WARM HAND OFF: INTEGRATING SYRINGE EXCHANGE, TREATMENT AND PRIMARY CARE

National Harm Reduction Conference 2012

Haven Wheelock, Syringe Exchange Coordinator Katie Kirkman, RISE Case ManagerEowyn Rieke, Medical Doctor

Our MissionHelping homeless

youth and other marginalized people move towards improved health and self-sufficiency.

Injection Drug Users Health Service Syringe Exchange (FY2011-2012)

3,676 different people 34,860 visits 487,704 needles returned

HIV/Hep C Testing Harm Reduction Counseling Community  Referrals Hours:  Main Street: Monday-Friday   12-5pm

       Clackamas Service Center: Thursday  2-5pm

CLINIC & HEALTH SERVICES

Services

Primary Medical Care:

We are the “medical home” for over 5000 patients, available to every youth in the Homeless Youth Continuum Psychiatric Mental

Health

Chronic Disease management

Acupuncture/Chinese Medicine, Chiropractic, Therapeutic Massage

Pharmacy

Tattoo Removal

Populations we Serve

Homeless any age ≤30 any housing

status

With special services for:

Non-English speaking

Injection drug users

Transgender

Mentally ill

Substance users

Insured or Uninsured

MEDICAL OUTREACH

Two medical vans equipped with 2 and 3 exam rooms, a laboratory, and an electronic medical records system.

We go to Clackamas and Multnomah Counties.

Street RISE

Street RISEReaching Independence through Self-

Empowerment

Services: homeless youth age 17-25 Outreach Recovery Oriented Activities 7 Days

a Week Substance Use & Mental Health

Treatment Case Management Education and Employment

Supports Life Skills Training Integrated Primary Medical Care Access to Permanent Supportive

Housing

Things we use to help keep our folks moving toward improved health

Tools to Integration

IDU HS and Medical Clinic

Referrals are made in the exchange for same day appointments in the clinic

Warm Hand offs are welcome as needed Appointment reminders can be left at the

exchange for harder to engage clients IDU HS staff attends patient briefs as

necessary to support client and staff Face to face discussions of relevant medical

issues Educating fellow staff on IDU related issues

Does It Work?

Approximately 21% of Syringe Exchange clients (~800 people) report having been seen at our medical clinic in the past 2 years

Last year we referred 350 clients to be seen by doctors

Medical Clinic and RISE

Coordinated Care Staff Relationships Warm Hand Offs Attending Visits Integrated EMR

Patient notes Flags

Email

New Alert / Flag

How Does It Work?

STATS HERE PLEASE????

How we do it

Strategies

Basic Human Respect for People Gender identity Treating the Whole Person

Unconditional Positive Regard Casual Interactions

Staff Clients

Clear and Open Expectations

WARM HAND OFF: INTEGRATING SYRINGE EXCHANGE, TREATMENT AND PRIMARY CARE

IS FUN!!!