Description
The goals of Neighborhood Health are to improve the health of uninsured and low income clients. Uninsured are estimated to be 20% of the residents of the area. Residents under poverty exceed 18%. There are wide disparities in health for the low income and uninsured. Comprehensive services are provided to all ages, including acute, preventive and chronic care. They include labs and prescriptions. Dental care, nutrition, health education and counseling are also available. All are provided on a sliding-fee scale based on family size and income. No one is denied care because of inability to pay. In 2016 over 27,000 were provided over 80,000 visits. Neighborhood Health's prenatal services are expanding to the demand and the high pre-term birth rate and low birthweight. Neighborhood Health has begun to offer PrEP, a medication that can reduce HIV transmission. Neighborhood Health is also adding expertise to enable us to meet
Budget
10000000
Category
Health Care, General/Other
Population Served
Poor,Economically Disadvantaged,Indigent, ,
Description
Neighborhood Health is the major provider of healthcare to the homeless of Nashville, serving over 4,750 in 2016. Medical, dental and behavioral health services are provided at the Downtown Homeless Clinic, the Mission Clinic and through a mobile medical unit. Neighborhood Health also works with partner agencies to visit their sites and provide care there. This includes many shelters and lunch programs in Nashville. 94% of the homeless have no health insurance. Neighborhood Health provides visits, lab tests and medication to assure better health management. Over 41% of the homeless served are women and also include 150 children. Over 25% have hypertension and 10% are diabetic.
Budget
3000000
Category
Health Care, General/Other
Population Served
Homeless, Unemployed, Underemployed, Dislocated, Poor,Economically Disadvantaged,Indigent
Short Term Success
In the short-term, those cared for will be properly diagnosed and evaluated for the full range of their behavioral health needs. This includes both screenings for mental health and substance misuse issues. Behavioral Health Providers will establish a customized care plan that looks at the patient’s needs and circumstances holistically.
Long term Success
Neighborhood Health’s goal is to meet the needs of area homeless as much as possible in a primary care setting rather than patient use of ER services. Care plan will use an integrated model to stabilize patients and provide supportive navigation to housing resources.
Program Success Monitored By
Patient Satisfaction Surveys, Progress notes in the patients electronic health records, use of vulnerability index questionnaire to see is they are eligible to participant in coordinated entry system into housing.
Examples of Program Success
Approximately 30% of clients indicated that a combination of services helped get them out of chronic homelessness. Neighborhood Health’s approach of integrated services (assessing and responding to primary health, behavioral health, substance misuse and other social factors) has helped many get out of chronic homelessness.
Description
Dental care is one of the most needed services among the low income in Nashville and few have any type of dental insurance. The dental program of Neighborhood Health began in 2003 because of the great demand. In 2016 Neighborhood Health's dental services served 3,100, primarily low-income adults. 95% had no dental insurance. Dental services include: emergency evaluations, preventive care such as x-rays and cleaning, restorative services including fillings, and procedures such as extractions. Dentures are also provided at reduced cost. These are diabetic patients who often have gum disease. Pregnant women need dental care as their dental health can affect the rate of premature birth. Elderly patients often have bad nutrition because of poor teeth. Neighborhood Health is expanding dental services and will add these services to the services of the Cleveland Park Clinic. Dental services were also added to serve more rural populations in Lebanon, TN.
Budget
10000000
Category
Health Care, General/Other
Population Served
Poor,Economically Disadvantaged,Indigent, Children and Youth (0 - 19 years), Homeless
Short Term Success
Short-term, we are able to relieve pain and provide emergency dental care. We are moving towards our goal of 65% of dental patients achieving their oral health objectives. We have also improved sealants by 50% for age eligible children.
Long term Success
Neighborhood Health wants to assure that all those in need have access to dental services. We would like to assist more patients maintain good oral health, rather than emergency extractions. Our long-term success if for 80% of dental patients completing their treatment plan, and 80% of age appropriate children receiving dental sealants.
Program Success Monitored By
Neighborhood Health uses electronic dental records to record patient care. This system allows for oral health providers to monitor problems before they become larger issues. Patients with special health needs can also inquire about services and scheduling, while remaining anonymous.
Examples of Program Success
Our dental program is particularly effective and providing dental assistance for patients with other health conditions. All pregnant women, patients, with diabetes, and those with heart conditions are referred to dental care.
Description
Neighborhood Health found that medical teams were diagnosing and treating depression and anxiety, as well as substance use and more severe mental conditions. Patients seldom followed up on referrals to mental health providers, so in 2003 Neighborhood Health added behavioral health services. In 2015 licensed counselors and practitioners provided diagnosis, treatment and medication management to 2,800 patients. 100 homeless individuals were provided intensive alcohol and drug treatment through a 12 week program. Mental health and medical services are integrated. The patient is assessed by the provider and referred to behavioral health, often on the same day. This reduces stigma and assures medications and treatment are coordinated. Patients with chronic illness like diabetes and pregnant women are always screened by the medical provider as these patients are very prone to suffering depression and anxiety. Neighborhood Health also has a program for those challenged with opioid misuse.
Budget
10000000
Category
Mental Health, Substance Abuse Programs, General/other
Population Served
Poor,Economically Disadvantaged,Indigent, Alcohol, Drug, Substance Abusers, Homeless
Short Term Success
In the short-term, those cared for will be properly diagnosed and evaluated for the full range of their behavioral health needs. This includes both screenings for mental health and substance misuse issues. Behavioral Health Providers will establish a customized care plan that looks at the patient’s needs and circumstances holistically.
Long term Success
Long-term, Neighborhood Health’s goals are to evaluate every behavioral health patient for mental health, substance misuse, and evaluate other health challenges and social needs that are negatively impacting the patients goal to better health. Referrals to overall integrated health needs will be an overall approach in the patient’s care plan and maintenance.
Program Success Monitored By
Success is monitored by patient care notes, reports from their electronic health record, and interviews with clients.
Examples of Program Success
85% of homeless participants in substance misuse recovery programs complete their care. Those completing care become stronger advocates for the program and remain in aftercare. Screening for patients for mental health and substance misuses concerns is 78%.