Post on 24-Feb-2016
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WARM HAND OFF: INTEGRATING SYRINGE EXCHANGE, TREATMENT AND PRIMARY CARE
National Harm Reduction Conference 2012
Haven Wheelock, Syringe Exchange Coordinator Katie Kirkman, RISE Case ManagerEowyn Rieke, Medical Doctor
Our MissionHelping homeless
youth and other marginalized people move towards improved health and self-sufficiency.
Injection Drug Users Health Service 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 SERVICESServices
Primary Medical Care:
We are the “medical home” for over 5000 patients, available to every youth in the Homeless Youth Continuum Psychiatric Mental
Health Chronic Disease
management Acupuncture/Chinese
Medicine, Chiropractic, Therapeutic Massage
Pharmacy Tattoo Removal
Populations we Serve Homeless any age ≤30 any housing statusWith special services for:
Non-English speaking Injection drug users Transgender Mentally ill Substance users
Insured or Uninsured
MEDICAL OUTREACH
Two medical vans equipped with 2 and 3 exam rooms, a laboratory, and an electronic medical records system.
We go to Clackamas and Multnomah Counties.
Street RISE Street RISEReaching Independence through Self-
Empowerment Services: homeless youth
age 17-25 Outreach Recovery Oriented Activities 7 Days
a Week Substance Use & Mental Health
Treatment Case Management Education and Employment
Supports Life Skills Training Integrated Primary Medical Care Access to Permanent Supportive
Housing
Things we use to help keep our folks moving toward improved health
Tools to Integration
IDU HS and Medical Clinic 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? 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 Coordinated Care Staff Relationships Warm Hand Offs Attending Visits Integrated EMR
Patient notes Flags
New Alert / Flag
How Does It Work? STATS HERE PLEASE????
How we do it
Strategies
Basic Human Respect for People
Gender identity Treating the Whole Person
Unconditional Positive Regard Casual Interactions
Staff Clients
Clear and Open Expectations
WARM HAND OFF: INTEGRATING SYRINGE EXCHANGE, TREATMENT AND PRIMARY CARE
IS FUN!!!