Local Governmental Units (LGUs) – Single Point of Access (SPOA)

The Local Governmental Units (LGUs) have a statutory responsibility under NYS Mental Hygiene Law to oversee and manage the local mental hygiene system.  This is accomplished through developing, implementing and planning services and supports for adults and children with mental illness, substance use disorder and/or developmental disabilities.

Single Point of Access (SPOAs) were designed to expand the county’s existing community based mental health network, making it a more cohesive and better coordinated system. The SPOAs receive and evaluate referrals, match individuals to the appropriate services needed, triage access so that those most in need get priority access, and monitor the results. The goal is to create a system that promotes recovery-oriented services, which are widely available, flexible, personally tailored and responsive to individual needs. The individual’s preferences is integrated into the process.

How can your local LGU/SPOA help you?

  • Provide knowledge and a lead contact for adult and child mental health and substance use services available in their County.
  • Maintain historical knowledge of service utilization for adults and/or children and families
  • Ability to access accompanying documentation for mental health and/or substance use diagnosis.
  • Assist in outreach, engagement and re-engagement for an individual and/or child lost to services.
  • Navigate, collaborate, and provide consultation on accessing needed services and/or needed assessments/evaluations for multiple systems
    • Criminal Justice System
      • LGUs/SPOAs have access to a Jail Matching tool, which matches jail rosters with PSYCKES parameters of HARP eligible, HARP enrolled, HH enrolled
      • Actively involved with the new Raise the Age initiative.
    • State Office of Mental Health (OMH)
    • Office of Alcoholism and Substance Abuse Services (OASAS)
    • Office for People with Developmental Disabilities (OPWDD) and Developmental Disabilities Regional Offices (DDRO)
    • Local Department of Social Services (LDSS)
    • Health Home (HHs) and/or Care Management Agencies (CMAs)
    • State Designated Entity (SDE) and Independent Entity (IE)
    • Managed Care Organizations (MCOs)
    • School Systems
    • Hospitals
    • Other community resources
  • Troubleshoots challenges with accessing services.
  • Assist with service provision (cross-system) for individuals with co-occurring disorders.
  • Participate in individualized planning for adults and children.
  • Provide clinical discretion for HH Plus eligibility.
  • Oversee the quality of services being provided to individuals and children/families.
  • Serve as an access point for services based on need (high need individuals/children) for both Medicaid and Non-Medicaid adults and children.
  • Manage wait lists for services outside of Medicaid and Managed Care.
  • Share local data and information on trends, challenges, system and service gaps, best practices, innovative programming, etc.

Available Forms

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