Article 28 Clinic
Out-patient services for children and adults are provided by qualified health care providers at our facility on Tuytenbridge Road in Lake Katrine. The professional staff have a great deal of experience providing evaluation, follow-up and/or intervention to individuals with various types of physical, behavioral, cognitive and/or language needs.
Accessing our Out-patient (Article 28) services:
Our Out-patient services are available to anyone in the community. We accept Medicaid, Medicare and self-pay. As a convenience, we will process commercial insurance forms but we are not a participating provider for commercial insurances.
The following Out-patient services are available: (Please see each specific service for details.)
- Audiology – evaluation and follow-up
- Occupational Therapy – evaluation and intervention
- Physical Therapy – evaluation and intervention
- Speech/Language Therapy – evaluation and intervention
- Assistive Technology – evaluation and training
- Neurology – evaluation and follow-up
Out-patient services may include one or more of the following:
- Developmental delay(s) with motor, language, cognitive and/or social skills
- Atypical muscle tone or movement, including muscle weakness or floppiness
- Decline, or change in functional skills, such as decreased language, motor and/or cognitive skills
- Decreased joint mobility
- Atypical levels of activity (underactive or hyperactive)
- Autism spectrum disorders ( Aspberger’s, PDD, ADHD, etc)
- Sensory Integrative Dysfunction
- Cerebral Palsy
- Spina Bifida
- Muscular Dystrophy
- Multiple Sclerosis
- Seizure Disorder
- TBI –Traumatic Brain Injury
- Hearing impairment
If you or your family member is in need of out-patient services as described above, please discuss this with your health care provider. If your health care provider recommends out-patient services for you or a family member, please contact us at our Tuytenbridge site (845.336.7235).
The Community Rehabilitation Center is conveniently located off of Rt. 9W, past the Hudson Valley Mall heading north toward Saugerties, behind the Lake Katrine Post Office.
Childrens Residential Program (CRP)
The Oberkirch Children’s Residence for school-age children was opened in May 1989, providing the opportunity for 12 children with disabilities to live in a home-like environment and attend a nearby special education program and receive rehabilitative services necessary to meet each child’s needs. The program is licensed by both the Office of Persons with Developmental Disabilities (OPWDD) and the State Education Department (SED). The residence is a co-ed facility that is staffed 24 hours a day. The program provides medication administration, coordination of medical services daily living skills assistance, recreation, education, occupational, speech, and physical therapy.
Youth residing in the Oberkirch program participate in educational services at the Cerebral Palsy of Ulster County Community Rehabilitation Center (CRC). Our special education school is approved by the NYS Department of Education and provides services to students ages five to twenty-one, who have multiple disabilities. Our goal is to enhance the lives of our students by promoting independence through the development of functional goals. The program offers a wealth of resources for each student’s individual needs while emphasizing communication, socialization, and self-help skills. Resources include:
- Smartboard technology
- Adapted classroom computer work stations
- Augmentative communication devices (Dynavox, Cheaptalk, Big Mack switches, etc.)
- Assistive technology
- Adaptive positioning devices
- Therapeutic playground
- Wheelchair accessible garden
Our interdisciplinary team approach creates a classroom environment in which students are encouraged to reach their maximum potential through collaborative planning and the implementation of individualized goals. Classroom sizes are a 6:1:3 model and 12 month programming is available as determined by CSE. The school age education program provides the following services:
- Adaptive Physical Education
- Physical Therapy
- Occupational Therapy
- Speech / Language Therapy
- Teacher of the Visually Impaired
- Social Work
- Assistive Technology / Augmentative Communication Evaluations
Day Habilitation Services
Cerebral Palsy of Ulster County Day Habilitation Program is an adult program that provides persons with developmental disabilities education and support to explore opportunities in the surrounding community. Our goal is to provide interactions that are consistent with the persons interests and capabilities.
Day Habilitation services are provided at our Community Rehabilitation Center for adults aged 21 and over who have been diagnosed with a developmental disability. We strive to provide a program that supports each individual in pursuing their personal valued outcomes through training, support, assistance and relationship building.
We believe all persons can learn and grow. We provide an accessible environment, competent and trained personnel and the opportunity to tailor a program according to each persons individual strengths and needs. Families and other significant people in the persons life are encouraged to participate in the team approach.
In our Day Habilitation Program every individual has the opportunity to choose their activities on site and in the community. All activities are developed and implemented with qualified staff who have been trained in van safety, medication administration, personal care, behavioral strategies, person centered planning, first aid, safe transfers, and adaptive equipment. Our staff strive provide meaningful and productive activities that emphasize personal choice.
Some examples of our current community opportunities are bowling, religious services, local library, sunshine club, meal delivery to the chronically ill, recycling, purchasing pet food, grocery shopping, delivering donations to Goodwill, and feeding animals at a local zoo. In house we provide opportunities in gardening, pet care, artistic expression, spa, movies, bi monthly visits with a therapy dog, team sports,cooking,and reading groups featuring popular novels. We also host a number of special events such as an annual carnival, Thanksgiving luncheon, summer picnic and many holiday celebrations.
The Early Intervention Program is a statewide program administered locally, providing a wide array of services to eligible infants and toddlers with disabilities or special needs, and their families.
Children must be less than 3 years of age to be eligible and have a confirmed disability or established developmental delay, as defined by the State, in one or more of these areas of development: physical, cognitive, communication, social-emotional, and/or adaptive.
Cerebral Palsy of Ulster County offers Early Intervention Program services: initial evaluation, supplemental evaluations and service provision. Our professional team includes: parents, Special Education teachers, Physical Therapists, Occupational Therapists, and Speech/Language Pathologists. The team helps select services, which are provided in the child’s home, in a community setting such as day care or at the Community Rehabilitation Center in Lake Katrine (just north of Kingston), depending on the child’s needs.
Comprehensive Developmental Evaluation and Supplemental Evaluations
A Comprehensive Developmental Evaluation helps to determine if a child is eligible for Early Intervention services, and what types of services may be needed. This service provided by specialists from more than one area of development, will evaluate and test the child by:
- Observing the child at play, preferably in a natural setting.
- Reviewing health and medical problems
- Speaking with parents about concerns and what their child is like at home
- Obtaining developmental history; and administering individual tests
Home Based Programming provides visits by special education teachers and licensed therapists to a child and family at home, or in another natural setting, addressing education and therapeutic needs. Services include Physical Therapy, Occupational Therapy, Speech Therapy, Special Instruction and other special services that may be needed.
Facility-Based Programming allows for therapeutic services to be provided at the Community Rehabilitation Center on a one-on-one basis for a child and their family.
Family Support Services (FSS)
As part of our outreach service Family Support Services (FSS) is a short-term reimbursement program that assists families with the care of their child with developmental disabilities who is living at home.
The extraordinary care needs of a child with developmental disabilities can stretch families’ financial resources. FSS assists families in purchasing services and goods which are not funded through Medicaid. Purchases may include but are not limited to; respite, therapeutic services, recreational services, medical supplies and adaptive equipment, adaptive toys, or any other service or goods necessary to assist their child with a developmental disability.
With assistance and support, families can often work these situations out and stay together. Support for Independent and Family Living include a wide array of services that allow an individual to remain in his or her own home, apartment, or family care home. Respite services and assistive technology services are provided. The goal is to help people with developmental disabilities lead richer lives that include meaningful relationships, good health and personal growth.
Cerebral Palsy of Ulster County will work with families to access family needs and determine which goods or services and support are most appropriate for the family. Individuals served through this program do not need to be enrolled in OPWDD, but do need to have a diagnosis that would be considered to meet OPWDD’s eligibility criteria.
Families can apply for funding on an annual basis. Applicants who are 18 years of age and older and live at home with family may be eligible to receive benefits for camp, vacation and recreation reimbursements. Family Support Services can also help in times of crisis when a family member or loved one becomes ill, or when things get difficult at home for other reasons.
Ulster Accessible Apartments
In 1993 Cerebral Palsy of Ulster County once again expanded our residential programs to serve disabled persons who have a high level of independence. The Ulster Accessible Apartments, which are located in Port Ewen offer 13 architecturally barrier-free apartments. These apartments were funded through a federal Housing and Urban Development (HUD) grant.
Individual Support Services (ISS)
Individual Supports and Services (ISS) is a housing subsidy program that assists individuals with developmental disabilities that are looking for alternatives to the traditional group home setting.
This program serves individuals with developmental disabilities that are ready to leave certified community or institutional facilities, living at home with parents or who are homeless. A priority of United Cerebral Palsy of Ulster County, Inc. is to provide support to individuals with developmental disabilities who are interested in planning and managing their own support.Individuals in this program do not require intensive supervision and typically live alone or with friends or family in apartments in the community. The ISS program provides funds to pay for housing costs, and on a limited basis, for such things as food, transportation, and clothing.
This program focuses on providing support to individuals in housing they control. Programs like ISS assist individuals in choosing independent living options through rent subsidies for homes outside of the certified group setting. Housing stipends are based on the individual’s income. Eligible individuals are expected to contribute only 30% of their countable income toward housing expenses. The housing stipend may be applied towards an individual’s mortgage, Condo/Co-op fees, and other direct housing cost as well as for rent and utilities.
As an ISS provider agency, Cerebral Palsy of Ulster County, Inc. facilitates, to the extent agreed upon by the participant, the following services: Community outreach, assistance in housing negotiation, eligibility determinations, and implementation of the individual’s support plan.
Individualized Residential Alternatives (IRA)
In March 1994, Cerebral Palsy of Ulster County opened its first Individual Residential Alternative (IRA). Our IRA’s were developed to ensure that the consumers who reside in them have the individualized support that they need to live as full a life as possible. The programs range from IRA’s that provide 24 hour “total’ care to an innovative supportive apartment complex for consumers who have the capacity to care for themselves with reduced staff supports. Our IRAs include:
- Kirschner Residence – In May 2009, a residential program was opened by Cerebral Palsy of Ulster County to serve young adults with multiple disabilities. The Lewis C. Kirschner Residence is located in Kerhonkson and is home to eight individuals with a wide variety of disabilities. Consumers who reside in the Kirschner participate in community events and day training and day rehabilitation services. Some Kirschner consumer residents also participate in supportive employment services.
- Koenig Residence – The Koenig Residence serves individuals with developmental disabilities who need supervision and training primarily in the area of independent living skills. These individuals may also, due to their level of physical disabilities, require physical assistance from staff in some of their personal care or in activities of daily living. Located in Kingston, Koenig residents have easy access to the community events throughout the city.
- Keresman Apartments – The Keresman Apartment serves adults living in individual apartment units who have achieved a significant level of independence. There are eight apartments located in Lake Katrine, just north of Kingston. Shopping malls, movie theaters, restaurants, and community activities are all located less than a half mile from the residence. Staff provide these individuals with the level of assistance, oversight and guidance they require based on their independent living skill needs. Twenty-four hour supervision is not provided in the Keresman Apartments. Individuals receive individual service plans provided by Cerebral Palsy staff or by other service provides and include occupational therapy, physical therapy, speech therapy or individual counseling.
Intermediate Care Facility (ICF)
Cerebral Palsy operates four Intermediate Care Facilities (ICFs,) located throughout Ulster County. Three of these ICFs provide care for adults and one serves children. Facilities include:
- Hillcrest Residence Ellenville – Opened in 1982 our Hillcrest residence is home to fourteen medically fragile men and woman. This spacious facility provides consumers ample space for recreation and relaxation including a fully furnished lower level that is accessible via an elevator. Consumers are offered views of mountains and beautifully landscaped grounds.
- Lasher Residence, Saugerties – Opened in 1981 our Lasher Residence is an eight person co-ed facility located on a quiet street just outside of the village of Saugerties. Lasher consumers and staff are well known for their high level of community involvement and support.
- Carroad Residence, New Paltz – In June of 1992 the Carroad residence was opened in New Paltz to address the growing need to provide a home for young adults who had “aged-out” of programs suitable for children. Initially named “Yankee Folly” the residence name was changed in 2012 to honor Pam Carroad who served as a staff member and executive director for 34 years.
- Oberkirch Children’s ICF Lake Katrine, New York – The Helen Oberkirch Children’s Residence for school-age children was opened in May 1989, providing the opportunity for 12 children with disabilities to live in a home-like environment and attend a nearby special education program and receive rehabilitative services necessary to meet each child’s needs. The residence is named in memory of Helen Oberkirch in recognition of her many years of dedicated services as a volunteer and Board member.
Each of these programs provides 24 hour quality care to persons who have severe physical, medical and cognitive disabilities. With a highly trained workforce that provides an intensive level of supervision, a home environment, physical assistance and training, residents feel warm and comfortable in their living spaces. Residents also have access to community based therapeutic recreation, medication administration and monitoring, as well as special preparation of meals and transportation to all medical and community appointments.
Medicaid Service Coordination (MSC)
Service Coordination is a state service plan that assists individuals with developmental disabilities and their families in gaining access to services and support appropriate to their needs. It is designed to help individuals strive for the highest quality of life.
The diverse needs of individuals with developmental disabilities are best met in collaboration. Accessing the most appropriate support and services requires an understanding of how to make use of the natural support available in someone‘s life and information about provider programs and community resources. This program promotes the concepts of informed choice, individualized services and support, and satisfaction with the help of a service coordinator. .
Qualified service coordinators use a person-centered planning process in developing, implementing, and maintaining individual service plans.The focus of Service Coordinator is to assist each individual to achieve his or her unique goals and desires such as choice of home; meaningful work and/or community activities; social and leisure activities; meaningful relationships; and access to services/supports that promote optimal health. With the help of family, friends, and the service coordinator the individual’s interests, talents, preferences, and needs to create a plan for pursuing a fulfilling life are identified.
A critical role of the service coordinator is to monitor the health and safety needs of the individuals. If necessary, through advocacy, the Service Coordinator can work to improve the quality and safety of the individual’s living environment. Most of the activities performed by service coordinators involve some element of advocacy.