The Health Home service delivery model encompasses a person-centered, comprehensive approach to addressing consumer’s goals for recovery and improvement of behavioral health, physical health, acute care, and social needs. The Health Home team collaborates with the consumer’s physical and behavioral health providers, social services network, and other health data sources such as the consumer provided information, laboratory and radiology results, to develop a Comprehensive Health Assessment (CHA). This CHA informs the Health Home Comprehensive Care Plan (CCP) of services to be delivered to the consumer.
The goal is to reduce avoidable, high cost interventions and increasing the use of appropriate, timely interventions, along with improved self-care management. Health Home services are provided by an inter-disciplinary team of primary and behavioral health professionals in conjunction with the consumer and others as identified by the consumer. The Health Home uses a team-based, person-centered approach, where staff collectively uses their skills and knowledge, to ensure that culturally and linguistically competent evidence-based services and supports are employed to address the overall health and wellness of each consumer. Each consumer is actively involved with the Health Home team in setting goals and participating in his/her care planning.

Some of the health services we provide are...
Scheduling appointments
Sending Reminders
Transportation to the appointment
Helping You and providers create an adequate healthcare plan
We will follow-up with you after yo have been discharged from the hospital
What to expect once you have been enrolled in this service...
We will be working with you, your doctor and other healthcare professionals in getting you the medical, behavioral, and social services you need to further your positive growth. Individual and family support will be provided.