Programs that keep care continuous - inside, through, and after incarceration.
Every program we run answers the same question.
What does this person need to stay healthy when they walk out of the gate?
.........
phases
01 - INSIDE Pre-release health education
Non-clinical chronic disease education and structured self-monitoring before release, beginning with asthma and COPD. Participants learn to track symptoms, use validated control tools, record objective measures, and prepare useful information for their facility clinicians.
02 - THE BRIDGE Transition coordination
Transition coordination around release, including coverage enrollment and documentation support, medication bridge planning, a concise transition packet, and a warm handoff to a named community provider.
03 - HOME Community continuity
Follow-up after release through provider connections, appointment and prescription navigation, and re-referral when care linkage fails during the months when continuity is most vulnerable.