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Youth Service Program (YIC) | Fifth Street Renaissance/SARA Center

Offers to assist youth who are former wards of the state to prevent them from becoming homeless or assist with other issues such as job of homelessness which are a result of being released from the state's foster care system such as case care management helping with issues like job searching. Program is contracted through the Illinois Department of Children and Family Services.

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Health Partners Network | CHI Health Saint Elizabeth

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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Unite Iowa | United Way of the Midlands

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

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Mental Health / Substance Use Treatment | Heritage Behavioral Health Center

Provides a wide array of mental health and substance use treatment services, including:

-- Individual/group/family therapy.

-- Skill-building.

-- Self-management of behavioral symptoms and medication.

-- Independent community living.

-- Interpersonal relations and social skills.

-- Relapse prevention.

-- Motivation towards recovery.

-- Community-Based Case Management Services.

-- Supported Employment Services.

-- Housing/Homeless Case Management.

-- Psychiatric Medication.

-- School-Based Counseling for Youth.

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Community Care Program | Senior Resource Center

Provides assistance to senior citizens, who might otherwise require nursing home care, to remain in their own homes by offering in-home and community-based services. These services include comprehensive care coordination, adult day services, in-home support such as cleaning, meals, laundry, shopping/running errands, and personal hygiene, emergency home response service, and automated medication dispenser service.

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Crisis Assistance | Catholic Charities - Diocese of Springfield

Provides basic necessities and help those in crisis find the path to self-sufficiency.

Provides guidance, case management, referral, and advocacy.

When available, food, clothing and household vouchers, and rent and utility assistance may be offered. Does not provide assistance with security deposits.

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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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Immigration and Spanish Support Services | Courage Connection

Offers the following support services to the immigrant and Spanish-speaking community, case management to residential and non-residential clients, safety planning, assistance with adjusting to the United States lifestyle, advocacy outside the community, including places of employment, schools, and other organizations, interpretation services, court advocacy, transportation to court or other organizations, Spanish empowerment and educational group for domestic violence, and information and referral for immigrants with no legal status in the United States to organizations that assist with immigrant relief.

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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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Legacy Corps for Veterans and Military Families | Veterans Path to Hope

Offers to match volunteers with caregivers of disabled veterans who are in need of respite, education, and support. The volunteers are trained and supported via monthly trainings. Services can be provided directly to disabled veterans in absence of a caregiver and may include peer support, case management, and concrete needs such as food.

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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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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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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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Pathway of Hope | Salvation Army of Elgin

Offers comprehensive case management system that helps families identify barriers to self-sufficiency and connects them with community support organizations. Barriers could include unemployment, insecure housing, lack of job skills, lack of child care.

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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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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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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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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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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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Health Partners Network | CHI Health Saint Francis

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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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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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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