Referrals

Innovations

Early Identification and Intervention Leads to Lower-Than-Expected Rates of Schizophrenia for At-Risk Adolescents 08/06/08

The Portland Identification and Early Referral program encourages community members to identify and refer adolescents with early warning signs of psychosis and then intervenes with counseling and medical therapy before the onset of full-syndrome psychosis.

Fall Prevention Education and Outreach Reduces Injuries and Use of Fall-Related Medical Services Among Community-Dwelling Seniors 07/24/08

The Connecticut Collaboration for Fall Prevention initiative encourages clinicians and other individuals who work with seniors to incorporate assessment and management of the risk of falls into their everyday practices.

Community Coalition Connects Medical Practices to Community Resources, Leading to Improved Asthma and Diabetes Outcomes in At-Risk Populations 07/18/08

King County Steps to Health connected medical practices to community resources by encouraging organizations to work together to identify common messages, leverage resources, and develop programs for populations at risk for diabetes, asthma, and obesity.

Community Health Collaborative Reduces Inappropriate Emergency Department Use by Providing Access to Health Care, Social Support for Low-Income Clients 07/18/08

A community health collaborative helps vulnerable populations secure and retain insurance coverage, access primary care, and connect to a medical home, leading to fewer emergency department visits, higher provider revenues, and high levels of provider satisfaction.

Automated Clinician Prompts and Referrals Facilitate Access to Counseling Services, Leading to Positive Behavior Changes Among Patients 06/13/08

Automated clinician prompts and referrals facilitates access to behavior counseling, leading to improved behaviors related to diet and exercise and higher quit rates among smokers.

Integrating Behavioral Health and Nutrition Services Into Primary Care Clinics Significantly Reduces Mental Health-Related Hospitalizations for Staff-Model Health Maintenance Organization 03/28/08

A health maintenance organization integrated mental and behavioral health care and nutrition services with primary care delivery, leading to a more than 50-percent reduction in mental health–related hospitalizations.

Disease Management Programs Improve Adherence to Evidence-Based Processes and Outcomes by Targeting Sickest Patients and Working Closely With Physicians 03/14/08

A hospital-based outpatient disease management program serves patients with asthma, chronic heart failure, and diabetes and offers smoking cessation services to smokers. Unlike traditional disease management programs, this initiative heavily involves physicians in the initial referral and throughout the process and targets services toward the sickest patients (rather than to all patients with the condition).

Faith Community Nurses Work With Local, Trusted Organizations to Enhance Access to Primary and Preventive Care for Low-Income Individuals in Los Angeles 02/25/08

Faith community nurses provide case management, consultation, health education, screenings, and basic care at little or no cost to low-income, uninsured/underinsured individuals.

Home-Based Crisis Intervention Reduces Trauma Symptoms and Behavior Problems Among Children Who Witness Violence 02/25/08

The Summit County Children Who Witness Violence program was a collaborative effort sponsored by Akron Children's Hospital that was designed to decrease the traumatic impact of witnessing violence for children under the age of 18 years through the use of home-based trauma services.

Weight Management Program That Incorporates Mental Health and Chronic Disease Education and Screening Targets Low-Income Hispanic Children 02/25/08

The Lutheran Family Health Centers Network, in collaboration with its school-based health program at PS 24 in Brooklyn, NY, has developed a program known as Healthy Body/Healthy Mind (or Cuerpo Sano/Mente Sana in Spanish).

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