Integrated Healthcare Program
Pathways to Housing PA serves people with complex physical and behavioral health needs. Many of the people we work with have serious, chronic and untreated medical issues that have often been neglected for years and require significant healthcare coordination.
To address the level of medical need, Pathways PA formed an Integrated Health Care Program. Our goal is to ensure a person-centered approach to care that emphasizes a welcoming environment, recovery, wellness, trauma-informed care, and the integration of physical and behavioral health care. Pathways, in partnership with Thomas Jefferson University/Department of Family and Community Medicine and Project H.O.M.E.’s Stephen Klein Wellness Center, provides a comprehensive array of services to improve access to physical and behavioral health services. Dr. Lara Weinstein has been treating clients at Pathways PA for over ten years and has reported on the magnitude of the physical health care needs of our population, as well as on the remarkable progress she’s seen by the access to direct care that she has been able to provide. Dr. Weinstein works with a primary care CRNP and five nurse service coordinators on the service teams. Together, they provide comprehensive primary care to patients who haven't connected or have challenges with traditional healthcare services. Services include ongoing primary care, acute care, chronic disease management, coordination of hospital to home transitions, an on-site lab and preventive care. Services are provided on-site at Pathways PA, in clients’ homes, during hospital visits, at Stephen Klein Wellness Center and at Jefferson Family Medicine Associates outpatient clinics.
We offer primary medical care, psychiatric services, behavioral health services, nurse care management, peer-led outreach, care coordination and assistance with applying for health insurance benefits. The coordination of medical and behavioral healthcare with on-site staff psychiatrists and the development of a system of population based health and wellness management is also part of the team’s responsibilities. The team provides support of individual and group health and wellness programs in coordination with clients and staff. Their services include health education, health screenings, chronic disease self-management support, and illness-prevention immunization programs.
In keeping with our commitment to fully integrated physical and behavioral healthcare, Pathways PA offers on-site medication assisted treatment as a Pennsylvania Center of Excellence through a partnership with Prevention Point Philadelphia and Stephen Klein Wellness Center. Together, we have provided over 335 individuals with medically assisted treatment for opioid use disorder and continue to help stabilize people in crisis with the most complex mental illnesses and addictions.
We believe that housing is a medical intervention, and we are making a huge impact on quality, access and cost in the health care arena.