Transition Services

Connections staff are ready to provide assistance in transitions to individual living for residents of Weld County.  Here is the process.

• When our organization is contacted by professionals or participants about community transition services, a referral from our transitions department can be made by contacting Nichole Seward at (970) 400-6219 (or send her an email message) at the Aging Disability Resource Center (ADRC). This agency is the first point of contact for undertaking options counseling. The ADRC is a department under the Area Agency on Aging (AAA). These agencies are case management providers within Weld County Human Services.
• Once the professional or participant gets in contact with the ADRC, the participant, also referred to as member, will meet individually with an ADRC team member to explore the possibility of transitioning out into the community. This is formally known as Options Counseling.
• If it is determined that the member wants to continue with exploring the options in transitioning, they can select services from Connections for Independent Living or from another Community Transition Agency (CTA).
• After the referral is potentially made by the ADRC to Connections, the transition coordinator from our agency will contact the member for an informal discussion about their continued interest in transitioning from the Skilled Nursing Facility (SNF) into the community. If the member wants to move forward, the Connections transition coordinator will guide this individual throughout the transition process if the transition is determined to be feasible.

• Once the member chooses to continue with moving forward, there are potentially four team meetings as follows:

  1^st Team Meeting:  Reviewing the Transition Assessment and briefly discussing possible risks.

  2^nd Team Meeting: reviewing Risk Mitigation.

  3^rd Team Meeting: Making Transition Decision and if a transition is determined feasible by the team, planning for the community transition and applying for a housing voucher will begin.

  4^th Team Meeting: After the voucher has been awarded and housing has been located with assistance from a housing navigator, the transition coordinator will help arrange all transition details by having the fourth team meeting. During this meeting, all services needed will be identified and discussed with the team. If services can be put into place all team responsibilities will be discussed and a tentative transition date will be scheduled.

• After the member transitions out into the community, the Connections transition coordinator will follow up and provide ongoing case management services up to one-year post transition. If the member prefers to continue receiving services, they can become a participant of services and supported through Connections by working with an Independent Living Specialist (ILS) after graduating from the transition program.