Field-Based Approach

We have one of the largest field-based outreach teams in Sacramento County. Our Community Health Workers provide individualized support and case management to ensure residents experiencing homelessness or who have complex health issues get support for stable health and housing.

Case Management

We play a critical role in Sacramento’s Whole Person Care and Health Homes Programs. We coordinate care across organizations and systems, and work with numerous health care, housing, and social service partners to build and grow a patient-centered continuum of care.

0 Total Field-Based Services

Provided in 2020, including housing coordination and navigation, care coordination and service support.

Between 2018 and 2020, our Community Health Workers facilitated 1,055 housing placements for individuals experiencing homelessness.

0 housing placements

Transitional Housing

We own and operate a behavioral health recuperative care home in Sacramento. We provide housing and supportive case management services to six residents at a time. This transitional house serves people who are homeless and high utilizers with behavioral health needs.

Community Transition for Formerly Incarcerated

Our re-entry services program supports formerly incarcerated individuals with enrollment into health coverage, navigation of health and behavioral health services, and connection to essential social services. We work closely with Sacramento County Adult Correctional Health and Sacramento County Probation departments to coordinate services for successful reentry into the community. The program is supported by the California Mental Health Services Act (CalMHSA) and the state Department of Health Care Services (DHCS) Health Navigators project.

A Trusted Team

Our Community Health Workers, Health Navigators and Patient Navigators meet our clients where they are, represent the communities they serve, and receive training to build trusted relationships that lead to better patient outcomes.