Transition Management Services

Our team provides hands-on assistance to help individuals successfully move into and sustain housing:

• Support with housing applications and the housing search process, including identifying rental units and landlord partners, completing applications, and arranging transportation during the search.
• Ensure the home is safe and ready for move-in, including support with setting up utilities and household items.
• Provide early identification and intervention for behaviors that could jeopardize housing, such as late rent or lease violations.
• Educate tenants on their rights and responsibilities, and foster relationships with landlords to promote long-term housing stability.
• Assist in resolving landlord or neighbor disputes and reconnect individuals to community resources if housing is at risk.
• Assist with housing recertification, compliance with lease agreements, and general household management.
• Act as a primary contact for landlords regarding tenancy issues.

We help individuals access financial resources and build money management skills:

• Assist in obtaining identification documents, repairing credit, and correcting criminal records when applicable.
• Support applications for SSI/SSDI, Medicaid, Special Assistance In-Home, food stamps, veterans benefits, and other entitlements.
• Provide coaching on budgeting and bill payment, and monitor financial needs monthly or more frequently if needed.
• Help manage utility expenses and address issues related to utility arrears.
• Manage Special Assistance In-Home benefits in coordination with local social services departments.

We assist individuals in developing or improving essential life skills for independent living:

• Self-care and personal safety.
• Meal planning, grocery shopping, safe food preparation and storage.
• Clothing care and household cleaning.
• Safe and effective use of various transportation modes.

Our team supports overall well-being by helping individuals:

• Manage medications and pharmacy services.
• Navigate personal health needs and connect to healthcare services.
• Maintain healthy nutrition and physical activity routines.
• Access self-help groups and online resources for managing symptoms.
• Use technology to stay connected with service providers and natural supports.
• Develop personal crisis management plans (WRAP, WHAM, PAD), relapse prevention plans, and coping strategies for managing symptoms.

We encourage full participation in community life by helping individuals:

• Build social skills and friendships.
• Identify personal interests and develop plans for engaging in meaningful activities.
• Develop confidence in social situations, such as hosting get-togethers or going out to restaurants, movies, and events.
• Learn to use community resources (phone, internet, newspapers) to stay informed about local opportunities.

TMS is available to adults who are:

• Participating in the Transition to Community Living (TCL), and
• Approved for a state-funded housing slot.

Participation in TMS is coordinated through your Person-Centered Plan (PCP) and may be provided alongside other mental health services.