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Bowery Residents Committee

324 Lafayette Street, 8th Floor
New York, NY 10012
Phone: (212) 533-5656
Fax: (212) 533-5807
Email: kmartin@brc.org
Web: www.brc.org
Director: Muzzy Rosenblatt
HCH Coordinator: Kevin Martin, CSW
Medical Director: Bryan McGreal, MD
UDS Number: 020720

Project Description

Bowery Residents Committee (BRC) provides safe haven, respite, case management, and primary health care to people who are homeless in New York City

Services

The Bowery Residents Committee operates three programs in lower Manhattan: (1) BRC's Safe Haven program provides on site health care, shelter, casemanagement, transitional and permanent housing referrals as well as concrete services to chronically homeless individuals.(2) The Chemical Dependency Crisis Center (CDCC) is a 24-bed residential non-medical detox program that provides substance abuse recovery and shelter services to homeless men and women. CDCC provides a part-time medical clinic with a nurse practitioner on duty 15 hours/week. CDCC also provides medical respite to clients in need of short-term medical services. (3) Delancey Street Homeless Services Senior Center works with seniors, serving three meals a day and delivering meals 6 days a week to homebound elderly who live in Bowery lodging houses. The Senior Center provides extensive case management, entitlement assistance, advocacy, and access to primary health care services. Staff follow-up with after care and, case management.Recreational activities—art and music therapy, movies, exercise classes, dancing—are also provided.

Linkages

Medical care and education are available on-site at the Respite Center 2 days a week. These services are provided by St. Vincent's Hospital. BRC has linkages with more than 400 other service providers.

Statistics

Estimated homeless population: 5,000 Patients served: 2,009

Subcontractor(s):

Saint Vincent's Hospital
41-51 East 11th Street, 9th Floor
New York, NY 10003
Contact: Russell Kellogg
Phone: (212) 604-2705
Fax: (212) 604-1906

Care for the Homeless

12 West 21st Street, 8th Floor
New York, NY 10010
Phone: (212) 366-4459
Fax: (212) 366-1773
Email: bwatts@cfhnyc.org
Web: www.careforthehomeless.org
Director: Bobby Watts
HCH Coordinator: Debbian Fletcher
Medical Director: Rogelio Thomas, MD
UDS Number: 020020

Project Description

Care for the Homeless was originally funded in 1985 by the National Health Care for the Homeless Program of the Robert Wood Johnson Foundation and Pew Memorial Trust.

Services

Care for the Homeless contracts with 4 health centers and hospitals to coordinate primary care, social services, oral health care, substance abuse counseling, and health education at 32 outreach sites. Primary care services include immunizations, TB screening, chronic disease management, laboratory testing, dispensing medications, and mental health and substance abuse assessment. Social services include entitlement assistance, advocacy, adult and pediatric behavioral health services, psychiatric treatment, and individual and group substance abuse counseling. The program also provides HIV rapid testing, connection to early intervention HIV medical services, intensive case management, aftercare, and HIV treatment adherence funded through the Ryan White Care Act.

Linkages

The program links clients with a variety of services including specialty care, substance abuse treatment, harm reduction, detox, mental health services, dental services, HIV/AIDS services, women's health, and inpatient services.

Statistics

Estimated homeless population: 102,000 Patients served: 9,667

Subcontractor(s):

Bedford Stuyvesant Family Health Center Homeless Program
1360 Fulton Street, Room 402
Brooklyn, NY 11216
Contact: Allyson Greene-Beard
Phone: (718) 622-2137
Fax: (718) 622-1511
Email: mmteam1413@verizon.net

Institute for Family Health
16 East 16th Street
New York, NY 10003
Contact: Elisa Wallman
Phone: (212) 633-0800 x1263
Fax: (212) 627-2958
Email: ewallman@institute2000.org

Montefiore Family Health Center
360 East 193rd Street
Bronx, NY 10458
Contact: James Porsella
Phone: (718) 405-4067
Fax: (718) 405-4148

New York Hospital of Queens
Ambulatory Care Department - Homeless Program

182-19 Horace Harding Boulevard
Fresh Meadows, NY 11365
Contact: Debbian Fletcher
Phone: (212) 366-4459
Fax: (212) 366-1773
Email: dfletcher@cfhnyc.org

Covenant House New York - Under 21, Inc.

460 West 41st Street
New York, NY 10036
Phone: (212) 613-0300
Fax: (212) 268-2832
Email: efoley@covenanthouse.org
Web: www.covenanthouseny.org
Director: Bruce J. Henry
HCH Coordinator: Margaret E. Wyke
Medical Director: Pauline Heslop, MD
UDS Number: 021770

Project Description

Covenant House New York/Under 21 provides comprehensive health care to adolescents who are homeless. The program operates a diagnostic and treatment center in a shelter in midtown Manhattan.

Services

The clinic is located in the Crisis Center and is easily accessible to youth experiencing homelessness. It is a fully equipped clinic with on-site laboratories and x-ray facilities. The clinic is staffed by a medical director, pediatrician, physician assistant, pediatric nurse practitioner, and RN. Comprehensive primary health services, mental health services, social services including eligibility assistance, substance abuse services, and outreach services are provided. Covenant House operates Community Resource Centers in all five boroughs to provide social services where clients dwell.

Linkages

Additional substance abuse services are provided through a variety of drug treatment programs. Linkages have also been established with other organizations serving youth who are homeless, including Hetrick-Martin, Community Health Project, Empire State Coalition, StreetWorks, Women in Need, Turning Point, Phoenix House, and DayTop. Clients are referred to local hospitals for supplementary services.

Statistics

Estimated homeless population: 32,500 Patients served: 2,146

Harlem United

123-125 West 124th Street
New York, NY 10027
Phone: (212) 531-1300
Email:showze@harlemunited.org
Web: www.harlemunited.org
Director: Stephane Howze
HCH Coordinator: Larry Woods
Medical Director: Lois Jeannine Bookhardt-Murray
UDS Number: 219170

Project Description

Serving the Manhattan neighborhood of Harlem for nearly two decades, Harlem United has been providing housing, health care, and related services to primarily African American and Hispanic people living with HIV/AIDS who also struggle with homelessness, poverty, substance abuse, and / or mental illness. The Central and East Harlem community districts face some of the highest rates of mortality, poverty, and unemployment in New York City, and experience some of the highest homelessness rates within the borough of Manhattan. The homeless population's health status is disproportionately poor when compared to the general population, particularly for chronic and communicable diseases. Since 2007 Harlem United operates a Health Care for the Homeless (HCH) Program targeting the homeless populations of Central and East Harlem and the surrounding areas regardless of their HIV status.

Services

To increase access and eliminate barriers to care, the HCH Program will operate during daytime, evening, and weekend hours, and will employ culturally and linguistically appropriate staff. Most importantly, the HCH Program will operate a comprehensive coordinated, high-level quality medical care program within a system that fully engages the targeted individuals into medical care, while also integrating clients into a wide realm of supportive services. The HCH Program will operate out of two sites: 123-125 West 124th Street and 179 East 116th Street. The scope of services will be responsive to the specific needs of the homeless population, and will include preventive health services, management of chronic conditions, mental health, substance use, and dental services, referrals, outreach utilizing a Lay Health Promoter approach, and intensive case management.

Statistics

Estimated homeless population: 4,000 Patients served: 300

Hudson River HealthCare, Inc.

1037 Main Street
Peekskill, NY 10566
Phone: (914) 734-8800
Fax: (914) 734-8745
Email: adubois@hrhcare.org
Web: www.hrhcare.org
Director: Anne Kauffman-Nolon, MPH
HCH Coordinator: Allison Dubois
Medical Director: Paul Kaye, MD
UDS Number: 021510

Project Description

Hudson River HealthCare (HRHCare) is a community and migrant health center delivering primary, preventative, and behavioral health care services to patients throughout southeastern New York State, and linking clients a well-developed and highly responsive referral care network. For over 30 years, the health center has been providing innovative programs and comprehensive services to meet the needs of at risk populations. To meet growing needs, HRHCare has expanded to include health center sites and mobile medical services in a nine county region.

Services

HRHCare's 12 primary care sites offer comprehensive health care services, including adult, adolescent and pediatric primary care, obstetrical/GYN care, family planning, HIV counseling/testing and referral, mental health care, podiatry, nutrition counseling, health education, translation, transportation, and benefits counseling. Additionally, several of the sites provide nurse midwifery care, dentistry, optometry, and HIV specialty care through the Health Center’s Genesis program. HRHCare's Peekskill site offers an alcohol and substance abuse outpatient treatment program, Pathways. Laboratory, x-ray, pharmacy, and emergency services are provided through formal agreements with off-site providers. Special populations targeted by health center programs include migrant and seasonal farmworkers, alcohol and substance abusers and their families, new immigrant day laborers, expectant mothers, high-risk adolescents, persons living with HIV/AIDS, frail and/or isolated seniors, children at risk for obesity and type II diabetes, public housing residents, and homeless individuals and families.

Linkages

Linkages include employment agencies, public housing organizations, shelters and relocation programs, soup kitchens, substance abuse and mental health programs, realtors, departments of health, Veterans' Hospital, and Salvation Army. HRHCare also spearheaded the Hudson Valley Task force on the Homeless.

Statistics

Estimated homeless population: 5,100 Patients served: 2,815

Subcontractor(s):

Hudson River Lodging
391 Manchester Road
Poughkeepsie, NY 12603
Phone: (845) 454-5176

Living Room
29 Hamilton Street
Poughkeepsie, NY 12601
Contact: Mel Garrett
Phone: (845) 471-9329
Fax: (845) 471-9431

Sullivan County Federation for the Homeless
9 Monticello Street
Monticello, NY 12701
Phone: (845) 794-2604

Mt. Vernon Neighborhood Health Center

107 West Fourth Street
Mt. Vernon, NY 10550
Phone: (914) 699-7200
Fax: (914) 699-0837
Email: akachamo@hotmail.com
Web: www.mvhealthcenter.com
Director: Carole Morris
HCH Coordinator: Stacy Moraldo
Medical Director: Steven Levine, MD, MPA
UDS Number: 021500

Project Description

Mt. Vernon Neighborhood Health Center, along with its satellite Yonkers Neighborhood Health Center, provides primary health care for individuals who are homeless in Westchester County.

Services

The services include immunizations, HIV testing and intensive case management, prenatal care, dental care, detox from substance abuse, referral to rehab programs, and advocacy with various social service agencies. Mt. Vernon Neighborhood Health Center has a mobile medical unit, the Health Express, that services 17 different hotels, motels, and transitional housing facilities in a 30-square mile area. Transportation is provided to the clients to facilitate follow-up services. Inpatient care is provided by full-time physicians.

Linkages

Mt. Vernon Neighborhood Health Center is a member of the Community Choice Health Plan.

Statistics

Estimated homeless population: 4,951 Patients served: 5,529

Subcontractor(s):

Fourth Avenue Optical
55 Fourth Avenue
Mount Vernon, NY 10550
Contact: Charles Levine
Phone: (914) 668-7871
Fax: (914) 668-5899

The Children's Hospital/Montefiore Medical Center

853 Longwood Avenue
Bronx, NY 10459
Phone: (212) 535-9779
Fax: (212) 535-7699
Email: mlambert@montefiore.org
Web: http://www.montekids.org/
Director: Karen Redlener, MS
HCH Coordinator: Michael Lambert, MBA
Medical Director: Sharon Joseph, MD
UDS Number: 020800

Project Description

The New York Children's Health Project (NYCHP), a program of Community Pediatric Programs of The Children's Hospital at Montefiore Medical Center/Albert Einstein College of Medicine, offers homeless families and street youth access to an enhanced medical home at 14 locations throughout New York City. Founded in 1987, NYCHP is one of the original grantees under the McKinney Act.

Services

NYCHP delivers primary health care services to children and their caregivers at nine transitional homeless family shelters, a drop-in center and residential facility for runaway street youth, two domestic violence shelters, and the program’s hub site. Women and children from scattered domestic violence shelters and safe homes across New York City are also brought into care at NYCHP sites through a special initiative. Operating out of mobile medical clinics or at on-site clinic space, health care teams consist of pediatric and family medicine providers, nurses, mental health professionals, a nutritionist, and support personnel.

The program's bilingual mental health team, made up of a clinical psychologist, a psychiatrist, and three social workers, provides counseling and referral, substance abuse prevention/referral, case management, and entitlements assistance. Other NYCHP services include nutrition, women's health care, HIV testing/counseling, subspecialty referral management, asthma treatment, health education, and a pediatric early literacy program. The NYCHP provides pharmacy services through accounts maintained at selected local pharmacies and covers the cost of medications not covered by Medicaid. Patients can reach NYCHP medical providers 24 hours a day, seven days a week through a toll-free number. The NYCHP's state-of-the-art computerized electronic health records system allows the program to serve its highly transient patient population using wireless hand held tablet computers at mobile medical units and shelter clinic sites across the city.

Linkages

NYCHP's Referral Management Initiative ensures compliance with subspecialty referrals and uses a hospital based family health worker and an active transport service to facilitate this process. NYCHP referrals provide linkages with Montefiore Medical Center, many other hospitals for emergency and other specialized services, and social services agencies, including early intervention programs, domestic violence services, drug treatment programs, legal services, WIC and food stamp programs, emergency food, and public assistance and Medicaid offices across the city.

Statistics

Estimated homeless population: 100,000 Patients served: 3,649

Project Renewal Health Services

200 Varick Street, 9th Floor
New York, NY 10014
Phone: (212) 620-0340
Fax: (212) 243-4868
Email: patricia.troy@projectrenewal.org
Web: www.projectrenewal.com
Director: Edward I. Geffner
HCH Coordinator: Patricia Troy
Medical Director: Roslynn Glicksman MD, MPH
UDS Number: 024580

Project Description

Project Renewal has been providing services to homeless adults in New York City since 1967, including housing in shelters, transitional and permanent housing, social services, mental health services, substance abuse services and primary medical care. The 330(H) grant currently covers the entire primary medical care services located at three shelters and on three mobile medical vans.

Services

Project Renewal provides primary medical care including complete history and physical exams, STI and cancer screening, vaccinations, management of chronic disease, laboratory and pharmacy services,and referrals for specialty care. All medical sites are licensed under New York STate's Article 28, and include shelter-based clinics at our three adult shelters, two male shelters and one female shelter. We also have three mobile medical vans, one targeting adults, one targeting youth age 14 to 25, and one providing radiology services - screening mammography for breast cancer screeing and chest x-rays for tuberculosis screening. Additionally we provide psychiatric services at the shelter clinics and on the mobile vans. A full-time dental clinic is housed at one of our shelter clinics. Optometry is provided at one of our shelter clinics on a part-time basis, and Teledermatology is available at all sites through a collaboration with SUNY Downstate Department of Dermat ology. Our program also includes HIV prevention, screening and primary care services with a team of case managers, a nutritionist and an HIV specialist physician. Our medical program frequent refers to a variety of Project Renewal's substance abuse services, including outpatient treatment, medical and nonmedical detox settings, and long term residential drug rehab.

Linkages

Nurse Practitioner training programs at NYU and Columbia University, SUNY Downstate Department of Dermatology, New York Eye and Ear, New York School of Podiatry, Bellevue Hospital

Statistics

Estimated homeless population: 9,000 adults, 38,000 total      Patients served by grantee and subcontractors: 8,000

Project Samaritan Health Services, Inc.

137-50 Jamaica Avenue
Jamaica, NY 11435
Phone: (718) 298-5100
Fax: (718) 298-5130
Email: pwylie@projectsamaritan.org
Web: www.aidsnyc.org/help-psi/pshs.html
Director: Marguerite Gebhardt, MPS, RN
HCH Coordinator: Patricia Kennedy, RN, CAN
Medical Director: Orin Kaufman, DO
UDS Number: 028480

Project Description

Project Samaritan Health Services operates the Damian Family Care Center (DFCC) which provides services to individuals in Queens County. DFCC serves a largely minority population, many of whom are homeless or at risk of homelessness. Nearly 50 percent have histories of chronic homelessness.

Services

DFCC provides general primary care (pediatric, adolescent, and adult medicine), HIV primary and specialty care, HIV pre- and post-test counseling, family planning, GYN, routine well woman care, colposcopy, endometrial biopsies and cryotherapy, pediatric and adult dental care, mental health services, GI/hepatology, podiatry, optometry (including making, fitting, and repairing glasses), nutritional and health education, case management, outreach, eligibility assistance, and transportation services.

Linkages

Agency linkages include Queens Health Congress, Fortune Society, National AIDS Advocacy Project, Latino Organization for Liver Awareness, Queens Community Board #12, Public Policy and Educational Fund of New York, Queens HIV Care Network, Citizen Action of New York, New York City Providers of Health Care for the Homeless, Palladia, Samaritan Village, Queens Women's Network, HELP/Wards Island Residential Center, HELP/PSI Cobra Case Management, Esperanza Transitional Residence, Allied AIDS Services, PSI AIDS Services, Outreach Project, Safe Spaces, and Vida Care.

Statistics

Estimated homeless population: 40,269 (All NYC Boroughs) Patients served: 1,665

Subcontractor(s):

State University of New York - Downstate
33 West 42nd Street
New York, NY 10036-8033
Contact: Richard Weber
Phone: (212) 780-4997

St. Vincent Catholic Medical Centers - St. Vincent's Manhattan

41-51 East 11th Street, 9th Floor
New York, NY 10003
Phone: (212) 604-2705
Fax: (212) 604-1906
Email: bconanan@svcmcny.org
Web: www.svcmc.org/manhattan
Director: Matthew Baney, MS
HCH Coordinator: Barbara A. Conanan, RN, MS
Medical Director: Russell Kellogg, MD
UDS Number: 021700

Project Description

The SRO/Homeless Program of St. Vincent Catholic Medical Centers–St. Vincent's Manhattan is one of the original 109 HCH grantees funded by HRSA following the McKinney Act of 1987. Services for persons who are homeless began in 1969. Today, services are provided at 32 sites in Manhattan, 2 in Brooklyn, 1 in Staten Island, and 1 in the Bronx. From 1984 through 1989, the department's former chairman directed the National Health Care for the Homeless Program, funded by the Robert Wood Johnson Foundation and PEW Memorial Trust.

Services

The HCH project employs teams of physicians, psychiatrists, mid-level practitioners, nurses, psychiatric nurses and psychiatric nurse practitioners, social workers, HIV counselor, outreach staff, and other staff to work at outreach locations. The teams provide direct medical care, outreach, case finding, Directly Observed Therapy (DOT) for Latent Tuberculosis Bacterial Infection Therapy (LTBI), health screening, health education, case management, crisis intervention, and long term counseling, performed on-site on a regular basis. The program also provides substance abuse counseling, treatment of mental illness, and HIV care. When single adult clients are in need of more complex diagnostic testing or treatment, they are enrolled in one of the SRO/Homeless clinics at the hospital's outpatient clinic. An inpatient initiative focuses on improving medical care and coordinated discharge services at the hospital.

Linkages

The HCH project is closely linked to other programs serving individuals who are homeless, including Volunteers of America (managers of major shelter), Women-in-Need (sponsors of a variety of services for women and children, focused on substance abuse), Partnership for the Homeless which operates Peter's Place (drop-in center for men and women), Project FIND (single occupancy hotel for elderly persons who are homeless), Urban Pathways which operates the Oliveri Center (drop-in center for homeless women with mental illness) and Open Door (drop-in center for men and women with substance abuse problems), John Heuss House (drop-in center for men and women in the Wall Street area), St. Francis Residences (for homeless men and women with mental illness), Church Avenue Merchant Block Association (runs shelters and drop-in centers in Brooklyn and the Bronx), and Education Alliance (operates two programs for elderly people who are homeless). Praxis operates two SROs for ex-felons and Bowery Residence Committee is a multi-service agency that provides case management and social services, as well as the Center for Urban Community Services and Project Hospitality in Staten Island.

Statistics

Estimated homeless population: 70,000-100,000 Patients served: 9,460

The Floating Hospital

Mailing Address:
PO Box 8397
Long Island City, NY 11101
Location:
41-40 27th Street
Long Island City, NY 11101
Phone: (718) 784-2240
Fax: (718) 784-0240
Email: sgranahan@thefloatinghospital.org
Web: www.thefloatinghospital.org
Director: Sean T. Granahan, Esq
HCH Coordinator: Sean Granahan
Medical Director: David H.Otto, MD
UDS Number: 025500

Project Description

The Floating Hospital Health Care for the Homeless Program provides comprehensive health care services within numerous medically underserved areas. The HCH clinics are located in five homeless shelters in Brooklyn and the Bronx, and in NYC's family intake center in the Bronx. In addition, other homeless families are transported from approximately 50 shelters and domestic violence safe houses throughout NYC and served at the Main Clinic in LIC, Queens.

Services

The comprehensive health care services include primary care provided by pediatricians, internists, nurse practitioners, and physician assistants. The program also provides mental health counseling, substance abuse counseling, health education, benefits counseling, dental services, and outreach services.

Linkages

There are established linkages with hospitals contiguous to each clinic or intake center for medical, substance abuse, and mental health services.

Statistics

Estimated homeless population: 333,500 Patients served: 36,988

Unity Health - Urban and Rural Health Care Services for Homeless Men, Women and Children

89 Genesee Street
Rochester, NY 14611
Phone: (585) 368-3720
Fax: (585) 368-3723
Email: mnazar@unityhealth.org
Web: www.unityhealth.org
Director: Michael Nazar, MD
HCH Coordinator: Sandra Stephens
Medical Director: Carlos M. Swanger, MD
UDS Number: 023890

Project Description

Unity Health System's Health Care for the Homeless Program (HCHP) provides comprehensive health care to homeless men, women, and children living in the city of Rochester and in the greater Rochester area. The HCHP, using its clinical team outreach model, seeks to improve access to primary care for homeless persons while simultaneously improving their health status without regard for ability to pay.

Services

Through the use of a multidisciplinary, interagency team and Unity Health System's fully equipped mobile medical unit (MMU), outreach, assessment, primary health care, mental health and MICA counseling, dental, social services, education, and information and referral services are provided to individuals and families who are homeless. Services are provided in homeless shelters, soup kitchens, churches, and other community sites, as well as on the mobile medical unit.

Linkages

Clinic sites include emergency and transitional shelters, drop-in centers, soup kitchens, and other community sites. There are collaborative arrangements with many agencies and organizations, including veterans outreach centers, community health centers, and community service providers.

Statistics

Estimated homeless population: 8,000 Patients served: 2,460

Subcontractor(s):

Regional Transit Services, Inc.
1372 East Main Street
Rochester, NY 14609
Contact: Jane Naylon
Phone: (585) 654-0200
Fax: (585) 654-0293

Salvation Army
70 Liberty Pole Way
Rochester, NY 14604
Contact: Ruth Neiboer
Phone: (585) 987-9540 Ext. 2232
Fax: (585) 987-9556

Unity Dental Group
89 Genesee Street
Rochester, NY 14611
Phone: (585) 368-3800
Fax: (585) 368-3801

William F. Ryan Community Health Center

110 West 97th Street
New York, NY 10025
Phone: (212) 749-1820
Fax: (212) 932-8323
Email: wmurphy@ryancenter.org
Web: www.ryancenter.org
Director: Barbra E. Minch
HCH Coordinator: William Murphy
Medical Director: Jessica Sessions, MD
UDS Number: 020490

Project Description

William F. Ryan Community Health Center delivers primary and preventive health care services to individuals residing in four transitional living facilities and one non-profit mental health rehabilitation agency.

Services

The Health Care for the Homeless program provides comprehensive medical and mental health services at the West End Intergenerational Residence, Regent Family Residence, The Bridge on the Upper West Side, and Harriet Tubman and Convent Living Centers in Harlem. The program provides primary care, mental health counseling, substance abuse counseling, HIV services, case management, nutrition, and health education. HCH patients are referred to the Ryan Center for sub-specialty care, WIC, dental services, obstetrical and gynecological care, and radiology services.

Linkages

The resources available to Ryan's HCH patients vary within each facility. Ryan Community Health Center is the sole provider of hands-on, comprehensive health care, nutrition education, HIV education, counseling, testing, and case management at each facility. Other services include mental health services, substance abuse counseling and referrals, and entitlement assistance where these services are not provided by the facility's staff. The HCH team maintains linkages with all other provider organizations at each facility to ensure coordination and case management of these services. The center maintains a backup agreement with St. Luke's/Roosevelt Hospital Center for inpatient care and for referral to specialties not provided at the Ryan Center.

Statistics

Estimated homeless population: 10,000 Patients served: 1,231