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

This tool can support health care and community-based organizations in building sustainable cross-sector partnerships.

Toolkit offers guidance for corrections and health care professionals on evidence-based interventions to support the reentry needs of people with behavioral health needs.

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

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

Summarizes evidence on costs of health-related social needs interventions and their impact on utilization and cost of care to inform ROI Calculator users.

This self-assessment tool can help harm reduction program leadership assess internal and external financing strategies to support and strengthen their programs.

Housing needs assessment tool can help providers who work with people leaving incarceration to better understand their housing needs and risk of homelessness.

Details implementation guidance for a rural produce prescription program, covering funding and sustainability, partnerships, design, and evaluation.

Supports the use of telehealth and technology-assisted services to increase access to care and improve outcomes for people who use drugs.

Guidance on developing a reentry program to support Native Americans who are reentering communities from jail or prisons.

Actionable guidance for expanding housing options and improving justice- and health-related needs for people with criminal legal system involvement with behavioral health needs.

Tool shares strategies for states to use Medicaid accountable care organization agreements to promote health equity.

Presents tools and tips frontline care management staff to address high-risk patients’ unmet social health needs during the COVID-19 pandemic.

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

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

How to implement the new Medicare benefits.

Strategies for health centers and supportive housing providers to advance health equity by partnering to provide person-centered care.

A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.

There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.