Vail Place

Targeted case managementtcm offers guidance and support for people needing the most assistance. Tcm ensures continuity of care, coordination and monitoring of services, discharge planning, housing support, and intensive goal planning. Our tcm team and leadership are focused on building diverse, inclusive, and supportive teams as well as responsive and flexible work environments to increase program stability and staff retention.995 total served through 2,855 visits.

Vail housea 23-bed 24/7 group residential housing facility providing transitional housing in a safe and secure environment for adults facing immediate, critical needs due to homelessness and substance abuse. Recovery-oriented support services personalized for each individual. Vail house saw record set in 2022 for 88% of residents being employed, 18 individuals achieved their goal of successfully obtaining and retaining jobs that worked with their recovery, met their financial needs, and were satisfying to them. 6 residents returned to school. 14 residents completed outpatient or aftercare programs.

Clubhouse community support programvail Place clubhouses provide a comprehensive support system for adults living with mental illness. Our programs are built on the clubhouse international model which promotes recovery through community, belonging, and purpose. Our membersreferred to as "colleagues"engage in meaningful side-by-side work within the clubhouse, contributing to its operations and governance. Vail clubhouses provide members with opportunities to build long-term relationships that, in turn, support them in obtaining employment, education, and housing. Clubhouse members have multiple opportunities to influence how decisions are made throughout the Vail Place organization. They have their own advisory councils for each site as well as have member representation on our board of directors. Vail clubhouse communities routinely engage in presentations and artistic performances that teach the community about living with mental health challenges and how to overcome them. In 2022, members participated in the saint paul history theater, state fair, ragnar relay, multi-cultural dinners, camping trips, the nami mn walk for recovery, and much more. We conducted fourteen onsite nursing education sessions, vaccine clinics, and health screenings. We also increased our temporary employment partners who assist the membership as they explore returning to the workplace. 2022 also allowed us to open more in-person events post covid. We continue to offer hybrid attendance using digital technology to accommodate those unable to come to the physical clubhouse. 755 total served through 18,332 in person visits.

Housing programs and servicesservices through seven different programs:-case management housing services-housing stabilization services-clubhouse housing program-ross programs-louisiana court long-term homeless program-vail in the parkthese programs have different enrollment criteria, target populations, and referral sources, but the quality of support provided, and pursuit of successful tenancy remains consistent throughout. Staff prioritize providing services that lead to safe, stable, and affordable living environments in the community. Staff work alongside each person to offer education while supporting the development of individualized goal plans. These goal plans identify responsive ways to meet needs as well as maintaining support well after move-in. We maintain over 240 community partnerships that allow us to promote synergy and coordinate services effectively. Change/challenges due to covid:covid continued to impact us in 2022, so we adjusted our approach to provide a combination of virtual/in-person support. 498 total served.

Assertive outreach and stabilization (aos) servicesan integrated care model designed to engage individuals in crisis experiencing mental illness, chronic substance use disorders and a variety of social and health-related consequences. The goals of the results focused model/ assertive outreach (ao) program include improving health and stability of individuals, reducing barriers in the community, and subsequently reducing healthcare costs. This program started as an 18-month pilot with healthpartners, and then extended through 2021. The program was expanded in 2021 to include a 2-year pilot with blue cross blue shield. Additionally, north memorial health has added ao services to the array of services provided through the Vail connect program.139 total served. 67% engagement rate.

Vail carea medicaid-certified behavioral health home services program for people with complex needs. Includes health and wellness promotion, case management, enrollee and family support, care management, and referrals. Behavioral health home developed a hybrid model of service delivery seeing both in-person and virtually; nursing services have been delivered in-person throughout the pandemic. Enhanced focus on preventative and chronic health care by identifying gaps in care for program participants and actively coaching them to get appointments and routine screenings are scheduled and attended.

Vail connecta mobile, short-term service; helps stabilize clients and improve health outcomes by connecting them to long-term primary and psychiatric care and community supports. Vail connect reduces re-hospitalization and emergency department visits, thereby reducing healthcare costs. This partnership with north memorial health migrated to an online referral system simplifying the process thereby increasing referrals to Vail connect. Significantly increased our follow-up communication with providers creating a closer working relationship and better care for clients.287 total served. 428 clients referred for additional services. 63 average length of service (in days).all activities are on-going, and participation is open-ended to accommodate the nonlinear aspect of the recovery process. There is no charge to members for participation in our clubhouse program; case management and Vail care services are covered by medicaid, mcos (managed care organizations) and hennepin county; integrated care collaborative programs and housing programs are covered by designated public and private funding. Our facilities-based programs are conveniently located with easy access to public transportation.

Rapid rehousing