Adult Single Point Of Access

Access to Care Management and Residential Services for Mentally Ill Adults

The Adult Single Point of Access (SPOA) serves Seriously and Persistently Mentally Ill* (SPMI) consumers who are Niagara County residents and may have difficulty accessing housing or case management services.  The Adult SPOA establishes an efficient and comprehensive single entry point for consumers into the service system while providing systems management. Consumers of services are able to enter the system more seamlessly, be served more appropriately, and gain more from the experience of being served by one or more of Niagara County’s agencies.  All stakeholders (consumers, Niagara County Department of Mental Health, New York State Office of Mental Health, and contract agencies) have the opportunity to view themselves as partners in a collaborative system.

*Seriously and Persistently Mentally Ill is defined as having a mental health diagnosis, other than alcohol/drug disorders, organic brain syndromes or developmental disabilities, and at least one of the following:

  • SSI or SSDI enrollment due to a designated mental illness;
  • Extended impairment in functioning due to mental illness over past 12 months;
  • Psychiatric treatment, rehabilitation or support have assisted in the management of symptoms and improved functioning.

The Single Point of Access (SPOA) for Adults in Niagara County is a result of the “New Initiatives Project” assigned by the New York State Office of Mental Health for County implementation. SPOA core values are:

  • Incorporate NYS OMH Best Practices to improve quality and effectiveness of services.
  • Assure access to services for individuals with the greatest need.
  • Promote a responsible, comprehensive, and coordinated service delivery system with consumers, service providers, consumer family members, and the Niagara County Mental Health Department.  Facilitate movement among the appropriate levels of service.
  • Involve consumers in aspects of service planning, evaluation, and delivery and use peer support when possible.  Ensure consumer choice.
Care Management (Formerly Case Management)

Services Provided:

Comprehensive care management; care coordination; health promotion; comprehensive transitional care, including appropriate follow up from inpatient to other settings; patient and family support; referral to community and social support services; and use of health information technology to link services.

Care management is provided to consumers regardless of medical insurance coverage or type of coverage.

Service Levels Available:

The intensity of care management services will be determined based upon a consumer’s assessed needs.

Niagara County Care Management Providers:

  • BestSelf 
  • Buffalo Psychiatric Center
  • Evergreen Health Services
  • Hillside Children's Center
  • Horizon Health Services
  • Niagara Falls Memorial Medical Center
  • Pinnacle Community Services (formerly Family & Children Service of Niagara, Inc.)
  • Sisters of Charity Hospital
  • Venture Forthe
  • WNY Independent Living of Niagara County

Assertive Community Treatment (ACT) Team

This service is provided by Spectrum Health & Human Services. It is an evidenced-based practice that offers treatment, rehabilitation, and support services, using a person-centered, recovery-based approach, to individuals, ACT services - assertive outreach, mental Health treatment, health, vocational, integrated dual disorder treatment, family education, wellness skills, community linkages, and peer support - are provided to individuals by a mobile, multi-disciplinary team in community settings.  The goal of ACT services is to assist individuals to achieve their personally meaningful goals and life roles.


Services Provided:

Structured, enriching, supportive, home-like living environments that encourage independent living skills.  The programs are designed to facilitate movement to the resident’s permanent housing choice.

Medication Management Training, Symptom Management Training, Daily Living Skills Training, Assertiveness Training, Community Integration, Rehabilitation Counseling, Socialization Training, and connecting to services.

Service Levels:

24 hour Supervised Treatment Community Residence
A 10 or 12 bed structured home-like environment for consumers requiring extra support or extra skills training. Some single bedrooms are available.

Supportive Residential Apartment Treatment Program
An on-site or off-site apartment environment for consumers who have basic skills.  Some single bedrooms and single apartments are available.

Supportive Housing Program
Affordable, independent, subsidized housing that is furnished and appropriately equipped. Staff available for basic support and guidance relating to landlord relations, linkage for services, and coordination of mental health care.

Niagara County Residential Providers:

Important Contact Information:

Niagara County SPOA Practitioner 716-439-7527


To refer an adult to the Single Point of Access (SPOA), a service provider, individual or family member should complete a referral packet.

Or request by mail:

SPOA Program
Niagara County Department of Mental Health
5467 Upper Mountain Road, Suite 200
Lockport, NY 14094-1895
Phone: (716) 439-7527 or 438-3071
Fax:  (716) 439-7418

Funding for SPOA is provided by New York State Office of Mental Health and Niagara County Department of Mental Health.