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Care transitions

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When Getting There Isn't Half the Fun: Improving Transfers of Patients

September 1, 2003 | Program Results Report

The University of Colorado Health Sciences Center hosted a conference to develop research and policy agendas for improving the quality of care for persons who are transferred from one medical setting to another.

After Hospital Discharge, Does Intensive Case Management Make a Difference?

April 11, 2008 | Program Results Report

The University of Colorado Health Sciences Center examined the effects of five HMO case management programs on patients' compliance with discharge services and use of acute care services.

Smoothing the Transition From Hospital to Community for Older Adults in Jacksonville, Fla.

December 7, 2011 | Story

Mark LeMaire led a community partnership in Jacksonville, Fla., that placed elder care advocates in area hospitals to help discharged patients transition back to the community. The hospitals have since incorporated the program into their operations.

When Students Have an Emergency, the Brookline Resilient Youth Team Steps in

April 18, 2011 | Program Results Report

In 2004, the Brookline Community Mental Health Center and Brookline High School established the Brookline Resilient Youth Team. It provides counseling and academic help to high school students who are re-entering school after a personal emergency.

Frontline Caregiver Daily Practices

January 1, 2011 | Journal Article

Compared with traditional skilled nursing homes, the Green House model allows for more time to be spent caring for and engaging residents.

New Services for Released Prisoners with Mental Illness in Mercer County, N.J.

June 28, 2010 | Program Results Report

Greater Trenton Behavioral HealthCare and its partners provided re-entry assistance to 176 incarcerated individuals diagnosed with mental illness through discharge planning, case management and needed follow-up services for 12 months or more.

Prisoners Returning Home in the Bronx and Brooklyn Find Reentry Services Located Far Away in Manhattan

August 27, 2009 | Program Results Report

An electronic database and map of reentry services available to prisoners returning from New York City's jails to communities in its five boroughs finds services are often inaccessible.

Creating Lifelong Communities

January 1, 2009 | Journal Article

This article explores the issue of aging and longevity, and describes one region's response to the growing population of seniors.

RWJF National Program, Fighting Back, Tackles Drug and Alcohol Programs in D.C.

May 27, 2005 | Program Results Report

From 1990 to 2001, Working Together-Fighting Back attempted to reduce the demand for illegal drugs and alcohol in Ward 7 and the eastern part of Ward 6 of the District of Columbia.

Kansas City Residents Battle Crack Houses, Public Drunkenness

May 27, 2005 | Program Results Report

The Fighting Back project in Kansas City worked to consolidate existing programs and resources into a communitywide system of prevention, early identification, treatment, aftercare and relapse prevention services.

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