Hope Cooperative
916-779-7900 ext. 1022
Share page
Organization Details


This program is a collaboration between Hope Cooperative, Loaves & Fishes and Harm Reduction Services. By collaborating and working together to offer a broad array of co-occurring treatment options for a population with numerous challenges, the program aims to better connect with potential clients in need of co-occurring substance use treatment. Poverty, addiction, and mental illness stand in the way of our client's ability to lead productive lives, and leads to increased use of emergency services as well as early death. By offering this program more frequently with more partners, we are able to serve more people, more effectively. Services are offered on-location to individuals who are ready and willing to receive them.
Program Successes
- Motivational interviewing and harm reduction principles are being utilized fully and helping individuals in their recovery process.
- The majority of the individuals assessed are staying connected by attending weekly group or individual sessions.
- In 2019, the program received more than 300 referrals from our project partners.
In 2018, we launched an intensive case management program in partnership with Sacramento County Department of Human Assistance to serve homeless individuals who tend to be high-utilizers of other systems such as hospitals and jails.
Program Successes
- The ultimate success of this program will be to support all 100 clients in stable housing.
- An additional measure of success will be a reduction of utilization of hospital emergency room and jail services.
We are excited to announce a new program established in November 2018 in partnership with Wind Youth Services: Possibilities. This program provides a "Transition to Rapid Rehousing" model focusing on transition-age youth, 18-24, who come directly from homelessness. In this program, they receive intensive services including education and employment support, life skills, communication skills, conflict resolution, mental health and substance use disorder services, and much more.

Upon completion of the initial six month phase in transitional housing, they will move on to community living with support for up to 18 months. The goal is to immediately link them with good paying jobs and the skills necessary to be self-sufficient adults, so that they are not our clients ten or twenty years down the road. This program serves 30 homeless youth each year, with 50% of the current group identifying as LGBTQ+.
Program Successes
Since opening in November 2018, through consistency and hard work, youth and staff have been able to accomplish the outcomes below:
- Youth have permanent or part-time employment and are living successfully in the community as roommates.
- Youth have enrolled and begun classes in college.
- Youth went from minimal attendance in high school to regular attendance and are now on track to graduate.
- A few of the youth are members of the YLC (Youth Leadership Counsel).
- Youth have reconnected to family members and positive relationships.
The Triage Navigator Program is a collaboration between Sacramento County Department of Behavioral Health Services and Hope Cooperative. The program serves Sacramento County children, youth, transitional age youth, adults, and older adults that are experiencing a mental health crisis resulting in functional impairment that interferes with primary activities of daily and independent living. Triage Navigators are located throughout Sacramento County at Mercy General Hospital Emergency Department, Mercy San Juan Emergency Department, Methodist Hospital Emergency Department, UC Davis Medical Center Emergency, Sutter Medical Center Emergency Department, Kaiser South Sacramento, Loaves & Fishes, and Sacramento County Main Jail. The Mobile Crisis Team pairs peer navigators with clinicians working with law enforcement and provide follow up care for up to 60 days with the goal of preventing future law enforcement interaction by linking individuals to appropriate community services.

Triage Navigators understand what people are going through. They compassionately walk beside people through the difficult and stressful experience of a mental health crisis and help them navigate a complex system to find the resources and help they need. These para-professionals are trained in a variety of interventions that, when coupled with compassionate support, can make the experience less traumatizing for the individual through crisis intervention and safety planning, help accessing mental health services, primary care, employment services, alcohol or drug services, financial assistance programs, services for children and families and other social services as needed. Clients receive peer support from staff members who have been through similar challenges, education, and support to help prevent future crisis, and support for up to 60 days after intake at one of our partnering locations.
Program Successes
A transitional age youth who was identified as experiencing his first psychotic episode was connected to a Triage Navigator at Mercy General Hospital Emergency Department.
- He was then linked to a Peer Navigator who supported him after discharge.
- The Peer Navigator worked with him at length to link him to psychiatric care and the UC Davis Early Diagnosis And Preventative Treatment of Psychotic Illness (EDAPT) program to received appropriate early intervention services.
- The Peer Navigator then supported him in accessing psychiatric care through his managed care provider while waiting for the referral to be authorized.
- The Peer Navigator also worked with his mother in order to activate this individual's natural supports.
- With the support of the Peer Navigator, he is now receiving General Assistance income and attending classes at the Urban League to learn custodial care.
Hope Cooperative operates the "Clubhouse" utilizing the International Center for Clubhouse Development (ICCD) Clubhouse Model which is listed on the SAMSHA National Registry of evidenced-based practices and programs. Participants are members not patients or clients and members and staff work together as co-workers and partners. The Clubhouse community works to assist each member to gain independence through work, education, friendship, and access to community support. Decisions are made together by the whole Clubhouse community through a process of consensus building. Each day we offer a variety of "work ordered day" activities where members can experience the benefits of work and the responsibility that comes with it.
Program Successes
- The Clubhouse has 282 active members.
- 20 people have recently completed or are currently attending the Goodwill Jobs Readiness Program and two are in the process of seeking employment.
- We currently have eight peer mentors who are spending one year in leadership positions giving 500 hours of their time in the day to day operations of the Clubhouse.
- One peer mentor was recently a panelist at the Stepping Up California conference along with Sacramento County Judge Larry Brown. They discussed the life altering experience of diversionary court programs for mental health consumers and those with co-occurring disorders.
- Ten members became employed full-time in the community in 2018.
Hope Cooperative's intensive case management program is known as a Full Service Partnership (FSP) as defined by the CA Mental Health Services Act (Prop 63). Staff include psychiatrists, nurses, psychotherapists, and case mangers. Our primary goal is first to assist in securing permanent housing for the individuals we serve. Substance abuse recovery support is available for those who are diagnosed with co-occurring disorders.

These services are aimed at improving quality of life and preventing individuals from repeatedly cycling through the system. This program currently serves over 300 individuals who are chronically homeless when they begin their Hope Cooperative journey and have a serious and persistent mental illness. These individuals are considered some of the most difficult to serve. We employ a "housing first" model and do "whatever it takes" to assist our clients on their journey of recovery.
Program Successes
- The primary goal of the Full Service Partnership is permanent housing stability.
- Over 97% of clients maintained permanent housing for one year.
- Nearly 95% of clients did NOT experience a mental health emergency event.
- Just over 96% did not experience an arrest and 97% percent of clients did NOT experience an incarceration during the last six months.

One New Direction client had been working with his personal services coordinator towards his goals of independent living and employment. With the support of the entire Hope Cooperative team, he was fortunate enough to come to the attention of the California Dental Association members thanks to assistance from Sacramento Mayor Darrell Steinberg. Several dentists worked together to provide him a new set of dentures. With his new smile and a renewed sense of confidence he is ready to begin the next step of his journey and graduate from intensive services.
Hope Cooperative's TCORE program provides intensive services to adults living in Sacramento County who have a serious mental health diagnosis. Funded by the CA Mental Health Services Act, TCORE provides recovery-based services that meet the individual and cultural needs of the participant. TCORE offers a range of services provided by psychiatrists, nurses, therapists, personal services coordinators, and employment and benefits specialists. TCORE serves over 750 clients and specializes in individuals who have had repeated hospitalizations and are difficult to engage. TCORE serves over half the clients who participate in diversionary courts such as mental health and co-occurring court. We work closely with the Sacramento County District attorney's office to ensure successful graduation which allows participants to avoid incarceration and the resulting negative consequences when seeking housing and employment.
Program Successes
TCORE values the importance of an integrated model of service delivery by taking measures to offer a multifaceted approach to recovery which includes addressing the Eight Dimensions of Wellness as outlined by SAMHSA. By partnering with other community organizations, TCORE has been able to develop a wellness approach that addresses the eight dimensions in the following ways:
1. Physical health: We offer a Healthy Choices experiential nutrition group, yoga, and smoking cessation group onsite at TCORE.
2. Emotional: TCORE provides groups that offer tools for coping with life's challenges, individual therapy as well as one on one supportive meetings with personal service coordinators and peer partners.
3. Social: Research has shown that belonging to a social group can greatly improve both physical and mental health. TCORE has had the unique opportunity to host the Hope Cooperative Clubhouse which provides an environment in which clients can experience of social connectedness by developing and cultivating healthy relationships. The Clubhouse also has volunteer opportunities which include peer mentorships.
4. Occupational: Many of our clients hope to engage in meaningful employment and education in order to create an enriching and satisfying life. TCORE provides an Employment Specialist that works with clients one-on-one, to explore what they value in employment and education and then work together to develop a path to begin the process of reaching these new heights. The Clubhouse has also entered into a relationship with Goodwill Industries that offers job training and supported employment opportunities to TCORE clients who are Clubhouse members.
5. Intellectual: TCORE offers an array of groups and classes to inspire creativity and expand knowledge and skill sets.
6. Financial: Finances can be stressful when living on a fixed income. At TCORE clients can work one-on-one with their Personal Service Coordinators and attend groups that assist in finding thoughtful and creative ways to live on a budget and prepare for or maintain self-sufficiency.
7. Environmental: TCORE strives to provide an environment that is welcoming and supports well-being. We also encourage clients to engage in experiences that have a calming effect on their daily lives as well as to create a comforting living environment.
8. Meaningful activity: Through a variety of activities, TCORE encourages clients to explore and expand their sense of purpose and meaning in life while providing opportunities in which they can give back to the community through volunteerism alongside staff and peers. Weekly Tai Chi and Yoga classes are offered to help clients connect with their inner spirit.
Hope Cooperative owns or operates seven different residential facilities housing 148 people including: Cooperative Housing, Interim Housing, Individual and Family Apartments, and Single Room Occupancy Housing. On-site residential staff provide the support needed to increase income, strengthen independent living skills, and foster social skills in order to build meaningful relationships and improve quality of life. Hope Cooperative's Housing Program provides rental subsidies funded through HUD's Supportive Housing Program. Using the "Housing First" approach Hope Cooperative serves chronically homeless adults with psychiatric disabilities who are likely receiving General Assistance and lack the financial ability to obtain permanent housing.
Program Successes
- Co-Op Residents: 93% of our residents have been permanently housed for over five years.
- The community support that people find in our residential facilities foster healthy choices and meaningful socialization.
- Other housing: 97% stability rate after one year.
The program is staffed 24/7 and serves individuals in Sacramento County at least 18 years old, experiencing a mental health crisis but not in immediate danger to self or others. All individuals utilizing the respite center may be eligible to stay up to 23 hours and expect service based in compassion, understanding, and knowledge. At the CRC, the primary goal is to stabilize the individual in crisis while addressing their basic need for a safe environment and emotional support so that the person is better positioned to explore their crisis with a solution oriented mindset. Every guest leaves with an individualized resource plan. This program offers an innovative alternative to traditional emergency room and inpatient care in a welcoming, home-like atmosphere which provides the individual in crisis or at risk of going into crisis, a place to stabilize in a safe and supportive environment. We offer culturally competent care from a highly trained, multi-lingual staff.
Program Successes
- This program was opened in December of 2013 with funding provided by Mental Health Services Act (Prop 63) Innovation Funds.
- This program defers would-be hospitalizations and arrests, saving the community thousands of dollars each year.
- The Hope Cooperative Crisis Respite Center intervenes in more than 3,000 crises per year onsite and fielded nearly 45,000 calls in the last three years. Services are offered with dignity, respect, and the opportunity to process the crisis in a safe, non-judgmental environment.
- A hallmark of the CRC is to assist each guest to formulate a plan to move out of what felt like a hopeless situation. This plan also may be useful in future stressful situations. This results in fewer trips to the emergency room. An emergency room visit is estimated to cost between $1,500 and $4,000.
- The CRC costs less than $400 per occurrence and the guest can stay up to 23 hours and is completely free to the guest.
- We collaborate with over 150 social service, law enforcement, hospital, nonprofit, mental health, and faith based organizations.
- According to Tim Jones, Psychiatric Nurse Practitioner at Sutter Center for Psychiatry, "The Crisis Respite Center has been an invaluable community resource that provides a safe, supportive environment for individuals experiencing a mental health crisis. The CRC staff are always courteous and responsive to the needs of our clients and help reduce the needs for higher levels of care. We appreciate their service and the support they provide in our community."