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The Network of Behavioral Health Providers, which is a collaborative of the leadership of 40+ mental health and substance use treatment providers in greater Houston, has been working diligently with other community-based health, behavioral health, and social service partners to establish The Harris County Pathways Community HUB.
The Harris County Pathways Community HUB delivers the Pathways Community HUB Institute® (PCHI®) model, which is an evidence-based, data-driven, community-wide model of care coordination focused on promoting health equity and addressing Non-Medical Drivers of Health for high-risk individuals living in Harris County. |
CHWs Serve as Partners, Coaches, and Advocates
The PCHI® model corresponds to a range of health and social service risk factors, such as food insecurity, lack of a medical home, housing instability, and behavioral health issues. The Harris County Pathways Community HUB goes beyond a “warm handoff” or information sharing through an electronic platform. Instead, Community Health Workers (CHWs) utilize community outreach and neighborhood canvassing to identify and engage with Harris County residents who may be at risk for poor health and social outcomes. CHWs assist residents to develop an individualized care plan based on identified risks and needs and then provide community referrals to help them improve their health and wellbeing - these avenues are called Pathways. These CHWs are hired through contracted Care Coordination Agencies (CCAs).
The Harris County Pathways Community HUB is currently serving Medicaid beneficiaries and Medicaid-eligible adults with mental illness, substance use disorder, or who are pregnant/postpartum. The Harris County Pathways Community HUB is contracted with three Care Coordination Agencies (CCAs): Santa Maria Hostel, The Council on Recovery, and The Houston Health Department. The Harris County Pathways Community HUB is in contract negotiations with Medicaid Managed Care Organizations and other payers that will pay for closure of Pathways and improved health outcomes achieved as a result of mitigating those risks.
The Harris County Pathways Community HUB is currently serving Medicaid beneficiaries and Medicaid-eligible adults with mental illness, substance use disorder, or who are pregnant/postpartum. The Harris County Pathways Community HUB is contracted with three Care Coordination Agencies (CCAs): Santa Maria Hostel, The Council on Recovery, and The Houston Health Department. The Harris County Pathways Community HUB is in contract negotiations with Medicaid Managed Care Organizations and other payers that will pay for closure of Pathways and improved health outcomes achieved as a result of mitigating those risks.
For more information on the Harris County Pathways Community HUB Program, contact us at pch@nbhp.org today!
| Final Report & Business Plan (December 2021) |
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Network of Behavioral Health Providers
9401 Southwest Freeway
Houston, TX 77074
Phone: 713-970-3410
9401 Southwest Freeway
Houston, TX 77074
Phone: 713-970-3410