RED PROGRAM
Prissilla Duerte – MCDHS – RED Examiner
Jonathan Martinez – MCOMH – RED Coordinator
Brian Hooker – MCOMH – Sr. RED Coordinator
Why RED Exists
Rapid Engagement Delivery (RED) and its history over the last several years
There is a strong correlation between the chronically homeless and high utilizers of the health care system
To assist Monroe County residents with obtaining Temporary Assistance (TA) to secure housing, food, clothing and other basic necessities
Medicaid and access to healthcare
Link to Mental Health and/or Substance Abuse Treatment
Link to Health Home Care Management or other community supports
Return individuals and families to self sufficiency
Work
Social Security
School
Daycare
Improve the overall health and quality of our Rochester Community
RED is positioned purposely at the nexus point between
the housing and behavioral health provider systems
How Does RED Help
Streamline and the entire DHS Temporary Assistance Process
No long lines
RED Team advocates through the entire process
Coordinate Care between all providers
Link to appropriate resources (HH CM, Peers, etc.)
Combine appointments to save time and stress
Quiet and individualized interviews (or by phone)
In person, phone, text and email support
Close relationships with County and outside organizations
Motivational Interviewing and Trauma Informed Interactions with clients
Empathy and Compassion
Success Stories
Daniel - No stable means of communication, chronic SUD
Tonya – Self Referral, Initially homeless, widowed, with children
Denise – Referred to RED through CPS, barriers to comprehension
Jim – Extensive work to ensure he initially qualified for the RED Team
Michael – Referred through Providence Housing, chronic SUD
Sam – Single parent household with multiple children and extensive physical limitations
Adam – Long history of interventions with FIT, chronically homeless
Bob – Initially homeless at Charlotte Beach, graduated out of RED
What Are The Requirements
Monroe County Resident
Eligible for Temporary Assistance
Between the ages of 18 and 64 years old
Mental Health and/or Substance Abuse barrier to employment
Willing to participate in treatment
Any combination of three or more TA Case Closures, TA Case Denials, or DHS approved Emergency Housing Placements within the past 12 months
One page referral and two consents needed
The RED Team Referral
Making a Referral
Complete referral and required consents
MCOMH RED Team Website: https://www.monroecounty.gov/mhadult-red
Send referral to any RED Team Member – E-mail or Fax
Referral and Consents reviewed for criteria
Referral source updated
If the member meets criteria – RED Team will reach out to further screen member.
If the member NOT meet criteria – only the referral source is updated and given helpful information
Workflow
Initial approval email from Prissilla Duerte- Establishes Starting Point in RED Process
Jonathan Martinez and Brian Hooker will establish the best means of communication with new member.
At initial meeting, gaps in care are identified and a plan is made to connect member to additional services.
Prissilla will conduct the TA Interview. Determination of a ‘track” is determined at this time.
Member is mailed information on paperwork needed to open TA Case, Jon and Brian are also included
As needed, support is given to ensure attendance to CASAC, Evaluation for SUD
Member, RED, and care entire team work together to get benefits open and keep open.
Ongoing coordination of care providers while TA Case is active
TA Case Recertification
Case Transfers, Sanctions, and Closures
Contact Information
Prissilla Duerte:
Email: Prissilla.Duarte@dfa.state.ny.us
Office: 585-753-6418
Jonathan Martinez:
Email: JonathanMartinez1@monroecounty.gov
Cell: 585-622-7225
Brian Hooker:
Email: BrianHooker@monroecounty.gov
Office: 585-753-6333
Cell: 585-313-2088
Additional Resources
Link to the Office of Mental Health for Monroe County (MCOMH):
https://www.monroecounty.gov/mh
Access to Mental Health Services within Monroe County:
https://www.monroecounty.gov/mh-services
https://www.monroecounty.gov/mh-addictionsvcs
https://www.monroecounty.gov/mhadult
https://www.monroecounty.gov/mhyouth
211/Lifeline
Interest in future presentations to your agency?
Please reach out to Brian Hooker at Brianhooker@Monroecounty.gov