Web-based tool offers guidance and examples for cross-sector case planning for adults with behavioral health needs leaving jails and prisons.

California community paramedicine and triage to alternative destination programs lead to more coordinated care and reductions in emergency department visits and hospital readmissions.

Analysis of street medicine programs reveals differences in behavioral health services across programs, highlighting key facilitators and challenges to better integration of these services within street medicine.

Homeless-tailored primary care clinics within Veterans Affairs facilities improved depression care for people experiencing homelessness.

A health-plan-administered telehealth care coaching intervention led to long-term cost savings as well as increased behavioral health service use for adults with behavioral health needs and a history of high utilization.

A patient navigation intervention for people with substance use disorder led to cost savings of over $17,000 per participant after 12 months post-discharge due to reduced inpatient admissions and emergency department visits.

This study identifies facilitators and barriers of hospital- and community-based harm reduction collaboration efforts and highlights hospital-based opportunities to better serve people who use drugs.

Care management interventions for people transitioning from behavioral health inpatient care may be successful in decreasing readmissions if they address health-related social needs.

Primary care medical home improved use of preventive services, chronic illness care, care experience, psychotic symptoms, and mental health-related quality of life for people with serious mental illness.

Peer recovery coaching intervention for hospitalized people with substance use disorder led to mixed acute care utilization outcomes.

Care management interventions demonstrated improvements in mental health, quality of life, and patient satisfaction as well as reduced psychiatric inpatient days for people with serious mental illness.

A community-based care transition and management intervention showed improved outcomes for patients transitioning to outpatient community care following a psychiatric hospitalization.

A Medicaid health home care management program led to improved diabetes care, benefitting people with co-occurring substance use disorders and diabetes.

Randomized controlled trial of a care management intervention shows significant improvement in patient activation and self-rated health and decreased symptoms of depression in patients with complex needs.

Personalized patient navigation supports for people with comorbid substance use disorders reduced rates of hospital readmissions and emergency department use.

Home-based intensive care model for Medicaid and dually eligible enrollees with complex needs led to positive health outcomes and reduced acute care spending, particularly for individuals with a behavioral health diagnosis.

A randomized clinical trial of an 18-month comprehensive intervention showed significant reductions in cardiovascular disease risk in adults with serious mental illness.

A tool helps providers capture essential information when interviewing people experiencing unsheltered homelessness to support effective treatment planning.

This resource describes the value of navigators for Medicaid beneficiaries with mental illness.