Accepting referrals

Support that meets people where they actually live.

Comprehensive Community Support Services in Albuquerque — one-to-one work with a Community Support Worker, in the home and in the neighborhood, on the skills and connections that hold a life together.

Serving children, youth, and adults. No cost to ask whether we are the right fit.

Sandia foothills trail at sunrise near Albuquerque, New Mexico
Phone
(505) 391-1496
Reaches a person during office hours
Email
faithandhope@faithandhopecarenm.com
Answered next business day
Office
2109 Wyoming Blvd NE
Albuquerque, New Mexico
Office hours
Monday – Friday, 9am – 6pm
Closed Saturday and Sunday

CCSS services now available

What a Community Support Worker does

Compassionate, person-centered support for children, youth, and adults. Comprehensive Community Support Services is behavioral health support delivered where a person spends their day — the kitchen, the bus route, the clinic waiting room — not only in an office. A Community Support Worker meets one-to-one on a plan the person helped write, at a pace they set.

Building daily living skills

The practical routines that make independence possible, practiced in the real setting rather than described in a classroom.

  • Household routines, laundry, and meal planning
  • Budgeting, bill schedules, and shopping trips
  • Medication routines and appointment tracking
  • Getting around town and using public transit

Connecting to community resources

Linking a person to what already exists around them, so support does not depend on one worker or one agency staying forever.

  • Housing, food, utility, and benefit programs
  • Coordinating with therapists, prescribers, and schools
  • Groups, work, volunteering, and activities that fit
  • Getting through applications, paperwork, and renewals

Supporting goals, routines & independence

A written plan with goals the person chose, reviewed openly, and adjusted as circumstances change.

  • Person-centered goal setting and regular review
  • Daily and weekly routines that hold up under stress
  • Coping strategies and early-warning planning
  • Self-advocacy, and a steady step-down over time

Strengthening family and natural supports

The people already in someone's life usually matter more than any service. We work with them rather than around them.

  • Bringing parents and guardians into the plan
  • Coaching household routines everyone can keep
  • Reconnecting with relatives, friends, and community
  • Sharing progress with the care team, with consent

Not sure which of these a person needs? That is what the intake call is for.

Who we serve

Children, youth, and adults

The service is the same in principle and different in practice at every age. What changes is who else is in the room, what a good week looks like, and where the work happens.

Home and school routines

Children

Home and school routines

Work centers on the household and the classroom — routines, transitions, and regulation strategies — with parents and guardians involved from the first session, and coordination with the school team where it helps.

Toward adult independence

Youth

Toward adult independence

Practical steps into adulthood: managing a schedule, getting to appointments alone, first jobs, and learning to speak for yourself in meetings that are about you.

Stability and community life

Adults

Stability and community life

Holding housing, keeping appointments, managing money and medication, and rebuilding the connections that make a hard week survivable without a crisis call.

Not sure yet?

If you are unsure whether CCSS is the right service, call and ask.

There is no cost to a conversation, and we would rather point you somewhere better than take a referral we cannot serve well.

How it works

From referral to first session

Four steps, in order. We will tell you where a referral stands at any point — a case manager should never have to guess.

  1. Step 01

    Referral received

    Send the referral by phone, by email, or with the form below. We confirm receipt and tell you what, if anything, is still missing.

  2. Step 02

    Intake conversation

    We speak with the person and their family or guardian about what they need, what has already been tried, and what they want to be different.

  3. Step 03

    Plan and match

    Goals are written with the person, not for them, and we match a Community Support Worker to the schedule, language, and setting that fit.

  4. Step 04

    Support begins

    Regular sessions start in the home and community, with progress reviewed on a set schedule and shared with the people who need to know.

Why providers refer to us

What you can hold us to

Rather than testimonials — client stories are not ours to publish — these are the commitments a referral source can measure us against from the first call.

You hear back the same day

Referrals sent during office hours are acknowledged that day, and by the next business day otherwise. You will know we have it, and what is still missing.

We say no when we should

If we cannot staff the schedule, the area, or the language a person needs, we tell you at intake instead of holding the referral open. A slow no is worse than a fast one.

Progress goes back to the team

Notes and goal reviews reach the people coordinating care on the schedule you set, so nothing has to be reconstructed at the next meeting.

One worker, kept as long as we can

Continuity is the part that makes this work. We match carefully at the start and protect that relationship rather than rotating staff through a caseload.

The plan belongs to the person

Goals are written in their words, reviewed with them, and changed when they say something is not working — including when that means stepping support down.

Family stays in the loop

With consent, parents, guardians, and chosen supports are part of the work rather than an afterthought, especially for children and youth.

For referral sources

Send a referral

Case managers, clinicians, schools, guardians, and families can all refer. Fill in what you have — an incomplete referral is still worth sending, and we will follow up for the rest.

What to include

The form mirrors our paper referral sheet. If you would rather call it in or send it from your own system, either is fine — reach the office at (505) 391-1496.

  • Who is referring, and how to reach you
  • Your organization or agency and relationship to the person
  • The needs you are hoping CCSS will address
  • Area of town, preferred language, and best times to meet

Please do not include diagnoses, clinical records, or other protected health information in this form. Send those through your usual secure channel once we have connected.

Referral source & needs

CCSS

Goes straight to our office — we confirm every referral.

Common questions

Before you call

The things referral sources and families ask us most. If your question is not here, phone the office — we would rather answer it than have you guess.

Contact

We are accepting referrals now.

Call during office hours and you will reach a person. Email any time and we will respond on the next business day.

Send us a message

Fill in your details and your message goes straight to the office inbox.

We respond on the next business day.

Phone
(505) 391-1496
Monday – Friday, 9am – 6pm
Email
faithandhope@faithandhopecarenm.com
Referrals and general questions
Office
2109 Wyoming Blvd NE
Albuquerque, New Mexico

Compassionate support for every journey