Continuum of Care
109 Legion Avenue
New Haven CT 06519
Contact Information
Address 109 Legion Avenue
New Haven, CT 06519-
Telephone (203) 562-2264 x236
Fax 203-401-2040
Web and Social Media
Rebuild a Life

The mission of Continuum of Care is to enable people who are challenged with mental illnesses, intellectual disabilities and/or struggling with addiction to rebuild a meaningful life and thrive in the community.

A Great OpportunityHelpThe nonprofit has used this field to provide information about a special campaign, project or event that they are raising funds for now.

A Comprehensive Mental Health Substance-Abuse Treatment Program:
Continuum has identified a critical need and promising opportunity to leverage its expertise in helping individuals in a state of psychiatric crisis who are diagnosed with severe mental illness and co-occurring substance use disorder to stabilize, recover and rebuild their lives. We recently launched a new program, called Crisis Recovery Services (CRS), that leverages our resources and expertise in mental health crisis, and simultaneously enables us to diversify our payer sources that are currently limited by State funding. Within 6 weeks, the CRS filled its 8 beds to capacity. Referral sources are enthusiastic about the CRS, because until now, the only place they have to refer their clients who have severe mental health issues are to inpatient hospital care.  Hospitalization is not a conducive environment to further recovery, and it often causes patients to relapse or start all over again on their path to recovery.

The following is some background:

Connecticut lost more than 1,000 citizens to substance use last year.  The opioid crisis presents an overwhelming need for effective and intensive substance abuse treatment facilities. Hence, many facilities have launched or expanded their programs. Today, there are currently 100 Connecticut-based treatment facilities listed in Psychology Today.  However, according to Yale New Haven Hospital and residential treatment organizations such as AWARE and Turnbridge, there is a gap in expertise required to appropriately help patients who have a primary diagnosis of a severe mental health disorder, with a secondary substance abuse disorder condition.

Continuum has 25 years of providing best practices in mental health crisis and addiction treatment services, and over 50 years of exceptional experience helping individuals with severe mental health and co-occurring substance use disorders. We have a unique niche that fills a gap in the substance use treatment world.

Often, when an individual in a residential or home-based substance use treatment program exhibits mental health behaviors too difficult to manage, the treatment facility has no choice but to remove the client, at least temporarily, from his or her current living environment and either send him/her to the hospital or to a hotel room accompanied by a staff person. It may takes weeks before the client is stable enough to return. This is disruptive to treatment and can promote setbacks, relapses, and even rejection from the program altogether.

After much research and collaboration with various treatment providers, the answer was clear.  Continuum decided to leverage its mental health crisis expertise and create a small comprehensive and holistic residential program specifically for individuals in crisis who are diagnosed with a severe mental health disorder and a secondary diagnosis of substance use disorders.

The new CRS residential program opened in February with 8 openings. In less than 6 weeks it filled up. Clients in crisis were referred to us by other substance use programs. Some clients graduated and moved on to their original treatment program, while other clients are moving into our step-down home with supervision. Currently we have a waiting list which is anticipated to grow, so we are looking to enlarge our capacity.

The CRS presents an excellent opportunity for expansion and meeting the needs of more people who are falling through the cracks due to lack of appropriate experience and care. Expansion would allow us to help more individuals to effectively recover from a state of mental health and substance use crisis to stability and long-term recovery. Further expansion would also enable the program to address clients' longer-term recovery so that they can go from crisis, to a step-down transitional living arrangement, and then to longer-term supported living in the community.

In order to expand, we will need to renovate and repurpose one of our existing multi-family homes so that we could serve 18 people simultaneously in either a crisis phase or step-down transitional phase.  This expansion would help approximately 125 persons move from Phase 1 (crisis avg 30 days) to Phase 2 (step-down avg. 30-90 days) and go from hopelessness and despair to a new life of clean living and continuous recovery.

The third phase of the crisis recovery program is critical to sustainable recovery but is not yet fully available in our program.  It is a more independent living arrangement with supportive services in order to ensure sustained clean living and long-term recovery.  This would last on average 1 year.

The CRS provides financial benefits as well. Our 25-year long-standing Crisis program is primarily funded by the Department of Mental Health and Addiction Services, and it is restricted to State funding. The new CRS enables Continuum to expand our funding sources to insurance-based fee-for-service.
This is an exciting venture, and many residential substance treatment facilities are enthusiastic about partnering with us for being able to refer their most challenging clients. As Alan Griffin, from AWARE Substance Program stated, "This program is so badly needed!  No one does this!  I'm so excited to have this program available for our clients."
A parent of one of our new CRS clients stated, "My daughter was bounced around.  I am so grateful for all you've done to help her.  I can see a difference in her already."
Additional funding resources are needed to help with outreach staffing, wellness programs, and various operational necessities such a a new electronic health record system for required record keeping, case management and billing. 
A Great Opportunity Ending Date Dec 31 2018
At A Glance
Year of Incorporation 1967
Organization's type of tax exempt status Public Supported Charity
Organization received a competitive grant from the community foundation in the past five years No
CEO/Executive Director Patti L. Walker MSW
Board Chair J. Thomas Macy CPA
Board Chair Company Affiliation Community Volunteer
Financial Summary
Revenue vs Expenses Bar Graph - All Years

The mission of Continuum of Care is to enable people who are challenged with mental illnesses, intellectual disabilities and/or struggling with addiction to rebuild a meaningful life and thrive in the community.

Continuum was founded by Yale University Graduate Students who, after interning in an institution for adults with behavioral health challenges, felt that there were many patients that would do much better if they lived in a more home-like setting in a community if given the needed help and support. The students purchased a home and created the New Haven Halfway House serving 11 individuals with 5 employees. The organization grew exponentially and ultimately changed its name to Continuum of Care, LLC because of the comprehensive programs it provides for adults with mental illness, intellectual/developmental disabilities, and/or addictions. Today, Continuum serves more than 2,000 each year, employees approximately 700 people, and operates more than 43 facilities in Connecticut. Services for adults with mental illness and intellectual disabilities include;
  • Crisis Stabilization and acute services in a home-like setting with 24-hour care and intensive case management to help adults going through psychiatric crisis or trauma to stabilize and find long-term housing and critical support services to help them recover and rebuild their lives
  • Linkages to longer-term housing, as well as financial and community supports and resources
  • Long-term and transitional housing offering alternatives to homelessness, hospitalization, or institutionalization. Continuum operates 44 homes and apartments with varying levels of services and case management, depending on individual needs
  • Supported Living settings offering shared or individual living arrangements in tenant-held leased apartments with a range of in-home supportive assistance, case management & life skill coaching
  • The Supported Living Program for individuals with Dual Diagnosis as well as young adults who have aged out of DCF services
  • Jail Diversion Program -- respite services for individuals awaiting adjudication
  • The largest Recovery Support Specialist Program in the state which trains and employs individuals who have experienced long-term recovery to mentor and support adults who are just starting out in their recovery process
  • A Warmline operated by recovery support specialists to help individuals who need to talk
  • The Greater New Haven Housing Resource Coordination Program to help individuals find appropriate living arrangements
  • A health and wellness program to support recovery
  • Work Services Training & Apprenticeship Program


1) Helped more than 2,400 adults work toward rebuilding their lives living within the community. At least 700 were in an acute situation, or crisis, and 100 were veterans.

2) Connected approximately 500 adults who had been homeless, hospitalized, incarcerated, or institutionalized to stabilized housing, financial and insurance benefits, case management, medical or counseling services, and resources to address their basic needs. Approximately 600 individuals lived in one of Continuum's 44 facilities.

3) Developed and launched the new CRS program that filled its capacity in 6 weeks and is expected to have served 200 clients within 12 months.

4) Opened a new individualized in-home services program to support children and adults with developmental disabilities so that they can remain independent at home and be valued members of the community. Services, include personal support, respite care, training for life skills, training for parents to learn how to better understand and help their loved one, respite care, individual supportive employment, and vocational support. Twenty clients have been served after only a couple of months of opening.

5) Developed a successful apprenticeship program for clients to learn cleaning and landscaping service and earn a livable wage.

2018/2019 Goals:

1. Improve safety and environment for staff and clients, as well as for the community;

a) Improve infrastructure, operational efficiencies and outcomes with new electronic health record software;

b) Expand the CRS program to address 3 levels of service (crisis, step-down, and long-term recovery) servicing more than 125 clients annually;

c) Expand Developmental Disability Services, including our new in-home services, so more clients, especially those with Autism, can live independently with the proper support.;

d) Increase and diversify funding sources to mitigate the dependency and effects of State funding and budget constraints that hamper operational efficiencies and basic improvements.


1) Our infrastructure has not kept up with our growth or needs. It is inefficient, restrictive, and requires an over-abundance of manual effort. We desperately need a new comprehensive Electronic Health Record system to track and evaluate assessments, plans, interventions and outcomes, and to perform billing, compliance and quality reporting. It is critical for efficient operations, better outcomes and quality of care.

2) Safety is of the utmost importance for clients, staff, and the community. We are seeing more critical incidents due to higher risk and compromised clients. We must provide safety training for all staff, and install equipment in our properties to assure a safer living and working environment for all.

3) Funding for 2 expanded programs addressing specific community needs. a) Expand our Crisis Services for clients with significant behavioral health disorders and co-occurring substance use. b) Expand in-home services for individuals with developmental disabilities (such as Autism).

4) We are in great need of funding for repair and maintenance of our 44 affordable housing properties.

5) Funds for equipment to expand employment & training programs for our clients, specifically for commercial/residential cleaning service, landscaping & snow removal.

CEO Statement

We see so many urgent and compelling needs for us to fulfill our mission and serve the community. As examples:

-- We see a vast waiting list of persons diagnosed with mental illness for affordable and appropriate residential and acute services, and no relief in sight. With 40+ residential facilities throughout the state, we are doing what we can to alleviate this situation, and we need to do more.

-- The world is finally paying attention to the great need for mental health services, particularly with current events and as new proposed legislature is being passed in response to the tragedies we are seeing. What is not being publicized is how common the mentally ill or disabled are tragic victims of abuse, stigma, and neglect. We must change that and help more people to get the care and treatment they need.

-- The “Opioid Crisis” and substance abuse are severe and with no easy answers, especially for individuals with severe mental illness. Continuum has been a leader in helping people recover from crisis, and we are excited about our new and unique CRS program that will help people who are currently too challenging or are in need of more effective treatment to rebuild their lives.

-- T he number of individuals diagnosed with developmental disabilities such as Autism Spectrum Disorder (ASD) is growing. Yet, there is a tremendous shortage of services for adults with ASD. We continue to expand services for this population, including expanding our in-home services, and we will develop a comprehensive plan for added other services this year.

We are proud of our leadership, our staff, our services, and the thousands of lives we have saved from institutions, homeless, deterioration, and hopelessness. We have many collaborative partners whom we cannot do without.

We are continuously challenged by doing more with less or with antiquated systems. But, we must continue and we must do more, and we must find and develop the resources to do both.

Please join us in helping to rebuild more lives by supporting our strategies for sustainability, growth, and long-term impact.

Thank you,

Patti L.Walker

Board Chair Statement

            I am extremely proud to be part of Continuum and the good work they do, the quality in which they do it, and the impact they have on individuals and the community.

The success stories of individuals who have gone from hopelessness and despair to overcoming the most difficult challenges are incredible. The needs are great, and funding is challenging. Help from the community is sorely needed in order to maintain and grow the positive impact Continuum has had on the lives of so many clients, and the community.

          Continuum of Care serves approximately 2,400 individuals each year by providing housing and support services for individuals with mental illness, developmental disabilities (including Autism), and/or co-occurring substance abuse. We are merely one example of the State’s mission-driven, highly reputable and successful nonprofits.

         We are creative business partners with the State of Connecticut, local hospitals, and a variety of behavioral health service organizations. Through effective management, low administrative costs, and innovative approaches, we save the State millions of dollars each year. For example, Continuum recently took in a senior citizen into our residential program. He had been in a State facility for 50 years. Had he been with Continuum for that period, the State would have saved nearly $11 million. Continuum’s New Haven-based Crisis Program alone saves the State more than $5 million each year. This program is so successful that it continues to expand in response to demand from local communities and Veterans Affairs. This is only a fraction of the savings to the State. All of Continuum’s services combined save additional millions of dollars each and every year.

         Continuum partners with Connecticut to save significant money by diverting individuals from costly hospitals, State Institutions, and Correctional Facilities to our programs. In addition, the State has worked with us to bring back individuals who were sent to out-of-state facilities (at Connecticut’s expense) when Connecticut did not have services to meet the complex needs of those individuals. Through partnerships with Continuum, DMHAS and DDS were able to bring some of these individuals back to Connecticut to be served by us, thereby saving the State significant dollars.

         Continuum is an Economic Driver. We employ more than 700 individuals. They are Connecticut tax payers and shoppers, and they contribute to the financial health of our community.

         Continuum protects the safety of our citizens and communities: There is no question that personal and community safety can be at risk when individuals lack the support they need to help monitor and manage their symptoms and behaviors. Services provided by organizations such as Continuum directly and indirectly address these needs. Tragically, we have all seen the horrendous effects of mental health issues gone unmanaged. Wise investment in organizations that serve this population is fundamental and imperative for the well-being of all citizens. Gone unmanaged, the consequences are potentially dire.
       Investing in Continuum protects the foundation needed to sustain this good work, as well as expand to help rebuild more lives.

Tom Macy, CPA
Board Chairperson
Service Categories
Primary Organization Category Mental Health & Crisis Intervention / Residential Mental Health Treatment
Secondary Organization Category Human Services / Developmentally Disabled Services/Centers
Tertiary Organization Category Health Care / Home Health Care
Areas Served
New Haven
East Haven
North Haven
State wide
East Haven
Lower Naugatuck Valley
New Haven
North Branford
North Haven
State wide
West Haven
State wide
Continuum's services are located statewide including: Bristol, Branford, Bridgeport, New Haven, East Haven, Hartford, Norwich, Lebanon, Wallingford, Southington, Meriden, Hamden, Plantsville, Meriden, Middletown, Waterbury, Wethersfield, Norwalk and Wolcott.

Continuum of Care provides housing and related residential and support services to 2,000 persons diagnosed with mental illness and psychiatric disorders annually. The majority of our clients are impoverished and need compassion and expertise to help stabilize, recover, and gain the tools to rebuild their lives. In doing so, we provide one-on-one skill building specific to the needs of each person, case management, and link clients with training, referrals, medical treatments, psychosocial services, transportation and employment. We help clients understand they are at the forefront of their lives and assist in guiding them to success.

Population Served People/Families with of People with Psychological Disabilities / People/Families with of People with Psychological Disabilities / Homeless
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service. Mental Health Services continues to apply for funds to develop supportive housing enabling folks to be discharged from larger institutions or to return from out of state placements. Most notable for new programs is the awarding of funds for both Young Adults and Autism Spectrum Disorders. MHS is researching an electronic service record to meet the software needs of documentation and accountability. Value added services include expanding with the use of Peer Support Specialists focusing on areas of wellness, employment, and trauma-informed care. With the merger of SCBHN, the agency has more than 40 Peers on staff. Marketing continues through collaborations Continuum has developed such as the MHT collaborative, the Regional Alliance to End Homelessness, and through a joint Step-Down program with Yale New Haven Hospital. Continuum has expanded its Crisis services by adding one (1) respite bed specifically for Young Adults.
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state. Continuum of Care supports a recovery-oriented system of care that addresses clinical and/or symptom stabilization, as well as overall community integration throughout state of Connecticut. Each program operated by Continuum is designed to promote the acquisition of life skills while respecting and fostering client choice. The Agency provide culturally competent services while individualizing goals and objectives based on each client's preferences. Acute Services Short-term interventions The acute services division of Continuum provides short-term care to individuals in need of crisis, respite, forensic transitional services, or housing resource coordination. The length of time clients require these programs ranges from 10 days in crisis or respite services to up 90 days in forensic transitional services. Residential Services Case management to 24-hour support Continuum offers residential support services ranging from intensive, congregate, 24-hour on-site staff support to once a week case management in an individual's own apartment. There are four 24-hour programs including the New Haven Halfway House, the Intensive Supportive Living Program, the Frank Street Project, and the Lincoln Street Program. There are four case management programs ranging from drop-in services within The McQueeney Towers and William T. Rowe Housing Authority of New Haven Public Housing sites to 12-hour staffed offices within two separate clustered sites known as the Extended Living Programs. Case management services are also available to individuals living in their own scattered-site apartments located throughout the Greater New Haven area. Residential services include case management, assessment of skills necessary to live independently in the community, one- on-one life skills training, psycho-educational groups to learn interpersonal and community coping skills, and other individualized interventions necessary to accomplish each client's goals.
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact. Performance improvement in FY12 focused on internal processes including chart reviews, compliance with contractual outcome measures, preparation and certification with the Commission on the Accreditation of Rehabilitation Facilities. Additional external processes included site and annual contract reviews with the Department of Mental Health and Addiction services (DMHAS) and Advanced Behavioral Health (ABH). Mental Health Services is responsible to input data into a state record keeping system monthly which generates compliance with designated National Outcome Measures. Further, the Agency meets to review contract compliance and benchmarks and review this data annually with the Department of Mental Health and Addictions Services. The Agency reported good standing in all outcome measures for teh current FY.
Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success. Ray was referred to the Extended Living Program approximately 6 years ago. He was diagnosed with Schizophrenia after a psychotic break that occurred while he was completing his emergency medicine residency at Brooklyn Hospital in New York. Ray describes hearing voices believing that the lights in the operating room were communicating with him while he was performing surgery on a patient. He tried to work through the symptoms for approximately a year before attempting suicide. Ray was married and living in Danbury prior to the onset of his illness. He became so psychotic and overwhelmed by the symptoms that he started writing prescriptions for narcotics to self medicate. He was subsequently arrested and incarcerated for writing fraudulent prescriptions. Ray served approximately 1 year in prison and started to receive mental health treatment while incarcerated. His wife divorced him while he was incarcerated. Ray remained in our program for a little over 5 years. He worked on his socialization skills while trying to rebuild his self esteem. He made tremendous progress while in the program. Ray struggled with auditory command hallucinations often cutting himself to appease the voices. After several years of hard work he gained the confidence and skills he needed to move on and live independently in the community. Ray is now living in his own apartment with a friend. He contacted Brooklyn hospital and requested a letter of reference so he could seek employment. The hospital asked him to come back and work for them during that initial conversation. Ray was subsequently hired to work in the Fast Track section of the emergency department of Brooklyn Hospital. He commutes to the hospital by train and is extremely happy to be utilizing his skills and practicing medicine again today.

Continuum’s Developmental Disabilities Programs are located in residential neighborhoods and close proximity to shopping, restaurants and transportation. Highly trained and caring staff assist with personal needs, adult daily living skills, medical needs, medication administration, dream building, and interpersonal and self-advocacy skill building. We provide on-site nursing, behavioral consultation, and case management. Continuum’s living environments promote creativity and personal choice. Family and guardian involvement is key to our program.  We also provide in-home services for individuals who are living in their own homes and need education, care, experiences out in the community, or their parents need some respite from continuous demands and care.

Population Served People/Families with People of Developmental Disabilities / Other Health/Disability / Poor,Economically Disadvantaged,Indigent
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service.  DDS has been expanding services throughout the north and south regions of the state and continues to market its services for a specialized population with complex behavioral issues. An ongoing goal is to expand in the Western area of the state. Ongoing access to quality medical and psychiatric services is in process. Recent expansion includes opening three (3) programs; two (2) Community Residential Services (CRS) and one (1) Community Living Arrangement (CLA). As of this review, DDS is providing services to 67 clients out of the goal of 70 as reported in our strategic plan. DDS has been flexible in developing CRS’ and grouping individuals to optimize supports in a cost effective way.
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state. Each program is designed to promote building new skills, respecting and fostering client choice, and individualizing goals and objectives based on the client’s preferences. This objective is met by providing comprehensive residential services directed at assisting the client to function at his/her optimal level.
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact. Performance improvement in FY16 focused on internal processes including chart reviews, compliance with contractual outcome measures, preparation and certification with the Department of Developmental Disabilities. Additional outcome indicators utilized to evaluate service delivery include anonymous Quality Service Reviews through the Department of Developmental Services, bi-annual state licensure process, and behavioral support tracking to ensure progress individual growth.
Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.

Meghan was diagnosed with the severe seizure disorder Lennox-Gasuaut Syndrome experiencing seizures too numerous to count. She also exhibited significant behavioral and cognitive deficiencies which are associated with Lennox-Gasuaut disease. She lived at a specialized neuro-behavioral institution in Texas, but as she grew, her seizures and behaviors became increasingly too difficult and she had to be moved. But, her several organizations refused her due to her complex medical condition and behaviors.

When Meghan came to live at Continuum's DDS program, we were told that it would be a miracle if we could help her to live a productive life.

Today, Megan is thriving thanks to the coordinated work of Continuum's team. She has not had a psychiatric hospitalization for four years, and has not had any serious seizures for two years. Meghan has many friends now and is active in a specialized day program
Our Acute Services provide short-term care in a home-like setting to individuals with psychiatric disorders who are in crisis, or in need of respite or forensic transitional services or housing resource coordination. This program helps more than 300 homeless individuals each year and over 300 clients are diverted from hospitalization or institutionalization.
The Veterans Crisis Program is continuously full with veterans who are struggling with PTSD, substance abuse, and other forms of mental health issues.

Our Forensic Program provides an alternative to incarceration while awaiting judicial disposition, or they may be re-entering community life and need case management, integrated mental health treatment services and living arrangements.
Clients stay in our Crisis and Respite programs from 10 - 20 days, and up to 90 days in Forensic transitional services.  We quickly help them connect to the necessary resources and benefits needed, to help them rebuild and avoid relapse or recidivism.
Population Served Adults / People/Families with of People with Psychological Disabilities / Homeless
Program is linked to organization’s mission and strategy Yes
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state.
300 clients diverted from hospitalization
hundreds of clients diverted from nursing homes and from homelessness each year.

It has been proven that individuals in recovery from mental health and/or substance abuse problems recover more effectively when they have the support of others who have been through similar situations.

Continuum's Peer Services Program identifies, trains, and places individuals who are in long-term recovery from mental illness and substance abuse into jobs as Peer Support Specialists within Continuum as well as at other behavioral health agencies.  
Currently, 54 peers in recovery work competitively as peer counselors in various social service and behavioral health settings.
Continuum also has a growing apprenticeship program the trains individuals to provide commercial and residential cleaning, landscaping, and gardening services.  The program is designed to build greater independence.  It helps individuals learn competitive skills while also providing income during their 18-month apprenticeship.
Population Served Adults / People/Families with of People with Psychological Disabilities / Poor,Economically Disadvantaged,Indigent
Program is linked to organization’s mission and strategy Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service.  Up to 60 Peers will be working in multiple agencies.
 13 Cleaning Apprentices will graduate every 18 months and go on to employment.
12 Landscaping Apprentices will graduate every 18 months and go on to employment
 3 Garden/Farm Apprentices will graduate and be employed at our working garden/farm which will supply fresh foods to our clients and the community.
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state.

One of the best steps in recovery from mental illness is a job, but the national unemployment rate for individuals receiving public mental health services is approximately 80 percent, according to a report issued by the National Alliance on Mental Illness (NAMI).
The goal of Continuum's Employment Program is to increase our clients' opportunities to learn marketable skills, and help them to have more meaningful work a sense of financial independence through employment.  Our long-term success is to have four apprenticeship teams each for landscaping services, cleaning services, and ultimately food services, and graduate those teams every 18 months. 

Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact.

Tools to Measure Success

    • Skills Assessment

    • Number of Apprentices in training

    • Number of Apprentices completing program

    • Number of Apprentices finding outside employment

    • # Contracts acquired for services

Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.

 Examples of Program Success:

  • We understand our success through the success of our Apprenticeships.  Many of our peers work at other behavioral health locations, such as CMHC and The Connections.  We receive feedback through these organizations, and more peers are consistently requested.
  • Our cleaning and landscape service crews have received rave reviews from those they serve. The feedback is consistently positive regarding each of the individuals, and more locations within Continuum are requesting their services.  One client on the team rose quickly from providing service to being assistant supervisor ensuring all duties were properly performed by the rest of the crew.  He has also been inspired by his own success and has enrolled in college to pursue his degree so that he may one day have enough knowledge and skills to own his own business.  This is a gentleman who was in jail for a period of time due to his mental illness, and had little hope of vision of doing much with his life.
Program Comments
CEO Comments
In the world of behavioral health, the opportunities to provide much needed services are abundant, and those who are diagnosed with with significant mental health and intellectual disability disorders are some of the most vulnerable and underserved adults in our communities. They are often homeless, institutionalized, hospitalized, many have been abandoned by their families due to lack of skill or understanding to help and support them.  They are commonly victims of crime and abuse, and they are most certainly stigmatized by society.  Continuum has extensive expertise, experience, and holistic approach and compassion for helping some of the most complex clients rebuild their lives.
Sometimes, opportunities are also challenges. Our biggest challenge is not having enough beds or services to meet the acute needs of the community.  The demand for services is growing, and we could easily fill 5 more houses and develop more services. 
Finally, threats of federal and state rate cuts are a threat to all agencies serving individuals in the behavioral health field.
CEO/Executive Director
Patti L. Walker MSW
Term Start Oct 1983
Ms. Walker has been the lead executive at Continuum of Care Inc. for 34 years. During those years she directed the Agency's development into an integrated provider of residential services for persons with acute and chronic mental illness. A wide array of programs was designed to meet the acute needs of individuals, as well as, provide residential support programs and case mgmt. services. This growth is evidenced by the development of 44 statewide residential programs operated by the Agency with over 700 persons employed to service individuals with disabilities.
During the past decade, Ms. Walker led the Agency in developing special programs for dually diagnosed clients, persons suffering from psychiatric disorders, mental illness and developmental disabilities. Under her direction, specialized services for persons with autism have become a major focus for the Agency.
Recognizing the need for synergy between the behavioral and medical needs of individuals, Ms. Walker established Continuum Home Health Inc. in 2001. This created a coordinated model of residential services supported by nursing care that has become a model for the Greater New Haven behavioral health community.  Providing home care to residents of the New Haven Housing Authority, residential support programs throughout the city and private homes have enabled many individuals with disabilities to remain independent and at home.
Ms. Walker holds a Master of Social Work degree from Fordham University. She began her career in the human service field working with developmentally disabled individuals in both the residential and vocational setting. Ms. Walker serves on the Strategic Planning Committee of the Community Services Network and Leadership Group of the Connecticut Mental Health Center. She is a member of Yale New Haven's Hospital Advisory Committee and served as a member of the Board of Directors of the Regional Mental Health Board servicing the Department of Mental Health and Addiction Services.
Number of Full Time Staff 317
Number of Part Time Staff 489
Number of Volunteers 20
Number of Contract Staff 0
Staff Retention Rate 96%
Staff Demographics - Ethnicity
African American/Black 532
Asian American/Pacific Islander 6
Caucasian 170
Hispanic/Latino 84
Native American/American Indian 3
Other 11 Multi-race & Other
Staff Demographics - Gender
Male 218
Female 588
Unspecified 0
Senior Staff
Title Vice President of Mental Health Services
Experience/Biography Mr. Farrales has been serving on the executive management team of Continuum of Care for the last 16 years. Key to his role at Continuum is the clinical and programmatic support of the staff for all of the Agency’s mental health programs. Mr. Farrales has successfully secured many grants that have led to new programs that have contributed to the expansion of the Agency's services. He has also developed Continuum's quality improvement program, Medicaid reimbursed Rehabilitation Options (MRO) initiative, Corporate/HIPAA Compliance, and staff development and training programs.

Continuum, under Mr. Farrales' supervision, provides an ideal field placement for many area universities and colleges. Many bachelors and postgraduate students intern in the Agency's programs to fulfill their academic programs. These interns contribute a great deal of professional expertise as they enhance the quality of Continuum’s services. Mr. Farrales has a long history of working collaboratively within a network of agencies in the behavioral health sector.

Mr. Farrales holds a Master's Degree in Social Work and a Bachelor's in Public Health. He is a Licensed Clinical Social Worker and a member of the Academy of Certified Social Workers. He serves as co-chair of the Steering Committee of Greater New Haven Opening Doors and as Chairman for the Emergency Food and Shelter Program of the United Way of Greater New Haven. He is also a member of the Advisory Board of the Yale Hunger and Homelessness Action Project.
Title Vice President, Developmental Disabilities
Experience/Biography Ms. Bok has been employed in leadership positions at Continuum of Care, Inc. for the past 18 years and has had more than 40 years of professional experience in residential care and support services for varied disenfranchised populations in Connecticut and California. She currently directs 11 of Continuum's varied programs that support individuals with intellectual/developmental disabilities and autism with residential options, individualized day services, and vocational programming.

Ms. Bok has a respected statewide reputation as a dedicated client-focused advocate for individuals with exceptionally challenging diagnoses and behaviors. She holds a Master's Degree in Community Psychology and Human Service Administration. She is a member of the Autism Society of America, the American Association on Intellectual and Developmental Disabilities, the National Alliance for the Mentally Ill, the American Society on Aging, and the Connecticut Association of Nonprofits.
Title Vice Presdient, Facilities
Experience/Biography Ms. O'Connor has been employed at Continuum of Care, Inc. for over 9 years. She is responsible for the maintenance oversight of Continuum’s 40 residential and 2 commercial properties. She is the agency liaison for all development projects such as property searches, new construction, and HUD developments. Ms. O'Connor works collaboratively with multiple city and town departments such as Public Health, Livable Cities Initiative, and Fire Marshall Departments.

Ms. O'Connor is responsible for the oversight of the Continuum Facilities Management (CFM) work crew, an innovative program that provides Continuum residents with employment opportunities and training while assisting the Agency in maintaining its properties and/or programs. Under Ms. O'Connor's management, CFM has been able to expand its services to other local not-for-profits by providing landscaping and moving services.
Title Vice President, Fund Development
Experience/Biography Ms. Cox continuously works on strengthening Continuum's brand and positive identity in the community to strategically market and raise awareness about Continuum’s compelling mission and uniquely comprehensive services. She works to raise significant funds to help support and expand the organization’s services so that more individuals may be helped, stabilized, and diverted from homelessness, institutionalization or hospitalization and live in the community.

Ms. Cox has more than 30 years of diverse management experience. Immediately prior to joining Continuum, she served as the Director of Development and Community Relations at St. Vincent’s Hospital. She has also worked at Xerox, Pitney Bowes, Dun and Bradstreet, and has served as the Director of Economic Development for the Town of Trumbull. In addition, Ms. Cox owned a management consulting business where she helped organizations develop and implement strategic plans and enhance their team and leadership capacity.

Ms. Cox holds a Master’s Degree in Organization and Management, with a specialization in leadership. She is a member of the Association of Fundraising Professionals and is past President of the Trumbull Rotary Club.
Title Vice President, Human Resources
Experience/Biography Ms. Antunes has been employed with Continuum of Care, Inc. since 2003 and has over 20 years of experience in Human Resources Management. She provides strategic consulting to Continuum’s executive management team and works to create and recruit a diverse workforce by ensuring compliance with the Connecticut Department of Labor Wage and Hour Division, in addition adhering to state and federal labor laws. She works to promote a healthy work environment by ensuring the organizational mission is upheld by providing effective communication throughout the agency.

Ms. Antunes is responsible for the oversight of the Human Resources and Payroll Departments which employ over 750 employees. She manages the Payroll Department by ensuring controls are in place to produce accurate payroll and timely submission on a bi-weekly basis. She is the liaison to labor counsel and ensures the monitoring and implementing of applicable human resource federal and state requirements, conducts investigations and mandatory trainings, maintains records, and represents the organization at hearings. She is a member of the Society of Human Resources Management and a graduate of Dale Carnegie’s Leadership Management Program. Ms. Antunes holds a Bachelor’s Degree from Albertus Magnus College and is pursuing her Master’s Degree in Human Resource and Organizational Management.
Title VP Quality

Mr. Ostrom joined Continuum of Care in 2011 as the Director of Quality Improvement and became Vice President in 2016. His department ensures Continuum’s programs maintain high quality-based standards following the Agency’s mission while offering a sense of respect and dignity to the people Continuum serves. The Quality Improvement department has a robust internal quality system that assesses the appearance and environment of Continuum homes, reviews the level of care and support provided to persons served, addresses areas in which the Agency needs to improve, ensures contract and compliance targets are met, and provides a variety of in-person and web-based education and training resources for all direct care and administrative employees.

Under Mr. Ostrom’s leadership, Continuum’s Mental Health Services (MHS) programs successfully received their first three-year accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF) in 2012 and have maintained such accreditation to date.

Mr. Ostrom also serves as the Agency Clients’ Rights Officer co-chairing the Resident Advisory Council and visiting programs to speak with residents about their needs and aspirations and how Continuum may support them in achieving their ambitions to enhance the lives of each resident.

Mr. Ostrom has over 20 years of experience with working with and advocating for people with mental illness. He is a Licensed Clinical Social Worker, holds a Master’s Degree in Social Work, and a Bachelor’s Degree in Psychology. He is currently a CARF surveyor, and served in the past as a surveyor with Clubhouse International and as a member of the Northwest Regional Mental Health Board.
Title VP Clinical Services
Title CFO
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Tri-Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Annually
Non Management Formal Evaluation Yes
Non Management Formal Evaluation Frequency Annually
Community Services Network
New Haven Continuum
CT Community Providers Assoc.
CT Assoc. for Home Care
Yale New Haven Psychiatric Hospital
Hospital of Yale at St. Raphael's
Department of Mental Health and Addiction Services
Department of Social Services
Department of Developmental Disabilities
Department of Children and Families
Department of Housing and Urban Development
City of New Haven's Liveable Cities Initiative
Connecticut Association of Nonprofits2011
Connecticut Community Nonprofit Alliance2016
United Way of Greater New Haven2017
Health HeroesNew Haven Magazine2016
CEO Comments
Approximately 99% of the individuals we serve live below poverty levels. They have been institutionalized, homeless, or on the brink of homelessness.  The demand for services from individuals such as these grows every year, yet, state and federal reimbursement for services is low and always at risk.  We continuously seek ways to increase revenue, find efficiencies in operations, and diversify our services so that we can ensure the financial health of the organization, and the greatest positive impact on those we serve. 
Board Chair
J. Thomas Macy CPA
Company Affiliation Community Volunteer
Term June 2016 to June 2018
Board of Directors
Jay Brotman AIACommunity Volunteer
Dr. John Cahill BMBSCMHC
Robert Cole Community Volunteer
Barbara T. Ellinghaus MBA, CFPMorgan Stanley
Cathy Graves City of New Haven, Economic Development
Rod Keith Community Volunteer
Michael Morris Ph.DUniversity of New Haven
Eric Overland AIAYale School of Medicine
Joseph R. Polio MSCJCommunity Volunteer
James Rascati LCSW, ACSWCommunity Volunteer
Mark Sevilla Yale Hospital
William Sledge M.D.Community Volunteer
Virginia T. Spell Community Volunteer
Board Demographics - Ethnicity
African American/Black 2
Asian American/Pacific Islander 1
Caucasian 11
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 11
Female 3
Risk Management Provisions
Accident and Injury Coverage
Automobile Insurance and Umbrella or Excess Insurance
Commercial General Liability and D and O and Umbrella or Excess and Automobile and Professional
Commercial General Liability and Medical Malpractice
Directors and Officers Policy
Disability Insurance
Employee Dishonesty
Employment Practices Liability
Fiduciary Liability
General Property Coverage and Professional Liability
Life Insurance
Medical Malpractice
Professional Liability
Umbrella or Excess Insurance
Workers Compensation and Employers' Liability
Standing Committees
Strategic Planning / Strategic Direction
Board Development / Board Orientation
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Board Governance
Additional Board/s Members and Affiliations
Mark Loughridge IBM
CEO Comments
I am so fortunate to have a highly active and engaged Board of Directors.  Many are current or former leaders in the community or in their area of work and they provide a great deal of influence, insight, and support.  Our board members are very actively involved with our organization via committee work, strategic networking, as well as with fundraising.  Our CFO and Vice President of Development attend each board meeting and actively engage the board in strategic opportunities, donor prospecting, and other development and financial opportunity activities.
We are actively seeking candidates to expand the Board of Directors. We are addressing issues as we move forward with this process. We would like to have 15-18 members, we currently have 14 members. We continue to address issues of cultural, gender and social diversity through active recruiting and networking with NAACP, Mayor's Office, and other avenues. Due to work conflicts and geographic challenges, we lost 3 minority women in the past couple of years, but have successfully replaced those openings with 2 women (1 minority), and 1 minority male. 
The Continuum Board of Directors is strategic and actively helps us pave the way for new partnerships, business opportunities and paths for fund development.  Given the rapidly  moving world of budget cuts, tax regulations, and focus on Autism, substance abuse and mental health, we appreciate our board's leadership and collaboration as we build and implement our strategic plan.  Continuum is blessed with this very strong, passionate, and engaged Board and their level of commitment and leadership.
Fiscal Year Start July 01 2017
Fiscal Year End June 30 2018
Projected Revenue $32,047,444.00
Projected Expenses $31,736,140.00
Spending Policy N/A
Credit Line Yes
Reserve Fund No
Detailed Financials
Prior Three Years Total Revenue and Expense Totals ChartHelpFinancial data for prior years is entered by foundation staff based on the documents submitted by nonprofit organizations.Foundation staff members enter this information to assure consistency in the presentation of financial data across all organizations.
Fiscal Year201620152014
Total Revenue$27,337,118$25,542,430$21,906,421
Total Expenses$26,922,554$25,334,321$21,808,262
Prior Three Years Assets and Liabilities Chart
Fiscal Year201620152014
Total Assets$15,746,846$18,758,660$7,193,449
Current Assets$11,737,664$12,030,183$2,513,468
Long-Term Liabilities$15,038,760$15,024,389$6,939,336
Current Liabilities$1,551,877$1,561,764$1,315,417
Total Net Assets($843,791)$2,172,507($1,061,304)
Prior Three Years Top Three Funding Sources
Fiscal Year201620152014
Top Funding Source & Dollar AmountDMHAS $12,682,265DMHAS $11,185,417DMHAS $9,345,154
Second Highest Funding Source & Dollar AmountDDS $9,438,723DDS $9,438,518DDS $8,993,408
Third Highest Funding Source & Dollar Amount -- -- --
Capitial Campaign
Currently in a Capital Campaign? No
Capital Campaign PurposeHelpCapital Campaigns are defined as a fundraising efforts over-and-above an organization's annual operating budget. Campaigns might include the purchase of land or a building, major renovations, and major equipment purchases. Endowment campaigns may also be included if the funds are legally restricted.
To improve operational efficiencies, make necessary repairs, further develop affordable supportive housing, make capital improvements for existing properties, and replace outdated, restrictive software infrastructure, and expand CRS & Autism programs
Goal $1,500,000.00
Dates Oct 2021 to June 2019
Amount Raised To Date 100000 as of Feb 2018
Capital Campaign Anticipated in Next 5 Years? Yes
CEO Comments
Challenges include restrictive State and Federal budgets, and budget cuts, unfunded mandates, and access to capital have presented many challenges for Continuum. Continuum has strategically dealt with these challenges through adjusting staffing patterns, reducing and expanding programs were appropriate, and through fund development programs. We are strategically exploring and embarking on expanding existing services in ways that will provide the potential to diversify our funding sources while also offering much needed new services to the community. 
We continue to research and identify mission-based opportunities to help close the anticipated gap to sustain and expand our services.

- Expanding services and funding sources by providing service that are in high demand not only in the indigent population, which is state funded, but also in the insured and private pay sectors.  For example, we are looking to extend our crisis services for individual with co-occurring mental illness and substance abuse. There is a gap in this service, as we have been told by numerous substance abuse treatment organizations that while they are experienced with the substance abuse treatment component, the biggest challenges are with individuals who have a more primary diagnosis of significant behavioral health disorder. We have a few who are very interested in referring some of there 

- marketing our wellness services to more organizations,

- expanding our private practice psychotherapy service, and

- developing a comprehensive substance abuse residential and treatment facility for private-page individuals

Foundation Staff Comments This profile, including the financial summaries prepared and submitted by the organization based on its own independent and/or internal audit processes and regulatory submissions, has been read by the Foundation. Some financial information from the organization’s IRS Form 990, audited financial statements or other financial documents approved has been inputted by Foundation staff. The Foundation has not audited the organization’s financial statements or tax filings, and makes no representations or warranties thereon. A more complete picture of the organization’s finances can be obtained by viewing the attached 990s and audited financials. To see if the organization has received a competitive grant from The Community Foundation in the last five years, please go to the General Information Tab of the profile.
Address 109 Legion Avenue
New Haven, CT 06519
Primary Phone 203 562-2264 236
Contact Email
CEO/Executive Director Patti L. Walker MSW
Board Chair J. Thomas Macy CPA
Board Chair Company Affiliation Community Volunteer


Related Information

Meet Basic Needs

A strong community not only meets its members’ basic needs but also works to create long-term solutions to their problems. Provide people with affordable housing, enough to eat and access to affordable health care and you enable them to envision a better future for themselves.

Ensure Health & Wellness

A healthy community is a rich community. When we enjoy good health, when we engage in wellness activities – and when we support people living with disease or disabilities -- there are profound physical and psychological benefits. Simply put, we are all stronger and happier. To support the health and wellness initiatives in your community is to put good health within reach of all.