Assists older adults to remain independent in their home as long as possible by providing an evaluation of the older adults' needs, developing a plan of care to meet those needs, and monitoring their plan to make changes as appropriate to keep them independent.

Care coordinators also provide an evaluation in the hospital or at home to educate individuals about their resource options prior to entering a nursing home.

Assists individuals with mental illness, intellectual disabilities, and developmental disabilities in accessing needed services and supports. Coordinators provide information, referral, assess individuals for needs, develop a treatment plan, and coordinate funding as needed.

Serves as a primary care medical home specializing in sexual health and wellness. Services include:

-- Education, testing and treatment for sexually transmitted infections (STIs).

-- HIV specialty care.

-- Outreach and prevention for high risk populations.

-- STI testing and treatment.

-- Hormone Replacement Therapy (HRT).

For those infected with HIV/AIDS, Open Door Health Center provides the following services:

-- Medical primary care.

-- Case management.

-- Psychiatric/mental health support.

-- Substance abuse therapy.

-- Support groups.

-- Oral health.

Provides case management to individuals who receive services at Warren Achievement Center. Includes intake services, advocacy, service monitoring, and service linkage with other agencies.

Provides care coordination and family support services to families whose child struggles at school or home due to behavioral health issues. Also provides integrated health services to adults diagnosed with serious mental illness.

Available to children and adults who are eligible for Medicaid through the State's Fee for Service Program (FFS) or Health Insurance Premium Payment (HIPP) Program.

Senior Care Options program available to older Nebraskans who are considering admission to a nursing home and may be eligible for Medicaid assistance. Clients are screened according to a standardized assessment process developed by the Department of Health and Human Services.

Care Managers arrange for services, which allow older adults to live as independently as possible, for as long as possible.

Housekeeping and supportive services to include grocery shopping, cleaning, laundry, transportation and personal care.

Family Caregiver Support for those caring for an aging adult or grandparents caring for a minor child. Provides information, assistance, support group, respite care, and supplemental services.

Home delivered meals are provided to homebound by reason of illness, disability or isolation. The meals meet 1/3 of the daily dietary recommended needs of adults 60 years and over and the requirements of the Older Americans Act and state and local laws.

Public benefit services, legal assistance, education, Medicare filing, and volunteer training through SHIIP.

Offers specialized HIV care including annual labs, HIV medication injections, STD testing and treatment, vaccines, and counseling.

Case management for those living with HIV/AIDS with the goal of reducing barriers to health.

Provides public health services to the residents of Boone County. Services include blood pressure screening, case management for the Frail Elderly, communicable disease control,
care for yourself program (cancer screening program), emergency preparedness planning, immunization clinics, communicable disease control links, and Iowa Department of Public Health Centers for Disease Control and Prevention.

Assists individuals with mental illness, intellectual disabilities, and developmental disabilities in accessing needed services and supports. Coordinators provide information, referral, assess individuals for needs, develop a treatment plan, and coordinate funding as needed.

Provides case management and referral information to households to help them build and maintain stability within the family and household. Services may include some financial assistance to help reach stability.

Offers supportive services for any adoptive child living within the 22 county service area to help them stabilize in their home.

Services are provided to families formed through
- DCFS adoption.
- Subsidized guardianship.
- Private domestic adoption.
- Foreign adoption.
- Out of state adoption.
- Intensive services are offered.

Some of the more common challenges/presenting problems include
- Attachment difficulties.
- Trauma.
- ADHD.
- Chronic lying or stealing.
- Aggression.
- Peer problems.
- Eating or sleep disturbances.
- Sexual acting out.
- Fire-setting.
- Behavioral problems.
- Wetting and defecating issues.
- Family adjustment.
- Grief resolution.
- Learning disabilities.

Works with families to help them reach self-sustainability. Helps families become more knowledgeable and confident in accessing local and state resources. Provides coaching and assistance with applications to local, state, and federal programs.

Provides child care, immunizations, and screenings.

Additional Services provided:

-- Home visits/contacts by a nurse case manager.

-- Educational materials about pregnancy, infants and children.

Assists individuals with mental illness, intellectual disabilities, and developmental disabilities in accessing needed services and supports. Coordinators provide information, referral, assess individuals for needs, develop a treatment plan, and coordinate funding as needed.

Provides case management and social work services for older adults ages 60 and older. Services include community services or resources to help meet their care needs. Care managers arrange for a home visit to meet the client in their home environment. Care planning begins with a comprehensive assessment of each individual's needs, abilities, circumstances and support.

Provides self sufficiency advocates to work with foster care alumni ages 18 - 21 to move toward stability and self-sufficiency in six key areas: education, employment, housing, health, life skills, and relationships.

Federally funded supplemental food and nutrition education program intended to improve the nutritional status of eligible pregnant, postpartum, and breast feeding women, infants, and children up to the age of five. Includes family case management.

WIC participants receive ongoing nutritional assessments, medical assessments, and vouchers for nutritious foods intended to supplement their diet. WIC foods are individually determined for each participant.

Promotes and supports breastfeeding.

Case Management specifically helps:

-- Pregnant women in obtaining essential prenatal care

-- Children with an illness or injury that, if left untreated, could interfere with the child's health, growth, and development

-- Parents of young children in the early detection of unique health problems and assists in referring the child for treatment or other appropriate services

A program designed to provide community-based services that will meet the needs of individuals with brain injuries and help prevent unnecessary institutionalization.

SASS provides the following services for children and youth:

Crisis intervention

Short-term stabilization where a child is at risk of self-harm, or harming others

Individual and family psychotherapy/counseling

Mental health assessment

Case management and resource linkage assistance

Psychiatric services

Guides families through their child's journey with a medical condition. Works with doctors, schools and community groups to create a seamless support system.

Care coordination team works together with families to develop a plan of care that addresses a child's medical, social, behavioral, educational and financial needs. Care coordination is free for all children who have eligible medical conditions, regardless of their family's income level.

Care coordination can include finding specialized medical care, helping families understand their child's diagnosis and medical treatment plan, explaining insurance benefits and attending school meetings.

Helps children who are medically fragile remain in their family home rather than a hospital or skilled nursing facility.

Assists with:

- Finding specialized medical care

- Making sure families understand their child's diagnosis and medical treatment plan

- Helping families understand their insurance benefits and maximize their coverage

- Attending IEP /504 Plan school meeting

- Connecting families with financial support, grants and other community resources

- Preparing for the transition to adulthood

Provides several programs that may be able to assist families or individuals that find themselves homeless with no place to stay. Emergency Shelters may be provided through hotel vouchers when funding is available. Staff will work with the families/individuals to determine eligibility. Staff will provide case management and assist in locating housing that will meet the household's needs. Through HUD funding, C.E.F.S. can assist households with rent and supportive services while the household participates in case management. Case management will include budget counseling, goal setting, assessment of needs, and referrals.