Executive Management

 Patti Walker, MSW

 President and Chief Executive Officer

 Ms. Walker has been the lead executive at Continuum of Care, Inc. for 34 years. During her tenure she has directed the development of the Agency into an integrated provider of residential services for persons with mental illness. These services encompass a wide array of  programs designed to meet the acute needs of the individuals as well as provide residential support programs and case management services. This growth is evidenced by the development of over 40 statewide residences operated by the Agency with more than 750 persons employed to service individuals with disabilities.

During the most recent decade, Ms. Walker led the Agency in developing programs for dually diagnosed clients – persons suffering from mental illness and intellectual disabilities. Under her direction, specialized services for persons with autism have become a major focus for the Agency.

Ms. Walker holds a Master of Social Work degree from Fordham University. She began her career in the human service field working with intellectually disabled individuals in both the residential and vocational setting. Ms. Walker serves on the Community Services Network Leadership Group of the Connecticut Mental Health Center and served for many years as a member of the Board of Directors of the Regional Mental Health Board servicing the Department of Mental Health and Addiction Services. She is also a member of the Board of Directors of the West River Neighborhood Services Corporation.

James Farrales, LCSW, ACSW

Executive Vice President of Program Operations 

Mr. Farrales has been serving on the executive management team of Continuum of Care for the last 18 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 contributing to the expansion of the Agency's services. He has also developed Continuum's Quality Improvement program, Medicaid Rehabilitation Options (MRO) initiative, Medicaid Waiver programs, Corporate/HIPAA Compliance, and staff development and training programs. Under Mr. Farrales’ strategic leadership, the Agency has developed a comprehensive program hiring persons in recovery who use their own lived experience to help others through internship and training opportunities leading to a career in human services.

Mr. Farrales has a long history of working collaboratively within a network of agencies in the behavioral health sector.  He is a current member of the Greater New Haven Coordinated Access Network (CAN) Task Force, the Emergency Food and Shelter Program (EFSP) of the United Way of Greater New Haven, and the Advisory Board of the Yale Hunger and Homelessness Action Project.  He has served as co-chair of the Greater New Haven Regional Alliance to End Homelessness, co-chair of Greater New Haven Opening Doors, as well as chairperson of EFSP.  

Mr. Farrales is committed to professional development of the Agency’s employees and has supported Continuum’s active role in providing the ideal field placement for many of the area’s 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 holds a Master's Degree in Social Work from Southern Connecticut State University with a Bachelor's in Public Health. He is a Licensed Clinical Social Worker and a member of the Academy of Certified Social Workers. 

Regina Bok, MS

 Senior Vice President of Intellectual Disability Services

 Ms. Bok has been employed in leadership positions at Continuum of Care, Inc. for the past 21 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.

Detrie M. Antunes, BS

Vice President of Human Resources

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.

Monica O'Connor, MBA

 Vice President of Facilities Management

 Ms. O'Connor has been employed at Continuum of Care, Inc. for 11 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.

Deborah Cox, MS

Vice President of Fund Development and Marketing Communications

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.

David Ostrom, LCSW

Vice President of Quality Improvement, Clients’ Rights and Corporate Compliance Officer

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.


Gretchen Richardson, LCSW

Vice President of Program Development and Clinical Operations

Ms. Richardson has worked for Continuum for over 15 years. She directly oversees three Mental Health Services divisions for programs that require specialized funding: Young Adult Services, Mental Health Waiver, and Long-Term Services. Much of her role requires that she develop new programs and find diversified payer sources for sustainable revenue. Additionally, she works with client families to create individualized care plans. Ms. Richardson also helps hospital patients further recover and rebuild their lives by moving them from hospital  care to Continuum programs when there are openings.

Ms. Richardson got her start in developing programs for Continuum in her initial role as director of the Crisis and Respite program. While there, she helped to establish Continuum’s Connecticut Offender Re-entry Program (CORP) and the Housing Resource Coordination program, shaping the Crisis programs into what they are now. She also guided the expansion of Young Adult Services, the evolution of Long-Term Services from a one-person consultation to 7 houses, and the growth of Mental Health Waiver to a nearly $2 million program.

Ms. Richardson is a Licensed Clinical Social Worker and received her Bachelor’s in psychology, with a concentration in sociology, and her Master of Social Work from Southern Connecticut State University. She is a member of the National Association of Social Workers and on the Football Board of Directors for the Wallingford Vikings youth football league.


Continuum of Care, Inc.’s mission is to enable people who are challenged with mental illness, intellectual disability or other disability, and/or addiction, to rebuild a meaningful life and thrive in the community.