“Too well for the hospital, too sick for the street.”
Our Recuperative Care Program (RCP) provides care to homeless clients who may no longer need a hospital setting but still need skilled nursing care, and are not safe to be discharged to the streets. In a nursing home setting providing medical care, RCP provides program coordination, intensive case management, weekly drug/alcohol/mental health counseling and eventually, a pathway to housing. Utilizing the Health Care for the Homeless practice model, Front Steps assists clients by facilitating access to primary medical care, social services, behavioral health, addiction services, vision and dental benefits. RCP ensures that patients receive education regarding chronic disease management and post-discharge self-care which includes the identification of a primary care clinic for ongoing health care needs. Ideally, clients move into permanent or transitional housing following program completion, with ongoing intensive case management support to assist them in maintaining housing and maintaining their health. Despite long periods of homelessness and lack of involvement with social services prior to entering RCP, clients have demonstrated great success in achieving goals, such as obtaining government disability benefits, becoming clean and sober, re-establishing contact with family and even returning to school or work.
In the last Fiscal Year:
RCP provided 2990 occupied bed days to 79 individual clients.
85% of the clients were able to establish primary physician services with Community Care clinics. Many of these clients were also connected to Integral Care to assist with their mental health needs.
Reasons for admission into RCP included: assistance with medication management (1%), wound care (24%), intravenous antibiotics necessary (18%), and therapy services were required (57%).
Among individuals leaving RCP: 16 went to live with family/friends, 23 returned to the streets/camp, 9 went into a shelter, 3 went to a boarding home, 7 resided in Front Steps permanent supportive housing after discharge, 6 returned to the hospital, 4 went into long term care after securing disability benefits with staff assistance, and 2 passed away.