Inquiry Form

Please provide your contact information so a Healthy IDEAS representative can follow up with you regarding your responses.

1. What type of agency do you represent?

2. What is the status of your interest in the Healthy IDEAS program?

3. We have multiple in‐person contacts with older adults at risk for depressive symptoms (chronic health conditions, functional disability, and social isolation) for a period of three to six months.

4. We provide ongoing care to our clients over a period of at least 6 months or longer.

5. In the past year, what was the average caseload per case manager for the program that would implement Healthy IDEAS?

6. Estimate the number of Case Managers engaged in your current program.

7. Estimate the number of Number of management staff (Supervisors, Clinical Managers or Program Directors) engaged in your current program.

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