Community Health
Who are Community Health Workers?
Our Community Health Workers (CHWs) help address the social, behavioral, and medical needs that impact overall health by connecting individuals and families to the care and resources they need to thrive. CHWs serve as a bridge between individuals, healthcare systems, social services, and state and local health departments. CHWs help reduce or mitigate clients’ obstacles to obtaining optimal health and social services.
Managed Care: Ages 3+
• Understand care plans & medications
• Manage chronic conditions
• Connect to doctors & services
• Navigate insurance & healthcare systems
• Receive in-home support & coaching
• Learn healthy habits & prevention
• Get help overcoming barriers to care
• Coordinate care between providers to ensure seamless, ongoing support
School Based Community Health
• Advocate for student health & success
• Help reduce barriers to care that impact school success
• Help families navigate healthcare & insurance
• Assist with homelessness and housing insecurities
• Assist with appointments & follow-ups
• Link families to community resources
• Support student mental health and behavioral health needs
Recovery Support Services
• One-on-one recovery support
• Help setting goals & building stability
• Connect to treatment & community resources
• Home visits & check-ins
• Support with referrals & care coordination
• Encourage independence & long-term wellness
• Support access to housing, income benefits, and long-term stability
• Assist with applications for benefits like SSI/SSDI when eligible
• SOR assistance program available upon meeting eligibility criteria
Help me Grow: Mothers and Newborn to ages 3
• In-home parenting support & guidance
• Learn child development & milestones
• Early identification of developmental concerns
• Connect to services & community resources
• Support healthy family relationships
• Prepare for preschool & early learning
• Promote healthy development and early childhood outcomes
• Support early identification and intervention services
HIV/Hep C Prevention/Treatment
• Reduce stigma & improve access to culturally competent care
• Confidential HIV, STI & Hep C testing
• Assist with access to PrEP & PEP treatments
• Personalized prevention plans
• Support with medication & follow-up care
• Education on sexual health & risk reduction
• Connection to care & community resources
• PAPI assistance program available upon meeting eligibility criteria
Chronic Disease Support
• Support chronic conditions (COPD, diabetes, heart disease)
• Support with medications & symptom management
• Education on prevention & self-care
• Connect to doctors & community resources
• Track health progress & goals
• Advocate for access to care
• Address barriers to testing, treatment & follow-up
