Project Title: Service Area Competition Applicant: Children’s Hospital & Research Center Oakland dba UCSF Benioff Children’s Hospital Oakland Address: 747 52nd Street, Oakland, CA 94609-1809 Project Director/Principal Investigator: Tammy W. Tam, Ph.D. Phone: 510-428-3885 ext. 5360 Email: Tammy.Tam@ucsf.edu Section 330 Funding Requested: Health Care for the Homeless Children’s Hospital & Research Center Oakland (BCH Oakland) is the regional pediatric safety-net hospital in Northern California. For over 100 years, it has offered a broad range of inpatient, outpatient, and community-based services. As a Health Center Program Section 330(h) grant-funded healthcare provider, the Federally Qualified Health Center within BCH Oakland (BCH OAK FQHC) has been providing services to children experiencing homelessness and at risk of homelessness (including those in foster care and unaccompanied minors) at 6 sites, including a primary care clinic, a teen clinic, two school-based clinics, and two mental health service sites. BCH OAK FQHC provides comprehensive primary care, behavioral health, case management, outreach, and referrals for oral health to children ages 0 to 24 years in Alameda County and surrounding communities who are experiencing or at risk of homelessness. The top priority health needs identified in the BCH Oakland 2022 Community Health Needs Assessment are (in rank order): behavioral health, housing/homelessness, healthcare access and delivery, community and family safety, economic security, structural racism, food security, and transportation. Our clinic prioritizes outreach to families facing homelessness and housing challenges because we know how this and poverty negatively impact families’ ability to obtain other basic needs (food, employment, healthcare, and childcare), resulting in poor mental and physical health. Children and youth living in high poverty areas have disproportionately high risks for low birth weight, diabetes
, obesity, asthma hospitalization, teenage pregnancy, substance use disorder, and STIs. Children and youth experiencing homelessness, children in foster care, unaccompanied minors, and those involved in criminal justice system and human trafficking face high levels of traumatic stress and consequently have a higher prevalence of a range of behavioral health problems. BCH OAK FQHC’s service delivery model is to provide a medical home with integrated services that address patients’ medical and behavioral health needs through a vast array of medical, behavioral, substance use disorder, HIV, and enabling services supported by case management. Our case management strategy includes outreach in homeless shelters and on the streets to engage homeless families and universal Adverse Childhood Experiences (ACES) screening to identify needs and provide resources: housing, food, transportation, and other basic needs. Behavioral Health Integration (BHI) clinicians assess patients for severity of mental health need, provide short-term counseling using applied psychotherapeutic techniques to individuals and families, and collaborate with/provide consultations to medical professionals. Our staff provides culturally responsive family centered services via in-person and telehealth visits. Our service sites are either conveniently accessible via public transportation with free hospital shuttle from local public transit station or located at high school sites embedded in the highest need neighborhoods. In addition, a mobile medical clinic will be added by 2024 to increase outreach and accessibility. Our health center meets patients’ needs throughout their life cycle by collaborating with community partners to provide adult health, obstetrical, and dental care. BCH OAK FQHC projects to provide primary health care with integrated behavioral health, substance use disorder, HIV, case management, and enabling services in Service Area ID 095, Oakland, California to 9,700 unique homeless patie
nts in calendar year 2024.