Hudson Valley
Care Management links, supports and oversees access to community services a child and family may need to improve overall health. Your family works with a single care coordinator who brings together the best quality services needed to build a brighter future for your child. We facilitate communication between you, medical staff and social workers assisting in navigating the healthcare and human service maze. We provide compassionate and individualized care for your family while combining all your services into one clear and simple plan. Your care coordinator is your family’s constant ally in your efforts to achieve lasting wellbeing, prevent health crises and pave the way for success.
Astor’s Heath Homes Care Coordination program provides Care Management services to children in 9 Hudson Valley Counties (Putnam, Rockland, Dutchess, Orange, Columbia, Sullivan, Greene, Delaware), and the Bronx.
Referral Criteria
- Active Medicaid
- Enrolled in a Health Home
What is a Health Home?
A Care Coordinator will oversee and provide access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room and out of the hospital.
Health Home services are provided through a network of organizations – providers, health plans and community-based organizations. When all the services are considered collectively, they become a virtual “Health Home.”
Who is Eligible to be in a Health Home?
Children from birth to age 21 must be enrolled in Medicaid AND meet have the following:
- Two or more chronic conditions (ex. hypertension, obesity, diabetes, asthma)
OR
- One of the following single qualifying conditions:
- HIV/AIDS, or
- Serious Mental Illness (SMI) (Adults 18+), or
- Serious Emotional Disturbance (SED) (Children), or
- Complex Trauma (Children)
Contact Us:
For more information or to make a referral to this program, contact:
Denise Brown, LMSW
Tel: 845-452-2372 x 120
Email: Please use our Program Contact Form »
More Information:
Program brochure (PDF file)
Folleto del programa (archivo PDF)
Learn about Astor's other Hudson Valley Community-based programs:
- Adolescent Partial Hospitalization Program
An intensive treatment program designed to keep adolescents in the community and prevent inpatient hospitalization - Astor Learning Center
Therapeutic school for grades K-8 - Care Management (Health Homes)
Coordination in managing multiple providers for a child and their family - Counseling Centers
Providing counseling, psychiatric services and case management to children and adolescents and their families - Day Treatment
School-based intensive treatment programs that integrates mental health and special education services for grades 2-12
Intensive Day Treatment
Therapeutic Transitions Program - Enhanced Coordinated Children’s Services Initiative
A multi-agency process that seeks to prevent out-of-home placement and coordinate services to meet the family’s complex needs - Family Therapy and Support Services
Services to youth with behavioral issues, including Juvenile Delinquent (JD) and Persons in Need of Supervision (PINS), to avoid out-of-home placement - Head Start
Early Head Start and Head Start Pre-school programs. Read more… - Home Based Crisis Intervention (HBCI)
Family therapy program that offers an intensive short-term crisis intervention service - Prevention / Intensive Home Based Services
Dutchess County program that serves parents with children at risk of foster care placement - Probation Based Services (J-RISC)
Community Based Services program available to youth at Dutchess County Probation - Residential Programs
The Residential Treatment Program is a therapeutic out-of-home placement serving children aged 5–13 who have emotional challenges that exceed community-based interventions. The program is located in Rhinebeck, NY, and accepts children from all counties of New York State.
Residential Treatment Center
Residential Treatment Facility - School-Based Behavioral Health and Training
Array of services provided to school districts in the Hudson Valley area - Serving Youth iN Their Communities (SYNC)
Home and community based services - Therapeutic Foster Boarding Home Program
Enhanced therapeutic foster care program with case management, advocacy, and medical services
