Empowering Minds Resource Center’s Health Home Program (“Health Home”) provides enhanced and comprehensive care coordination and management services to our Psychiatric Rehabilitation Program clients who are affected by, or at risk for, chronic conditions.

We serve both children and adults with serious and persistent mental illness (SPMI), serious emotional disturbance (SED), opioid substance use disorders, and/or developmental and intellectual disabilities through a whole-person approach that addresses their behavioral, somatic, and social needs; and improves their overall wellness.

Our Health Home services not only treat clients’ current chronic conditions but also help prevent additional chronic health issues through the least restrictive setting. Using a community-based approach, EMRC’s Health Home integrates and coordinates all of the client’s primary, acute, behavioral health, and long-term services. We provide clients and their caregivers with a myriad of supports and services that promote health activities, monitor both somatic and behavioral health needs, and assist with hospital transitional care. Moreover, our care model stresses the importance of empowering our clients to self-advocate, be an active participant in their care, increase independence, and to make choices in the achievement of their medical, behavioral, and overall life goals. Each client’s Care Plan is created and implemented through a collaborative, client-centered approach and emphasizes the reduction or prevention of avoidable hospital usage, an increase in positive health outcomes, and an increase in client engagement in preventive health habits. To qualify for Health Home services, an individual must first (or simultaneously) be enrolled in EMRC’s psychiatric rehabilitation program (PRP).

CORE SERVICES In accordance with The Affordable Care Act of 2010, Section 2703 (1945 of the Social Security Act), EMRC’s Health Home provides six core services.

These are:

  • Comprehensive Care Management
  • Care Coordination
  • Health Promotion
  • Comprehensive Transitional Care and Follow-Up
  • Client and Family Support
  • Referrals to Community and Social Support Services