Written by: Center for Care Innovations

In the summer of 2017, St. John’s Well Child and Family Center (St. John’s) was selected by the Center for Care Innovations to participate in Roles Outside of Traditional Systems, or ROOTS, a one-year learning collaborative focused on the role of clinics in addressing patients’ adverse social determinants of health.

St. John’s used the ROOTS grant opportunity to develop and refine their RISE program. RISE (Re-entry Integrated Services, Engagement & Empowerment), which was launched in the fall of 2017, provides intensive health and social needs case management to individuals with chronic health conditions transitioning from jail or prison back into the community.

The following case study was prepared by the Social Interventions Research & Evaluation Network (SIREN) at the University of California, San Francisco.