All case studies

Case · 89

Individuals Transitioning from Incarceration

Housed in the highest-risk window after release

Member

Rosa

Service line

Individuals Transitioning from Incarceration

Location

Fresno County, CA

Duration

60-day intensive post-release

01 —

The outcome

Two weeks after release from county jail — the window when returning to homelessness sends most people back inside — Rosa had a recuperative care bed, a Lifeline phone, and a Community Health Worker who answered every call.

Housed by Day 5

Headline result for Rosa.

Day 5

Move-in date

From release to a signed transitional lease.

0

Nights unsheltered

Across the 60-day post-release window.

8/8

Parole check-ins attended

Full compliance across the supervision period.

100%

PCP appointment adherence

First primary care relationship of her adult life.

02

Background

Where the member started.

Rosa, 31, was releasing after a 90-day jail stay with no confirmed address, a suspended Medi-Cal, and prior release cycles that ended with a return to the streets within 72 hours.

In their words —

Every time I got out before, I was back on the block by nightfall. This time they handed me a key instead of a bus pass.

Rosa, Reentry Member

03

The challenge

What stood in the way.

  1. 01

    Direct-to-street risk with no housing plan on file at release.

  2. 02

    Medi-Cal suspended during incarceration and not yet reactivated.

  3. 03

    No phone, no ID, and no active bank account to complete housing paperwork.

  4. 04

    Prior enrollment attempts at community services failed at the transportation step.

04

Our approach

How we built the plan.

Move 01

Pre-release in-reach 30 days before the gate to build a housing and benefits plan.

Move 02

Community Supports Housing Deposit and Recuperative Care reserved before release.

Move 03

Community Health Worker + Lifeline phone handed off at the gate for daily contact.

05 —

The solution

Step by step, what we actually did.

  1. 01

    Day −30 — Pre-release engagement

    Reentry Care Manager met Rosa weekly inside the facility, completed the ECM assessment, and locked in a Housing Deposit authorization with her Medi-Cal plan.

  2. 02

    Day 0 — Warm handoff

    Medical transportation from the gate, Lifeline phone activated in her hand, and a same-day PCP visit before her recuperative care intake.

  3. 03

    Day 5 — Housing move-in

    Community Supports Housing Deposit applied to a transitional unit; Tenancy Sustaining Services scheduled twice weekly.

  4. 04

    Days 14–60 — Continuity

    Community Health Worker visits twice weekly, care plan coordinated with parole so appointment adherence counted toward supervision compliance.

06

Services involved

The full network on this case.

Enhanced Care ManagementCommunity Supports — Housing Deposit + Recuperative CareCommunity Health WorkersLifeline ServicesMedical Transportation