Improving quality of life by coordinating health and social services. Services include comprehensive care management, care coordination and health promotion, transition planning, individual and family support, referral to relevant community and social support services, and health education.

CFI is contracted to work with veterans who need long-term case management and independent living skills training due to a brain injury, spinal cord injury, or other neurological disorder. Provides community-based services and resources to assist veterans as they seek greater independence in their homes and communities.

Intensive outpatient mental health program. Provides home and community based wraparound services for Medicaid-eligible youth (up to 20 years) with multiple and complex needs.

All case management services are free and voluntary and are offered to biological relative and foster caregivers. Services include case management for families navigating a crisis or the after-effects of trauma, and on-call services.

A community-based effort to find solutions for individuals who are high utilizers of emergency and criminal justice systems. The aim is to offer intensive, coordinated services to those whose needs span beyond any single agency. The GRACE Program provides intensive case management, coordination of services, and ongoing support.

A voluntary program for current or former foster youth, aged 15 through 22, who would like to receive supportive case management to establish and achieve goals in various areas of their lives.

Supports clients with chronic mental illness to develop skills to manage their symptoms and assists them to access a full range of services in the community. The program's intensity is continually adjusted to address the full spectrum of treatment, from crisis intervention to independence of case management.

Social workers are able to help Veterans, families and caregivers with almost any need, from help with finances or housing to questions about treatment to just feeling overwhelmed.

An award winning, evidence‐informed home visitation case‐management model for pregnant and parenting moms with substance use disorders. This program serves pregnant and parenting moms who are self-disclosing to engaging in substance use during pregnancy. Pregnant and parenting moms may be admitted to the program from pregnancy or up to 24 months postpartum

Provides children’s mental health services to Medicaid eligible children and their families. After an initial assessment and determination of need for ongoing help, core mental health services available include individual and/or family counseling/therapy, medication evaluation/management and coordination with primary care physicians, and case management.

Community-based suicide prevention addressing the needs of veterans and their families, including peer support, referrals, and case management.

A faith-based addiction recovery program for women. In addition to shelter and relapse prevention, services include one-on-one case management, family focused care plans, connections to resources, life skills classes, work therapy, behavioral health referrals, and more.

People experiencing homelessness can receive services including short-term case management, connection to resources, and some basic needs. Check in for schedule details.

A home and community-based, high-intensity treatment service for adults whose recovery and success could benefit from more frequent contact with their clinical team. Services are designed to assist individuals with severe and persistent behavioral health disorders to accomplish their recovery goals and reside successfully in the community.

Eligible families can receive assistance with employment and housing, benefit navigation and application assistance, affordable Internet connectivity, and more.

A community-based effort to find solutions for individuals who are high utilizers of criminal justice systems. The aim is to lead people out of the criminal justice system and into intensive case management where those who are dealing with behavioral health issues can have their needs met appropriately.

Provides behavioral health services integrated with medical care, including traditional counseling and psychiatric services, substance use disorder (SUD) counseling, support and wellness groups, and case management services to help patients access other community resources.

Faith-based relapse prevention program for homeless men with substance use and other self-destructive behaviors. In addition to shelter and relapse prevention, services include one-on-one case management, connections to resources, life skills classes, work therapy, behavioral health referrals, and more.

Assists individuals with serious and complex health care challenges to navigate large health care systems and find the resources they need to meet their health goals.

Pregnant individuals and parents of infants who have Apple Health/ Medicaid health insurance are eligible to receive: assistance applying for SNAP/ Basic Food benefits, Childcare Subsidy, and PFML benefits; nutritionist advice; help accessing medical and behavioral health care; and monthly gift cards for participating in Culturally Responsive Integrated & Strength-Based Parenting (CRISP) classes.

A specialty team that partners closely with many community partner agencies as part of a continuum of services, engaging clients seeking housing support who are either unenrolled from a health plan or seeking enrollment. The CORS Team aims to help clients access housing resources and other necessary services. Services in this program include Care Coordination, Housing Referral and Support, and Outreach and Engagement.

Connects LGBTQ+ veterans to earned benefits, services, programs, resources, and information. Can assist with upgrade of discharge status.

Max Higbee Center members are paired with a Community Engagement provider to receive one-on-one support to introduce community resources and create lasting relationships, develop goals and strategies, and learn skills that will facilitate integration into the community. This program is contracted through DDA and must be approved by your case manager prior to program start.

Team of medical professionals who work collaboratively with patients with mental illness and/or substance use conditions.

Provides behavioral health services integrated with medical care, including traditional counseling and psychiatric services, substance use disorder (SUD) counseling, support and wellness groups, and case management services to help patients access other community resources.