This CalHPS research piece was funded by the California Health Care Foundation as part of the Reentry Health Policy Project.

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Overview

The Whole Person Care (WPC) Pilot program is designed to coordinate health, behavioral health, and social services to improve the health outcomes of Medi-Cal beneficiaries who are high utilizers of the healthcare system. Collaborative leadership and systematic coordination among public and private entities is used to meet this goal. The WPC Pilot entities identify target populations, share data between systems, coordinate care in real time, and evaluate individual and population progress – all with the goal of providing comprehensive coordinated care for the beneficiary resulting in better health outcomes among vulnerable populations.

After both application phases, there are nine approved WPC pilots (Contra Costa, Kern, Los Angeles, Mendocino, Placer, Riverside, San Mateo, Santa Cruz, and Small County Collaborative) that have specifically targeted the vulnerable formerly incarcerated population. The criminal justice reentry population is at high risk of failing to connect with medical, behavioral health, and other services upon discharge from jail in addition to being at high risk for homelessness. Moreover, the reentry population has exceptionally high rates of medical and behavioral health problems. Improving health care delivery to this group of individuals is an important endeavor. However, not all these counties that have identified formerly incarcerated individuals as a target population in their DHCS applications are dedicating the same amount of programmatic attention to the reentry population. There are four approved WPC pilots (Kern, Los Angeles, Placer, and Riverside) that are especially dedicated to serving individuals reentering the community post-incarceration and that have designed programs to directly engage local jails and/or probation departments.

This brief delves into the details of how each WPC Pilot that has identified formerly incarcerated individuals as a target population plans to more effectively serve the needs of this vulnerable group. Specifically, this brief discusses the following points for each Pilot that is targeting the reentry population:

  • Pilot implementation and size;
  • Target population identification and engagement methods;
  • Services and interventions.