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    <Timestamp>2012-09-04T09:45:28-05:00</Timestamp>
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        <BusinessNameLine1>ONONDAGA CASE MANAGEMENT SERVICES INC</BusinessNameLine1>
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        <AddressLine1>220 HERALD PLACE 3RD FLOOR</AddressLine1>
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      <ActivityOrMissionDescription>SEE SCHEDULE O.ONONDAGA CASE MANAGEMENT SERVICES, INC. (OCMS) IS A PERSON AND FAMILY CENTERED AGENCY THAT PROVIDES RECOVERY ORIENTED, COMMUNITY BASED, CARE COORDINATION SERVICES TO INDIVIDUALS DIAGNOSED WITH SEVERE AND PERSISTENT MENTAL ILLNESS AND TO CHILDREN WHO ARE IDENTIFIED AS NEEDING SUPPORT RELATED TO EMOTIONAL DISTURBANCE. THE AGENCY'S OVER ARCHING MISSION IS TO ASSIST INDIVIDUALS AND THEIR FAMILIES TO DEVELOP THE RESOURCES AND SUPPORTS TO LIVE SATISFYING AND NATURALLY INTERDEPENDENT LIVES. SERVICES ARE AVAILABLE TO ADULTS AND CHILDREN RESIDING IN ONONDAGA COUNTY.SEE SCHEDULE O.</ActivityOrMissionDescription>
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      <MissionDescription>ONONDAGA CASE MANAGEMENT SERVICES, INC. ASSISTS PEOPLE WITH DIFFICULT LIFE CHALLENGES TO DEVELOP PERSONALLY MEANINGFUL LIVES.</MissionDescription>
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      <Description>CASE MANAGEMENT: ADULT ICM/SCM/BLENDED AND C&amp;Y ICM/SCM SEE SCHEDULE O FOR FURTHER DETAILS.DURING 2011, OCMS CARE COORDINATORS SERVED A TOTAL OF 1,111 INDIVIDUALS AND THEIR FAMILIES DURING 19, 857 FACE-TO-FACE VISITS THAT TOOK PLACE MOSTLY IN THE COMMUNITY. THE ADULT CARE COORDINATORS AT OCMS SERVED A TOTAL OF 868 INDIVIDUALS DURING 16,925 FACE-TO-FACE VISITS AND THE CHILD AND FAMILY CASE MANAGERS SERVED 143 INDIVIDUALS AND THEIR FAMILIES DURING 2,932 COMMUNITY BASED FACE-TO-FACE VISITS.ON 12/31/11 THERE WERE 517 INDIVIDUALS THAT WERE STILL ACTIVELY ENGAGED IN THE ADULT SERVICE CARE COORDINATION PROGRAM. THE BULK OF THOSE INDIVIDUALS WERE BETWEEN THE AGES OF 22 AND 39 (30%) AND BETWEEN THE AGES 40-65 (59%). OF THAT SAME 517, 70% REPORTED POSITIVE CONTACT WITH THEIR FAMILIES, 83% REPORTED POSITIVE CONTACT WITH OTHERS, 36% INCREASED LEISURE ACTIVITIES, 29% HAD ENTERED EDUCATIONAL PROGRAMS, 25% HAD ENTERED VOCATIONAL PROGRAMS, 19% WERE WORKING EITHER AS VOLUNTEERS OR COMPETITIVELY EMPLOYED, 19% HAD BEEN LINKED TO HEALTH CARE, AND 100% OF THE 95 INDIVIDUALS THAT STARTED THE PROGRAM AS HOMELESS WERE HOUSED. THE CHILD AND FAMILY CARE COORDINATION SERVICES HAD 87 YOUTHS ENROLLED ON 12/31/11. OF THAT 87, 37% WERE UP TO AGE 11 AND 61% WERE AGES 12-17 WHILE APPROXIMATELY 2% TURNED 18 WHILE ENROLLED IN SERVICES. OUT OF THAT SAME 87, 44% REPORTED POSITIVE CONTACT WITH FAMILY, 40% REPORTED POSITIVE CONTACT WITH OTHERS, 35% INCREASED LEISURE ACTIVITIES, AND 15% WERE EITHER COMPETITIVELY EMPLOYED OR PARTICIPATING IN VOLUNTEER WORK BY THE END OF 2011.</Description>
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        <Description>ASSERTIVE COMMUNITY TREATMENTSEE SCHEDULE O FOR FURTHER DETAILS.THE ASSERTIVE COMMUNITY TREATMENT TEAM (ACT) AT OCMS IS A MULTI-DISCIPLINARY TEAM THAT INCLUDES PSYCHIATRY, NURSING, SOCIAL WORK, VOCATIONAL, SUBSTANCE REHABILITATION, AND A PEER SPECIALISTS THAT SERVES INDIVIDUALS IN THE COMMUNITY WHO ARE DIAGNOSED WITH A SEVERE AND PERSISTENT MENTAL ILLNESS. THE ACT MODEL THAT IS USED BY OCMS IS AN EVIDENCED BASED PRACTICE DESIGNED TO ASSIST INDIVIDUALS WHO ARE NOT WELL ENGAGED BY TRADITIONAL SERVICES. ACT RECIPIENTS HAVE BEEN FREQUENTLY HOSPITALIZED, ARE OFTEN HOMELESS, AROUND 70% HAVE A CO-OCCURRING SUBSTANCE USE DISORDER, AND THEY ARE TYPICALLY ISOLATED IN THE COMMUNITY PRIOR TO ADMISSION TO ACT. 70-80% OF ACT SERVICES ARE PROVIDED IN THE COMMUNITY, AT PERSON'S HOMES, SHELTERS, MEDICAL AND OTHER APPOINTMENTS, AND AT THE HOMES OF FAMILIES AND FRIENDS. BECAUSE OF THIS, ACT IS OFTEN REFERRED TO AS A "MENTAL HEALTH CLINIC ON WHEELS." EVEN THE ACT PSYCHIATRIST MAKES REGULAR HOUSE CALLS TO THE RECIPIENTS OF ACT SERVICES AT OCMS. GENERALLY, ACT SERVICES TEND TO REDUCE HOSPITAL STAYS BY AS MUCH AS 65%, EMERGENCY ROOM VISITS BY AS MUCH AS 70% AND HOMELESSNESS BY AS MUCH AS 55%.IN 2011, THE ACT TEAM CLOCKED SOME 4,635 DIRECT SERVICE HOURS DURING 6,064 FACE TO FACE VISITS DURING MOSTLY COMMUNITY BASED VISITS. DURING THOSE VISITS, ACT RECIPIENTS RECEIVED PSYCHIATRY, PSYCHIATRIC NURSING, MEDICATION ADMINISTRATION, VOCATIONAL AND EDUCATIONAL SUPPORT, CASE MANAGEMENT, AND SUPPORT IN ADDRESSING CO-OCCURRING MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. THE TEAM EDUCATED INDIVIDUALS IN HEALTH, DIET, AND SELF-CARE WHILE PROMOTING COMMUNITY INTEGRATION THROUGH TRANSPORTATION AND SUPPORT AT COMMUNITY ACTIVITIES. THE ACT TEAM ALSO SPENT 1,474 INDIRECT SERVICE HOURS COORDINATING ADDITIONAL SERVICES AND CONFERENCING WITH PROVIDERS, FAMILIES, AND OTHER SUPPORTS.</Description>
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        <Description>OCMS BEHAVIORAL HEALTH CLINICSEE SCHEDULE O FOR FURTHER DETAILS.IN THE END OF SEPTEMBER 2011, OCMS OPENED THE OCMS BEHAVIORAL HEALTH CLINIC (MENTAL HEALTH OUTPATIENT TREATMENT) WITH THE INTENT OF SERVING INDIVIDUALS AND FAMILIES THAT STRUGGLE TO STAY CONNECTED TO MENTAL HEALTH SERVICES DELIVERED IN THE CUSTOMARY AND TRADITIONAL MODEL. THE CLINIC IS STAFFED WITH 3.5 CHILD AND FAMILY CLINICIANS, 4.5 ADULT SERVICE CLINICIANS, A PART TIME CHILD PSYCHIATRIST, A PART TIME ADULT PSYCHIATRIST, AND ONE PART TIME PEER SPECIALIST. THE CLINIC WAS NOT AT FULL CAPACITY BY THE END OF 2011. WHEN IT DOES REACH FULL CAPACITY---EARLY IN 2012--- THE CLINIC WILL BE SERVING APPROXIMATELY 320 INDIVIDUALS AND THEIR FAMILIES AT ANY GIVEN TIME. THE CLINIC STRIVES TO WELCOME PERSONS WITH COMPLEX BEHAVIORAL HEALTH CONDITIONS TO JOIN THE TREATMENT TEAM IN A COLLABORATIVE PROCESS OF DISCOVERY TO CREATE THE LIFE OF THE PERSON'S CHOOSING. THE CLINIC'S EMPHASIS IS ON ENGAGEMENT OF INDIVIDUALS; ESPECIALLY WITH THOSE WHO HAVE HISTORICALLY STRUGGLED TO STAY CONNECTED TO MENTAL HEALTH SERVICE; IN MEANINGFUL AND HOPEFUL CHANGE PROCESSES THAT CONVEY PROFOUND RESPECT FOR THE DIGNITY OF THE INDIVIDUAL. THOSE SERVED BY THE CLINIC ARE THOSE WHO ARE TRANSITIONING FROM HIGHER LEVELS OF CARE AND THAT EXPERIENCE ESCALATING SYMPTOMS RESULTING IN FREQUENT CRISIS, UNSTABLE HOUSING, ER VISITS, LEGAL INVOLVEMENT, HEALTH CRISIS, AND FAMILY CRISIS. THEY TEND TO HAVE A HISTORY IN THE MENTAL HEALTH SYSTEM, CO-OCCURRING DISORDERS, MULTIPLE SERVICE INVOLVEMENT, E.G., LEGAL SYSTEM, RESIDENTIAL PLACEMENT, CARE COORDINATION, CHILD WELFARE, ETC., AND A HIGH LEVEL OF DISTRESS AND DIFFICULTY ACCESSING SATISFACTORY SERVICES (UNSATISFIED WITH CURRENT PROVIDER, DISCHARGED FROM OTHER PROVIDER, PERSISTENCE AROUND ACCESSING WITHOUT SUCCESS), AND A PERCEIVED DESIRE AND ABILITY TO CONNECT WITH SOMEONE FOR VERBAL THERAPY (NOT MEDICATION ONLY).SERVICES ARE FLEXIBLE AND RESPONSIVE TO THE NEEDS OF THE INDIVIDUAL AND ARE PROVIDED IN INDIVIDUAL AND GROUP MODALITIES AND SOMETIMES OFFSITE. THEY INCLUDE OUTREACH, ASSESSMENT, INDIVIDUAL THERAPY, FAMILY THERAPY, SEEKING SAFETY, CBT, DBT, WELLNESS SELF MANAGEMENT, PSYCHIATRIC EVALUATION AND MEDICATION TREATMENT, OUTREACH- EXTRA SUPPORT OFFERED OVER THE PHONE OR IN THE COMMUNITY TO HELP CONNECT TO SERVICES OR TO HELP RE-CONNECT TO SERVICES AFTER A LAPSE IN PARTICIPATION, PEER SUPPORT, COORDINATION OF CARE (INCLUDING WITH PRIMARY HEALTH PROVIDERS), COMMUNICATING WITH OTHER PROVIDERS TO DEVELOP INTEGRATED PLANS OF CARE, HEALTH MONITORING, AND 24/7 CRISIS INTERVENTION AND COACHING TELEPHONE SERVICES.</Description>
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        <CurrentTaxYear>999</CurrentTaxYear>
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          <State>RESTRICTED</State>
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      <OtherLiabilities>
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        <Amount>67336</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>THIRD PARTY LIABILITY</Description>
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      </OtherLiabilities>
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        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>THE EXECUTIVE DIRECTOR ALSO RECEIVES A MONETARY SALARY THAT IS PAID DIRECTLY BY NEW YORK STATE, AN UNREALATED ORGANIZATION. HER WAGES FOR 2011 FROM THE STATE WERE $93,099 ($93,019 IN 2010). IT IS UNKNOWN HOW MUCH BENEFITS WERE PAID BY NEW YORK STATE FOR THE EXECUTIVE DIRECTOR.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>NEW PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 2</ReturnReference>
        <Explanation>SEE ONONDAGA CASE MANAGEMENT BEHAVIORAL HEALTH CLINIC PROGRAM DESCRIPTION FOR INFORMATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS REVIEWED BY THE BOARD IN DRAFT FORM DURING THE ANNUAL AUDIT REVIEW. THE SUPPLEMENTAL NARRATIVE IS FINALIZED AND PRESENTED TO THE BOARD FOR FINAL APPROVAL DURING A SUBSEQUENT BOARD MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS SIGN A CONFLICT OF INTEREST ACKNOWLEDGEMENT AND ANSWER A QUESTIONNAIRE TO DETERMINE IF ANY CONFLICTS EXIST. THE BOARD CHAIR WILL REVIEW THIS DOCUMENTATION AND DETERMINE IF ANY CONFLICT EXISTS. IN THE EVENT THAT A CONFLICT DOES EXIST, THE BOARD CHAIR WOULD THEN POINT THIS OUT AND / OR THE INDIVIDUAL WOULD NOT PARTICIPATE IN THE VOTING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>THE BOARD REVIEWS SIMILIAR NOT FOR PROFIT ORGANIZATION USING GUIDESTAR.ORG WHEN DETERMINING APPROPRIATE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE DELIBERATIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE BOARD MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE 990 AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON GUIDESTAR.ORG OR UPON REQUEST IN THE ACCOUNTING DEPARTMENT. CURRENTLY, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>FORM 990, PART XII LINE 2C: NO CHANGE FROM PRIOR YEAR. FINANCE COMMITTEE MEETS WITH AUDITS TO REVIEW FINANCIAL STATEMENTS AND 990. FINANCE COMMITTEE THEN BRINGS APPROVED FINANCIAL STATEMENTS AND 990 TO BOARD TO APPROVE.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>