Client Engagement and Navigation Services (CENS) Screening Referral Form

Please return this form to the CENS via [Secure] FAX or email upon Admission, No Show, or Rescheduled Appointment.

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Co-located - CENS staff are physically present onsite with designated days and hours to deliver CENS services.

Connected Sites or Referral Only - Permanent Supportive Housing (PSH) locations where CENS services can be requested for onsite support as needed. Please contact the CENS area office to coordinate.

Scattered Sites - Please contact the CENS area office to coordinate.

CENS Area Offices

SPA

LEAD AGENCY

CENS PSH MANAGERS

Tarzana Treatment Centers

44447 North 10th Street West

Lancaster, CA 93534

Phone: (661) 726-2630

FAX: (661) 723-3211

David Jones

(661) 941-8413

dajones@tarzanatc.org

San Fernando Valley Community

Mental Health Center

14515 Hamlin Street Suite 100

Van Nuys, CA 91411

Phone: (818) 285-1900

FAX: (818) 285-1906

Gena White

(818) 285-1900 x 7078

Mobile: 818-442-7368

GWhite@sfvcmhc.org

Prototypes, A Program of Healthright 360

11227 Valley Boulevard, Suite 100

El Monte, CA 91731

Phone: (626) 444-0705

FAX: (626) 444-0710

Donna Dampier

(626) 444-o705

dampier@prototypes.org

Homeless Health Care Los Angeles

2330 Beverly Boulevard

Los Angeles, CA 90057

Phone: (213) 744-0724

FAX: (213) 748-2432

Brittney Carter

Direct: (213) 381-0511

Mobile: (213) 549-8321

bcarter@hhcla.org

Didi Hirsch Mental Health Services

4760 Sepulveda Boulevard

Culver City, CA 90230

Phone:(310) 895-2300

FAX:(310) 895-2353

Charles Bullitts

(310) 895-2308

cbullitts@didihirsch.org

Will Taetzsch

WTaetzsch@didihirsch.org

(310) 895-2344

Special Service for Groups

Homeless Outreach Program

Integrated Care System

5715 S. Broadway Avenue

Los Angeles, CA 90037

Phone:(323) 948-0444

FAX: (323) 948-0443

Efrain Palma

Office: (323) 948-0444 x 1760

epalma@hopics.org

Los Angeles Centers for Alcohol and Drug Abuse

9300 Santa Fe Springs Rd

Santa Fe Springs, CA 90670

Phone: (562) 273-0462

Toll free: (844) 804-7727

Rachel Carrillo

Office (562) 906-2676

Ext. 109

RCarrillo@lacada.com

Behavioral Health Services

15519 Crenshaw Boulevard

Gardena, CA 90249

Phone: (310) 973-2272

FAX: (310) 973-7813

Adriana Pascacio

(310) 704-7676 ext 1289

apascacio@bhs-inc.org

CENS At-Risk Presentations

CENS can provide individual/group presentations on the following topics:

SUD in Your Community
Recognizing and Responding to Overdose with Naloxone
Health Consequences of Substance Use
Being at Risk for SUD
Understanding the Connection Between Mental Health and SUD
Relapse Prevention and Healthy Coping
Understanding the Risk of Cannabis
Harm Reduction Strategies and Syringe Exchange Programs

Los Angeles Department of Health Services, Community Programs | 655 Maple Ave. | Los Angeles, CA 90014 US

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