What We Do

Assist veterans in accessing VA healthcare benefits, Medicare, or community health programs, ensuring enrollment in appropriate services like the Lee County VA Healthcare Center.

Advocate for veterans during medical appointments or hospital discharges to secure proper care plans, reducing readmissions by addressing gaps in post-discharge support.

Develop tailored care plans addressing chronic conditions (e.g., heart failure, COPD, PTSD), coordinating in-home healthcare services to prevent hospital returns (potentially saving $1.14 million annually by cutting 50% of readmissions).

Connect veterans to specialized geriatric care or mental health support through partners. 

Link veterans to local resources such as transportation (e.g., LeeTran for medical appointments), housing assistance, or utility bill support through programs like Mission United.

Facilitate access to food programs, dental care, or mobility aids (e.g., wheelchairs) to support independent living.

Arrange counseling for PTSD, depression, or military sexual trauma through partnerships with organizations, critical for seniors with long-term trauma.

Organize wellness activities, such as veteran support groups or fitness programs, to promote mental and physical health, reducing reliance on hospital care.

 Connect with organizations to assist with applying for VA pensions, disability benefits, or financial aid programs to cover healthcare costs, medications, or home modifications, alleviating financial stress post-discharge 

 Coordinate home assessments and modifications (e.g., ramps, grab bars) through partnerships to ensure safe living environments for aging veterans with mobility issues. 

Work with local organizations (e.g., Lee Health Veteran and Human Resources, United Way) to streamline resource delivery, avoiding duplication of efforts and ensuring veterans receive comprehensive support.

Build referral networks to connect veterans with legal aid, social services, or support for family caregivers.

Offer resources and training for family caregivers, including stress management or caregiving techniques, to support veterans at home.

Arrange respite care to give caregivers breaks, ensuring sustainable in-home support for veterans.