Programs and services
Health services in homeless shelters and day centers around King County.
Our program emphasizes linking people who are homeless into primary health care and helping them get other vital services like mental health are and chemical dependency treatment.
Teams of service providers from Harborview Medical Center's Pioneer Square Clinic, Evergreen Treatment Services, Neighborcare Health, Valley Cities Counseling and Consultation, Carolyn Downs and Country Doctor Clinics are situated at a variety of service sites throughout Seattle and King County. The teams may consist of nurses, nurse practitioners, social workers, mental health providers, and chemical dependency counselors. The teams may also include eligibility counselors who provide information and assistance to those who need to apply for Medicaid or other health coverage options.
The teams use a trauma-informed approach in providing services. They are skilled at meeting the person who is homeless "where they are", and build trusting relationships with them. Harm reduction and motivational interviewing techniques are used to help the people they are working with identify their needs and make steps toward improving their health.
Third Avenue Center at YWCA Opportunity Place
2024 3rd Ave.
Seattle, WA 98121
The Third Avenue Center is a small clinic that serves adults who are homeless or transitioning out of homelessness. It is run by Harborview Medical Center's Pioneer Square Clinic. The Center helps people with immediate health care needs, and then helps them get connected to primary care services. Services include medical care, psychiatric care, and podiatry.
Hours are walk-in only, from 8AM-12PM, and then open for first-come, first-served walk-in appointments at 1PM. Fees are sliding scale.
Edward Thomas House - Medical Respite at Jefferson Terrace
800 Jefferson St
Seattle, WA 98104
206-744-3000 (call this number to page the Respite Program)
Medical respite is a program of short term residential care for homeless individuals recovering from acute injury or illness. The program is operated by Harborview Medical Center's Pioneer Square Clinic. Any medical care provider in King County can refer homeless patients who require nursing care to recover and recuperate.
Nursing care, mental health and substance abuse care and case management services are provided. Clients are offered linkages to primary care, mental health care, substance abuse treatment and housing. The average stay in respite is three to four weeks.
Edward Thomas House is located at Jefferson Terrace on First Hill. The facility has 34 beds and serves single adults, both men and women, 18 years and older.
Referrals must be made by medical provider only, no self-referrals accepted. Respite admission criteria, referral guideline and process.
Call 206-744-3000 to page the Respite Program admitting staff for questions regarding potential admissions. Referrals are considered 7:00 am - 5:30 pm, Monday — Sunday.
HealthPoint Community Health Centers
Visit http://healthpointchc.org for a list of locations.
HealthPoint provides medical and dental care, as well as complementary and alternative services, at 12 King County locations.
Homeless Youth Medical Clinics
Housing Health Outreach Team (HHOT)
Residents of several low-income housing programs in downtown Seattle are served by this Health Care for the Homeless Team, which includes REACH Chemical Dependency Counselors and Mental health specialists. Nurses and a physician from Neighborcare Health visit clients in their homes. The nurses provide direct care and health education and connect clients with primary and specialty care.
Medical respite care is available for qualifying clients through a partnership of Harborview Medical Center's Pioneer Square Clinic and Evergreen Treatment Services REACH Program. Any medical care provider can access this program for their qualifying homeless patients who require nursing care to recover and recuperate.
Nursing care, mental health care and case management services are provided. Clients are offered linkages to primary care, mental health care, substance abuse treatment and housing.
The Respite Care Program beds are located at the Salvation Army William Booth Center (15 for male clients) and at the YWCA's Angeline's Center (five for female clients). To find out about admission criteria, call 206-744-3000 to page the Respite Program admitting staff. Referrals are considered 7AM- 5:30 PM Monday -- Sunday.
Referrals must be made by medical provider only, no self-referrals accepted. More details on respite admission criteria and referral guidelines.
Pathways Home is a health services case management program for homeless children and their families. It is operated through a partnership of Valley Cities Counseling and Consultation and Public Health -- Seattle & King County. The team's outreach services are provided through a multidisciplinary team of professionals in the fields of nursing, psychiatry, social work, housing, mental health, and chemical dependency. The program focuses on the needs of children who are impacted by homelessness and experiencing health, development, or behavioral difficulties. Pathways Home services continue for the entire time of the family's homelessness and for an additional six months after the family obtains permanent housing.
To make a referral, contact the Valley Cities Counseling Access Line 253-939-4055.
Evergreen Treatment Services and Neighborcare Health Clinic join forces to provide services to homeless people by way of several teams:
Downtown Intensive Case Management:
Members of this team include case managers, mental health specialists, and a nurse. This team is dedicated to working with homeless people who have especially high needs. They employ harm reduction strategies to help clients identify what services they need to access such as housing, financial and other benefits, mental health and addiction treatment, and linkages to primary and specialty heath care.
Referral and outreach sites include:
- Dutch Schisler (Sobering) Services Center
- Harborview Medical Center Emergency Department
- King County Jail Health Services
- Homeless Shelters and Drop-In centers
- Veteran Programs
Respite Case Management:
Please see description above of the Medical Respite Program.
Assertive Outreach Team:
People who are homeless and sleeping outside are helped by outreach workers, a nurse, and a mental health specialist. This team works to identify the individual's need and link them to shelter, housing, health care, and a variety of other services.
Housing Health Outreach Team
The Robert Clewis Center Clinic
2124 4th Ave. (located at the Downtown Public Health Center, 4th and Blanchard)
Seattle, WA 98121
Health care professionals from Harborview Medical Center's Pioneer Square Clinic provide services to adult and youth clients who use the Robert Clewis Center Needle Exchange Program. Clients can be seen for immediate health needs and can be referred to primary or specialty care. Many clients are seen for wound care, as well as many other health concerns. Testing and counseling for HIV, Hepatitis, sexually transmitted infections, and hypertension is provided. Some immunizations are available.
Hours are 1PM - 4:30 PM Monday - Friday. Call for an appointment, or walk-in.
Seattle Indian Health Board (SIHB)
Visit www.sihb.org for clinic information.
The mission of SIHB is to assist American Indians and Alaska Natives in achieving the highest possible physical, mental, emotional, social and spiritual well-being through the provision of culturally appropriate services, and to advocate for the needs of all Indian people, especially the most vulnerable members of our community.
Health Care for the Homeless Network provides a Social Worker at the Tuberculosis (TB) clinic, who assists homeless clients with obtaining temporary and permanent housing while they are being treated for TB. Other referrals and services are provided as needed.
A Public Health Nurse provides technical assistance and health education for agencies that serve homeless people. Please see Health Care for the Homeless Network Shelter & Safety Program for more information on TB health education and technical assistance.
HCHN major service sites in 2009-2010
- Avondale Park
- Broadview Shelter
- Catherine Booth House (Salvation Army)
- Domestic Abuse Women's Network
- Eastside Domestic Violence Program
- Family & Adult Service Center
- First Place School
- Hopelink sites
- Morningsong Family Support Center
- New Beginnings
- Providence Hospitality House
- Sacred Heart
- South King County Multi-Service Center sites
- Union Gospel Mission Family Shelter
- YWCA East Fir Street Shelter
- YWCA family sites countywide
- Angeline's (YWCA)
- Chief Seattle Club
- Compass Center & Compass Cascade
- Downtown Emergency Service Center
- Downtown YWCA
- Dutch Shisler Sobering Support Center
- Katherine's House
- Robert Clewis Center (formerly Second Avenue Clinic at Needle Exchange)
- St. Martin de Porres Shelter (Catholic Housing Services - CHS)
- Third Avenue Center (at YWCA Opportunity Place)
- William Booth Center (Salvation Army)
Housing Health Outreach Team (HHOT) sites:
- Bakhita Gardens/Noel House (CHS)
- Canaday House (DESC)
- Frye Apartments (LIHI)
- The Gatewood (Plymouth Housing Group PHG)
- Humphrey House (PHG)
- Kerner-Scott House (DESC)
- The Lewiston (PHG)
- The Morrison (DESC)
- Plymouth on Stewart (PHG)
- Scargo Apartments (PHG)
- Simons Senior Apartments (PHG)
- The Westlake (CHS)
- The Wintonia (CHS)
Youth and young adults:
- 45th Street Clinic (Neighborcare Health)
- Country Doctor Youth Clinic (through UW Adolescent Medicine Clinic)
- YouthCare Orion Center