HCH Directory - Utah

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Wasatch Homeless Health Care, Inc.

Fourth Street Clinic:
404 South 400 West
Salt Lake City, UT 84101
Phone: (801) 364-0058
Fax: (801) 433-0153
Email: melanie@fourthstreetclinic.org
Web: www.fourthstreetclinic.org
Director: Allan Ainsworth, PhD
HCH Coordinator: Melanie Taylor
Medical Director: Christina Gallop, MD, MPH
UDS Number: 085060

Project Description

The Fourth Street Clinic is part of Wasatch Homeless Health Care (WHHC), providing primary and ancillary health
care services free of charge to adults and children who are homeless in the Salt Lake City metropolitan area. The
clinic provides a range of services under one roof, including primary and specialty health care, oral health care, case
management, behavioral health, and a pharmacy. A full range of services is delivered through referrals to
community partners.

WHHC provides primary health care, medical referrals to specialists, patient assistance prescription program, onsite
pharmacy, behavioral health and substance abuse treatment, lab work, transportation, immunizations, dental
care, eye glasses, nutritional counseling, health education, HIV/AIDS referral and counseling, TB testing/follow-up,
temporary medical emergency housing, respite care program, WIC, family planning, women’s health services,
podiatry, dermatology, physical therapy, and case management. WHHC also supports primary care clinics at Fourth
Street Clinic on Monday and Thursday nights and Saturdays. WHHC provides primary health care services to
homeless and runaway youth off-site Monday and Wednesday evenings. Medical outreach is conducted in parks,
homeless camps, and on the streets. The program employs three full-time, mid-level providers, a part-time family
practice medical director, a full-time pediatrician, a full-time pediatric RN, five care coordinators, three medical
assistants, and two client services advisors. Half of the staff are Spanish-speaking. Additional clinical support is
provided by Primary Children's Hospital IHC and volunteer physicians, nurses, medical students, and others.
WHHC oversees housing for up to eight people in treatment for tuberculosis and provides respite care through local
facilities. Fourth Street Clinic participates with other local agencies in a pilot project called Pathways which has
successfully housed 17 individuals in permanent supportive housing. It is entering into a new phase which will
house about 185 more homeless individuals.

Psychosocial casework and entitlement assistance are provided under an agreement with The Road Home (shelter).
Mental health case management and treatment for severe diagnoses are referred to Valley Storefront, a division of
Valley Mental Health Services. WHHC also refers clients to substance abuse treatment under an agreement with the
Substance Abuse Services Division of Salt Lake County. WHHC works closely with city, county, and State health
departments and the University of Utah Health Sciences Center on disease control, particularly TB, West Nile
Virus, and Hepatitis. City and county housing authorities are partners in helping homeless service providers solve
the critical housing shortage for people who are homeless. WHHC co-manages a housing unit for TB patients with
Housing Authority of Salt Lake County. WHHC also has linkages with Youth Resource Center and Open Door
Clinic, two drop-in centers for homeless youth. WHHC participates with area nursing schools, to provide learning
experiences for nursing students, and the University of Utah's School of Medicine to educate and train medical
students and residents.

Estimated homeless population: 3,500 Patients served: 5,700