1. Camillus Health Concern, Inc.

2. 1984 - Faith-based organization, founded by Dr. Joe Greer and the Brothers of the Good Shepherd 1989 – Healthcare for the Homeless project under HHS Section 330(h) 1996 – Designated as a Federally Qualified Health Center

3. Camillus Health Concern, Inc. Comprehensive Health Care and Social Services  Primary Medical Care  Pediatric, & Women’s Health Services  Preventative Health Screening & Education  Oral Health Services  Podiatric Services  HIV/AIDS Prevention, Education & Treatment  Behavioral Health Services  Specialty Services  Case Management  Medical Outreach Services  Transportation Services  Respite Care

4. Camillus Health Concern, Inc. Service Sites Main site in downtown Miami School-based clinic; Frederick Douglass Elementary School Betterway Substance Abuse Treatment Center Salvation Army Miami Shelter Outreach through Project Safestreet Medical Outreach

5. Homeless Population of Miami-Dade County Population Estimate 5160* 16% Chronically Homeless 18% Severe Mental Illness 22% Chronic Substance Abuse *Miami-Dade County Homeless Trust 2005

6. Homeless Population of Miami-Dade County Ethnicity* 50% African American 16% Caucasian 30% Hispanic 4% Other * Miami-Dade County Homeless Trust 2005

7. Camillus Health Concern, Inc. Medical Outreach Program History 1984 - Dedicated volunteer doctors led by Dr Greer taking healthcare to the streets 1992 – Project Safestreet Outreach Program 2002 – Medical Outreach Program expansion

8. Camillus Health Concern, Inc. Medical Outreach Program 1/1/04 thru 6/30/05: 2037 patients 4773 encounters 84 % male 44 % African American 36 % Hispanic

9. Camillus Health Concern, Inc. Medical Outreach Program Types of Outreach Walk About Mobile - Van Shelters - Camillus House - Mother Theresa’s Respite Rounds Churches – Mt. Zion Baptist church Community requests

11. Camillus Health Concern, Inc. Medical Outreach Program Medical Outreach Team Provider – Physician, ARNP Registered Nurse - Full time Medical Assistant Case Manager Immediate communication with other staff, as needed

13. Camillus Health Concern, Inc. Medical Outreach Program Provisions & Supplies “Comprehensive” mobile medical bag Medication, Glucometer, Oto/Ophthal. Hygiene Kits Reading Glasses Mosquito repellant Sunscreen

15. Camillus Health Concern, Inc. Medical Outreach Program Outreach Process Engagement – Building Trust Intake Needs Assessment Treatment & Intervention Referral to main site & other agencies via immediate communication cellphone/radio Transportation, if necessary

17. Medical Outreach Lessons Learned Persistence pays off, go back ! Consistency, Follow through with promises Fast access to follow up is a must Concurrent Case management-essential Limit yourself to what you do well Knowledge of partner agencies Think on your toes, no sticks in the mud need apply,… be FLEXIBLE You,ve got to like your patient!!

19. Camillus Health Concern, Inc. Current Challenges Success can create challenges…… Extended wait time for follow-up care due to increased number of patients reached Delays result in patients not returning for required and necessary care or no show appointments At any given time, there are 3 to 4 CHC patients that require hospitalization at JMH Not enough Respite beds......Med Outreach Follow Up Clinic ……Respite Bed Expansion ?

21. Medical Outreach QUESTIONS ?