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.

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. The Center has received an expansion grant to add behavioral health services to our primary care program. We expect to have this new program operational by October, 2009.

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. Cherokee Health Systems will be partnering with us in our new behavioral health program.

Estimated homeless population: 6,000 Patients served: 3,881

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

Cherokee Health Systems

Broadway Clinic
511 N. Broadway
Knoxville, Tennessee 37921
Director: Dennis S. Freeman, Ph.D.
Phone: 865-934-525-2104
Fax: 865-525-2212
Email: dennis.freeman@cherokeehealth.com
UDS Number : 0413090

Project Description

Broadway Clinic is open Mon-Fri from 8:30am – 5:00pm. Outreach:
CHS Broadway Clinic maintains a network of collaboration with community partners to sustain the work of the clinic. Our reach programs educate and improve the health of homeless by eliminating barriers that prevent them from obtaining services, and increase their access to behavioral health, primary and preventive care.

Medical Field Outreach:
On Wednesday evening, nursing students from Carson-Newman, South College and UT School of Nursing, along with their instructors, partner with Lost sheep Ministries by conducting a medical outreach under the interstate bridge. This outreach targets those in a non-traditional setting, who desperately need medical care. Many who do not frequent shelters, such as campers and those living outdoors, are encouraged to return to the clinic. These special volunteers have in fact, intervened to save lives on several occasions.

Street Outreach:
At times it is necessary to reach those who are living outdoors and too ill and to come to the clinic. A local volunteer doctor will visit the camps, assess the medical condition and take appropriate steps to help.

Annual Flu Clinic:
Once a year volunteers from the clinic and UT school of Nursing, conduct a free flu clinic for our neighbors under the interstate bridge. Vaccine is donated from the city wide Flu Saturday event.

Help For the Soles:
This foot clinic, Help For The Soles, is conducted by nursing students from Carson-Newman. One of our most popular outreaches, our neighbors receive hot water soaks, medicated power and a clean pair of socks. Foot problems such as diabetic sores, blisters from ill fitting shoes and frost-bite, are referred to our medical providers.

Women's Clinic:
This clinic concentrates especially on women's health issues. Pap smears, breast and pelvic exams, and counseling are available by a Women's Health Nurse Practioner. A gift bag is given to each lady, prepared by volunteers.

HIV/STD Clinic:
We partner with Knox County Health Department, who conduct HIV/STD testing under the interstate bridge along with our medical outreach. Nursing students also distribute flyers, talk to neighbors on the street, and give reminder cards for special scheduled HIV/STD Clinic. Volunteers prepare gift bags for each patient who receives testing.

TB Skin Test:
Free TB skin test are conducted at the clinic by the Knox County Health Department. Gift bags of hygiene products are assembled and distributed by volunteers to those who participate.

Education:
Nursing, Physician Assistance and Nurse Practioner students conduct discussion and teaching series throughout the year on health issues that relate to homelessness, such as diabetes, hypertension and stress reduction.

Linkages are planned with Volunteer Ministries, KARM and the Salvation Army for day services, dental care, meals, clothing, employment and housing. Referral linkages are to the Knoxville Area Project Access (KAPA) and local physicians and hospitals for specialty and inpatient care

Statistics

Estimated homeless population: 1,928 Patients served: Project 1,000 patients first year; 2,600 patients after two years.

Christ Community Health Services, Inc.

Operation Outreach
2595 Central Avenue
Memphis, Tennessee 38104
Phone: 901-283-8232
Fax: (901) 269-8599
Director: Burt Waller
Medical Director : Sima Weaver
HCH Coordinator : Janice Taylor
Web Site :www.christcommunityhealth.org
Email: janice.taylor@christchs.org
UDS Number : 417140

Project Description

Operation Outreach is a program, provided in part by Christ Community Health Services(CCHS)and Baptist Memorial Health Care, that exists to meet the health care needs of homeless individuals in Memphis and Shelby County, Tennessee.

Primary health care services provided through the Baptist Operation Outreach Van Services include: screenings for common health problems; health and developmental assessments for children; immunizations and other preventive care; diagnosis of medical problems and health needs; treatment and management of specific disease problems; treatment of minor injuries; and referrals to specialty services including diagnostic and dental services. Primary health care services are provided within the health centers for patients who are referred from Baptist Operation Outreach, reside in transitional living homes/shelters, and/or are in need of obstetrical care. Dental and pharmacy services are provided for those referred from the Baptist Operation Outreach Van and from CCHS providers.

Memphis Union Mission Dozier House and other homeless shelters serving women and children.

Statistics

Estimated homeless population: 10,000 Patients served: 1,129

Baptist Memorial Health Care
350 N. Humphreys
Memphis, TN. 38120
Contact: Cynthia Allen
email: Cynthia.Allen@BMHCC.org

East TN State University College of Nursing Community Health Centers

Mailing:
Campus Box 70403
Johnson City, TN 37614-1703
Location:
207 East Myrtle Avenue
Johnson City, TN 37601
Phone: (423) 439-4515
Email: barwick@etsu.edu
Web: www.etsu.edu/nursing/conpages/jcdc.asp
Executive Director: Ronald Barwick, PhD, MBA
HCH Coordinator: Sue Reed
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.

Primary health care, daytime shelter for homeless, showers, laundry, snacks, water, phone and mail service/assistance, behavioral health care, substance abuse

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.

Estimated homeless population: 800 Patients served: 500

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: http://www.memphishealthcenter.org/
Director: William Jackson, CEO
HCH Coordinator: Marilyn Burress-Wilson, COO
Medical Director: Patrick Malone
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.

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.

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

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

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.

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.

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.

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