People who are living unhoused or in high-risk environments often need care coordination once they leave the hospital, and Peninsula Healthcare Connection is there to help. Community Benefit partner Peninsula Healthcare Connection’s New Directions program works in Santa Clara County, making sure individuals with complex medical and psychosocial challenges have access to the care they need. Clients are referred from El Camino Health’s Care Coordination department and other healthcare providers or agencies.
New Directions’ social workers bring intensive case management to referred clients where they are, with multiple sites across the service area. The program works with each client for up to a year, depending on their needs.
The social workers:
- Coordinate with healthcare staff on discharge and post-discharge care recommendations
- Help referred clients transition from inpatient care to less intensive services available in the community
- Provide crisis intervention for immediate housing needs or for medical, mental health and substance use issues
- Work closely with clients to evaluate needs and create appropriate care plans
- Help clients access needed medical, behavioral health or substance use treatment when needed, and accompanying clients to appointments if necessary
Improving care delivery and access to care is critical for helping reduce the number of people who are living unhoused and to improving the lives and futures of those at risk. The New Directions program helps ensure each client has the support they need during critical times and care transitions, so they can find their own way to a healthy life.
See the complete list of fiscal year 2025 grant partners and sponsorships.
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