Be Well Orange Campus Client Journeys Through A New Model of Integrated Care

Client Story 1: Joe

Joe was referred to the Be Well Orange Campus from a hospital emergency department after being found unconscious from a drug overdose.

After being medically cleared for transfer, Joe arrived at the Be Well Orange Campus and was brought to the Crisis Stabilization Unit (CSU) where he was evaluated by staff and stabilized. During his stay, Joe expressed openness to substance use treatment. Through collaborative efforts between the Be Well Telecare and Exodus staff, he was transferred to Be onWell’s site Withdrawal Management program. While in the program, Joe was put on a supportive detox protocol to manage withdrawal symptoms and participated in educational groups.

Through this treatment, the care team identified that Joe was experiencing both substance use and mental health issues, and transferred him to the on-site Co-Occurring Disorders program, which treats both issues in tandem. Upon his arrival, he participated in regular educational and processing groups and was supported in developing a recovery plan with the help of the Be Well Telecare team. He continues to remain an active participant in the program and is currently working with a case manager on a supportive discharge plan that will help to successfully maintain abstinence and manage recovery.

Client Story 2: Jane

Jane was brought to the Be Well Orange Campus by law enforcement and was initially admitted to the Recovery Station for sobering. Upon evaluation and after expressing self-harm behaviors, the team determined that she could benefit from the increased safety and support of the mental health Crisis Stabilization Unit (CSU).

Jane was quickly assessed for admission and was transferred to the CSU where they discovered she was pregnant.

After stabilizing her symptoms overnight, she expressed openness to recovery. Through collaborative efforts between the Campus’ care teams, Jane was transferred and accepted to Be Well’s on-site Withdrawal Management residential program. In addition to providing care for her substance use issues, the team supported her in obtaining an evaluation and ultrasound to determine the health of her baby.

When appropriate, Jane will be transitioned to the Be Well Campus Co-Occurring Disorder residential program where she will health and work on substance developing use issues, skills to so manage that she both can her focus mental on being a healthy mother to her baby.