DPH outlines FACS mobile-team model to bring health services into permanent supportive housing
April 04, 2023 | San Francisco City, San Francisco County, California
This article was created by AI summarizing key points discussed. AI makes mistakes, so for full details and context, please refer to the video of the full meeting. Please report any errors so we can fix them. Report an error »
The San Francisco Department of Public Health presented a new model for delivering health and behavioral services in permanent supportive housing on Tuesday, describing a mobile clinical team (FACS) that offers consultation, short-term on-site support and ongoing in-home services aimed at keeping tenants housed and connected to care.
"FACS was really launched out of conversations between DPH, HSH and permanent supportive housing providers to support PSH tenants who did not have health services available in their buildings," Dara Pappo, director of Whole Person Integrated Care, told the Commission. She said the program was funded by Proposition C and initially operates across roughly 69 buildings—about half of the city's PSH portfolio—covering an estimated 10,000 tenants.
Pappo described three tiers of service: broad consultation and coaching for on-site housing staff; short-term on-site supports that help stabilize tenants; and a more intensive in-home package for individuals who need ongoing clinical services. She illustrated the model with client vignettes: one man in his 30s with uncontrolled diabetes regained access to primary care and medication management; a woman in her late 70s with chronic lung disease was connected to specialty care and supportive services that reduced eviction risk.
DPH reported FACS received 106 referrals in roughly three months, with about a third resolved by consultation/coaching and two-thirds assigned to assessment or direct services. Goals include connecting 90% of eligible individuals to health insurance and to enhanced care management where appropriate, and tracking clinical metrics such as diabetes and hypertension control.
Commissioners praised the integrated approach and asked staff to return with metrics on staffing mixes and program outcomes. Pappo said DPH plans to expand behavioral-health services through a forthcoming request for proposals and to continue refining outcome measures.
What happens next: DPH will refine performance metrics for FACS, coordinate behavioral-health expansion via an RFP and provide periodic updates to the Commission on outcomes and scale-up.
"FACS was really launched out of conversations between DPH, HSH and permanent supportive housing providers to support PSH tenants who did not have health services available in their buildings," Dara Pappo, director of Whole Person Integrated Care, told the Commission. She said the program was funded by Proposition C and initially operates across roughly 69 buildings—about half of the city's PSH portfolio—covering an estimated 10,000 tenants.
Pappo described three tiers of service: broad consultation and coaching for on-site housing staff; short-term on-site supports that help stabilize tenants; and a more intensive in-home package for individuals who need ongoing clinical services. She illustrated the model with client vignettes: one man in his 30s with uncontrolled diabetes regained access to primary care and medication management; a woman in her late 70s with chronic lung disease was connected to specialty care and supportive services that reduced eviction risk.
DPH reported FACS received 106 referrals in roughly three months, with about a third resolved by consultation/coaching and two-thirds assigned to assessment or direct services. Goals include connecting 90% of eligible individuals to health insurance and to enhanced care management where appropriate, and tracking clinical metrics such as diabetes and hypertension control.
Commissioners praised the integrated approach and asked staff to return with metrics on staffing mixes and program outcomes. Pappo said DPH plans to expand behavioral-health services through a forthcoming request for proposals and to continue refining outcome measures.
What happens next: DPH will refine performance metrics for FACS, coordinate behavioral-health expansion via an RFP and provide periodic updates to the Commission on outcomes and scale-up.
View the Full Meeting & All Its Details
This article offers just a summary. Unlock complete video, transcripts, and insights as a Founder Member.
✓
Watch full, unedited meeting videos
✓
Search every word spoken in unlimited transcripts
✓
AI summaries & real-time alerts (all government levels)
✓
Permanent access to expanding government content
30-day money-back guarantee
