Whole Person Care (WPC) is a five-year program targeting homeless individuals that works to better coordinate physical health, behavioral health and social services for at-risk clients who are high users of multiple services, including emergency departments, probation, mental health and substance use programs and social services. Goals of the program include:
Coordinate health, behavioral health, and social services in a patient-centered manner
Develop infrastructure to ensure long-term collaboration among partners
Improve beneficiary health and well-being through more efficient and effective use of resources
Engagement - The engagement team activities will build trust and offer initial engagement services. The goal is to engage and motivate participants so they are willing to enroll in the WPC program.
Comprehensive complex care coordination – using a comprehensive health assessment to identify clients most critical needs and expedite access to services.
Medical respite - Providing beds for WPC members who are homeless, in an unstable living situation, and/or too ill or frail to recover from physical illness/injury in their usual living environment (but not ill enough to be treated in a hospital or skilled nursing facility).
Housing - Comprehensive housing services to WPC members who are homeless or at risk of homelessness. Housing transition services will assist the individual to obtain housing and develop daily living skills to support them to remain stable in their new living situation.