Community transition and stabilization

Helping people
reconnect, rebuild,
and recover.

A community-based transition and stabilization model that supports individuals as they discharge from psychiatric hospitals, acute care settings, and other institutional environments.

EPIC Intensive Stabilization Continuum

EPIC Health Solutions provides field-based community stabilization for high-risk individuals after discharge. Discharge is not stability — we help providers close the gap between discharge planning and real-world community follow-through.

Most discharge plans fail not because of poor planning — but because no one owns the follow-through. EPIC is built to close that gap, from day one after discharge through the weeks when risk is highest.

The future belongs to models that reduce avoidable utilization and prove measurable outcomes.

EPIC Intensive Stabilization Continuum.

High-engagement community-based follow-through for complex discharges. This is not just a referral — it is hands-on stabilization after discharge.

Warm Handoffs

Connects the facility plan to real-world follow-through before the individual leaves the building.

Rapid Engagement

Early contact after discharge to reduce drop-off during the highest-risk window.

Care Coordination

Aligns providers, supports, and next steps across the full care team after discharge.

Appointment Follow-Through

Helps individuals get to critical appointments, reducing a common cause of early breakdown.

Medication Support

Addresses access and adherence barriers to support medication continuity after discharge.

Crisis Prevention

Identifies escalation early and responds before crisis requires higher-level care.

Resource Navigation

Links housing, benefits, food, and transportation — social factors that affect recovery.

Community Stabilization

Sustained engagement where life is happening — beyond the formal discharge window.

People most likely to fall through the cracks.

EPIC is designed for high-risk individuals at the most vulnerable moments of care transition.

High-Risk Populations

Adults with serious mental illness
People with repeated hospitalizations
Transition-age youth and young adults
Individuals facing housing or transportation barriers
Individuals needing stronger community follow-through
Behavioral health instability with missed follow-through
Best fit: high-risk individuals who need hands-on support during the first 30–90 days after discharge.

The First 90 Days.

From referral to sustainable community stability — a repeatable four-stage model built on trust, timing, and follow-through.

1

Referral and Risk Review

  • Identify discharge risks
  • Review clinical and social barriers
  • Plan the handoff
2

Immediate Stabilization

  • Early post-discharge contact
  • Confirm safety, medications, appointments
  • Address urgent barriers
3

High-Engagement Follow-Through

  • Multiple weekly contacts
  • Coordinate providers and supports
  • Prevent common 30-day breakdowns
4

Stabilization and Step-Down

  • Strengthen community supports
  • Reinforce consistent follow-through
  • Transition to lower-intensity support
We do not stop at discharge. We stay focused on connection, follow-through, and recovery in the community.
Referrals and partnerships

Partner with EPIC.

For referrals, partnership inquiries, or general information about EPIC Health Solutions and our community programs.

Contact Information

Location
5025 E. Kellogg, Suite 100
Wichita, Kansas 67218