Advocacy Code Card Jan 2004 ADVOCACY RESOURCES FOR COMMON PROBLEMS* What is Advocacy? Using information and skills to access benefits, services and entitlements, and/or to enforce individual or group rights. Advocates may intercede on behalf of individuals and/or educate community members to assert themselves. Advocacy includes assisting individuals directly and working towards systemic and/or legislative reforms. GENERAL ADVOCACY TIPS TO HELP PATIENTS Telephone or write a letter to the landlord or agency caseworker. Move up the agency’s chain of command to access benefits and services on patient’s behalf. Help de-stigmatize the use of government benefits such as food stamps and other resources by encouraging patients to access such services. Document patient's need for services on charts. Encourage families to reapply or appeal if they were denied benefits or services. Appeals are time-sensitive: appeal first, then search for an attorney. Help families think about maximizing income by using alternative sources of income support (food stamps, fuel subsidies, childcare vouchers, etc.). SAMPLE SCREENING QUESTIONS How are you making ends meet? Do you have enough food to eat? Do you have health insurance (NOT Free Care)? Are you worried about safety for you/your child? Where are you living? How is the environment at home? Every couple fights—what are fights like in your home? Do fights ever become physical? Do you have back bills or rent that you’re worried about? Families are usually eligible for certain benefits if their gross income, before taxes and deductions, is less than the Federal Poverty Level (FPL). 2003 FPL GUIDELINES HH # 100% 125% 185% 200% 1 $8, 980 $11,225 $16,613 $17,960 2 $12,120 $15,150 $22,422 $24,240 3 $15,260 $19,075 $28,231 $30,520 4 $18,400 $23,000 $34,040 $36,800 5 $21,540 $26,925 $39,849 $43,080 6 $24,680 $30,850 $45,658 $49,360 7 $27,820 $34,775 $51,467 $55,640 8 $30,960 $38,700 $57,276 $61,920 (add $3,140 for each additional person) HEALTH INSURANCE ADVOCACY Specific Health Plans Affinity Health Plan: 1-866-AHP-5678/1-866-247-5678 Community Premier Plus: 1-800-867-5885 Fidelis Care NY: 1-888-343-3547 MetroPlus Health Plan:1-800-475-METRO/475-6387 New York-Presbyterian Community Health Plan: 1-800-261-4649 ABC Health Plan: (800) 298-2431/(800) 298-2420 Centercare Health Plan:1-800-545-0571 Health Plus Health Plan: 1-888-809-8009 Neighborhood Health Providers: 1-800-826-6240 Helpful Phone Numbers NYS Insurance Dept. (General Info):1-800-342-3736 NYS DOH-complaint line re:HMOs:1-800-206-8125 NYC Human Resource Administration (Medicaid and General Public Assistance): 1-877-472-8411 (within NYC) 1-718-557-1399 (outside NYC) HOUSING Subsidized Housing: Federally funded, privately owned developments; apply to each individual development Public Housing: Government funded, government-run housing; must apply at a Local Housing Authority (LHA) Section 8: Federally funded vouchers used to subsidize rent in private apartments, dispensed by LHAs and agencies appointed by the DHCD Healthy Housing Screening Questions (HOMES): Has HOUSING ever been a problem for you? Do you spend OVER half your income on rent? Do you ever have MOLD, roaches, or MICE at home? EVER been tested for lead? Do you have SMOKE detectors and window guards? FOOD STAMP ELIGIBILITY Income and resources are used to determine food stamp eligibility. Income includes wages, unemployment benefits, public assistance, pension/social security, and child support, but DOES NOT include the value of a home, belongings, cars, or life insurance policies. Check eligibility at 800-342-3009. * Based on Boston Medical Center Advocacy Code Card by Eric Fleegler, MD and Ellen Lawton, JD. Children’s Hospital and Dept. of Pediatrics, Boston Medical Center. This version compiled by Columbia University Academic Pediatric Fellows. TIPS FOR IMMIGRANT FAMILIES Undocumented parents can safely access benefits for citizen children. Accessing food stamps, health insurance, WIC, and public housing will not affect immigration status All families with children <5yo and below 185% FPL are eligible for WIC, regardless of immigration status. Undocumented immigrant families should NOT disclose their immigration status, visa, or passport information to any state or federal agency. Undocumented families should NOT use false names or Social Security numbers when completing birth certificates or other official documents. Immigrant families should not be afraid to report a landlord to inspectional services or take a landlord to court to fix substandard housing conditions. RESOURCES Advocacy & Legal Services Advocates for Children: 212-947-9779 Bronx Legal Services Corp: 718-993-6250 Bronx Parent Resource Center-Family Advocacy/Entitlements: 718-583-2447/718 -220-0456 Legal Services for Children: 212-683-7999, ext. 236 Legal Services of New York: 212-431-7200 Manhattan Parent Resource Center: 212-964-5253 New York Lawyers for the Public Interest, Inc.Disability/Special Education: 212-244-4664 New York Legal Assistance Group: 212-750-0800 Resources for Children with Special Needs-Referral Service: (212) 677-4650 Sinergia, Inc.-Developmental Disabilitities: 212-496-1300 City Bar FundCommunity Outreach Law Program: 212-382-6629 Immigration Issues for women & children: 212-382-4711 Covenant House New York-Legal Services: 212-613-0300 The Door-A Center for AlternativesLegal Services to 12-21 year olds: 212-941-9090 Ext. 3280 Harlem Legal Services, Inc: 212-348-7449 Lawyers Alliance for New York: 212-219-1800 Legal Aid SocietyVolunteer Division/Community Law Office: 212-426-3000 Bronx Courthouse Office: 718-681-8712 Bronx Neighborhood Office: 718-991-4600 Harlem Neighborhood Office: 212-633-3293 Juvenile Rights Division: 212-312-2260 New York Civil Liberties Union Reproductive Rights ProjectReproductive rights of low-income women, teenagers’ rights to confidential health care, reproductive health services, and rightf of pregnant and parenting teens to remain in school: 212-344-3005, ext. 236 NYC Housing Court Civil Court Information Line: 212-791-6070 Asthma Asthma Action Line –provides educational material, referrals, literature. 1-877-278-4620 or 212 788-5002 Healthy Neighborhood Program- home assessment, education, free mattress covers 212-360-5980 (primarily East Harlem) Community Voices Asthma Basics for Children Workshops for asthma, VNS referrals: 212-304-6521,7272 Child Abuse & Trauma (see also Domestic Violence and Sexual Assault) Columbia U. Child Advocacy Center 212-305-6474 Montefiore Child Protective Services 718-920-8463 Child Care ChildCare Aware.org Advice re daycare: 800-424-2246 ChildCare Resource and Referral Centers in NYC: 1) Day Care Council of NY: 212-206-7818 2) Child Care INC: 212-929-4999 3) Child Dev Support Co: (Brooklyn) 718-398-6738 NY State Dept of Fam Assistance: 518-474-9454 To apply for subsidized child care or vouchers: Agency for Child Development: (718) FOR-KIDS If on Public Assistance: 718-291-1900 Parenting Support Audubon Youth Mental Health Project rules/discipline support group, kids 5-7: 212-781-5500 Spanish Parenting Support Group located @ Gouverneur hospital: 212-614-6353 Spanish Parent Empowerment Training for homeless/formerly homeless: 718-293-7449 Parent Support Group problems @ home/school: (212) 368-4100 x 14 or 22; 151 W. 136th St. Child Support NYC Child Support Enforcement Unit payments from noncustodial parents: 212-226-7125 Disability/Complicated Care AHRC support group for families: 212-780-2658 Families Together in NYS help and referral line: 888-3268644 UCP/NYC evaluations; education, recreational & vocational programs; support: 212-979-9700 Parent to Parent of NYS: 800-405-8888 Natl Inf Ctr for Children & Youth with Disabilities: 800695-0285 Resources for Children with Special Needs, Inc.: 212677-4650, www.resourcesnyc.org SSI cash assistance for the disabled: (800) 772-1213, www.ssa.gov Domestic Violence & Sexual Assault Project Faith 888-343-4866 DOVE 212-305-9060 Partner’s Anonymous, Inc. 212-927-7738 New York Asian Women’s Center 888-888-7702 Haitian Women’s Program 718-399-0200 Education Department of Education- for placement: 917-521-3700 Special Education- for ages 3 and above- 212-795-4656 Head Start Programs- 212-361-6753 Universal Pre-K- for 4 year olds: 917-521-3764 Special Needs: Charma Child Development Center- for 2-4 year olds 212-368-4710 Families Together- 212-305-0901 Support Group for Parents- 212-305-0901 English Language Learners- 917-521-3744 Alianza Dominicana-programs for drop out prevention, GED, education, training, and employment- 212-7401960 Food & Nutrition Resources NYS Temp Ass Hotline food stamps: 800-342-3009 The Hunger Hotline for emergency food assistance/food pantry info: 866-888-8777 Selected Food Pantries/Soup Kitchens (call first): Washington Hgts Ecumenical Food pantry: 212-781-8328 Good Shepherd, 207 st: 212-567-1300 St James Soup Kitchen, 141st st: 212-283-4541 Riverside Church, Claremont Ave: 212-870-6760 Women, Infants & Children (WIC) food for pregnant women & kids <5 yrs. Selected locations: 1727 Amsterdam Ave 10031 212-862-0054 622 W 168 St 100332 212-305-7122 170 233 St 10463 718-796-1657 68 Nagle Ave 10040 212-304-0428 Gay and Lesbian Resources Gay & Lesbian Anti-Violence Project: (212) 714-1141 PFLAG support for parents whose child has come out: (212) 463-0629 or (718) 271-6663 Alianza Dominicana HIV-related & other services: (212) 795-4226 Peer Listening Line: M-F 5-10pm (800) 399-PEER Outright Youth Sppt Line: M-F 10am-6pm (800) GLB- CHAT The Gay & Lesbian National Hotline: M-F 4pm-12am & Sat 12pm-5pm (888) THE-GLNH Health Insurance/Healthcare Child Health Plus All children under the age of 19 who are residents of NY State are eligible for Child Health Plus, regardless of income or immigration status. To Apply: 1-800-698-4KIDS (1-800-698-4543) NYC DOH/Mental Hygiene: Info about Facilitated Enrollment Centers according to Borough: 212-788-5500 New York/Manhattan Generations/Northern Manhattan Health Network: 718-579-4202/718-579-7587 Hispanic Federation: 212-233-8955, ext. 19 Washington Heights Health Center: 212-491-1661/4453 212-694-2399 Alianza Dominicana, Inc.: 212-740-1960, ext. 134/130 Medicaid Medicaid Helpline: 877-463-7680/ 800-541-2831 Medicaid Managed Care: 800-505-5678 Family Health Plus Public health insurance program for adults between the ages of 19 and 64 who do not have health insurance, but have incomes that are too high to qualify for Medicaid. To enroll: 1-877-9FHPLUS/1-877-934-7587 Prenatal Care Assistance Program (PCAP) PCAP offers complete pregnancy care and other health services to women and teens who live in New York State. No cost to eligible women: Growing Up Healthy Hotline (Referral Line) 1-800-522-5006 Healthy NY State-sponsored health insurance program for uninsured working individuals. To Apply: 1-866-HEALTHYNY/ 1-866-432-5849 Housing Homelessness/In Need of New Housing: Emergency Assistance Unit (EAU): 151 East 151st St. Bronx, New York 10455 New York City Housing Authority- 212-306-3000 Section 8 : for victims of domestic violence, homelessness, Intimidated witness. 212-306-3000 *for NYCHA and Section 8 can call borough office for eligibility or application status. 212 828-7100 ACS Housing Subsidy for those unable to reunite with children due to poor housing or for those 18-21 who are placed out of foster care- 212 341-3650 Jiggetts- supplement for those in arrears with rental payments. Call 311 to contact HRA center to apply for grants. New York City Department of Housing Preservation and Development (HPD)-lists of available low and moderate income apartments in all 5 boroughs. For English (212) 863-5610 For Spanish (212) 863-5620 Immigrant & Refugee Resources (see also Advocacy and Legal Resources) African People’s Council- Provides services to African immigrants/refugees: 212-346-9750 African Services Committee- Provides HIV Testing/AIDS Counseling to immigrants: 212-222-3882 Asian American Legal Defense and Education Fund: 212-966-5932 Caribbean Women’s Health Association Immigrant Service Center- Provides DV, Maternal/Child Health, Immigrant Services: 718-826-2942 Catholic Charities of New York, Dept. of Immigrant & Refugee Services: 212-419-3700 Central American Legal AssistancePrefers: Central American clients: 718-486-6800 City Bar FundProvides services to those seeking asylum, and domestic violence survivors: 212-382-6629, ext. 471 ESL/Language Classes for Immigrants/RefugeesLimited to: permanent residents, refugees, asylees: 212-662-3200 Hebrew Immigrant Aid Society (HIAS): 212-216-7697 Immigration Hotline: 212-419-3737 Immigration Services & Benefits (BCIS)National Customer Service Center Provides General Information: 1-800-375-5283/ TTY: 1-800-767-1833 The Legal Aid Society-Immigration Law UnitProvides: Representation in immigration courts, political asylum, help with social issues: 212-440-4300 New York Association for New Americans: 212-425-5051 Northern Manhattan Coalition for Immigrant Rights: 212-781-0355 Office of Immigrant Affairs: 212-788-9389 Safe Horizon Immigration Legal ServicesLawyers: (718) 899-1233, ext. 129 Referral Services: (718) 899-4000 Job Resources/Training These sites offer free training and job search resources. Allianza Dominicana Center for Employment Training & Education: 212-740-7600 Job Corps: 800-733-JOBS Dominican Women’s Development Corporation: 212740-1929 Sexual and Reproductive Health Planned Parenthood: (800) 682-9218 or 212-965-7000 Adolescent Health Ctr., Mt. Sinai 312 E 94th st b/t 1st & 2nd 212-423-3000 Audubon Clinic 21 Audubon Ave. 212-342-3232. Young adults clin, young men’s clin. The Ryan Center 110 W. 97th b/t Col & Amst. 212-7697269. Also Ryan Shout Van 212-316-7912 FROST’D mobile teen health van. 212-924-3733 (includes needle x-change srvc) Harlem Hospital Adol.Program 506 Lennox Ave @ 135th. 212-939-2360 Helen B. Atkinson Ctr 81 W. 115th st b/t Lennox & 5th. 212426-0088 Listings of free/anonymous Sexually Transmitted Disease (STD) testing locations, statewide: call 311 Substance Abuse/Smoking Cessation Alcoholics Anonymous: 212-647-1680, English and Spanish referrals Creo Yo-Alianza Dominicana program for 11-17 year olds with substance abuse. 212-740-1960 1-800-lifenet for alcohol and substance abuse, mental health, events related to September 11. Smoking Cessation Group at Morgan Clinic 212-939-6001 The Smoking Cessation Clinic at the NY State Psychiatric Institute, 21 and above: 212-543-5905 Smoking Cessation Program- St. Luke’s Hospital, 21 and above: 212-523-4410 Teen Resources Key: T=tutoring/homework, J=job training/placement, C=counselling, S=sports or recreaction classes, H=Health ed, D=dance YMCA of NYC 212-281-4100 (multiple sites) Pathways for Youth 718-828-4518. (mult. Sites S. Bronx) T, S, H Community League “Ujima” Prog. 500 W. 159th @ Amst. 212-795-4779. T, H, J, S, self esteem workshops. The Valley 1047 Amst. Ave b/t 111th & 112. 212-222-2110. T, J, H, S, youth fathers program Fresh Youth Initiative 280 Ft. Wash#5 @172. 212-7811113. H, C, T, youth-lead community service programs Goddard Riverside Youth Ctr 154 W. 93rd b/t Col & Amst. 212-866-0009. T, S, D, Art, aerobics Graham-Wiindham T.I.E.S. 625 W 133rd b/t B’dway & 12th 212-368-1622 T, S, C, D, parenting classes Boys and Girls Club 530 W. 133rd b/tAmst & B’dway 212283-6770. T, S, D, computer classes Nitestar Program 1090 Amst.b/t 113 &114. 10th floor. 212523-3688. H, D peer ed. through song, dance, theater Children’s Arts & Sciences Workshops, Inc 300 Ft. Wash. B/t 172 & 173. Suite 1H. 212-923-7766. T, J, S, D, Tae Quon Do, art, science Double Discovery Center 521 W. 114@ Amst. Lion’s Ct. Room 206. 212-854-3897. T, J, PSAT/ SAT classes, personal development workshops Please see blue spiral “the Guide” by the Adolescent Initiative Project of N. Manhattan for more complete lists and descriptions. www.pffh.org and look under the Adolescent Initive Project (AIP) Utility/Fuel Assistance Citizen Service Center: 311 For complaints re: heat and hot water; also Home Energy Assistance Program [1 time grant to homeowners or renters to pay fuel and utility costs]. SAMPLE ADVOCACY LETTER REQUESTING SERVICES An advocacy letter should contain the following elements: 1. Specific nature of the problem & medical diagnosis 2. The law or requirement that applies to the problem 3. How the specific problem and the rule that applies to it relate to the patient's condition 4. Specific consequences of the diagnosis (ie, ER visits) 5. Request for action Dear Landlord: This letter is in regard to my patient, Sally Jones. Sally is a ___ year old girl/boy who lives at 123 Broadway, Apt. #4. I am writing to request that you clean up the lead paint chips and repaint Sally’s apartment so that the Sally and her family are no longer exposed to lead paint and paint chips. Exposure to paint chips can be very dangerous to a child’s health and can result in poor physical and mental, developmental, gastrointestinal, and neurological disease (including learning disabilities and mental retardation) and possible death. The local Board of Health requires that all apartments be lead-free. According to Sally’s mother, Sally is constantly exposed to lead paints, which flakes off the walls of her apartment. As a result, this is putting Sally at great risk in terms of her health. The presence of lead paint and resultant paint chips is in violation of the housing code regarding lead-free housing in New York City, and it also violates the implied warrantly of habitability. I request that you immediately remedy this problem by performing the required lead-paint abatement in Sally’s apartment. Please feel free to contact me at 212-___-____ if you have any questions. Thank you for your time and consideration with this matter. Sincerely, Dr. Mary Pediatrician cc: Family Medical Record Referral to Lawyer