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A Safety-Net of alternative services for one community's behavioral health population: Connectivity to care through a multi-agency community partnership
CCT coordinates care for patients who are super-users of ED services who experience behavioral health problems; disjointed care; lack of support networks; poor primary care connections; housing issues; and other social determinants of health. Based on the realization that social problems are community problems, the understanding that collaboration strengthens communities and that no one entity alone can effectively improve outcomes for this shared population, the CCT works together to create community-based solutions that have resulted in systems change. At its core is the belief that community collaboration can significantly impact health and social outcomes if provided in both an evidence-based and innovative manner. In its second year, outcomes include ED visit and cost reduction, maintained sobriety, mental health stabilization, improved access to care, reconnection with family, workforce re-entry, and reduced homelessness.
The Middlesex County Community Care Team was the recipient of the Connecticut Hospital Association (CHA) and the Connecticut Department of Public Health 2013 Connecticut’s Hospital Community Service Award for its contributions to the community it serves. CHA developed this video to highlight the multi-agency participation in and commitment to this public health initiative.
Learning Areas:
Administer health education strategies, interventions and programsChronic disease management and prevention
Implementation of health education strategies, interventions and programs
Social and behavioral sciences
Learning Objectives:
Describe the importance of a community partnership in connecting an at-risk behavioral health population to the appropriate level of care
Identify common social determinants of health for one community’s vulnerable behavioral health population
Describe quantitative outcome metrics for the intervention
Keyword(s): Social and behavioral sciences
Qualified on the content I am responsible for because: My degree is in public health and my role at the hospital is public-health oriented. I oversee our community health needs assessments and assist in building programs to meet identified need. For the Community Care Team initiative, I wrote the grant that enabled us to create a Health Promotion Advocate position, a key member of the Community Care Team as liaison between patients, family members and team members.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.