H.U.G.S. - High Utilizer Group Services

The H.U.G.S. program provides intensive, individualized case management services to high utilizers of the Emergency Department. This program primarily works with individuals who have co-occurring behavioral health and addiction issues, and with those who are disproportionately affected by the social determinants of health.

  • Patient Profile: homeless; long-term substance use; under/undiagnosed behavioral health needs

  • Complex medical needs resulting from chronic homelessness, substance use, and trauma

  • Example: alcoholic patient with multiple traumatic brain injuries from falling while intoxicated, unable to access Social Security Disability even though they qualified for it

  • Many of our H.U.G.S. patients are previous foster children with little or no natural supports or family connections

  • Program has a NO EJECT, NO REJECT policy and will help ANY patient who qualifies (many have been banned from other community service providers due to non-compliance and being “difficult")

  • Program provides hands on case management in the community

  • H.U.G.S. Navigators provide individualized needs assessments and referrals for long-term services

  • The H.U.G.S program addresses service coordination, medical care, behavioral support, and social needs

  • This program has proven to decrease unnecessary Emergency Department visits by up to 64%


H.U.G.S. services are trauma-informed, crisis preventing, therapeutic brief interventions aimed at connecting individuals to long-term community based services.  


H.U.G.S. Navigators work with patients to address the root causes of frequent, unnecessary Emergency Department use. The services that are provided are individualized and strategic to best support patient success.

H.U.G.S. Navigators work in collaboration with patients to connect with community resources and therapeutic services to help them access appropriate levels of care, and meet previously unaddressed needs or reach goals that have been historically unsuccessful.

If you would like to learn more about the H.U.G.S. program, please contact Jesse Cirolia, MSW - Manager of Community Health :

Email: Jesse.Cirolia@stvin.org            Phone: (505) 913 -4917