The goal of the Health Home program is to reduce cost while increasing quality and efficiency in New York’s Medicaid Program. The Health Home program will improve the health care provided to members of the Medicaid Program and will save money by reducing preventable hospitalizations, emergency room visits and unnecessary care. Health Homes provide a care coordination model for high-cost, high-need Medicaid recipients. It is a care management service model whereby all of the professionals involved in a member’s care communicate with one another so that all needs (medical, behavioral, health and social service) are addressed in a comprehensive manner.

Services Provided:

• Advocacy for housing and entitlements

• Comprehensive Care Management
• Coordination of your care and health promotion
• Help transitioning from inpatient to other settings
• Support to you and your family
• Referrals to services in the community and other support  services

   

  

  104-106 East 126^th Street, 3^rd Floor

  Monday through Friday 9:00 am to 5:00 pm

  For more information, please contact Anusky Mojica at (212)860-0820 x2655 or amojica@harlemunited.org

  For more information regarding referrals, please contact Brenda Rodriguez at (212)860-0820 x0 or brodriguez@harlemunited.org

The FROST’D HUD Scattered Site Housing Program provides transitional housing for HIV/AIDS positive individuals with a history of or whom are currently homeless. For a 12-24 month period the program works to ready clients for independent living and to successfully manage their illness. The apartments are located in Brooklyn neighborhoods.  This program has the capacity to serve English and Spanish-speaking clients. 

Services Provided:

• Monthly home visits and case management services by program staff
• Case management with goal of increasing clients’ self-sufficiency and ensuring housing stability
• Facilitate connection and adherence to medical care through referral and education counseling
• Advocacy to establish and maintain entitlements
• Harm Reduction education and counseling
• Reimbursement of up to $60 per month for client telephone and utilities 
• Ongoing care coordination with internal and external providers 

The HRA Scattered-Site Housing Programs provides 166 units of housing and supportive services to individuals and families. The apartments for HRA Housing are located in Harlem, Upper Manhattan and the Bronx. 

• Services Provided:

  • Case management home visits
  • Escorts to medical, mental health, entitlements, and all other appointments
  • Primary medical and home care referrals
  • Entitlement assistance and advocacy
  • Linking/referrals for legal assistance
  • Substance use assessment and Harm Reduction counseling
  • Mental health assessment and counseling
  • Medical monitoring and medication adherence
  • Life skills training/education
  • Connection to and maintenance in health care
  • Apartment unit maintenance/environmental safety support

     

    

    306 Lenox Avenue, 2^nd Floor

    Monday through Friday 9:00 am to 5:00 pm

    For more information, please contact Earl Cox at (212)803-2850 x2422 or e-mail ecox@harlemunited.org

    For more information, please contact Leap Sok at (212)803-2850 x2417 or lsok@harlemunited.org 

The NYNY III program provides 70 units of permanent scatter site housing and supportive services to chronically homeless single adults who are living with HIV/AIDS and co-occurring serious and persistent mental illness, substance abuse disorders, or both.  Chronically homeless is defined as an unaccompanied disabled individual who has been continuously homeless (living on the streets or in a shelter) for at least one year. Our program works with clients to stay healthy and remain housed, using a multi-disciplinary team approach. 

• Services Provided:

  • Monthly (at minimum) intensive case management services in the home
  • Medical monitoring , medication adherence, and care coordination
  • Mental health counseling and referral
  • Substance use counseling and referral
  • Activities of Daily Living (ADL) skills training
  • Referral to ADHC, detox, or other supportive services as appropriate
  • Referral to Voc Ed for vocational training or education as appropriate
  • Apartment care and maintenance assistance
  • Advocacy and case management
  • Linking/referrals for legal assistance and other entitlements
  • Escorts to medical, mental health, entitlements, and all other appointments

   

   

  

  306 Lenox Avenue, 2^nd Floor

  Monday through Friday 9:00 am to 5:00 pm

  For more information, please contact Frances Foye at (212)803-2850 x2425 or ffoye@harlemunited.org

  If further assistance is needed, please contact Danielle Strauss at (212)803-2850 x2844 or dstrauss@harlemunited.org 

HUD Supportive Housing Program for Women (known as “HU HUD”) program provides supportive housing to women living with HIV/AIDS and their children. Clients are placed in scatter site apartments in the Bronx, with the goal of remaining stably housed and managing their health.  This program has the capacity to serve English and Spanish-speaking clients

• Services Provided:

  • Monthly home visits and case management services by program staff
  • Case management with the goal of increasing clients’ self-sufficiency  and ensuring housing stability
  • Facilitate connection and adherence to medical care through referral and education counseling
  • Advocacy to establish and maintenance of entitlements
  • Assistance regarding immigration issues and family reunification
  • Ongoing care coordination with internal and external providers
  • Harm Reduction education and counseling
  • Reimbursement of up to $60 per month for client telephone and utilities

   

   

   

  306 Lenox Avenue, 2^nd Floor

  Monday through Friday 9:00 am to 5:00 pm

  For more information, please contact Kevin Rente at (212)803-2850 x2891 or krente@harlemunited.org

  If further assistance is needed, please contact Karen Lyken at (212)803-2850 x2894 or klyken@frostd.org

Women’s Housing program is a permanent supportive housing program which serves HASA –eligible and HASA-ineligible women with children and women with mental illness. 

Services Provided:

• Case management home visits
• Escorts to medical, mental health, entitlements, and all other appointments
• Entitlement Advocacy
• Health Care Advocacy
• Other types of advocacy including but not limited to child care and legal issues.
•  Mental Health Counseling
• Supportive Counseling
• Treatment Adherence Counseling
• Substance Use Counseling
• Quarterly Reassessments and Treatment plans
• Support Groups
• Substance Use Groups
• Mental Health Groups
• Treatment Adherence Groups
• Apartment unit maintenance/environmental safety support
• Supplemental supportive services for families

Foundation House North and Foundation House South provide emergency transitional, congregate housing for up to 180 days of care.  Foundation House North is located in Washington Heights and has 10 rooms (4 rooms for single adults and 6 rooms for adult couples) the maximum capacity is 16 adults.   Foundation House South, located in the Lower Eastside, has 14 rooms for single adults. 

rgin-bottom:0in;margin-bottom:.0001pt; mso-add-space:auto;text-align:justify;line-height:normal;border:none; mso-border-top-alt:solid windowtext 1.5pt;mso-border-bottom-alt:solid windowtext 1.5pt; padding:0in;mso-padding-alt:1.0pt 0in 1.0pt 0in'>For more information, please contact Earl Cox at (212)803-2850 x2422 or ecox@harelemunited.org

Services Provided:

• Safe, secure shelter for a maximum of 180 days
• Three nutritious meals per day, 365 days per year
• Onsite intensive case management
• Assistance in securing entitlements and advocacy
• Individual and group counseling and workshops geared toward 1) strengthening adult daily living (ADL) skills of cooking, cleaning, budgeting and shopping; 2) enhancing self-efficacy intended to achieve productive relationships with HASA workers, workers in other agencies, and personal contacts; and 3) developing productive conflict resolution skills
• Substance use assessment and harm reduction counseling
• Referrals to health care and aggressive advocacy to ensure clients’ entry into and maintenance in health care services
• Care coordination with other providers, including health care, methadone maintenance, psychiatric and specialty providers
• Onsite medical assessment within a week of admission and ongoing as needed
• Psychosocial assessment geared towards assessing appropriate housing placements
• Referrals to supportive housing programs and (for some clients) assistance in obtaining independent apartments 

This permanent supportive housing program houses 28 single adults; residents are diagnosed with chronic health/AIDS diagnosis, homeless histories, chronic medical conditions and severe mental illness. 

Services Provided:

• Supportive case management
• Mental health counseling
• Life skills training
• Vocational educational training
• Primary medical and home care referrals
• Entitlement assistance and advocacy
• Substance use assessment and Harm Reduction counseling
• Mental health assessment and counseling
• Medical monitoring and medication adherence
• Connection to and maintenance in health care
• Apartment unit maintenance/environmental safety support

1997 Lexington Avenue Monday through Friday 9:00 am to 5:00 pm

Brooklyn HUD Scattered Site Housing provides 32 units of transitional housing for homeless single adults living with HIV/AIDS who are HASA eligible. For a 12-24 month period, the program works to prepare residents for independent living and successfully managing their illness. The goal of the program is to graduate residents after 12 months, thereby transferring the lease into the resident's name and reducing the need for supportive housing case management services. The program is ideal for homeless adults living with HIV who are in need of short-term supportive services to stabilize their health and living conditions. Apartments are located in Bedford/Stuyvesant and surrounding Brooklyn neighborhoods. Residents must pay 30% of their income toward rent; no rent portion charged if the resident's sole income is Public Assistance.

• Monthly case management home visits
• Medical monitoring and medication adherence
• Referrals to health care and assistance in maintaining treatment protocols
• Harm Reduction education and counseling
• Life skills training including vocational, employment and educational services
• Assistance in budgeting and paying bills fully and in a timely manner
• Ongoing care coordination with internal and external providers
• Other referrals to community-based services as needed

Kevin Rente, Managing Director
212-803-2850 ext. 2891
krente@harlemunited.org

The Transitional Housing Program provides a total of 78 units of scatter site apartments to single adults. The ultimate goal of this program is to prepare clients for more independent and permanent next step housing settings, within two years.

Services Provided:

• Case management
• Home visits – 2x a month
• Office visits – 2x a month
• Primary medical, dental, mental health, and home care referrals
• Entitlement assistance and advocacy
• Linking/Referrals for legal assistance
• Substance use assessment and harm reduction counseling
• Mental health assessment and counseling
• Medical monitoring and medication adherence counseling
• Life skills training and education (both groups and individual sessions)
• Connection to and maintenance of healthcare
• Apartment unit maintenance/environmental safety support
• Next step housing referral, placement

This program houses 25 single adults; residents are diagnosed with chronic health/AIDS diagnosis, homeless histories, chronic medical conditions and severe mental illness.

• • Supportive case management
  • Mental health counseling
  • Life skills training
  • Vocational educational training
  • Primary medical and home care referrals
  • Entitlement assistance and advocacy
  • Substance use assessment and Harm Reduction counseling
  • Mental health assessment and counseling
  • Medical monitoring and medication adherence
  • Connection to and maintenance in health care
  • Apartment unit maintenance/environmental safety support
  • Psychosocial assessment geared towards assessing appropriate housing placements
  • Referrals to supportive housing programs and (for some clients) assistance in obtaining independent apartments