Holon Pilot Program

G-Health is utilizing our own organizations — GBUAHN and Urban Family Practice — as well as a select group of community organizations to begin our pilot phase for the Holon Referral Management Tool. During this phase, we are fine-tuning the system and perfecting our best practices. Following our pilot phase, we hope to enroll as many local Community Based Organizations (CBOs) and medical practices as we can to create a comprehensive network of CBOs in the Western New York Area to improve the overall health of our community.

Participating Pilot Holon Organizations:

The Family Justice Center: The Family Justice Center of Erie County (FJC) provides services and support to individuals in unhealthy relationships, and the education the community needs to break larger cycles of relationship abuse. Their comprehensive and collaborative service model tears down barriers to service, enabling their clients to heal and cultivate hope.
https://www.fjcsafe.org/

The Belle Center: The Belle Center is a bicultural, multilingual community center in Buffalo’s Lower West Side, serving over 3,500 diverse people annually.

• They reduce developmental disparities. Early childhood interventions reduce the need for more expensive medical treatment and remedial health interventions. Children in their Child Care Center are identified as early as six months and referred to intervention services.
• They reduce Educational Disparities with a Four Star NY Quality Stars Child Care Center and Out of School Time programming from ages 5 – 21.
• They address lack of healthcare engagement and increase access.

In addition, The Belle Center provides a food pantry, recreation, workforce development and senior health and wellness services.
http://www.thebellecenter.org/

Endeavor Health Services: Endeavor Health Services provides outpatient mental health and substance use treatment services to children, adolescents, and adults. Endeavor has eight main locations in Erie County. Endeavor’s services include: Individual Counseling, Group Counseling, Family Counseling, Medication services (mental health and/or substance use), case management, peer supports, skills building, and other services to meet the needs of the individual.
https://www.ehsny.org/

Horizon Health Services: Horizon Health Services provides hope and healing for individuals and their families dealing with substance use and/or mental health disorders. Horizon offers person-centered care to help individuals and their families achieve improved health – including outpatient counseling, detox and stabilization, inpatient and residential services, medical, psychiatric, counseling and support services. In addition, Horizon offers teleservices for mental health and substance use counseling for individuals, groups and family members. Horizon continues to grow and improve both their services and organizational capabilities. In doing so, they benefited from their organization’s mission-directed maturity, and their history of striving for excellence for more than 45 years. They know that effective treatment makes recovery from behavioral health disorders possible. Most importantly, they provide hope.
https://www.horizon-health.org/

Hispanos Unidos de Buffalo: HUB (Hispanics United of Buffalo) provides bilingual health home case management, housing, employment, senior services, domestic violence services, family preventative services, and emergency food provision to the WNY community. Over 30 years ago the organization was born out of need to tackle mounting social issues in the Latino community in the Buffalo area. However, the agency assists all community members who require assistance with social issues. HUB provides linkage to primary care physicians, substance abuse counseling and treatment, and mental health services.
http://hubwny.org/

Urban Family Practice: Urban Family Practice (UFP) is a primary care practice with a location on the east and west sides of Buffalo, and is the oldest operating primary care practice on the west side of Buffalo. As a patient-centered medical home, UFP provides exceptional services in quality and comprehensive healthcare in a friendly and bilingual environment. UFP is taking new patients, and accepts Medicaid, Medicare, and Commercial insurances.
https://www.urbanfamilypractice.com/

GBUAHN: GBUAHN is a health home that provides health care coordination and management for Medicaid beneficiaries with multiple or severe chronic conditions. Members of GBUAHN are attached to a Patient Health Navigator, who connects members with health services, social resources, and personalized support. GBUAHN’s mission is to transform health care by removing barriers created by social determinants of health in underserved communities. Some of the ways this is accomplished is by providing free transportation services, bilingual Patient Health Navigators, access to a personal trainer and state-of-the-art gym, culturally relevant cooking classes with GBUAHN’s very own chef, and community partnerships and events to promote health and well being.
https://www.gbuahn.org/

WNY MRI: WNY Imaging Group has set the standard in women’s imaging, and at this time, mammography is the best way to detect breast cancer early. WNY MRI offers both screening and diagnostic mammography using state-of-the-art 3D (tomosynthesis) imaging equipment. Every screening mammogram is read using Computer Aided Detection (CAD) technology to increase accuracy. Every exam is tailored to the needs of each patient including previous surgeries, implants, tissue types and any physical limitations. Not only do they strive to provide the most accurate reading of the mammogram, but they also provide this in a comfortable, more personal setting.
https://www.wnyig.com/

Durham’s Maternal Stress Free Zone: Durham’s Maternal Stress-Free Zone: DMSFZ is a Maternal/Breastfeeding support agency which provides free training including BBB (Peer Counselor) training, culturally relative and humble coordinated support, first and foremost to African American pregnant and lactating women who die at a 3-4 times greater rate during or shortly after giving birth. This also holds true for their infants. However, “absolutely no mom” is excluded from our support services and resources. Both breastfeeding and pregnant moms must enroll in our program and they are expected to join our breastfeeding support group by going to our webpage or by completing our quick enrollment jot form:
https://form.jotform.com/202674731935157
https://durhamsmaternalstressfreezone.com

FeedMore WNY-SNAP for Older Adults: FeedMore WNY offers dignity, hope and a brighter future by providing nutritious food, friendship and skills training to its Western New York neighbors in need. Through its food bank distribution center and partner hunger-relief agencies, as well as its Meals on Wheels services and other targeted feeding programs, FeedMore WNY alleviates hunger and assists community members of all ages throughout Cattaraugus, Chautauqua, Erie and Niagara counties. More information can be found on our website below.
https://www.feedmorewny.org/

West Side Community Services: West Side Community Services (WSCS) has been serving the west Buffalo community for nearly 50 years. Our mission is to foster the well-being of the vibrant and dynamic west Buffalo community by engaging, connecting and supporting our residents. Our programming for older adults in the community includes socialization programs that increase engagement and reduce isolation for our seniors. WSCS offers a licensed after-school care program for school-aged children, as well as a teen program, that help youth prepare for success in school and life after high school, all while having fun with new friends, sports, arts and college/career exploration. In June 2021 WSCS opened Provisions 139, our new food pantry located at 139 Vermont Street. Provisions 139 was created to support our West Side neighborhood. We source local produce from West Side farmers, provide pantry staples, and supply other necessities for weekly distribution to our neighbors at no charge.
http://wscsbuffalo.org/