Case Management

Helping Clients on the Journey Home

Many homeless persons have burned all their bridges and have given up hope. Others are unwilling to address their medical and underlying mental health conditions and/or addictions. In Duffy’s experience, when clients can engage in a trusting relationship with a “less threatening” person such as an outreach worker or case manager, they are more willing to open up and gradually understand the need to attend to their chronic medical conditions. For this reason, Duffy has made a concerted effort in recent years to expand its case management services as part of its integrated care model.

We offer an evidence-based practice of primary care integrated with behavioral health and case management services to keep people engaged. More often than not, our clients surpass expectations when provided with these wraparound services. They appreciate the welcoming, respectful and nonjudgmental approach that we use. And, they are able to develop trusting relationships.

Housing First Program

Housing First is a national model for ending homelessness – with the immediate and primary focus on helping individuals quickly access and sustain permanent housing as an initial step in receiving services. Since 2006, Duffy Health Center has been providing services, stability and security through Housing First as clients transition out of homelessness.

Supporting the Journey

Starting with the development of a trusting relationship, Housing First case managers carefully assess individuals and connect clients with housing and support services. Throughout the transition to housing stability, case managers work with clients to reach their goals for self-sufficiency and independence, including educating them on life skills such as budgeting, productive use of time, and forming and maintaining new relationships.

Duffy Health Center’s intensive case managers connect Housing First clients to medical care as well as substance abuse and mental health services at Duffy to help them succeed.

Program Features

Positive changes in behaviors and lifestyle and reconnection to community, through:

  • Rental stability

  • Improvement in mental and physical health

  • Connections to community resources

  • Education, jobs or volunteer opportunities

Download PDF of Housing First Program.

Call (508) 771–9599 for case management services.


A Unique Focus

“Duffy is a leader in the region in effectively collaborating with the community to work towards solutions to reduce homelessness and provide comprehensive health services.”

Elizabeth Albert
Director, Barnstable County Dept. of Human Services