HOPE Policy Recommendation #3 - Care Coordination
Prioritize collaboration and coordination of providers and partners with routine meetings for improved care coordination facilitated by a full‐time staff member.
Convene service providers and partners to coordinate care for individuals with high and complex needs who are interacting with multiple systems.
- City of Corvallis, Benton County, InterCommunity Health Network Coordinated Care Organization, and Community Services Consortium are moving forward with adopting a care coordination model to convene different organizations and systems that interact with our most vulnerable community members.
- Benton County Behavioral Health staff are working closely with law enforcement and the courts to help individuals who are engaged with the justice system.
- Community Court program connects low-level offenders to non-profit agencies for help with housing, mental health, and addiction.
- Oregon Older Adult BH Initiative (OABHI) Specialists are integrated with many community-based organizations, including Oregon Cascades West Council of Governments (OCWCOG), community mental health providers, coordinated care organizations, and the Veterans Administration, and are available to convene multidisciplinary discussions regarding at-risk older adults and people with disabilities.
- Samaritan Health Services is growing their care coordination hub to improve homeless outreach efforts.