Name
Bringing Integrated Care to Street Medicine and Mobile Healthcare Teams Serving People Experiencing Homelessness
Description
Street medicine and mobile healthcare teams work to facilitate engagement in healthcare and overcome many of the barriers encountered in traditional clinic settings by bringing healthcare services directly to people experiencing homelessness (PEH). The mobile team at Cabin Creek Health Systems provides medical and behavioral health services to underserved patients with a primary focus on PEH. The team’s approach combines street medicine and mobile unit practices while incorporating various components from integrated care models to provide a trauma-informed and holistic approach to care for PEH. This presentation will describe the model of care and provide descriptive statistics to demonstrate the impact on patients served.
Speakers
Briana McCoy-Mills Psy.D., Mobile Program Director and Behavioral Health Provider, Individual - Briana McCoy-Mills, Charleston, WV
Jacob Mills PsyD, Cabin Creek Health System, Charleston, West Virginia
Co-Authors
Jacob Mills, Psy.D. Anne Salow, PA-C
Content Level
All Audience
Tags
Complex Patient Care, Social determinants of health or SDoH, Underserved populations such as LGBTQ+
Session Type
Concurrent
SIG or Committee
Just Medicine/DEI (JMC), Primary Care Behavioral Health (PCBH)
Objective 1
Identify at least one benefit of street medicine and mobile healthcare programs
Objective 2
Identify benefits of implementing integrated care on street medicine or mobile healthcare teams
Objective 3
Recognize the unique barriers to care traditional clinic settings present for people experiencing homelessness
Content Reference 1
Carmichael C, Schiffler T, Smith L, Moudatsou M, Tabaki I, Doñate-Martínez A, Alhambra-Borrás T, Kouvari M, Karnaki P, Gil-Salmeron A, Grabovac I. (2023). Barriers and facilitators to health care access for people experiencing homelessness in four European countries: an exploratory qualitative study. Int J Equity Health. 22(1):206. doi: 10.1186/s12939-023-02011-4. PMID: 37803317; PMCID: PMC10559410.
Content Reference 2
Meyer, B. D., Wyse, A., & Logani, I. (2023). Life and death at the margins of society: the mortality of the US homeless population (No. w31843). National Bureau of Economic Research.
Content Reference 3
Aldridge, R. W., Story, A., Hwang, S. W., Nordentoft, M., Luchenski, S. A., Hartwell, G., ... & Hayward, A. C. (2018). Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries: a systematic review and meta-analysis. The Lancet, 391(10117), 241-250.
Content Reference 4
Enich M., Tiderington E., Ure A. (2023) Street Medicine: A scoping review of program elements. International Journal on Homelessness 3(2): pages: 295-343.