Evidence-to-Action Profile Series

post Empowering Transitions from Jail to Community Health: The Point of Reentry and Transition Program The Point of Reentry and Transition program connects adults leaving NYC's Rikers Island jail to trauma-informed, patient-centered primary care...

February 2025

post Pathways Community HUB Institute Model: A Regional Approach for Supporting Community Health Worker Interventions Highlights how community HUBs support community health workers in addressing individuals’ health and social needs through a standardized approach...

September 2024

post Talking With Patients About What Matters Most to Them: The Serious Illness Care Program Profiles the Serious Illness Care Program, a model that supports providers in having proactive, emotionally safe conversations with seriously...

August 2024

post A Model for Compassionate and Accessible Mental Health and Substance Use Care: Certified Community Behavioral Health Clinics Highlights the Certified Community Behavioral Health Clinic (CCBHC) model, it’s unique financing approach, and two CCBHC programs in New...

July 2024

post Coaching Older Adults to Manage Depression: Program to Encourage Active, Rewarding Lives Profiles the Program to Encourage Active, Rewarding Lives (PEARLS), an evidence-based treatment program for older adults experiencing late-life depression,...

June 2024

post Providing Peer Supports and Services for People with Substance Use Disorder: Connecticut’s Community of Addiction Recovery Connecticut Community of Addiction Recovery helps people with substance use disorder achieve and sustain recovery through community-based non-clinical social...

April 2024

post The Clubhouse Model in Action at Fountain House: Designing Communities for People with Serious Mental Illness Explores how the Fountain House implemented the clubhouse model, a unique approach that empowers people with serious mental illness...

March 2024

post Turning Nursing Homes into True Homes: The Household Model Profiles the Household Model, which creates home-like environments for nursing home residents to offer greater dignity, autonomy, and infection...

December 2023

post Making Addiction Treatment More Equitable for Black People by Engaging People with Lived Experience of Substance Use Disorders Profiles a Boston Medical Center research program aimed at addressing disparity is substance use disorder treatment among Black patients.

October 2023

post Central City Concern: Providing Comprehensive Services to Help People on the Path to Housing, Recovery, and Employment Profiles Central City Concern, an FQHC in Portland, Oregon, that is providing services for people experiencing homelessness with substance...

September 2023

post Care Transitions Intervention: Coaching Patients to Successfully Transition from Hospital to Home Highlights the Care Transitions Intervention (CTI), an evidence-based, short-term model that helps prevent unnecessary hospital readmissions and emergency department...

July 2023

post Using Primary Care-Based Community Health Workers to Support Individuals with a History of Incarceration: Transitions Clinic Network Highlights a national network of primary care clinics that offer comprehensive health care and social supports to people released...

March 2023