Maternal Behavioral Health Referral Form - Crpn Page 2
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2Community Behavioral Mental Health Agencies in Cuyahoga County with specific programs for
pregnant and postpartum women. Rev 1/2015
When faxing/emailing, please also leave a phone message to alert intake a referral form was sent.
Bellefaire, JCB
Phone Intake: 1-800-879-2522
Fax Intake: 216-932-8520
Email:
Healthy Moms, Happy Families: Behavioral health services for moms-to-be and new moms of all ages
experiencing stress and depression, and/or substance use issues. In-home or office-based services include
assessment, counseling, medication management, case management and care coordination. Services
covered by Medicaid and select commercial insurance providers. Out-of-network and self-pay options
available. Office-based services in Shaker Heights and 6001 Woodland Ave, Cleveland.
Connections
Phone Intake: 216-831-6466 x 232
Fax Intake: 216-766-6086
Email:
Women’s Program: Offering home or office based specialized mental health care for women who are
contemplating pregnancy, pregnant, postpartum, experiencing pregnancy loss, coping with infertility, or
struggling with mood swings during the menstrual cycle or during menopause. Serves adults, teens, and
children. Offices in Beachwood, Cleveland Heights, and Ohio City. Services available for those with no
insurance as well as Medicaid, Medicare, and select insurance providers. Spanish speaking therapist
th
available at W. 25
St. location.
Far West Center
Phone Intake: 440-835-6212 x 230
Fax Intake: 440-835-6231
Email:
Help for Mom Program: Office-based counseling and other mental health services for pregnant women
and new moms 18 years old or over experiencing stress and depression. Serves Lorain and Cuyahoga
County. Offices in Westlake and Amherst. Child care available. In-home intake visit provided as needed.
Services covered by Medicaid and select commercial insurance plans. Services available for those who
are uninsured. Spanish speaking psychiatrist and case managers available.
OhioGuidestone
Clients with Medicaid:
Phone Intake: 440-260-8300
Email:
Fax Intake: 440-260-8575
Maternal Depression Program: Counseling and mental health services for pregnant and postpartum
women and teens experiencing depression, anxiety, and/or substance use issues. Home-based counseling
available in Cuyahoga, Lake, Lorain, Summit, Stark, Portage, and Franklin Counties. Office-based
services in Euclid, Garfield Heights, Brook Park, Lakewood, Cleveland, and Lorain.
Phone Intake: 440-260-8550
Clients with Commercial Insurance contact Invision at OhioGuidestone
Fax Intake: 440-260-8575
FrontLine Service Mobile Crisis
Phone 216-623-6888
24 hour Hotline Crisis intervention and suicide hotline. Information, assessment and referral.
Phone: 1-877-236-8676
: The SCALE program offers a single point of entry to Cuyahoga’s community
Scale Program
behavioral healthcare system for uninsured residents of Cuyahoga County.
Note: List above is for Medicaid, Medicare, Commercial Insurance and self pay. Commercial Insurance
may require prior authorization from insurance carrier and referral to specific mental health providers.
This does not represent a complete list of community mental health agencies.
For more listings call First Call for Help at 211 or 216-436-2000.
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