Jacqueline has struggled with numerous health problems throughout her life. She was diagnosed with diabetes fifteen years ago. At the time she had no insurance which made affording medication and doctor appointments expensive. She was ecstatic when she came to Foothills’ Healthcare for the Homeless program in 2010. She was warmly welcomed by staff and today everyone at the clinic knows her.
Foothills’ Healthcare for the Homeless program has been providing a wide array of health care and related services to Powell and surrounding counties since 2005. Services are provided at the Health & Wellness Center in Powell County include health, counseling, and supportive services. The center provides comprehensive medical services including physical examinations, immunizations (limited), office and laboratory testing, care for acute and chronic health problems, and Well-Woman exams. The program also serves Estill County by providing transportation to the center. The center provides quality holistic behavioral health services to its patients that include behavioral health counseling, substance abuse counseling, anger management, and parenting classes. Realizing that patient needs often extend beyond their immediate health care needs, the clinic provides prescription assistance, transportation to appointments, vouchers for dental and eye exams, case management, and help with Benefind (Medicaid applications). The center accepts Medicaid, Medicare and most private insurance. It also offers a sliding fee program that can provide discounts on fees and co-pays (based on income). The center has been recognized by the National Committee for Quality Assurance as a Level Two Patient Centered Medical Home. As a PCMH, Foothills strives to give the care patients need when they need it. The center also strives to give the care that meets patients’ needs and fits with their goals and values; gives care that is based on quality and safety; respects privacy; respects patients as individuals; and makes sure patients know and understand all of their options for care.
Staff helped Jaqueline understand her diabetes and gave her practical tools and resources to improve her health. She depends on her care coordinator to help her schedule appointments and for transportation. “Can you believe that they pick me up and bring me to the clinic?,” she exclaimed. “They treat me great!”
Jaqueline has had severe foot complications. Most recently she’s had to deal with a diabetic foot ulcer. Having had a toe amputated due to the disease in the past, the stress of having the ulcer has severely magnified. She was able to talk to a counselor at the clinic. Today she is walking normally with a fully-healed wound.
With the help of Foothills, Jaqueline was able to enroll in the clinic’s prescription assistance program. “It’s so hard to cope with everything,” she said. “They really helped me manage my disease.”
She continues to receive the care and compassion she needs at the clinic by keeping regular appointments. The clinic has also helped Jaqueline manage her chronic obstructive pulmonary disease (COPD), coordinate referrals to different specialists (cardiologist, podiatrist, and gynecologist), and apply for disability. “I’m so grateful for the clinic,” said Jaqueline. “I don’t know what I would do without them. They take care of all of my needs.”
To be eligible for Healthcare for the Homeless services individuals must be homeless. An individual is considered homeless if they are without permanent housing. They may live on the streets, ‘doubled up’ with friends and/or extended family members, stay in a shelter, mission, single room occupancy facilities, abandoned building or vehicle, or in any other unstable or non-permanent situation. People who pay a disproportionate amount of their income toward housing expenses may also qualify for the program.