High touch, high trust: Using community health advocates and lawyers to address ED high utilizers

•Why is this topic important? ED high utilizers represent a costly group of individuals who are often high have social needs that prevent them from caring for themselves and address their medical needs.•What does this study attempt to show? Partnering with community health advocates and legal services can be beneficial to the system in reducing costs and to the patient in addressing their social needs.•What are the key findings? While ED, admission and total costs did not differ significantly overall, costs were lower in those who had less ED visits in the pre-enrollment period and many social needs were addressed but not fully mitigated or resolved.•How is patient care impacted? Hospitals can benefit from partnering with community health advocates and legal services in addressing many social needs that prevent patients from addressing their medical needs.