DePaul’s care management program provides an extra layer of support for DePaul residents who face medical and/or mental health issues, particularly those experiencing frequent emergency room visits or hospitalizations. Care managers work with clients to identify problem areas and create a plan to improve their overall health. Care managers partner with residential staff as well as a client’s current providers in order to streamline care, clarify recommendations, and support clients in following through on recommendations for care.
- Individuals with a serious and persistent mental illness (SPMI) diagnosis who have current active Medicaid
- Individuals with a chronic health issue (examples: diabetes, heart disease, COPD)
- Individuals who are able to identify goals and are willing to be part of the program
- Individuals who are not already enrolled in a similar program through another organization
Individuals who are living in a DePaul residential mental health program may be referred by speaking with a care manager about a potential client’s need for services, and how they may benefit from the program. The care manager will review the client’s chart and complete a referral. Referrals must be approved by the county.
- Comprehensive Care Management
- Care Coordination and Health Promotion
- Comprehensive Transitional Care
- Patient and Family Support
- Referral to Community and Social Support Services