History

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History

• 18 year history of collaborative client-centered
  caregiving for the homeless
• 1989-2005 Nursing Center for Health Promotion,
  operated by the
• University of North Carolina at Charlotte
  School of Nursing
• 2005 SHS formed as an independent nonprofit
  agency
• 2006 notification from IRS of 501c(3) not for
  profit tax status, retroactive
• to date of incorporation
• Now free-standing non-profit agency with own
  service programs, facility,
• awareness and fundraising campaigns

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Misperception about Homelessness
Homelessness
Lack of someplace to stay

Lack of housing is the fundamental cause of
homelessness
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Correcting this Misperception
Homelessness
Lack of health and wellness

Health issues are the cause or consequences of
homelessness in the majority of cases
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Long Term Benefit to the Community
SHS confronts the root problems in a proactive,
caring way to improve lives, and move toward
productive participants in the community.
Shelter Health Services Vision To be the model
for healthcare services to homeless women and
children by enhancing their access to health
care, offering them services based on best
practices and improving their quality of life.
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Misperception about Services Provided by Shelter
Health Services

• Shelter Health Services duplicates services
• of other organizations such as certain services
• available through
• shelters
• public clinics
• hospital emergency rooms
• MD offices

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Correcting this Misperception
Clinics ERs
SHS
Shelters
Shelter Health Services Unique Position
Medical care, including medicines support for
self-care

• Yes

No
Limited
Free on-site health case management

• Yes

Limited
No
Proactive follow-up health care

• Yes

No
No
Health education short-term on-site counseling

• Yes

No
No
Transportation assistance, clothing, etc.

• Yes

No
Limited
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Misperception about Shelter Health Services
Funding sources include United Way The Salvation
Army Medicare Medicaid Mecklenburg County .
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Correcting this Misperception
Shelter Health Services does not receive funding
from these sources. All funding is
self-generated through competitive grants (65),
individual donors (30) and corporate donations
(5)
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Services Provided

• Open 2PM 6PM Monday Friday
• Health screening, assessment, education,
  referral
• Immediate care, transitional care, assist access
  
• to permanent primary care
• On-site physician care
• Transportation assistance
• Education programs
• Child health development
• STD/HIV prevention
• Parenting classes
• Hygiene programs
• Therapeutic play for children
• Self-breast examination
• Hypertension management
• Diabetes management

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How SHS Delivers
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How SHS Delivers

• Presence. Easy access to SHS
• Respect. Demonstrate profound respect in
  everything we do
• Information. Whatever information is needed to
  enhance quality of life
• Services. Tangible services that would otherwise
  not be available
• Movement. From where they are now toward where
  they hope and
• strive to be tomorrow. 360 Health Care

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360 Health Care
What SHS Delivers
Dependent
Independent
Access Engagement Diagnosis Treatment
Wellness Self Esteem Self-Management
Education Adherence Monitoring Follow-up
Support for self-care Referral to permanent primar
y care
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360 Health Care
What SHS Delivers
Dependent
Independent
Physicians Nurses Medications Referrals Walk-In
Clinic
Case Management Expanded SHS services Partner
Services Non-health needs Self-control
Access Engagement Diagnosis Treatment
Wellness Self Esteem Self-Management
Education Adherence Monitoring Follow-up
Support for self-care Referral to permanent primar
y care
Case Management Information Regimented Assisted
self-control
Case Management Education Behavior
Modification Shared self-control
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Some Data (2007)

• 75 African American
• 80 women/20 children
• Total visits 3,362
• 804 unique individuals. Average 4 visits/patient
• 2,726 OTC medications distributed
• 811 prescriptions written/provided
• 272 referred to primary care physicians
• More than 1,000 hours donated by physicians,
• nurses, lay volunteers

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Shelter Health Services, Inc. 543 Spratt
Street Charlotte, NC 28206 Phone 704
334-0000 Email nclinic_at_bellsouth.net Web
www.shelterhealthservices.org