Chapman Consulting, a PATH Collaborative Planning and Implementation (CPI) Facilitator, shares the story of two community-based organizations (CBOs) in Santa Clara County that have partnered to connect individuals experiencing homelessness with county-based services.
One CBO provides mail services to individuals experiencing homelessness or recently released from incarceration, referrals to shelters, housing, and access to other community programs.
The other is an Enhanced Care Management (ECM) provider affiliated with a Medi-Cal managed care plan that is also a Community Supports services provider for Housing Transition/Navigation Services, Housing Tenancy and Sustaining Services, and Recuperative Care. This organization also launched a program to provide resources for clients to access safe shelter and housing services to address their specific needs and insecurities through case management. Since the launch of the project, the provider has made 76 referrals to ECM and Community Supports, resulting in 56 engagements with vital benefits and/or services.
One client who was connected to the provider through ECM was facing housing insecurity as their landlord served a 90-day notice to vacate a rental. The provider connected the client with legal services and began to look for housing placement. Before the end of the 90-day period, the provider was able to obtain housing placement while continuing to support the client’s health care needs. Without ECM and Community Supports services, the client would likely have become homeless. The client credits the provider and staff for helping the client maintain their health and well-being.
Have you joined your local network of CalAIM stakeholders working together to implement quality Enhanced Care Management (ECM) and Community Supports services for members?