NC-REACH: NC-Rurally Engaging and Assisting Clients who are HIV positive and Homeless
•Need: Provision of medical care access and follow-up for rural North Carolina HIV patients with mental health, substance abuse, and unstable housing/homelessness challenges.
•Intervention: Medical home staff model expanded to a care coordination program with a core Network Navigator and Continuum of Care Coordinator assisting with medical, behavioral health, and basic life needs.
•Results: To date, the program has advanced three aspects of medical home patient care for this target population: provided further understanding of the spectrum of homelessness, including “hidden” homelessness; implemented outreach with creation of new community partnerships and a community housing coalition; and integrated medical care and behavioral health care for HIV.
Living in Sampson County, I always heard positive things about CommWell Health from employees that worked there and from their patients. All of us who have a full time job know that we spend more time at work than we do with our own families. I always felt positive vibes from CommWell Health. There’s a sense of camaraderie and a family connectedness among the employees. That meant a lot to me, and I wanted to be a part of that. Over the years, I have seen CommWell grow tremendously; I was determined to be a proud CommWell Health colleague that helped the organization soar to greater heights!