Community Based Care

The realization that social determinants of health can have greater impact on health than medical care, is leading to innovative partnerships between health care systems and social service agencies. These partnerships help meet the needs of high-risk/high-cost populations, helping them achieve better health at a lower costs.


Health starts in our homes, schools, workplaces, neighborhoods, and communities.   We know that taking care of ourselves by eating well and staying active, not smoking, getting the recommended immunizations and screening tests, and seeing a doctor when we are sick all influence our health.   Our health is also determined in part by access to social and economic opportunities; the resources and supports available in our homes, neighborhoods, and communities; the quality of our schooling; the safety of our workplaces; the cleanliness of our water, food and air; and the nature of our social interactions and relationships.   The conditions in which we live explain in part why some people are healthier than others and why some people are not as healthy as they could be.


The Social Determinants of Health are conditions in the environment in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.



                                             Social Determinants of Health



























Health Outcomes:  Mortality, Morbidity, Life Expectancy, Health Care

                                        Expenditures, Health Status, Functional Limitations

Care Management

Help Me Help You is experienced with serving frequent utilizes of health services, with individuals experiencing homelessness, and we are experienced with serving MediCal members.  We work with health care systems and health plans to improve member outcomes and reduce health care costs.


Currently Help Me Help You provides the following:

  • Meet members in their homes or at medical facilities if necessary.

  • Provide members with transportation support.

  • Provide linkages to community and social support services as needed.

  • Help clients enroll into MediCal, General Relief, CalFresh, and Social Security Benefits.

  • Connect members to local PCP and Mental Health providers treatment.

  • Provide financial literacy education and related services.

  • and more.

Future plans include providing immediate housing for post discharge members and permanent housing for those experiencing homelessness