County of Marin Health and Human Services

Whole Person Care

Whole Person Care is an important part of the County’s homeless system of care: check out our new Housing First website for more information on Marin County’s response to homelessness!

Background

In June 2017, Marin County Department of Health & Human Services (Marin HHS) received approval from the state to begin implementation of the Whole Person Care 1115 Waiver. The vision of the County of Marin’s Whole Person Care Pilot (WPC) is to build a sustainable, evidence-based, outcomes-focused coordinated system of care across health and social sectors to more efficiently and effectively serve Marin County’s most vulnerable Medi-Cal beneficiaries.

The WPC pilot is building upon existing programs and services by implementing a unified, coordinated entry and care management system; by standardizing screening, assessments, and care coordination; and, by promoting bi-directional information sharing and care coordination among providers. The goal for this systems-level change is new, coordinated, and sustainable approaches to meeting the needs of high-risk, high-cost Medi-Cal beneficiaries. 

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Target Population:

  • Individuals on Medi-Cal who experience complex medical conditions, behavioral health issues, and/or lack social supports that interfere with standards of care and result in high utilization and costs, with particular focus on individuals who experience homelessness or are precariously housed.

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Results:

These preliminary results are encouraging.  We will continue to monitor results as the program matures and enrolls additional clients.

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Participating Entities:

  • County of Marin Department of Health & Human Services
  • County of Marin District Attorney's Office
  • County of Marin Probation Department
  • County of Marin Public Defender's Office
  • Adopt a Family of Marin
  • Bright Heart Health
  • Buckelew Programs
  • City of Novato
  • City of San Rafael
  • Center Point, Inc.
  • Central Marin Police Authority
  • Coastal Health Alliance
  • Community Action Marin
  • Downtown Streets Team
  • Healthy Marin Partnership
  • Homeward Bound
  • Kaiser Permanente, San Rafael Medical Center
  • LifeLong Medical Care
  • Marin City Health and Wellness
  • Marin Community Clinics
  • Marin Housing Authority
  • Marin General Hospital
  • Opportunity Village
  • Partnership HealthPlan of California 
  • Ritter Center • Senior Access
  • St. Vincent de Paul Society
  • Sunny Hills Services
  • US Department of Veterans Affairs
  • The Spahr Center
  • Whistlestop

Download a PDF of the list of Participating Entities.

Marin WPC:  Policies and Procedures

Contact Information: 
Ken Shapiro
kshapiro@marincounty.org
415-473-6873 (office)                                                                                       
415-847-3665 (cell)
 

[1] Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014. Access at SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach

[2] Vogel, D. P. (1993). Patient-focused care. American Journal of Hospital Pharmacy, 50, 2321-2329. Access at Patient-focused care.