HCH Directory - Massachusetts

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780 Albany Street
Boston, MA 02118
Phone: (857) 654-1000
Fax: (617) 414-7776
Email: bblock@bhchp.org
Web: www.bhchp.org
Director: Robert Taube, PhD
HCH Coordinator: Barry Bock, RN
Medical Director: Monica Bharel, MD
UDS Number: 011210

Boston Health Care for the Homeless Program (BHCHP) provides comprehensive health care services at more than 80 sites throughout Boston, including shelters, motels, soup kitchens, day centers, street outreach, detoxification units, transitional programs, and clinics on the campuses of three major teaching hospitals.

BHCHP provides primary and episodic care at more than 80 sites in greater Boston. These sites include hospitals, CHCs, and adult, family and domestic violence shelters, as well as the streets of Boston. In addition, BHCHP provides dental and behavioral health care. BHCHP also operates the Barbara McInnis House, a 104-bed medical respite program.

Linkages include Boston Public Health Commission, Massachusetts Housing and Shelter Alliance, Homes for Families, Massachusetts Coalition for the Homeless, Boston's Emergency Shelter Commission, Boston Health Net, Massachusetts League of CHC, and the State Departments of Transitional Assistance, Public Health, and Mental Health.

Statistics

Estimated homeless population: 22,500 Patients served: 12,394

Cambridge Hospital, City of Cambridge
HCH Program
1493 Cambridge Street
Cambridge, MA 02139
Contact: Mark McGovern
Phone: (617) 498-1000
Fax: (617) 498-1682
Email: MMcGovern@CHAlliance.org

Mass General Hospital
Wang 108, Medical Walk In Unit
Boston, MA
Phone: (617) 726-2707
Fax: (617) 724-0189

South End Community Health Center
1601 Washington Street
Boston, MA 02118
Contact: Tristram Blake
Phone: (617) 424-8724
Fax: (617) 425-2043

Community Healthlink - Homeless Outreach and Advocacy Project

72 Jaques Avenue
Worcester, MA 01610-2480
Phone: (508) 860-1057
Fax: (508) 860-1046
Email: bdoyle@communityhealthlink.org
Web: www.communityhealthlink.org
Director: Brooke Doyle
Medical Director: Erik Garcia, MD
UDS Number: 010180

Project Description

Community Healthlink's Homeless Outreach and Advocacy Project (HOAP) provides direct services to indiviudals who are homeless. Services include an array of outpatient primry care and urgent care, behavioral health-indiviudal and group mental health and addiction treatment, psychopharmacology, case management services-assistance with applications for: health and financial benefits, housing, referral to detox and recovery programs, etc., access to emergency assessment for homeless crisis, transitional housing and permanent supportive housing.

HOAP operates a primary clinic site at 72 Jaques Ave. and also operates clinics at PIP emergency shelter, St. John's Church-Soup Kitchen, and Oasis program. HOAP subcontracts services for families through Family Health Center in Worcester. HOAP also subcontracts services at Great Brook Valley. Dental services are provided via contract agreement at Family Health and Great Brook Valley.

Family Health Center; Great Brook Valley; People In Peril Shelter; Abby's Shelter for Women; Rachel's Table-emergency food

Estimated homeless population: 2,500 Patients served: 3,256

Family Health Center of Worcester
26 Queen Street
Worcester, MA 01610
Contact: Frances Anthes
Phone: (508) 860-7700
Fax: (508) 860-7990

Great Brook Valley Health Center
19 Tacoma Street
Worcester, MA 01605
Contact: Zoila Torres Feldman
Phone: (508) 852-1805
Fax: (508) 853-8593

The Worcester People in Peril Shelter
701 Main Street
Worcester, MA 01610
Contact: David McCloskey
Phone: (508) 757-0103
Fax: (508) 753-2271

Community Health Connections, Inc.

ACTION Health Services
275 Nichols Road
Fitchburg, MA 01420
Phone:(978) 665-5940
Fax: (978) 665-6212
Email: sauger@chcfhc.org
Web: www.chcfhc.org/action
Director: Nicholas Apostoleris, PhD
Medical Director: Beth Mazyck, MD
HCH Coordinator: Martha Rivera
UDS Number: 13900

Project Description

Community Health Connections, Inc. (CHC) operates Federally Qualified Health Centers (FQHC) in north central Massachusetts. To better serve the homeless and publicly housed in the area, CHC Inc. has established ACTION Health Services, a 330h/i Healthcare for the Homeless/Public Housing Primary Care Health Center. ACTION (Accessible Comprehensive Treatment In Our Neighborhoods) Health Services offers a decentralized, regional approach to addressing the unmet healthcare needs of the area through the use of mobile health services and co-location of services with existing social service agencies.

ACTION Health Services, a Community Health Connections Healthcare for the Homeless/Public Housing Primary Care health center, combines a land-based and mobile clinic strategy designed to provide services to the most underserved people in the area, the homeless, doubled-up, and those receiving public housing. This blend of land and mobile services is used as a way to provide care for vulnerable people in the region who have not been able to adequately access other CHC, Inc. services. ACTION is designed to provide access to services which include medical, dental, and behavioral health in this area of north central Massachusetts. A mobile medical service makes regular visits to sites in Fitchburg, Leominster, Gardner, and Winchendon, which are the major towns and cities in the area. In addition to the mobile medical service, a mobile dental unit has also been put into service in the town of Winchendon which has a shortage of dental services. Case management serv ices, health care enrollment assistance, and appropriate referrals to other agencies are also provided. The quote from Arthur Ashe, "Start where you are, use what you have, do what you can" is a saying Community Health Connections, Inc. keeps in mind as they move forward in achieving improved health for their community.

Gardner Visiting Nurse Association; HealthAlliance Hospital; Henry Heywood Hospital; Faith United Parish; Fitchburg Housing Authority; Olde English Village; Ginny's Thrift Store; Our Father's House; the WP Clark Memorial YMCA; Leominster Housing Authority; Spanish American Center; and Montachusett Addiction Council.

Estimated homeless population: 3,500

Duffy Health Center

105 Park Street
Hyannis, MA 02601
Phone: (508) 771-7517
Fax: (508) 771-7514
Email: jdeg@duffyhealthcenter.org
Website: http://www.duffyhealthcenter.org/
Director: Claire F. Goyer 508-771-7517 x 103
HCH Coordinator: Claire F. Goyer
Medical Director: Lisa Zandonella-Huhta, MD
UDS Number: 011720

Project Description

The Duffy Health Center provides comprehensive services to homeless adults and those at risk of homelessness at its Hyannis site and through its Mobile Health Clinic. Duffy uses a transdisciplinary approach, integrating primary and preventive care with on-site mental health and substance abuse services, intensive case management, benefits enrollment, and housing.

Duffy Health Center's integrated care model includes the following: primary and preventive care integrated with on-site behavioral health services, treatment and support; intensive case management, benefits enrollment, and housing. Behavioral health services include medication management, psychiatric services, individual and group therapy, targeted services for ex-offenders, and an Office Based Opioid Treatment (OBOT) program with concurrent medical and behavioral components for up to 100 patients. Duffy also provides volunteer chiropractic services, nutrition education and counseling; laboratory work and medications; HIV/hepatitis C prevention and education; assistance with daily needs; and medical transportation. Duffy has formal referral arrangements for pediatric care and for concurrent obstetrics care for its pregnant clients and refers to a nearby CHC for dental services. Duffy has provided permanent housing with intensive case manageme nt for over 100 chronically homeless persons through its Housing First program and also offers HUD program vouchers. Duffy works closely as part of the Regional Network to End Homelessness to implement homeless prevention and rapid re-housing services. Its Mobile Health Clinic traverses Cape Cod to provide primary care, mental health, and case management services and connects people to community resources. Staff include 2 physicians, 5 NPs, a P.A., 3 RNs, 6 behavioral health clinicians, and 11 case managers.

Key linkages are with housing partners that support Duffy's Housing First program (including private landlords, local housing authorities, and a non-profit housing corporation). Duffy has a leadership role in the local Continuum of Care and works closely with town and regional agencies to pursue funding for local solutions to end homelessness on the Cape. The Mass. Behavioral Health Partnership provides support for intensive case management services for Duffy's Housing First program. Duffy has oversight of the countywide "Operation in From the Streets," which provides short term motel subsidies and case management to homeless individuals. It implemented and co-manages a modified therapeutic community site, Pilot House, for persons in recovery. A cooperative agreement with SAMHSA provides intensive case management for persons with addictions. Duffy is a member of the informal Cape CHC network and is directing a regional CHC initi ative to replicate its Office Based Opioid Treatment programs.

Estimated homeless population: 6,800 in Barnstable County Patients served: 1,800

Greater Lawrence Family Health Center, Inc.

34 Haverhill Street
Lawrence, MA 01841-2884
Phone: (978) 725-7400
Fax: (978) 687-3726
Email: cnoyes@glfhc.org
Web: www.glfhc.org
Director: Robert J. Ingala
HCH Coordinator:
Medical Director: Elane Lee, NP and Vince Waite, MD
UDS Number: 012160

Project Description

The Greater Lawrence Family Health Center (GLFHC) provides medical care at 14 sites in Lawrence, Haverhill, and Tewksbury to individuals and families who are homeless. A primary objective of GLFHC is to ease the transition into an already existing health care system which includes outreach, health education, and case management.

GLFHC's Health Care for the Homeless model is a comprehensive care model which includes primary care assessment and treatment, referral, disease prevention and health education, client-centered case management, substance abuse counseling, outreach assistance, and transportation for clients needing referral to/linkage with other support services. Mental health counseling is provided through a network of local programs, including CAB Health and Recovery Services. Those clients needing extensive assistance with substance abuse are linked to prevention, education, and counseling services offered locally. A small network of specialty care providers --podiatrists, dermatologists, ophthalmologists, dentists -- see homeless clients on a pro bono basis. Access to emergency room and inpatient care is available through off-site resources.

GLFHC's HCH program networks with local and State agencies that provide services for individuals who are homeless living in the Merrimack Valley. The Massachusetts State Departments of Mental Health, Public Health, Social Services, and Transitional Assistance. Local agencies include shelters, drop-in centers, soup kitchens, detoxification sites, AIDS coalitions, community action councils, family social service agencies, mental health providers, boards of health, violence prevention programs, and community hospitals. Homeless services are also coordinated with GLFHC-sponsored programs, including Northeast Center for Healthy Communities, which provides consultation on health needs and interventions in 53 communities north of Boston. Expansion of GLFHC's services has led to a collaborative initiative with CAB Health and Recovery Services, which provides a continuum of substance abuse prevention and treatment services outside the traditional health care system.

Estimated homeless population: 4,500 Patients served: 1,230

Health Services for the Homeless

95 State Street, Suite 201
Springfield, MA 01103
Phone: (413) 787-6737
Fax: (412) 787-6458
Email: hcaulton@springfieldcityhall.com
Web: www.springfieldcityhall.com
Director: Helen R. Caulton-Harris
Medical Director: Brenda Collins, RN, FNP
HCH Coordinator: Linda Franklin
UDS Number: 010120

Project Description

The Springfield Health and Human Services Department participates in an interagency program to deliver health care and social services in settings covering more than 1,800 miles. The main agencies are Springfield Health and Human Services Department, Mercy Medical Center/HCH, and Open Pantry Community Services.

Health Services for the Homeless provides health care, social services, and advocacy at 46 sites. An extensive referral network augments these services. Services are provided at soup kitchens, shelters, recovery programs, an education and job training program, and through street outreach. Mercy Medical Center/HCH uses a nursing model to provide primary care, substance abuse/mental health assessment, and referral. Assistance with medication, developmental screening, immunizations, health education, and health-related support to shelter staff is also provided. Health care services are provided by the City of Springfield, Health and Human Services Department staff, and Mercy Medical Center/HCH through a medical director, 4 nurse practitioners, 7 RNs, and 4.5 case managers. Additional services are provided by Open Pantry Community Services/Open Door program staff.

Mercy Medical Center/HCH provides emergency, lab, x-ray, and inpatient medical/surgical services. Extensive social services are available through service providers in the community who provide advocacy/outreach for entitlement benefits, housing placement, case management, bilingual services, mental health/substance abuse assessment and referral, and counseling.

Estimated homeless population: 1,728 Patients served: 3,729

City of Springfield, Worthington House, Dental Clinic
769 Worthington Street
Springfield, MA 01103
Contact: Deborah Burns, RDH
Phone: (413) 787-6741
Fax: (413) 787-6458
E.Mail dburns@Springfieldcityhall.com

Health Care for the Homeless / Mercy Medical Center
271 Carew Street
Springfield, MA 01102
Contact: Doreen Fadus
Phone: (413) 748-9064
Fax: (413) 748-9049
Email: doreen.fadus@sphs.com

Open Pantry Community Services, Inc.
287 State Street, PO Box 5127
Springfield, MA 01101
Contact: Theresa O'Connor
Phone: (413) 737-4167
Fax: (413) 737-6811
Email: toconnor@openpantry.org