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C-SPOA How-To-Complete Applications Part I & Part II

Introducing Two (2) New Applications:

Children’s-Single Point of Access (C-SPOA) Referral Application - Part 1:

This application is for referring a youth and their family for C-SPOA coordination.

C-SPOA Coordinators help coordinate access to services and supports for youth with unmet mental health needs. There is a C-SPOA Coordinator in every county. 

This application asks for general information about a youth’s demographics and mental health needs.

How-To-Complete C-SPOA Referral Application - Part 1 Instructions

C-SPOA Referral Application - Part 2: Accessing Youth Assertive Community Treatment (ACT), Children’s Community Residence (CCR), and Residential Treatment Facility (RTF)

This application is for referring a youth for Youth ACT, CCR or RTF services.

The application requests more detailed information around a youth’s mental health needs and provides the requirements for documentation to support any needs noted.

How-To-Complete C-SPOA Referral Application for Accessing Youth ACT, CCRs and RTFs - Part 2 Instructions

Referral Application Part 2 Process Explained for Applying for OMH Youth ACT, CCRs, and RTFs Levels of Care: Here's What You Need to Know

Watch this presentation by NYS Office of Mental Health (OMH) on the "New Youth ACT, CCR and RTF Referral Process," to become familiar with this new process, gain awareness of available programs and reference materials, and guidance on completing the Referral Applications for Part 1 & Part 2.

C-SPOA Referral Applications, Part 1 and Part 2, have been updated to fillable PDF format. This means they can be downloaded, then using "Save As," and they can be completed electronically or they can be printed for manual completion.

NOTE: Any pages requiring signature must be printed and manually signed for the referral to be processed.

Key Application Submission Changes

  1. There is now 1 (one) Application (Part 1 & Part 2) statewide for C-SPOA coordination;
  2. Use the C-SPOA Part 1 and Part 2 Referral Applications to apply for Youth ACT, CR and RTF service access statewide;
  3. Send Completed and Signed Referral Applications for C-SPOA Coordination and Youth ACT, CR and RTF to the youth’s local C-SPOA Team by using 1 of the following methods:
    • Send via email to: Erie.ChildrensMentalHealth@erie.gov
    • Or Fax to: (716) 858-7492
    • Or Mail to:
      Erie County Department of Mental Health
      ABP/C-SPOA/Suite 356
      P.O. Box
      Buffalo NY 14201
    • Referral Applications can also be dropped off in person to:
      Appletree Business Park
      Suite 356
      2875 Union Road
      Cheektowaga, NY 14227

For general inquiries regarding C-SPOA, please call: 716-858-8349 and ask to speak to a C-SPOA representative.

For inquiries/updates regarding pending SPOA Referral Applications (this would include: HFW, RTF or CR admission criteria or denials; system barriers around accessing appropriate levels of care; and concerns or complaints about current OMH service providers), please call: 716-858-8349 and ask to speak to a C-SPOA representative.