Room: Nautical Wheeler
Speaker(s):
Dana Silverblatt, MSW
Kathleen Murray, MS
Presentation: Millions of Americans are living with complex health-related and social needs, characterized by combinations of chronic illness, functional impairments, mental illness, housing instability, and inadequate social support. As these individuals experience impairments that are cyclical, they often endure further chronic issues, such as food insecurity or ongoing homelessness. This makes receiving adequate support especially challenging, and they frequently enter multiple systems such as health care, social service, behavioral health, law enforcement, courts, housing, and others. Many of these individuals turn toward hospital emergency departments (EDs), which are intended to address acute physical health concerns episodically. Due to the long-lasting and progressive nature of the needs of patients with complex needs, they often leave EDs without having their needs fully met. People with complex needs who frequently utilize hospitals and other systems experience fragmented care and poorer outcomes due to a lack of coordinated, integrated services within their regions. In the St. Louis region, organizations and leaders in healthcare coordination have begun to address this issue in our own community. During this presentation, you will learn about the complexity of this populations needs and solutions with proven results. You will get an in-depth look into two local programs, Hospital to Housing (H2H) and Building Engagement to Address Complex Needs (BEACN), that are using national best practices to improve outcomes for individuals and reduce preventable and costly hospital utilization. You will also learn about the planning and coordination for a complex care model underway that aims to draw lessons learned from the existing programs for a regionwide approach, including opportunities for local and state systems, behavioral health providers, housing supports, advocacy groups, and funders.
Objectives:
- Identify best practice components of a complex care model
- Identify at least 3 outcomes/metrics core to St. Louis area complex care programs
- Describe challenges and opportunities for improving lives of people living with complex health and behavioral health conditions
Slides and Handouts: