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HomeMy WebLinkAboutCC Presentat 03/23/2021Olympic Peninsula Community Clinic / REdisCOVERY Update T. Scott Brandon Executive Director Olympic Peninsula Community Clinic Port Angeles, WA Olympic Peninsula Community Clinic Overview •“Free clinic” formerly known as VIMO •Founded in 2002 in the basement of St. Andrew’s •Governed by 9-member Board of Directors •16 full-time, 3 part-time employees, 1 contractor •19 volunteer providers Service Delivery –Employees & Volunteers •MD –1.6 FTE •Medical ARNP –0.2 FTE •BH med management ARNP –0.8 FTE •PhD-level MHP –0.4 FTE •Masters-level MHP –0.5 FTE •Masters-level BH process coordinator –0.8 FTE •SUDP –2.0 FTE •Registered Nurse -0.5 FTE •Medical Assistant –2.0 FTE •Certified Nurse Assistant –2.0 FTE •Intensive case manager –2.5 FTE •Certified Peer Counselor –5 FTE •Transportation team –0.2 FTE •Coordinator/Scheduler –1.5 FTE •ACA Navigator –0.5 FTE •Program administration –2.0 FTE Medical & Counseling Clinic •Provide care for community members who cannot find or afford a doctor or counselor •ACA signups •Breast, Cervical & Colon Health Program (BCCHP) •Primarily volunteer •In-clinic and street/shelter medicine Medical & Counseling Clinic –2022 Services Delivered •1,213 Medical & counseling visits (in-clinic) •1,366 Street/shelter medicine encounters •1,362 COVID tests, 2 HCV tests •16 COVID vaccines, 66 Flu vaccines •27 Shingles vaccines, 7 Tdap vaccines, 3 TwinRx vaccines •1 Vitamin K shot •5 Allergy shots •19 ACA signups •1,910 volunteer provider hours, 294 unique patients in-clinic, 4,087 total patient encounters Clallam County Homeless Medical Respite •Two-year pilot program with Clallam County Health & Human Services, North Olympic Healthcare Network (NOHN) and Serenity House, located at Serenity House •Provides temporary, “home-like” shelter for people with specific medical conditions •Officially launched in October with four semi-private beds, to start •Six patients served, to date Dental Clinic •Provide care for community members who cannot find or afford a dentist •Currently undergoing renovations, new equipment being installed this month •Expect to re-open in late January •Provided triage-and-refer services for more than 600 patients in 2022 REdisCOVERY Alternative Response Team Programs Law Enforcement, Paramedics and Community, Working Together to Solve Problems •Programs provide an outlet for non-arrest outcomes or provide services to incarcerated individuals •Focus on decreasing overuse or misuse of emergency services and decreasing arrests •Work with addicted individuals to reduce substance use and improve outcomes •Create a safer, more vibrant community Mental Health Field Response (MHFR) •Co-response –community-oriented patrols •In-the-moment, acute needs •MHFR able to stay at scene to spend additional time •Direct outreach –identify community members with behavioral health needs •Outreach isn’t passive •Provide referrals and facilitate access to services •Recognize ongoing support needs •Many have need for long-term support, not a 5-10-minute encounter Arrest and Jail Alternatives (AJA) •Ongoing, intensive case management •Addresses chronic needs and ongoing LE/CJ interactions •Meet them where they are— physically and metaphorically •Build trust over time •“Crossover” case management model •Know your partners •Focus on Intensive •Outcomes directly related to intensive engagement Medications for Opioid Use Disorder (MOUD) •In-jail program that provides access to medications for opioid use disorder, placement in treatment post-release, and re-integration support •Expands Clallam County Jail’s innovative, first-in-the- state MOUD program •In the first three months of the program, nine individuals went directly to treatment upon release •From August 1-December 31, 75 individuals received medication (11 long-acting injectable), 41 assessments were provided, 21 people were transported to inpatient treatment LEAD Fire •Law Enforcement Assisted Diversion / Let Everyone Advance with Dignity (LEAD) •First-ever LEAD program affiliated with a non-law enforcement or criminal justice system agency •New contract with Association of Washington Cities (AWC) and PA Fire •Provide avenues to access services prior to engagement with law enforcement and/or criminal justice system •Model similar to AJA •Not-time-limited, intensive, crossover case management Un-funded/Under-funded Behavioral Health and Syringe Services Program (SSP) •Allows service delivery for participants who do not fit criteria for other programs •Includes components of outreach, co-response, light-touch and intensive case management, and other specialty care •SSP support includes Substance Use Disorder Professional (SUDP) at syringe exchange REdisCOVERY –2022 Services Delivered •696 fully identified individuals served, 319 who provided first name, 198 who gave no name •6,996 Total encounters •2,334 Referrals •1,899 Connections to service •81.4% Connection percentage •75 MOUD participants received medication •30 MOUD participants entered inpatient treatment after release •21 Transports to treatment •24 Individuals entered transitional or permanent housing Questions?