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Fremont Family Coalition | United Way of Dodge and Washington Counties

Connects community members who need financial assistance with community partners who assist them in applying. Serves as a community hub for information, resources, and partnerships. The program does not provide direct service to clients.

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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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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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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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Homeless Day Services | City of Champaign Township

Offers daytime homeless services including, use of shower, laundry, provision of clothing (if available), and case management.

Also acts as a warming center during general intake hours.

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Counseling Services | Cunningham Children's Home

Offers counseling and wellness services for youth, adults, and families in the community who are experiencing difficulty in relationships, socialization, physical or mental wellness and emotional concerns. Some services/counseling types include, individual and family counseling, group sessions, case management, child abuse, sex abuse, and neglect, domestic violence, major depressive disorder, bi-polar disorder, and other mood disorders, parent/child relational issues, and PTSD and other anxiety disorders.

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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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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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ECHO Housing and Employment Support | Cunningham Children's Home

Provides intensive case management for adults and families who are experiencing homelessness or are at risk of homelessness. Program will assist clients with obtaining and retaining stable housing and employment while developing essential life skills. Also provides transitional and independent living for DCFS referrals.

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Early Start Program | Brightpoint - Central Region

Home visitation program for pregnant parents and families with children up to age three. The program provides case management services, including individual needs assessments, the development of care plans, and the coordination of service delivery. Staff advocate for families, monitor progress, and ensure services are obtained to maximize child development and provide a foundation for school success. Services also include developmental screening to minimize potential learning barriers and interventions designed to prevent child abuse and neglect.

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Community Health Representatives | Winnebago Public Health Department

The Community Health Representatives provide the following services:

-- Case Finding/Screenings

-- Case Management

-- Home visitation services

-- Blood Pressure and Blood Glucose Screenings

-- Patient Care Services and Other Patient Services

-- Consults (medication, medical orders, appointments)

-- Environmental Health

-- Homemaker Services

-- Community Development

-- Health Education

-- Local transportation

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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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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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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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WIC | Webster County Offices

Provides programs and services to support the health of children and families.

Program includes family case management, WIC, and breastfeeding education and support.

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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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Health Partners Network | CHI Health Good Samaritan

Network of health providers offering the following services: patient care coordination, nursing home network and referrals, post-discharge medication review, coordinates home health services, provides medical equipment delivery, medication management, nutritional management, and social work services focused on financial, legal, housing, mental health, and family issues.

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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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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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Unite Iowa | United Way of the Midlands

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

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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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Community Health Representative Program | Meskwaki Nation

Provides outreach, health care services, and health promotion/disease prevention services.

Offers transportation to Marshalltown Dialysis Center and specialty clinics for patients referred by the Meskwaki Clinic.  

Sets up and delivers medication to patients who require assistance.  

Emergency Care case management and coordination after a hospital discharge. 

Monitors patient blood sugar levels, blood pressure, weight, and medications.  Home visits to diabetes patients and hospital discharge patients.  

Health promotion and disease prevention programs.  

Translates medical instructions to Meskwaki when needed.

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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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Healthy Families Home Visiting | Stephenson County Health Department

A voluntary home visiting program that provides family support and coaching for expectant parents and parents of young children ages birth to 3. The program provides guidance about child development, child safety, practical parenting skills, and family bonding. The agency's trained professionals provide regular visits based on the family's needs, preferences, and schedules. Visits may be in-person or virtual.


Doula services are also available. This includes prenatal information and support, labor coaching, breastfeeding, postpartum depression support, and assistance in the early weeks after childbirth.

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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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