Community Mental Health

Respite

Community Mental Health of Ottawa County provides respite services to parents and/or families caring for children with serious emotional problems and adults and children with developmental disabilities. "Respite care services are intended to assist in maintaining a goal of living in a natural community home and are provided on a short-term, intermittent basis to relieve the beneficiary’s family or other primary caregiver(s) from daily stress and care demands during times when they are providing unpaid care." Michigan Medicaid Provider Manual, 2015.

The amount of respite services provided is determined through an assessment, which will determine the need for such a service. Parents/Family are encouraged to utilize natural supports and community services to support their caregiving efforts.  Information regarding community services can be found by contacting 211 or Whole Family Connections. For more information about respite services please contact the CMH Respite Coordinator at (616) 494-5446 or by e-mail: cmhrespite@miottawa.org.

Informational Brochures

CMH Respite
CMH Respite Booklet

Training Required for All Respite Providers

Click on the links to access the trainings.  Once the information has been reviewed please take the tests which are included in the Documents for New Providers and the Annual Provider Update below.
Recipient Rights
Basic First Aid
Infectious Disease

Documents for New Providers

New Respite Provider Letter
Documents for New Providers - Please print out the documents, fill them out, sign and return them to the CMH Respite Coordinator by mail, fax or e-mail.
CMH Respite Coordinator
12265 James Street
Holland, MI 49424
Fax (616) 393-5657
E-mail:  cmhrespite@miottawa.org
IRS Form W-4
If you have questions about competing the W-4 please visit the IRS website.
MI-W4 Form
I-9 Form

Annual Provider Updates

Annual Documents - Please print out the documents, fill them out, sign and return them to the CMH Respite Coordinator by mail, fax or e-mail.  See contact information listed above.
MI-W4 Form

Respite Payment Request

Respite Voucher

CONTACT US

Administrative Office

  • Phone: (616) 392-1873
  • Monday - Friday:
    8:00am - 5:00pm
  • Lynne Doyle
    Executive Director
  • Briana Fowler
    Recipient Rights Officer

Employee Recognition Award