Community Integration (CIW)

Community Integration for adults (adult case management) is a service provided to individuals with a qualifying behavioral health diagnosis. The service is intended to work with individuals who have needs related to their diagnosis. Case Managers assist individuals in creating a treatment plan focused on meeting the specific needs of that person including but not limited to: housing, medication management, therapy, educational/vocational and social.


  • Advocates for clients’ needs with service providers and other organizations
  • Develops an individualized service plan with clients and guardians when applicable
  • Monitors the effectiveness of services, natural supports and resources
  • Promotes independence in order to maintain the least restrictive environment for adults to be active members of their communities
  • Identifies and offers referrals and resources to target any needs that the client and/or guardian may have
  • Builds relationships and forms partnerships to enhance care
  • Supports clients with obtaining MaineCare when needed
  • Support and assistance navigating complex systems such as Social Security benefits, housing resources/applications, HEAP, and WRAP applications.
  • Coordinates transportation to medical/behavioral health appointments

All CIWs are Mental Health Rehabilitation Technician Certified (MHRT) with a minimum of a provisional license if eligible to get a full MHRT-C within two (2) years of hire. In addition to these trainings, case managers are provided with quality clinical supervision and training opportunities intended to build their knowledge of the latest practices in working with adults who have behavioral health challenges.

Eligibility Criteria

Active MaineCare insurance coverage

Veterans insurance

Grant fund for those who qualify and do not have full Mainecare

Private pay

Age 18 or emancipated

Documentation of a qualifying mental health diagnosis that is under one year old and is considered eligible under the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders

For those without an eligible diagnosis of schizophrenia or schizoaffective disorder, a clinical letter attesting to the need for case management due to the following at-risk criteria:


               -Psychiatric hospitalization

               -Criminal Justice Involvement

               -Residential mental health care placement 


We provide Adult Case Management services in Kennebec, Somerset, Lincoln, Knox, Waldo, Sagadahoc, Franklin, Oxford, Penobscot and Cumberland counties.