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Aboriginal wellness Aboriginal Wellness ProgramProvides culturally safe mental wellness and addictions programs for Aboriginal people. Wellness programs promote healing, are easy to access, meet the needs of the Aboriginal population and support an Aboriginal worldview. Working with others, we address social justice issues through education and advocacy so that urban Aboriginal people receive excellence in service. For 2008/2009:
Adult and older adult Pender Community Health Centre - Adult/Older Adult Program Primarily targeting the adult (19-64) and older adult (65+) population, Adult/Older Adult Services are designed to provide care and support that enable individuals to live independently in their own homes. Services promote self-care in a clients’ home, prevent unnecessary hospitalizations and support transition from acute care once patients are clinically ready for discharge For the Downtown Eastside 2008/2009: For Strathcona (2008/2009):
Food programs Foodstore The food store provides low-cost, affordable groceries in single-serving or small portions to residents in the Downtown eastside. Service is intended to fill the gap between drop-in meal services and regular grocery stores, with the latter being out of reach for these clients. Most clients have an average of $4.50 to spend, though they will say they are willing to spend $2. The challenge for staff is to identify and educate on what one can buy that is nutritional for this amount of money. The store is unique in that it provides individual portions - no point in buying a whole box of cereal if you can't afford milk or you don't have a fridge to put the milk in. Food is already divided into individual portions, such as cereal, and staff will provide the bowl and spoon to eat it on the spot. The store also offers many "blended food" options and smoothies for clients with poor teeth. For this population, it may be their only opportunity to eat fresh, nutritional food. We average 110 customers a day with an average of $4.50 spent per customer.
Housing Community Transition Care Team Community Transition Care Team provides housing in a renovated SRO hotel with embedded clinical supports for marginalized drug users requiring intravenous antibiotics for chronic deep-tissue infections. CTCT provides nine beds. 24 hour/day nursing and physician daily (and on call 24/7). For 2008/2009: Downtown Eastside Clinical Housing Team The team was created in the fall of 2007 to help address the gap in health care resources and accessibility in the Downtown Eastside by providing primary, mental health, and addictions care to people in their homes in a number of Single Room Occupancy hotels in the area. The multidisciplinary team includes a physician, nurse practitioner, registered nurses, social workers, case managers, health care workers, and a program coordinator. The majority of the team’s time is spent on-site in the community doing outreach work in the various hotels to meet clients where they are at. For 2008/2009: - 408 unique clients
7,411 contacts
Housing First Placement TeamThe housing team places clients into VCH-funded low barrier housing in the DTES, and assists in referrals to other resources as needed. Year to date 2009/2010: 41 placements. Average wait time appears to be 182 days 419 people on the waitlist 47 new referrals have been added to the waitlist
Pennsylvania Supported Suites Ten suites of long-term supportive housing in renovated SRO hotel, with embedded, intensive health care supports and meals. Also provided: physician assessment, medication management and daily nurse care; individualized case management, referral an linkages. Assistance with toileting, bathing, mobility, daily living is also provided. Onsite Onsite is a 30-suite SRO (single room occupancy) hotel operated by the PHS Community Services Society and located at 137 East Hastings Street. Onsite's aim is to offer respite, detox and transitional housing services to high-needs individuals with a history of chronic drug use. A VCH outreach team of clinicians offers withdrawal management services to the residents of the 2nd floor (12 suites.) Onsite's 3rd floor is residential (18 suites) and provides transitional housing for people who have completed withdrawal and are waiting for acceptance into stable longer-term housing or treatment programs. Referrals to Onsite are made through Insite, the Supervised Injection Site, 139 East Hastings Street.Treatment Centre for Women at Rainer Hotel Housing in renovated SRO hotel, with embedded clinical supports providing addictions treatment for marginalized women in the DTES who have been unable to access/succeed in traditional treatment and recovery services. Capacity = 20. First intakes were on April 28, 2009. In the October 30, 2009 report to the funder, we identified (to-date) 87 referrals, 28 admissions, and 15 discharges. Average length of stay is 66 days.
Infant, child and youth Infant Child and Youth Services at North Community Health Centre Infant Child and Youth services provide a wide range of age based health promotion and prevention services with early intervention and treatment, using a population health perspective for expectant and new parents, infant, children and youth. Services include maternal/newborn services, parent infant/toddler groups, child health clinics, specialist services and school health programs (immunizations).
Mental health and addictions Clinical Tenant Support Team and Clinical Outreach TeamThe Clinical Tenant Support Team (CTST) was created in April 2009 as part of the Homelessness Intervention Project to help address the gap in health care resources and accessibility in the DTES by providing primary, mental health, and addictions care to people living BC Housing Sites. The Clinical Outreach Team is a newly formed team working in non-residential settings, such as VC’s Health Contact Centre to provide clients with access to primary health care through an outreach model.
Downtown Community Health Centre - Addiction treatment Addiction Services at Vancouver Community’s Community Health Centres offer a core set of addiction services: counselling, needle exchange, methadone maintenance, withdrawal management and prevention as well as smoking cessation program. For the addiction team 2008/2009: 761 unique clients - 809 active referral
- 265 new referrals (08/09)
Insite Insite is North America’s only supervised injection site. Clients must be 16 or older and must have a history of injection drug use. Clients must bring their own drugs and remain in possession of them at all times. No inhalation of drugs is permitted. Insite improves public order, prevents overdose fatalities, reduces HIV risk, and increases access to addiction treatment services. At Insite, clients have access to sterile needles and injection equipment; life-saving response to overdoses and other emergencies; harm reduction education; referrals to addiction treatment and other health services; wound care, foot care, HIV testing; post injection space for relaxation. Clients have access to and are bridged to other services. Visit the Supervised Injection Site website for more information Pender Community Health Centre - Addiction ServicesPender Community Health Centre provides addiction counselling, support groups, needle exchange, methadone maintenance, and withdrawal management (including home detox). Serves the Vancouver Downtown Eastside. For the addiction Team 2008/2009: - 1049 active referrals
- 299 new referrals (08/09)
Strathcona Mental Health Team This team offers diagnosis, treatment, individual and group therapy, rehabilitation, and consultation to children, youth, adults, and older adults with persistent mental health issues. This is the designated agency responsible for looking into reports of suspected abuse and neglect of, or self-neglect by, adults who cannot seek help for themselves. For Strathcona Mental Health 2008/2009 there were:
Pregnancy outreach Sheway Sheway is a pregnancy outreach program that provides health and social service supports to pregnant women and women with infants under 18 months who are dealing with alchohol and drug issues. The focus of the program is to help the women have healthy pregnancies and positive early parenting experiences. Sheway offers practical support, health care and counselling for high-risk pregnant women (up to 18 months after the birth) who have drug or alcohol issues and are involved in Vancouver's Downtown Eastside. It aims to support healthy pregnancies and positive early parenting experiences.
For Sheway 2008/2009 there were: - 130 unique clients (case load ongoing of 130)
- 87 total referrals
- 18,182 drop-in visits
- 121 new clinic clients
- 3,945 clinic visits
Primary health care Downtown Community Health Centre One of Vancouver Coastal Health’s inner city primary care clinics staffed by teams of physicians, nurses, nurse practitioners, respiratory therapist, registered dietician, social worker podiatrist, massage therapist, acupuncturist, counselors, administrative staff, financial aid worker, financial liaison, home support and community workers. We provide approximately 4, 000 patient visits/ month. Services include primary health care, women’s health, methadone maintenance, needle exchange, support groups, mental health and addiction treatment, counselling and nutrition support, onsite pharmacy, TB program and specialists. For 2008/2009: 6549 unique clients 6955 active referrals 1207 new referrals 32,345 visits
Health Contact CentreThe Health Contact Centre is often the first point of contact between health/social services and individuals in the Downtown Eastside. Provides direct access to basic health care through nurse and health care workers; clients may or may not have medical coverage. Services include health information and professional support; addiction assessment and referral to sobering, detox, and recovery houses; drug and alcohol education and support; and group workshops and basic life skills training. The HCC also refers clients to other health care and treatment services, education, and employment training. Open seven days a week, including holidays 1pm to 6 am. For 2008/2009: Nursing stats: 1,816 visits Referral contacts: 16,624 Visits: 195,421
Pender Community Health CentrePender provides primary health care in the Downtown Eastside; clients may or may not have medical coverage. Services include physician, nursing care, mental health counselling, nutrition consultation, medication assistance, and continuing care. Services include primary health care, women’s health, methadone maintenance, needle exchange, support groups, mental health and addiction treatment, counselling and nutrition support, Hepatitis C treatment and specialists For Pender Primary Care 2008/2009: - 2711 unique clients
2762 active referrals 220 new referrals 13,346 visits
Portland Medical TeamProvides addictions, mental health, HIV, other infectious disease and primary care both through structured clinic times and an outreach component combined. Servicing the hotels managed by the Portland Hotel Services Society.
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