How We Can Help:
Navigate the healthcare system
Understand the needs and barriers that interfere with health and wellness
Avocate for your needs and wishes
Facilitate and ensure active collaboration, communication and integration of medical and behavioral health providers and other members of your care team such as DMH, DDS, ACCS, AFC etc.
Examples of How We Do That:
Participate in case discussions with experts to identify actionable next steps in supporting you
Work with you to set up and/or keep appointments with medical and behavioral health providers
Arrange for transportation to appointments
Support you after discharge from a hospital and connect you with community-based services
Assist you with applications for housing resources and benefits such as SNAP or WIC for nutrition
Help you apply for social security benefits, obtain your driver’s license or apply for gym memberships
Connect you with access to Medication-Assisted Treatment, as needed
Work with your primary care clinician to obtain medical equipment or access to specialty providers such as VNA, Nutritionists, Adult Family Care, or other to address your medical needs
Our role is to:
Understand your needs
Support you to help you set your health goals
Connect you to services to help you with your needs
We are easy for you to access:
We can meet you wherever you are – in your home, in the hospital, in your neighborhood, at a shelter, at a restaurant or diner – wherever you choose.
We speak your language, or we will provide interpreter services.
We will learn what’s important to you – What are your strengths? What works best for you? What are your goals and needs for your health?
We will connect you to services and supports and ensure open communication with your trusted health care provider.
We will provide coaching and support on health and nutrition.
We can connect you to community resources to help you with nutrition, housing, employment, and educational resources.
We take a team approach to work closely with your doctor and other trusted providers on your care team.
We continue to work with you until your goals are met. We are able to respond quickly if there is a change due to family crisis, sudden illness, or change in employment or benefits.