1995 ACHIEVEMENT CITATION WINNERS AND NOMINEES

4" The Achievement Citation is the highest honor bestowed by the Catholic Health Association of the United States. The CHA Board of Taistees outlines the following purpose for the Citation:

The Achievement Citation recognizes those Catholic organizations sponsoring programs, projects, and services which promote Christian community and the dignity of persons; have created a movement of influence or impact in the delivery of health services over and above ordinary community service programs, projects, and services; and serve as a model for others to emulate.

In 1995* three outstanding programs are honored with the Achievement Citation:

4* ARCHBISHOP'S COMMISSION ON COMMUNITY HEALTH Sponsored by the Archdiocese of St. Louis St. Louis

+ DOMESTIC VIOLENCE TASK FORCE Sponsored by Sacred Heart Medical Center Spokane, WA

-h PROJECT MOTHERCARE Sponsored by the Hospital of Saint Raphael > New Haven, CT H- ARCHBISHOP'S

COMMISSION ON COMMUNITY

HEALTH Archdiocese of St. Louis St. Louis

Contact Sr. Betty Brucker, FSM, or Sr. Mary Louise Stubbs, DC 314-531-0511 Physician Referral Program, which links physicians with Medicaid patients. Medicaid supports this In 1990 Abp. John May established the program by reimbursing participating physicians Archbishop's Commission on Community within 30 days. Health. He spurred Catholic healthcare leaders, religious groups, and hospitals and public health The Parish Health Ministry/Nurse Program en­ agencies to come together to develop a network courages church congregations to become in­ of services to fill the gaps of the current system volved in addressing the health needs of their and help community members—particularly the community. The commission helps with initial disadvantaged—access the healthcare services health assessments, screenings, and education they need. so each parish can tailor the program to its own needs. It also links hospitals with parishes to Catholic hospitals, grants, donations, and public- provide more seamless networks of care. health dollars fund the commission, which reaches rural and urban areas. The commission Physicians, hospitals, and interpreters donate has launched many programs and is establishing their services to the Immigrant Clinic. Although more each year. the Vietnamese community is the first group to use the Immigrant Clinic, others, such as The Friends of Moms program is an indigenous lay Ethiopian refugees, will be served as well. worker program. Volunteers visit pregnant women in their homes to promote early prenatal care. They follow up with new moms for one year. In the first year of the program, 3 volunteers assisted 97 clients, 60 of whom were pregnant. There were no infant deaths or low-birthweight babies. Many of the mothers returned to school and stable living situations.

More than 350 physicians participate in the

42 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS •f* DOMESTIC VIOLENCE TASK FORCE Sacred Heart Medical Center Spokane, WA ^

Contact Deborah Markin, RN 509-455-4619

If medical records do not properly identify revised so that every patient is now asked, Are domestic violence cases, healthcare providers you ever concerned about your safety or violence cannot inform victims of the medical, social, and at home? mental health resources available. To more effectively identify and treat victims of battering, Sacred Heart's Domestic Violence Task Force Sacred Heart Medical Center formed the also helps other organizations train staff on how Domestic Violence Task Force in 1991. Since the to identify and treat victims of domestic violence. task force was formed, the percentage of the The task force has provided training to groups medical center's cases identified as domestic such as the Spokane Police Department; violence related rose from 4 percent of all assault Diocesan Council of Catholic Women, Seattle cases in 1991 to 28 percent in 1993- Province; and Group Health Northwest, the region's largest health maintenance organization. Representatives from all the medical center's major departments serve on the task force. More The medical center has published "An than 700 staff members and physicians have Introduction to the Battering Syndrome," a attended domestic violence training programs, brochure that gives victims information about which help them identify and treat victims of battering and how to leave an abusive situation. abuse. To supplement this, the medical center has More than 12,000 have been distributed. produced a videotape, A Time of Opportunity: Helping Battered Women in the Health Care Setting. More than 100 hospitals and healthcare organizations in 32 states and Canada have requested the video. The U.S. Air Force has purchased 79 copies for use at military hospitals worldwide.

Medical center staff have revised administrative policies and patient practice guidelines to more effectively identify and treat victims of domestic- violence. For example, the inpatient chart was

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 43 PROJECT MOTHERCARE The Hospital of Saint Raphael New Haven, CT

Contact Department of Obstetrics and Gynecology 203-789-3661

To reduce the number of infant deaths in New Clinic staff include a physician assistant, Haven, CT, Project MotherCare. a clinic housed in a pediatrician, nutritionist, social service/sub­ 58-foot tractor trailer, rolled out in 1990 to provide stance abuse counselor, phlebotomist, recep­ prenatal care to women in the city's poorest tionist, driver, and environmental control neighborhoods. The program has since expanded worker. The entire staff reach out to the neigh­ K > include pediatric and adult primary care. borhoods and often go door-to-door to tell area residents about the clinic's services. Project Project MotherCare was the brainchild of Wilfred MotherCare has two examination rooms, four Reguero, MD. chief of Obstetrics and Gynecology offices, and a waiting area. at the Hospital of Saint Raphael, which agreed to sponsor the program. Dr. Reguero believed that When first launched, Project MotherCare the high infant mortality rate was linked to a lack traveled to seven impoverished neighborhoods of prenatal care and too many women abusing each week. At the request of the West Haven cocaine. He further reasoned that if pregnant Emergency Assistance Taskforce, it has since women had to take several buses to receive added West Haven to its schedule. West Haven is prenatal care at the hospital, they would stay a nearby middle-class suburb hit hard by job home. So Project MotherCare goes to them. No layoffs. On its first day, the mobile clinic found one is ever turned away, even those who are 400 people waiting to receive care. unable to pay for services or are abusing drugs.

The program has had positive results. In 1993 the hospital's perinatal death rate per 1,000 live births was 6.25—almost a third the 1989 rate of 17.1. Costs have dropped as well, since one premature baby can cost more than $35,000. between 1990 and 1993 Project MotherCare served more than 11.800 persons.

• SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS 1995 ACHIEVEMENT CITATION NOMINEES

+ TEENAGE GRIEF SUPPORT GROUP (TAG) CARING FOR ADOLESCENTS St. Elizabeth Hospital Pastoral Care AND YOUNG ADULTS Department Belleville, IL

Contact Dian Korb, Gay Lee Potere, or Rev. Dennis Voss -t* TEEN HEARTLINE FOR HELP 618-234-2120 St. Joseph Medical Center Wichita. KS St. Elizabeth Hospital Pastoral Care Department Contact Kit Lambertz developed the Teenage Grief Support Group 316-689-6259 (TAG) after seeing a need for grief support within the community. TAG offers teenagers a safe place Teens in Wichita, like teens across the nation, are for beginning to heal within the grieving affected by a growing number of social problems- process. Begun in 1993 at a local high school, the gangs, violence, suicide, and pregnancy. A local program established close ties with school group. High School Ministry Network, organized a counselors to identify students with grief issues. week of intensive intervention to make a difference. Pastoral care counselors got a positive response Seven nationally known speakers made more than after meeting with students. The program grew 70 presentations. The final link in the program is a into two eight-week programs and a full-fledged 24-hour hotline for teens—Teen Heartline for Help. support group. Students battle feelings of Advertised on local billboards and the local MTV isolation and grief through journaling, sharing station, the hotline provides instant access to a memories, and using pictures and music. Many caring individual and comprehensive resource students have shown academic improvement bank. Trained volunteers answer the calls, with and have begun to reach out to others. The v( >lunteer professionals providing back-up supp>n. program is offered at no cost to local schools and St. Joseph Medical Center provided start-up is staffed by three pastoral care chaplains from St. funding, two staff persons, office space, phone Elizabeth. service, and other support services. Fund-raising provides ongoing support. In its first nine months, die Teen Heartline responded to 6,000 calls.

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 45 + TRAUMA PREVENTION FOR TEENS Contact Glyn Hughes St. Francis Hospital and Medical Center 706-596-4254 Hartford, CT The BAMMAS Program is an urban effort that Contact Anthony S. Morgan, MD helps people break the cycle of addiction by 203-548-4633 early intervention with the children of families affected by addictive diseases. The program St. Francis Hospital and Medical Center has two increases teacher awareness of addiction's ef­ groundbreaking programs to address the high fects on families and trains teachers to identify incidence of traumatic injury and violence in the and intervene with at-risk children, promote self- local teenage population. Emergency and worth and healthy living skills, and provide crisis trauma professionals present both programs by- support through support groups for the children. describing and demonstrating the disastrous The program has been presented to more than effects of risk-taking behaviors. Both programs 600 teachers and intervention specialists in the provide realistic details and take place at the region and has reached several thousand Georgia hospital's emergency room/trauma center, youngsters. Funding comes from a grant from the including a visit to the trauma resuscitation Coca-Cola Foundation, and clinicians from the room. Lives at Risk addresses the high homicide Bradley Center of St. Francis Hospital provide the rate among Hartford's 10- to 19-year-olds and counseling and training. uses teenage actors to bring the lesson to life. Since 1993, 500 students have participated in + COMPREHENSIVE HEALTH AND Lives at Risk; since 1990,5,000 students have been MEDICAL PREVENTIVE SERVICES part of Let's Not Meet by Accident. The programs (CHAMPS) are funded by St. Francis, the Urban League of Fitzgerald Mercy Hospital and Greater Hartford, and the Insurance Association Mercy Health Corporation of Connecticut. Darby, PA

Contact Sr. Donna M. Watto, RSM 610-237-4895 CARING FOR CHILDREN An average of 250 nonemergency pediatric visits per month to Fitzgerald Mercy Hospital's emer­ gency room led to a needs assessment that indi­ -h BREAKING ADDICTION MYTHS cated many children lacked access to even the AND MYSTERIES THROUGH most basic preventive healthcare services. An AWARENESS AND SUPPORT innovative model for intervention, CHAMPS (BAMMAS) PROGRAM provides pediatric healthcare services in area St. Francis Hospital schools and day-care centers. The program Columbus, GA provides immunizations, hearing and vision

46 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS screenings, dental care, testing for anemia and •h INFANT STIMULATION AND lead poisoning, and physical examinations. More CHILD DEVELOPMENT PROGRAM than 250 students are currently registered in the St. John s Regional Health Center program. In 1994 Fitzgerald Mercy offered Salina, KS CHAMPS to 15 schools, day-care centers, and Contact Joyce Trower, RPT federally funded Head Start centers. The 913-823-4382 CHAMPS program funds a physician, nurse prac­ titioner, transportation, and a clerk. Start-up costs The Infant Stimulation and Child Development of S 10,000 were provided by Fitzgerald Mercy Program provided physical therapy, occu­ Hospital, and federal and state funds cover pational therapy, speech-language therapy, and children who participate in the program. early childhood special education services to special-needs children aged newborn to five 4- HUEY FAMILY HEALTH CENTER years living in the rural area of Salina and Misericordia Hospital and surrounding counties. Each year the program Mercy Health Corporation serves more than 225 families with special-needs Philadelphia children. Seven employees and many volunteers Contact Kay Stephens assist children whose disabilities range from 215-748-9420 cerebral palsy to shaken-baby syndrome. The program, which includes vision care, is funded Misericordia Hospital and the Samuel B. Huey by area physicians, St. John's Regional Health Elementary School have forged a partnership to Center, and a coalition of community organ­ offer basic holistic healthcare services to urban izations. elementary' schoolchildren. Originally requested

by the children's parents, the Huey Family Health + KIDS HELPING KIDS Center is a school-based primary care center that St. Joseph s Care Center provides immunizations, screenings, diagnostic- Phoenix- tests, physical examinations, pediatric referrals, Contact Diane King and psychosocial services. The school provides 602-406-6800 space and contributed initial renovations. The center was funded for the first two years by a Kids Helping Kids is an annual program begun Mercy Health Corporation grant; Misericordia has three years ago and sponsored by St. Joseph's assumed subsequent expenses. Thirty percent of Care Center. Beginning in October, elementary the school's 900 students were enrolled in the school students are asked to give money. The clinic by June 1994. The center sees about three to money is used to buy toys and clothing for chil­ five students a day. dren in need during the Christmas season. Dur­ ing 1993, $9,957 was collected and used to pur­ chase toys and clothes. Some children who do­ nated money also helped wrap the gifts. Vol-

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 47 unteers, Care Center staff, and long-term care Immunization against common childhood residents at the center contribute their time to disease is one of the most simple, cost-effective make this project a success. steps in building a healthy community. But in early 1993, despite public health efforts and an 4- NAZARETH HOME ample supply of vaccines, the immunization rate St. Catherine Hospital and A ncilla Systems for children under two years of age in the Shreve- East Chicago, IN poil-Bossier City area was only 47 percent. After

Contact Toni Shropshire identifying access issues—including lack of trans­ 219-392-7609 portation, vaccine costs, inconvenient clinic- hours, and lack of information and education—

Nazareth Home provides a foster home of Schumpert Medical Center, Willis Knighton Med­ individualized attention, love, and care for ical Center, the Office of Public Health and a children, newborn to five years old. with medical variety of community organizations, including disabilities. Babies who are HIV positive, who Kiwanis and McDonald's, mobilized a massive have fetal anomalies, or who have been born to and effective effort. Utilizing a mobile van and cocaine- or alcohol-addicted mothers receive donated facilities around the community, the care until they can be placed in an adoptive effort reached 251 clinics at 60 locations, giving home or until their mothers can care for them. 7,269 immunizations to 3,305 persons. As of Sep­ This licensed foster home, the only one of its tember 1994, the immunization rate for children kind in Indiana, is a joint effort of the Poor under two had risen to 72 percent. Funding and Handmaids of Jesus Christ; Our Lady of Victory donated services come from the three major of Huntington, IN; the Sisters of St. Joseph of coalition partners. Nazareth, MI; and the Franciscan Sisters of Tiffin. OH. The home is staffed by six sisters, two hired 4" POSITIVE IMPACT assistants, and many volunteers responsible for St. Rose Dominican Hospital up to five children. The Lake County Welfare Henderson. NY Department contributes some funds, and other Contact Sr. Robert Joseph Bailey monies are solicited from corporate and or Cynthia Higgason foundation sponsors. St. Catherine Hospital 702-564-4507 absorbs the remainder. When one school principal in an urban area •h NORTHWEST LOUISIANA SHOTS noticed children with untreated injuries and other FOR TOTS COALITION conditions that required medical attention, he Schiimpert Medical Center began to realize the problem of the growing Shreveport, LA number of uninsured and underinsured school-age children, and the seeds for Positive Impact were Contact Sr. Katherine Redmond, CCVI planted. Begun in 1989 by St. Rose Dominican 318-227-4215 Hospital, Positive Impact provides access to much-

48 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS needed healthcare for children. Students arc CARING FOR screened by a school nurse to find those who do not have any form of assistance, including OLDER ADULTS Medicaid. During the 1993-94 school year, the program helped 150 children—more than double

the number served during 1992-93. Initial funding -f* ADULT DAY CARE-ST. CLARE'S

came from corporate donations. The program is HOSPITAL now funded by businesses, local physicians, med­ ,S7. Anthony's Health Center ical professionals, and not-for-profit organizations. Alton. II. St. Rose Dominican h< >spital donates services. Contact Brenda Wyman, RN 618-463-5333 4* YOUTH SERVICES/FAMILY FOCUS

CENTER In addition to working and caring for their own St Bernardine Medical Center children, adult children often find themselves San Bernardino. CA responsible for the daily care of older family Contact Linda McDonald members who have become frail or impaired. 909-883-871 1, ext. 3525 When nursing home care is not the answer, adult day L'are provides a daily respite for care givers. Youth and their families in urban San Bernardino The program at St. Clare's Hospital provides have a viable alternative to gangs, drugs, guns. medical supervision, special dietary provisions, and the legacy of destruction. The Youth social interaction, and therapeutic activities. Services/Family Focus Center provides a safe Currently about 48 individuals are enrolled, haven and comprehensive outreach that about 75 percent of whom are Alzheimer's supports and promotes total family wellness. In a patients. Many participants lake advantage of a partnership with key civic and community county-operated transportation service. The groups, the center offers a network of com­ Illinois Department on Aging and the hospital's munity resources under one umbrella. Services Department of Rehabilitation provide funding include a parenting program, late-night basket­ l( >r many of the program's participants. ball leagues, job training, mentoring, volun­

teering, teen support group, image attitude pro­ 4- MERCY BROWN BAG PROGRAM gram, counseling, and a resource/referral library. Mercy Retirement and ('are Center Staffed by a mission projects coordinator, project Oakland, CA specialist, youth leader, part-time job counselor, Contact Mary Francis Giammona and 20 volunteers, the center is free and has 510-534-8540, ext. 369 served more than 750 families to date. St. Bernardine Medical Center provides all funding Each week the Mercy Brown Bag Program collects with donations of supplies and labor from and distributes donated and purchased nutritional sponsors.

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 49 food to 540 low-income elderly in Alameda County. + TRADING PLACES The program encourages seniors to help others and United Samaritans Medical Center provides nutrition, consumer information, referrals, Danville, 1L health tips, and personal enrichment education to Contact Patricia D. Adrain promote recipients' self-help skills. Begun in 1982 217-443-5677 with support from California's Brown Bag Network Act and now funded by California's Department of More than one-third of the patient population of Aging and other private and public funds, the United Samaritans is elderly. In response to a program is sponsored by Mercy Retirement and market analysis and needs assessment, the United Care Center. It collects about 750,000 pounds of Samaritans Medical Center Foundation devel­ donated food a year. oped an older adult sensitivity training program for public service officials (i.e., law officers, fire fighters, and emergency workers), community PROJECT ELDERCARE businesses, and schools. The program is a joint The Hospital of Saint Raphael effort between the foundation and First Midwest New Haven, CT Bank. By simulating visual degeneration, hearing Contact John Merritt, MD loss, and impaired dexterity in persons who work 203-789-3989 with or serve the elderly, the program allows them to experience life the way elderly persons Saint Raphael's Project ElderCare was created in do. This exercise therefore enhances their 1992 to provide convenient access to medical care sensitivity, knowledge, and skills in working with for underserved, inner-city elderly persons in New elderly persons. Improved communication skills Haven. Some of them had been using overcrowded are part of the training. Foundation and Medical local clinics or emergency rooms or were receiving center staff members conduct the training. no supervised medical care. Three clinics now operate within local low-income public housing projects for seniors. A multidisciplinary team that includes a geriatrician, social worker, and physician CARING FOR PEOPLE OF assistant provides screening, education programs, DIVERSE CULTURES and basic medical care, as well as eye, ear, and podiatric services. Project ElderCare has led to reduced overcrowding in the hospital's clinics, -I- CLINICA SANTA MARIA increased medical compliance, and a healthier area Saint Marys Health Services elderly population. and Mercy Health Services Grand Rapids, MI

Contact Virginia Moralez, RN 616-452-9092

• SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS Saint Mary's Health Services' 1988 Community testing, counseling, and nurse-centered case Assessment of Human Need identified the Span­ management services. McAuley currently serves ish-speaking community as having barriers—such more than 500 persons with HIV AIDS. The clinic as lack of insurance, language difficulties, and was opened in 1990 with a staff of two and now transportation problems—to access to healthcare. has an ethnically diverse staff of seven, including The director of the city's Hispanic Center ap­ four registered nurses and two community proached Saint Mary's to discuss ways to provide outreach workers, as well as access to a nutri­ accessible healthcare to members of his com­ tionist, a dermatologist, and four infectious disease munity. In 1990 Clinica Santa Maria was opened specialists. McAuley Clinic is operated with federal within the Hispanic Center. Funded by a grant funding obtained as part of the Ryan White Act, from the Emily George Foundation and funds from the Michigan Department of Public supported by Saint Mary's Health Services, the Health, and private donations. The clinic serves as clinic provides healthcare and referrals to a model for other national programs and led to the Hispanic and other minority residents. Clinica establishment of a community AIDS hospice. Santa Maria's multilingual staff of 5 full-time employees; 1 Women, Infants, and Children's coordinator; and nearly 30 volunteer physicians serve more than 1,000 people each month, largely CARING FOR THE POOR women and children. Services include prenatal AND HOMELESS and well-baby care, immunizations, adult health­ care, dental care, and emergency care.

•h CONTINUUM OF MATERNITY AND CHILD CARE FOR FAMILIES IN CARING FOR PERSONS NEED WITH AIDS St Mary Medical Center oflatighorne Langhorne, PA

Contact Dolores Cseplo 215-750-2114 4- MCAULEY CLINIC St. Mary's Health Services Despite the apparent affluence of the sur­ and Mercy Health Services rounding community, St. Mary Medical Center's Grand Rapids, MI Service Area Needs Assessment for 1992 Contact Joyce Brown-Hassen, RN indicated pockets of need for essential healthcare 616-774-2255 services, especially prenatal and well- and sick- child care. In response to this need, St. Mary This urban HIV/AIDS clinic uses a holistic established the Mother Bachmann Maternity approach to address the needs of persons living Center and the Children's Health Center. Located with AIDS by providing anonymous HIV/AIDS in a shopping center, Mother Bachmann and

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 51 Children's Health serve a large population of lower- local contractors and women's groups and con­ income women of chiklbearing age—many of tinues to have support from local corporations, whom are working poor and do not qualify for schools, and individuals. It has five paid staff medical assistance or cannot find medical members and four client volunteers, as well as practitioners to serve them. Staffed by a director, three "grandmothers" who work with the children. receptionist, part-time nurse, and three midwives assisted by physicians, the Mother Bachmann *H HEALTHCARE WITH DIGNITY center provides basic obstetric services, referral for St. Joseph Medical Center counseling and chemical dependency services, and Baltimore prenatal and parenting education. The Children's Contact Sr. Anne Patrice Hefner, OSF Health Center provides immunizations, screenings, 410-337-1646 and well-child care for children through age 18. St. Mary Medical Center provided start-up capital St. Joseph Medical Center found an innovative way funding for both centers and absorbs operating to reach out with health services to the poor at a losses from both programs each year. convenient location. The center provides pre­ ventive health screenings at Our Daily Bread, an 4* GATHERING PLACE AT THE HOLY urban soup kitchen that serves more than 600 CROSS CENTER FOR WOMEN meals a day to poor and homeless persons. St. Agnes Medical Center Services include immunization record reviews; Fresno. CA immunizations for children; referrals to the Contact Sr. Christine Healy, CSC, \V< >men, Infants, and Children's program; blood or Sr. Francis Christine, CSC pressure screenings; and family information and 209-237-3379 education sessions. The staff includes professional and clerical positions, including a licensed social In an area with high unemployment and a high worker who provides referrals, resources, and case teen pregnancy rate, the Gathering Place at the management services. Holy Cross Center for Women provides a safe haven for women and children living on the street. -fr* HEARTSIDE CLINIC Established in 1984, the center provides emotional. Saint Mary's Health Services social, and outreach services. A large learning Grand Rapids, MI center (with books, toys, videotapes, computers, Contact Anne Mawby, RN and a play yard) welcomes the children and 616-774-6375 provides them with a chance to learn social skills, to increase their self-esteem, and to establish As a result of declining prosperity, loss of business, respect. At the same time, their mothers get and fewer jobs, in the late 1980s the city of Grand support at the adjacent Center for Women. The Rapids witnessed a growth in its homeless center became a reality with a grant from the Holy population. Heartside Clinic, located in the Cross Mission Ventures fund and donations by- depressed Heartside section of town, filled a

52 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS desperate need for adequate primary and members, the food bank holds food drives preventive care for the area's homeless. The clinic through local banks and radio stations. Its has a bilingual staff of two nurses, two social primary clients are senior citizens; young, single workers, one patient coordinator, a medical mothers with children living in poverty; and director, and volunteer physicians. Heartside families affected by job loss or illness. registered more than 7.000 visits in 1993. The clinic opened in 1988 and is funded by the U.S. Depart­ -h HOMELESS HAIRCUTTING ment of Health and Human Services with additional MARATHON support from Saint Mary's Health Services and St Joseph s Care Center private donations. This storefront clinic is the only Phoenix city provider of free medical and nursing care; social Contact Ruth Schutter work, health education, and mental health services; 602-406-6800 and substance abuse counseling.

Four times a year, St. Joseph's Care Center presents + HOLY REDEEMER VISITING a Homeless Haircutting Marathon staffed by a NURSE AGENCY FOOD BANK variety of volunteers to provide hair cuts and Holy Redeemer \ isiting Nurse Agency hygiene services to the community's homeless of New Jersey persons. Clients receive shampoos and blow- Swainton, NJ drying and styling services. They also receive gift Contact Sr. MaryAnne McDonagh, CSR bags full of personal hygiene products and enjoy 609-465-2082 dinner and musical entertainment The Homeless Haircutting Marathon provides about 1,200 When visiting nurses started noticing the growing haircuts a year at a cost of about $12,000 to $15,000 problem of hunger among this small-town area's in volunteer time and supplies. poor and fixed-income elderly, the Sisters of the Holy Redeemer took action. The religious •f* INTERFAITH HEALTH CLINIC institute began the program in 1991 by providing Catholic Charities ofKnoxville a pound of rice here and a few loaves of bread and St. Mary's Health System there. In 1992 the sisters converted a storage Knoxville,TN facility outside their convent into a full-service Contact Robert McDonald, MD food bank. Today the food bank serves more 615-546-7330 than 4,200 people in all parts of Cape May County, NJ. In 1993 the food bank distributed 18 In response to the estimated 130,000 uninsured and tons of food to the area's needy—126.656 meals underinsured persons in die Knox County, TN, area and $82,000 worth of food. Coordinated by the who had been using the emergency room for basic convent superior, Sr. MaryAnne McDonagh, and medical care. Catholic Charities ofKnoxville and run by 15 volunteers almost exclusively on Associated Catholic Charities of East Tennessee donations from local business and community c< )llaborated to develop the InterFaith Health Clinic.

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 53 Through a multifaith task force, cooperation from seed money for the first van, and in 1987 a six area hospitals, and a loan from the Diocese of McKinney Homeless Assistance program grant Knoxville, a dilapidated building at a downtown allowed for major expansion. Other funds come site was renovated. This clinic now provides from a variety of federal, state, local, and private primary healthcare on a sliding scale to the sources. homeless and the working poor through a small

paid staff, supplemented by 150 volunteer +• PORTLAND STREET CLINIC physicians and other medical professionals. The Mercy Hospital clinic is open on week nights and Saturdays and in Portland, ME 1993 became completely independent. Additional Contact Nathan Nickerson, RN funding comes from grants and private con­ 207-874-8981 tributions. Since opening in 1991, the clinic has seen nearly 5,000 patients in more than 40,000 visits. Based on quantitative evaluation data and a 1992 United Way community needs assessment, Mercy 4" MERCY MOBILE HEALTH CARE Hospital and the city of Portland identified the St. Joseph's Mercy Care Services need for a multiservice clinic to serve the working Atlanta poor and the homeless. Mercy provided start-up Contact Mary Hood funds of S213,000 to equip the Portland Street 404-249-8102 Clinic, which is used by Portland's "Health Care for the Homeless Team" by day and supports a for the past 10 years St. Joseph's has delivered free, comprehensive primary care program for comprehensive, compassionate primary care and uninsured adults by night. Staffed by two part- social services to the homeless, to culturally and time nurses and a part-time medical director and linguistically isolated Latinos, to other immigrants supported by nearly 200 professionals who and refugees, to people with HIV/AIDS, and to volunteer services, the clinic serves more than main others excluded from the mainstream health 1,200 persons each year, 97 percent of whom have system. Mercy Mobile Health Care is the only no insurance. The clinic serves as a model of mobile healthcare provider for Atlanta's 15.000 to public-private collaboration to fill a need. 20,000 homeless persons. A fleet of five vans and

two fully equipped mobile clinics—one exclusively -b PROVIDENCE FAMILY MEDICAL

for women's and children's services—visits more CENTER than 25 daytime and evening clinics each week. The Providence Medical Center program is staffed by a culturally diverse group of Seattle more than 200 volunteers, 70 paid nurses, phy­ Contact Sam Cullison, MD sicians, social workers, pharmacists, and health 206-320-2484 educators. Special efforts focus on preventing the high rate of HIV infection among the homeless Providence Family Medical Center provides population served. The Sisters of Mercy provided holistic, continuous, comprehensive healthcare to

54 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS diverse inner-city poor families, regardless of their referrals and provide free specialized treatment ability to pay. At the same time, the center provides and diagnostic tests to clinic patients. Mercy the means to train family practice residents. The Hospital provides laboratory work, X rays, and program began in 1974 with 1 outpatient clinic and equipment free of charge. The clinic is funded by has grown into a 20-clinic network, with satellite Mercy Mission Services and charitable donations. residency programs that link community health centers and family practice residency programs. + ST. JOSEPH CENTER FOR The effort now includes a High Risk Maternity HEALTH AND HUMAN SERVICES Program and the first Native American residency St. Joseph Hospital program, launched with the Seattle Indian Health Providence, RI Board. Residents train by working with urban, Contact Ernest A. Balasco multiracial, and ethnic populations and often go 401-456-4324 on to serve those populations. In fact, 25 percent of the program graduates choose to stay in the Recognizing the correlation between a lack of Providence system, and many others remain in the primary care and socieconomic distress, St. Joseph area to work in community clinics. Funding comes Center for Health and Human Services provides from the Providence Medical Center and federal, "biopsychosociar care to nearly 40,000 urban state, and private grants. residents, 85 percent of whom are minorities, underinsured or uninsured, or homeless. The 4- ST. JOHN BOSCO CLINIC center offers a culturally sensitive continuum of Mercy Hospital integrated, comprehensive, accessible, and Miami nonthreatcning care. The hospital began the Contact Pedro Jose Greer, MD, or Manolo Reyes, JD program by converting its emergency room into a 305-854-4400 "community health center," which is at the center of an integrated delivery model serving 16 census Since Mercy Hospital's free clinic at St. John Bosco tracts. It provides screening, education, primary Church opened in July 1992, more than 7,000 care, prenatal services, pediatric healthcare, people have received medical attention free of pediatric substance abuse prevention programs, charge. St. John Bosco parish includes thousands and mental health and walk-in clinic services. St. of recent immigrants to Miami, most of whom are Joseph Hospital funds the bulk of die clinic, along poor and have never had medical attention in with help from outside public- and private-sector their native countries. The clinic provides primary grants. care, medicine, prenatal care, and instaiction in basic health and nutrition. Social workers help patients complete paperwork and gain access to other services. The clinic is operated by 15 Mercy Hospital volunteer physicians and 20 volunteer staff persons. Other Mercy physicians accept

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 55 •f ST. MARY'S HEALTH CLINICS CARING FOR TEENAGE Sisters of St. Joseph ofCarondelet PARENTS AND YOUNG St. Paul PREGNANT WOMEN Contact Sr. Mary Madonna Ashton, CSJ 612-690-7020

Based oil an identified need and a new vision for 4- AD MOMS healthcare ministry in their province, in 1991 the Saint Michaels Medical Center Sisters of St. Joseph ofCarondelet created Caron- and AD House, Inc. delet LifeCare Ministries, a series of eight urban Newark, NJ

and two suburban neighborhood health clinics Contact Audrey Alvarez or Lula Linder for the working poor and uninsured. The clinic 201-877-2868 sites were established with consultation from local providers, elected officials, church groups, AD Moms provides prenatal care and social and community service organizations. The clinics services for at-risk pregnant adolescents in provide easy access and convenient hours for New ark. East Orange, and Irvington, NJ. A joint clients in low-income areas. Staffing the clinics are venture of AD House, Inc.. and Saint Michael's 50 primary care physicians and more than 120 Medical Center, the program provides prenatal specialty physicians who see patients without health services and an educational program in a charge based on clinic referrals. The clinics comfortable, homelike setting. AD Moms' goal is themselves are developed, coordinated and to decrease infant mortality, repeat pregnancies, operated by a core staff of eight full-time child abuse, and neglect and improve child health employees, last year, nine sites had 3.469 patient and service utilization. The program uses peer visits. Funding comes from the Sisters of St. Joseph leaders who have been at-risk mothers. It ad­ of Carondelet-St. Paul Province, contributions, dresses substance abuse, AIDS/HIV, self-esteem, volunteers, and annual fund-raising. nutrition, hygiene, sexuality, and prenatal and child care. The program serves more than SO pregnant teens a year and is funded by a three-year grant from the Roben Wood Johnson Foundation.

56 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS + IV|ATERNAI_/CHILD OUTREACH Joseph Mishawaka Health Services (SJMHS), it PROGRAM provides comprehensive support services and a St. Joseph Medical Center nurturing home environment. The home em­ Burbank, CA ploys a full-time executive director and a team of house mothers. Able to house seven mothers or Contact Kathy Nelson children at a time, Mothercare sheltered 35 818-843-51 1 1, ext. 7289 pregnant young women between 1993 and 1994. These women have achieved new skills, im­ St. Joseph Medical Center developed the Mater­ proved their self-esteem, and had no repeat nal/Child Outreach Program to complement its pregnancies. Mothercare Home was initiated Baby Wise Maternal/Child Education Program after and is funded by SJMHS, United Way, a identifying a need for education for latchkey teens community foundation, and a local contractor and adolescents, as well as Spanish-speaking who contributed renovations on the home. parents and child-care givers. The program offers education in adolescent pregnancy and parenting, 4- PARENT EDUCATION SERVICES teen latchkey and babysitting skills, and Spanish- Saint Mary's Health Sen 'ices language perinatal education. In addition to Grand Rapids. MI classes for pregnant adolescents, the program offers high-risk teen postpartum support: Spanish- Contact Becky Nauta, RN language childbirth and infant CPR classes; and 616-774-6667 CPR, safety, and accident-prevention skills to older latchkey children who may be responsible for Parent Education Services is an innovative com­ babysitting siblings. The Sisters of Providence munity outreach program for inner-city mothers. provided start-up funding. Ongoing support Classes are held in neighborhood locations. The comes from St. Joseph Medical Center Foundation program has three components: Smart Start teaches and community contributions. parenting skills to first-time parents; Teen Pregnancy Education Program addresses the area's

•F* MOTHERCARE HOME: A SAFE high teen pregnancy rate by offering pregnancy HAVEN FOR PREGNANT TEENS counseling, prenatal classes, and STD/HIV St. Joseph Mishawaka Health Services prevention education, as well as encouragement to Mishawaka, IN young mothers to stay in school; and the Parent Education Video allows new mothers to take home Contact Carol S. VanGoey information on baby care (also available in 219-254-1711 Spanish). Parent Education Services is funded by Saint Mary's and a private foundation grant. Mothercare Home opened in spring 1993 to provide a safe haven to pregnant urban teens and young mothers of infants. Formed by an ecumenical coalition of three agencies and St.

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 57 4* PARENTS AS TEACHERS educators at St. Bernard's Regional Medical PROGRAM Center took their program into high schools in St. Luke s Midland Regional Medical Center northeast Arkansas to provide human sexuality and Aberdeen Public Schools education and reproductive health information Aberdeen, SI) on preventing pregnancy and STDs. The program advocates abstinence for deterring pregnancy Contact Steve Herr and STDs and encourages responsible behavior 605-622-5000 and staying in school. The educators reached 700 high-school and junior-high students during the Parents as Teachers (PAT) is a national program pn )gram's first two years. found in 43 states, but the Aberdeen program is the first in this rural region of South Dakota. PAT sends parent educators to the home and offers monthly group sessions that teach parenting CARING FOR VICTIMS OF skills, optimize child development, and screen ABUSE OR ASSAULT for developmental problems. Special services also focus on teen parents. As part of its long- term goal to build healthier families, St. Luke's Midland provided the initial funding for the -h DOMESTIC VIOLENCE PROGRAM program. Aberdeen School District provides The Hospital of Saint Raphael office space, support services, a full-time coor­ New Haven, CT

dinator and six part-time parent educators. Contact Clifford R. Briggie, PsyD, Grants provide additional funding. The program or Stephanie Farber, PhD currently serves 73 families and 86 children. 203-789-4287

+ TEEN PREGNANCY AND Saint Raphael's Domestic Violence Program SEXUALLY TRANSMITTED reaches out to those who are enmeshed in the DISEASES shame-laden web of domestic violence—whether St. Bernard's Regional Medical Center abused, abuser, or witness. The program, linked to Jonesboro, AR a continuum of community services, provides

Contact Sherry Richard, RN, therapy for abused women and abusive men and Debbie Lockridge, RN through the hospital's psychiatric clinic. Services 501-972-4100 include comprehensive assessment and substance abuse treatment, since this is often a factor in Arkansas has a high incidence not only of teen­ abuse. The program is starred entirely by hospital age pregnancies (19 percent of all deliveries employees. The total yearly cost is $8,500. About statewide) but also of sexually transmitted dis­ 260 women and 28 men, including a few hospital eases (STDs). After receiving a grant, two patient employees, have been served since the program began seven years ag<).

58 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS + PEDIATRIC SEXUAL ABUSE lence from four rural counties in northern Mich­

PROGRAM igan. A collaborative effort of the Sisters of Mercy Sailit Anne 's Hospital and the Crawford County Department of Social Fall River, MA Services, the shelter provides a 24-hour crisis line, housing, food, clothing, transportation, medical Contact Curtis P. Wilkins and financial assistance, individual and group 508-674-5600, ext. 2270 counseling, advocacy, and special children's programs. The shelter has 13 staff members and is The Pediatric Sexual Abuse Program was devel­ funded by Michigan's Domestic Violence oped in 1984 to serve sexually victimized chil­ Prevention and Treatment Board, the federal dren who were not eligible for help from local office of Criminal Justice, Mercy Hospital, the agencies supported by the Massachusetts De­ United Way, corporations, foundations, Indi­ partment of Social Services. Those whose viduals and local groups. Each year, 350 women families cannot afford private therapy may not and children are served; since opening in 1987. get the help and support they need or may the shelter has helped more than 2,200 women become victims of "system-induced trauma," and children. becoming entangled in a confusing legal system. The Pediatric Sexual Abuse Program provides psychotherapeutic evaluation, treatment, and advocacy for sex abuse victims aged 2 to 20 and CARING FOR WOMEN provides support for their families. The program includes educating pediatricians on sexual abuse sensitivity, accompanying child clients to court,

and providing a protocol for evaluation. Staff •f* BREAST CANCER DETECTION

consists of a clinical coordinator, one part-time AND EDUCATION PROGRAM and two full-time clinicians, and one social work Mary Immaculate Hospital intern. The program is funded by a Massa­ Jamaica, NY chusetts Office of Victim Assistance grant, a Vic­ Contact Alice Reichenberger tims of Crime grant, and Saint Anne's Hospital. 718-291-3300, ext. 2054

-H RIVER HOUSE SHELTER Statistics from Mary Immaculate I lospital's tumor Mercy Hospital registry showed that, from 1988 to 1992, 45 Grayling, MI percent of women diagnosed with breast cancer Contact Feme A. Farber w ere African American or Latino. Most of these 517-348-3169 cases had advanced beyond Stage II. These sta­ tistics pointed to a need for early detection, espe­ The only shelter of its kind in the area. River cially in minority women. In 1992, with its own House Shelter serves victims of domestic vio­ contributions and New York State Health Fund-

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 59 ing, Mary Immaculate developed the breast •h FAMILYCARE CENTER cancer screening program to educate African- Mother Frances Hospital American and Latino women, in an ethnically Regional Health Care Center sensitive way, on prevention, risk factors, and Tyler, TX early detection through mammography and Contact Martha Saxon breast self-examination. The program also aimed 903-531-4520 to decrease financial barriers to screening and treatment. The program offers convenient hours, Before the opening of the FamilyCARE Center, accepts walk-ins, and has even reached community maternal and child services in Smith homeless women in local shelters and elderly County. TX, were fragmented and costly. Mother women in senior centers. In 1993 the program Frances opened this private, not-for-profit facility served 310 participants. to provide comprehensive and affordable serv­ ices to women and children in a way that in­ + CENTER FOR WOMEN'S AND creases the continuity of and access to healthcare. CHILDREN'S HEALTH Supported through funding by a variety of Good Samaritan Medical Center community agencies and the University of Texas Zanesville, OH Health Center, a 17-member, multidisciplinary Contact Debbie Wilson team of doctors, midwives, nurse practitioners, 614-454-5090 and social workers provide an average of 2,100 patient visits each month. Statistics to date show In this high-infant mortality community, mothers increased access to prenatal care, significant cost were receiving little or no prenatal care. The savings to the hospital for mother and newborn Center for Women's and Children's Health opened care, and healthier babies. in 1988 to provide prenatal care to uninsured or

Medicaid patients. Four staff obstetricians see + HEALTHY LIVING FOR WOMEN patients; staff has grown from 3 to 60 members. Mercy Hospital of Buffalo The number of patients has grown as well, from Buffalo, NY 600 patients in 1989 to 1,222 in 1993. Patients Contact Virginia Lyons, RN receive childbirth education, nutrition counseling, 716-826-7000 social services, and billing assistance. Gyne­ cological services, high-risk pregnancy spe­ One out of eight U.S. women will have breast cialized services, and children's health services cancer in her lifetime, yet in Erie County, NY, an are now also provided. The center's budget area with an incidence of breast cancer above comes from fees for service, the medical center, the national average, fewer than id percent of special events, and local charities. adult women perform breast self-examinations. Mercy Hospital addresses this problem through an inpatient nurse educator who visits female

60 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS patients aged 18 to 60 to discuss their diagnoses, •f NEW STEPS the importance of breast self-examinations, risk Mercy HospitahDetro it factors, and other pertinent topics. In four Detroit months in 1994, 835 patients were visited and Contact Barbara Simons another 770 were reached through community 313-579-4427 health fairs and local universities and colleges. The nurse educator is the program's sole staff Mercy Hospital's community needs assessment member and spends about 20 hours a week identified child-bearing, addicted women as visiting patients. having some of the greatest unmet needs in Detroit. New Steps began in 1990, with funding 4* HEALTHY MOMS PROGRAM from the Michigan Department of Health and help HealthReach of St. Mary's Hospital from 12 area social service agencies, as a way to Rochester. NY address the problems of these women and their Contact Patricia Hope children and to coordinate and link the frag­ 716-464-5819 mented services available. Not a treatment pro­ gram itself, New Steps offers case management Healthy Moms is a comprehensive prenatal and pretreatment services to link participants to educational program for at-risk, culturally diverse, those services. It coordinated the services of 43 pregnant women. Rochester's African-American agencies and served 272 women and 199 children population has a high number of low birthweight during its first four years. Seven full-time staff babies and one of the highest infant mortality members provide case management, family rates in the United States. Although an assortment education, research, child care assistance, support of specific programs and services is available, St. services, and program and volunteer coordination. Mary's saw the need for an all-encompassing,

needs-based healthcare program that emphasizes *H PARENTS PLACE prevention and health promotion in a way that is St. John s Medical Center attuned to the language and cultural needs of Long view, WA these women and their families. Healthy Moms Contact Darlene Smolen has a staff of 30. 3 full-time; the remainder are 206-636-4177 volunteers and program graduates. St. Mary's provides in-kind services, and funding comes Concerned over ever-shorter hospital stays for from the United Way and Blue Cross and Blue new mothers after delivery, a board member at Shield of Greater Rochester. St. John's Medical Center initiated a perinatal outreach service to provide information to new parents. St. John's provided space and materials, and, with the help of charitable grants, the Par­ ents Place became the first family resource cen­ ter in Washington State. The center offers home

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 61 visits, with support from childbirth classes, phy­ 4" PROJECT WINGS! sicians, and hospital volunteers; information St Mary's Regional Health Center resources and referrals: a monthly Mom's Night Detroit Likes, MN Out; and a transportation van. Parents Place is Contact Mary Sullivan staffed by three full-time and eight part-time 218-847-0843 employees, providing services to more than 200 families a month. Project WINGS! is a small-town, residential, chemical-dependency effort that provides whole- •£• PRENATAL CARE CENTER family healing. Recognizing that it is difficult for Providence General Medical Center women to forgo their child-rearing responsibilities Everett, WA to enter residential treatment programs, St. Mary's Contact Emily Ghilarducci Regional Health Center opened its FOCUS unit for 206-261-2626 women and later l^egan Project WINGS! with a grant from the state. The grant provided a renovated Since 1986, the Prenatal Care Center (PCC) at house for 24 pregnant women or women with Providence General Medical Center has been children. The project offers assessments, referrals, providing free education and comprehensive physical and psychological evaluation, and medical care to low-income women in Snohomish education. Women receive transportation to and County, WA. In response to high numbers of services at the FOCUS unit during the day and pregnant women and teens arriving at the return to the house as their children are returning emergency room in labor, with no previous from local schools or day care. Staff consists of one history of prenatal care, concerned physicians and full-time therapist and three full-time and three half- hospital staff initiated the PCC, which delivers time program assistants. well-woman care, prenatal care, delivery and

postpartum services, and special services to teens. 4* PROVIDENCE HOSPITAL

During the past six years, PCC has served more PRENATAL CENTER than 2,800 families. PCC employs seven full-time Mercy Hospital, Providence Hospital. staff members, including certified nurse-midwives and Sisters of Providence Health System and support staff. Since PCC began, there has been Holyoke. MA a 50 percent drop in infant mortality in Snohomish Contact Delores Jones County, a lowered cesarean section rate, and a 413-536-7385 high patient-satisfaction rate. The program is funded by Medicaid, the hospital, and its Holyokes poverty rate is among the highest in foundation. Massachusetts, with almost half the children under age five living in poverty. The Sisters of Providence had been providing prenatal care in their Providence Hospital auditorium since the

62 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS 1970s. In 1985, with the help of the Holyoke office coordinator. To date, the clinic has served Infant Mortality Task Force and the Massachusetts more than 2,000 women who were unable to Department of Public Health, a new, convenient, receive prenatal care anywhere else. Funding downtown site was opened to provide prenatal comes from Sacred Heart Health System and Lane services, nutritional education, childbirth classes County Public Health, along with state assistance, (offered in Spanish and English), breastfeeding grants, and community support. A study com­ guidance and counseling for substance abuse missioned by the University of Oregon docu­ problems. Bilingual staff and transportation to the ments dramatic improvement in prenatal care, clinic further reduced barriers to access. Funding healthy outcomes, and decreased costs. comes from a combination of federal and state monies, giants, and the hospitals. The program -r* WINDOW OF OPPORTUNITY serves 700 women a year with a staff of three ob­ PROGRAM stetrician/gynecologists, seven bilingual certified Saint Joseph Health Centers and Hospital nuise-midwives, two registered nurses, two Chicago medical assistants, a social worker, a nutritionist, Contact Lee McDonnell a secretary and a receptionist. The prenatal center 312-665-3441 has cut Holyoke's infant mortality rate and served as a model for other programs around the nation. In a city where infant mortality rates in low-income communities rival statistics for developing nations. "h SACRED HEART PRENATAL Saint Joseph Health Centers and Hospital iden­ CLINIC tified the need for early detection of problem Sacred Heart Health System pregnancies and improved prenatal and maternal Eugene, OR health education. With the help of a grant from the Contact JoAnne Lutz Lloyd A. Fry Foundation, the hospital's St. Cath­ 503-686-6868 erine Laboure Clinic began the Window of Oppor­ tunity Program. The program provides childbirth During the mid- to late 1980s, high unem­ and health education, improves access to services, ployment, a declining number of obstetrical increases awareness of community resources, practices, and high health insurance costs all strengthens support systems for young parents, combined to form significant barriers to prenatal and assists young women in identifying needs and care for a large percentage of low-income preg­ setting goals. To date, 153 babies have been born nant women in the Eugene area. Sacred Heart to mothers enrolled in the program. Window of General Hospital, in collaboration with Lane Opportunity is funded by several foundations and County Public Health Services, opened the many social agencies. Sacred Heart Prenatal Clinic in August 1987. Six certified nurse-midwives provide primary and postpartum care. Other staff include a medical director, nurse educator, nurse manager and

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 63 -I- WOMEN'S ADDICTION CARING THROUGH TREATMENT CENTER OF HAWAII COMMUNITY (WATCH) COLLABORATION AND St. Francis Medical Center Honolulu PARISH/CONGREGATIONAL OUTREACH Contact Marie Ferrin-Hughes 808-547-6273

The traditional view of alcoholism as a "men's APPALACHIAN OUTREACH problem" means that often the needs of alcohol- SERVICE AND DIETITIAN dependent women are not being met. In the 1970s OUTREACH PROGRAM the Sisters of the Third Franciscan Order established St. Joseph Hospital a halfway house for these women, which grew into Lexington, KY

a full-fledged residential treatment center for Contact Betty Shelton, SCN addiction and substance abuse. WATCH provides 606-278-3436 full-service, holistic treatment along the continuum

of care to alleviate the social stigmas, isolation, and About 50 percent of patients served at 468-bed St. lack of social support for poor and minority women Joseph Hospital are from outlying rural areas of seeking treatment. Services include outreach, Kentucky. The Appalachian Outreach Service was interim services for pregnant women, residential developed to follow up on the medical and spiritual and day treatment, outpatient services for both men needs of these patients after they return home. and women, and a structured, six-month after-care Covering IS designated counties, the program has program. WATCH has 12 full-time employees and 2 met with great success and tremendous demand. clinical consultants. Funding comes from Services also include a registered dietitian who Honolulu's •"Model Cities" program. d( mations, state oversees dietary follow up in 5 of the 15 counties. grants, hospital-sponsored funds and charities, and The dietitian visits homes of the discharged patients. private payment. gives seminars, and visits senior citizen centers and county schools to provide education on the impor­ tance of a healthy diet and life-style. The Dietitian Outreach Program is funded by grants to the St. Joseph Hospital Foundation.

64 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS H- BATON ROUGE COMMUNITY 4- COMMUNITY-BASED PRIMARY HEALTH NEEDS ASSESSMENT CARE IN RURAL NEBRASKA Our Lady of the Lake Good Samaritan Health Systems Regional Medical Cei i ter Kearney, NE Baton Rouge, LA Contact Joan Lindenstein Contact Virginia Pearson 308-236-4217 504-765-8994 Good Samaritan Health Systems (GSHS) operates To better meet its commitment to community a primary care network of four community-based members' common good, 10 area healthcare clinics that represent partnerships with rural facilities developed the Baton Rouge Commu­ communities, practitioners, and the systems' nity Health Needs Assessment. Its goals were to medical staff. One clinic serves a small farming gain insights into the population's health-related community of 540 whose solo practitioner had problems, to stimulate the community's nmti died; another serves a community of 1,200 people vation and understanding in solving those prob­ whose only hospital had closed; a third flexible lems, and to build relationships. Three separate arrangement serves an area that had previously task forces gathered existing data, interviewed had one over-extended solo practitioner. The 140 individuals and 26 small focus groups, sent Rural Health Clinic Network offers clinics 65 surveys, and built internal and external public certified by Medicare. The network makes awareness of the project. The task forces con­ reimbursement easier for providers and allows tacted more than 300 individuals, including for greater use of physician assistants in pro­ community leaders, businesspersons, senior citi­ viding care. Because of the clinics, rural residents zens, advocates, educators, residents, and teen­ have access to GSHS, its medical staff, and close- agers. The study's results pointed to 10 priority to-home primary care. needs, which have been further refined and sent to seven task forces for development of future + HEALTHLINE INFORMATION AND specific efforts, including preventive education PHYSICIAN REFERRAL for junior-high and elementary students and a Providence Hospital, Lnc. "Community Health Report Card." Sandusky, OH

Contact JoAnn McMahon 419-621-7000

Providence Hospital's HealthLine provides free health information and physician referral in a cost-effective manner. The hospital purchased a health information data base that is available via a toll-free number, 14 hours a day on weekdays and 10 hours a day on weekends. Registered nurses

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 65 provide callers with information and follow up •h PROFESSIONAL NURSING CASE with printed information. During its firsttw o years. MANAGEMENT the Providence HealthLine answered nearly 17,000 Da n iel Free ma n Hosp itals inquiries, providing reassurance to many new Inglewood, CA mothers and others who might otherwise visit an Contact Mickie Tynan, RN emergency room (ER). In fact, only 10 percent of 310-674-7050 its calls result in an ER visit. The hospital paid initial costs and continues to provide funds for software Because 5 percent of patients were utilizing 50 and advertising. percent of hospital resources as a result of higher levels of acute illness, the Daniel Freeman Hospitals *f* PASTORAL OUTREACH PROGRAM developed the Professional Nursing Case Manage­ Mercy Hospital ment (PNCM) program to serve those who are more Wilkes-Barre, PA frequently admitted to the hospital. The PNCM Contact Sr. Paulette Berrang, RSM manager offers a personal connection for the pa­ 717-826-3667 tient, acts as a coordinator and broker of services and resources, and monitors patients' compliance Recognizing a critical need for community outreach and therapy through home visits. 'Hie case manager services to the elderly, homebound. sick, and works closely with discharge planners, home health physically challenged, Mercy Hospital began the nurses, diabetes educators, and other healthcare Pastoral Outreach Program in 1989. An assessment professionals to provide a link to the full continuum showed that some of the greatest needs were for of services. Community organizations are also tied companionship and spiritual care; one of the great into the effort. The program is funded by Daniel problems was loneliness. The Pastoral Outreach Freeman Hospitals through savings achieved by Program addresses these needs with compan­ PNCM interventions. Dam show a SI percent drop ionship, light housekeeping, and shopping serv­ in admissions among participants and a three-year ices. Working with local faith communities and total net benefit from cost reductions of S 1.3 million. agencies, the program seeks to allow the frail and

homebound to maintain their independence. The + PROJECT GOOD HELP Wilkes-Barre hospital's program has one full-time Bon SecoursHospital-Villa Maria supervisor, a part-time coordinator, and a part-time Nursing Center secretary. Other participating hospitals have one North Miami, FL part-time coordinator. Mercy Hospital provides Contact Evelyn Jordan support for the program's operation, and other 305-891-8850 grants and fundraisers also contribute funds.

The Sisters of Bon Secours began Project Good Help in 1990 as a way to reach out to the poor and frail elderly so that they may retain their independence. South Florida has a growing

66 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS geriatric population and limited health services for •h SAINT JOSEPH MEDICAL CENTER the poor. Originally started at one Catholic church SOCIAL ACCOUNTABILITY AND in North Miami, die program is now offered at six COMMUNITY COLLABORATION multiethnic churches in high-need areas GRANT throughout the city. The program trains church Saint Joseph Medical Center volunteers, educates them about community Joiiet, II. services, and provides voluntary assistance tor Contact Helena H. Wang home-based long-term care. During its first four 815-725-7133, ext. 3517 years the program served more than 850 clients and evaluated another 450. Only 5 of its clients Saint Joseph Medical Center Social Accountability thus far have needed to be Institutionalized. The and Community Collaboration Grant provides Bon Secours Foundation funds the project. It has resources that help community groups develop also received a grant from the Retirement Research programs which improve the health status of Foundation, the Kellogg Foundation, and the community members or address root causes that Dade/Monroe County Alliance for Aging. adversely affect their health. Grants are available to all agencies and organizations within the centers + ST. CLARE HEALTH MISSION service areas, especially those designated as St. Francis Medical Center "medically underserved." besides helping arid Lutheran Hospital La Crosse improve community health, the grant program's La Crosse, WI goals are to improve community collaboration Contact Sr. Leclare Beres, FSPA and communication within organizations and to 608-791-9545 address factors that cause health status to deteriorate, such as joblessness, gang formation, St. Clare Health Mission brings together drug or substance abuse, child abuse, heart competitors in the La Crosse area to provide health disease, rising health costs, and gaps in social services for the needy. Two hospitals and two services. To ensure objectivity, applications for major clinics created an ecumenically sponsored grants are accepted annually and are reviewed and free clinic for the area's uninsured, homeless, and scored with a weighting tool by a cross-section of poor persons. Area churches have contributed individuals from the hospital. A quarterly review funds. Physicians are surprised at the high number pn K ess c oversees outcomes. of people utilizing the clinic—from pregnant terns to persons with undiagnosed diabetes. The clinic offers convenient evening hours and is staffed by volunteer social workers, receptionists, nurses. laboratory technicians, and doctors. During the clinic's First year, more than 5,500 volunteer hours were served, and more than 1,450 new patients and as many repeat patients were treated.

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 67 4- Sioux EMPIRE STRESS *r* VISITATION MINISTRY PROGRAM DEBRIEFING NETWORK Borgess Medical Center McKennan Hospital Behavioral Kalamazoo, MI Health Services Contact Char Manion Sioux Falls, SD 616-383-4898 Contact Pat Lovely 605-333-8316 The Visitation Ministry Program is an ecumenical and holistic approach to healthcare. Pastoral care The Sioux Empire Stress Debriefing Network is a staff from Borgess Medical Center work with "care for the care givers" program providing stress local clergy, who recruit congregation members management and critical incident stress debrief­ for training and pastoral care home visitation to ing (CISD) for emergency workers and first re- those whose shortened hospital stays provide sponders to accidents and traumas. Many of the little time for spiritual care. Since 1982, more than emergency responders in the Sioux Falls area 800 people have been trained from more than actually know the victims of the emergency calls 100 churches. The program has a part-time they receive, and this compounds their grief and coordinator, office space within the medical stress. CISD, a free and confidential service, allows center's pastoral care department, and services these workers to talk about their stress, vent it, and provided by Borgess's director of pastoral care. manage it. CISD was begun after an airplane crash The hospital provides funding. The program has in Sioux City, IA, killed 112 people. In three weeks, promoted the role of the lay pastoral visitor 1,000 people took part in debriefings related to within the church community and provided an that accident, and 2 individuals, now the clinical excellent resource for recruiting volunteers for director and coordinator, recognized the need to the pastoral care department. It has also served lx?gin the program. Volunteers, available 24 hours as a model for others across the state and region. a day, are professionally trained and include 26 mental health counselors and 36 peer emergency responders. The program is funded by donations from hospitals, agencies, and individuals.

68 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS ACHIEVEMENT CITATION 1975-94

+ 1975 + 1977 CITY DOCTOR PROGRAM EAST COST MIGRANT Columbus-Cuneo-Cabrini Medical Center HEALTH PROJECT Chicago Washington, DC

MINORITY COMMUNITY SERVICE GUATEMALAN EARTHQUAKE St. Bernard Hospital RELIEF PROJECT Chicago Holy Cross Hospital Salt Lake City ST. JOSEPH'S HOSPITAL Marshfield, WI HOSPICE PROGRAM Calvary Hospital STAFF E/R PROGRAM Bronx, NY St. Therese Hospital Waukegan, IL MENTAL HEALTH CENTER Good Samaritan Hospital and Health Center Dayton, OH

+ 1976 POST-EARTHQUAKE CATHOLIC HOSPITAL PROGRAM REBUILDING PROJECT Hospitals Sisters. Third Order of St. Francis Holy Cross Hospital Springfield, IL San Fernando, CA

MERCY HOSPITAL, INC. TEENAGE EDUCATION Mercy Southern Health Center AND CARE SERVICE PROJECT Baltimore St. Margaret's Hospital Boston O'CONNOR HOSPITAL San Jose. CA

ONCOLOGY UNIT + 1978 Our Lady ofLourdes Hospital CENTER FOR LIFE Binghamton, NY Pro i 'idence Hospital Washington, DC PASTORAL CARE PROGRAM St. Joseph Hospital CORPORATE OFFICE Houston OF MEDICAL-MORALS Sisters i [[Providence Seattle

PROJECT HELP Holy Rosary Hospital Miles City, MT

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 69 + 1979 + 1982 FAMILY HEALTH ASSOCIATES DUTCHESS COUNTY CRIME VICTIMS St. Man's Hospital ASSISTANCE PROGRAM Rochester, NY St. Francis Hospital Poughkeepsie, NY HOSPITAL WITHOUT WALLS St Francis Hospital LAY MINISTRY TO THE SICK LaCrosse.WI AND AGING St. Benedict Hospital and Nursing Home SAINT ANN FOUNDATION San Antonio Sisters of Charity of St. Augustine Cleveland SHARE PROGRAM St. John's Hospital Springfield. IL + 1980 YEARS OF CHANGE: A SENSITIVE INSTITUTE OF RENAL DISEASES LOOK AT GROWING UP St. Francis Hospital \ [onolulu Saint Anthony's Hospital Alton, IL LA CASA DE LOS NlNOS CRISIS NURSERY Tucson. AZ + 1983 AMELIA HEALTH CARE CENTER TEENAGE PREGNANCY PROGRAM St. Mary's Hospital St. Margarets Hospital for Women Richmond, VA Boston INDIAN HEALTH SERVICE MATERNAL/CHILD OUTREACH CLINICS + 1981 Sacred Heart Hospital et al. GEORGETOWN VOLUNTEER Yankton, SD MEDICAL TEAM Georgetown University School of Medicine KIDS GROUP Washington, DC St Anthony's Medical Center St. Louis TENSAS RURAL CLINIC Sisters of Charity of the Incarnate Word REGIONAL HEALTH I louston INFORMATION CENTER Hospital of Saint Raphael New Haven, CT

70 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS + 1984 + 1986 CATHOLIC HEALTH CORPORATION PROJECT MAGIC Sisters of Mercy, Province of Omaha Daniel Freeman Memorial Hospital Omaha Ingle wood, CA

CHILD ABUSE AND NEGLECT SUPPORTIVE CARE PROGRAM PREVENTION PROGRAM FOR INDIVIDUALS WITH AIDS Mount CarmelMercy Hospital St. Vincent s Hospital and Medical Center Detroit New York City

CHILD ABUSE MANAGEMENT/ TRADITIONAL INDIAN MEDICINE'S SEXUAL ABUSE MANAGEMENT TEAM ROLE IN THE CARONDELET Cardinal Glennon Memorial Hospital HEALTH SYSTEM St. Louis St. Mary's Hospital and Health Center Tucson, AZ INTERNATIONAL HEALTH PROGRAM Sisters of Mercy Health Corporation Farmington Hills, MI + 1987 HEALTHY MOMS AND BABES Program for the Medically Underserved + 1985 of Cincinnati DWELLING PLACE Cincinnati Franciscan Sisters of Allegany Allegany, NY RISEN PROGRAM (RE-INVESTING SPIRITUALITY KIDS ON THE BLOCK AND ETHICS IN NURSING) St. Mary s Hospital Auxiliary Catholic Health Association of Wisconsin Galesburg, IL Madison, WI

MENTAL HEALTH SERVICES FOR HEARING IMPAIRED PERSONS + 1988 St. John s Hospital and Health Center CHURCH PROGRAM Santa Monica, CA Mercy Catholic Medical Center Darby, PA ROSARY HALL PROGRAM St. \ intent Charity Hospital and Health Center INTERNATIONAL CENTER Cleveland FOR SKELETAL DYSPLASIA St. Joseph Hospital Towson, MD

+ 1989 CATHERINE KASPER CENTER East St. Louis, IL

PARISH NURSE MINISTRY Columbus-Cabrini Medical Center Chicago

HEALTH PROGRESS SEPTEMBER - OCTOBER 1995 • 71 + 1990 + 1993 THE BRIDGE DRUEDING CENTER/ Our Lady oj'Lourdes Medical Center PROJECT RAINBOW Camden, NJ Holy Redeemer Health System Philadelphia A COMMITMENT CONTINUED: CENTRO SAN VICENTE INDOCHINESE PSYCHIATRIC CLINIC Daughters ofCharityWest Central Region St. Elizabeth s Hospital of Boston El Paso, TX Brighton, MA

SISTERS CARE ST. ELIZABETH HEALTH CENTER Sisters of St Joseph oj'Carondelet Daughters of Charity National Health System- St. Paul West Central Gould, AR + 1991 APPALACHIAN OUTREACH PROGRAM + 1994 Saint Joseph Hospital COMPREHENSIVE AIDS RESOURCE Lexington, KY EDUCATION PROGRAM (C.A.R.E.) St. Mary Medical Center INFANT MORTALITY PROJECT Long Beach, CA .1 lie// iga 11 Catholic Systems Leaders!i ip Farmington Hills, MI OPERATION SAFETY NET The Mercy Hospital of Pittsburgh Pittsburgh + 1992 CATHOLIC CHARITIES SEXUAL ASSAULT CENTER PHYSICIAN REFERRAL SERVICE Providence Hospital Catholic Charities of Chicago/ Everett, WA Alexian Brothers Health System Rolling Meadows, IL

CLARK STREET HOUSE OF MERCY Mercy Foundation Des Moines

SCL HEALTH SERVICES CORPORATION CLINICS Sisters of Charity of Leavenworth Health Services Corporation Leavenworth, KS

72 • SEPTEMBER - OCTOBER 1995 HEALTH PROGRESS