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COUNTY OF MONTEREY

HEALTH DEPARTMENT

Nationally Accredited for Providing Quality Health Services

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Whole Person Care

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Published on April 17, 2017. Last modified on July 03, 2019

Whole Person Care 

 

Whole Person Care (WPC) is a program of Monterey County Health Department and its community partners to provide comprehensive case management for our county’s most vulnerable Medi-Cal recipients who are high users of hospital and emergency department facilities. This focus population may also:

  • be homeless/chronically homeless,focus group wpc
  • have mental illness or substance use disorders or both,
  • have multiple chronic disease

The WPC program Registered Nurse case managers assess WPC enrollees for health, housing, and social services needs, and then provide warm hand-offs to primary care clinics, mental health/substance abuse therapists, social services, housing supports and placement, and employment training. Case managers will also assist WPC enrollees will be assisted in their normal environments with benefit assessments, setting and keeping appointments, transportation, food and nutrition, peer support groups, and housing counseling and skill development training.

New strategies to be developed by WPC include cross-system data sharing systems between WPC case managers, four hospitals located within the county, Monterey County Clinic Services and community clinics, substance treatment providers, and homeless services providers. New facilities include an 8-bed sobering center for stays up to 24 hours, a 6-bed respite center for medically fragile WPC enrollees who need are discharged from a hospital but are unable to recover on their own.

Approximately 500 individuals will be served between now and 2020. WPC enrollee health outcomes and delivery system improvements will be measured. We expect Emergency Department and hospital use to decrease for our WPC Population, and corresponding improvements in managed diseases such as diabetes and high blood pressure.  

To be a referring partner, or refer a potential client to Whole Person Care, please contact us at 831-755-4630.

Whole Person Care Mid-Pilot Report
Program Updates

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2017


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