Open Door Community Health Centers

CELEBRATING 40 YEARS • QUALITY HEALTHCARE • ACCESS for ALL

OPEN DOOR

Community Health Centers

IN MY EXPERIENCE Sydney Fisher Larson Chair, Board of Directors Most of the members of the Board of Directors of Open Door are also patients of Open Door. Just like you, we live, work, play and need health care in this community. As Board Members, we understand the challenges of providing quality health care in a rural area. That is why we take our roles so seriously. We want every member of our community to have access to quality care, and we’re doing a good job: on any given day, more than 700 people are seen for care in an Open Door clinic; over the course of a year, more than 1 out of every 4 people in Humboldt and Del Norte Counties – our friends, coworkers and neighbors – use an Open Door clinic.

In this issue, we are highlighting the Eureka Community Health Center and the Telehealth & Visiting Specialist Center, both located on Buhne in Eureka. These two clinics will relocate to the new clinic we are building on Tydd Street in Eureka, scheduled for opening in September 2012. This new continued on page 8 ➤

TVSC’s Office Manager Sandi Colivas (left) and Site Administrator Sherri Provolt

Lab Lead Lisa Short with patient

Eureka Community Health Center THE WHOLE PERSON

ometimes there just aren’t words for what a person is feeling," says Shari Marchesi, a Eureka Community Health Center (ECHC) patient. “I know what I’m going through emotionally affects my health overall, and my physical health certainly influences my psychological well-being.” Shari can speak first hand to the success of the team approach to care used at ECHC. “My whole health care team is here. They all communicate with each other and with me as we work to meet my unique needs. I’m a registered nurse and I am constantly impressed with the care I receive here. I’ve experienced serious trauma in my life and together with my care team I’m addressing my physical and emotional needs, and working towards wellness goals.”

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Telehealth & Visiting Specialist Center INCREASING THE RANGE OF SERVICES

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pen Door’s Telehealth & Visiting Specialist Center (TVSC) is right across the parking lot from the Eureka Community Health Center on Buhne Street. TVSC opened in 2005, and while it is one of Open Door’s smallest facilities, it offers the most diverse range of services, including evening and Saturday walk-in clinics as well as pediatrics, family medicine, and specialty care.

“Before TVSC, many of our patients were not able to get specialty care locally. They had to travel to Sacramento or San Francisco, and many folks couldn’t afford that,” says Sandi Colivas, TVSC office manager. “Having specialists right here has opened up the opportunity for our providers to deliver the complete range of care our continued on page 2 ➤

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Telehealth & Visiting Specialist Center continued from page 1

patients require.” Sandi explains, “Our specialty providers include an allergist, dermatologist, orthopedist, gynecologist, ophthalmologist, pulmonologist, pediatric behavioral health specialist, a specialist in HIV and Hepatitis C care, a diabetic educator, psychiatrists, and an expanded cardiology and heart health program. These services are available to established ODCHC patients by referral from their primary care provider. Open Door patients with private insurance are usually referred directly to the specialist, but for those without insurance, or who use public insurance, this opens up a whole range of services.”

“Open Door family physicians are great, and they handle a wide variety of health needs, but there are conditions where a specialist is the appropriate provider,” explains Bill Hunter, Open Door’s Chief Medical Officer. “TVSC gives us that option.” Darlene Coop, TVSC Medical Assistant notes, “This clinic is geared to specialty care. The support staff is cross-trained and able to work with a range of providers and patient needs. It is a huge asset for the community.” Sandi adds, “We work in health care and we use health care ourselves as well. As staff we know how we want to be treated when we go to the doctor, and we try to approach each patient with a sense of caring and concern. We work to create a positive environment. We want our patients to feel excited and relieved that they can get the special care they need right here.”

“In addition to the full slate of specialist services we also offer evening and Saturday urgent

care clinics at TVSC,” says Sherri Provolt, site administrator for ECHC and TVSC. “If it’s not a lifethreatening situation, we want our patients to call us before going to the emergency room. Our priority is to have you see your primary care provider or a member of the same care team if we can. If we can’t do that, we have the TVSC evening clinic available so you can be seen the day you call. You don’t have to be an established Open Door patient to use our evening clinic. It is a walk-in clinic, but we suggest calling first.”

HEART CARE

Brandi Shipman has been a medical assistant with Open Door for seven years, and at TVSC the last two years. She is personally invested in the specialty care provided at TVSC, particularly her work with the expanded cardiology program, including the newly established Heart Failure Clinic. “Eight years ago my dad had a heart transplant.

The care he received at Stanford was amazing. Our family had everything we needed. I want to provide that same level of concern and care to others. I try to give our patients my absolute attention because they deserve it. We talk about concerns, fears and needs, and I can bring together the resources to address these issues.”

Under the guidance of David Ploss, MD, Board Certified Cardiologist, the TVSC cardiology and heart health program is open to ODCHC patients referred by their primary care physicians. Other low-income and publicly-insured patients are accommodated as possible. “Our care team is a vital local resource

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for Open possible. At Door pathe Heart tients, Failure and we’ve Clinic, we worked hard check the to expand patient’s the number vital signs, of patients review prewe can scriptions serve.” and medicaDr. Ploss tion use, provides and offer a half-day tools for clinic each self-care. week and Our patients Charmaine can do so Moshermuch to Carbiener, a help themnurse pracselves and titioner who enjoy life has trained again. We extensively work with with Dr. patients to Nurse Practitioner Charmaine Mosher-Carbiener Ploss, sees establish a (left) and Medical Assistant Brandi Shipman patients in care plan (center) with cardiology patient Sam the cardiolfor optimal ogy clinic quality of a full day life. We’re each week. “We see patients for on- doing some of our work in a group going consultation, follow-up servic- setting. We believe patients learn es and care management,” explains good things from each other. They Charmaine. “We review the incomspeak from experience and give ing referrals and work to get the each other important support.” most critical cases in right away.”

Brandi Shipman notes, “We make The care team has been providing sure the patient and the patient’s crucial services to patients with primary care provider have up-tocongestive heart failure for some date medical records regarding the time and is launching a Heart Failure work we do at TVSC. We strive for Clinic next week for patients who continuity of care at all levels and have experienced heart failure and we want everyone to be informed. require ongoing follow-up services.

Our patients often bring family “We believe we can improve the members. Patients and their families quality of life and reduce the numneed to be a part of the team, and ber of subsequent hospitalizations that requires honest information. for patients who have experienced We’re proud of the communication heart failure. Our goal is to help within our team and the care our patients maintain the best health patients receive.”

Patient Lee Lane with diabetic educator Linda Cade, FNP

LIVING WITH DIABETES

Linda Cade, nurse practitioner and certified diabetic educator works to help diabetic patients manage their illness and improve the quality of their lives. “My approach is to help take people from where they are to where they want to be. I don’t believe there are non-compliant patients, though in many instances patients haven’t been introduced to the care plans that are right for them. I collaborate with my patients and their primary care providers in the clinics to create a care plan specific for each individual. Patients make their own decisions about what they feel they can accomplish, and we help them move toward their goals. My role in ODCHC is unique; I see diabetic patients exclusively. The best part of my job is helping diabetic patients understand how to manage their illness, feel autonomous, and gain control of their health.”

Linda also leads an education group for patients newly diagnosed with diabetes. “People need reassurance, they need education and

tools they can take home and use to manage their disease. Diabetes is manageable; that is the big message.” Linda also keeps an eye on another big message. “Working with our patients to manage their disease ultimately benefits us all. Wellmanaged diabetes costs the patient, the community and the healthcare system much less than does unmanaged illness. We’re making a real difference in our patients’ lives, and they're helping to make a real difference in ours.”

ACCESS THROUGH TECHNOLOGY

When Linda Cade starts a new group for diabetic patients, she includes patients from ODCHC’s Crescent City and Willow Creek clinics.

Instead of traveling for hours, everyone is linked together using video conferencing technology. “Without this technology, a lot of patients would not have access to this care,” says Linda. At first I wasn’t sure it would be effective, but when the group is finished and everyone is

saying goodbye and making small patients. In 2004, we bought the talk, everyone is still talking. We building next to ECHC and opened build relationships with each other the Telehealth & Visiting Specialist even though we are 90 miles apart.”

Center in 2005.

“Through video conferencing, continued on next page ➤ otherwise known as telehealth or telemedicine, Open Door patients are linked to specialists and services at locations just about anywhere in California,” explains Darlene Coop, who has been coordinating telehealth services at TVSC for six years. “Sometimes they need the services of another ODCHC clinic; other times they need a specialist at one of the state’s regional medical centers.

We can bring the patient to the speTVSC provides quality pediatric services to our Open Door cialist without ever patients. Our staff has a real enthusiasm for the programs we provide and the way we deliver patient care. We are leaving the builddedicated to more that 100% excellence. I love what I do ing, even when the and I do what I love,” says TVSC pediatric program coordispecialist is in San nator Viviana Hernandez, RN. Pictured with patient Aubrey Francisco or San Gilbert. Visit www.opendoorhealth.com for an expanded Diego.” story on TVSC’s pediatric services and other specialty “Open Door first programs. started using telemedicine in 1996 at "TVSC provides quality pediatric services to our its Humboldt Open patients. Our staff has a real enthusiasm for the Door Clinic in Arprograms we provide and the way we deliver cata,” states Frank patient care. We are dedicated to more than Anderson, ODCHC’s 100% excellence. I love what I do and I do what Director of TeleI love,” says TVSC pediatric program coordinator medicine. “Over the Viviana Hernandez, R.N., pictured with patient years, we assessed Aubrey Gilbert. what was needed and which special➤ Visit www.opendoorhealth.com for an ists would be of expanded story on TVSC’s pediatric services benefit to the most and other specialty programs.

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Telehealth & Visiting Specialist Center continued from page 3

The clinic combines in-person visits and remote connections to provide a wide range of care that our patients wouldn’t get unless they traveled.

Telemedicine has been a great advancement for rural communities.

Instead of a long, expensive trip to a big city, the exam feels just like going to see your provider at your local clinic because you are going to your local clinic” says Frank.

“The technology isn’t the most important thing about TVSC,” Frank continues, “We have an amazing group of local specialists who provide services to ODCHC’s low-income and publicly-insured patients at the clinic.

These are patients who wouldn’t otherwise have access to specialists in this area. By combining our local resources with the people we can reach using telemedicine we have greatly expanded the type of care on which our patients and our primary care providers can rely.” Over the years, Open Door has worked to expand its use of technology. All ODCHC sites have the ability to connect patients with services available in other parts of the state through telemedicine.

“Now patients in Willow Creek or Crescent City don’t even need to travel to Eureka to see a specialist.

Things have improved over the years and the connection is just like making a phone call.”

TVSC is also a resource to other rural areas that don’t have access to specialists. Using telehealth technology, TVSC provides 23 other community health centers with access to ODCHC specialists. “We help patients in clinics as far away as Blythe. Can you get much farther away from Humboldt County and still be in California? We don’t need to do it very often, but it is very reassuring to

Telemedicine Coordinator Darlene Coop

Telehealth & Visiting Specialist Center staff outside the clinic in Eureka

those clinics to know we are available,” Frank says. “Our specialists are excited to be able to use this technology. They move from exam room to exam room. Sometimes there is a patient sitting on the exam table and sometimes there is a face on the television screen. Their ability to provide quality service is the same.”

Behind the scenes, medical assistant Darlene Coop keeps it all running smoothly. “The technology has really improved. The quality of the connection is much better than it used to be. We can also take pictures to send to some of our specialists,

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including our dermatologist and our ophthalmologist. This makes the process convenient for the patients and we get the results very quickly.”

That is only part of Darlene’s job. She makes sure the appointments are scheduled, the medical records gathered, the patient comfortable in the room, and then makes sure that the recommendations of the specialists are explained to the patient and to the patient’s primary care provider.

“While my days are never the same, making sure that communication happens is always my priority.”

In addition to her group sessions,

Linda Cade uses telemedicine for some of her individual consultations.

“At first I was nervous to work in front of a screen, but what I see is not the screen, I see my patients. I also see the value of this technology.

I was working with a teenager who lives in the eastern Sierras. He was newly diagnosed with diabetes and his treatment plan wasn’t working for him. In the middle of our telemedicine session, with him some 300 miles away, I saw him begin to have a seizure. No one had been aware that he was having these seizures. Not only was I able to immediately contact his primary care provider, who was just outside the exam room and able to provide assistance, but now we knew more about his illness and his need for care. We were able to get him on the right treatment plan. Instead of a teenager with no hope for the future, I now see a young man in control of his health and enjoying his life. That is precisely the remarkable work that makes the specialty services, and the use of telemedicine, so invaluable.” ❖

Eureka Community Health Center continued from page 1

Most of the staff of Eureka Community Health Center

then. We include the patient as a so access to these groups, and to team member and we talk about our behavioral health services in everyone’s general, is responsibilireserved for ties. When established you think patients of We include the patient as about it, Open Door a team member and we talk about a patient clinics.” As is seeing a part of her everyone’s responsibilities. provider for approach, When you think about it, a patient is a just a few Elizabeth seeing a provider for a just minutes. uses a wide What they range of a few minutes. What they do outside of do outside resources. the clinic is going to make of the clinic “The patient the real difference. is going to is the one make the who’s do- Elizabeth Drabkin, LCSW real differing the real ence.” work. With Elizabeth some paexplains, “Our resources are limited, tients we incorporate art therapy

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According to Elizabeth Drabkin, LCSW, behavioral health specialist at ECHC, “We all feel stressed and overwhelmed at times, but for some, particularly people who experience severe trauma, the psychological and physical needs run deep.

We can’t just treat the physical and we can’t just treat the emotional; it requires a comprehensive approach.

Our team approach allows us to do that.” Elizabeth applied to work at Open Door Community Health Centers upon completion of her graduate program. “I knew I wanted to work for this organization, so when I wasn’t hired the first time, I kept trying, and here I am. I enjoy working at ECHC because the organization is so supportive and the work changes minute by minute. My work is diverse. My training as a Licensed Clinical Social Worker helps me empower people. We consider where the person lives, who they live with, how they spend their time, their history, their dreams and goals, all in addition to the primary reason for their visit. Our ultimate goal is to help the person feel better. I work with patients to support their goals for resolving both emotional and physical problems, including grief, depression, post-traumatic stress, diet, hypertension, addiction, fatigue, pain and diabetes. We try to work quickly, and I’m impressed with what we can accomplish in just a few sessions when everyone is on the same team. In many cases I connect with a patient when they are here to see one of our medical providers. I am often invited into the exam room by the patient and provider and we begin discussing a treatment plan that combines medical and emotional support right

"

into their care plan to engage them in the healing process.”

Shari has been active in her health care. She participated in a women’s trauma support group, creating an art therapy project that she refers to as her “spirit doll” based on a comforting and safe memory, and contributing to the clinic's small garden. “It’s a peaceful place. I feel grounded when I’m working in the garden,” says Shari. Elizabeth elaborates, “Dozens of our patients are involved in art therapy projects. It’s extraordinary to see what happens. We create the dolls, mosaic tiles, masks and add to the garden.

What’s more extraordinary is to watch the transformation in the people.” As Shari explains, “I didn’t want to participate in the project at all at first.

Like many trauma patients, I didn’t want to connect. To see the transformation of my doll over time and to see the transformation in myself through these projects has been amazing for my healing process. I’m now proud of what I used to be terrified about.”

NEW APPROACHES

“We opened the Eureka Community Health Center in 1991,” says Cheyenne Spetzler, Chief Operations Officer of Open Door Community Health Centers. “We recognized that many Eureka residents were going without health care because of continued on next page ➤

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Eureka Community Health Center continued from last page

ECHC patient, Shari Marchesi, displays her art therapy project

financial or transportation barriers.”

Through the generosity and perseverance of Sister Ann McGuinn, St. Joseph Hospital let Open Door use a building they owned on Harrison Avenue and the Sisters of St. Joseph of Orange provided a $35,000 grant.

“That was huge money, and with the building, it was enough for us launch the Eureka clinic,” reports Spetzler.

“We were able to begin offering a full range of family practice services to a mostly low-income population.

We hired two physicians, Ellen Weiss and Nathan Copple, who are still with Open Door, although working at different clinics. We started providing dental services in 1992. We’ve now consolidated our dental services at the Burre Dental Center on Myrtle Avenue in Eureka. It took a few years, but we were able to purchase the current ECHC clinic location on Buhne so that we would further expand access for medical care.

Eureka Community Health Center (ECHC) now provides more than 20,000 medical and behavioral health visits to nearly 5,500 patients each year. Under the leadership of the corporation’s Chief Medical Officer, Dr. Willard “Bill” Hunter, ECHC is transforming health care delivery.

“We are making a real shift in how we provide care, and it is a direction that makes sense to our providers, staff and patients here at ECHC. We’re moving from the idea of doctors as ‘all-knowing-experts-in-everything’ to a team approach model. The goal is that we work together – patients included – to coordinate the care that best meets our patients’ health needs. We get the best results through a team approach, and here at ECHC we have fully evolved teams, with physicians, physician assistants, nurse practitioners, behavioral health specialists, nurses and medical assistants all contributing to care.

The medical providers organize the teams and order all required health screenings and provide direct treatment. Nurses focus on effective case management and medical assistants maintain the patient flow – and we talk to each other about what we’ve

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seen and what we think the patient the organization. “My primary focus needs. This model is the best way we is increasing the quality of the care know to put patient’s needs at the our system provides. The model for center of health care delivery. We’ve ‘medical homes’ isn’t one we creliterally rearated; rather, ranged our we are takwork stations ing the idea so that the and making entire team it our own is in constant to best suit communithe needs of cation. We our patients. know each With our long other’s patradition of tients; we collaboration can maintain with other the continuproviders and ity of care. specialists We’ve seen a in our comtremendous munity and Medical Assistant Ashley Chiu-Marvel expansion of the region we & Family Physician/Psychiatrist access and a can coordiDavid Villasenor positive renate the full sponse from range of care our patients,” our patients explains Dr. Hunter. need,” concludes Dr. Hunter.

“Most health care studies show that if we provide better primary PROMOTING care, the kind of care we provide at COMMUNITY ECHC, then the outcomes for our patients will be better across the board, WELLNESS improving long-term health while David Villasenor, MD, joined the reducing costs to patients, insurers ECHC team in August 2010, right and government programs,” notes Dr. out of his medical residency at the Hunter. “The model of the ‘medical University of California, San Diego’s home’ is an updated way to promote combined Family Practice/Psychiatry primary care. As a medical home, we program. He has a unique combinastrive to be available to our patients tion of skills, particularly for a rural when they need to be seen and get community health center and that them the care they need when they is just what Dr. Villasenor wanted to need it, including coordinating with offer. He considered his career oplocal and regional specialists. We tions carefully and decided ECHC was try to see our patients the day they the place where he could best apply call.” Dr. Hunter spends half his time his skills. “This job is what I hoped seeing his patients at ECHC and the for,” says Dr. Villasenor. “The clinic other half as Chief Medical Officer for has strong leadership, wonderful

support staff and a real dedication to coordinates the ECHC suboxone prothe community. My family and I have gram, among her many other duties. been here for a year. My wife is in the “I wasn’t sure if I wanted to take on Masters of Social this project, but Work program at the first time I HSU. We already walked into the feel connected support group, to the area and I knew I wanted that we are a to be a part of part of moving this work. There the community was a woman in forward.” the room who “My residency I had treated program in San many times Diego is very when I worked proud that I am at the hospital. here, that I am In the past, I serving a comreally doubted munity in mediwhether she cal need. I see a would survive, great diversity but here she of patients at was sitting in ECHC. In addithe conference tion to my famroom looking Beverly Bulloch, RN at ECHC ily medicine great – and alive! practice, I’m She was sober particularly interested in outpatient and had reconnected with her family. psychiatric care and substance abuse The opportunity to get clean through treatment. I work with a variety of this program – and her willingness to established patients who are referred stick with it – saved her life. Patients’ by their ODCHC primary care providlives change so dramatically from ers.” week to week and month to month.

“We offer a suboxone program at We are treating the disease of adECHC,” explains Dr. Villasenor. “This is diction, not just substituting the use an outpatient, office-based treatment of opiates. Beyond the individuals in program for dependency on opiates, the program, we are improving the including heroin, morphine, methahealth and quality of the community. done, Oxycodone, Vicodin and similar This program has become the most drugs. Some of these drugs have real rewarding part of my job.” medical value, but if used improperly, Beverly has a busy schedule in they cause real problems. Addiction addition to her suboxone program does not discriminate. Our patients duties. “I may be a nurse, but I’m are homeless and unemployed, and also an educator,” she explains. “We professionals with good jobs and work to develop education packets families – and everyone else.” on a whole range of illnesses and Registered nurse Beverly Bulloch conditions. Our patients love it. They

get excited about education, about learning how to take control of their health, and they enjoy the one-onone consultations our nurses provide.

Our teams are in communication all day long and I coordinate a lot of that communication, making sure that everyone is doing what needs to be done, including the patients. We let our patients know we are here and they appreciate that they can reach me when they have concerns. They know I’ll be their representative with the team.”

“I have been a nurse for 30 years,” Beverly says with pride. “Before taking my job at ECHC in 2009, I had worked exclusively in hospitals. I started here just as the clinic began the transition to team-based care.

While we’re learning more about team

care every day, our team is fantastic.

The medical leadership is involved and invested in this model and better care for patients. Beyond this clinic, I know that Open Door’s leadership wants to know what I think. This is the only place I’ve ever worked in my whole nursing career where the administration consults with the medical staff on operations. I feel like I am a valued part of the Open Door system, not just a nurse working in an Open Door clinic.” Beverly adds, “The bottom line is that everyone here is always trying to do what is best for patient care.” ❖

➤ Visit www.opendoorhealth.com for expanded versions of these articles and to learn more about Open Door Community Health Centers One of the ECHC care teams

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continued continuedfrom frompage page11 ➤ ➤

building is the largest financial investment ever made by Open Door. Why would we take such a leap? Because people in this community still don’t have enough access to quality health care.

It is our mission.

Personally, my experience with Open Door goes far beyond my role as Chair of the Board of Directors. I became a patient of the Humboldt Open Door Clinic in the early 1970s. It wasn’t a modern clinic, yet it attracted those who wanted a different, more personal form of health care. Forty years later, Open Door Community Health Centers has evolved into a comprehensive healthcare system of nine well-equipped clinic sites, comfortable waiting rooms, efficient staff and the latest in technologies, including electronic health records. The only things that haven’t changed from those early days are the high quality of the health care and the caring commitment of the people who work in these clinics. This is what makes me the most proud.

Over the years I have sought a full range of health care from Open Door, including family planning, childbirth, care for viruses and infections, minor surgeries and now, health issues related to growing older. My children, my spouse, and my parents have been patients of Open Door clinics. I value the quality of care my family has received. My children had excellent pediatric care and I remember well the concern and compassion shown to my father as he neared the end of his life.

This is the second in Open Door’s series of special inserts to the North Coast Journal celebrating our 40 years of service. I hope you enjoy these stories about those who live and work in our community. These are stories about you and your neighbors, the very people who deserve the quality health care provided by Open Door.

Correction: In the NCJ Insert of 6/23/11, Timothy Nicely was incorrectly identified as an OB/GYN. Dr. Nicely is a board certified Family Physician with extensive training and experience in obstetrics and OB surgery.

Please see www.opendoorhealth.com for additional information.

OPEN DOOR COMMUNITY HEALTH CENTERS

Administrative Offices: 670 Ninth Street, Suite 203 • Arcata, CA 95521 • 707-826-8633 www.opendoorhealth.com • Arcata HUMBOLDT OPEN DOOR CLINIC 770 Tenth Street, Arcata, CA 95521 707-826-8610 NORTHCOUNTRY CLINIC 785 18th Street, Arcata, CA 95521 707-822-2481 NORTHCOUNTRY PRENATAL SERVICES 3800 Janes Road, Suite 101, Arcata, CA 95521 (in the Shaw Pavilion of Mad River Community Hospital) 707-822-1385 • Crescent City DEL NORTE COMMUNITY HEALTH CENTER 550 East Washington Blvd, Crescent City, CA 95531 707-465-6925 - Medical 707-465-4636 - Dental • Eureka BURRE DENTAL CENTER 959 Myrtle Avenue, Eureka, CA 95501 707-442-7078 EUREKA COMMUNITY HEALTH CENTER 2412 Buhne Street, Eureka, CA 95501 707-441-1642 TELEHEALTH & VISITING SPECIALIST CENTER 2426 Buhne Street, Eureka, CA 95501 707-442-4038

• McKinleyville McKINLEYVILLE COMMUNITY HEALTH CENTER 1644 Central Avenue, McKinleyville, CA 95519 707-839-3068 - Medical 707-839-2677 - Pediatrics • Willow Creek WILLOW CREEK COMMUNITY HEALTH CENTER 38883 Route 299, Willow Creek, CA 95573 530-629-3111 - Medical 530-629-1941 - Dental All clinics will do their best to accommodate your immediate needs; however, there may be a waiting list at some clinics to establish care for new patients at this time. Open Door clinics offer either family practice/primary care medical services or dental services for children and adults. Several clinics offer both medical and dental services. While not available at all sites, other services provided to patients of Open Door Community Health Centers include: • • • • • • • • • • • •

Behavioral Health and Counseling Services Evening and Saturday Hours HIV/AIDS and Hepatitis C Care Nutritional Counseling Opiate Dependency Treatment Pediatric Services Psychiatry Specialty Medical Care Teen Health Clinics Transgender Health Clinic Urgent Care (Walk-In Services) Wellness and Health Maintenance

Articles by Breanne Sorrells, Development Associate, Open Door Community Health Centers; editorial contributions by Julianne Barnum, Development Intern and Christopher Peters, Chief Advancement Officer, Open Door Community Health Centers Most Photography by Paul Swenson Photography, www.paulphoto.com Layout and graphic design by Siobhan Calderwood, North Coast Journal Please visit www.opendoorhealth.com to read expanded versions of these stories and discover more about Open Door.

Comments may be addressed to: editor@opendoorhealth.com.

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This health center is a Health Center Program grantee under 42 U.S.C. 254(b), and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n)