A program of assertive outreach for homeless persons with severe mental disabilities. PATH is an acronym for Projects for Assistance in Transition from Homelessness, a federal program created in 1991 to provide essential, community-based services for homeless people who have serious mental illnesses. Its staff of three make contact with 400-500 homeless people each year.

The Outreach and Representative Payee program (OPP) has a mission similar to that of the PATH program, but for a broader target population. OPP serves homeless people who have any disabling condition, including physical disabilities, and disabilities resulting from alcohol and drug addictions. OPP also provides representative payeeship services.

Services Provided through Outreach and Treatment (SPOT) serves as a safety net for homeless individuals who are not participating in services offered by the community. From 1-9 p.m., seven days a week, SPOT provides a welcoming environment and an array of services to help clients achieve housing, health, and self-determination. Many of our Safe Haven clients come from this program.

This 50-bed Emergency Shelter serves men with mental or physical disabilities who are not easily served in larger shelters because of behaviors associated with psychosis, dementia, or other illnesses. Shelter staff members encourage participation in services, and promote clients' recovery efforts.

This shelter provides emergency shelter and supportive services for homeless adult women and children of Cuyahoga County. It has beds for 135 homeless women and children, and can accommodate an additional 50 on mats. Many of the women have conduct and anxiety disorders that arise from physical and sexual abuse. During the 2007 fiscal year, the shelter served 939 women, and 160 children.

A program of rehabilitative, supportive, and skill-building services that help clients achieve recovery, housing, health, and independence in the community. These services are more commonly known as case management, but are now formally called Community Psychiatric Supportive Treatment (CPST). Clients who participate in CPST services are homeless adults who have a schizophrenic disorder or other severe mental disorder.

Four residential programs offer homeless persons with severe disabilities opportunities to practice and master skills needed to achieve stable housing. Each facility offers community meals, furnished rooms/apartments, and recreational/socialization activities. Clients have the opportunity to participate in the development of operational policies.

Three programs offer permanent housing with supportive services for persistently homeless individuals with severe mental disorders. The first portion of Kingsway Manor was launched in September 2004; the other, in April 2005. Emerald Commons opened in 2007, offering 52 permanent housing units for mentally ill people. It was created by the Emerald Development and Economic Network, Inc. (EDEN), a non-profit housing development organization.