Title : A mobile clinic uses harm reduction and street medicine principles to address mental health in at risk populations in Eastern Puerto Rico
Abstract:
Methods: Using quantitative methods, we evaluated our mobile health clinic program, La Movil. We collected data on participant encounters from monthly reports and non-electronic chart reviews. In addition to demographic data, we evaluated engagement with mental and physical health services and case management and referrals to medication assisted treatment centers, housing, and primary care clinics.
Results: From January 2022 to October 2023 our mobile services served 279 participants in 8 municipalities. One or more professionals provided services via a social worker, case manager, nurse, psychologist and physician. Of 1393 encounters, 26.78 % were for mental health services, 15.22% for health screenings and 12.2% for wound care. 902 encounters included harm reduction related counseling The mobile team placed 222 referrals for medication assisted treatment for substance use disorders, primary medical homes, wound care, housing, and official documents.
Conclusions: By reaching out to marginalized populations, the mobile clinic enhances direct access to services for individuals who face barriers to traditional healthcare. Substance use and homelessness is a leading cause of morbidity and early mortality in adults worldwide. Mobile harm reduction strategies contribute to public health by preventing consequences related to infectious diseases and overdoses. The mobile clinic provided continuous psychology related services most frequently. Mental health encounters were most utilized among adults 44-65 years old. This proactive approach can identify underlying health and social issues and connect individuals with appropriate care.
