Team–based intensive recovery services focused on adults who have a severe mental illness and are currently homeless.
- Case Management/Community Psychiatric Support Treatment (CPST)
The underlying philosophy of the CPST staff is to ‘do whatever it takes’ to end homelessness for those they serve. Service provision is client centered and client driven. CPST staff work with clients to build rapport and trust, often outreaching to clients in an attempt to keep them engaged in services. CPST staff assist clients in focusing on developing, strengthening and supporting the skills needed to reach their self-defined goals. Highly collaborative in nature, the CPST program depends not only on the client for input and collaboration, but on other appropriate service providers in the community to provide a comprehensive array of services. It is the intent of the CPST program to facilitate each client’s experience of their own successes and to build on these successes for optimal recovery. The CPST program provides an array of intensive services delivered by a community based team of service providers including case managers, social workers, nurses, and psychiatrists.
- Integrative Dual Disorder Treatment (IDDT) an evidence based practice assisting adults with both chronic mental health needs and chemical dependency recovery.
- Supported Employment (SE)
SE program applies the principles of Supported Employment; an evidence-based practice to meet the employment and educational needs of ‘Housing First’ residents. Supported Employment helps consumers find and maintain competitive jobs and/or educational opportunities in their communities. Supported Employment services are integrated with Community Psychiatric Support Treatment (CPST) and/or Case Management services at each site, in addition to other support services, at varying levels of intensity.
- Psychiatric/Medical Outreach
In some situations, it is necessary to outreach to individuals who are in need of psychiatric services. Agency psychiatrists, psychiatric and medical services are also available at various FrontLine Service sites as well as in the community, when clinically warranted.
- Psychiatric Clinic
Located at the FrontLine Service’s Main Site, 1744 Payne Avenue, clients of the agency are able to access initial Psychiatric Assessments and the follow-up services which are so critical to recovery. In addition to psychiatrists, agency nurses provide assistance in self-monitoring of medication and stabilization of psychiatric symptoms.
- Roberto Flores Residential Treatment (homelessness not an eligibility criteria)
In May 2012, FrontLine Service assumed operations of this facility, a community-based transitional residential treatment program targeted to serve dually diagnosed adults (18+ years) living in Cuyahoga County who have a co-morbid severe mental illness and substance abuse problem. Special priority is given to consumers in state psychiatric hospitals. This residential treatment facility provides integrated mental health and substance abuse treatment services. Residents receive the following: room and board, personal care services (i.e., assistance with medication monitoring), mental health and substance abuse treatment services in a supervised, 24 hour a day, seven day a week facility. The program prepares residents to live independently in the community while improving management of substance abuse issues with emphasis on residents making decisions for themselves. Staff works with residents to assist them to develop functional skills and to decrease interference of maladaptive behaviors(s) that make it difficult for individuals to live independently in the community and maintain sobriety.
Permanent Supportive Housing
- Safe Havens -Specialized supportive housing for chronically homeless persons who have a severe mental disability and need intensive support services.
- Young Adult Program (YAP) -We provide scattered site permanent supportive housing for severely mentally ill young adults.
- Housing First-We provide on-site support services in congregate living facilities for chronically homeless, severely mentally disabled individuals without requiring treatment first. An evidence-based practice, numerous housing first sites have been created in Cuyahoga County, demonstrating our community’s commitment to innovative care. Sites include: Emerald Commons, Liberty Commons, Downtown Superior, SouthPoint, Edgewood Park, Greenbridge Commons.
- Scattered Apartment Sites with Support Services-Our staff provide on-site support services for homeless adults with severe mental disabilities in apartments located throughout the county.
- North Point
North Point Transitional Housing is designed to serve the needs of homeless men who have average shelter stays of nine months but who are able-bodied and ready and willing to achieve gainful employment which will lead to the achievement of permanent housing. The program is based on the belief that the problem of homelessness is a combination of lack of affordable housing and poverty. The services provided at this program are targeted to address those issues. Program participants are from Cuyahoga County’s Lakeside Emergency Shelter. The target population is those unaccompanied men who are able and willing to become gainfully employed and who want to achieve permanent housing. North Point believes that for this target population, if income can be increased, people can achieve and maintain permanent housing with limited support.
- Norma Herr Women’s Center
The NHWC is an emergency shelter that operates 24 hour, seven day a week. NHWC has two major goals: 1) to safely shelter homeless women who cannot access another shelter, and 2) to help those homeless women to achieve admission to a shelter program offering the specialized services to effectively meet their specific service needs and preferences, or other housing options. This may mean providing mental health services, or arranging for substance-use treatment services, so that the women can participate in programs offered by other shelter providers. For women who have become hopeless, traumatized, or severely drug addicted, it will mean working to establish relationships of trust and respect, and to achieve progress at the woman’s own pace. NHWC has the capacity to provide beds to 126 individuals, and an additional 30 mats. In addition to shelter, staff will provide areas where shelter residents can participate in structured activities, work on individual goals, or simply relax on their own.
- Gateway Services
After eleven years of operation, FrontLine Service closed its Emergency Shelter for Disabled Men (ESDM) and the ESDM’s drop-in program, the SPOT at 1701 Payne Avenue. The clinical staff from ESDM/SPOT moved to 2100 Lakeside, where we are now working collaboratively with the providers of the 2100 Lakeside Men’s Shelter, Lutheran Metropolitan Ministries (LMM). LMM provides shelter services, and the Gateway Services staff provides the clinical and supportive services to the individuals at 2100 Lakeside who are challenged with a disability. The residents served by the Gateway Services staff have severe mental illness, mental retardation/developmental disabilities, physical handicaps, medical disabilities (including those with HIV/AIDS), those recovering from chemical dependency use/abuse and those classified as frail and/or elderly. The targeted population is historically known to be difficult to engage in treatment and services. The team provides staffing coverage at 2100 Lakeside from 7 a.m. – 9:30 p.m. Monday through Friday and 8 a.m. – 4:30 p.m. on Saturdays and Sundays.
- Coordinated Intake and Assessment Services
In collaboration with the Cleveland Mediation Center, FrontLine Service Coordinated Intake & Assessment staff work closely with the residential staff at 2100 Lakeside Men’s shelter and at the Norma Herr Women’s Center shelter (NHWC). Every person and/or family seeking shelter is assessed by Intake staff to determine if an immediate intervention might prevent the episode of homelessness. Interventions include family reunification, short term rental assistance, landlord-tenant mediation, and/or community referrals. If a shelter stay cannot be prevented, the family or individual is assessed to determine needs for ongoing services to address the current housing crisis and quickly get the family or individual in shelter and back to permanent housing. Central/Coordinated Intake refers those in need of shelter placement to an emergency shelter in Cuyahoga County. Central Intake operates Monday through Friday from 8:00 a.m. – 8:00 p.m. and is located at 1736 Superior Avenue, 2nd Floor. If a single person needs shelter after 8:00 p.m. or on the weekend they should go directoly to 2100 Men’s Shelter or Norma Herr Women’s Center for a bed. If a family requires shelter after 8:00 p.m. or on the weekends they should call 211. The family will be linked to on-call staff.
- Rapid Re-Housing (RRH) Support Services
In collaboration with EDEN, Inc, FrontLine Service Rapid Re-Housing Program staff work to provide Rapid Re-Housing services to families in any Cuyahoga County emergency shelter or transitional housing program. FrontLine Service Rapid Re-Housing staff conduct outreach to the family shelters and transitional housing programs to identify eligible families. RRH can shorten the length of a shelter stay by assisting the homeless family with a short term rental subsidy and housing location services (administered by EDEN, Inc); and case management services, administered by FrontLine Service. RRH case management services are available Monday thru Friday 9:00 am – 5:00 pm.
- Supportive Services for Veterans Families – (Operation Cleveland Home Front)
In collaboration with EDEN and the Cleveland Mediation Center, this program is designed to prevent homelessness and increase housing options for homeless Veterans and their families. Case managers provide supportive services, access to community-based mental health and substance abuse services, and linkage to benefits.
Teams reach out to disabled, homeless adults in the community, building the trust needed for them to accept treatment services and housing. Programs include:
- Projects for Assistance in Transition from Homelessness staff (PATH)
- PATH outreaches to homeless individuals who have a severe mental disability, the majority of whom have been resistant to traditional mental health services for many years. Staff visit these individuals in their natural environment; in abandoned buildings, on the banks of the Flats, on the streets and in shelters and work to create a relationship which will eventually enable the individual to accept assistance and services. PATH offers assistance in meeting basic needs, such as food, clothing and housing/shelter, as well as psychiatric services and linkage to physical health care.
- PATH Veterans Program
The PATH Veterans Program was implemented in July 2009 to improve outreach services for homeless, mentally ill veterans in Ohio. The Veterans Administration (VA) and the Volunteers of America (VOA) work collaboratively with FrontLine Service on this program. The services provided include engagement/outreach and linkage to the following: pharmacological management, counseling, housing, income, employment, resources through the Veteran’s Administration, alcohol and drug addiction services, and primary healthcare.
- Returning Home Ohio
Staff assist with housing and treatment for adults, challenged with a severe mental disability and substance use, who are re-entering the community from jail or prison. The primary goals of the program are to reduce the recidivism rate, improve the rate in which those returning from prison are housed and to ensure access to needed services, including mental health.
- Bridges to Housing
FrontLine Service works closely, in partnership with Care Alliance, to achieve the goals of this program; (1) to decrease the numbers of the chronically homeless who are in shelters and on the streets and (2) to improve the health status of this population through the integration of behavioral and physical healthcare and (3) to improve access to mainstream benefits for participants engaged in the program. This program uses the evidence-based practice of Critical Time Intervention as it works with new residents of the 2100 Lakeside men’s shelter and the Norma Herr Women’s Shelter, moves them into Permanent Supportive Housing programs, and continues to work with them for an additional 6-9 months post-housing.
- Child and Family Focused Services (CFFS)
CFFS serves families of children who have been determined by staff of the Cuyahoga County Department of Children and Family Services (DCFS) to be at moderate to high risk of homelessness, abuse and/or neglect. CFFS serves only those families who have been referred by DCFS, through a contract with the County. The primary purposes of the project are to protect children from serious harm and removal from the family, sustain housing, and to strengthen the family’s capacity to recognize and respond to the needs of the child.
- Cuyahoga County Central Intake/Treatment for children exposed to violence. Our 24/7 home based service responds to crisis calls for children exhibiting trauma symptoms. Clients are referred by the Defending Childhood Network.
Cuyahoga County is one of four sites that received funding through the US Attorney General Eric Holder’s office to implement our Defending Childhood Initiative (DCI). The goals of the DCI are to prevent exposure to violence, mitigate the negative impacts of exposure when it does occur, and develop knowledge and spread awareness about the issue. FrontLine Service provides Central Intake for the county’s DCI. We complete assessments for all children referred to the DCI, and then link the child to the most appropriate agency. This linkage is based on the agency/program that can provide the child with the most appropriate trauma-informed intervention, driven by the results of the assessment.
- Children Who Witness Violence (CWWV)-Our teams work with families in their homes shortly after a crisis to provide support services to children who have been exposed to violence.
The CWWV philosophy is that the provision of immediate intervention to children who have witnessed violence in their own homes is critical. Domestic violence deeply impacts children of all ages. Infants exposed to violence may not develop attachments to their caregivers who are key to their development. And in extreme cases, infants may suffer from failure to thrive. Preschool children in violent homes may regress developmentally and suffer sleep disturbances, including nightmares. School-age children who witness domestic violence may exhibit a range of problem behaviors including depression, anxiety and aggression toward peers. Adolescents and teens who have grown up in violent homes are at risk for recreating the abusive relationships they have seen. Immediate age-appropriate intervention and linkage to community based providers for on-going services provides the child(ren) and their family with a means of decreasing the impact of the trauma on individuals and the family unit.
- Violent Loss Response Team (VLRT)
In partnership with The Cleveland Police Department, VLRT seeks to provide comprehensive, practical, as well as emotional, supportive services to family members of homicide victims. It is recognized that these family members are in severe crisis from the moment they are notified of their loved one’s death and therefore immediate intervention and assistance is warranted. The nature of the families’ crisis often leaves them feeling overwhelmed and at times immobilized. VLRT provides compassionate care, practical planning and service coordination coupled with clinical intervention related to trauma and loss.
- Mobile Crisis Teams (MCT) -We provide 24/7 outreach, suicide prevention hotline, and referrals to adults and children in Cuyahoga County needing psychiatric support.
MCT provides a full range of evaluation, intervention, referral, and disposition services for adult, adolescents and children who are experiencing a mental health crisis. MCT services are provided at any location within Cuyahoga County where the individual is experiencing the crisis. An important component of the crisis program is the linking of the person in crisis with other service providers in the community to develop the support necessary to address future life stressors and avert additional crisis. FrontLine Service collaborates with hospitals, mental health agencies, schools, and numerous other community providers to complete assessments, develop treatment plans, coordinate necessary support, and arrange follow-up services for the person experiencing the crisis.
- Crisis Chat, an Online Emotional Support program, is available between 3 and 8 p.m., Monday through Friday.
- Crisis Stabilization Unit
The Crisis Stabilization Unit is available 24 hours a day, 7 days a week for individuals in psychiatric crisis is an alternative to inpatient psychiatric hospitalization, providing community based stabilization for individuals experiencing psychiatric crisis and determined appropriate for outpatient care. We help client resolve their crisis, reduce psychotic symptoms, and reintegrate individuals into the community and provide support services and link to community resources.