Primary Care Integration Services

 The mission of the Primary Care Integration Program is to ensure access and coordination to primary health care services for those accessing services at the Clara Martin Center. Clara Martin Center has worked to develop strong, collaborative relationships with primary care practices within our service area. Clara Martin Center is co-located with Gifford Health Center in Chelsea at the Chelsea Health Center and works closely with their offices in Randolph, Bethel and Rochester. Clara Martin Center also provides contracted Care Coordination services at the White River Family Practice in White River Junction. Other primary care offices in which there is a strong relationship include Little Rivers Health Center – a federally qualified health center (FQHC) with offices in Bradford, Wells River and East Corinth; Upper Valley Pediatrics in Bradford; Newbury Health Clinic in Newbury; and Ammonoosuc Health Center in Woodsville, New Hampshire.

Objectives

  • Improve access to primary care services for residents of the area
  • Coordinate care and services from community organizations to meet the needs of the individual
  • Participate on the Community Health Teams in Randolph, Bradford and White River Junction
  • Obtain referrals from the Community Health Teams for our services
  • Provide referrals to the Community Health Team for clients needing primary care services
  • Support in accessing other services offered by community organizations
  • Participate and coordinate with SASH teams in Randolph and Bradford
  • Active on the Advisory Board for Randolph, White River Junction and Upper Valley Community Health Teams
  • Participate in the Unified Community Collaborative for the Randolph Health Service Area and Upper Valley Health Service Area


Broad Clinical Services

  • Care Coordination in Randolph, Bradford and White River Junction
  • Psychiatric Consultations
  • Screening
  • Referrals to internal services and external resources
  • Walk-in Clinic
  • Emergency Services
  • Case Management

Bradford Clinical Services

  • Provide monthly psychiatric consultation access to Little Rivers Health Center along with provider consultations
  • Attend monthly care coordination meetings with Little Rivers Health Center and Upper Valley Pediatrics

Chelsea Clinical Services
Clara Martin Center is co-located with Gifford Health Center at the Chelsea Health Center. The Chelsea Health Center is owned and overseen by the Chelsea Health Center Board.

  • Medicare eligible clinical services
  • Clinical services available:

              – Clinical Assessment
              – Individual (adults and children), family, and couples counseling
              – Mental health and substance abuse treatment

Randolph Clinical Services

  • Medication Assisted Treatment (MAT) in conjunction with the Blueprint and Gifford Health Center
  • Gifford Area Recovery Program (GARP) is a comprehensive and coordinated program to treat opiate addicted pregnant women
  • Wellness Program for long term care clients

Wilder Clinical Services

Clara Martin Center provides co-located care coordination services at the White River Family Practice one day per week which includes short term counseling and referrals