Sara is an individual who has many medical needs and is under tremendous stress due to these needs and the issues that come along with it. With no transportation and little income, Sara was under tremendous stress with how she would afford everything and get it under control. She got enrolled in Medicaid but had a large spend down that she could not financially handle. To resolve this, we got Sara enrolled in a pooled trust where her spend down is spent on her rent and utility costs instead of strictly medical needs. Sara now has more disposable income and is on her way to getting her medical issues under control.