Children's SPOA Referrals

The NYS Office of Mental Health (OMH) and the Conference of Local Mental Hygiene Directors (CLMHD) have launched two new universal referral applications to help simplify access to Children's Single Point of Access and intensive mental health services for youth. 

New Application Documents:

  1. C-SPOA Application Part 1 (Madison County)
    • 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. This application asks for general information about a youth's demographics and mental health needs.

    • Although this is a universal application, this particular Part 1 application has been updated with specific details for Madison County.

  2. C-SPOA Universal Application Part 2
    • This application is for referring a youth to Children's Community Residence (CCR) and Residential Treatment Facility (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. Please note that this application is also for accessing Youth Assertive Community Treatment (ACT), but Youth ACT is not currently available in Madison County.
      Remove this file
  3. C-SPOA Application Part 2 - RTF Required Consents
    • These consents must be completed when referring a youth to RTF services.

The following resources are available to help with completing the new applications:

If you have questions, please contact the Madison County Children's SPOA Coordinator at 315-366-2327. Applications can be submitted by encrypted email to or fax to 315-750-3424.