Topics
Series
Displaying 1 - 17 of 17
Providing Peer Supports and Services for People with Substance Use Disorder: Connecticut’s Community of Addiction Recovery
Connecticut Community of Addiction Recovery helps people with substance use disorder achieve and sustain recovery through community-based non-clinical social support programs, volunteer opportunities, and referrals to detox, treatment, housing, employment, among other resources.
The Clubhouse Model in Action at Fountain House: Designing Communities for People with Serious Mental Illness
This profile explores how the Fountain House implemented the clubhouse model, a unique approach that empowers people with serious mental illness to form meaningful relationships, build resilience, improve self-management of their mental health, and pursue employment, education, and housing.
Turning Nursing Homes into True Homes: The Household Model
Profiles the Household Model, which creates home-like environments for nursing home residents to offer greater dignity, autonomy, and infection control, as well as establishes closer, more family-type relationships between residents and staff.
Central City Concern: Providing Comprehensive Services to Help People on the Path to Housing, Recovery, and Employment
Profiles Central City Concern, an FQHC in Portland, Oregon, that is providing services for people experiencing homelessness with substance use disorder — including primary care, behavioral health treatment, housing, and other supports.
Care Transitions Intervention: Coaching Patients to Successfully Transition from Hospital to Home
Highlights the Care Transitions Intervention (CTI), an evidence-based, short-term model that helps prevent unnecessary hospital readmissions and emergency department visits and reduce unnecessary spending.
Using Primary Care-Based Community Health Workers to Support Individuals with a History of Incarceration: Transitions Clinic Network
Highlights a national network of primary care clinics that offer comprehensive health care and social supports to people released from incarceration.
Rhode Island Community Health Teams: Coordinating with Primary Care to Address Social and Behavioral Health Needs
Describes how provider organizations in Rhode Island employ multidisciplinary teams, including community health workers and behavioral health clinicians, to collaborate with primary care practices in providing whole-person care.
Support and Services at Home (SASH): Helping Older Adults and People with Disabilities in Affordable Housing Age in Place
Profiles Support and Services at Home, a model that is empowering older adults and people with disabilities to remain at home via in-home supports and services.
Providing Medical Respite Care to People Experiencing Homelessness: Yakima Neighborhood Health Services
Profiles Yakima Neighborhood Health Services, a health center in Washington State, that launched a medical respite care program in 2010 after a focus group of patients experiencing homelessness expressed the need for a place to stay when they were sick.
Complex Care for Uninsured Populations: Regional One Health’s ONE Health Program
Profiles the ONE Health program at Regional One Health in Memphis, Tennessee, which focuses on uninsured individuals and has achieved reductions in emergency department use and inpatient care, resulting in savings to reinvest in care improvements.
Rush Caregiver Intervention: Advancing Age-Friendly Health Systems by Prioritizing Family Caregivers
Profiles the Rush Caregiver Intervention at Rush University Medical Center, that is working to transform how the health care system interacts with family caregivers, while providing programs and services that support caregivers and their family members.
Landmark Health: Providing Comprehensive In-Home Care to Older Adults
Profiles Landmark Health, company to bring comprehensive care to the homes of older adult patients with multiple chronic conditions.
CAPABLE: Supporting Older People with Disabilities to Improve Health and Well-Being at Home
Profiles CAPABLE, is a participant-driven model that improves function by addressing the home environment and using the strengths of the older adults themselves.
Supporting Older Adults Experiencing Homelessness through Community Partnerships
Details a partnership between Commonwealth Care Alliance, a non-profit community-based payer and provider serving people with significant needs, and Hearth, a non-profit community-based organization focused on ending elder homelessness, to provide permanent supportive housing for eligible individuals.
Housecall Providers: Caring for People with Serious Illness Wherever They Call Home
Features Housecall Providers, a non-profit medical provider serving Portland, Oregon, offering comprehensive home- and community-based programs that incorporate palliative care services and provide patient-driven, high-touch support wherever patients call home.
Cleveland Clinic Paramedic Telehealth Program: Incorporating In-Home Acute Care to Meet the Needs of Homebound Older Adults
Highlights Cleveland Clinic's Paramedic Telehealth Program that provides urgent and transitional care for home-based primary care patients.
Rush@Home: Meeting People with Complex Needs Where They Are
Details the elements of Rush@Home’s care model and shares the impact and insights from implementing this home-based primary care program.
Topics
Series
Displaying 1 - 17 of 17
Providing Peer Supports and Services for People with Substance Use Disorder: Connecticut’s Community of Addiction Recovery
Connecticut Community of Addiction Recovery helps people with substance use disorder achieve and sustain recovery through community-based non-clinical social support programs, volunteer opportunities, and referrals to detox, treatment, housing, employment, among other resources.
The Clubhouse Model in Action at Fountain House: Designing Communities for People with Serious Mental Illness
This profile explores how the Fountain House implemented the clubhouse model, a unique approach that empowers people with serious mental illness to form meaningful relationships, build resilience, improve self-management of their mental health, and pursue employment, education, and housing.
Turning Nursing Homes into True Homes: The Household Model
Profiles the Household Model, which creates home-like environments for nursing home residents to offer greater dignity, autonomy, and infection control, as well as establishes closer, more family-type relationships between residents and staff.
Central City Concern: Providing Comprehensive Services to Help People on the Path to Housing, Recovery, and Employment
Profiles Central City Concern, an FQHC in Portland, Oregon, that is providing services for people experiencing homelessness with substance use disorder — including primary care, behavioral health treatment, housing, and other supports.
Care Transitions Intervention: Coaching Patients to Successfully Transition from Hospital to Home
Highlights the Care Transitions Intervention (CTI), an evidence-based, short-term model that helps prevent unnecessary hospital readmissions and emergency department visits and reduce unnecessary spending.
Using Primary Care-Based Community Health Workers to Support Individuals with a History of Incarceration: Transitions Clinic Network
Highlights a national network of primary care clinics that offer comprehensive health care and social supports to people released from incarceration.
Rhode Island Community Health Teams: Coordinating with Primary Care to Address Social and Behavioral Health Needs
Describes how provider organizations in Rhode Island employ multidisciplinary teams, including community health workers and behavioral health clinicians, to collaborate with primary care practices in providing whole-person care.
Support and Services at Home (SASH): Helping Older Adults and People with Disabilities in Affordable Housing Age in Place
Profiles Support and Services at Home, a model that is empowering older adults and people with disabilities to remain at home via in-home supports and services.
Providing Medical Respite Care to People Experiencing Homelessness: Yakima Neighborhood Health Services
Profiles Yakima Neighborhood Health Services, a health center in Washington State, that launched a medical respite care program in 2010 after a focus group of patients experiencing homelessness expressed the need for a place to stay when they were sick.
Complex Care for Uninsured Populations: Regional One Health’s ONE Health Program
Profiles the ONE Health program at Regional One Health in Memphis, Tennessee, which focuses on uninsured individuals and has achieved reductions in emergency department use and inpatient care, resulting in savings to reinvest in care improvements.
Rush Caregiver Intervention: Advancing Age-Friendly Health Systems by Prioritizing Family Caregivers
Profiles the Rush Caregiver Intervention at Rush University Medical Center, that is working to transform how the health care system interacts with family caregivers, while providing programs and services that support caregivers and their family members.
Landmark Health: Providing Comprehensive In-Home Care to Older Adults
Profiles Landmark Health, company to bring comprehensive care to the homes of older adult patients with multiple chronic conditions.
CAPABLE: Supporting Older People with Disabilities to Improve Health and Well-Being at Home
Profiles CAPABLE, is a participant-driven model that improves function by addressing the home environment and using the strengths of the older adults themselves.
Supporting Older Adults Experiencing Homelessness through Community Partnerships
Details a partnership between Commonwealth Care Alliance, a non-profit community-based payer and provider serving people with significant needs, and Hearth, a non-profit community-based organization focused on ending elder homelessness, to provide permanent supportive housing for eligible individuals.
Housecall Providers: Caring for People with Serious Illness Wherever They Call Home
Features Housecall Providers, a non-profit medical provider serving Portland, Oregon, offering comprehensive home- and community-based programs that incorporate palliative care services and provide patient-driven, high-touch support wherever patients call home.
Cleveland Clinic Paramedic Telehealth Program: Incorporating In-Home Acute Care to Meet the Needs of Homebound Older Adults
Highlights Cleveland Clinic's Paramedic Telehealth Program that provides urgent and transitional care for home-based primary care patients.
Rush@Home: Meeting People with Complex Needs Where They Are
Details the elements of Rush@Home’s care model and shares the impact and insights from implementing this home-based primary care program.