People USA is working, as part of Ulster County’s High Risk Mitigation Team, to provide people living with persistent, high-risk opioid/substance use with intensive transitional care management, systems navigation & advocacy, and direct connections to ongoing treatment & wellness services.
Partners in the project include Ellenville Regional Hospital, Ulster County Dept. of Health & Mental Health, and Ulster County Sheriff’s Office.
People USA’s Care Manager Systems Specialist provides intensive transitional care management services that help people to stabilize and set in motion long-term goals, create person-centered care plans (creating roadmaps for their recovery/wellness), create overdose safety plans (i.e. harm reduction), and deliver a menu of services that educates, supports, and empowers them.