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Dane County Department of Human Services Provider Hub

DCPN Program Directory

The Dane Crisis Provider Network is the group of Dane County-funded programs that make up the County’s Crisis continuum. All participants must be in need of crisis services as defined in DHS 34. These programs bill under the Medicaid Crisis Intervention benefit (when applicable) and services are delivered at no cost to participants, unless otherwise noted. The timeframe for service provision is open-ended and driven by the resolution of the current crisis, unless otherwise noted. The programs on this page are sorted by the primary service type each program delivers within the Medicaid Crisis Intervention benefit. 

Crisis Hotline Response

If you or someone you know is experiencing a behavioral health crisis, contact Journey’s Crisis Hotline at 608-280-2600. If anyone is in immediate danger, contact 911. 

Journey Mental Health Center delivers core crisis hotline and response services on behalf of Dane County. Journey Crisis Provides 24/7 support to individuals experiencing a behavioral health crisis to provide support, connection to resources, and assistance in locating the correct level of care based on individual needs. Journey can deliver crisis response over the phone or in person, as needed. Journey Crisis authorizes all emergency detentions in Dane County.

Linkage and Follow Up

Linkage and follow-up programs provide ongoing services to individuals experiencing a crisis. Some of these programs are time-limited, while others provide open-ended support for as long as a person meets crisis criteria under DHS 34. Many linkage and follow-up programs can supplement an existing service connection, while others focus on providing interim services until ongoing behavioral health care can be established. 

Transitional case management for up to 6 months intended to stabilize individuals in crisis and connect them to longer term mental health services. Services include mental health assessment, short term support, community collaboration, social service connection, and emergency coordination with hospitals, law enforcement, and other service providers to get immediate assistance where necessary.

Target population:  Underserved populations experiencing a behavioral health crisis, both youth and adult

Eligibility 

  • Dane County resident
  • Medicaid enrolled 

Length of Services: Typically up to 6 months, but varies based on need

Hours of operation: Monday – Friday 8:00 am-4:30 pm 

Contact: 

(608) 492-0108

ACCESS: Self referrals allowed, referral form preferred

Complex case management, victim advocacy and accompaniment, crisis intervention, mental health therapy, peer support group, clubhouse to work on housing search, job search and other tasks, art group.  Resources available include: clothing, food pantry, some emergency funds for housing, utilities, transportation etc. Spanish language/culture staff available. Language line for additional language capacity.  

Target population: Individuals who have experienced sexual exploitation.   

Address: 1409 Emil Street Madison WI 53713

Hours of operation: Monday – Friday 8:00 am to 5:00 pm.  Staff are available after hours by contacting the after-hours answering service.

Contact:

ACCESS: Walk ins allowed, referral call preferred

Drop-in center for individuals to come and have basic needs met in an open and friendly environment. Services include phone access, laundry access, shower access, 2 meals a day and daytime lockers. Crisis support is provided on site when indicated. 

Target population: Individuals with mental illnesses looking for a safe place to go during the day, particularly those who are unhoused or housing insecure.

Address: 116 W. Washington Ave Madison WI 53703

Hours of Operation: Tuesday – Thursday 9:00 am to 3:00 pm

Contact: 608-283-9513, Fax 608-480-8070, info@catalystforchangeinc.org

ACCESS: Walk ins allowed, referral call or form faxed/emailed preferred

Target population: Dane County youth experiencing behavioral health challenges who are unconnected to support or whose current services are unable to meet their level of need.

Eligibility:

  • Dane County resident 
  • 4-19 years old (ages 18 & 19 must be in high school)
  • Not enrolled with other case management

Length of Services: 4-6 months.

Hours of operation: Monday – Friday 7:45-4:30 

Contact: 

ACCESS: Self referrals allowed, referral form preferred


Target population:  Individuals identified as experiencing a behavioral health crisis but are reluctant to receive services or have barriers to participating in other programs, with a special focus on individuals under a Chapter 51 legal court order

 Services include:

  • Assertive outreach
  • Connection to ongoing programs
  • Prescribing and medication support 
  • Commitment Monitoring
  • If needed (and prescribed by Journey) ability to pick up medication at the ESU office 7 days a week.

Length of Services: For the duration of court orders, until connected to long term care, and/or until crisis is resolved. 

Hours of operation: Monday-Friday, 8am-4:30pm with the ability to flex to provide services outside of these hours. 

Contact: 

ACCESS:  self-referrals allowed, referral form preferred

Interim case management for individuals who are at risk of placement in or who are transitioning from hospitals, stabilization facilities, jail, and Emergency Services. Supportive services are provided until the individual has been stabilized or in order to bridge the gap until longer-term services can be established.

Services include: 

  • Prescribing
  • Medication management
  • Short-term intervention
  • Case management
  • Peer support
  • Linkage to ongoing supports and resources (including psychosocial needs).

Eligibility 

  • Adult 18 years old or older
  • Residents of Dane County and individuals who are physically present in Dane County; and 
  • At risk of placement in or transitioning from a hospital, stabilization facility, or jail
  • Medicaid enrolled or eligible

Length of services: Typically up to 90 days, but varies based on need

Hours of operation: Monday- Friday 8:00 am –4:00pm with some ability to flex depending on individual needs.

Contact : 

ACCESS: Self-referral allowed, referral form preferred

Age-specific crisis support for youth within Dane County who may be experiencing a behavioral health crisis, is in a situation which is likely to develop into a crisis, or who would benefit from ongoing linkage and follow up services subsequent to a behavioral health crisis.  This includes children 0-18 who require hospital screening and follow up in the Chapter 51 service system.

Services include:

  • Crisis Follow up and stabilization
  • Commitment Monitoring
  • Inpatient Discharge Planning

Eligibility and access:

  • Residents of Dane County and individuals who are physically present in Dane County; and
  • In need of a crisis service as defined in Wisconsin Administrative Code DHS 34
  • At risk of placement in or transition from hospitals, stabilization facilities, or detention center

Hours of operation:  Monday- Friday 8:00 am –4:00 pm with some ability to flex depending on individual needs

Contact:

ACCESS: referral call required

Drop-in center to meets guests’ basic needs, including two meals per day, showers, laundry, bus tickets, mail and phone services. Can also provide housing-focused case management and crisis stabilization services. Crisis support is provided on site when indicated. A referral is not required but can help to establish what a potential member is looking for, as well as if the environment would be a good fit. Verification of disability is required upon starting to use the drop-in center.

Target population: Unhoused individuals with mental illnesses looking for a safe place to go during the day.

Address:  4006 Nakoosa Trail, Madison WI 53714

Hours of Operation: 8:30 am to 6:00 pm every day excluding holidays unless otherwise posted

Contact: 

ACCESS: Walk ins allowed, referral call preferred

IDD Crisis Stabilization provides support to Dane County adults with intellectual and developmental disabilities (IDD) experiencing an acute mental health crisis. Note that IDD Crisis Stabilization is embedded in the Waisman Center’s Community TIES behavior support program. TIES provides positive behavior supports for approximately 450 Dane County children and adults with IDD and complex behavior health needs.

Eligibility 

  • Intellectual or developmental disability 
  • 18 years of age or older 
  • Resident of Dane County
  • Recipient of (or eligible for) long term care (i.e. Family Care, IRIS, etc)

Hours of operation: Monday - Friday, 8:00 am to 5:00 pm.

Contact:

ACCESS: Self referrals allowed, referral forms required

Long Term Case Management

Dane County funds Medicaid billable services for long term case management through contracted agencies. These case management programs can provide crisis support to current clients when needed. Contact the BHRC for more information on how to get connected to these services.  

Eligibility:

  • Resident of Dane County
  • Medicaid enrollment or eligibility 
  • mental health or substance use primary diagnosis
  • functional need for case management services. 

Access: Contact the BHRC

Journey Mental Health Center runs a mental health case management program that utilizes the Targeted Case Management benefit of MA, as well as the MA Crisis benefit.  However, Crisis services are only available for current program participants, allowing for flexibility in intensity of services when current consumers’ symptoms increase. 


SOAR runs a mental health case management program that is funded through Medicaid and includes crisis case management.  Crisis services are only available for current program participants, allowing for flexibility in intensity of services when current consumers’ symptoms increase. Contact the BHRC for more information on how to get connected to SOAR.

Residential Stabilization

Residential stabilization programs provide a safe, monitored environment and supportive services for individuals experiencing a crisis who need access to 24/7 care and supervision, but who do not need to be in a hospital setting. In Dane County, there is both a short-term, rapid-access stabilization program (the Dane County Care Center) and various intermediate-term group home and Adult Family Home programs. The process and timeline for access differ by program type.

The Dane County Care Center (DC3) is a voluntary, short-term residential crisis program intended to meet immediate needs and avoid a higher level of care. Clients are assigned a clinical case manager who works with them during their stay to stabilize symptoms and connect with additional services that will support them moving forward. The facility has 16 total beds for adults. 10 beds are for exclusive use by individuals funded by Dane County - DC3 also accepts commercial insurance/private pay.

Eligibility:

For Dane-funded admissions:

  • Medicaid (and not enrolled in Long Term Care) or be uninsured. 
  • Dane County resident OR living in and intending to stay in Dane County (non-residents subject to a maximum 3-night stay)
  • Adult (18 years and older)

Length of services:

  • Most stays are short 1-3 nights
  • some stays are longer 1-3 weeks
  • max stay of 3 nights for eligible admissions who do not meet residency criteria. 

Contact:

Access: Self referrals allowed, phone call required

Eligibility: 

  • Adult (18 years and older)
  • Resident of Dane County
  • Diagnosed with a severe and persistent mental illness
  • Have the functional need for a 24/7 staffed group home
  • Medicaid enrolled or eligible
  • Connected to case management services, CSP or CCS
  • Meet MA crisis stabilization or CRS billing requirements

Length of stay:

Length of stay is based upon the continued need for placement and meeting criteria for funding.  Residential placements are transitional in nature and are not permanent housing.

When completing the referral, case managers will need to indicate if they are applying for a short-term care stay (60 days or less) or a long-term stay (60 days or more).  Short-term care stays are not extended to long-term stays unless something unforeseeable happens (further decompensation).  Short-term care stays are not extended based upon the resident not securing housing.

Cost:

There is no cost to the client for short-term care stays.  The cost for long-term care beds is determined based upon the client's income.  An income verification/Awards letter will be requested to be submitted to DCDHS to determine the cost of care for the resident, which is paid monthly to DCDHS.  Cost of care pays for room and board costs which are not billable to Medicaid.  If a client makes over the threshold for the room/board costs, then the client will be expected to private pay into care and supervision costs.  In general, residents of group homes will have a $100 monthly spending allowance 

Contact:

If you have questions about the appropriateness of a residential referral or to request a referral form, please email mhresidentialservices@danecounty.gov.

How to make a referral:

After Dane County does an initial screen to determine if the referred person meets both eligibility requirements and MA crisis stabilization billing requirements, they will send the referral to a placement provider, who will reach out to the case manager with further steps in setting up the interview for assessment.  

  • Goodwill: Northport Group Home
  • Goodwill: Offshore Group Home
  • Integrity residential
  • Porchlight: School Road
  • Tellurian: Acewood
  • Tellurian: Crawford
  • Tellurian: Transitional Housing Program (THP)
  • Dane County Care Center
  • Tellurian Enso
  • WIT
  • Yasmin’s Loving Care