COACH

Program/Project Name

COACH

Affiliation Name

Washington University School of Medicine in St. Louis

Website URL

https://thespot.wustl.edu/services/coach-clinic/

Model Type

Medical Home

City

Saint Louis

State

MO

State specific location

Neighborhood health center and hospital-based clinic

How is program/project funded?

Health Insurance

Describe how it's funded

N/A

What services does it provide?

Entry to care health assessment,Comprehensive health assessment,Standardize screening (developmental/mental health),In-clinic mental health evaluation,Subspecialty referrals,Ongoing primary care/medical home

Where does it provide services?

Locally-based

Description of program/project

Creating Opportunities and Choosing Health (COACH) Clinic was started in 2011 to provide a trauma-informed medical home for adolescent youth in foster care in the St. Louis region. Youth between 13 to 17 years old are referred to us by local foster care service agencies or Missouri Children’s Division, and once enrolled have continuous access to our services until age 25 regardless of foster care status. COACH offers a wide array of services including the state-mandated 30 day comprehensive exam, primary care, psychiatry, therapy, case management, and dentistry. COACH Clinic operates in three locations. In 2023, there were 2,561 youth in Children’s Division custody in the St. Louis region. Our program has served around 1000 clients since its inception.

How are patients tracked?

Commercial electronic medical record,Specialized database for your program

Does the program provide special focus?

Teen pregnancy prevention,Mental health,Adolescents

Program/Project strengths

Memorandum of Understanding with Missouri Children’s Division ensures that all adolescents entering foster care in our region receive their 30-day comprehensive exam with our program and improves our ability to coordinate with the state -Close collaboration with community agencies serving youth in foster care -Ability to provide ongoing services, including primary care, for youth between ages 13 to 25 years old, regardless of changes to foster care status such as reunification with family or aging out -Longitudinal case management greatly increases our ability to build relationships with youth and address social needs -Availability of behavioral health services, including counseling and psychiatry, and SBIRT (Screening, Brief Intervention and Referral to Treatment)/ASQ (Ask Suicide-Screening Questions) screening allow effective mental healthcare coordination -Adolescent Medicine focus allows for access to STI and pregnancy testing, sexual health exams, and contraception

Program/Project challenges

Show rates and timely completion of 30-day comprehensive exams are an ongoing issue, largely due to structural barriers such as high caseloads of Children’s Division caseworkers and transportation issues

Contact Name

Rochelle Moore, Kathryn Plax MD

Email Address

moore_r@wustl.edu

Phone Number

314-504-5377