The program, known as Community Aging in Place — Advancing Better Living for Elders (CAPABLE), is a client-directed home-based intervention to increase mobility, functionality, and capacity to “age in place” for older adults.

Congress recently passed a federal budget incorporating the CHRONIC Care Act that capitalizes on and grows early successes in many of these programs.

Many studies have highlighted the importance of effective interprofessional care teams to improve health outcomes for people with complex needs. But many programs do not take advantage of the special training of social workers to meet these needs on their primary health care teams.

It is relatively common knowledge among those that treat patients in a hospital setting that addiction-related issues are the number-one driver of extended length of stay, 30-day readmissions, and job-related dissatisfaction and burnout.

Effective complex care means first understanding the individual and the challenges they face in their day-to-day lives. Here are two stories of patients in the CareMore Touch program for people with institutional special needs.

Addiction is a chronic neurobiological disorder that is predictable, identifiable, and treatable. Dr. Corey Waller explains why evidence-based treatment needs to be in hospitals, primary care, stand-alone rehabs, and throughout the ecosystem of health care.

Organizations, whether non-profit or for-profit, need a return on investment in order to carry this work forward and continue to invest in innovation.