Long Term Case/Care Management

Service Categories
Long Term Case/Care Management subcategories:
The structure of the services index and definitions of the terms contained herein were originally published in A Taxonomy of Human Services: A Conceptual Framework with Standardized Terminology and Definitions for the Field by the Information and Referral Federation of Los Angeles County, Inc., 3035 Tyler Ave., El Monte, CA 91731; Copyright (c) 1983, 1987, 1991. No part of this listing of human services terms and definitions may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electrical, mechanical, photocopying, recording or otherwise without the prior written permission of the Information and Referral Federation of Los Angeles County, Inc.

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Taxonomy Code: PH-1000.4500

Programs that develop, implement, assess and follow-up on plans for the evaluation, treatment and/or care of people who, on an ongoing basis, need assistance in planning and arranging for services.

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There are 39 matching records.
Service NameDescriptionLocationProgramAgency
Adult Human Trafficking Survivor Program, Children of the Immaculate HeartServes adult women who have been victims of trafficking. The goal of the program is the survivors' healing from the aftermath and trauma of human trafficking. Services include: provision of housing, therapy, case management, financial assistance for childcare, partnering with other agencies for medical and psychiatric care, and mentorship. Financial assistance for public transportation is provided to their clients, if necessary. Please call for details.CentralAdult Human Trafficking Survivor ProgramChildren of the Immaculate Heart
Chula Vista Community Collaborative, Beacon Family Resource Center, Vista Square ElementaryWorks with Chula Vista families to assess family needs, linkage and referrals to needed services, emergency food, health insurance application assistance for children and pregnant women, Cal Fresh pre-screening, coordinate adult education classes including English as a second language classes (ESL), and parenting classes at several Family Resource Center locations. Classes vary by semester. Also, offers employment assistance and support.SouthChula Vista Community CollaborativeChula Vista Community Collaborative
Chula Vista Community Collaborative, Fair Winds Family Resource Center, Loma Verde ElementaryWorks with Chula Vista families to assess family needs, linkage and referrals to needed services, emergency food, health insurance application assistance for children and pregnant women, Cal Fresh pre-screening, coordinate adult education classes including English as a second language classes (ESL), and parenting classes at several Family Resource Center locations. Classes vary by semester. Also, offers employment assistance and support.SouthChula Vista Community CollaborativeChula Vista Community Collaborative
Chula Vista Community Collaborative, New Directions, Rice ElementaryWorks with Chula Vista families to assess family needs, linkage and referrals to needed services, emergency food, health insurance application assistance for children and pregnant women, Cal Fresh pre-screening, coordinate adult education classes including English as a second language classes (ESL), and parenting classes at several Family Resource Center locations. Classes vary by semester. Also, offers employment assistance and support.SouthChula Vista Community CollaborativeChula Vista Community Collaborative
Chula Vista Community Collaborative, Open Door Family Resource Center, Palomar High SchoolWorks with Chula Vista families to assess family needs, linkage and referrals to needed services, emergency food, health insurance application assistance for children and pregnant women, Cal Fresh pre-screening, coordinate adult education classes including English as a second language classes (ESL), and parenting classes at several Family Resource Center locations. Classes vary by semester. Also, offers employment assistance and support.SouthChula Vista Community CollaborativeChula Vista Community Collaborative
Chula Vista Community Collaborative, Rayo de Esperanza Family Resource Center, Otay ElementaryWorks with Chula Vista families to assess family needs, linkage and referrals to needed services, emergency food, health insurance application assistance for children and pregnant women, Cal Fresh pre-screening, coordinate adult education classes including English as a second language classes (ESL), and parenting classes at several Family Resource Center locations. Classes vary by semester. Also, offers employment assistance and support.SouthChula Vista Community CollaborativeChula Vista Community Collaborative
Community Services for Families, Home Start EscondidoProvides in-home case management and parenting skills development to families who are involved in the CWS system. Offers education to teach parents how to interact with their children and use appropriate discipline techniques. Provides information about child development, nutrition, and family communication.North InlandCommunity Services for FamiliesHome Start Incorporated
Community Services for Families, Home Start North CoastalProvides in-home case management and parenting skills development to families who are involved in the CWS system. Offers education to teach parents how to interact with their children and use appropriate discipline techniques. Provides information about child development, nutrition, and family communication.North CoastalCommunity Services for FamiliesHome Start Incorporated
Comprehensive Resettlement Collaborative (CRC), International Rescue CommitteeFor the first 8 months in the country, provides comprehensive, one-stop resettlement services to all refugees sponsored by the International Rescue Committee. Provides long-term case management services, including interim financial assistance, employment services, English language training, computer training, transportation assistance to jobs, and child care assistance.CentralComprehensive Resettlement Collaborative (CRC)International Rescue Committee
Coordinated Services for Children ages 3 to Adult, San Diego Regional Center for the Developmentally DisabledProvides coordination of developmental disability services for children over the age of 3. Services may include: Behavior Intervention Training, Dental Services (under special circumstances), Medical Services (under special circumstances), Nutrition Services, Nursing Services Psychological Services, Residential Services (parental fee may be required), Respite, Social Work/ Service Coordination, and Transportation (under special circumstances).CentralDevelopmental ServicesSan Diego Regional Center for the Developmentally Disabled
Disaster Response and Recovery Services, Salvation Army, Sierra Del Mar DivisionProvides disaster response teams to serve at disasters and civil disorders and long-term disaster recovery services. Response services include spiritual ministry, identification/registration for locating victims, food services, shelter, financial assistance, donated goods, counseling, case management, and advocacy. May coordinate or assist with reconstruction efforts in major disasters, usually joining with unmet needs and long-term recovery committees to determine, prioritize, and meet the needs of disaster victims. Support services, such as child care, may be available to assist families and individuals who are rebuilding. Also supports faith-based and community-based organizations who have volunteers involved in disaster recovery by donating financial resources and providing supplies, building materials, equipment, facilities, and warehouse capabilities. Also provides clean-up kits for homes affected by the July 2015 rainfall.CentralDisaster Response and Recovery ServicesSalvation Army, Sierra Del Mar Division (Headquarters)
Family Caregiver Support Services, Aging & Independence Services, Health and Human Services Agency, County of San DiegoProvides services to individuals who are providing caregiving services to older adults. Also provides services to grandparents who are the primary caregiver for a child. Provides case management and assessment to help caregivers develop a plan for accessing community services, including respite care, personal care, homemaker and chore services, and home-delivered meals. Offers information about counseling and support groups. Provides skills training for caregivers.North CentralFamily Caregiver Support ServicesAging & Independence Services (AIS), Health and Human Services Agency, County of San Diego
Family Resource Center, National City Collaborative/Family Resource Centers, Euclid AvenueOffers a variety of social, educational and health service programs to residents of South Bay. Provides child developmental assessment and long-term case/care management services to eligible families. Case management services include counseling, benefits advocacy, life skills training, emergency food and a list of low income housing. Offers health education classes, immunization clinics, and tuberculosis (TB) testing. Also offers after-school tutoring services. Provides information and referral services for adult education opportunities, and community and family activities. Services vary by location.SouthFamily Resource CenterNational City Collaborative/Family Resource Centers
Family Resource Center, National City Collaborative/Family Resource Centers, National City Q AvenueOffers a variety of social, educational and health service programs to residents of South Bay.. Provides child developmental assessment and long-term case/care management services to eligible families. Case management services include counseling, benefits advocacy, life skills training, and emergency food and housing assistance. Offers health education classes, immunization clinics, and tuberculosis (TB) testing. Also offers after-school tutoring services. Provides information and referral services for adult education opportunities, job preparation classes, job search, job training, and community and family activities. Services vary by location.SouthFamily Resource CenterNational City Collaborative/Family Resource Centers
Family Resource Center, National City Collaborative/Family Resource Centers, National City WestOffers a variety of social, educational and health service programs to residents of South Bay. Provides child developmental assessment and long-term case/care management services to eligible families. Case management services include counseling, benefits advocacy, life skills training, and emergency food and housing assistance. Offers health education classes, immunization clinics, and tuberculosis (TB) testing. Also offers after-school tutoring services. Provides information and referral services for adult education opportunities, job preparation classes, job search, job training, and community and family activities. Services vary by location.SouthFamily Resource CenterNational City Collaborative/Family Resource Centers
Family Resource Center, National City Collaborative/Family Resource Centers, Plaza BoulevardOffers a variety of social, educational and health service programs to residents of South Bay. Provides child developmental assessment and long-term case/care management services to eligible families. Case management services include counseling, benefits advocacy, life skills training, and emergency food and housing assistance. Offers health education classes, immunization clinics, and tuberculosis (TB) testing. Also offers after-school tutoring services. Provides information and referral services for adult education opportunities, job preparation classes, job search, job training, and community and family activities. Services vary by location.SouthFamily Resource CenterNational City Collaborative/Family Resource Centers
Family Self-Sufficiency Program, Home Start CentralProvides case management services to assist Community Services Block Grant (CSBG) eligible individuals and families, including youth, become gainfully employed and/or achieve self sufficiency. Provides the following; Assessment; Case Management; Job Preparation/Job Search/Job Placement; Referrals for Vocational Training, Adult Basic, Education, GED or H.S. Diploma; Emergency Assistance for Food and Shelter; Referrals for financial, medical, mental health and food assistance, (ie. CalWORKs, Food Stamps, Medi-Cal, SSI/SSP, etc.) Self-Sufficiency; EITC Tax Assistance (dating back up to 3 only); Financial Education.CentralFamily Self-Sufficiency ProgramHome Start Incorporated
Family Self-Sufficiency Program, Home Start EastProvides case management services to assist Community Services Block Grant (CSBG) eligible individuals and families, including youth, become gainfully employed and/or achieve self sufficiency. Provides the following; Assessment; Case Management; Job Preparation/Job Search/Job Placement; Referrals for Vocational Training, Adult Basic, Education, GED or H.S. Diploma; Emergency Assistance for Food and Shelter; Referrals for financial, medical, mental health and food assistance, (ie. CalWORKs, Food Stamps, Medi-Cal, SSI/SSP, etc.) Self-Sufficiency; EITC Tax Assistance (dating back up to 3 only); Financial Education.Family Self-Sufficiency ProgramHome Start Incorporated
Family Self-Sufficiency Program, SAY San DiegoProvides case management services to assist CSBG eligible individuals and families, including youth, become gainfully employed and/or achieve self sufficiency. Provides the following; Assessment; Case Management; Job Preparation/Job Search/Job Placement; Referrals for Vocational Training, Adult Basic, Education, GED or H.S. Diploma; Emergency Assistance for Food and Shelter; Referrals for financial, medical, mental health and food assistance, (ie. CalWORKs, Food Stamps, Medi-Cal, SSI/SSP, etc.) Self-Sufficiency; and Financial Education. Assistance completing Medi-Cal and CalFresh applications. Also provides year round free tax preparation services to those who qualify (appointment only). Offers emergency food 8:30 am-11:30 am Monday-Friday.North CentralFamily Self-Sufficiency ProgramSAY San Diego
Health and Wellness Services, Serving SeniorsProvides health and wellness, educational, recreational, and social service programs for senior citizens. There is a nurse on-site, as well as intake services. Offers legal counseling services; a lawyer helps senior citizens with general legal questions (must phone for appointment). Recreational activities include bingo, board games, and more. Offers short-term and long-term case management services to help seniors meet housing and healthcare needs. Provides food stamp pre-screening and application assistance to seniors. Also provides medical and psychiatric consultation and assessment services, including medication monitoring, health education, and psychiatric case management. Refers to the Schwarzman Senior Emergency Fund, which provides emergency loans to seniors 60 years and older who are facing short-term financial difficulties (loans range from $20-$200).CentralHealth & Wellness ServicesServing Seniors
HIV Clinic, Vista Community Clinic, GrapevineProvides primary healthcare services to adults with HIV/AIDS. Also offers counseling, long-term case management, and health education.North CoastalHIV ClinicVista Community Clinic
Integrative Services Program, Community Resource CenterProvides short and long term integrated case management resources to low income families achieving and sustaining self-sufficiency. Through CRC’s Social Services department clients have access to employment readiness programs and services (including computer and printing services), financial fitness resources and education, daily/weekly/emergency food distribution, aid in applying for public benefits (Medi-cal & CalFresh), assistance with transportation and other employment support, shelter services and year-round tax preparation. North CoastalIntegrative Services ProgramCommunity Resource Center (CRC)
Linkages Case Management, Aging & Independence Services, Health and Human Services Agency, County of San DiegoProvides state-funded long-term case management for functionally impaired and disabled adults who are at risk of institutionalization and ineligible for other case management programs. Case manager will assist client through assessment, case plan development, and service delivery through a referral system. Direct services are provided by community agencies.North CentralLinkages Case ManagementAging & Independence Services (AIS), Health and Human Services Agency, County of San Diego
Mother Child and Adolescent HIV Program, UC San Diego Health, Antiviral Research CenterThe UCSD Mother-Child-Adolescent HIV Program provides comprehensive, family centered HIV care to women, children and youth. A multidisciplinary team of HIV specialists provides medical care, clinical research trials, patient education, counseling, case management, peer advocacy, and community education. Mother Child and Adolescent HIV ProgramUniversity of California San Diego Health
MSSP Case Management, Aging & Independence Services, Health and Human Services Agency, County of San DiegoOperates the Multipurpose Senior Services Program (MSSP). Provides a long-term case management program for seniors age 65 and older who are eligible for Medi-Cal who are at risk of institutionalization. Assists seniors to remain safely in their own home. Services includes: • Comprehensive health and psychosocial assessment. • Care planning with the client and family. • Arrangement of services. • Coordination of care with other community agencies. • Advocacy • Some limited payment of in-home services. • Ongoing monitoring. • Annual reassessments. • Quarterly home visits and monthly contacts. North InlandMSSP Case ManagementAging & Independence Services (AIS), Health and Human Services Agency, County of San Diego
Perinatal Case Management, Vista Hill, La MesaProvides continuous, long-term case management to assist women who are drug and/or alcohol users, pregnant or parenting, in finding services to support long-term recovery. Services include home visits, assessment, monitoring service delivery, client advocacy, and evaluation of service. This program is funded by the County of San Diego Health & Human Services Agency. Also provides outreach to homeless pregnant or parenting women who are alcohol and/or drug users. Outreach services include providing access to prenatal care, assistance to obtain Medi-Cal, assistance finding a doctor, and finding emergency services (food, shelter, etc).EastPerinatal Case ManagementVista Hill
Pregnancy Case Management, Operation Samahan, Mira MesaProvides case management services to pregnant teens and women. Offers free pregnancy testing. Helps fill out applications for Medi-Cal coverage. Provides medical services during and after pregnancy. Also provides medical care for newborn. Offers needs assessment and coordination of servicesNorth CentralPregnancy Case ManagementOperation Samahan
Pregnancy Case Management, Operation Samahan, National CityProvides case management services to pregnant teens and women. Offers free pregnancy testing. Helps fill out applications for Medi-Cal coverage. Provides medical services during and after pregnancy. Also provides medical care for newborn. Offers needs assessment and coordination of services.SouthPregnancy Case ManagementOperation Samahan
Project LIFE (Living In Freedom from Exploitation), North County LifelineServices all victims of Human Trafficking which includes labor/sex, men, women, boys and girls, and the LGBTQ population. Emergency Services and Intensive Case Management: provides immediate victim advocacy, safety planning, crisis management and backpacks (containing clothes, food and basic hygiene items) provided to each victim. Assist in finding emergency housing for victims. On call response to law enforcement. Case Managers also develop a safety plan with clients, conducts a comprehensive assessment to determine their unique needs, and a personalized case plan that connects clients with the services and resources needed to stabilize and support them. Mental Health Therapy and Trauma Care: Provides trauma specific treatments that are SAMHSA approved, evidence based treatments, such as Traumatic Incident Reduction (TIR), Eye Movement Desensitization Reprocessing (EMDR), and Trauma Resiliency Model (TRM). They are rapid treatment modalities that address and heal complex trauma.North CoastalProject LIFE (Living In Freedom from Exploitation)North County Lifeline
Rapid Rehousing Program, Alpha Project for the Homeless**IMPORTANT NOTE** Assistance is not immediate. SERVICE ONLY available to homeless individuals and families, NOT those seeking rental assistance to avoid eviction. Those eligible clients will then be placed on a wait list to receive assistance. Offers rental assistance and security deposits as well as landlord advocacy, assistance with finding affordable housing and case management assistance to families and/or individuals who are homeless with the goal of moving them into permanent housing. The services provided are with both, financial and case management assistance that is consistent with the client's individual needs. Experienced housing navigators and case managers regularly engage with clients, providing hands on assistance for those seeking to end their homelessness by providing emergency financial assistance, as well establishing structure for those who have secured housing after entering the Program. **IMPORTANT NOTE** SERVICE ONLY available to homeless individuals and families, NOT those seeking rental assistance to avoid eviction. Those eligible clients will then be placed on a wait list to receive assistance.CentralRapid Rehousing ProgramAlpha Project for the Homeless
San Diego Regional Center for the Developmentally DisabledProvides assessment, development of an individual program plan, service coordination, and purchase of services to meet the individual program plan for ages 3 and up. Services are provided to persons meeting the state definition of a developmental disability (ex: intellectual disability, epilepsy, cerebral palsy, or autism). Also provides Early Start program services to ensure children younger than age 3 and their families receive coordinated services early in the child's development process. Other services include: information and referral, diagnosis and evaluation, admission to and discharge from state hospitals, court-ordered evaluation, consultation to other organizations, preventive services, transit assistance, community education regarding developmental disabilities and needed services, advocacy, and arranging for guardianships and conservatorships. The SDRC may also provide genetic counseling services to pregnant women determined to be at high risk of delivering a disabled child because of a genetic disorder. Transportation to and from for medical appointments.North CentralDevelopmental ServicesSan Diego Regional Center for the Developmentally Disabled
Senior Options, Advocacy and Referral (SOAR), Aging & Independence Services, Health and Human Services Agency, County of San DiegoProvides long-term case management for seniors who are at risk of institutionalization and who are ineligible for other case management programs. Case manager will work with clients to find and coordinate services in the home. The staff members develop a care plan with the client to help the client remain safe and as independent as possible. The program is committed to prevent hospitalization or long-term out-of-home placement. There is a limited purchase-of-service component available.North CentralSenior Options, Advocacy and Referral (SOAR)Aging & Independence Services (AIS), Health and Human Services Agency, County of San Diego
SOS (Serving Older Survivors), Jewish Family Service of San DiegoProvides care management services, advocacy, translation services, assistance with claims forms, medical escort, homemaker services, and emergency funding to low-income Holocaust Survivors. Clients receive assistance with paying for homecare and emergency needs through funding from the Claims Conference, the Change a Life Foundation and donations. Supportive social program—Copley Café -- provides social activities and holiday celebrations for older Holocaust survivors to enjoy with others who have been through similar life experiences.North CentralSOS (Serving Older Survivors)Jewish Family Service (JFS) of San Diego
Southern Caregiver Resource Center, Imperial CountyProvides comprehensive support services to family caregivers. Offers information and referral, long-term care planning and access to community resources to family caregivers of adults with cognitive impairment (such as Alzheimer's, strokes, Parkinson's, traumatic brain injury, brain tumors, Huntington's, dementia, and any other degenerative or non-degenerative neurological disorder). Offers short-term and long-term case management services.Southern Caregiver Resource CenterSouthern Caregiver Resource Center (SCRC)
Southern Caregiver Resource Center (SCRC)Provides comprehensive support services to family caregivers. Offers information and referral, counseling, support groups, long-term care planning and access to community resources, respite care in the home and at other locations, financial and legal consultation, and education and training to family caregivers of adults with cognitive impairments (such as Alzheimer's, strokes, Parkinson's, traumatic brain injury, brain tumors, Huntington's, dementia, and any other degenerative or non-degenerative neurological disorder) or frail older adults. Offers short-term and long-term case management services.North CentralSouthern Caregiver Resource CenterSouthern Caregiver Resource Center (SCRC)
Survivors of Torture, InternationalHelps survivors to recover from their traumas through a holistic program including mental health, psychiatry, social services, and medical case management. All services are provided at no cost to the survivors.Survivors of Torture, InternationalSurvivors of Torture, International
Transition and Care Management Team, United States Department of Veterans AffairsThe Transition and Care Management Team, previously known as Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) Care Management Team, helps to ensure a smooth transition of health care services is provided for all returning service members and Veterans. The Transition and Care Management Team also provides case management and care coordination for all severely ill, injured and impaired combat Veterans, including those suffering from Mental illness, Traumatic Brain Injury (TBI), Spinal Cord Injury, Blindness, Burns, Amputation, Terminal Illness/Injury, Polytrauma, and other conditions not mentioned above that cause significant impairment to daily living.North CentralTransition and Care Management TeamUnited States Department of Veterans Affairs San Diego Healthcare System
Tuberculosis Control Program, Health Services Complex - RosecransProvides tuberculosis screening, prevention, treatment, and case management to San Diego County residents. Offers consultation, surveillance, policy guidance, and education for medical providers and community members. All TB services are available at the main clinic on Rosecrans and many TB-related services are available at regional public health centers and other locations throughout the county; call for schedule and locationsNorth CentralTuberculosis Control ProgramPublic Health Services, Health and Human Services Agency, County of San Diego
TYA - Out of School Youth WIOAProvides long-term case management, academic mentoring, and leadership development to at-risk youth in Oceanside. This program helps youth finish high school, gain employment, be supported by a mentor, and receive training in life skills. Provides behavioral health assessments and counseling. Provides career development, social, and vocational case management services. Offers career assessment, apprenticeship placements, and financial literacy training. Provides tutoring and job search assistance. Provides referrals to academic training including opportunities to earn a high school diploma or GED. Offers family support, parent-engagement activities, basic needs, and self-sufficiency services and referrals.North CoastalThe Transitional Youth AcademyInterfaith Community Services

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