County of Marin Health and Human Services

Whole Person Care

Coronavirus (COVID-19) Shelter in Place Order for Marin County

To contact us for essential services, please use the following resource numbers:

Dial 711 for CA Relay Service

Starting March 17, 2020, most County of Marin Health and Human Services offices and public spaces are closed.
Please call ahead if you have an appointment or are required to be assisted in-person.

 

 

 Please see homelessness resource guide being updated frequently here: https://housingfirst.marinhhs.org/

3/20/20 (revised 3/27)From: Marin County Emergency Operations Center, Care and Shelter Branch

Dear Partners,

As we all prepare for the anticipated surge in COVID-19 positive patients, the county and Coordinated Entry partners have begun to implement a plan to assist individuals experiencing homeless who are most vulnerable to isolate.  Our evolving plan is as follows:

INCREASED SHELTER BEDS (NON-COVID-19)

We are expanding our capacity to shelter people who are experiencing homelessness in response to the COVID-19 epidemic.  Stays will be 72 hours, renewable based on acceptable behavior.  We are working to secure additional locations for individuals and families.

Shelter will be offered based on Coordinated Entry lists and not based on referrals. Please do not refer clients to us.  We are prioritizing individuals and families that Coordinated Entry has identified as most vulnerable.  The best thing you can do to help your client is make sure they have a VI-SPDAT in HMIS (“Clarity”).

RESPITE CARE (NON-COVID-19)

The existing program for homeless individuals who are being discharged from the hospital but need ongoing medical services, known as Transition to Wellness, continues to remain a resource. 

ISOLATING PEOPLE WHO ARE AWAITING TEST RESULTS OR WHO HAVE TESTED POSITIVE FOR COVID-19

If you have a question about transporting a client experiencing homelessness to an isolation spot while they wait for test results, please email COVID-19@marincounty.org and someone will get back to you as soon as they are able.

If you have other COVID questions, please contact COVID-19@marincounty.org and we’ll respond as we are able.

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. 

Marin County's WPC program has given me a access to a true life. Without this chance, I don’t think I’d have the will to go on. At age 63, a network of angels helped me and for the first time they didn’t give up on me. At my age, each minute, each hour if a gift, without housing life was just dark. Now there is a light. Now I have a home. The WPC program and housing voucher has finally given me safety and a chance at a true life… It has given me dignity again.”   -- Whole Person Care client, Dec. 2018

philophies_posterfinal.jpg

Outcomes:

  •  The Marin County Department of Health and Human Services (HHS) and its partners have reduced chronic homelessness by 28 percent since 2017. 

 

  •   From October 2017 through January 2020, 178 individuals who were experiencing chronic homelessness have been housed

 

  • The total count of people experiencing homelessness in Marin on a single day is 1,034 individuals, a 7 percent reduction from 2017 to 2019. This is especially notable given significant increases in homelessness across other Bay Area counties.

 

  •  A key component to this success has been our ability to create new housing for people experiencing chronic homelessness by pairing Marin Housing Authority’s Housing Choice Vouchers with Whole Person Care (WPC) case management teams.  We have created 100 new units of Permanent Supportive Housing in Marin using this approach in the past two years.

 

  • Marin has also implemented a data-sharing and care coordination platform that allows 30 partner agencies to access nearly 1,900 client profiles for vulnerable county residents. 

 

  • 17:  The percent reduction in Emergency Department visits and among WPC clients after being enrolled in the program

 

  • 20: The percent reduction in incarcerations and among WPC clients after being enrolled in the program.

 

  • 54 and 86: In San Rafael, the percent reduction in EMS transports and police calls, respectively, for people housed through WPC. 

 

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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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
  • Canal Alliance
  • Coastal Health Alliance
  • Adopt a Family of Marin
  • Bright Heart Health
  • Buckelew Programs
  • City of Novato
  • City of San Rafael
  • City of Sausalito
  • Center Point, Inc.
  • Central Marin Police Authority
  • Coastal Health Alliance
  • Community Action Marin
  • Downtown Streets Team
  • Gilead House
  • Homeward Bound
  • Kaiser Permanente, San Rafael Medical Center
  • LifeLong Medical Care
  • Marin Center for Independent Living/Opportunity Village
  • Marin City Health and Wellness
  • Marin Community Clinics
  • Marin County Sheriff's Office
  • Marin County Free Library
  • Marin Health (formerly Marin General Hospital)
  • Marin Health Gateway (health information exchange)
  • Marin Housing Authority
  • Marin Treatment Center
  • North Marin Community Services
  • Partnership HealthPlan of California 
  • Richardson Bay Regional Authority
  • Ritter Center
  • Swords to Ploughshares
  • Senior Access
  • St. Vincent de Paul Society
  • The Spahr Center
  • West Marin Community Services

Marin WPC:  Policies and Procedures

Contact us: 
MarinWPCquestions@marincounty.org 

[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.