Haymarket Center

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Our Care Coordination Model

Gleb Sergeyev - Friday, November 16, 2018

Haymarket Center aids people recovering from substance use disorders by providing comprehensive behavioral health solutions, arranged by our care coordinators. Our care coordinators use evidence-based practices to engage individuals in their own care, linking them to the most appropriate services.

Our care coordination model is built on a decade of experience in ensuring individuals with substance use disorders, mental health diagnoses, and primary medical conditions have all their conditions addressed concurrently.

Our coordinators identify clients who need to have care coordination through a number of sources including:

  • Internal referrals
  • Collaborations with medical providers
  • HIV testing agencies
  • Providers of services to the homeless
  • Other substance use and mental health treatment agencies
  • outreach through peers

Once a client has been referred to care coordination services, the client will

  • Engage in a counseling-based intervention to explore barriers to care.
  • Identify options for medical care and formulate a plan to overcome these barriers and engage in medical care.

Clients will also be provided with referrals to other necessary services such as legal services, public benefits, dental care, and many other services that address the social determinants of health.

Our care coordinators use evidence-based Motivational Interviewing to build a trusting relationship with the client during the first encounter--which may even be before the individual enrolls in any service.

  • Intoxicated individuals may be transported from the ED (or another entry point) to a withdrawal management/detoxification program at Haymarket or elsewhere, where the worker maintaining contact with the client, keeping them engaged in services.
  • Once the individual is stabilized, the care coordinator will explain services available and engage the client with an on-site health navigator, helping them to address barriers to care, linking them to a medical provider either on-site or another provider of the client’s choice.

Haymarket’s linkage to care protocol (LTC)

Care coordinators are trained on our linkage to care protocol (LTC) based on a CDC’s evidence-based intervention. The LTC protocol uses a strength-based approach to link clients to care and provides adherence and retention counseling. All services will be documented in the client’s confidential electronic health record.

Care coordinators follow up with clients, ensuring they attended their first medical appointment, documenting attendance using an Engagement and Retention Form.

Key features of Haymarket’s Care Coordination model align with HRSA guidelines. These include:

1) Coordinating project planning and outreach with providers to avoid duplication of services.

2) Establishing relationships with hospital emergency rooms, other primary care providers, substance use treatment programs at Haymarket, and other behavioral healthcare providers.

3) Ensuring culturally competent care coordinators deliver an access to care message in a way that reaches diverse populations.

4) Tracking the number of out-of-care individuals engaged through outreach and the number who attended their first medical appointment.

5) Maintaining Contact.

6) Engagement and Retention in Care Activities.

Haymarket has established more than 50 linkage agreements with a wide range of medical and support service providers. With our care coordinators assessing a client’s need, keeping them engaged in services, and maintaining ongoing contact with them, we provide fundamental steps in substance abuse recovery.

If you or a loved one are seeking support for treatment, talk to the experts at Haymarket Center.

Call us today at (312) 226-7984.

 

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