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HUB Navigation | Iowa Community HUB

Navigators help connect individuals to programs and services that improve their health and wellness. The Navigator provides information on available resources, provides social support, and advocates for individuals and community health needs.  Navigators also assist individuals with enrollment in community programs.

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Unite Iowa | United Way of the Midlands

Provides a coordinated care network consisting of healthcare, government, nonprofit, and other organizations.

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Benefits Advocacy | Fifth Street Renaissance/SARA Center

Provides an advocacy and case management program designed to increase access to SSI/SSDI for eligible adults who are homeless or at risk of homelessness and have a mental illness and/or co-occurring substance use disorder or other medical impairments. Provides assistance with the SSI/SSDI application process.

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Independent Living Option (ILO) | Rutledge Youth Foundation

Program provides monthly subsidies to clients for rent, food, and utilities while the youth either works full time or attends school. While in the program, youths receive up to 7 hours per week of case management services, which focus heavily on teaching youths to shop, budget, and prioritize among other independent living skills.

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Unite Nebraska | United Way of the Midlands

Provides a coordinated care network consisting of healthcare, government, nonprofit, and other organizations.

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SASS (Screening, Assessment and Support Services) | Heritage Behavioral Health Center

SASS provides the following services for children and youth:

Crisis intervention

Short-term stabilization where a child is at risk of self-harm, or harming others

Individual and family psychotherapy/counseling

Mental health assessment

Case management and resource linkage assistance

Psychiatric services

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Supportive Services | Southern Illinois Coalition for the Homeless

Services are customized to address barriers and needs to help the participant and household reach housing stability and self-sufficiency. Services include:
- Case management and advocacy
- Transportation assistance
- Employment skills
- Education assistance
- Mental health and substance abuse counseling
- Life skills and financial skills education
- Parenting support
- Housing counseling
- Information and referrals

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Intact Family Services | Catholic Charities - Diocese of Springfield

The goal is to keep troubled families together by offering them intense case management, education in parenting, and links to community resources. A caseworker will help the family to develop a short-term, agreed upon plan to make the changes that will help keep the children safe. Services such as counseling, domestic violence prevention, substance abuse treatment, mental health treatment, parenting coaching/classes, or housing can be provided.

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Outpatient Behavioral Health Services | Helen Wheeler Center for Community Mental Health

Outpatient services include:
- Counseling services for children, families and adults
- Case management
- Community support
- Crisis intervention
- Psychiatric care (including psychiatric assessment and medication assessment, prescribing, and monitoring)

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Pharmacogenomics Testing - PGX | Western Community Health Resources

Provides pharmacogenomics testing to individuals who are experiencing behavioral health issues that may require prescription treatment.

The PGX testing includes a genetics profile identifying indicators for successful medication treatment options that match with individual genetic makeup. The testing process will include a patient/provider wraparound model to improve care coordination, close care quality gaps, achieve treatment goals, gain control of chronic conditions, reduce hospitalizations and readmissions.

Members of the team may include primary care providers, psychiatrists, mental health therapists, service coordinators and others essential to the positive outcome of the individual.

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Public Health Nursing | Winnebago Public Health Department

Provides the following services:

-- Audiology Clinic

-- Breastfeeding

-- Consultation

-- Case Management

-- Colorectal Cancer Screening Program

-- Developmental Screening

-- Diabetes Prevention

-- Immunizations

-- Infectious Disease Surveillance

-- Nutrition Counseling

-- Prenatal and Postpartum Fairs

-- Stroke and Vascular Screening

-- Tobacco Cessation

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Pharmacogenomics Testing - PGX | Western Community Health Resources

Provides pharmacogenomics testing to individuals who are experiencing behavioral health issues that may require prescription treatment.

The PGX testing includes a genetics profile identifying indicators for successful medication treatment options that match with individual genetic makeup. The testing process will include a patient/provider wraparound model to improve care coordination, close care quality gaps, achieve treatment goals, gain control of chronic conditions, reduce hospitalizations and readmissions.

Members of the team may include primary care providers, psychiatrists, mental health therapists, service coordinators and others essential to the positive outcome of the individual.

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Family Services | Carpenter's Place

Provides case management on a long-term basis, up to one year or longer and as needed, to assist the family in overcoming the circumstances that brought them into an “at risk” position with homelessness, financial instability, less-than-living-wage employment, lack of education, substance abuse, mental health instability, physical health instability, legal issues, need for counseling, domestic violence issues, lack of child care, lack of transportation, and lack of basic household items, food, clothing and personal items to sustain appropriate health.

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Integrated Health Services | Black Hawk - Grundy Mental Health Center

Provides coordinated, whole person healthcare to improve clients' health and well-being, and ensure that their needs are met.

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Community Support Teams | Trinity Services

Offers intensive, community-based therapeutic and case management services for individuals with mental illness.

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Homeless Drop-in Center | Carpenter's Place

Day time drop-in center for adults who are homeless. All services at the facility are accessed through case management. Residential services may be available but must be accessed through case management.


Services include showers and bathrooms, storage for personal belongings, laundry facility, kitchen, employment and training, classrooms, art room, office space, and donation room. 


Also serves as a warming center during regular hours in the winter months.

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Senior Services | York County Aging Services

Services and activities for senior citizens within York County to support their independence and community involvement.

Information and referral, including referrals for minor home repair, yard work, personal care, and homemaker services.

Counseling and case management.

Recreational activities.

Assistance with Medicare and medical insurance.

Friendly visiting.

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HealthWorks | Logan County Department of Public Health

The purpose of HealthWorks is to assure that DCFS wards who are in substitute care receive comprehensive quality health care services. By linking each child to a primary care physician, the child will receive higher quality and more consistent care, as well as reduce dependence on emergency room care.

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Willing Partner (Case Management/Social Work Services) | Heart Ministry Center

Navigators are available to meet with clients to discuss their situations and plan to help assist them with their move forward. Participants first attend orientation. Financial assistance, assistance with personal items, and other resources can be sought through an agency Navigator.


Emergency assistance not currently available.

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Integrated Health Services | Pathways Behavioral Services

Provides care coordination and family support services to families whose child struggles at school or home due to behavioral health issues.  Also provides integrated health services to adults diagnosed with serious mental illness.

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Pathway of Hope | Salvation Army of Decatur and Macon County

Families are given a personal case worker to help assess the causes and symptoms of the current issues. From here, a personalized action plan is mapped out in order for the family members to learn how to achieve their goals. Along the way, the family is not only connected to The Salvation Army's resources, but also to other outside resources that benefit their personal growth and support.

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Sexual Assault Services | Survivor Resource Center

Provides the following services for sexual assault victims and survivors:
- Individual, family, and group counseling
- Medical and legal advocacy
- Assistance in obtaining Orders of Protection
- Case management to assist with additional needs, such as food needs, changing locks, and more
- 24 hour sexual assault hotline
- Sexual assault prevention education

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Pathway of Hope | Salvation Army of Decatur and Macon County

Families are given a personal case worker to help assess the causes and symptoms of the current issues. From here, a personalized action plan is mapped out in order for the family members to learn how to achieve their goals. Along the way, the family is not only connected to The Salvation Army's resources, but also to other outside resources that benefit their personal growth and support.

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Pathways of Hope | Salvation Army - Johnson County

Strengths-based case management for families that desire to take action. Program commitment of 6 months to 1 year. Families work with caseworker on goals they want to accomplish.

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Intact Family Services | Catholic Charities - Diocese of Springfield

The goal is to keep troubled families together by offering them intense case management, education in parenting, and links to community resources. A caseworker will help the family to develop a short-term, agreed upon plan to make the changes that will help keep the children safe. Services such as counseling, domestic violence prevention, substance abuse treatment, mental health treatment, parenting coaching/classes, or housing can be provided.

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