Street Outreach Team
The SF HOT Street Outreach team have a multifaceted approach which includes outreach, engagement and warm-hand-offs from the street to urgent/emergent institutions and shelters. Through targeted search and outreach of high users of emergency services, high-risk homeless individuals identified by 311 (citizens) and health care professionals, the Street Outreach team takes cleared individuals to the necessary care facility within two hours of receiving the call. The Street Outreach team also works hard to establish positive rapports and relationship build within neighborhoods throughout the city, performing wellness checks and attempting to engage individuals into services and other resources in conjunction with community care plans.
The Street Outreach team operates 5 days a week, Monday through Friday from 6:30am to 9:30pm. They respond 24 hours a day, 7 days a week to requests for therapeutic transport from:
- 311 (citizens)
- Care Coordinators
- Police and Fire
- SF Sobering Center
- Psych Emergency Services
- Dore Psych Urgent Care
Street Medicine Team
The SF HOT Street Medicine team is built on the model “Homeless to Primary Care Medical Home” to provide and address the barriers to transitional primary health care in an appropriate setting for each individual patient. The Street Medicine team works with patients on issues such as medical, mental health and substance use disorders as well as competing priorities such as lack of food, shelter and clothing. They also work to identify related systems barriers such as difficult to obtain enrollment and insurance requirements, inconvenient hours and locations of services, discrimination and services that have not created adaptations and accommodations for the needs of homeless people. The SF HOT Street Medicine team holds regular medical clinics as a step toward transitioning individuals into a permanent medical home.
Stabilization Care Management Team
SF HOT care management teams provide short-term stabilization care management for high-risk homeless individuals. The individuals benefiting from care management have generally been homeless for more than three years, are experiencing complex medical, psychiatric, and substance use tri-morbidity, using a high number of urgent/emergent care services and are not able to navigate health and human services system on their own.
The goals of six to twelve months of care management are:
- Stabilize individuals from the street into temporary shelter/SRO.
- Remove personal barriers to attaining permanent housing such as attaining benefits, primary care linkages, behavioral health care, personal identification, legal aid, etc.
- Serve as care coordinators for SF Health Network services.
- Secure permanent housing.
SF HOT referrals:
- Care Management accepts referrals from the SF HOT Street Outreach team and any providers from other medical, financial, behavioral health and substance abuse programs.
San Francisco Public Library Team
The SF Public Library team is situated at the Civic Center Main Branch with a core staff who outreach and connect homeless, marginally housed and/or mentally ill patrons of the library to available services. The goal of our library team is to help library staff serve this group of patrons according to their needs while helping to decrease the number and severity of incidents that require intervention from Library security staff.
The SF HOT library team facilitates education sessions in group and individual settings for library staff in order to improve understanding of behaviorally vulnerable patrons of the library. The onsite social worker trains Health and Safety Associates (HASAs) who are selected from a group of homeless library patrons being served by SF HOT’s care management service line to use their life experiences and learned engagement skills to reach out to other homeless patrons in order to persuade them to accept case management and other services. In the process, HASAs gain employment and job-seeking skills.