Residential Services

The Residential Division operates licensed residential treatment programs which are certified by OMH, as well as Supportive Housing that is scattered site across both Columbia and Greene Counties. The Agency also  has Certified Programs which include High Cliff Terrace Community Residence (HCT), the Comprehensive Apartment Program (CAP) and two other single-site licensed treatment Apartment Programs that have replaced Community Residences in conjunction with Housing Redesign plans developed with the NYS Office of Mental Health. In coordination with these Housing Redesign Plans, Hudson Community Apartments (HCA) replaces The Clermont Community Residence and Columbia Street Apartments replaces the Columbia Street residence.  The number of certified beds in the two redesign programs remains the same.


The mission and program objective of the certified programs is to help individuals live as independently as possible, providing rehabilitative residential services which support and assist individuals with their goal of integration into the community.  Staff members assist individuals in developing the awareness that will enable them to identify their personal goals and in teaching the skills needed to accomplish them.  Services include training and assistance in daily living skills, medication and symptom management, counseling and behavioral intervention, crisis management, in-house and community social and recreational activities, transportation and financial management.  Staff members teach and reinforce personal and community living skills to residents.  In the community residence these goals are met through a rotation of household tasks, group activities, individual training and support and community-based activities.  In the licensed treatment apartment programs, these goals are met through individual training and support in maintaining their apartments.  When individuals are sharing an apartment, roommate collaboration and mediation services between roommates are available.


The Residential Division is designed to assist each individual in a step by step process that will enable them to begin rehabilitative treatment at the Community Residence level and transition to CAP when they are ready to live in a less supervised level.  This sequence is not mandatory and a person will receive services according to their level of need.  Although Hudson Community Apartments (HCA) and Columbia Street Apartments (CSA) are considered licensed treatment Apartment Programs, it is the intent of the Agency to continue to provide services to those who would have applied to the community residences prior to their redesign.  The Agency continues to operate two Situational Crisis beds.  One is located at High Cliff Terrace and one is located at Columbia Street Apartments.  MHACGC also has the ability to use these two crisis beds for those who need Hospital Diversion services to assist them in avoiding hospitalization.  When Hospital Diversion Services are provided, an additional staff is secured to work one-to-one with the person in crisis. 


Within CAP, the goal of the program is to assist individuals in choosing and attaining permanent housing, which may include Supported Housing that is sponsored by the agency, or, a completely independent apartment.  Independence is the ultimate goal of these programs, and staff work within OMH and Medicaid standards and regulations to assist individuals in attaining this goal.


With staff assistance, residents in licensed residential programs develop person-centered service plans that will assist them in determining, reaching and maintaining their goals of independence.


All referrals to the licensed programs are made through the county SPOA process.  Admission priority is given to those who are hospitalized in a State Psychiatric Facility, homeless, in a local hospital and those living in a situation which may not be conducive to the individual’s safety and welfare. Applicants are considered and those with priority are admitted first.  Waiting lists are often maintained by the program and by the SPOA. 


MHACGC also operates a CO-OCCURRING DISORDER Enhancement Program, which offers those in residential programs assistance in achieving, and maintaining, sobriety.  Individual counseling and regularly held