Health Care for the Homeless (HCH)
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Transcript Health Care for the Homeless (HCH)
Health Care for the Homeless
(HCH)
HOUSING IS HEALTH CARE
MARGARET FLANAGAN, LGSW
DISABILITY AND CASE MANAGEMENT COORDINATOR
Who we are
Over 200 HCH projects nationwide
Recognized model that specializes in serving those
experiencing homelessness
Established in Baltimore in 1985 as one of the pilot
sites
HCH provides comprehensive and integrated
services offering pediatric and adult medical care,
mental health services, case management, addiction
treatment, dental care, vision, HIV services,
outreach, and supportive housing
Locations in Maryland
Baltimore City – free-standing clinic, provides
funding to four smaller projects in:
Frederick County
Baltimore County
Montgomery County
Harford County
Saw over 10,000 individuals last year across all sites;
80% in Baltimore
Who we serve (2011 data)
Our Mission
Health Care for the Homeless works to
prevent and end homelessness for
vulnerable individuals and families by
providing quality, integrated health care
and promoting access to affordable
housing and sustainable incomes
through direct service, advocacy, and
community engagement.
How HCH is structured
Teams setup by discipline
Work across teams to provide comprehensive care
Working towards integrated, patient-centered teams
Goal is to provide high quality care to as many
individuals
Case management occurs across teams
Case management within HCH is diverse
Centers around the belief that housing is health care
and the best way to serve individuals who are
homeless is to work to end homelessness
Provides ongoing support to:
Manage chronic health conditions
Obtain benefits and income
Obtain and maintain housing
Education on resources
Connection or referrals to other programs
Case Management at HCH
Medical providers offer education about health
management and disease prevention including
Asthma, Diabetes maintenance and prevention,
Hypertension, and HIV counseling, testing, and
referral services
Homelessness is hazardous to one’s health
Higher incidents of chronic health conditions such as high
blood pressure, Hep C, diabetes, and hypertension
How to manage health when living on the streets or in shelter
Case Management at HCH
Mental health providers offer counseling, crisis
intervention and ongoing support to clients
Hard to focus on therapy without basic needs met
Benefits assistance for the most vulnerable
Groups to provide education and ongoing support
Addictions providers assist with compliance with
treatment through harm reduction model
Phase groups
Individual plans
Meet the client where they are in recovery process
Case Management team
Case Management team assists medical, mental
health, and addictions teams with short and longterm tasks to prevent and end homelessness
Application supports
Assistance obtaining identification
Referrals to employment programs
Applying for housing options
Connection to services within HCH
Mail services for clients who lack permanent address
Specialty programs at HCH
The Adherence Program promotes the effective
treatment of chronic diseases by encouraging healthy
living practices and educating clients about disease
management and HIV transmission prevention
The Connect Project provides housing placement,
home visits, and intensive case management to end or
prevent the homelessness of people living with
HIV/AIDS and other co-occurring health problems
The Convalescent Care Program provides
recuperative care, case management, and nursing
assistance for individuals who are too ill to recover in
traditional shelters or on the streets
Case Management in and out of the home
Supportive housing
Housing first model
Provide supportive services in the home to help maintain
housing
Counseling on energy usage, cooking, relationships with
neighbors
Outreach engages people into services where they
are
Works to connect vulnerable individuals to care in the clinic
Relationship building and meeting needs based on what the
CLIENT identifies
Summary
Health care for the Homeless provides
comprehensive and integrated care to individuals
experiencing homelessness
Focus on preventing and managing chronic health
conditions, accessing income and other benefits, and
obtaining and maintaining homelessness
In accord with direct service, also focus on advocacy
in order to promote awareness and involvement in
external environment