Articles

Care Coordination With Housing Partners: Making Referrals, Consents, and Follow-Up Work When Housing Is Unstable
Housing instability turns โ€œcare coordinationโ€ into a contact, consent, and follow-up problem that standard workflows cannot absorb. This article sets out practical, oversight-ready ways to coordinate with shelters, housing teams, and outreach partners so referrals close the loop, information sharing is lawful and clear, and care tasks stay continuous. Read more...
Street Outreach to Scheduled Care: Building Reliable Pathways From Homelessness to Ongoing Support
Many systems can locate people in crisis but cannot reliably transition them into scheduled care that sticks. This article explains how to operationalize the handoff from outreach to ongoing supportโ€”using shared workflows, defined thresholds, and documentation that makes continuity real even when housing remains unstable. Read more...
Housing Instability and Care Access: Designing Services That Donโ€™t Collapse When Address Changes
Housing instability is not a side issueโ€”it is a primary driver of missed visits, medication disruption, avoidable ED use, and failed care plans. This article explains how U.S. community services can build housing-aware workflows, escalation rules, and documentation so care remains safe, continuous, and oversight-ready when a personโ€™s living situation changes. Read more...
Population Needs Assessment and Equity: Identifying Who Is Missing From Services, Not Just Who Is Present
Many population needs assessments focus on people already in the system, overlooking those excluded by access barriers and inequity. This article explores how providers and commissioners can use population assessment to identify who is missing from services and redesign care accordingly. Read more...