A primary care-based integrated care team supports patients with type 1 or type 2 diabetes in reducing A1c levels.

A county health department, in collaboration with community-based organizations, conducts community listening sessions to identify priorities for health equity policies.

Embedded peer navigators provide support and mentorship for people experiencing homelessness, leading to increases in chronic disease screening and referrals.

A home-based collaborative care model using community health workers shows reductions in depression and increased connection to services for older adults.

Resources to help organizations plan and implement medical respite care programs, including program development guides, case examples, and implementation tools.

Interdisciplinary primary care models can help reduce acute care use for individuals with histories of high emergency department use, homelessness, or substance use disorder.

A street medicine program increased post-hospitalization follow-up care for unsheltered individuals experiencing homelessness in Los Angeles.

Trust, flexible funding, cross-sector support, sustainability, and an explicit focus on structural racism are identified as key components of effective community engagement to advance health equity.

A novel street psychiatry program offers essential mental health support to unsheltered individuals experiencing homelessness.

Consumers and staff members of health and social service organizations share their community engagement experiences.

A review of existing literature finds that medical respite care reduces hospital and emergency department visits, increased use of outpatient care, and leads to overall cost savings.

Identifies opportunities to strengthen integrated programs to improve care and support positive health outcomes for dually eligible individuals both during and beyond the pandemic.

Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.

Discharge to medical respite care leads to lower hospital readmission rates among individuals who are frequently admitted to the hospital.

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