Project Homeless Connect: Beyond a One Day Event

Project Homeless Connect is a one day one-stop-shop model for persons experiencing homelessness. The idea of a "one-stop-shop" and "no wrong door" is something that you often hear about in homeless services and Project Homeless Connect is an embodiment of this idea. It brings community leaders come together to bring services, from housing to haircuts to ids to giveaways, together in one place. There have been more than 300 events in over 170 communities in less than three years. Each event stands alone and is organized by the community in which it takes place. It's so cutting edge that they are using videos on YouTube to spread the word:


One of the major criticisms of Project Homeless Connect is that it is a ONE DAY one stop shop. It would be impossible to bring together all of these services in the career-fairish way that Project Homeless Connect does on a daily basis but there are some programs that are beginning to try to deliver a breadth of services with one point of entry.

For the City's Homeless: A One Stop Center
Mercury News, May 17, 2008

[Christine Burroughs] described how the new operation would work for an estimated 7,000 chronically homeless folks in the county and thousands more in danger of losing their homes. Caseworkers would determine their housing needs, physical and mental health, and qualifications for government, insurance or other financial assistance. The next step would be to help them apply for benefits and services.

Nightime Rounds with Health Care for the Homeless: The Night Center

This past Wednesday I had the opportunity to go out for rounds with Jim O'Connell, the founder and president of Boston Health Care for the Homeless. While Dr O'Connell is one of the most humble and down to earth people you could ever meet he's a big wig in the health care for the homeless world and an opportunity to shadow him for the evening was a big deal.

The evening began at The Boston Night Center, one of the many Pine Street Inn programs. The Night Center was a new concept for me, it's an overnight drop in center. The center serves meals, has a tv, and space hang out. An overnight drop in center is the lowest of low threshold services; residents are able to go in and out as they please, they're allowed to be inebriated, and they do not need to accept any services. Because it is not a shelter there are no beds but clients can sleep on the floor and, two nights a week, receive medical services.

Jim brought a backpack full of medical gadgets with him, which included a thermometer, a bracelet-type gadget that takes blood pressure, something that goes on your finger that does something too technical for me, and the classic stethoscope and prescription pad. We saw four different patients, wrote one prescription, scheduled two follow-up visits at the clinic, and gave one person a phone number to call for test results. This was in the span of about an hour in a bustling room full of people.

Somehow Dr O'Connell made the space his own as he listened about the fractured ankle that wouldn't heal because the client couldn't walk with a cast, "How am I supposed to get around? I'm homeless." Clients who are homeless aren't always the easiest people to get along with, often life has gotten the best of them and sometimes that leaves them bitter and snarky. But the snark didn't matter, Jim still listened carefully and examined his patients with the same care one would expect in a hospital room, not in a homeless shelter.

Health Care for the Homeless is not unique to Massachusetts, there is actually a National Health Care for the Homeless Council that stemmed out of a 19 site demonstration project that is now 95 organizations strong. Not all Health Care for the Homeless Services are delivered like what I witnessed tonight, or what I experienced with Jill earlier this fall. The shelter I volunteer in actually also has a health care for the homeless component; there is a clinic on site where health care services are delivered. This isn't quite as exciting as health care on the streets but it still is an important concept; clients are able to meet their health care providers where they already are. Wouldn't it be nice if our doctors held clinics in our workplaces? Homeless services are onto something!