01
Healthy Living
"Atlas connected me with a nutritionist and a six-month plan. I lost 40 pounds in three months and got my motivation back."
— Mike, 46
DHCS CalAIM · California
Whole-person care for California's highest-need members.
Atlas Health Group supports justice-involved adults and youth, people experiencing homelessness with serious mental health or substance use challenges, families facing birth inequities, and members with frequent emergency room or hospital visits. We help connect members to the care, resources, and ongoing support they need to improve stability, health, and independence.
- 2,347
- Members being served
- $415k
- In housing deposits awarded
- 678
- Postpartum care services
- 4,546
- Lifeline phones distributed
Populations of Focus
Five populations.
One CalAIM promise.
- 01
Individuals Transitioning from Incarceration
Ninety days can decide the next ten years.
Warm-handoff care for adults and youth returning to the community from jail, prison, or juvenile facilities.
- 02
Youth Transitioning from Incarceration
A teenager is not a small adult — and a probation order is not a treatment plan.
Developmentally-tailored care for transitional-age youth involved in the juvenile justice system.
- 03
Individuals and Families Experiencing Homelessness
The clinic comes to the curb.
Street-based, harm-reduction care for individuals and families experiencing — or imminently facing — homelessness, with complex physical, behavioral, or developmental health needs.
- 04
Birth Equity (Pregnant & Postpartum SMI/SUD)
Black mothers are 3–4× more likely to die from pregnancy in California. We are here to change that math.
Culturally-matched care for pregnant and postpartum members at elevated risk of maternal morbidity — delivered under the Adult SMI/SUD Population of Focus.
- 05
Adult High Utilizers
The fifth ED visit this year is not an emergency — it's a system failure.
Intensive care management for adults with repeat, avoidable emergency department visits and unplanned hospitalizations.
Our Approach
With you every step of the way.
Wellness is a journey, not a destination. Every path is unique—and so is the care we provide.
- 01
We listen first
A Lead Care Manager learns your story, your goals, and the obstacles in your way.
- 02
We build a plan together
Medical, behavioral, and social supports coordinated under one roof—no more juggling.
- 03
We walk beside you
From doctor's visits to housing applications, we show up so you don't have to do it alone.
Why these three
The populations California cannot afford to lose.
CalAIM concentrates Medi-Cal's most powerful tools where fragmented care creates the sharpest human cost. Atlas puts those tools to work.
- 40K+
- Californians released from state prison each year
- 187K
- Californians homeless on any given night — 68% unsheltered
- 3–4×
- Higher maternal mortality for Black birthing people in CA
The 90 days before the gate opens are our highest-leverage window — a warm handoff can cut 30-day recidivism and slash the post-release overdose spike.
Source · CDCR Offender Data Points
Community Health Workers, Community Supports housing, and integrated behavioral health meet members living with SMI and SUD where they are.
Source · HUD 2024 AHAR Point-in-Time Count
Perinatal ECM, behavioral health, and postpartum home-visiting from pregnancy through 12 months are how we change the math for high-risk pregnancy.
Source · California Pregnancy-Associated Mortality Review
Case Studies
Real members. Real outcomes.
View all case studies01
Darnell · Individuals Transitioning from Incarceration
From the gate to a clinic chair in 24 hours
A 42-year-old releasing from state prison after seven years arrived with a 30-day psychiatric medication supply, a same-day PCP visit, and a bed in transitional housing — instead of a bus ticket to nowhere.
0 days without meds
02
James · Individuals and Families Experiencing Homelessness
From an encampment to a signed lease in 90 days
A 54-year-old living unsheltered for four years with schizophrenia and untreated hepatitis C moved from a riverbed encampment to a permanent supportive housing unit — with his medications, his cat, and his ID.
Housed on Day 89
03
Tanisha · Birth Equity (Pregnant & Postpartum SMI/SUD)
Preeclampsia caught early — mother and baby home together
A 29-year-old Black birthing person with a prior severe preeclampsia history was screened, monitored, and hospitalized at the right moment — delivering a healthy baby at 37 weeks with no ICU stay.
0 ICU days
Member Stories
Whole-person care, told by the people who lived it.
02
Behavioral Health
"After my divorce I felt adrift. Through compassionate behavioral health, I found clarity, resilience, and new dreams."
— Mark
03
Community Supports
"When eviction was days away, Atlas guided me to affordable housing and covered the down payment. My kids have a home."
— Jenny
In partnership with California's leading health plans
Get started
For partners
Refer a member in under 5 minutes.
Jails, hospitals, FQHCs, health plans, OB practices, shelters, probation, drug courts — send us the warm handoff and we take it from there.
For members & families
Enroll yourself or a loved one.
Medi-Cal members and their families can self-refer. No ID, no phone, no address required — we'll help build all of it.