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The Care Coordination Program

Our Care Coordination program was put into place to help our patients who need resources beyond sexual and reproductive health care.

  

When a patient has just experienced violence, has nowhere to sleep that night, and has fears about their reproductive health, they may only have the energy to take it one step at a time. How do you choose which of your needs to address when each of these is so vital?

Through the Care Coordination Program, we are hoping to reach our patients to help with urgent social and behavioral health needs. From mental health assistance and food security to pregnancy support, more people are getting their most essential needs met in a compassionate setting. We provide our patients with hands-on support in getting connected to community resources, and offer a listening ear for our patients who need emotional support as they navigate these processes.

  

Our Care Coordination team offers free follow up services over the phone so we can meet our patients wherever they’re at. We work to help our established patients with needs outside of sexual and reproductive health care to address wellness concerns including:

 

•       Prenatal care & pregnancy support services

•       Homelessness resources

•       Counseling & mental health services

•       Medi-Cal enrollment

•       Sexual violence support

•       Intimate partner violence support

•       Substance use resources

•       Pregnancy options counseling

•       Abortion support

•       Transgender health services

•       Bereavement care

•       PrEP and HIV care navigation

  •      Abortion support and navigation

 

Please talk to your PPPSW health care provider for more information and to be referred to our Care Coordination Program, or reach out to us at 619-881-4682 or [email protected]

This service is for current patients of Planned Parenthood of the Pacific Southwest. For those who are not current patients, please call your local 211 for assistance with community resources.

The Care Coordination program coordinates any social service needs in order to take the load off patients who may be going through crisis or trauma, or who may just need extra help or medical needs.

A patient may be contacted by Care Coordination after their initial visit at the health center. An initial call serves as an informal needs assessment and includes any necessary crisis intervention, education, and/or patient advocacy.

Patient Stories

Out-of-State Abortion Navigation

Care Coordination connected with a patient coming from Texas in need of abortion services, as they could no longer get abortion care in their state. The patient was overwhelmed trying to figure out how she would afford travel costs, where she would stay for the procedure, and who may be able to watch her children while she was away. In connecting with Care Coordination, the patient was educated about the different types of procedures, was provided with a ride to and from her appointment through the Lyft Program, and received assistance to get a hotel so she would have a safe place to recover. By connecting with Care Coordination, the patient was supported with the biggest barriers to accessing the care she needed, to ensure she could get this healthcare no matter what state she lived in.

Intimate Partner Violence 

The Care Coordination Team was referred a patient who had a history of PTSD from an abusive relationship and was having a hard time finding a therapist. Care Coordination had been following up with this patient for about 5 months to connect her with a therapist who was trauma informed and could support her symptoms of PTSD. We connected her with a therapist she felt comfortable with, however, the patient was having difficulties getting her health insurance to authorize therapy sessions. Care Coordination contacted their health insurance alongside of the patient to act as an advocate for the patient’s mental health. The patient was finally able to get connected to the mental health services she needed.

Transgender Services

Gender Affirming Hormone Therapy (or Hormone Replacement Therapy) is a service that Planned Parenthood of the Pacific Southwest provides for transgender and gender non-conforming patients who are 18 and older. The Care Coordination Program has helped one patient for over six months to help him access resources to change his name and gender marker on legal documents, check in after the patient’s major gender affirming surgeries, and celebrate the patient’s excitement as he is expecting his first child. For many patients, the Care Coordination Program has been present to help through vulnerable, complex, and exciting parts of our patients’ lives. 

Grief & Loss

A patient was referred to Care Coordination after expressing suicidal ideation to PPPSW staff as they were navigating grief and depression. Care Coordination supported the patient in processing their emotions, identifying strategies for coping, and considering options for additional support. Care Coordination researched counseling options for the patient and called the counselors with the patient to schedule their first therapy appointment. The patient has since continued their journey with vital mental health services.

Self Care & Beyond: