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Warm Hand Off: Integrating Syringe Exchange, Treatment and Primary care

Warm Hand Off: Integrating Syringe Exchange, Treatment and Primary care. Haven Wheelock, Syringe Exchange Coordinator Katie Kirkman, RISE Case Manager Eowyn Rieke, Medical Doctor. National Harm Reduction Conference 2012. Our Mission.

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Warm Hand Off: Integrating Syringe Exchange, Treatment and Primary care

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  1. Warm Hand Off: Integrating Syringe Exchange, Treatment and Primary care Haven Wheelock, Syringe Exchange Coordinator Katie Kirkman, RISE Case Manager Eowyn Rieke, Medical Doctor National Harm Reduction Conference 2012

  2. Our Mission Helping homeless youth and other marginalized people move towards improved health and self-sufficiency.

  3. 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

  4. 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

  5. Medical Outreach We go to Clackamas and Multnomah Counties. Two medical vans equipped with 2 and 3 exam rooms, a laboratory, and an electronic medical records system.

  6. Street RISE • Street RISE Reaching 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

  7. Tools to Integration Things we use to help keep our folks moving toward improved health

  8. IDU HS andMedical 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

  9. 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

  10. Medical Clinic andRISE • Coordinated Care • Staff Relationships • Warm Hand Offs • Attending Visits • Integrated EMR • Patient notes • Flags • Email

  11. New Alert / Flag

  12. How Does It Work? • STATS HERE PLEASE????

  13. Strategies How we do it

  14. Basic Human Respect for People • Gender identity • Treating the Whole Person • Unconditional Positive Regard • Casual Interactions • Staff • Clients • Clear and Open Expectations

  15. Warm Hand Off: Integrating Syringe Exchange, Treatment and Primary care IS FUN!!!

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