Referral Conditions:
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Atrial Fibrillation or other Arrhythmia
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Congestive Heart Failure (CHF)
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Coronary Artery Disease
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Chronic Kidney Disease, Stage IV or V or hemodialysis
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COPD
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Mental Health, such as:
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Anxiety
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Depression
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Bipolar Disorder
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Diabetes
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Hypertension
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Seizure Disorder
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Stroke
Patient Needing
assistance with?
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Healthcare Coverage
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Employment
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Education Assistance
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Transportation
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Needing a Medical Home
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Medication Assistance
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Food Assistance
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Other Basic Needs Assistance
How To refer?
Contact Project Unity at:
Office: (979)595-2900 x 6012
Allison Ross-Carroll's Cell: 979-599-3992
What should the patient Expect?
As a part of BHC, they will be partnered with a Community Health Worker(CHW) to:
Meet at least once a month
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Identify the areas where they need support
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Assist with care plan implementation
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Work with community resources to provide support for their various health and social needs
What is the patients Role?
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Be engaged in the process
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Be open and willing to make health and/or social changes
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Help their CHW define priorities and goals to address
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Commit to a regular schedule for home visits with their CHW
What is a CHW?
A CHW is a Community Health Worker.
Each of our CHW's is a trusted individual who will contribute to improve health outcomes. Their CHW will have a close understanding of the community they are serving and can be their voice to serve as a liaison between health/social services as well as other individuals within the community.