Tailored support for veterans, individuals with medical complexities, behavioral health challenges, and those experiencing chronic homelessness
Specialized coordination with VA, HUD-VASH, SSVF, and GPD programs to ensure veterans receive the housing, benefits, and support they've earned
We understand the unique challenges veterans face and provide specialized pathways to housing stability and wellness.
Veterans with lived experience provide mentorship, accountability, and peer support throughout the housing journey. They understand military culture and the unique transition challenges.
Expedited processing for HUD-VA Supportive Housing vouchers with placement completed within 14 days or less. We coordinate directly with VA case managers and housing authorities.
Complete review of VA benefit eligibility, assistance with claims filing, and support for service connection upgrades. We help veterans access all benefits they've earned including disability compensation, pension, and healthcare.
Direct coordination with VA Medical Centers, Vet Centers, and community-based outpatient clinics. We facilitate enrollment in VA healthcare and ensure continuity of care for physical and mental health needs.
Liaison with Veterans Treatment Courts and legal advocacy for veterans in the justice system. Housing placement can be part of successful court program completion.
Connecting clients to primary care, telehealth platforms, dental services, and specialized medical support within 30 days of housing placement
Every client connected to a primary care provider within 30 days of housing. We coordinate appointments, transportation, and ensure follow-up care.
Removing transportation barriers through virtual medical, psychiatric, and therapy appointments. Clients can access care from their homes.
Connections to community dental clinics and dental schools for essential oral health care, often a barrier to employment and social integration.
Coordinated access to specialists for complex medical needs including cardiology, endocrinology, oncology, and infectious disease treatment.
Support for prescription access, medication adherence monitoring, and pharmacy coordination to ensure consistent treatment compliance.
Assistance enrolling in Medicaid, Medicare, ACA marketplace plans, and understanding coverage options to ensure continuous healthcare access.
Evidence-based treatment pathways for co-occurring disorders, substance use recovery, and mental health stabilization
Seamless referral pipeline to evidence-based IOPs for substance use and co-occurring disorders. Programs typically include 9-12 hours per week of group therapy, individual counseling, and skills training.
Connection to MAT providers for opioid and alcohol use disorders. Medications like buprenorphine, naltrexone, and methadone combined with counseling for comprehensive treatment.
Certified peer specialists with lived experience provide hope, accountability, and mentorship. They understand the recovery journey and offer non-judgmental support during challenging times.
Transportation and support for AA, NA, SMART Recovery, Celebrate Recovery, and other peer support meetings. We respect each individual's choice of recovery pathway.
Access to psychiatrists for diagnosis, medication evaluation, and ongoing medication management for conditions including depression, anxiety, bipolar disorder, schizophrenia, and PTSD.
Licensed therapists providing trauma-informed therapy using evidence-based approaches including CBT, DBT, motivational interviewing, and trauma-focused interventions.
24/7 crisis response protocols, safety planning for suicidal ideation, and immediate connection to psychiatric emergency services when needed.
Tiered housing options including group homes and structured sober living environments for clients not yet ready for independent leases. Provides additional supervision and community support.
We believe in supporting recovery through clear expectations and tiered accountability measures that respect individual journeys while promoting stability
Individualized milestones based on client needs, readiness, and recovery stage
Random drug testing when appropriate, always within a framework of support not punishment
Adherence monitoring for psychiatric and medical prescriptions with 31% improvement rate
Evidence-based intensive case management that reduces returns to homelessness by 32% through targeted support during critical transition periods
Intensive daily-to-weekly contact establishing trust, connecting to resources, and addressing immediate crises. Focus on housing stability and basic needs.
Gradual reduction to weekly contacts as client builds skills and natural supports. Testing independence while maintaining safety net.
Transition to light-touch follow-up or ongoing community supports. Client operates independently with resources in place for future needs.
Typical caseload for stable clients
Intensive support for complex cases
Lower caseloads ensure case managers have time for meaningful engagement and crisis response
Regular landlord communication, lease compliance support, and conflict resolution
SNAP, TANF, SSI/SSDI application assistance and appeals representation
Appointment scheduling, transportation, and follow-up with medical providers
Job training referrals, resume building, and GED/vocational education connections
Legal clinic referrals, expungement support, and vital records recovery
Support for rebuilding family relationships and child custody matters when appropriate
Standardized Situation-Background-Assessment-Recommendation reporting ensures critical incidents are escalated quickly and professionally to healthcare providers, emergency services, and team leadership.
Why It Matters: Clear, concise communication protocols reduce response time during crises and improve coordination with medical and emergency personnel.
What is happening right now?
Context, history, relevant information
What do you think the problem is?
What action should be taken?
Beyond housing and clinical care, we provide comprehensive support for every aspect of successful community reintegration
Bus passes, rideshare vouchers, and coordinated transportation to medical appointments, job interviews, and essential services.
SNAP enrollment, food bank connections, meal programs, and nutrition education to ensure food security.
Cell phone provision and activation for maintaining contact with case managers, employers, and healthcare providers.
Professional clothing for job interviews, seasonal clothing, and personal care items for dignity and self-confidence.
Job training referrals, resume building, interview preparation, and connections to employment programs and workforce development.
GED preparation, vocational training programs, community college connections, and continuing education opportunities.
Referrals to legal aid clinics, expungement support for criminal records, and assistance with civil legal matters.
Budgeting education, banking access, credit rebuilding, and financial planning for long-term stability and independence.
Community engagement activities, support groups, recreational opportunities, and social skill-building for healthy integration.
Our holistic approach addresses every barrier to housing stability, giving clients the tools and support they need to thrive