Primary Care Training and Enhancement -- Residency Training in Street Medicine - Funding Opportunity Number: HRSA-25-078 Applicant Organization Name: Shasta Community Health Center (SCHC) Project Director: Kyle Patton, M.D. Address: 1035 Placer Street, Redding CA, 96001 Contact Information: 530.246.5765, kypatton@shastahealth.org Project Title: Enhancing Family Medicine Residency Training in Street Medicine for Shasta County Shasta Community Health Center (SCHC), a Federally Qualified Health Center in rural northern California, seeks funding under the HRSA Primary Care Training and Enhancement—Residency Training in Street Medicine program to expand its Family Medicine Residency Program’s resident experience and curriculum in street medicine. This project will expand and enhance the Family Medicine Residency Program by increasing training in street medicine, primary care psychiatry, and substance use disorder treatment. The rotation will double from four to eight weeks, and a longitudinal street medicine experience will span all three years of training. The curriculum will integrate behavioral health, wound care, environmental health, and social determinants of health, while interprofessional partnerships with legal and other supportive services will strengthen comprehensive care. Additionally, medical respite and transitional care planning will improve post-hospitalization outcomes for homeless patients. These enhancements will equip residents with the skills to provide high-quality, compassionate care to underserved populations. The proposed project will strengthen training to better equip residents to provide high-quality, evidence-based care to individuals experiencing homelessness. Shasta County has been disproportionately affected by healthcare provider shortages, behavioral health disparities, and high rates of homelessness. According to the 2023 Point-in-Time Report, 1,013 individuals were experiencing homelessness, and SCHC served 2,602 unique homeless patients in 2024. Additionally, opioid-related deaths increased by 625% between 2018-2023, with Narcan administration rising from 91 doses in 2019 to 300 doses in 2023. The county is designated as a Health Professional Shortage Area (HPSA) with a score of 18. Despite the high need, few local providers accept Medi-Cal or uninsured patients, further limiting access to care. The program will primarily serve individuals experiencing homelessness in Shasta County, with a focus on addressing substance use disorders, chronic conditions, and behavioral health needs. The majority of patients are low-income (76.75% below 100% of the federal poverty level) and identify as White (80.44%), Hispanic/Latino (8.91%), and Black/African American (4.5%). This funding will enable SCHC to expand its Family Medicine Residency Program curriculum, providing residents with enhanced training in street medicine. The project will improve residents’ skills and knowledge in street medicine, behavioral health, and social determinants of health while increasing healthcare access for individuals experiencing homelessness. The expanded curriculum will not only improve access to primary care and behavioral health services but also strengthen harm reduction efforts through naloxone distribution and the use of Medications for Opioid Use Disorder (MOUD). This project directly meets HRSA’s objectives by expanding street medicine training, integrating interprofessional behavioral health teams, and addressing SDoH through legal and social service partnerships. Funding preference: SCHC qualifies for a funding preference under Qualification 1- the High MUC Placement Rate qualification, as over 50% of its graduates practice in Medically Underserved Communities (MUCs). Supporting documentation is included in Attachment 6.
