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Open Sky is a leading provider of Adult Community Clinical Services (ACCS) for individuals referred by the Massachusetts Department of Mental Health (DMH). The services are provided by an integrated team of licensed clinicians, program directors, housing counselors, outreach counselors, nurses, peer support specialists, family partners and addiction counselors. 

We provide individualized goal-oriented services that incorporate evidence-based and best practice approaches and interventions.  This approach to service delivery is designed to effectively assist each individual to become more self-aware and to learn the skills necessary to move them towards the achievement of their personal goals.

Residential Group Home Living Environment

Open Sky offers a wide range of residential group living environments in Worcester County, North Central Massachusetts, and Southern Worcester County for adults who face serious mental health challenges, and/or have a dual diagnosis of mental illness and substance use disorders. 

Each of our residential programs offers individuals the opportunity to access diverse skill-building activities, treatment, counseling, and supports in a highly structured therapeutic environment.  Our programs emphasize personal voice and choice – helping individuals to set practical goals, define and utilize their natural supports, and work confidently towards a transition back to a less restrictive setting in the community, or to their own homes.

Information on Open Sky's residential services for adults with developmental disabilites can be found here. 

Supported Housing/Community Supports

In addition to residential services, Open Sky offers a range of clinical and rehabilitative services for individuals with mental health challenges who are living in the community or are ready to transition from a residential program to a less restrictive living environment. 
Care coordinators, housing counselors, clinicians, nurses and peers work with individuals in their own apartments and homes, in transition from residential programs, and in the community.  Services vary in intensity and frequency, ranging from high supports to more basic intermittent support, depending on the needs of individuals. 

Respite Services

We provide respite services to individuals referred by the Massachusetts Department of Mental Health (DMH). These services are short term in nature and are provided in group or community settings.  Services are provided by an integrated team of staff that includes: clinicians, nurses, peers, program supervisors and counselors.

Respite services are designed to assist individuals to remain safely in the community while dealing with many of life’s challenges such as: physical health challenges, homelessness, loss of a loved one, increased symptoms, a brief psychiatric hospitalization, loss of a job, etc.

Respite services are provided in two group settings located in Gardner and Southbridge.  Services can also be provided in the community or in an individual’s home.  

Clubhouse Services 

Open Sky's Crystal House Clubhouse is a community dedicated to the rehabilitation of adults recovering from mental illness. It is a member of the Massachusetts Clubhouse Coalition, an organization comprising 33 clubhouses throughout the Commonwealth.

Through a variety of meaningful and engaging tasks, members have the ability to develop, or refresh employment skills, explore educational opportunities, and participate in social activities.

Crystal House provides services to residents of the Greater Gardner Area. The club has an average enrollment of 80 members, with an average daily attendance of 30. In addition to Gardner, communities served by the club include Ashburnham, Barre, Fitchburg, Hardwick, Hubbardston, Leominster, New Braintree, Oakham, Princeton, Rutland, Templeton, Westminster and Winchendon.

For more information contact:

Crystal House
55 Lake Street
Gardner, MA 01440


Supported Employment and Education 

Open Sky's Supported Employment and Education (SEE) Specialists help individuals served by our ACCS programs identify and pursue goals related to education and work.

Supported Employment

Supported Employment is a promising, evidence-based practice. The SEE Specialists' primary objective is to assist individuals in finding and maintaining competitive employment. Job searches are based on the individual's employment interests and strengths.

SEE Specialists assist individuals with:

  • Resume writing and applications

  • Job searches

  • Improving work and interview skills

  • On-the-job coaching

  • Follow-along support at a frequency determined by the individual

Supported Education

SEE Specialists work with individuals and with schools to meet the needs of individuals who are in Open Sky programs and who want to pursue educational goals.

SEE Specialists assist individuals with:

  • Exploring and selecting an educational program

  • Completing applications and/or enrollment

  • Finding financial aid (including FAFSA) and scholarships

  • College interview preparation

  • Exploring transportation options to and from school

  • Requesting accommodations for disability

  • Follow-along support (communication with teachers, access to tutors, time management assistance, etc.)

Deaf and Hard of Hearing Program

The Deaf and Hard of Hearing Program is a unique service offered to individuals served throughout Open Sky's mental health programs. Program staff offer the cultural competence and understanding of being deaf and being fully connected to the deaf community. Services focus on helping people to transition to a more independent environment while maximizing their natural supports by building skills and achieving personal goals.