Community Health Case Management

For Houston

When a client refers themselves for case management services with Project Healthy Neighbors, one of our case managers reaches out to complete an assessment to determine if our agency would be an appropriate fit to meet the clients needs. Our case managers meet in a variety of community settings. Once a client is enrolled in our services, they would work together with their case manager to develop a case plan. Case managers apply interventions depending on client needs. Below are some aspects of case management.

❋ Assessments

Assessments are important to identify client needs. Needs must first be identified before they can be addressed. 

❋ Case Planning

Together, clients and case managers will develop case plans that specify the targeted needs to be addressed and develop goals that are specific, measurable, achievable, relevant, and time-bound. Plans will outline who is responsible for which tasks, and account for how it will be determined that the case is resolved.

❋ Referrals

In most cases, it will be necessary to refer clients to outside agencies to address some of their needs. This would be outlined in the case plan. Project Healthy Neighbors maintains a listing of resources, some of whom the agency has community partnerships with. Examples of needs we may refer out for would be unemployment, mental health needs, or food insecurity. Case managers would help facilitate the connection between clients and resources.

❋ A Supportive Space

Our services prioritize compassion, emotional safety, and respect—so you can show up as you are and fully engage in the process.

"Progress is not a straight line. There will be setbacks. There will be failures. There will be moments of doubt. But we must never give up. We must never give in."

-John Lewis

  • "I think if we hadn't met you guys, we'd still be living in the shelter."

    - T.P. (female client in companion case, age 54)

  • "Everywhere you go in this life, you find good people. Look at me. I was lost, but I found you. Now I''m not lost anymore."

    - J.H. (Male client with cognition deficiencies, age 80)

  • "I did my part and helped myself. Thank you for walking beside me through the process."

    - E.P. (Individual female client fleeing domestic violence, age 45)