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Provides dialysis equipment and supervision by expert nephrologists (kidney specialists) for kidney patients from Orleans, Wyoming, Monroe, Genesee, and Niagara Counties.

Provides work fare, intake and assessment, job readiness, resume preparation, job search, job training and mentoring, customer service training, and online TASC (GED) tutorial assistance.

Serves individuals and families suffering from chemical dependency related issues. Individual, group, and family counseling offered, as well as assistance with applying for social service benefits. Assistance offered for individuals involved in the criminal justice system. ##REENTRY##

Program works closely with the Niagara Country District Attorney's office to assist in achieving an outcome that the complainant/victim is satisfied with. If you feel you may be involved in a domestic violence relationship or have questions regarding domestic violence, the "Key To Lockout" Program may be able to assist you with filing a report, seeking an order of protection, safety planning for you and your children, court advocacy, and referrals to community agencies such as emergency shelters, counseling programs, and family court.

A Care Manager will work with your child and family to build on your strengths and develop skills to address any concerns for your child’s well-being. Care Managers work with the child, family, and all other people involved in child’s care (pediatrician, dentist, counselor, and school staff) to create a care plan where everyone is working on a common goal. If additional supports are needed, your Care Manager will help to connect you with appropriate services to meet your child’s needs. Care Management services are family-driven, youth-guided, and person-centered to meet each child’s unique situation.

Provides support, counseling, training, and life-skills for people with mental health and substance use needs. Services are provided at home, in the community, or through telehealth and can in addition to other behavioral health services you are already receiving. Services include: Peer Support Services, Psychosocial Rehabilitation, Counseling, Family Support & Training, and Education and Job Support Services.

Investigates all reported allegations of fraud in the Temporary Assistance (Welfare), SNAP (Food Stamps), Medicaid, Home Energy Assistance Program (HEAP), and Day Care programs. Examples of situations that are fraudulent include unreported income (either earned or unearned), hidden assets (bank accounts, property, etc.), unreported changes in household composition (either someone moved into the home or moved out), changes in shelter cost, buying and selling of SNAP or Public Benefit card (Trafficking), etc.

Offers fully integrated mental health and substance use disorder treatment and services for adults and children. Services include:

• Psychiatric evaluations
• Counseling, psychiatry, and medication treatment services for a variety of mental health and substance use disorders, including co-occurring disorders
• Substance use disorder medication assisted treatment
• Health care screening and monitoring for overall health
• Skills building
• Education assistance and vocational services, including vocational rehabilitation
• Targeted case management and peer services

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Program staff is responsible for morbidity reporting, gathering, compiling, and interpreting of data and statistics for all communicable diseases reported in Niagara County. Staff communicate with hospitals in the county on a daily basis to assess for cluster activity or anything unusual. Community education is a vital component of the program, with staff available to provide information to the general public on a variety of infections and diseases. Responsibility for reporting communicable diseases rests primarily with the physician, but also with laboratories, school nurses, day care center directors, nursing homes, hospitals, and other locations providing health services. New York State mandates all communicable diseases be reported directly to the Health Department for surveillance and follow-up. See website for a list of reportable diseases.

Provides motor vehicle and other driver services such as renewals for operator and motorcycle licenses, permits, and non-driver ID cards; amendments to all types of licenses, permits, and non-driver ID cards; conversion of out-of-state licenses to NYS licenses; renewals of registrations; new plates for passenger and commercial vehicles, trailers, and motorcycles; amendments to registrations for all vehicle types; plate transfers from one vehicle to another for all vehicle types; and plate surrender services. ##REENTRY##

Provides home delivered meals along with nutrition counseling, information and referral, and a daily check on the well-being of elderly and disabled clients. Up to two meals a day (hot noon meal and cold supper) are delivered five days a week. Special diets are accommodated and frozen weekend meals are also available. Offers a subsidized donation program for those over 60 years old with medical issues. Offers a fee-for-service program, "Meals Express", to meet the nutritional needs of homebound persons ages 18 and over and those individuals needing short-term or respite care. Title XX program has limited funding for those under 60 with medical disabilities.

Orleans County Legislator for District 4.

Investigates reports of alleged maltreatment or abuse of children made to the NYS Child Abuse and Maltreatment Hotline.

Peer-run service where people can participate and obtain information, support, and skills for their individual recovery journey. Ongoing services include:

• Basic computer skills
• Double Trouble and AA Groups
• Self-help and Support Groups
• Holistic health information
• Career and education exploration
• Social and Recreational opportunities
• WRAP
• Access to community resources
• Individualized services offered as needed
• Benefits counseling
• Community guest speakers
• Educational trainings
• Scheduled community activities

Provides frozen meals available via pickup from participating senior center locations throughout Erie County. Seniors can choose between a 3, 5, 6, 8 or 10 meal pack that can be picked up once a week from participating locations. A roll, milk, and dessert are included with each meal.

Provides behavior management, counseling, crisis intervention, family reimbursement, guardianship assistance, benefits and entitlements assistance, home modification, independent living skills, information and referral, parenting skills for parents of developmentally disabled children (in or out of home), service coordination/case management, support groups, and transitional planning for persons with developmental disabilities of all ages. Developmentally disabled parent training is provided to first time parents with a developmental disability. Applied Behavioral Analysis (ABA) Program available for parents of children with autism.