Community Based Programs

Population Served: Severely and persistently mentally ill adults (ages 18 and over) who are homeless or at risk of homelessness in Middlesex County.
Referral Source: Referrals are accepted from outpatient or inpatient providers, social service agencies, homeless shelters, soup kitchens; particular emphasis on those without mental health services. Individuals seeking service can refer themselves as well.
Funding Source: New Jersey Division of Mental Health and Addiction Services (DMHAS)
Number Served: A total of 95 individuals to be served per year.
Service Provided: Outreach, linkage to mental health and other supportive services that are geared towards the maintenance of housing and acquisition of independent living skills while optimizing success in community settings.
Length of Service: Approximately 6 months after housing and mental health linkage are successful.

Referrals:  Please complete and submit this referral form

Population Served: Family members of mentally ill adults (mentally ill member must be 18 or over) residing in Middlesex County.
Referral Source: Any source, families or individuals seeking service can refer themselves; referrals are also accepted from outpatient or inpatient providers and other social service agencies.
Funding Source: New Jersey Division of Mental Health and Addiction Services (DMHAS)
Number Served: 150 new families per year, with a total of 250 families receiving various services per year.
Service Provided: Family support, advocacy and education, multi-family groups, educational conferences, referral and linkage.
Length of Service: Depends on individual case needs and preferences.                                                                                                                                                                             

Referrals:  Please complete and submit this referral form

Population Served: Young adults, adults and the elderly who are unengaged and needing mental health services in Middlesex County.
Referral Source: Individuals or families seeking service for an eligible individual can make referrals. Referrals are also accepted from outpatient or inpatient mental health providers, social service agencies and Aging-In Agencies.
Funding Source: The County of Middlesex
Service Provided: Outreach services are geared towards successful linkage to mental health and other supportive social services.

Referrals:  Please complete and submit this referral form

Population Served: Adults (ages 18 and over) diagnosed with a serious and persistent mental illness in Middlesex County Jail being released into the community.
Referral Source: Middlesex County Jail
Service Provided: Pre-release screening and aftercare planning, referral and linkage to mental health or co-occurring substance abuse treatment programs, coordinating release planning with Prosecutor, Public Defender, criminal justice system personnel and family; case management and community-based support after release from jail, assistance with housing placement and employment counseling with 24/7 crisis intervention.
Funding Source: New Jersey Division of Mental Health and Addiction Services (DMHAS)
Number Served: Case load capacity is 40 individuals.
Length of Service: Up to 12 months

Referrals:  Please complete and submit this referral form

The STAR Program provides case management and recovery support services for individuals with opioid use disorders (OUD) in Mercer and Hunterdon Counties of New Jersey. STAR case managers will work with individuals to assist with issues that often occur concurrently with an OUD, such as homelessness, incarceration, legal issues, employment, education, transportation, need for social services, health care, child welfare involvement, child care, health insurance, documentation, etc. STAR Recovery Support Specialists provide non-clinical assistance and recovery supports while maintaining follow-up with individuals in the program.  

The overall goal of STAR is to help maintain individuals with an OUD in the Recovery Zone for as long as possible, help to reduce the risk of recurring episodes of opioid related problems, and prevent future overdose.

Number Served: 60

Length of Service: Depends on individual case needs and preferences.  

Referrals:  Please complete and submit this referral form  

Designed to provide recovery-focused assessment, linkage to treatment and comprehensive ongoing support for individuals with opioid and other substance use disorders. Services are offered by the IRTS team including peer health navigators to assist and support individuals with their recovery from opioid addiction. 

Referrals:  Referrals come directly from the NJ Department of Corrections.  For more information, please call (732) 235 - 5000.

Maternal Wraparound Program (M-WRAP)

The M-WRAP program provides intensive case management and recovery support services for pregnant and postpartum women with substance use disorders (SUDs). Recovery Support Specialists will provide non-clinical assistance and recovery supports while maintaining follow-up with the women and their infants/family. The overall goal is to alleviate barriers to services for pregnant women with SUDs through comprehensive care coordination. The M-WRAP model is intended to promote maternal health, improve birth outcomes, and reduce the risks and adverse consequences of prenatal substance exposure.

Counties served: Essex, Hudson, Union, Hunterdon, Mercer, Middlesex, Somerset

Referrals:  Please complete and submit this referral form

Supported Employment helps those who live with mental illness locate, acquire and keep full or part-time jobs in their community. We provide a wide variety of individualized supports and career planning to assist individuals diagnosed with  a persistent mental illness find and keep employment that best fits their needs. Jobs are developed with the individual’s needs, goals and employment preferences in mind, and staff assist individuals who are interested in exploring employment opportunities to develop work skills, provide resources to find the right job as well as ongoing support to help maintain employment.

Referrals:  Please complete and submit this referral form

Population Served: Individuals and families in Middlesex County who are homeless or experiencing marginal housing and have substance use disorders or co-occurring substance use and mental health disorders.
Referral Source: Referrals are accepted from community providers, including substance use and mental health treatment providers, social service agencies, and medical providers, as well as individuals themselves who need services
Funding Source: Substance Abuse and Mental Health Services Administration (SAMHSA)
Number Served: 100 individuals per year
Service Provided: Case management, recovery support, SUD/MH treatment and linkage
Length of Service: About 9-12 months on average

Referrals:  Please complete and submit this referral form

Populations Served:  Individuals in the communities of Middlesex County who have serious emotional disturbance (SED), serious mental illness (SMI) or SMI/SED and co-occuring substance use disorders.

Funding Source:  SAMHSA grant

Service Provided:  Staff provide community-based case management, recovery support, and clinical mental health and substance use disorder services.  

Referrals:  Please complete and submit this referral form

Populations Served:  Individuals served are identified through collaboration with law enforcement and community-based referrals to connect New Brunswick, NJ adult residents in crisis into services. including treatment and recovery opportunties.

Funding Source:  Office of the Attorney General - State of New Jersey grant

Service Provided:  Staff provide community-based case management, recovery support, and clinical mental health, substance use disorder services and/or poverty into a long-term system of care.  

Referrals:  Please complete and submit this referral form