The Point of Reentry and Transition program connects adults leaving NYC's Rikers Island jail to trauma-informed, patient-centered primary care and other essential health and social services.

Explores evidence on the effectiveness of mobile crisis teams for adults experiencing behavioral health crises and recent funding opportunities that can help scale and implement these vital services.

Shares insights from a panel of national complex care experts who discussed the latest research on addressing social needs in health care and how to translate evidence into practice at the local, state, and national levels.

Provides valuable insights into implementation models and tools designed to support individuals living with dementia and their caregivers, ultimately enhancing their quality of life.

Highlights recent findings on the effectiveness of medically tailored meals and the impacts these programs have on hospitalizations, patient costs, and clinical outcomes, and also outlines implementation considerations.

State policymakers can use this resource roundup to understand emerging best practices for member engagement, with a focus on adults with complex needs.

Offers insight into the evidence base on carving-in behavioral health care into managed care and considerations for states interested in implementing this approach.

Explores evidence on the effectiveness of medical respite care and the impacts this approach has on patient outcomes, hospital visits, and costs.

Sharon Bean and Ernest Egu, MD, discuss their corrections-health partnership that has reduced the risk of overdose among people leaving jail by offering medication for addiction treatment.

Understand the implications of a recent federal rule designed to enhance care coordination for people with substance use disorder by allowing greater information-sharing among providers.

Laura Gottlieb, founding co-director of the Social Interventions Research and Evaluation Network, discusses emerging evidence on social care interventions and identifies pathways through which social care programs likely impact health.

Explores how community paramedicine programs have been implemented across the country, what evidence supports the effectiveness of these models, and how state and federal policies are helping to support the sustainability of these services.

Explores how looking more deeply at the results of an underpowered randomized controlled trial using alternative analysis methods can uncover nuanced results or inform a program redesign.

Dawn Wiest, PhD, Director for Research and Evaluation at the Camden Coalition, discusses findings from an analysis of Camden Coalition’s care management program, which found that the program led to a significant reduction in hospital readmissions among engaged program participants.

Arianna Campbell, director and co-principal investigator for CA Bridge, discusses how the bridge model came about and how it works.

Aditi Vasan, MD, MSHP, a health services researcher, delved into how community health workers can be helpful to patients with complex health and social needs, based on current evidence.

Highlights a national network of primary care clinics that offer comprehensive health care and social supports to people released from incarceration.

Explores how to implement quality addiction care in general health care settings -- including primary, inpatient, and emergency care.

Describes how provider organizations in Rhode Island employ multidisciplinary teams, including community health workers and behavioral health clinicians, to collaborate with primary care practices in providing whole-person care.

The Playbook spoke to two individuals who helped develop the Patient-Centered Complex Care Research Agenda to learn more about how involving people with lived experience in research can help strengthen the complex care evidence base.