DPSS Annual Report 24_25 FLIP v16_compressed

The Adult Services Division continues to advance an integrat ed, client‑centered approach built on proactive engagement, cross‑department coordination and seamless service de livery. Through Riverside County’s integrated service model, RivCoONE, Adult Services is connecting residents to mul tiple programs with a single point of contact, embracing a no‑wrong‑door philosophy, and ensuring every interaction cre ates access to a full network of support services. The Whole Person Health Score assessment is a cornerstone of service integration, helping staff identify each client’s unmet and unique needs. Clients applying for In‑Home Supportive Services are encouraged to complete the WPHS, which pro vides a fuller picture of their circumstances and guides staff in connecting them directly to programs and community part ners. As a result, clients often access resources they didn’t know existed or didn’t know how to reach. Whole Person Health Score (WPHS) Identifies Needs Adult Services Embraces RivCoOne and the Power of Service Integration Adult Services Division ASD engaged more than 2,200 clients and completed over 1,700 Whole Person Health Score assessments in Fiscal Year 2024/25. No Wrong Door The Emergency Response Care Coordination (ERCC) team is a key element of the RivCoONE Initiative. Launched in Novem ber 2024, the team supports residents identified by Riverside County Cal Fire and American Medical Response as frequent 911 callers with non‑emergency needs. The ERCC model unites Riverside County agencies to coordinate care and deliver wrap around support, connecting high-need clients to programs such as Behavioral Health, In‑Home Supportive Services, Adult Protective Services, managed care plans, the Office on Aging, the Ombudsman program, and Family Resource Centers. The ERCC team conducted 29 multidisciplinary meetings in Fiscal Year 2024/25 and coordinated services for 140 residents to improve their outcomes and reduce utilization of emergency response systems. Emergency Response Care Coordination Provides Wrap-Around Support

S.S., a 72-year-old resident, applied for In‑Home Supportive Services and completed a Whole Person Health Score assess ment with the Adult Services RivCoONE team. Her assessment revealed multiple unmet needs, prompting a warm handoff to the Office on Aging where she received help with utilities and bills, dental care, nutrition resources and assistance resolving Medi‑Cal share‑of‑cost issues. She was also connected to Nora, a behavioral health therapist. S.S.’ journey reflects River side County’s commitment to ensuring every point of contact leads to meaningful, coordinated support. “A Light at the End of the Tunnel,” a Grieving Client Finds Help

After the loss of my son, I didn’t know what I was going to do. I was feeling hopeless, but you all got someone into my home to help me. Thanks to the support I’m receiving from Nora, I can see the light at the end of the tunnel. — S.S., whose needs were identified and met by integrated services partners.

Riverside County Department of Public Social Services | Annual Report 2024 - 2025

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