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Recuperative Care Program

Established:
2005
Agency:
Central City Concern
Address:
232 NW 6th Avenue
Portland, Oregon 97209
United States
Contact:
Jordan Wilhelms, Complex Care Program Manager
Phone Number:
(503) 517-0321
Fax:
(503) 243-2044
Description:

Central City Concern’s Recuperative Care Program (RCP) provides post-hospitalization recuperation services for low-income and homeless individuals who need additional support for faster and more complete recovery. It is designed to improve health outcomes for at-risk patients, improve the efficiency of participating hospitals, and avoid discharging patients into shelters or onto the street. Since its inception in 2005, RCP has served thousands of individuals, with over 75% resolving their acute medical condition, over 95% engaged with a primary care provider upon program exit, and over 60% transitioning into stable housing. RCP is comprised of a multidisciplinary, person-centered support team, including intensive case managers with social work, mental health, and public health backgrounds; an EMT; a housing specialist focused on transition planning; and logistics and facility staff. Limited support is provided by an RN and MD.

Operating Agency:
Non-profit
Facility Type:
Apartments/Motel Rooms
Number of Beds:
35
Hours of Operation:
On cal 24hrs/7 days
Average Length of Stay:
2-6 weeks
Admission Criteria:

•Single adult, 18 or older
•Lack medically stable housing at discharge
•Meet InterQual discharge criteria
•Willingness to engage in care and independence in ADLs as defined by Oregon Administrative Rules
•Medical needs post discharge (e.g. infusion, PT/OT, wound care, non-weight bearing status, post-surgery recovery needs)
•Must be able to keep and administer own medications
•Approval for funding via referring hospital, managed care plan, or housing bureau

Clinical Staff:
Physician, Nurse Practitioner, Nurse, Social Worker
Support Services Provided:
Meals, Transportation, Case Management
Funding Sources:
Hospital, HRSA, Medicaid/Medicare, Private Donations, Local/State Government