HCH Directory - Massachusetts
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Boston Health Care for the
Homeless Program
729 Massachusetts Avenue
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: Greg Wagoner,
MD
UDS Number: 011210
Project Description
The Boston Health Care for the Homeless Program
(BHCHP) provides health care and psychosocial
services at 83 sites, including shelters, motels,
soup kitchens, day centers, street outreach,
detoxification units, transitional programs,
and clinics of four major teaching hospitals.
Services
BHCHP provides primary and episodic care at
more than 70 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 operates
the McInnis House, a 90-bed inpatient medical
respite facility.
Linkages
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 and Mental Health.
Statistics
Estimated homeless population: 11,000 Patients
served: 10,836
Subcontractor(s):
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
Duffy Health Center
105 Park Street
Hyannis, MA 02601
Phone: (508) 771-9599
Fax: (508) 771-1986
Email: jdegroot@duffycenter.cc
Director: Claire F. Goyer
HCH Coordinator: Claire F.
Goyer
Medical Director: Lisa Zandonella-Huhta,
MD
UDS Number: 011720
Project Description
The Duffy Health Center is a 330(h) health
center for homeless adults and those at risk
for homelessness. Duffy offers best practice
homeless health care through an interdisciplinary
team approach, integrating primary and preventive
care with on-site behavioral health services,
case management, benefits enrollment, and other
social services. Care is provided at two clinics,
and at its modified therapeutic community site,
Pilot House. Staff provide outreach on the street
and at camps, motels, and other locales. Duffy
oversees health services for two "housing
with support" programs: Pilot House, and
a Housing First demonstration project, as well
as seasonal housing programs.
Services
Duffy Health Center's integrated health services
model includes the following: outreach and on-site
primary, preventive, and episodic health care;
in-depth assessment and risk reduction education;
individual and group mental health counseling;
psychiatric services; substance abuse treatment
(including buprenorphine treatment and services
for opioid addiction), education and support;
intensive case management; health insurance
and disability benefits enrollment and coordination;
Representative Payee services; chiropractic
services; nutritional education and counseling;
laboratory work and medications; HIV/hepatitis
C prevention and education; on-site specialty
clinics (surgery consult, neurology, ENT); assistance
with daily needs; medical transportation; and
housing support through community partnerships.
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.
Linkages
Key linkages focus on transition to housing.
Duffy links with the Social Security Administration
to provide outreach and SSI/SSDI benefits enrollment
to eligible adults. State partners include the
MA Department of Public Health and the MA Department
of Transitional Assistance, as well as the MassHealth
Behavioral Health Partnership that funds Duffy’s
Housing First demonstration program. Local partnerships
resulted in "Operation in From the Cold,"
which provided motel vouchers to homeless clients
in winter, 2005, as well as Pilot House, developed
to shelter chronically homeless adults banned
from other shelters. Pilot House offers a modified
therapeutic community with a step-up to Pilot
II housing with support. Strengthening the health
care continuum underlies other critical linkages.
Duffy works with the VNA to provide men's and
women's preventive health screenings, the local
hospital system for follow-up care, with transitional
housing programs to offer healthcare, with local
agencies to coordinate outreach, and provides
pre-and/or post-discharge services for the correctional
facility and domestic violence, detox, and other
agencies. Duffy is also part of a regional Cape
Cod CHC network. In 2006-07, Duffy began overseeing
the planning of a regional CHC behavioral health
network.
Statistics
Estimated homeless population: 4,000 Patients
served: 1,718
Greater Lawrence Family Health
Center, Inc.
34 Haverhill Street
Lawrence, MA 01841-2884
Phone: (978) 725-7400
Fax: (978) 687-3726
Email: lpatton@glfhc.org
Web: www.glfhc.org
Director: Robert J. Ingala
HCH Coordinator: Ann Marie
Isaac-Tsewole
Medical Director: Glennon O'Grady,
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.
Services
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.
Linkages
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.
Statistics
Estimated homeless population: 4,500 Patients
served: 835
Homeless Outreach and Advocacy
Project
72 Jaques Avenue
Worcester, MA 01610-2480
Phone: (508) 860-1057
Fax: (508) 860-1046
Email: lgottlieb@communityhealthlink.org
Web: www.communityhealthlink.org
Director: Deborah Ekstrom
HCH Coordinator: Larry Gottlieb,
MSW, MPA
Medical Director: Erik Garcia,
MD
UDS Number: 010180
Project Description
The Homeless Outreach and Advocacy Project
(HOAP) is a comprehensive community based program
that provides an array of primary care, mental
health, and support services to people who are
homeless in Worcester, and a Tenancy Preservation
Program.
Services
HOAP's services include primary medical care,
psychiatric and mental health services, case
management, substance abuse, supportive housing,
transitional housing services for single adult
men and women, homeless intervention services,
and emergency assessment and response to homeless
crisis.
Linkages
HOAP has linkages with Salvation Army, Abby's
House (shelter), Mustard Seed (soup kitchen),
Youville Shelter, Salvation Army Adult Rehabilitation
Center, and Daybreak Shelter for Women (domestic
violence).
Statistics
Estimated homeless population: 2,500 Patients
served: 2,292
Subcontractor(s):
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
Springfield Health and Human
Services Department
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: Judy Mealey,
RN, NP
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.
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.
Linkages
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.
Statistics
Estimated homeless population: 1,728 Patients
served: 3,729
Subcontractor(s):
City of Springfield, Worthington
House, Dental Clinic
769 Worthington Street
Springfield, MA 01103
Contact: Barbara Stanley
Phone: (413) 787-6737
Fax: (413) 787-6458
Email: bstanley@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
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