The Community Coordination of Care (C3) Pilot Project formally launched on September 30, 2019. This represents the culmination of more than one year of planning for a system-wide continuum of care that integrates medical, behavioral health and social services to better address the social determinants of health.
The pilot project targets children and adults with mental illness and a social service need who have incomes below 200% of the Federal Poverty Level and live in Spring Branch or Northeast Houston. Based upon the Pathways Community HUB Model, the pilot includes a network of a dozen community organizations that have committed to providing eligible clients with primary care, mental health, substance use disorder and social services such as rental assistance, transportation and employment services. Three community care coordinators have been hired to work alongside the patients in the community in order to help remove any barriers that keep them from accessing services. Clients also consent to sharing their health information through an electronic platform that allows partner organizations to close the loop on referrals and track their care plan progress.
Since the launch, several enrollments have already been made into the program and are showing early results. Less than four days after one client's initial enrollment, the care team efficiently coordinated services to assist in achieving and maintaining the client's goals towards sustainability, while also closing pathways! As the program continues to grow, NBHP will be sure to share its learnings and outcomes with the greater Houston community and beyond.
For more information on the pilot project, click here.
Follow us on the link: Community Coordination of Care (C3) Pilot Project.
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