Running head: YELLOW JACKET HOPE CENTER FOR TEENS
Dawn Johnson, Michelle Klochack, Joan Kronlein, and Jennifer Paulsen
OSP Group 3
NUR 440
Yellow Jacket Hope Center for Teens

YELLOW JACKET HOPE CENTER FOR TEENS
Yellow Jacket Hope Center for Teens
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Greenville is a small community located in mid-central Michigan. According to an article in the local newspaper, there are about one hundred homeless students that the public school advocates for (Ameling, 2011). There is a need in the community for free health care for these students. At the present time the public school funds medical needs for these students through the use of McKinney-Vento federal funds, local community donations, and a grant from the
Greenville Area Community Foundation (Jeltsema, 2011). Our group proposal is to provide free health care to homeless students via a teen center. The McKinney-Vento funds can then be used for additional needs of the homeless students, like housing and perhaps repairing or preventing the reasons these students are homeless. The center will be titled “Yellow Jacket Hope Center for
Teens”. The “Yellow Jacket” is the mascot of the local public school that operates a food pantry and distributes McKinney-Vento funds under the title, “Opportunities for Success” (Jeltsema,
2011).
A limited assessment of the environment reveals the City of Greenville is a part of the
Coalition of Greater Greenville, whose vision was formed “with the goal of creating a healthier community” (Greenville Area Chamber of Commerce [GACC], 2009). Greenville has a strong vision for health, which is needed to support a teen health center. Other strengths are community support for the homeless (Ameling, 2011) and a public school that supports homeless students through the distribution of McKinney-Vento funds. The funds can be used for medical care for the homeless student, if referred by the public school liaison (United States Department of
Education, 2001). Greenville Public Schools work towards promoting a healthy community.
According to the Greenville school web site, “Greenville Public Schools strives to promote and maintain a healthy environment for all our students, staff, parents and community members”

YELLOW JACKET HOPE CENTER FOR TEENS
(Greenville Public Schools, 2012). Greenville has a school nurse available for student needs throughout the day. The school nurse may contribute to the success of a teen medical center.
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The population of Greenville in 2009 was 8,026. The median income was $29,730.
Residents living in poverty were 27%, while residents living below poverty level were 23.4%. In
March 2011 the unemployment rate was 13.5% (city-data.com, 2012). This “unemployment rate
[is] higher than the state average. The state average December 2011 was 9.3%” (Michigan
Department of Technology, Labor and Budget [MDTLB], 2012). The unemployment rate and percent of poverty contributes to homelessness, therefore creating the need for free medical care, specifically for teens. There are many churches in the area that are frequently helping the community. A church can house the teen medical center for low cost, or for free. There are no other free clinics in the area designed for the teen population. The biggest competitor for similar services is the low income clinic and the hospital, however the hospital has been a big financial contributor to the students of Greenville in years past. The biggest problem in creating a homeless teen medical center will be recruitment of staff volunteers, and financing.
One internal factor to consider is the number of staff members required to address specific needs. A staff of physicians, registered nurses, dietitians, social workers, and counselors are needed. Administration can be accomplished by volunteer business people, grant writers, the public school administration, or a part-time paid administrator. The hours of operation will require two evening hours, so students can get after school care. The center, housed at a church, will require a reception area, two or three patient rooms, patient tables, donated supplies, and a locked storage area for the supplies and patient records.
The homeless students of Greenville have the need and the right to receive adequate healthcare in their community. This center will be an excellent benefit for the community. The

YELLOW JACKET HOPE CENTER FOR TEENS assessment of Greenville, Michigan shows willingness of the community to support their homeless students, as their biggest asset.
Mission Statement
The Yellow Jacket Hope Center for Teens is dedicated to improving the health and well -
4 being of homeless and low income teens in the Greenville area. Our mission focuses on prevention, early treatment and health maintenance through the combination of physicians, nurses, dietitians, social workers and counselors.
Philosophy
Our philosophy is based on Jean Watson’s theory of caring. Homeless and low income teens are human beings. According to Watson (2012), “human being refers to… a valued person in and of him or herself to be cared for, respected, nurtured, understood and assisted” ( Watson’s theory and the four major concepts, para. 1) and “effective caring promotes health and individual or family growth” (Watson, 2012, The Seven Assumptions, para. 3). Our belief in the value and care required, is to strengthen and support the health of homeless and low income teens in the
Greenville area. Our commitment is to provide quality care in a safe environment with the following focus:
Patients
• We believe that everyone deserves to have access to high quality basic medical care regardless of ability pay.
• We believe that everyone deserves to have health education opportunities regardless of ability to pay.
Nursing
• We believe nurses are an integral part in helping this population obtain health care services

YELLOW JACKET HOPE CENTER FOR TEENS needed without fear of inability to pay.
• We believe nurses can play an integral part in health education for this vulnerable population.
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Organizational Goals
The Yellow Jacket Hope Center for Teens organizational goals continue to align with Jean
Watson’s Theory of Caring. The population the Center aims to serve is, by nature, untrusting because of their stage in their life. This coupled with the stress of their home life makes
Watson’s Theory of Caring that much more important. Establishing a helping-trust relationship built on “congruence, empathy, and warmth” is imperative (Watson, 2012, para. 4). The organizational goals for the Yellow Jacket Hope Center for Teens are:
 Ensure high quality care will be provided to all homeless teens regardless of their ability to pay.
 Ensure availability of physician, nursing, dietitian and medical social work services.
 Ensure high quality care in a safe environment.
 Ensure that sex education and counseling services are provided.
 Ensure a clean welcoming environment is available for teens.
 Ensure that nutritional information is provided.
 Ensure care plan development that encompasses all discipline recommendations.
 Ensure appropriate referrals to community resources.
The Yellow Jacket Hope Center for Teens will strive to play a vital role in the lives of those who seek services by providing caring and compassionate care. The success in attaining these goals will rely on support of the community and support from the school system.

YELLOW JACKET HOPE CENTER FOR TEENS
Organizational Objectives
Jean Watson’s Theory of Caring also influences the organizational objectives for the Yellow
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Jacket Hope Center for Teens. According to Watson (2012), “Provision for a supportive, protective, and/or corrective mental, physical, socio-cultural and spiritual environment..” includes “...providing comfort, privacy and safety as part of this carative factor.” (Watson, 2012, para. 8) Our objective is to holistically care for mind, body and spirit.
Objective 1: To provide comprehensive medical care regardless of ability to pay.
Objective 2: To foster a trusting relationship with the clients we serve as evidenced by returning
Objective 3: To solidify our place in the Greenville community’s health care landscape by partnering with Greenville Public Schools and United Memorial Hospital
Objective 4: To provide a safe health care environment, free from judgment, intimidation and ridicule.
Objective 5: To provide accurate health education to those we serve by using evidence based practice models.
Organizational Chart: See Appendix A
Job Descriptions
Clinic Medical Director - Physician who serves as the clinic leader. Assist in developing and implementing clinic policies and procedures. The Medical Director/Clinic Physician acts as a supervisor for physician’s assistant and/or nurse practitioner, medical staff and clinical support staff. The Medical Director/Clinic Physician is responsible for providing primary medical care

YELLOW JACKET HOPE CENTER FOR TEENS to a vulnerable underserved population. The Medical Director/Clinic Physician provides education and preventative health care. Several volunteer physicians are needed to rotate at the
7 clinic.
Nurse Practitioner/Physician’s Assistant-
Assists the clinic Medical Director with administrative work and is also responsible for providing patient care. Most services that are provided by a doctor’s office will be provided for teens in a comfortable, clean, welcoming environment. Responsibilities will include educating teens in health promotion, disease prevention and birth control methods as appropriate. Several volunteer Nurse Practitioner or
Physician’s Assistant needed to staff clinic.
Clinic Manager- Responsibilities include managing, planning and coordinating the operations of the clinic. They are responsible for monitoring patient care. The clinic manger is responsible for the day to day operation of the clinic. The manager will be responsible for supervising the clinic staff. The clinic manager will be responsible for ensuring that the clinic is adequately stocked with the necessary supplies and facilitate donations. An RN needed or an individual with
Bachelor’s degree in Administration or Health related field.
RN Clinic Nurse- Responsible for direct patient care. RN practices under general direction and supervision of Clinical Medical Director and Nurse Practitioner or Physician’s assistant. The RN will be responsible for triaging patients while providing care and education.

YELLOW JACKET HOPE CENTER FOR TEENS
Medical Social Worker- The social worker provides support and guidance for teens in need.
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The Social Worker can arrange for community resources that can be beneficial for patients.
Several volunteer social workers would be needed to staff clinic.
Mental Health Counselor- Counselors work with teen patients that may have academic or emotional issues. The counselor can work with small group or with an individual. The counselor can provide drug and alcohol counseling and prevention awareness. The counselor has the ability of recognizing abuse or family problems in the home. Several volunteers would be needed to staff clinic.
Registered Dietician- Provides dietary counseling and support for a vulnerable at risk population. The dietician plans nutrition programs and education. They prevent and treat illnesses by encouraging healthy eating habits.
Grant Finance Coordinator - Responsible for accounting and finance duties. May prepare taxes or partner with tax accountants. Will maintain clinic records and budget planning. Grant Finance
Coordinator is responsible for preparing grant applications. Maintains and coordinates grant activity and planning.
Receptionists- Duties include checking patients into clinic, answering phones and any questions patients may have.

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Maintenance Personnel/Housekeeping - Are responsible for keeping facility clean and sanitary.
Duties include providing routine maintenance at facility. Maintenance Personnel/Housekeeping
Will telephone professionals for repairs if necessary.
Advertisement for “RN Clinic Nurse”
We have a unique opportunity for a caring Registered Nurse (BSN preferred), who loves to work with diverse teens in a personal and friendly atmosphere. We are looking for the right blend of attitude, care, compassion, expertise, and collaboration for our new health center. If you have this combination of characteristics, please email your cover letter and resume’ (with references) to Joan Kronlein RN at kronlej@ferris.edu. We look forward to hearing from you. EOE.
Costs for Placing Employment Ads:
Grand Rapids Press (online and paper) $172.66 (Ten lines or less)
The American Nurse (ANA publication)
CareerBuilder between $250-550
$419
Other Publications for Advertising
Online nursing journals, and local newspapers (this will help to create community buy-in for the project/job), Michigan Works!, and monster.com.
Budget Plan for Yellow Jacket Hope Center for Teens
The proposed budget will begin fiscal year 2013; this will allow time to secure the Blue
Cross/Blue Shield (BCBS) Competitive Grant as well as secure private donations. The grant

YELLOW JACKET HOPE CENTER FOR TEENS from BCBS will be the main source of income for the clinic with private donations of both supplies and cash.
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The clinic will operate year round including school vacations of summer, Christmas and spring break. The clinic will be closed during the major holidays of New Years, Memorial Day,
Independence Day, Labor Day, Thanksgiving and Christmas. Our primary clientele will be homeless teens, and remaining open during school breaks will be of benefit to this population, their health needs do not end on school vacations. The clinic will be open six hours per week, 2-
3 days per week dependent on availability of the church space.
It is projected that the clinic will serve five to ten patients per week although initially as the clinic builds up trust the patient flow may be lower. The clinic is specifically directed toward teenagers in the Greenville area with the thought of serving the homeless population, however; the doors will be open to teenagers that currently do not have any type of health insurance which makes primary care difficult.
Supplies and medications will be sought through donations and pharmaceutical companies will be contacted for donations of common antibiotic medications that may not be covered through the Meijer and Wal-Mart free antibiotic program.
Budget for the Yellow Jacket Hope Center for Teens
The Yellow Jacket Hope Center for Teens will operate on budget with a projected patient population of five to ten patients per week and will be open year round. The projected budget is attached (Appendix B) and will have over sight by a Board of Directors. The Finance
Coordinator will manage all expenditures and income and report monthly to the Board of

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Directors who will include leaders in the community as well as a representative from the public school system.

YELLOW JACKET HOPE CENTER FOR TEENS
References
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Ameling, K. (2011, December 25).
Greenville community dinner to help those who go without.
Retrieved from http://thedailynews.cc/2011/12/25/greenville-community-dinner-to-helpthose-who-go-without/
City-Data.com (2012). Greenville, Michigan. Retrieved January 18, 2012 from: www.citydata.com/city/greenville-michigan.html
Greenville Area Chamber of Commerce (2009). Coalition of greater Greenville. Retrieved from http://www.greenvillemi.org/Chamber-of-Commerce/Coalition-Of-Greater-
Greenville.aspx
Greenville Public Schools (2012). School Nurse Services. Retrieved January 18, 2012 from: www.greenville.k12.mi.us/district.cfm?subpage=90729
Jeltsema, R. (2011). Need help staying in class? Greenville school fund stands ready and waiting.
Retrieved from http://thedailynews.cc/2011/10/29/need-help-staying-in-class-greenvilleschool-fund-stands-ready-and-waiting/
Michigan Department of Technology, Labor and Budget, (2012). MI Fast Facts. Retrieved
January 21, 2012 from http://www.milmi.org/
United States Department of Education. Title VII-B of the McKinney-Vento Homeless
Assistance Act as amended by the No Child Left Behind Act of 2001. (2001). Education for homeless children and youth program. Retrieved from http://www2.ed.gov/programs/homeless/guidance.pdf

YELLOW JACKET HOPE CENTER FOR TEENS
Watson, J. (2012). Jean Watson’s philosophy of nursing. Nursing Theories: a companion to
13 nursing theories and models. Retrieved from http://currentnursing.com/nursing_theory/Watson.html

YELLOW JACKET HOPE CENTER FOR TEENS
Appendix A
Organizational Chart
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Clinic Medical
Director
Nurse Practioner or
Physicians Assistant
Finance Coordinator
Clinic Manager
RN Clinic Nurse Registered Dietician Social Worker
Mental Health
Counselor
Maintenance personel
Receptionist

YELLOW JACKET HOPE CENTER FOR TEENS
Appendix B
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Personnel
Position Title %Fulltime(FTE)
Clinic Medical
Director
10% (6-10 hrs/wk)
10% Nurse
Practitioner
Finance
Coordinator
10%
Clinic Manager 10%
RN Clinic
Nurse
10%
Registered
Dietician
10%
Social Worker 10%
Mental Health
Counselor
10%
10% Maintenance personel
Receptionist 10%
Proposal Budget Sheet
May 1, 2012 – April 30, 2013
Duration of employment
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12
12
12
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12
12
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Time unit
Wage rate
Month $2,400
Per unit
Total
Personnel
Month $28,800
Month Volunteer Month $0
Month $640 Month $7,680
Month $980 Month $11,760
Month Volunteer month $0
Month Volunteer Month $0
Month Volunteer Month $0
Month Volunteer Month $0
Month Volunteer Month $0 month volunteer Month $0
$48,240.00/yr
$10,000/yr Equipment/Supplies
Building & Maintenance
Grant Total Awarded
Donated
$50,000/yr

YELLOW JACKET HOPE CENTER FOR TEENS
Private Donations $20,000/yr
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+ $11,670/yr