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Caring for the Expanding Patient Population:  Treating the Recently Incarcerated

Caring for the Expanding Patient Population:  Treating the Recently Incarcerated. April 1, 2016. Partners. County of San Diego (Sheriff’s Dept, Jail, Probation) Health & Human Services Agency – San Diego (HHSA) ACLU Health Center Partners of Southern California. Population.

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Caring for the Expanding Patient Population:  Treating the Recently Incarcerated

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  1. Caring for the Expanding Patient Population:  Treating the Recently Incarcerated April 1, 2016

  2. Partners • County of San Diego (Sheriff’s Dept, Jail, Probation) • Health & Human Services Agency – San Diego (HHSA) • ACLU • Health Center Partners of Southern California

  3. Population • Detainees in local jail – long and short term, release under 30 days • Individuals on Probation (during required in office checks) • Male • Non-violent offenses

  4. Needs • Uninsured, or unknown insurance status • Health needs not addressed • Continuation of care, and medication management • Specialty services

  5. Our approach • Screen for existing eligibility • Short individual and group orientations of Medi-Cal benefits • Application completed • Follow-up of application status

  6. Culturally competent care • Same clients we see in clinic • Finding the “right” staff • Training provided by Sheriff’s Dept • Follow patients to transitional housing

  7. Challenges – Jail (Detention Facility) • Access to ID documents (coordination with Sheriff Dept and HHSA) • Education topics limited • Multiple agencies providing services – can’t direct patients to your own clinic • Logistical and safety considerations

  8. Challenges - Probation • Generally not interested in insurance enrollment • Education topics limited • Multiple agencies providing services – can’t direct patients to your own clinic • Coordination with Probation Officers • Already applied during detention

  9. Challenges • Funding – efficiency of CECs is limited

  10. Successes • 330 group orientations • 214 applications • “Temp” insurance coverage • Follow-up in clinic, connect to services • Coordination with HIV Program

  11. Michelle MonroeChief Operations OfficerVista Community Clinic(760) 216-5818mmonroe@vcc.clinic

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