Drop-in center for people living with HIV/AIDS. Services include hot breakfasts and lunches, access to phones, a mail drop, computers with internet access, TV, VCR, clothing, shower, and hygiene supplies. Clients have access to washer, dryer, massage, acupuncture, foot care, and haircuts by signup. Recreational activities include art therapy, games, and other activities. Our Daily Bread Express program delivers meals directly to those who are homebound with HIV.

HIV Services offered by Ecumenical Ministries of Oregon at HIV Day Center

The HIV Day Center is a drop-in center for people living with HIV/AIDS. Services include hot breakfasts and lunches, access to phones, a mail drop, computers with internet access, TV, VCR, clothing, shower, and hygiene supplies.

Public or private facilities for washing, drying and ironing clothes that are available to homeless people, travelers and other individuals who do not have access to private laundry facilities.

Laundry Facilities

Programs that provide classes, individual lessons or other opportunities for people who want to learn or perfect their skills and techniques in any of a variety of visual art forms or crafts.

Arts and Crafts Instruction

Programs that are staffed by specialists who provide comprehensive preventive, diagnostic, and treatment services for individuals who have diseases of or injuries to the feet. Conditions treated may include bacterial and fungal infections, skin and nail disorders, benign and cancerous tumors, congenital and acquired foot deformities and foot problems caused by illnesses such as diabetes, arthritis and cardiovascular diseases. Treatment includes use of surgical procedures, casting or other forms of immobilization and the prescription of corrective devices, oral and locally injected medication and physical therapy. Included are services provided by podiatrists, chiropodists and other foot care specialists. Foot care may also be provided by nurses. Podiatrists are health professional specialists with a Doctor of Podiatric Medicine degree.

Podiatry/Foot Care

Programs that provide an alternative, non-residential environment that people with any of a variety of issues can visit on an informal basis to find mutual support and access to social and recreational activities. People can drop by whenever they like without the need to make an appointment and have the option of participating in whatever activities are currently underway.

Drop In Centers

Programs that produce regional anesthesia, eliminate or reduce pain or treat other health problems by passing long needles through the skin to specific points. The free ends of the needles are twirled or in some cases used to conduct a weak electrical current to increase stimulation at the desired point. In some cases moxibustion is used in combination with traditional acupuncture to enhance the treatment. Moxibustion involves the burning of dried herbs (mugwort) at or near specific acupuncture points or whole areas of the body. Benefits come both from the heat of the smoldering leaves and from the nature of the herb itself.

Acupuncture

Programs that provide opportunities for people of all ages to learn, become competitive in and enjoy the organized recreational activity, sport or game of their choice. These programs may be offered by local clubs devoted to a particular activity or sport; may provide individual or team coaching assistance or instruction, access to equipment and facilities, and uniforms, if necessary; and may sponsor or make arrangements for athletes to participate in amateur competitions, usually at the local, regional or state level, and provide officials for games. These events are generally for the enjoyment of the athletes and are not at a high enough competitive level to be considered spectator sports.

Recreational Activities/Sports

Programs that provide clothing for people who need it. Available items depend on what has been donated and is on hand at any given time. The collection may include but does not specialize in children's clothes, work clothes, maternity clothes and shoes.

General Clothing Provision

Programs that provide hot meals on a regular basis primarily for older adults who may be at risk for nutritional deficits and social isolation without assistance. Congregate meals are often combined with recreational, educational and social activities, and programs may include access to health services and/or information. Some programs are also open to caregivers, spouses and/or adults with disabilities.

Congregate Meals/Nutrition Sites

Programs that prepare and regularly deliver meals to older adults, people with disabilities and others who have difficulties shopping and/or preparing food for themselves or traveling to a site where a meal is being served.

Home Delivered Meals

Public or private organizations that provide showers, baths or other facilities where homeless people, travelers and others who do not have access to private bathing facilities can wash. Included are permanent shower facilities as well as mobile installations that can be moved from place to place. Also included are organizations that provide vouchers that people can use to access bathing facilities.

Public Showers/Baths

Programs that provide an address for individuals who have no permanent residence and who need an address to apply for public assistance, or for travelers who need a place where mail can be sent.

Temporary Mailing Address

Programs that pay for or provide soap, shampoo, toothbrushes, toothpaste, mouthwash, combs, brushes, cotton swabs, deodorant, facial tissue, toilet paper and other personal hygiene/grooming supplies for homeless people and other individuals who need them.

Personal/Grooming Supplies

Programs that provide access to a telephone for homeless people and others who need to make a call and are unable to pay for it.

Telephone Facilities

Programs, often available through senior centers, neighborhood centers, homeless shelters or  drop in centers, or other similar organizations, that offer the on-site services of beauticians, barbers and/or manicurists for people who need to have their hair or nails done. Services may include hair coloring treatment, permanent waves, haircuts, shaves, wash and sets, manicures and cosmetic pedicures which improve the appearance of the feet and toenails. Also included are programs that provide haircuts for homeless people, children from low-income families returning to school and other targeted individuals.

Hair and Nail Care

Programs, often offered by libraries, cyber cafes, and a variety of other government, nonprofit or proprietary organizations, that provide on-site Internet-enabled computers for public access.

Public Internet Access Sites

Homeless drop-in youth clinic offers general health care services, including: 
- General physical exams
- Psychiatric care, including evaluations, medication management and referrals
- Sexual transmitted infection (STI) testing. 
- Birth control including oral contraceptive pills (OCPs), emergency contraception (Plan B), and condoms. 
- Upper respiratory problems
- Dermatological problems, including lice and scabies

Medical Services offered at HMC Youth Clinic

Homeless drop-in youth clinic offers general health care services, including exams, contraception, STI testing, psychiatric evaluations and services, and limited acupuncture.

Programs that prescribe and/or supply birth control pills which are taken within 72-120 hours of having sexual intercourse to prevent an unintended pregnancy. Emergency contraception may be provided in the form of Plan B (2 pills), a large dose of regular birth control pills (two or four pills twice during a 12 hour period) or through insertion of a copper IUD.

Emergency Contraception

Programs that utilize a variety of means to evaluate the mental or emotional status or functioning of people who may be experiencing acute or chronic disturbances. Diagnostic techniques may include observation of the person's behavior, interviews with the individual and significant others, psychological testing as indicated, medical examination, assessment for psychotropic or other medication, and the formulation of an appropriate, ongoing treatment plan which may include voluntary or involuntary hospitalization.

Clinical Psychiatric Evaluation

Programs that prescribe and/or supply temporary devices for preventing pregnancy which may include oral contraceptives (birth control pills), hormonal injections (Depo-Provera), intrauterine devices (IUDs), the patch, the sponge, cervical caps, condoms, foam, the vaginal ring and diaphragms.

Contraception

Programs that are staffed by specialists who have expertise in the study, prevention, diagnosis and treatment of diseases and conditions that are common in individuals who are in their teens.

Adolescent Medicine

Programs that identify individuals who have contracted gonorrhea, syphilis, genital herpes or other infections that are spread by sexual contact and diagnose their conditions. The procedure includes visual examinations, blood tests and analyses of discharge or samples taken from lesions.

Sexually Transmitted Infection Screening

Programs that offer family planning services including pregnancy counseling, birth control and pregnancy testing which are especially designed to meet the needs and concerns of teenage individuals who are pregnant or are concerned about becoming pregnant or impregnating.

Teen Family Planning Programs

Programs that utilize laboratory procedures to determine whether an individual is pregnant or which provide access to devices for establishing pregnancy that people can use at home.

Pregnancy Testing

Programs that specialize in the treatment of adolescents, usually age 12 or 13 through 17, who have adjustment problems, behavior problems, emotional disturbance, a personality disorder or incipient mental illness. The programs may help youth troubled by low self-esteem, social isolation, peer pressure, bullying, school performance issues, truancy, anger management issues, family problems, grief and loss, sexual promiscuity, sexually transmitted infection, alcohol or drug addiction, eating disorders, oppositional and defiant behaviors, depression and anxiety, suicidal thoughts or other difficult issues.

Adolescent/Youth Counseling

Operates drop-in homeless youth clinics.  
Offers confidential health services, including treatment for general illness, physical exams, sexually transmitted infections including HIV, mental health counseling, pregnancy testing, birth control, confidential HIV testing, injuries and gender-affirming care.  
Also provides case management; helps clients enroll in ORCA Lift; offers dental care referrals; helps connect clients to PrEP.

Medical Care for Homeless Youth offered by Neighborcare Health's 45th Street Clinic

Offers confidential medical care, including mental health counseling, alternative medicine, family planning and STI screening for youth ages 12-26 who are currently or recently homeless or unstably housed.

Routine health care provided by internists, pediatricians, family medicine specialists, gynecologists, obstetricians, nurse practitioners, midwives, physicians' assistants or other health care providers who serve as the first point of contact with the health care system. Services focus on the prevention and early detection of health problems through regular physical examinations, blood pressure checks, mammograms and other similar procedures as well as therapeutic services for people who do not require specialty care.

General Medical Care

Programs that provide counseling services for individuals at risk for contracting or transmitting the HIV virus with the objective of supporting their ability to make behavior changes that will reduce their risk of acquiring or transmitting HIV. Counseling involves a personal risk assessment, development of a personalized action plan and the decision to seek an HIV test. Individuals who have a history of injection drug use, unprotected intercourse or sexual contact, sexual activity at a young age, multiple sex partners, sexually transmitted infection, and/or sex trade work are considered to be at high or increased risk and are targets for prevention counseling.

AIDS/HIV Prevention Counseling

Programs that provide comprehensive preventive, diagnostic and treatment services for people who have contracted gonorrhea, syphilis, genital herpes or another infection that is transmitted by sexual contact. Treatment usually involves an investigation of recent contacts of people who have been infected to stop the spread of the infection .

Sexually Transmitted Infection Treatment

Programs that offer HIV tests which are used to identify individuals who have been infected with the Human Immunodeficiency Virus (HIV) and are at risk for developing AIDS (acquired immune deficiency syndrome) or which are used to measure progression of the disease in people known to be infected. The most common HIV screening test is the enzyme immunoassay (EIA) which most frequently uses peripheral blood drawn from the arm or a finger as a sample, but can also be conducted using serum, oral fluids or urine. Repeatedly reactive EIA tests are confirmed using the Western blot or the immunofluorescence assay (IFA). The most common test that is used to measure disease progression is the PCR (polymeraise chain reaction) or viral load test. Many programs that provide HIV testing also provide pre-testing and post-test counseling which includes information about AIDS/HIV, reducing risks for HIV transmission, emotional support to help the individual deal with the testing process and test results, and information about and referral to other AIDS-related services.

HIV Testing

Consumer-based, community-controlled, nonprofit outpatient facilities that provide basic health care including physical examinations, immunizations, family planning, nutrition assistance and diagnosis and treatment of common ailments for low income people, people who are homeless or uninsured/underinsured or other medically underserved populations that are geographically, economically and culturally challenged. Services are generally provided on an ability-to-pay basis. In the U.S., most community clinics are part of the network of Federally Qualified Health Centers, and many are known as "free clinics".

Community Clinics

Programs that utilize an approach to health and healing which relies on a combination of natural treatments including dietetics; therapeutic fasting; nutritional supplements; medications of plant or animal origin; exercise; therapeutic manipulations of muscles, bones and the spine; acupuncture; homeopathic medicine; diagnostic radiology and other imaging techniques; and minor surgery. Major surgery and utilization of synthetic drugs are not employed.

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Focus Population

Age Group

HIV Services offered by Ecumenical Ministries of Oregon at HIV Day Center

Medical Services offered at HMC Youth Clinic

Medical Care for Homeless Youth offered by Neighborcare Health's 45th Street Clinic