The Flint ReCAST (Resiliency in Communities after Stress and Trauma) Program is intended to assist high-risk youth and families in the City of Flint impacted by the Flint Water Emergency (FWE). Flint ReCAST seeks to promote resilience and equity through implementation of evidence-based violence prevention and community youth engagement programs, as well as linkages to trauma-informed behavioral health services. Flint ReCAST envisions the greater Flint community working together in ways that lead to improved behavioral health, empowered community residents, reductions in trauma, and sustained community change.
Flint ReCAST is a program of the City of Flint and the Greater Flint Health Coalition serves as the facilitation partner for the program.
Five Goals of Flint ReCAST:
Build on strong local programs and partnerships to support at-risk youth and families in developing resilience, reducing violence, and developing a vibrant community.
Use trauma-informed evidence-based programming to mitigate potential behavioral health impacts of the Flint Water Emergency on Flint youth and families.
Integrate evidence-based violence prevention programming to enhance ongoing community organization led activities to encourage youth at high risk for developing traumatic stress symptomatology toward empowerment and achievement pipelines rather than the school to prison pipelines.
Create a trauma-informed first responder community by providing trauma training to local police, first responders and correction officers.
Increase capacity for youth and families in the Flint community to support skill building and career opportunities to implement evidenced based programs.
Opportunities for Resilience
Using a community-engaged model that builds on past partnerships and experience, a Community Advisory Board was established. The purpose of the Flint ReCAST Community Advisory Board is to guide, empower, and promote the work of the ReCAST program in accordance with the specified five project goals, with an emphasis on the focused population of at-risk youth and families impacted by the Flint Water Emergency. The Community Advisory Board and its members is a multi-sector representation of diverse perspectives and experience in regard to supporting the community at large and the project’s focus area of at-risk youth.
The Flint ReCAST Community Advisory Board meets monthly and includes representation from Flint residents, youth serving community organizations, the health care community, academia, public safety and local institutions. A full member list of the Flint ReCAST Community Advisory Board is available above.
Programs and Practices
Flint ReCAST Community Advisory Board will review and select programs and practices through community driven processes. Strategies will include trauma-informed approaches applied in community engagement programs, evidence-based violence prevention, and trauma-informed behavioral health services, each being culturally and developmentally appropriate. Peer support models will be a priority consideration. Because of the Flint Water Emergency, the identification and capacity building of trauma-informed practices, including behavioral health resources has already begun.
Flint ReCAST intends to support family strengthening and youth engagement and resilience based on recommendation of the ReCAST steering and community committees, which will identify new and existing (in Flint) programs that are a good fit for Flint, and are evidence supported.
Connecting Kids to Coverage Outreach and Enrollment
The Greater Flint Health Coalition’s Connecting Kids to Coverage program has been serving families in Genesee County since 2016, providing free one-on-one healthcare enrollment assistance into Medicaid, the Children’s Health Insurance Program (CHIP), and Flint Healthcare Coverage. GFHC’s Connecting Kids to Coverage team knows how important health insurance is to families and our Outreach and Enrollment Team is here to serve you and ensure all Genesee County Families have access to affordable healthcare.
Need help signing up for Medicaid for you or your family?
Have questions about your current health care plan?
Have you recently lost coverage?
Need help with your yearly health care coverage renewal?
You and your family may be eligible for free or low-cost health care coverage, and we are here to help. Contact an Outreach and Enrollment Coordinator to get your questions answered and get you and your family covered.
Call or Text 810-853-6458 or email email@example.com for assistance and to get your family covered.
About the Program
The Centers for Medicare and Medicaid Services awarded an initial three-year Cooperative Agreement to the Greater Flint Health Coalition (GFHC) in an effort to support eligible children in the Greater Flint area enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) and to help connect children to available services. This award was in response to the public health emergency resulting from lead exposure related to the Flint water system.
As a result of this award, the GFHC launched the Connecting Kids to Coverage Outreach and Enrollment Program to support and coordinate Medicaid and CHIP outreach and enrollment efforts in Flint, Michigan. This effort not only includes children, but also addresses access to care services for pregnant women impacted by the Flint water system.
In 2019, the Greater Flint Health Coalition received a second three-year Cooperative Agreement from the Centers for Medicare and Medicaid Services to further expand the Connecting Kids to Coverage Program across all of Genesee County to better serve residents with free enrollment and renewal assistance into Medicaid, CHIP, and Flint Healthcare Coverage.
With the help and support of partner organizations, GFHC leads strategies to improve and promote utilization and retention of expanded Medicaid benefits. Strategies include the engagement of disconnected youth, families with incomes between the 200-400% federal poverty level, school-age children and families for whom English is a second language, just to name a few. Various methods, including a coordinated service referral and delivery plan are utilized to further engage the community.
This award is part of activities authorized by bipartisan Medicare Access and CHIP Reauthorization Act legislation. Such funding supports national activities aimed at identifying children who are eligible for Medicaid and CHIP and helping their families enroll and renew their coverage. These efforts have helped boost enrollment and have engaged a range of partners take steps to make outreach and enrollment a routine effort.
The Greater Flint Health Coalition (GFHC) is one of five organizations chosen by the Michigan Department of Health and Human Services (MDHHS) to lead the implementation of the State Innovation Model (SIM) within their communities. As the backbone organization for the Genesee Community Health Innovation Region (CHIR), the GFHC and its multisector partners are working to improve population health in Genesee County.
What is SIM?
SIM is a Centers for Medicare and Medicaid Services (CMS) Innovation Center initiative that partners with states to advance multi-payer health care payment and delivery system reform models in an effort to achieve better quality of care, lower costs, and improved health outcomes for Medicaid beneficiaries. The State of Michigan was one of eleven states awarded a four-year model test award, focused on implementing Michigan’s Blueprint for Health Innovation.
The vision for Michigan’s State Innovation Model is a person-centered health system that is coordinating care across medical settings, as well as with community organizations, to address social determinants of health to improve health outcomes; and pursue community-centered solutions to upstream factors of poor health outcomes. MDHHS is implementing the SIM initiative under three main umbrellas: population health, care delivery, and technology.
Community Health Innovation Regions
To address population health, MDHHS has funded five Community Health Innovation Regions (CHIRs) across the State. In addition to the GFHC’s Genesee CHIR, there are CHIRs in the Jackson, Muskegon, Northern Michigan and Livingston/Washtenaw County communities. CHIRs are broad partnerships of community organizations, local government agencies, businesses, healthcare providers, payers, and community members that collaborate to align and implement strategies to support population health.
SIM Priority Population
MDHHS has required Community Health Innovation Regions to focus on the SIM priority population of emergency department (ED) utilizers. The selection of this priority population is supported by the Genesee CHIR’s Community Health Needs Assessment (CHNA), adopted by Genesee County’s three hospitals and the GFHC. The GFHC and its stakeholders have defined this SIM priority population as:
1. High ED utilizers, or individuals using the ED five or more times in a year
2. “Inappropriate” ED utilizers, or individuals using the ED to receive care for conditions identified as typically treatable in a primary care setting; and
3. Preventable ED utilizers, or individuals using the ED who have not had a visit with their primary care provider in the previous year.
GFHC Clinical-Community Linkage Initiative
A primary goal set by MDHHS for each Community Health Innovation Region is to address non-medical factors that affect health, such as housing, transportation, and food insecurity, by supporting connections between primary care practices and community service providers, often referred to as clinical-community linkages. The Clinical Community Linkage Project is led by the Greater Flint Health Coalition, which has implemented a community “hub” model based on the early success of its Genesee Children’s Healthcare Access Program, or CHAP.
To achieve this goal of developing a functional clinical community linkage process, the GFHC has partnered with a variety of community stakeholders and institutions. These include, but are not limited to:
• Two local physician organizations: Professional Medical Corporation and McLaren Physician Partners;
• Genesee County’s six Medicaid Health Plans: Molina Healthcare, McLaren Health Plan, Meridian Health Plan, Blue Cross Complete, UnitedHealthcare Community Plan, and HAP Midwest;
• Genesee County’s three hospitals: Hurley Medical Center, Ascension Genesys Hospital, McLaren Flint;
• Three community-based specialty hubs: Genesee CHAP, Genesee Health Plan, and Genesee Health System;
• The local regional health information exchange (HIE), Great Lakes Health Connect;
• A collective of community and social service organizations including: United Way of Genesee County, Catholic Charities, Carriage Town Ministries, Child Care Connect, Crossover Downtown Outreach Ministries, Food Bank of Eastern Michigan, Genesee County Community Action Resource Department (GCCARD), Mass Transportation Authority, My Brothers’ Keeper, Salvation Army, Shelter of Flint, Valley Area Agency on Aging, and YWCA of Greater Flint.
A newly launched Community Referral Platform is providing one platform linking participating practices, community-based specialty hubs, and community service agencies to support the needs of patients. Working together, the GFHC and its partners will address the upstream socio-economic factors affecting the health of Genesee County residents. An initial ten SIM-designated patient centered medical home (PCMH) practices are included in the Clinical Community Linkages pilot phase launch that began in November, 2017.
Genesee County Community Health Access Program (CHAP)
The Community Health Access Program (CHAP) is a collaborative, community-based medical home improvement model intended to improve the health outcomes of individuals covered by Medicaid insurance (specifically children), while raising the quality of care, better utilizing resources, and decreasing costs.
Children, and in some cases adults, are referred to CHAP by participating pediatric and family practices, Medicaid health insurance plans, Genesee County’s 2-1-1 system, or through self-referrals. A multidisciplinary CHAP team provides services to clients that include:
Linkages to community resources to address social determinant of health needs
Asthma education and case management
Interpretation and transportation services
The CHAP team works with providers offering assistance to:
Improve office efficiency
Decrease no-show rates
Meet medical home certification requirements
Conduct follow-up on emergency department utilization
Create linkages to community resources
Educate on clinical best practices
Develop data reports on CHAP eligible clients
Implement quality improvement projects focused on preventative services
Connect with other providers
CHAP also facilitates change at the system level in the effort to reduce the health disparities experienced by individuals insured by Medicaid improving quality and access to medical homes, reducing emergency department visits and hospital admissions, and improving the overall health outcomes for the clients it serves.
For additional information or to learn how you may participate in Genesee CHAP, please phone (810) 953-CHAP or email CHAP@flint.org.
Commit to Fit! is an ongoing health behavior improvement initiative that seeks to mobilize employers, schools, residents, neighborhoods, churches, and the community at-large to support and utilize a common message focused on healthier, more active lifestyles. Thus, the healthy messages of Commit to Fit! are reinforced throughout the community, across settings where residents live, learn, work, and play.
The campaign promotes practical ways to increase health and wellness through simple daily choices. The Commit to Fit! plan suggests 99 easy ways to better health, outlined in simple tools the community, businesses or your school can adopt and make their own. It also urges proper nutrition, hydration and rest as realistic ways to sneak healthy behaviors into your life.
Available resources include free fitness and nutrition education classes, materials and tools for individuals and employers to promote and maintain good health, and an online health behavior tracking website to monitor your health and wellness goals.
The broad support for the Commit to Fit! movement relies on the shared use of the Commit to Fit! messages by all Genesee County/Flint organizations or groups that are working to improve the practice of healthy behaviors. Using the common messaging of Commit to Fit!, employers, schools, physicians, neighborhoods, churches and residents are all “spreading the word” throughout the community and – together – Commit to Fit! is helping to build a more active, healthy community in which we can all live, learn, work, and play.
In 2011, the Michigan Department of Community Health selected the GFHC as one of six local coalitions to expand prevention activities and empower local residents to make healthy choices. The Commit to Fit! campaign supports this through a common message focused on healthier, more active lifestyles in Flint and Genesee County.
Since its launch, Commit to Fit has expanded to develop and provide a number of associated community efforts including: Hosting an annual calendar of community-wide health and wellness challenges, Commit to Fit! Project Healthy Schools, Commit to Fit! Smart Bites, and the Commit to Fit! Rethink Your Drink campaign. Additional Commit to Fit! developed resources include: the Commit to Fit! Breastfeeding Toolkit, the Commit to Fit! Physician’s Toolkit and the Commit to Fit! Employer-Based Comprehensive Wellness Toolkit. These resources can be downloaded for free at Commi2fit.com or requested by mail or delivery by completing a materials order form.
Commit to Fit! is free to all Genesee County / Flint residents and workers. Visit www.commit2fit.com today to join the movement and access all the resources Commit to Fit! has to offer!
Flint Healthcare Employment Opportunities (FHEO) Program
The Flint Healthcare Employment Opportunities (FHEO) Program was designed to assist unemployed and underemployed residents of Flint and Genesee County with obtaining training and employment in the healthcare industry. These training programs include: Certified Nurse Assistant, Medical Assistant, Pharmacy Technician, Health Unit Coordinator, Medical Billing and Coding, Registered Nurse, and other high demand health careers.*
*Training opportunities based on funding availability
DO I QUALIFY?
For eligible participants accepted into the FHEO Program, training funds are awarded throughout the year and are based on local employer hiring needs, applicant qualifications, training availability, and the following criteria:
Resident of GST MI Works service area and eligible for WIOA Adult, Dislocated Worker or Out-of-School Youth services
Demonstration of need or experiencing circumstances that make it difficult to focus on a career transition
A compatibility for a career in healthcare – clear criminal background, aptitude and capabilities assessments, healthcare career suitability assessment, and drug screening
Minimum age: 18 years old
High school diploma/GED
Veterans strongly encouraged to apply
Don’t Screen Yourself Out. Let Us Screen You In! Call 810-232-2228 for more information!
HOW DO I APPLY?
1. Contact the FHEO Program at 810-232-2228 with your questions and to sign up for the next information session.
2. Get a step ahead, fill out your program application now – APPLY HERE
Program components are designed by FHEO Program employers to give participants the background, skills, and experience needed to succeed in a health care career.
Career readiness and “fit” assessments
Three week Healthcare Life Skills Training and Career Exploration Workshops
A career advisor to assist with decision making and goal achievement
Assistance with books, uniforms, exam/license fees and work supplies
Resume, interview skills, financial literacy and other workshops to improve competitiveness in the workplace
Employer connections and job search assistance
FHEO PROGRAM STEPS
FHEO PROGRAM PARTNERS
The Flint Healthcare Education Opportunities (FHEO) Program has been identified by GST Michigan Works! Agency as the lead healthcare service provider for the Workforce Innovation Opportunity Act (WIOA) Career Services (Adult and Dislocated Workers Program) and WIOA Out-of-School Youth Services.
The FHEO Program’s partner organizations make our work to assist residents with training and education for future healthcare careers a shared success by helping participants find sustainable careers while helping meet the needs of local healthcare employers. In addition to our funders, FHEO Program partner organizations include, but are not limited to:
Ascension Genesys Hospital
Hurley Medical Center
Hamilton Community Health Network
GST Michigan Works!
Charles Stewart Mott Foundation
Baker College of Flint
Mott Community College
Mott Workforce Development
Genesee Intermediate School District
University of Michigan-Flint
Diplomat Specialty Pharmacy
Charter Healthcare Training Center
Ross Medical Education Center
FHEO PROGRAM HISTORY
The Greater Flint Health Coalition (GFHC) is the lead agency for the Flint Healthcare Employment Opportunities (FHEO) Program and the lead Healthcare Service Provider for GST Michigan Works. Established in 2002, the FHEO Program trained its first graduating class in January 2003. Started thanks to the vision of the Charles Stewart Mott Foundation, the FHEO Program has received funding from the C.S. Mott Foundation, Community Foundation of Greater Flint, GST Michigan Works, the Aspen Institute, and the United States Department of Labor.
In life, we plan for many things. We prepare for our retirement, plan trips, and save money for our children’s education. Yet, we often forget to plan for our future healthcare treatment. No one can predict when a sudden illness or accident may occur, leaving a person unable to make personal healthcare decisions. Advance care planning is about ensuring that the healthcare treatment you receive is consistent with your wishes and preferences. It’s a gift to you and your family that promotes peace of mind.
Advance care planning is the process of coming to understand, reflect on, discuss, and plan for a time when you cannot make your own medical decisions. Effective planning is the best way to make sure your views are respected by your loved ones and health providers. This process provides great comfort to those who may make end-of-life decisions for you.
Your Health Your Choice is provided as a free service to the residents of Genesee County. First Steps® certified advance care planning facilitators are available at no cost to meet with individuals and guide them through the ACP process. ACP facilitators help you to reflect on and document your end-of-life healthcare wishes and preferences. They help make sure that those wishes are shared with your family, loved ones, and healthcare professionals to ensure that they are honored when you can no longer speak for yourself. To find out additional information or schedule an appointment to complete an advance directive or review your existing advance directive, please visit www.yourhealthyourchoice.org.
People who were impacted by the Flint Water Crisis can now participate in a voluntary secure registry which will aim to connect them to programs and other resources that serve to minimize the effects of lead on their health while promoting wellness and recovery.
Michigan State University will carry out the registry in collaboration with a broad partnership including leadership form the City of Flint, Greater Flint Health Coalition, educators, clinicians, and community-based organizations that serve Flint residents.
In addition to linking residents to supportive programs and resources, the registry will document the effects on residents affected by lead-tainted tap water and evaluate the effectiveness of health, educational, environmental and community services on improving the health of participants.
Enrollment into the registry will begin in fall of 2018.
Enrollment into the registry will begin in fall of 2018, however pre-enroll now to get the most up-to-date information. To pre-enroll, visit www.flintregistry.org, contact (833)GO-FLINT or email, FlintRegistry@hc.msu.edu for more information.