Foothills Health & Wellness Ctr.

Foothills Health and Wellness Center Brochure

The clinic can serve eligible patients from Powell and surrounding counties. Staff rotate between Powell and Estill Counties.

At the Foothills Behavioral Health Clinic in Estill County we operate a licensed Outpatient Substance Use Disorder Program, Behavioral Health Program and employ Certified Alcohol and Drug Counselors to provide outpatient substance abuse counseling. Transportation may be provided to patients who need assistance.

FHWC is an FTCA covered entity and its employees are covered individuals under 42 USC 233.  FHWC receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

Foothills Health and Wellness Center has been recognized as a Health Center Quality Leader by HRSA. The center was among the top 10% of all HRSA-supported health centers that achieved the best overall clinical outcomes, demonstrating high-quality across clinical operations.

KRFDC serves men, women and children through a community-oriented, primary care setting where they can address a wide variety of medical needs. KRFDC is the only recipient of federal grant funding to provide primary health care services exclusively for vulnerable homeless individuals and families in Powell and surrounding counties.

Medical Services
KRFDC provides comprehensive medical services including exams, screenings, health education, and referrals for specialty medical care. Our medical care services include:

• Physical examinations
• Immunizations (limited)
• Office and laboratory testing
• Care for acute health problems
• Treatment for chronic health problems
• Well-Woman Exams
• Vivitrol
• Hepatitis C Treatment

The most common primary diagnoses of adult individuals served by the KRFDC Health & Wellness Center include:

• Hypertension
• Diabetes
• Obesity
• Metabolic Syndrome
• COPD (Chronic Obstructive Pulmonary Disease)
• Depression disorders
• Anxiety
• Heart disease
• Substance use disorder
• Hypothyroidism

Staff also provide education to clients about health management and disease prevention.

FHWC practices evidence-based medicine by integrating clinical experience and patient preferences and values with the best available external clinical evidence from systematic research.  Evidence-based medicine focuses on patient’s most important preventive or illness-related needs.  Evidence suggests that patients with multiple and/or complex conditions benefit from intensive clinical management.

Prescription Assistance
KRFDC maintains a Patient Prescription Program that provides low cost medications to uninsured patients who qualify. Clients pay a low-co pay (approximately $2) for the prescription medications provided through the program. KRFDC does not operate an on-site pharmacy, nor does any medication stay in the Health & Wellness Center.

Mental Health Services/Substance Use Disorder
Mental Health Flier

KRFDC provides quality holistic behavioral health services to its patients.  Our mental health services/substance use disorder services include:

• Crisis intervention
• Ongoing therapy and outpatient treatment
• Case management and care coordination
• Access to supportive housing
• Referrals to other internal and external services, as appropriate
• Outpatient Substance Use Disorder Services
• Linkages with residential substance abuse disorder providers
• Medication Assisted Treatment – Vivitrol

Outreach & Supportive Services
KRFDC provides a full array of services for our patients’ beyond their health care needs. Our Outreach & Supportive Services include:

• Crisis intervention
• Case management and care coordination
• Casework to secure food, shelter, clothing, and other emergency assistance
• Ongoing therapy
• Public benefits assistance
• Housing location and maintenance
• Information & referral
• Nutritional counseling

Nutritional counseling is also available with a registered dietitian for diabetes, cardiovascular disease, and weight management.
Nutrition Counseling Flier

Other Services
KRFDC believes that good oral health is part of an individual’s overall well-being and also contributes to self-esteem. Limited dental services may be arranged for patients. When a patient presents with a dental problem, a referral is made to the Frenchburg Dental Clinic.

When funding is available, KRFDC provides the following vouchers:

• Dental
• Vision
• Pharmacy
• Dentures

The Health & Wellness Center has received NCQA Patient-Centered Medical Home (PCMH) Recognition for using evidence-based, patient-centered processes that focus on highly coordinated care and long‐term, participative relationships

The NCQA Patient-Centered Medical Home is a model of primary care that combines teamwork and information technology to improve care, improve patients’ experience of care and reduce costs. Medical homes foster ongoing partnerships between patients and their personal clinicians, instead of approaching care as the sum of episodic office visits. Each patient’s care is overseen by clinician-led care teams that coordinate treatment across the health care system.  Research shows that medical homes can lead to higher quality and lower costs, and can improve patient and provider reported experiences of care.

NCQA Patient-Centered Medical Home Recognition raises the bar in defining high-quality care by emphasizing access, health information technology and coordinated care focused on patients.  Foothills Health and Wellness Center has the tools, systems and resources to provide its patients with the right care, at the right time.

To earn recognition, Foothills Health and Wellness Center demonstrated the ability to meet the program’s key elements, embodying characteristics of the medical home.

A Patient Centered Medical Home is a trusting partnership between a healthcare team and an informed patient. KRFDC strives to:

• Provide comprehensive care with a team of care providers.
• Your care team might include physicians, advanced practice nurses, nurses, dietitians, mental health providers, educators, and care coordinators.
• Address physical and mental health care needs, including prevention and wellness, acute care, and chronic care.
• Partner with patients and their families respecting each patient’s unique needs, culture, values, and preferences.
• Recognize patients and families are core members of the care team, and ensure that they are fully informed in establishing care plans.
• Coordinate care and promote clear communication with specialty care, hospitals, home health care, and community services and supportive services.
• Inform patients/families/caregivers about care obtained outside the medical home.
• Deliver accessible services with shorter waiting times for urgent needs, enhanced in-person hours, around-the-clock telephone access to a member of the care team, and alternative methods of communication, such as patient portal.
• Demonstrate a commitment to quality and quality improvement by ongoing engagement in activities.
• Measure and respond to patient experiences and patient satisfaction.

Click here to read more.

Outpatient Substance Use Disorder Program Flier

KRFDC provides quality outpatient treatment for persons, aged 18 and older with alcohol and/or other substance use disorder problems. KRFDC’s Outpatient Substance Use Disorder Services helps clients understand the concept of addiction as a disease, take responsibility for the consequences of their addiction and be accountable for their recovery, as well as remain abstinent.

KRFDC’s state certified and accredited outpatient program is built on a multi-phase model creating opportunities to achieve and recognize specific goals as a person moves through each level of recovery. The program address denial, powerlessness, unmanageability, and distorted thinking styles. An emphasis is placed on the utilization of twelve-step fellowships to assist clients in achieving and maintaining abstinence from all mood-altering chemicals. Client progress is assessed regularly by clinical staff who develop individualized treatment plans with each client. Clients must meet KRFDC’s Healthcare for the Homeless Guidelines listed below:

Outpatient Services and Components:

• Evaluation/assessment
• Alcohol and other drug education
• Individualized treatment planning
• Individual counseling sessions
• Relapse prevention
• Access to a variety of resources
• Introduction to 12 Step recovery principles and self-help groups
• Drug screens when required
• Vivitrol
• Hepatitis C Treatment

KRFDC is certified by the State of Kentucky as an Outpatient AODE (Alcohol & Other Drug Entity) Treatment Program. This program is available to persons in Estill and surrounding counties.

Patients must schedule an appointment with the KRFDC to receive a referral to the program.

To learn more about KRFDC’s Outpatient Substance Abuse Disorder Services or to make a referral, call (606) 663-9011 (Powell County location) or (606) 531-2012 (Estill County location).

Powell County, 108 12th Street, Clay City, KY 40312
Estill County, 100 Tyler Lane, Irvine, KY 40336

Our Consumer Advisory Committee meets to advise the KRFDC board and staff concerning a broad range of program implementation issues including: which services are being provided, hours of operation, general policies of the program and program development and management. All advisory board members are past or current patients of our clinic and community members.

Health & Wellness Center
(Healthcare for the Homeless Program)
108 12th Street
Clay City, KY 40312
(606) 663-9011

Hours:
Monday 8 a.m.- 7 p.m.
Tuesday – Friday 8 a.m. – 5 p.m.

Estill County Office Location
Behavioral Health Services Only
100 Tyler Lane
Irvine, KY 40336
(606) 531-2012

Hours:
Monday – Friday 8 a.m. – 4 p.m.

IF YOU HAVE A MEDICAL EMERGENCY, PLEASE CALL 911 OR GO TO THE NEAREST EMERGENCY ROOM.