DIVISION OF CHILDREN’S SYSTEM OF CARE CHILDREN'S …

[Pages:2]DIVISION OF CHILDREN'S SYSTEM OF CARE CHILDREN'S CRISIS INTERVENTION SERVICES (CCIS)

NORTHERN REGION

St. Clare's Hospital 973-316-1800 Boonton Division, CCIS Unit 130 Powerville Road Boonton, New Jersey 07005 Bergen New Bridge Medical Center 201-967- 4000 CCIS Unit 230 East Ridgewood Avenue Paramus, New Jersey 07652 Hoboken University Medical Center 201-418-1000 CCIS Unit 308 Willow Street Hoboken, New Jersey 07030

CENTRAL REGION

TRINITAS Hospital 908-994- 5000 CCIS Unit 655 East Jersey Street Elizabeth, New Jersey 07206 Newark Beth Israel Medical Center 973-926-7000 CCIS Unit 201 Lyons Avenue Newark, New Jersey 07112 RUTGERS - Univ. Behavioral Healthcare 732-235- 5500 CCIS Unit 671 Hoes Lane Piscataway, New Jersey 08855 Monmouth Medical Center 732-222-5200 CCIS Unit 300 Second Avenue Long Branch, New Jersey 07740

SOUTHERN REGION

Jefferson Health Cherry Hill Hospital 856-488-6816 CCIS Unit 2201 Chapel Avenue West Cherry Hill, New Jersey 08002-2048 Inspira Health Center - Bridgeton 856-575-4500 CCIS Unit 333 Irving Avenue Bridgeton, New Jersey 08302

COUNTIES SERVED Sussex, Warren, Morris, Passaic

Bergen

Hudson

COUNTIES SERVED Union, Essex

Essex

Mercer, Middlesex, Hunterdon, Somerset

Monmouth, Ocean

COUNTIES SERVED Camden, Burlington, Gloucester, Salem

Cape May, Atlantic, Cumberland

CAPACITY 28

17

17

CAPACITY 13

18

24

19

CAPACITY 14

14

COMMENTS

COMMENTS Intermediate Unit (17) DDD Beds (10)

COMMENTS Intermediate (12)

TOTAL: 164 BEDS

IC 11/12/19 rev; PCNJ

Discrimination is against the law

PerformCare complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. PerformCare does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

If you believe that PerformCare has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can submit a complaint by mail or phone, by either calling PerformCare's Quality department at 1-877-652-7624 or by writing to:

PerformCare reduces language barriers to accessing services

PerformCare

through the New Jersey Children's System of Care by:

Attn: Quality Department

? Providing free aids and services to people with disabilities

300 Horizon Center Drive, Suite 306, Robbinsville, NJ 08691

Discriminatitooncoismamguaninicsattethefefelcatwively with us, such as:

PerformCare compli-es wWithriattpepnlicinabfolermfedaetiroanl ciinvilortihghetrsfloarwmsaatnsd(ldaorgesenportint, discriminate on the basiasuodf iroac, ea,cccoelsosri,bnleateiolencatlroornigicinf,oargme,adtiss,aabnildityo,tohresrex. PerformCare does not exfoclrumdeatpse).ople or treat them differently because of race, color, national o-rigTine,laegceo,mdimsaubinliitcya,toironsexd.evices such as Device for the PerformCare reduces lanDgeuafge(TbDarDrie) rasntdo TacecxetssTinelgespehrovinces(tThTroYu)gshystems to the New Jersey Childrene'snSaybslteeminodfivCidarueablsy:who are deaf, hard of hearing, or

? Providing free aidsspaenedcshe-rivmicpesaitroedpetoopuleswe itthhedpishaobnilietiteos tcoommunicate. comm?uniPcartoeveidffiencgtivlaenlygwuiatgheusse, rsvuicchesasa:t no cost to people whose - Wprrititmenariynfloarnmgautaiogne iins noothteErnfogrlmishat,ss(ulacrhgeasp:rint, audio, access-ibleQelueactlirfoiendicifnotremrpatrse,taenrdseortvhiecrefso.rmats).

MIf uyoltui-nlaenegduhaeglpefiinlintegrapcroemteprlasienrtv, PiceersformCare's Quality department is available to help you.

AYouttcaennalstoifiolena c:iviIl rfighytsocoumpdlaoint nwitoh tthesUp.Se. ak

English, language assistance Department of Health and Human Services, Office for

Civil Rights, electronically through the Office for Civil

sRieghrtsvCiocmeplsainat Proertaal, avvaailaibllae abt hltetpst:/o/ocyrpoorutal. no cost. Call 1-877-652-7624 ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services

(2T00TIndYepe1nd-e8nc6e A6ve-n8ue9, S6W-, R6o9om75509)F., HHH Building

SWpaansihshin: Agttoennc,i?DnC: S2i 0ha2b0l1a espa?ol, tiene a su disposici?n servicios

g(1Tr-aT8tYu0i10t-o-83s66d6e8-8-a91si60s-t16e99n7,c51ia)-.l8in0g0?-?5st3ic7a-.7L6la9m7e(TalD1-D87) 7-652-7624

- Teleco-mmInufnoicrmatiaotniodnevwicreitstseunchinaos tDheevriclaenfogrutahgeeDs.eaf (TDD) and Text Telephone (TTY) systems to enable individuals who

If yoaurendeeeadf,thhaersdeosfehrveiacreins,g,cornstpaecetcPhe-rimfoprmairCedarteoautse the phone 1-87t7o-c6o5m2m-7u6n2i4caoter.[TTY (for the hearing impaired)

? lParnogv1suie-dav8igen6eng6is-lda8nan9yog6stu-Eaa6gnw9eg7elsi5ees]hrk.v,.Wiscueecshaartaesn:aovcaoislatbtolep2e4ophleouwrhsoasedapyri,mary

PCoortmugpulaesine:tAftoernm??soa: Sre faavlaiplaobrtluegaut?s, encontra-se dispon?vel servi?o ghrtattpui:t/o/wdewiwnt.?hrhprse.gteopve/looctre/loeffofnicee1/-f8il7e7/-i6n5d2-e7x6.2h4tml.

(TTY 1-866-896-6975).

Arabic: . :

.)TTY: 1-866-896-6975 : ( 1-877-652-7624

Haitian Creole: Atansyon: Si w pale Krey?l Ayisyen, gen s?vis ?d pou lang

M- ultQi-ulaalnifgieudaignteeripnrteeterrpsreertveicress.ervices

ki disponib gratis pou ou. Rele 1-877-652-7624 (TTY: 1-866-896-6975). Chinese Mandarin: /

- Information written in other languages.

Attention: If you do not speak xI.f you neeMd tuhletsi-elasenrgviucaesg,ecoinnttaecrtpPreerftoerrmsCearrveiacte1s-877-652-7624 or English, language assistance [TTY (for the hearing impaired) 1-866-896-6975]. We are available 24 hours Attention: If you do not speak English, language assistance a day, seven days a week. services are available to you at If you believe that PerformCare has failed to provide these services or services are available to you at no cost. Call 1-877-652-7624 discriminated in another way on the basis of race, color, national origin, age, n(ToTcYos1t-.8C6a6l-l819-68-7679-7655).2-7624 disability, or sex, you can submit a complaint by mail or phone, by either (TTY 1-866-896-6975). calling PerformCare's Quality department at 1-877-652-7624 or by writing to:

1-877-652-7624 (TTY 1-866-896-6975)

Korean: : , . 1-877-652-7624 (TTY 1-866-896-6975) .

Bengali: , , 1-877-652-7624 (TTY 1-866-896-6975)

French: Attention : si vous parlez fran?ais, des services d'aide linguistique vous sont propos?s gratuitement. Appelez le 1-877-652-7624 (TTY 1-866-896-6975).

PAettrnfo:rQmuCaSg(alTrpirtaTeaytnYuDii1steh-op8:s6aAd6rtet-em8na9scei6ins?-t6tne9n: 7Sc5iia)h.laibnlga?e?ssptiac?ao. Ll,ltaimeneeaal

su disposici?n servicios 1-877-652-7624

300 D)

HorizPoonrtCuegnueteser:DArtievne?,?Sou: iStee

f3a0la6p, Rorotbubgiun?ssv,iellnec,oNnJtr0a8-s6e9d1ispon?vel

servi?o

oIf you neegdrahteuliptofidlienignat?cropmreptelapienlto, tPeelreffoornme C1-a8r7e7's-6Q5u2a-7li6t2y4department is

naevailable t(oTThYelp1-y8o6u6-.896-6975).

Arabic:

You can also filea.civilr ightscompla intwiththe U.S.Departm entofH ea:lth

and Human Services, Of.)fiTcTeYfo: 1r-C8i6v6i-l8R9i6g-h6t9s7, 5el:ectronica llythro(u1g-h87th7-e6O52f-f7ic6e24

for Civil RHigahitisaCnoCmrepollaei:nAttPanosrytaoln, :aSviawilapbaleleaKtrey?l Ayisyen, gen s?vis ?d pou lang

, -o7r6b2y4m(TaTilYo: 1r-p8h6o6-n8e9a6t-:6975).

U.S. DepaCrthmineensteoMfaHnedaalrtihn:andHuma1n-8S7e7r-v6ic5e2s-7624(T/TY1-866-896-6975) 200 IndepKeonrdeeann:ceAve:nue, SW, Room509F, HHH, Building Washington, DC20201 . 1-877-652-7624 (TTY 1-866-896-6975)

s1-800-368-1019,1-800-5.37-7697 (TDD)

Bengali: , , Complaintformsare availab leat 1-877-652-7624

(TwT.hYh1s-.8g6o6v-/8o9c6r-/6o9f7fi5c)e/file/index.html.

e,

French: Attention : si vous parlez fran?ais, des services d'aide

linguistique vous sont propos?s gratuitement. Appelez le

to:

1-877-652-7624 (TTY 1-866-896-6975).

Vietnamese: Ch? ?: Nu bn n?i Ting Vit, c? c?c dch v h tr ng?n ng min ph? d?nh cho bn. Gi s 1-877-652-7624 (TTY 1-866-896-6975). Hindi: : 1-877-652-7624 (TTY 1-866-896-6975) Chinese Cantonese: 1-877-652-7624 (TTY 1-866-896-6975) Polish: Uwaga: Jeeli m?wisz po polsku, moesz skorzysta z bezplatnej pomocy jzykowej. Zadzwo pod numer 1-877-652-7624 (TTY 1-866-896-6975). Urdu:

Turkish: Dkkat: T?rk?e konuuyorsaniz dil yardimi hizmetlerinden ?cretsiz olarak yararlanabilirsiniz. 1-877-652-7624 (TTY 1-866-896-6975) numarali telefonu arayin. Russian: a: , . 1-877-652-7624 (TTY 1-866-896-6975).

Vietnamese: Ch? ?: Nu bn n?i Ting Vit, c? c?c dch v h tr ng?n ng min ph? d?nh cho bn. Gi s 1-877-652-7624 (TTY 1-866-896-6975).

Hindi: : 1-877-652-7624 (TTY 1-866-896-6975)

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