Field-Based Approach
Moving People Toward Health and Stability.
As one of the largest field-based outreach teams in the region, our Community Health Workers provide intensive outreach and care coordination to individuals experiencing homelessness and/or have complex health issues and connect them to comprehensive health and social care.
Case Management
In our implementation of the Whole Person Care and Health Homes pilot programs, we made incredible strides in building trust and rapport with each client, ensuring they receive integrated physical, behavioral, and social services based on their goals, needs and preferences.
We continue to provide these supportive case management services to address medical and nonmedical needs and are committed to establishing strong relationships with clients, their care team, and our partner agencies. We work with numerous health care, housing, and social service providers to continue to grow a patient-centered continuum of care.
Between 2018 and 2020, our Community Health Workers facilitated 1,055 housing placements for individuals experiencing homelessness.