Warm Hand Off - Harm Reduction Coalition
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
Helping homeless youth and other marginalized people move towards improved health and selfsufficiency.
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
C LINIC & H EALTH S ERVICES
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
M
EDICAL
O
UTREACH
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.
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
Tools to Integration
Things we use to help keep our folks moving toward improved health
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
New Alert / Flag
How Does It Work?
STATS HERE PLEASE????
Strategies
How we do it
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
