For Parents & Families
ADVOCACY RESOURCES in Rhode Island
What is Advocacy? The process of asserting oneself or interceding for someone else within a system to get the benefits for which they are eligible. Advocacy can work both through direct aid and through longer-term policy work – always toward a goal of self-empowerment through knowledge of one’s rights.
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GENERAL ADVOCACY TIPS TO HELP PATIENTS
• Make a telephone call or write a letter to the landlord or agency caseworker. Use the agency’s chain of command to ask questions for the patient. • 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 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, child care vouchers, etc.).
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HOW TO REFER A PATIENT WHO NEEDS ADVOCACY SERVICES
Identify the problem using the Code Card categories. • ACUTE CRISIS (domestic violence, child abuse) - Refer to a pediatric social worker (401) 444-5258 • NON-ACUTE CRISIS - Refer to Family Help Desk or Family Advocacy Program (401) 444-3874 (open 1-5, M-Fri)
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RI Family Advocacy Program
is a medical/legal partnership to improve the health of low income children. An attorney from RI Legal Services spends 2 afternoons/week at Hasbro Children’s Hospital working with patients who have been sent to her by health care providers. Through direct legal services and provider education, RIFAP helps to address root social problems in areas including housing, family law, and public benefits, that cause illness in children. For information, call 444-3874 or 461-0786 Families are usually eligible for certain benefits if they receive less than the Federal Poverty Level (FPL), which is based on gross income, before taxes and deductions.
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HEALTH INSURANCE ELIGIBILITY
Families earning <185% FPL and children and pregnant woman earning <250% FPL are eligible for insurance regardless of their immigration status. Make sure ALL your patients are receiving the most complete coverage they can through RIteCARE / RIteSHARE.
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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 the home the family lives in, belongings or life insurance policies.
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TIPS FOR IMMIGRANT FAMILIES
• Families are eligible for food stamps if they are citizens or eligible non-citizens who meet the income/resource guidelines. Undocumented parents can safely access food stamps for citizen children. • Receipt of food stamps, health insurance, and WIC will not affect a family’s immigration status. • All families below 185% FPL are eligible for WIC, regardless of immigration status. • Undocumented persons may be eligible for RIteCare or Medical Assistance.
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SAMPLE SCREENING QUESTIONS
• How are you making ends meet? • Do you have enough food to eat? • Do you have health insurance? • Are you worried about safety for you/ your child? • Where are you living and how is the environment in your home? • Was your home built before 1978? • Does it have peeling or chipping paint? • Every couple fights – what are fights like in your home? Do fights ever become physical? • Have you ever gotten a restraining order against someone?
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Advocacy & Legal Services
Family Advocacy Program/Family Help Desk: 444-3874 Rhode Island Legal Services: 274-2652 Disability Law Center: 831-3150/800-733-5332 International Institute (Immigration): 461-5940 Lawyer Referral Service: 421-7799 Mental Health Advocate: 462-2003/800-346-2282 Traveler’s Aid: 351-6500/800-367-2700 Volunteer Lawyer Program: 421-7758/800-339-7758
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Adolescent Resources
Adolescent Clinic/Teen-Tot: 444-5980 Training School medical office: 462-7230/7234 STD/HIV hot line: 800-584-8183 AIDS info: 273-9333
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Car Seats
Car seat safety: 444-7894 Auto Safety hotline: 800-424-9393
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Child Abuse and Trauma
DCYF: 1-800-RICHILD Child Protection (Dr. Jenny): 444-3996 Victims of Crime- 24-hour Crisis Line: 1-800-494-8100 Sexual Assault &Trauma Resource Center of RI: 401-421-4100 (for on-site counseling) RI Coalition Against Domestic Violence: 401-467-9940 Women’s Center of RI (shelter): 861-2760 National Battered Women’s Line: 800-799-SAFE National SIDS support: 800-221-SIDS
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Child Care
Department of Human Services: 462-1000 DHS low-income working family daycare program: 222-7133 Options for working parents: 272-7510
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Child Support
Child Support Enforcement Unit: 222-2847
Disability
Disability Law Center: 831-3150/800-733-5332 Rhode Island Parent Information Network (RIPIN): 727-4144/800-464-3399 Social Security Administration (SSI, SSDI): 800-772-1213 Family Voices: 727-4144 Federation for Children with Special Needs: 800-331-0688 RI School for the Deaf: 222-3525 RI Dept. for Corrections education Dept.: 462-2507 Bradley Hosp: 432-1000 Butler Hosp: out pt.: 455-6230/ in pt.: 455-6200
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Domestic Violence (DV) & Sexual Assault:
RI Coalition Against Domestic Violence: 467-9940 DV/Sexual Assault Unit of the Attorney General: 274-4400 x2310 Sexual Assault & Trauma Resource Center of RI: 421-4100 Blackstone Shelter (Blackstone Valley Area): 723-3057 Elizabeth B. Chace House (Kent County): 738-1700 Sojourner House: Providence Hotline: 658-4334 Women’s Center of RI (Greater Providence): 861-2760 Women’s Resource Ctr. of South County: 782-3990 Women’s Resource Ctr. of Newport/Bristol Counties:847-2533
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Durable Medical Equipment Supplies:
AmCare: 272-0610 Claflin 437-0806 Van Guard: 468-1300
Early Intervention & Head Start:
Family Health info line will help direct parents to nearest resource center: 1-800-942-7434/222-2312 EI: For children (0-3 years) with developmental delays, certain diagnosed conditions, prematurity, or environmental concerns for future developmental problems Hasbro: 444-3201 Meeting Street (Prov): 438-9500 Groden Center: 274-6310 Trudeau (Central): 823-1731 Head Start (for at risk children 3-7 years): Providence: 272-1760 Child, Inc (Warwick area): 828-2888 New Visions: 846-5454 East Bay/ E. Providence: 437-0018 Tri-Town: 232-5444 Dept. of Education (3-21 years): 222-4600 See IEP Schools must comply with both: IDEA: Individuals with Disabilities Education Act (P.L.94-142) & Section 504 of the Rehabilitation Act of 1973 for free appropriate education for “qualified handicapped persons”
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Education
RI Department of Education: 222-4600 RI Parenting Network: 727-4144/800-464-3399 Special Needs Education Parents Support Network: 467-6855/800-483-8844 Disability Law Center: 831-3150/800-733-5332
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GED/ ESL
Dorcas Place: 273-8866 Genesis Center: 781-6110
Financial Assistance
Department of Human Services Info line: 462-5300 Department of Labor and Training: 462-8000 Social Security Administration: 800-772-12135 Temporary Disability Insurance: 462-8420 Unemployment Insurance: 243-9100 Workers Compensation: 462-8100
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Food & Nutrition Resources
Food Stamps Providence: 222-7000 Northern Rhode Island: 235-6300 Warwick: 738-8900 Southern Rhode Island: 1-800-282-7021 Department of Human Services Info Line- 462-5300 Women, Infants & Children (WIC) food basics for pregnant women and children under 5: 800-942-7434 Department of Health Family Health info line: 1-800-942-7434 RI Community Food Bank: 826-3073 RI Food Bank Website Traveler’s Aid: 351-6500/800-367-2700
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Health Insurance
Free health care is not health insurance! RIteCARE: 462-1300 English; 462-1500 Spanish Medicaid/SSI: 222-3182 Department of Human Services Info Line: 462-5300 Free/low cost health care at Community Health Centers: Central Falls: 724-7110 Cranston: 943-1981 Johnston: 351-2750 Pawtucket: 722-0081 Providence 444-0400 (call for local centers) Woonsocket: 767-4100
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Housing
Subsidized Housing: Federally funded, privately owned developments; must apply to each development individually Public Housing: Federally funded, government-run housing; must apply at a Local Housing Authority (LHA) in individual city/town Section 8: federally funded vouchers used to subsidize rent in privately owned apartments, dispensed by LHAs and other state-appointed agencies such as RI Housing and Mortgage Finance Corp. HOMES: Healthy Housing Screening Questions: • 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 a SMOKE detector, window guards and SCREENS? Code Enforcement: In Providence- 427-7740 call local city/town hall Office of Housing and Urban Development: 528-5230 Providence Housing Authority: 751-6400 RI Coalition for the Homeless: 421-6458 Traveler’s Aid: 351-6500/800-367-2700 RI Coalition for the Homeless: 421-6458 Rental/Housing Assistance Programs: 528-5370 RI Housing Authority: 751-5566/800-427-5560
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Lead
Childhood Lead Action Project: 785-1310 Help Lead Safe Center: 421-8595, fax 421-8449 RI Childhood Lead Poisoning Control Prog. : 222-4602 RI Department of Health: 222-2231
Wash toys & hands frequently- before meals, snacks & after playing outside Discourage child from putting things in mouth; teach them to throw away food that has fallen on ground. Keep them away from dirt, chipped or peeling paint Offer good diet with foods rich in iron, calcium, Vit. C & low in fat Use spick & span or trisodium phosphate to clean areas with chipped paint/dust & wash floors, vacuum rugs, wet-wipe furniture at least once per week Use only COLD tap water for drinking, cooking, & making infant formula. Run water a few minutes before using it.
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Immigrant and Refugee Resources
The Genesis Center: 781-6110 International Institute:461-5940 Progresso Latino: 728-5920 Center for Hispanic Policy and Advocacy: 467-0111
Job Resources/Training
NetWORK-RI centers: (Call Prov. for other offices in RI) Providence: 222-3606 Pawtucket: 722-3100 Newport County Re-employment Center: 847-2038
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Mental Health
Samaritans: 272-4044/800-365-4044 Community Mental Health Centers: Northern RI: 766-3330 Gateway (Cranston, Johnston, Northwestern RI): 273-8100/800-274-3501 Comm. Counseling Ctr. (Pawtucket, CF): 722-3560 East Bay: 246-1195 Kent County: 738-4300 Newport County: 846-1213 National Alliance for the Mentally Ill (NAMI-RI): 331-3060/ 1-800-749-3197 Manic-Depressive & Depressive Assoc. of RI (MDDA): 254-2572/455-6338 URI Family Therapy Clinic: 874-5956 Providence Center: 276-4000 (ask for intake) Family Services: 331-1350 Children’s Friends & Services: 331-2900 John Hope Settlement: 421-6993/455-2330 Community Counseling Center (Pawtucket): 722-7855 East Bay MHC (Barrington): 246-1195 Kent County MHC (Warwick): 738-4300 RI Mental Health Association: 726-2285 Child Psych at HCH: 444-4515 (in-pt.: 444-8945) HCH Partial Hospital Program: 444-8638 Bradley Partial Program: 432-1000
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Emergency Counseling
Comprehensive Emergency Services (CES) for families at imminent risk for abuse, neglect, parental-child conflict, illness of parent: John Hope Settlement/Prov: 455-2330 (24-hrs) Pawtucket: 722-6053 Doric Center/Cranston: 467-9610 East Bay: 331-1350/2900
Parenting Classes/Parental Support:
RI Family Works: 800-731-0987 John Hope: 455-2326 or 2330 Parental Support of RI: 800-483-8844 Urban League: 351-5000 Children's Friends & Services: 331-2900 Community Intervention Services/ Providence Center: 276-4020 (intake) RI Parent Information Network (RIPIN- parents as teachers class): 274-4144/ 800-464-3399
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Poison Control:
Poison Center - greater Boston area: 800-682-9211
Psychiatric/Emergency Counseling
Comprehensive Emergency Services (CES) for families at imminent risk for abuse, neglect, parental-child conflict, illness of parent: John Hope Settlement/Prov: 455-2330 (24-hrs) Pawtucket: 722-6053 Doric Center/Cranston: 467-9610 East Bay: 331-1350/2900
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Sexual and Reproductive Health
Planned Parenthood of RI: 421-9220/9620 Facts Line: 621-6251 Problem Pregnancy of Providence: 421-0820 RI Department of Health: 1-800-942-7343 AIDS Care Ocean State: 273-1888/521- 3603 RI Department of Health’s HIV and AIDS Information Hotline: 1-800-726-3010 RI Breast Cancer Coalition: 1-800-216-1040
Substance Abuse:
24-hour Helpline for alcohol and other drug problems: 1-800-622-7422 Alcoholics Anonymous: 1-800-439-8860/ 438-8860 Drug and Alcohol Treatment Association: 521-5759 Narcotics Anonymous: 1-877-461-1110 RI Division of Substance Abuse: 462-4680 SSTAR Detox: 1-800-RI-SOBER (1-800-747-6237) Alcohol & Drug Dependence & Smoking hotline: 1-800-622-7422 (info and crisis intervention) RI Alcoholism & Drug Counsel: 721-0410 National Institute on Drug Abuse: 800-638-2045 Alcoholics Anonymous/ E.Prov: 438-8860 Providence Community Action: 272-0660 (13-17) Providence Center: 276-4020 Family Services: 331-1350 Stonington Adolescent & Adults: 800-832-1022 Kent County MHC: 738-4300/732-5656 East Bay MH: 431-9870 Emergency: 4354-7475 Butler (they do detox):455-6220 Emergency/admit: 455-6215 The Doric Center/Cranston: 781-3990 Adolescent day/outpatient programs: 888-374-7799 Residential: Caritas (females): 722-4644 & Corkery (males): 722-4867
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Smoking Cessation
RISE (RI stop smoking education for youth) 444-5959/5941 American Lung Association of RI: 421-6487 Miriam’s Center for Behavioral and Preventative Medicine: 793-4305
Utility and Fuel Assistance
Community Action Programs (CAP) – Low Income Energy Assistance Program: Blackstone Valley Community Action Program: 723- 4520 Comprehensive Community Action, Inc (Cranston): 467-9610 New Visions for Newport County: 847-7821 Providence Community Action Program: 273-2000 Self-Help, Inc (East Bay): 437-1000 South County Community Action: 789-3016 Tri-Town Community Action Agency: 351-2750 West Bay Community Action: 732-4660 Woonsocket Shelter Community Action Program: 767-0866 Public Utilities Commission: 941-4500 Salvation Army – Good Neighbor Fund: 231-8137
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Youth After-School Alternatives
YMCA: 831-9922 Boys and Girls Clubs: 444-0766 (South Side) 444-0768 (North Providence) Elmwood Community Center: 461-7940
Individualized Education Programs (IEP)
To: _________ Director of Special Education _________ School Address of school Regarding: Student’s name and DOB Dear Mr./Mrs. __________, My Daughter/son _____ is currently in __ grade student at the ______school. I am concerned about my child’s educational difficulties in the following areas: (list them) I believe that these problems may be interfering with my child’s ability to learn. Therefore, I am writing to refer my daughter/son ____ to the Multidisciplinary Team for an evaluation. I request that you conduct an individual evaluation to determine whether my child may be in need of special education services. Please contact me as soon as possible to discuss my referral. Sincerely: Name of parent, address, phone# (copies also to school prinicpal and classroom teacher)
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Advocacy Letter Requesting Services
An advocacy letter should contain the following elements: 1. Specific nature of the problem 2. The rule, law or requirment that applies to the problem 3. How the specific problem and the rule that applies to it relate to the patient’s condition 4. Request for action Example: Dear Landlord, I am writing to request that you fix the leaky radiator pipes in Jane’s appartment. Jane is my patient and lives at 123 Moldy Way. Jane is an asthmatic and allergic to molds. A board of health inspection found molds in the bedr6oom. The inspector found that the leaky pipes caused the mold.
Jane’s asthma is worsened by her allergy to mold. Mold can cause a restriction of her airways, which can lead to hospitalization or death.
The Local board of health requires that all leased housing be free of chronic dampness. According to Jane’s mother, the radiators leak constantly and the walls are covered with mold. The mold in the apartment therefore violates the law against chronic dampness in addition to significantly worsening Jane’s health. I request that you immediately remedy this problem by fixing the leaky radiators.
Please contact me at 000-0000 if you have any questions. Thank you for your time and consideration.
Sincerely
Concerned Doc, MD
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