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<big>WPC program ended 11/30/21.  However, below are some other available programs addressing social determinates of health:</big>  
 
 
<big>***WPC program ended 11/30/21.*** However, below are some other available programs addressing social determinates of health:</big>  


* '''Re-entry''' (released from prison <6 months with medical, mental health, substance abuse, or social needs)  
* '''Re-entry''' (released from prison <6 months with medical, mental health, substance abuse, or social needs)  

Revisión del 19:40 1 dic 2021


***WPC program ended 11/30/21.*** However, below are some other available programs addressing social determinates of health:

  • Re-entry (released from prison <6 months with medical, mental health, substance abuse, or social needs)
    • 844.804.5200 (24/7) and put patient on phone.


  • Medically Complex Transitions of care (includes 3 visits to ED in past year)
    • ORCHID Message/Call/Text Rosario Aliviado - Social Work Supervisor. Please include MRN, pt phone number, and reason for referral.
      • 21x.294.8908. She will respond M-F 9:00-4:30 pm but you can ORCHID message/call/text/email anytime.


  • Perinatal (high-risk pregnant mothers - homeless, mental health, substance abuse, domestic violence, no food) 844.376.2627


  • Homeless ... social work can help facilitate housing
    • Refer to Social Work
      • Place order in ORCHID
        • Consult to Social Work: reason for referral: homeless


  • Disabled and needs disability benefits (SSI)
    • Refer to Social Work
      • Place Order in ORCHID
        • Consult to Social Work: reason for referral: disability benefits


  • Mental Health
    • Residential & Bridging Care (transition from mental health institution to community) 213.738.4775
    • Intensive Service Recipients (mental health with 2 or more admissions in year, recent DC from psych hospital) 844.804.5200


See Also