Healthy Streets Operation Center Naveena Bobba MD, Diana - - PowerPoint PPT Presentation

Naveena Bobba MD, Diana Oliva-Aroche May 7, 2019

Healthy Streets Operation Center

Adapted from BOS presentation 2/28/2019

Overview

The Healthy Streets Operations Center (HSOC) has representatives from key City departments working together at the Department of Emergency Management. HSOC is lead primarily by four key departments—Department of Emergency Management, Department of Homelessness and Supportive Housing, Department of Public Health and the San Francisco Police Department. HSOC directs, plans and coordinates responses to unsheltered homelessness and unhealthy street behavior. HSOC provides the infrastructure to coordinate the increased investment in addressing these issues.

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Pre-HSOC Collaborations

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Mission District Homeless Outreach Project Encampment Working Group Civic Center Safe and Clean Initiative Hot Spot Crews

Overview

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HSOC launched in January 2018. HSOC coordinates the efforts

• f City agencies involved in addressing unsheltered

homelessness and unhealthy street behaviors. The core values of HSOC:

• a. Lead with services
• b. Believe that everyone can change
• c. Empathize with the entire community
• d. Safe and clean streets can be maintained for everyone

HSOC Partners

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Goals

DIME: E: Deliver, liver, Improve,

• ve, Meet , Ensure

ure

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Deliver coordinated city services to effectively address encampments, hot spots, and quality of life issues.

D

Deliver

Ensure San Francisco’s streets are safe and clean while improving the response to residents’ concerns.

E

Ensure

Meet the housing, shelter, and service referral needs

• f individuals on the street.

M

Meet

Improve the medical and behavioral health of individuals on the street.

I

Improve

Overvi rview of How Team m Works rks Tog

• geth

ther

• 1. Coordinated call intake
• 2. Coordinated dispatch
• 3. Daily planning and response
• 4. Using shared data
• 5. Responding to street behavior

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HSOC provides cross-departmental training to participating

• departments. DPH has been instrumental in providing trainings
• n the areas of:

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HSOC Training hosted by SF DPH

Service Navigation Motivational interviewing Crisis Intervention Training Psychiatric Emergency Services Harm Reduction Narcan

Care Coordination Team

• Coordinate efforts to better meet the needs of

individuals with complex challenges

• Various meetings and lists of priority individuals

from key departments have been consolidated at HSOC

• Total of 40 HSOC High Priority individuals identified from

June of 2018 to the present.

• Regular meetings with partner agencies
• Ongoing case conference meetings

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Low barrier er: Start on site

a. PrEP/PEP b. Family Planning c. Rapid ART start d. Addiction Treatment: Opiate=Buprenorphine; Alcohol=Gabapentin or detox

Routine e medica cal

a. Wounds b. Vaccination: Hepatitis A, Hepatitis B, flu

Testin ting

a. HIV, HCV, STD testing

Harm Reduction ction Services vices

a. Narcan trainings b. Resources and referrals c. Education about safe syringe disposal d. Syringe disposal supplies

Health Fairs

Health Fair Successes- 2018

Parti ticipan cipants ts Health th Fair Enga gagemen gement t & Re Referr errals s Highligh ights: ts: 11 11 Health th Fairs 281 Medical Engagements 64 Newly connected to SF Health System 353 HIV Tests

• 10 Newly Diagnosed HIV+ (connected to care)

359 HCV Tests

• 67 reactive (connected to care)

167 Narcan Trainings/Overdose Prevention Education sessions 47 Buprenorphine starts 29 Homelessness and Supportive Housing Shelter & Navigation Placements

Healthy Streets Intervention Program

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SFPD and/or r APD Contact ct (Office cer has pro robabl ble cause se for arrest t or individual vo volunta tarily y agrees s to to be connect cted to to servi vice ces. s.) BEHAVORIAL AL HEALTH AND/OR MEDICAL AL REFER ERRAL AL (Indivi vidual has behavi vior

• ral health

th or medica cal needs and is transpo sported to to clinica cally y appropr

• priate facility).

ty). TRANSP SPORT (Indivi vidual can be safely y transpo sported to to the CASC either r by law enforce rcement, t, pro robati tion

• n officer

r

• r by

by LEAD). ). CRIMI MINAL AL AC ACTIVITY & CONSE SEQUENC NCE

(Ind ndividua ual is not able e to be safel ely y transpor

• rted

ed to CASC and is booked

• ked into
• custod
• dy

y if there e are pend nding ng charges es). JAIL HEALTH & REENTRY SERVICES (All individua uals are prov

• vided

ed a medical evalua uation

• n and

prov

• vided

ed a reentr ntry plan) n).

• From October 2018 to

April 2019, HSOC conducted 50 HSIP

• perations.
• HSIP outreach has

resulted in more than 1000 contacts with individuals on the street.

• Since October 2018, 205

people were referred to CASC through HSIP.

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Healthy Streets Intervention Program Successes

HSOC: C: 2018 8 Succe ccesses sses

• Creation of streamlined response operation lead by

DPH services interventions.

• Increased integration of services and full warp around

approaches.

• 7,904 engagements by DPH Outreach.
• The San Francisco Aids Foundation pick up crew

began in July 2018 .

• They average an hour response time to citizens’

requests for syringe clean up.

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Improve ve outreach each and engagement nt on the street et

a.Mobile Harm Reduction Therapy and Counseling van

Expand d hours s and capacity ty of servi vice ces

a.HSOC staff evening and weekends b.Drop-in centers

• c. Case management

Improve ve linka nkage e to care after r disch scharg rge e from PES

a.Adding two social workers and four peer navigators

Prio iorit rities: es: Meetin ting g Cli lients s Ne Needs ds

Thank you! Questions?

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