This organization truly stands out as a unique and powerful unit. With its multidisciplinary approach, it creates a safe, trusting, and respectful environment for all unhoused individuals in the Dallas-Fort Worth (DFW) area. The nursing unit within this organization is a force to be reckoned with, delivering high-quality medical care to the underserved homeless population. As nurses caring for this particular population, they have witnessed firsthand the challenges and requirements of these patients at various levels. Given that the majority of these patients only visit the clinic when absolutely necessary, it is indeed accurate to say that health is not a top priority on their lists.

When homeless patients seek care at the onsite clinic or mobile medical buses, every moment counts. These dedicated nurses understand the urgency and importance of addressing medical concerns promptly. Their training emphasizes empathy, direct communication, and sensitivity to patient needs.

A patient’s visit can reveal a multitude of stories, unspoken worries, and health challenges. Advocating for what is essential becomes paramount in these moments. By listening attentively and advocating for the patient’s well-being, these professional nurses play a crucial role in supporting those experiencing homelessness. 

Last year, our population faced significant challenges related to daily mobility and behavioral well-being. In the third quarter of 2023, our nurses were proactively involved in the foot assessments for every patient in our unit. Additionally, they administered the PHQ9 depression questionnaire as part of the initial diagnostic process.

Indeed, these nurses' commitment to delivering quality health care to this demographic is unmatched. One day a patient came for a state ID only wanting to have a medical record and initially resisted the nurse’s foot exam, ashamed of his feet’s odor. Many patients are embarrassed by their health issues, especially those related to hygiene. As part of their screening process, the nurse patiently explained the situation and reassured the patient that he was not being judged. The patient agreed eventually to the exam which revealed a bone infection in his great toe. They sent him to the Parkland emergency department for immediate treatment, where he was diagnosed with a bone infection. The nurse’s care and attention prevented him from suffering worse outcomes.

Another screening commitment for these nurses is the screening for PHQ9 during patient visits is commendable. The increase from 6% to 13% in referrals and behavioral contact for patients in need of counseling may appear modest numerically, but it signifies a substantial effort and impact. The increase in referrals and behavioral contact for patients who scored high on the PHQ9 shows that the nurses are attentive to the mental health needs of their patients and are taking action to help them. This can have a positive impact on the patient's quality of life, as depression can affect many aspects of their physical, emotional, and social well-being.

We believe in our organizations that these screenings are vital for the well-being of every patient we encounter every day in our clinic.