Background/Scope of Project:
The Aging in Shelters Collaborative (ASC) launched by WoM in 2010, involved seven cooperating organizations and focused on some of the most medically needy and least connected elderly homeless women in Boston. The ASC program successfully connected 103 women, aged 55 and older, with primary care providers (PCPs), facilitated safe and stable housing, engaged volunteer health care companions to accompany women to appointments, and by working with multiple agency collaborators, found long-term supports to achieve better access to services and improve the health and health literacy of these women. The ASC framework was built on frequent face-to-face contact supplemented by an integrated communication hub with a specially-designated ASC nurse in the middle as caregiver, case manager, patient educator and navigator.
Highlights of the Final Results: