Specifications include, but are not limited to: 1) Develop and operate a standard schedule for Street Medicine services in the community, focusing on known locations where unsheltered individuals reside as well as limited emergency shelter locations. • Working with HRD, homelessness outreach teams, and shelters, the Street Medicine team will develop a “fixed route” schedule of regular stops in the community at locations where unsheltered homeless individuals reside (e.g., encampments, underpasses, etc.). The Street Medicine team may also work with homeless shelters to develop a regular schedule of stops at shelters. • At each stop, the team will engage with individuals experiencing homelessness to build relationships and rapport and understand the individual’s physical health and behavioral health needs. When individuals are willing and interested, the team will offer on-site primary care services, with a focus on services most needed by the population served. While this component of the NOFA focuses on primary care services, the City of Detroit will prioritize applications that are able to provide access to substance use treatment and/or prescriptions for medications to treat opioid use disorder. • The team will also make referrals to ongoing, follow-up care for interested individuals. Ideally, referrals offered will include a warm handoff to primary care services; behavioral health services, including medications to treat opioid use disorder; and social services (e.g., housing services, hygiene supplies, clothing, financial assistance). 2) Accept referrals of prospective clients from the QRT and Street Outreach teams and follow up with these individuals. • When the organization operating the QRT component and/or Street Outreach teams encounters an individual experiencing homelessness who may benefit from ongoing primary care services, the organization will share a referral for that potential client with the Street Medicine team. The Street Medicine team will attempt to make follow up contact with these individuals to offer the services described above (e.g., identifying health care needs and providing primary care services and referrals to ongoing community and public health care).
