Outside In

Member of the Council badgeOutside In uses interdisciplinary and alternative medicine to reach the hardest to serve homeless and marginalized populations, including homeless youth, injection drug users, Latino day laborers, and sexworkers.In 2005, the homeless clinic was dually funded as a Community Health Center.The agency provides extensive homeless youth social services, including mental health counseling, housing, drop-in, employment services, and an alternative school. Outside In also operates a School Based Health Center at Milwaukee High School in Clackamas County.


Outside In provides primary care and health education.Through staff physicians and partnerships with medical schools, Outside In provides allopathic, naturopathic, and Oriental medicine and acupuncture.The clinic offers mental health and substance abuse services to its established clients through behavioral health/primary care integration.Dental care is provided by volunteer dentists through contract with Medical Teams International using their mobile dental van and on-site at the School-based Health Center in partnership with another Community Health Center.Outside In's medical director and attending physicians oversee medical residents from OHSU’s Pediatric Adolescent Medicine, Internal Medicine, and Family Medicine programs.Staff MDs have admitting privileges at Oregon Health and Sciences University Hospital.Staff at Outside In does extensive outreach, referrals, and social work wrap-around services.50% of support staff are bilingual English/Spanish and provide interpretation services.All other interpretation provided through contract by a phone interpretation company.Outside In has a small pharmacy located on site for established patients.The Outside In clinic has mutual referral relationships with other safety net clinics and a referral network of private medical specialists who see patients free of charge or on a sliding scale.The program conducts medical outreach using two full-service mobile medical vans equipped with exam rooms, minimal laboratory services, bathroom, and charting area.Outside In also operates a tattoo removal program for gang-involved youth.The agency operates a Dog Day-Care Center as an employment training program for homeless youth and social enterprise generating revenue.


Outside In has reciprocal referral relationships with Multnomah County's Downtown Clinic and Old Town Clinic, both of which serve low income and homeless adults. Outside In also has referral arrangements with the Native American Rehabilitation Association which serves Native Americans of all ages.


Estimated homeless population: 12,000

Patients served: 4,569