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Transitional Care/After Care

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  • Topic: Transitional care/after care
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Englewood Hospital & Medical Center

September 1, 2006 | Toolkit

Standardized forms were created by the hospital for patients admitted to the hospital from the emergency department (ED).

Lessons Learned in Performance Measurement

September 1, 2011 | Report

First report on recent trends in the effectiveness of care coordination for Medicare patients discharged from hospitals shows stagnant national performance and variations in care.

When Students Have an Emergency, the Brookline Resilient Youth Team Steps in

April 18, 2011 | Program Result Report

In 2004, the Brookline Community Mental Health Center and Brookline High School established the Brookline Resilient Youth Team. It provides counseling and academic help to high school students who are re-entering school after a personal emergency.

New Services for Released Prisoners with Mental Illness in Mercer County, N.J.

June 28, 2010 | Program Result Report

Greater Trenton Behavioral HealthCare and its partners provided re-entry assistance to 176 incarcerated individuals diagnosed with mental illness through discharge planning, case management and needed follow-up services for 12 months or more.

Prisoners Returning Home in the Bronx and Brooklyn Find Reentry Services Located Far Away in Manhattan

August 27, 2009 | Program Result Report

An electronic database and map of reentry services available to prisoners returning from New York City's jails to communities in its five boroughs finds services are often inaccessible.

Connecting Hospitalized Patients One-on-One with Other Patients Who Have the Same Illness

May 11, 2009 | Program Result Report

From 1994 to 2007, staff at Friends' Health Connection (originally called Long Distance Love), New Brunswick, N.J., created and ran a program that enables hospitalized patients to communicate one-on-one with another patient who has the same illness.

A New Family-Focused Database for Bodega de la Familia's Work with Prisoners Coming Home in New York

October 31, 2008 | Program Result Report

Staff at Family Justice designed and implemented a comprehensive database designed to support its approach to improving the health and well-being of formerly incarcerated individuals and their families in New York.

Mapping the Innovation in Correctional Health Care Service Delivery in New York City

April 1, 2008 | Report

An electronic database and map of reentry services available to prisoners returning from New York City's jails to communities in its five boroughs finds services are often inaccessible.

Model Community-Based Treatment Program Reduces Hospitalization and Jail Time Among People with Mental Illness and Substance Abuse

September 29, 2008 | Program Result Report

Project Link is a consortium of six community service organizations to reduce repeated hospitalizations and incarcerations among a population of clients with the dual diagnoses of severe mental illness and substance abuse.

Support from "San Antonio Fighting Back" to Community Coalitions Increases Substance Abuse Treatment and Reduces Crime

March 23, 2007 | Program Result Report

San Antonio Fighting Back worked to plan and implement a comprehensive system of substance abuse prevention, treatment and aftercare services in the southeast quadrant of San Antonio.

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