1. A non-transitory computer readable medium having stored thereon a coordinated service delivery program executable by a processor of a computing system, the coordinated service delivery program comprising: instructions to stratify, by an intake assessment and recruitment system, a population of clients having chronic disease or disability; instructions to recruit, by the intake assessment and recruitment system, the clients that have chronic disease or disability instructions to develop, by a primary intervention system, an individual development plan and to enact action-learning through peer support team intervention; instructions to provide, by a secondary intervention system, coordination of services; and instructions to coordinate services, with an information archive, to monitor and track client progress; wherein the coordinated service delivery program is a population-based, client-centric system that combines self-management skills with said services to facilitate functional and psychosocial needs of the client for focusing on community integration and re-employment.