San Diego Transition Team
3132 Jefferson Street
San Diego, California 92110
About San Diego Transition Team
At Telecare, we believe in a whatever-it-takes approach to empower your recovery from within. To achieve this, our Transition Team in San Diego provides you with intensive, short-term case management services to help you navigate the mental health system and help you take positive steps toward the things that matter in your life.
We have a diverse team of professional and paraprofessional staff who work with you to get connected to community services and supports in a timely manner. We utilize Telecare's Recovery-Centered Clinical System (RCCS), which allows us to tailor services to your unique needs, and helps us foster relationships that support your goals. We work together with your family, friends, and community to help you take strides toward recovery.
Just the Basics
Members: 60 clients a month, 400+ annually
Population Served: Adults and Transitional Aged Youth (TAY) with Medi-Cal and a limited number of uninsured. Eligible individuals must have a qualifying Title IX diagnosis and have been hospitalized on a behavioral health unit either currently or recently.
Funded by: The Telecare Transition Team is under contract with San Diego County Behavioral Health Services and is funded by the County of San Diego, Medi-Cal, and MHSA.
Telecare’s Transition Team outreaches to members who are currently enrolled in treatment at: Paradise Valley Hospital, Bayview Hospital, Scripps Mercy, UCSD, Sharp Grossmont Hospital, Alvarado Parkway Institute (for those eligible), Aurora Behavioral Healthcare (for those eligible), Tri-City Medical Center, Sharp Mesa Vista Hospital (for those eligible), and Palomar Hospital.
Additionally, referrals are made through the San Diego County Psychiatric Hospital.
- Must be a resident of San Diego County
- Adults and Transition Aged Youth (ages 18-24) with Medi-Cal
- Must have a qualifying Title IX diagnosis and have been hospitalized in a behavioral health unit either currently or recently
This program follows Telecare’s Recovery-Centered Clinical System (RCCS), an innovative recovery framework that incorporates the latest research and evidence-based practices. RCCS emphasizes doing no harm and supporting and enlivening recovery. The recovery model incorporates such approaches as motivational interviewing, cognitive behavioral therapy, dialectical behavioral therapy (DBT), harm reduction, and other consumer-centered therapeutic interventions.
Services and Supports
Services at Transition Team include, but are not limited to:
- Behavioral health needs screening
- Outreach and engagement
- Treatment planning and symptom education
- Transitional medication management services
- Linkage to an outpatient provider
- Transitional intensive case management
- Uninsured case management
- Community living skills
- Crisis management and coaching
- Social security and Medi-Cal assistance
- 24/7 on-call staff response if needed
- Monday-Friday: 8:00 a.m. to 4:30 p.m.
- Decision Support Center: 9:30 a.m. to 4:00 p.m.
- All services are provided 24 hours a day, 7 days a week.
What Makes Us Different
Our team connects with you before being discharged from the hospital to assess what services you might be needing. We work with you and your physician to identify goals and concerns to figure out the next best steps for treatment and recovery.
Telecare began delivering services through the Transition Team in 1995. Between 2014-2015, we helped members decrease their utilization of costly higher levels of care (acute inpatient, ERs) and jail, and saw the number of clients with hospital readmission's decline 53%, while the total number of readmission's declined 41%.
Telecare is a family- and employee-owned company that has been treating individuals with serious mental illness since 1965. We specialize in innovative, outcomes-driven services for high-risk individuals with complex needs. Our programs are recovery-focused and clinically effective and are designed in partnership with local, county, state and other behavioral health organizations.