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Mobile Clinic/Healthcare for the Homeless

NurseHomeless people are often plagued with multiple health problems. Poor health frequently contributes to, or causes, a person or family’s homelessness. Several studies have found that one-third to one-half of homeless adults have some form of physical illness. The homeless population is at risk for trauma, drug and alcohol abuse, diseases related to exposure and infectious diseases such as tuberculosis. They are also at risk for chronic disease, including hypertension and heart disease, which are aggravated by neglect. KRFDC is committed to providing access to affordable health care.

Since 2005, KRFDC has been providing a wide array of health care and related services to Estill and Powell counties through the Healthcare for the Homeless Program, which takes medical care out of the traditional hospital-based setting and brings it to a population in need of health services. In 2011, the Health & Wellness Center opened in Clay City to serve the needs of Powell County. This 3,000 square foot facility features four exam rooms. In Estill County, outreach and primary care services are provided within a 40-foot mobile health clinic that sits adjacent to the Estill County Outreach Office.

Services at both locations include exams, immunizations, medications, and referrals. Persons must be homeless to receive care through the HCH program.

An individual is considered homeless if he/she is without permanent housing (living on streets, in cars, staying with friends or other family members or living in substandard housing). Individuals and households may also qualify if they are spending more than half of their income toward rent and utilities.

The program utilizes a sliding fee scale and assists patients with payment plans. The clinic also accepts Medicare and Medicaid and most private insurances.

The location in Estill County is a licensed Substance Abuse Counseling Center and employs a Certified Alcohol and Drug Counselor (CADC) to provide outpatient substance abuse counseling. Transportation may be provided to patients who need assistance.

Eligibility Requirements
* Persons or families must be homeless (living on streets, in cars, staying with friends or other family members or living in substandard housing).
* Must participate in case management program.

Services Include:
* Health care services (exams, immunizations, medications, referrals, etc.)
* Mental and dental health services
* Outreach and supportive services

Staff include a Licensed Nurse Practitioner, Registered Nurses and Case Managers.

Estill County
128 Kentucky Ave.
Irvine, KY 40336

The Mobile Health Clinic / Healthcare for the Homeless Program is primarily funded through a grant provided by the U.S. Department of Health and Human Services/HRSA Bureau of Primary Care.