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Who can make a referral to
East House residential programs?
East House residential programs are part of a community-wide
mental health and chemical dependency treatment and rehabilitation
system. As a result, individuals interested in entering an East House
residential program must be actively involved in treatment and referred
by a treatment professional. Generally, this is a physician, therapist,
or social worker from a mental health or chemical dependency hospital
in-patient facility or outpatient treatment program in the Greater
Rochester area.
What role do families and
clients have in the referral process?
It is important that families and clients are active
participants in the treatment and rehabilitation process since the
decision to enter a residential program is an important one. Families
and clients are welcome to talk with an East House Admission Coordinator
to learn about our services, program expectations and locations and how
they match the interests of the client prior to a formal referral by a
community service provider. While a community service provider may
recommend East House or other residential programs, ultimately, the
individual client needs to decide that they want to enter and
participate in the program. As a result, visiting the program and
meeting with other clients and staff is often very important in helping
individuals make their decision.
What is the profile of clients
who are helped most by East House mental health residential programs?
Individuals who have accepted the need for treatment, are actively
working with a therapist and have a diagnosis of a major mental illness
such as schizophrenia or bipolar disorder with deficits in independent
living skills are generally successful candidates.
Independent living skills include the ability to live independently,
manage the symptoms of their illness, take medications independently,
keep appointments, cook, clean and shop for themselves, successfully
manage their money, maintain their personal hygiene and successfully
pursue their social, educational and work interests. Developing
independent living skills are a common rehabilitation objective of East
House clients.
Individuals with a secondary alcohol or drug problem, who are
motivated to work toward abstinence and accept treatment can also
benefit from East House services.
What are characteristics of
clients that tend not to benefit from East House services?
Individuals whose diagnosis and problems are primarily
related to their personality and difficulty in relationships with others
often have a very difficult time in a group home setting. In addition,
individuals with alcohol or substance abuse/addiction problems who
refuse treatment are generally not successful. Individuals with these
characteristics also have a significant negative affect on other clients
who are committed to work on their own treatment and rehabilitation.
Individuals who are interested in entering the program primarily for
the supportive living environment and who do not utilize counseling and
rehabilitative services are generally not successful. Individuals, whose
residential needs are primarily long-term supervised care with low
expectations for personal independence, are better served in programs
that are designed specially for these needs. Examples of some programs
include family care homes, adult care homes and the new single room
occupancy (SRO) Edgerton Square operated by DePaul Community Services.
What are characteristics of
clients most likely to benefit from the Crossroads (Chemical Dependency)
Residential Program?
Individuals who are in treatment and have a major diagnosis of
alcohol or chemical dependency with deficits in independent living
skills such as the ability to live independently successfully and follow
medical and treatment plans including prescribed medication, keeping
appointments, use, public transportation, communicate and resolve
conflicts successfully, budget and manage their money, obtain and keep a
job, and develop and maintain a sober social network. In addition,
individuals with secondary mental health problems, who are accepting of
treatment, can also benefit from the Crossroads residential program.
What are characteristics of
individuals who tend not to benefit from the Crossroads Program?
Individuals with little or no motivation to become and stay
sober and clean. Also, individuals with histories of mental health and
personality problems who have not accepted the need for treatment.
In
addition, individuals with strong anti-social behavior and/or low
emotional maturity and control of impulses and anger generally do not do
well and have a negative impact on others in a group living rehabilitation
program.
What are the expectations
of clients in your residential program?
- Treat other clients and staff with respect.
- Participate in the development and implementation of your
individual rehabilitation service plan including meeting with East
House counselors on a regular basis.
- Be involved in a regular program of goal-oriented treatment and
rehabilitation.
- Regularly participate in program community meetings.
- Maintain regular contact with your primary therapist.
- Assume responsibility for your personal health and hygiene.
- Share responsibility in maintaining common areas of the halfway
house and assume responsibility for your personal property.
- Assume responsibility for payment of your program fees.
- Abstain from possessing or using alcohol or illegal drugs in or
around East House facilities.
- Follow other health and safety rules of East House.
How do people pay for East
House residential services?
East House residential services are largely paid by
government funding through client fees from County Department of Social
Services, Social Security and Medicaid (for the Mental Health Community
Residence Program). State funding is also provided for Career Services
and the Crossroads Community Residence Program.
Clients, who are regularly working, pay a fee based on their monthly
income. And families, who have assumed financial responsibility for
their relative receiving East House services, pay a fee based on their
family size and income. The Veteran's Administration and Blue Cross of
Rochester also pays for some clients program fees based on their
eligibility and need.
How long do people wait for
admission to residential programs?
East House residential programs are in high demand. The
waiting time is tied to the availability of openings and the individual
preference for a specific house or apartment.
In general, after a client has been evaluated and accepted in the
program, the waiting time for the Mental Health Group Homes is
approximately one month, and three months for the Mental Health
Apartment Program. The waiting time for the Crossroads chemical
dependency group homes is approximately 4 to 6 weeks, and one to two
months for the Crossroads Apartment Program.
How long do clients stay in
your residential programs?
The length of time a client stays in the program is
individually tailored to their needs and progress. On average, clients
in the Mental Health Group Homes stay one year and two years in the
Mental Health Apartment Program. Clients in the Crossroads Group Homes
stay an average of three to six months and an average of one year in the
Crossroads Apartment Program.
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