Care management interventions demonstrated improvements in mental health, quality of life, and patient satisfaction as well as reduced psychiatric inpatient days for people with serious mental illness.

Systematic review finds that medical respite programs reduce acute care utilization outcomes for people experiencing homelessness.

A permanent supportive housing program did not improve most measures related to physical health for individuals experiencing chronic homelessness, but did improve access to and trust in primary care.

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

Literature review examines the roles and contributions of community health workers in improving dementia care.

Behavioral health home model is associated with long-term changes in health services utilization for people with serious behavioral health conditions.

Home-based primary care did not decrease hospitalizations for people with dementia, but it did result in more patient- and family-centered end-of-life care.

Patients and community health workers (CHWs) share perspectives on the impact of CHW services provided within a primary care setting to address barriers to equitable care.

A community-based care transition and management intervention showed improved outcomes for patients transitioning to outpatient community care following a psychiatric hospitalization.

A participatory design approach created a nurse-driven screening process to better identify and treat people with opioid use disorder in the emergency department.

A pharmacist-led substance use disorder intervention improved treatment retention for patients with opioid and alcohol use disorder.

Systematic review of programs to improve care for patients with complex needs details evidence base across multiple settings.

Telephone- and web-based dementia care provided through centralized hubs and delivered by an interdisciplinary team can improve outcomes for people with dementia and their caregivers.

Training for caregivers of veterans living with dementia may help them remain in their home longer, but may lead to increased health care costs.

Dementia care program delivered by an occupational therapist and tailored to the needs of patients and their caregivers shows improved patient quality of life and caregiver well-being.

Details implementation guidance for the evidence-based Care Ecosystem model, which improves supports for people with dementia and their caregivers.

An interdisciplinary team approach can improve care coordination and reduce length of hospital stays for older adults with complex health and social needs.

Longer participation in a patient-centered medical home is associated with better mental health care for people enrolled in Medicaid with major depressive disorder and multiple chronic conditions.

This guide offers resources to improve telehealth interventions for individuals at risk for, experiencing, or recovering from serious mental illness and/or substance use disorder.

Telehealth interventions had similar outcomes to in-person care for different services and populations, but did not consistently impact utilization such as physician or emergency department visits.