Transcript Warm Hand Off - Harm Reduction Coalition

WARM HAND OFF:
INTEGRATING SYRINGE
EXCHANGE, TREATMENT AND
PRIMARY CARE
Haven Wheelock, Syringe Exchange Coordinator
Katie Kirkman, RISE Case Manager
Eowyn Rieke, Medical Doctor
National Harm Reduction Conference 2012
Our Mission
Helping homeless
youth and other
marginalized
people move
towards improved
health and selfsufficiency.
Injection Drug Users Health Service
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Syringe Exchange (FY2011-2012)
 3,676 different people
 34,860 visits
 487,704 needles returned
HIV/Hep C Testing
Harm Reduction Counseling
Community Referrals
Hours: Main Street: Monday-Friday 12-5pm
Clackamas Service Center: Thursday 2-5pm
CLINIC & HEALTH SERVICES
Services
Primary Medical Care:
We are the “medical home”
for over 5000 patients,
available to every youth in the
Homeless Youth Continuum
Populations we Serve
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Homeless any age
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≤30 any housing status
With special services for:
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Psychiatric Mental Health
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Non-English speaking
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Chronic Disease management
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Injection drug users
Acupuncture/Chinese
Medicine, Chiropractic,
Therapeutic Massage
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Transgender
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Mentally ill
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Pharmacy
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Substance users
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Tattoo Removal
Insured or Uninsured
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MEDICAL OUTREACH
We go to
Clackamas and
Multnomah
Counties.
Two medical vans equipped with 2 and
3 exam rooms, a laboratory, and an
electronic medical records system.
Street RISE
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Street RISE
Reaching Independence through Self-Empowerment
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Services:
homeless youth age 17-25
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Outreach
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Recovery Oriented Activities 7 Days a Week
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Substance Use & Mental Health Treatment
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Case Management
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Education and Employment Supports
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Life Skills Training
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Integrated Primary Medical Care
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Access to Permanent Supportive Housing
Tools to Integration
Things we use to help keep our folks moving
toward improved health
IDU HS and Medical Clinic
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Referrals are made in the exchange for same day
appointments in the clinic
Warm Hand offs are welcome as needed
Appointment reminders can be left at the exchange
for harder to engage clients
IDU HS staff attends patient briefs as necessary to
support client and staff
Face to face discussions of relevant medical issues
Educating fellow staff on IDU related issues
Does It Work?
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Approximately 21% of Syringe Exchange clients
(~800 people) report having been seen at our
medical clinic in the past 2 years
Last year we referred 350 clients to be seen by
doctors
Medical Clinic and RISE
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Coordinated Care
Staff Relationships
Warm Hand Offs
Attending Visits
Integrated EMR
 Patient
 Flags
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Email
notes
New Alert / Flag
How Does It Work?
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STATS HERE PLEASE????
Strategies
How we do it
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Basic Human Respect for People
Gender identity
 Treating the Whole Person
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Unconditional Positive Regard
Casual Interactions
 Staff
 Clients
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Clear and Open Expectations
WARM HAND OFF:
INTEGRATING SYRINGE
EXCHANGE, TREATMENT AND
PRIMARY CARE
IS FUN!!!