg Apartments (SHP)
Services: Supportive Housing Program (SHP) providing permanent affordable housing with on-site support services. Offers independent apartments with case management, life skills support, connection to community resources, and crisis intervention. Focuses on housing stability and recovery.
Eligibility: Adults with serious mental illness and history of homelessness or housing instability. Must be able to maintain independent apartment with support services. Income restrictions may apply.
When to Refer: Client has chronic homelessness or housing instability, ready for permanent housing with supports, needs affordable housing option, or requires long-term housing stability with flexible services.
Community Health Navigation Services – Bassett Healthcare
Services: Community-based navigation and support services helping individuals access healthcare, behavioral health services, and community resources. Provides care coordination, assistance with appointments, insurance navigation, and connection to social services.
Eligibility: Adults with mental health needs who require assistance navigating healthcare and community systems. Particularly serves individuals with barriers to accessing care.
When to Refer: Client has difficulty navigating healthcare system, needs help coordinating multiple services, has barriers to accessing care, or requires assistance connecting to community resources and supports.
Community Health Connections – Health Home Care Coordination
Services: Comprehensive Health Home care management services coordinating medical, behavioral health, and social services. Provides care planning, service coordination, health monitoring, referrals to specialists, and assistance accessing community supports. Focuses on whole-person care.
Eligibility: Adults with serious mental illness and at least one chronic health condition (diabetes, heart disease, asthma, etc.). Must be Medicaid eligible.
When to Refer: Client has co-occurring physical and mental health conditions, needs help coordinating multiple providers and services, has complex medical needs, or requires integrated care management.
St. Mary’s ACT TEAM
Services: Assertive Community Treatment providing intensive, comprehensive community-based treatment. Multidisciplinary team delivers services in community settings including medication management, therapy, case management, employment support, housing assistance, and 24/7 crisis response. Low staff-to-client ratio ensures intensive support.
Eligibility: Adults 18+ with serious mental illness, history of frequent psychiatric hospitalizations or crisis interventions, difficulty maintaining stable housing or treatment engagement, and complex service needs.
When to Refer: Client has had multiple psychiatric hospitalizations, requires intensive support to remain in community, struggles with medication adherence, has co-occurring substance use, or needs wraparound services to prevent institutionalization.
St. Mary’s AOT (Assisted Outpatient Treatment)
Services: Court-ordered treatment program for individuals who have difficulty engaging with voluntary services. Provides intensive case management, medication monitoring, therapy, and support services with legal oversight to ensure treatment compliance. Focuses on preventing relapse and hospitalization.
Eligibility: Adults 18+ with serious mental illness who meet AOT criteria: unlikely to survive safely in community without supervision, history of non-compliance with treatment leading to hospitalizations or incarceration, and unlikely to participate in treatment voluntarily. Requires court order.
When to Refer: Client has pattern of treatment non-compliance leading to repeated hospitalizations or involvement with criminal justice system, poses risk to self or others when not in treatment, or has been unsuccessful with voluntary services. Requires legal consultation for AOT petition.