Date

5-2024

Document Type

Capstone Project (Open Access)

Degree Name

Bachelor of Science (B.S.)

Department

Health, Human Services and Public Policy

Major

Public Health

Abstract

The post-incarcerated population has poor health and social outcomes in San Benito and Santa Clara counties. Youth Recovery Connections is a nonprofit organization serving individuals with substance use disorders, gang, and justice involved individuals. The Enhanced Care Management program was implemented in the organization with the addition of serving post-incarcerated individuals. Contributing factors that lead to negative health outcomes include lack of case managers with lived experience, lack of self management skills, and instability of care transitions. Consequences that can arise from these factors include increased healthcare costs, recidivism, and lack of stable housing. The identified consequences cause negative health outcomes in individuals who have a history of incarceration.

The program offers case management, care planning, assessments, and self management skills by using a whole person approach. The project consisted of applications to health plans, electronic health record development, training staff, and thirty days to implement the workflows and services. Assessment of expected outcomes included staff surveys, application approval, an interview, and enrollment data. The application was approved and a contract was provided to the organization and 13% of participants were enrolled. Recommendations include analysis of enrollment data four months from implementing the program, a longer implementation time to assess outcomes, and improved software training to staff once finalized.

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