Catholic Social Services of Washentaw County (CSSW)
CSSW will integrate the combined resources of key area supportive housing providers and data from county hospitals to provide housing and primary and behavioral health care coordination to homeless frequent users of crisis health services in Washtenaw County, Michigan, and surrounding areas.
Housing resources will be brought together through the participation of key providers of supportive housing, affordable housing and portable housing voucher-based subsidies (Section 8 and Shelter Plus Care), including the Ann Arbor Housing Commission (AAHC), Avalon Housing, the Shelter Association of Washtenaw County and the Plymouth Housing Commission (PHC).
Access to coordinate primary and behavioral health care will be facilitated through an intensive case management team that coordinates with a larger multi-disciplinary care team. The larger care team will be comprised of a multi-disciplinary group of psychiatrists, medical doctors, medical case managers, substance abuse providers, homeless outreach workers and shelter staff. The core group of intensive case managers – the Housing and Care Coordination Team (HCCT) – will serve as the central organizing entity and owner of the coordinate care plan to effectively create a patient-centered medical home for our clients. The HCCT will be housed at Catholic Social Services, the project’s lead agency, with the larger care team reflecting the broad array of health care providers in the community whose collaboration is critical to the program model.
CSH has awarded CSSW an annual award of $200,000 to house 110 individuals.
“Through our work with the Washtenaw Health Initiative, we see gaps in care that exist in our county today. One of our most vulnerable populations, the homeless, is in critical need of a coordinated approach to meeting their housing, health care and social service needs, and the collaborative work spearheaded by the Catholic Social Services of Washtenaw County will greatly improve their quality of life.” Marianne Udow-Phillips, Director, Center for Healthcare Research & Transformation