Health Care for the Homeless Information Resource Center

HCH Directory - Tennessee

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Chattanooga Hamilton County Health Department

Homeless Health Care Center
PO Box 1746
Chattanooga, TN 37401
Phone: (423) 265-5708
Fax: (423) 265-5713
Email: lindak@exch.hamiltontn.gov
Web: health.hamiltontn.org/
Director: Becky Barnes
HCH Coordinator: Linda Katzman/Debbie Gilreath
Medical Director: Karen Moyer, MD
UDS Number: 042030

Project Description

The Homeless Health Care Project of Chattanooga Hamilton County Health Department provides services at a
stationary clinic, as well as through outreach to homeless citizens living in the Chattanooga area.

Services

The stationary clinic is located next door to the Chattanooga Community Kitchen, a day shelter with support
services, including food, clothing, job training, and supportive housing for families. Direct primary care, substance
abuse and mental health services, case management, and entitlement assistance are provided at the center. Services
provided indirectly by the center include secondary care, dentistry, emergency care, and inpatient care. The mobile
medical unit provides primary care services to eight area shelters: Gardner House Youth Shelter, Hastings House,
St. Catherine's Shelter, Interfaith Hospitality Network, Chambliss Shelter for Children, Family Emergency Shelter,
Chattanooga Room in the Inn, Chattanooga Area Safe Space, and Chattanooga Rescue Mission. Entitlement
assistance and case management services are provided in cooperation with case managers from these agencies.
Transportation may be provided by the center.

Linkages

Emergency, specialty and inpatient care are provided by referral to Erlanger Medical Center, Johnson Mental
Health Center, Moccasin Bend Mental Health Institute, Memorial Hospital, and Project Access. In addition, the
project has linkages with more than 42 organizations in the community, providing job training and placement,
education and literacy services, mental health counseling, and housing services.

Statistics

Estimated homeless population: 6,000 Patients served: 3,056

Subcontractor(s):

Alton Park/Dodson Ave. Community Health Center
100 East 37th Street
Chattanooga, TN 37411
Contact: Frank Buoy
Phone: (423) 778-2711
Fax: (423) 778-2709
Email: fowlerdp@erlanger.org

Chattanooga Community Kitchen, Inc.
PO Box 11203
Chattanooga, TN 37401
Contact: Charlie Hughes
Phone: (423) 756-4222
Fax: (423) 756-3820
Email: kitchen@combiz.net

East TN State University College of Nursing Community Health Centers- Johnson City Downtown Clinic

Mailing:
Campus Box 70403
Johnson City, TN 37614-1703
Location:
207 East Myrtle Avenue
Johnson City, TN 37601
Phone: (423) 926-2500
Fax: (423) 926-5999
Email: alleyn@etsu.edu
Web: www.etsu.edu/nursing/conpages/jcdc.asp
HCH Coordinator: Mary Vance
UDS Number: 413490

Project Description

The HCH project is part of a health center system that includes Johnson City Downtown Clinic and Hancock
County School Based Health Centers. These centers serve Washington and Hancock counties, respectively. Services
are provided with a nurse-managed model of care, using skills of advanced practice nurses and stressing holistic
health care for individuals at all stages of life.

Services

JCDC offers a comprehensive range of primary care health services, including mental health screening, diagnostic
services, and on-going treatment and counseling, at the main clinic site. Preventive health services are offered both
in the clinic and at outreach sites. Dental care and substance abuse treatment are offered by referral and case
management, which are provided off-site. Supplemental and enabling services include prenatal/postnatal care,
nutrition education, immunizations, TB screening and outreach, diagnostic laboratory services, some diagnostic
screening services, case management, jail services, emergency medical services, housing assistance, hospital
discharge follow-up, limited home visits, health education, and transportation assistance.

Linkages

Linkages include the Veterans Administration Medical Center Mountain Home, Appalachian Regional Commission
of Homelessness, Salvation Army, Haven of Mercy, Interfaith Hospitality Network, and Johnson City and Washington County jail systems.

Statistics

Estimated homeless population: 200 - 400 any given day Patients served: 45

Subcontractor(s):

Frontier Health Services
Woodridge Hospital
403 State of Franklin Road
Johnson City, TN 37604
Contact: Richard Kirk
Phone: (423) 979-7483
Email: rkirk@frontierhealth.org

Keystone Dental Care
603 Bert Street
Johnson City, TN 37601
Contact: George Karnes or Rebecca Nunley
Phone: (423) 232-7919

Memphis Health Center, Inc. - Health Care for the Homeless

360 E.H. Crump Boulevard
Memphis, TN 38126
Phone: (901) 261-2000
Fax: (901) 775-2937
Email: mburress@mphshc.org
Web: mphshc.org
Director: William Jackson, CEO
HCH Coordinator: Marilyn Burress-Wilson, COO
Medical Director: Yolanda Harris
UDS Number: 041410

Project Description

In 1987, Memphis Health Center (MHC) responded to the health care access needs of the growing number of
individuals who were homeless in Memphis. In collaboration with the Salvation Army and several other community
based support organizations, MHC began to provide a comprehensive array of medical and support services to
individuals experiencing homelessness.

Services

Services include primary care, dental services, and substance abuse/mental health services, which are available
directly or via subcontractors. A team at the main site provides primary care. Midtown Mental Health Center,
Genesis House of Memphis Catholic Charities, and Harbor House provide mental health and substance abuse
services. Church Health Center provides health care to persons that frequent the mid-town area of the city. MHC
also provides primary health care weekly at two homeless clinic sites.

Linkages

Linkages include Salvation Army's Adult Rehabilitation Center (ARC) and its Purdue Center of Hope (Women and
Children Shelter), Cocaine Alcohol Awareness Program (CAAP), and Southwest Mental Health Center. MHC is
also a member of homeless consortium of Partners for the Homeless (Federal) and Greater Memphis Interagency
Coalition for the Homeless (GMICH) which facilitates networking with local homeless service providers.

Statistics

Estimated homeless population: 7,000-8,000 Patients served: 2,483

Subcontractor(s):

Church Health Center
1210 Peabody Avenue
Memphis, TN 38104
Contact: Mike Sturdivant
Phone: (901) 272-0003
Fax: (901) 261-8830

Genesis House / Memphis Catholic Charities
1325 Jefferson Avenue
Memphis, TN 38104
Contact: Mary Jordan
Phone: (901) 726-9786
Fax: (901) 725-1649

Harbor House, Inc.
1979 Alcy Road
Memphis, TN 38126
Contact: Jacque Tate
Phone: (901) 743-1836
Fax: (901) 743-3853

Mid-Town Mental Health Center
427 Linden Avenue
Memphis, TN 38126
Contact: Aubrey Howard
Phone: (901) 577-0200
Fax: (901) 577-0207

Nashville Metro Public Health Department

526 Eighth Avenue South
Nashville, TN 37203
Phone: (615) 862-7900
Fax: (615) 862-6762
Email: scott.orman@nashville.gov
Web: healthweb.nashville.org
Director: Stephanie B. Bailey, MD
HCH Coordinator: Scott Orman
Medical Director: Keith Junior, MD
UDS Number: 042000

Project Description

The Metro Public Health Department, a unit of Metropolitan Government of Nashville and Davidson County,
emphasizes the traditional public health roles of assessment, assurance, and policy development. The Downtown
Clinic for the Homeless continues to provide a wide range of primary care services, while three other health
department sites concentrate on preventive health services, WIC, and communicable diseases. Since 1985, the
Downtown Clinic has helped bring health care services to persons who are homeless in Nashville. The clinic is open
Monday to Friday from 8:00 am to 4:00 pm and Tuesdays until 6:30 pm.

Services

Two nurse practitioners and a half-time physician/medical director see patients who have primary care and chronic
disease needs. Tests for TB and STDs, physical exams, and family planning are available. The clinic joined the
Diabetes Collaborative in 2005 and is in Phase 2. Alcohol and drug treatment is provided through an outpatient
program that includes 21 or more hours of counseling and education each week. The length of treatment is
determined by individual needs of the client. The program has expanded to include a new women's group in
addition to men-only groups. Men continue to receive room, board, case management, activities, education, and AA
meetings at the Campus for Human Development adjacent to the clinic. Women receive these services through other
shelter sites. Residential treatment is available through block grant funds. Mental health services are provided by a
supervising psychiatrist and Vanderbilt residents in psychiatry. An expansion grant, awarded in 2005, has added
more psychiatry time and services for dually diagnosed persons. A contract dentist sees patients 4 hours every day.
Metro's 12-passenger van leaves the clinic regularly to take clients to medical and social service appointments.
Street outreach in downtown Nashville and outlying areas is done nearly daily. Outreach and medical services to
shelters are also conducted.

Linkages

The Campus for Human Development, adjacent to the Downtown Clinic, provides day shelter, education, sobering-
up, respite, and other services for homeless individuals. In addition, case management and housing for the men in
the project's outpatient substance abuse treatment program are provided. Although the Campus receives no 330
funds, the project uses other sources to pay for certain services there. Emergency and inpatient services are referred
to Metropolitan General Hospital. Specialty care is referred to a community health center or General Hospital -
Outpatient Services. The project maintains good relations with other homeless serving agencies, including a
runaway shelter, community action agency, local housing agency, emergency and transitional shelters, and many
other providers. It is an active member of the Nashville Coalition for the Homeless. The program is the U.S.
Department of Housing and Urban Development (HUD) grantee responsible for implementing Nashville's Homeless
Management Information System.

Statistics

Estimated homeless population: 5,000 Patients served: 3,935