• Referral Form

    LifeLine RCO's & LifeLine Respite ....... a place to breathe
  • Date of referral*
     - -
    2 digit month, 2 digit day, 4 digit year
  • County of residence?*
  • Referral Source*
  • Status of Referred Individual*
  • Recovery Community Organization (RCO)
    The Recovery Community Organization (RCO) provides peer-led support services designed to empower individuals on their recovery journey. Services include daytime support groups, peer support, recovery coaching, and connections to community resources. Our trained Peer Specialists use their lived experience to offer encouragement, hope, and guidance in a safe and supportive environment. For individuals who face transportation barriers, peer staff are able to meet them in the community or at another mutually agreed-upon location to ensure access to services and support.

    LifeLine Peer Respite
    LifeLine Peer Respite is a six-bed, short-term program that offers a safe, supportive, and non-clinical environment for individuals experiencing emotional distress or life challenges. Eligible individuals may stay for a brief period while receiving peer support from trained staff who have lived experience in recovery. During their stay, peers work collaboratively with residents to develop or strengthen a personalized recovery plan, identify wellness strategies, build coping skills, and connect with community resources. The goal is to help individuals move toward greater independence, self-determination, and long-term recovery.

    PATH (Projects for Assistance in Transition from Homelessness)
    The PATH program provides outreach, engagement, and supportive services to individuals who are experiencing homelessness or are at imminent risk of homelessness and have a serious mental illness. Individuals may also have co-occurring substance use concerns; however, a serious and persistent mental illness must be the primary qualifying condition for services. PATH staff assist individuals in accessing housing resources, behavioral health services, healthcare, benefits, employment services, and other supports that promote stability and recovery. Staff also help individuals establish income sources through employment, public benefits, or disability programs when appropriate.

     

  • Referral to which Program*
  • Why is this individual being referred to RiteLife Services, Inc.?
  • Is there currently a Release of Information for RiteLife Services, Inc.?
  • Should be Empty: