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Health Care for the Homeless of Maryland began as part of a nationwide demonstration project funded by the Robert Wood Johnson Foundation, the Pew Charitable Trust and the US Conference of Mayors.

In 1985, HCH operated two small clinics in My Sister’s Place, a day shelter for homeless women, and Christopher Place, a shelter for homeless men. Each clinic served between 8 and 15 people per day.

By 1987, the organization consolidated both clinics in a central location and moved to its current 111 Park Avenue facility in 1992.

Today, between 150-200 people come to the clinic each day seeking medical care, mental health services, social services and addiction treatment. HCH also provides funding to the Children’s Health Outreach Project of Mercy FamilyCare and to clinics in Frederick and Montgomery County. Statewide, HCH provided its comprehensive range of services to approximately 8,500 different men, women and children last year – only a small fraction of the 50,000 Marylanders thought to experience homelessness during the same time period.

Timeline

2005: HCH marks its twentieth anniversary and begins studying possible sites for a new facility. A Board and staff committee completes a 3-5 year strategic plan which re-affirms the HCH mission statement and adopts four strategic goals: service expansion, enhanced financial development, capital planning, and expanded advocacy capacity. HCH begins providing medical outreach at You Are Never Alone (YANA), a program for indigent women. Average number of clients seen per day at HCH: 130-150. Number of staff: 100

2004: To address growing demand, HCH expands its hours by opening at 7:30 each morning. Staff document more than 2,000 occasions of turnaway due to limited resources. HCH receives funding from the state AIDS Administration to implement “rapid HIV testing.” Baltimore City voters approve by 89% a $1.3 million capital bond for a new HCH facility. The Maryland General Assembly authorizes a $1.6 million capital grant. The U.S. Census Bureau announces that 45 million Americans (750,000 Marylanders) lack health insurance – the largest number in HCH’s history.

2003: HCH is re-accredited by the Joint Commission on Accreditation of Healthcare Organizations. HCH restructures again: a jail diversion initiative, the Cornerstone project, is born and the Mental Health Case Management and Intake Services teams are created. Having outgrown our 111 Park Avenue facility, staff begins meeting with city and state officials to identify the location and resources necessary to build a new and expanded clinic. CareFirst BlueCross BlueShield and the Baltimore Ravens choose HCH as beneficiary of their Community Touchdown Program – raising more $33,000.

2002: HCH begins participation in the federal Diabetes Collaborative to improve health outcomes for homeless individuals with diabetes. The External Affairs Team is created, uniting under one functional team the agency’s public policy, financial development, community relations, and public benefit education staff. HCH initiates new drug purchasing program in partnership with Mt. Vernon Pharmacy – allowing for a reduction in prescription costs. Average number of clients seen per day: 100-120. Number of clients served in Baltimore : 4713. Number served statewide: 7830.

2001: HCH receives commendation from the federal government for leadership in the delivery of HlV/AlDS care. The Maryland Department of Health and Mental Hygiene provides a capital improvement grant allowing HCH to redesign the first floor and add 15 additional work spaces throughout the building. Baltimore completes multi-year demolition of its high-rise public housing complexes – resulting in a significant loss in affordable housing units.

2000: Health Care for the Homeless becomes the first independent HCH project in the country to receive accreditation from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The Board of Directors adopts a new mission statement: "We provide health-related services, education and advocacy to reduce the incidence and burdens of homelessness." The accompanying strategic plan reaffirms the agency’s commitment to advocacy and expands services to certain populations at risk of homelessness. HCH receives a large grant from the Department of Housing and Urban Development to provide housing support services to people with HIV/AIDS; the Connect Team is born. Number of staff: 74

1999: A local "redevelopment" bill threatens to condemn the 111 Park Avenue clinic; HCH launches a successful state-wide advocacy campaign to save the building and maintain accessible services in downtown Baltimore .. “United for Progress,” a homeless voter registration campaign produces 5,000 pledges for anti-poverty policies.

1998: Under new leadership, HCH restructures, reducing administrative costs. A staff committee focuses on diversity and participatory democracy. The agency enters a partnership with the Pfizer Foundation to make managed care work for vulnerable populations. The HCH Mental Health Team enters a partnership with University of Maryland Medical Systems and is certified as an outpatient mental health clinic. The “Viola Project” is born, a targeted addiction treatment initiative for homeless men and women.

1997: HCH receives state certification for its outpatient addiction treatment program. The Writers’ Group is organized. Consumers are added to the HCH Board of Directors. HCH begins the Physicians’ Advocacy Campaign, a financial development program headed by prominent Baltimore-area doctors.

1996: HCH forms an Addiction Team to conduct outreach and operate an in-house treatment program. HCH advocacy results in Medicaid managed care legislation recognizing people experiencing homelessness as a "special needs population" with the right to enhanced services.

1995: HCH marks its tenth anniversary. The Governor eliminates financial assistance for individuals with disabilities. HCH helps mobilize a successful State-wide advocacy effort to restore financial and medical assistance to persons with disabilities. In July, Baltimore Magazine gives HCH a Best of Baltimore award for its mobilization efforts. The Art Expressions Group is born. Number of staff: 45

1994: Due to the increasing number of clients in need of medical attention, a formalized "triage" system begins at the clinic. HCH receives its first policy advocacy contract – from the National Health Care for the Homeless Council.  

1993: HCH provides increased HIV services through Ryan White Title I funding in collaboration with Johns Hopkins’ Moore Clinic. A federal grant makes possible the computerization of the entire agency, allowing intake and registration services to flow more smoothly. HCH organizes busloads of staff and clients, beginning an advocacy effort which would restore partial medical coverage for individuals with disabilities.

1992: HCH outgrows its facility and relocates, along with other homeless service organizations, to The Center at 111 Park Avenue . HCH begins providing children’s services through the University of Maryland . The State of Maryland announces the elimination of Medical Assistance, State-Only (MASO) – the primary source of medical care for vulnerable single adults. Average number of clients seen per day: 75-80. Number of clients served in Baltimore : 3988. Number served statewide: 6630.

1991: In response to increasing rates of substance use in Baltimore , HCH hires its first addiction specialist to concentrate in dual diagnosis. The state eliminates funding for long-term residential and non-hospital detoxification centers, which significantly reduces access to addiction treatment. HCH also hires its first pediatric nurse to respond to increasing numbers of homeless children.

1990: The Vision Van, through the Maryland Society for Sight, begins providing eye care services at HCH. Staff organize the first Annual Comedy Care, a local fundraising event modeled after Comic Relief. HCH begins its relationship with the Lutheran Volunteer Corps and creates a Baltimore County program.

1989: Mitch Snyder, nationally recognized homeless advocate, hits the streets of Baltimore with HCH outreach workers. HCH expands to Frederick and Montgomery County . The agency convenes its first Annual Meeting, becomes partially computerized, and develops its first Strategic Plan, which incorporates policy advocacy. Number of individuals served statewide: 4013.

1988: HCH adds a formalized volunteer program and incorporates as a private nonprofit agency. The previous "governing board" becomes the first Board of Directors.

1987: HCH relocates to a centralized clinic (an old savings & loan building) at 232 N. Liberty Street . The clinic offers more comprehensive medical care, mental health services, social work services, referrals, and educational programs. Outreach efforts to shelters and soup kitchens are increased. Average number of clients seen per day: 35-40. Number of individuals served: 2499.

1986: The first Comic Relief show takes place in L.A. Billy Crystal, Whoopi Goldberg and Robin Williams head a group fifty comedians in an event to benefit the National Health Care for the Homeless Program. HCH is a recipient of funds.

1985: Made possible through a research demonstration grant from the Robert Wood Johnson Foundation, the Pew Charitable Trust and the U.S. Conference of Mayors, HCH begins providing primary medical care at two day shelters operated by Catholic Charities: My Sisters Place and Christopher Place , for women and men, respectively. The program is run by the Health & Welfare Council of Central Maryland. Average number of clients seen at each clinic per day: 15. Number of individuals served: 734. Number of staff: 4

1984: A Baltimore coalition sends a letter of intent to Dr. Philip Brickner, director of the National HCH Program. Dr. Brickner had been working to meet the needs of people without homes since 1969. The Health and Welfare Council of Central Maryland submits a proposal to the National Program.

1983: The Robert Wood Johnson Foundation, the Pew Charitable Trust and the US Conference of Mayors announce plans to begin funding for the National Health Care for the Homeless Program.