2. Caring for the Expanding Patient Population:  Treating the Recently Incarcerated
April 1, 2016

3. Partners County of San Diego (Sheriff’s Dept, Jail, Probation)
Health & Human Services Agency – San Diego (HHSA)
ACLU
Health Center Partners of Southern California

4. Population
Detainees in local jail – long and short term, release under 30 days
Individuals on Probation (during required in office checks)
Male
Non-violent offenses

5. Needs Uninsured, or unknown insurance status
Health needs not addressed
Continuation of care, and medication management
Specialty services

6. Our approach Screen for existing eligibility
Short individual and group orientations of Medi-Cal benefits
Application completed
Follow-up of application status

7. Culturally competent care
Same clients we see in clinic
Finding the “right” staff
Training provided by Sheriff’s Dept
Follow patients to transitional housing

8. Challenges – Jail (Detention Facility)
Access to ID documents (coordination with Sheriff Dept and HHSA)
Education topics limited
Multiple agencies providing services – can’t direct patients to your own clinic
Logistical and safety considerations

9. Challenges - Probation
Generally not interested in insurance enrollment
Education topics limited
Multiple agencies providing services – can’t direct patients to your own clinic
Coordination with Probation Officers
Already applied during detention

10. Challenges
Funding – efficiency of CECs is limited

11. Successes
330 group orientations
214 applications
“Temp” insurance coverage
Follow-up in clinic, connect to services
Coordination with HIV Program

12. Michelle Monroe Chief Operations Officer Vista Community Clinic (760) 216-5818 mmonroe@vcc.clinic