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

A machine learning model helped identify primary care patients with major depression who are at high risk of frequent emergency department use and might benefit from collaborative care management.

This webinar described how the Camden Coalition has refined and expanded programs in recent years to more effectively care for adults with complex health and social needs and integrate lessons from this evidence.

The reanalysis of a randomized control trial evaluating the effectiveness of a care management program finds increased linkages to ambulatory care.

Secondary analysis of Camden Coalition randomized controlled data found that care management participants who were the most likely to engage with the intervention had significantly lower readmission rates.

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.

Insights from patient-level encounter histories can support optimizing care coordination team staffing for high-need patients.

Implementation of a high-dose care management intervention for patients with complex health and social needs can reduce hospitalization rates.

Randomized controlled trial measuring the impact of a community paramedicine model implemented in two rural counties shows reduction in emergency department visits.

Toolkit provides best practices and practical tools for designing, implementing, and evaluating the impact of community health workers.

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.

Toolkit offers recommendations and examples for screening and interventions that support social connectivity of older adults.

An intensive care management intervention led to over $23,000 savings per year in total medical expenses for participating high-risk Medicaid ACO enrollees.

Including spiritual care within care management programs in outpatient, managed care, and population health settings can enhance patient care and support the effectiveness of the interdisciplinary care team.

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.

Black caregivers of people with dementia share their perspectives on a care coordination intervention.

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.