Health Care Innovation Awards: Project Profile

CENTER FOR HEALTH CARE SERVICES

Project Title: “A recovery-oriented approach to integrated behavioral and physical health care for a high-risk population”
Geographic Reach: Texas
Funding Amount: $4,557,969
Estimated 3-Year Savings: $5,000,000

Summary

The Center for Health Care Services in San Antonio, Texas, received an award to integrate behavioral, mental, and primary health care for a group of approximately 260 homeless adults in San Antonio with severe mental illness or co-occurring mental illness and substance abuse disorders, at risk for chronic physical diseases. Their intervention will integrate health care into existing behavioral health clinics, using a multi-disciplinary care team to coordinate behavioral, primary, and tertiary health care for these people—most of them Medicaid beneficiaries or eligible for Medicaid—and is expected to improve their capacity to self-manage, reducing emergency room and hospital admissions, and lowering cost, while improving health and quality of life and with estimated savings of $5 million over three years. Over the three-year period, the Center for Health Care Services’ program will hire and train an estimated 22 health care workers, to include two health navigators, ten community guest specialists, and six certified peers support specialists. The care team will provide peer support to generate readiness for change, build motivation, and sustain compliance.

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