New Courses on Supporting Older Adults Now Available! |
Supporting Older Adults in Medical Respite Care 1
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This is the first of a 2-part series focused on the needs of older adults experiencing homelessness. This course will provide a background on older adult homelessness in the United States and explore the unique medical needs of this population. This course will focus on strategies for medical care and environmental modifications to support older adults within the medical respite care setting.
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Supporting Older Adults in Medical Respite Care 2
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This is the second of a 2-part series focused on the needs of older adults experiencing homelessness. This course will build on the information provided in Course 1 on older adults experiencing homelessness and explore the unique social needs of this population. This course will focus on strategies for case management and developing community partnerships to support older adults within the medical respite care setting.
Both courses can be taken for free from the NHCHC online learning platform.
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The National Institute for Medical Respite Care (NIMRC), a special program of the National Health Care for the Homeless Council, initially introduced the Models of Medical Respite Care in 2023 to provide a way to describe the services offered within medical respite programs, while recognizing the variability and flexibility programs use to meet community needs. Developed through extensive listening sessions and focus groups, the initial Models of Care captured the diversity of practices across the field. Since 2023, NIMRC has supported the application of the Models across programs and developed several supplemental resources. Based on this work, the Models of Medical Respite Care have been revised to provide greater clarity, highlight differences in clinical services among programs, and describe how partnerships inform a program’s identified Model of Care.
The revised Models of Care document is now published and available on the Council's website, along with a recording of the webinar “Framework for Medical Respite Care,” which offers an overview of foundational medical respite resources and guidance on applying the Models of Care to your program.
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New White Paper: Development and Application of the Fidelity Measure to the Guiding Principles of Medical Respite Care |
This white paper provides updated research exploring the validity and applicability of the Fidelity Measure to the Guiding Principles tool. Read it here.
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New Report: Leveraging SOAR in Health Centers and Medical Respite Care Programs |
Our team at the National Health Care for the Homeless Council is thrilled to share a new resource highlighting ways in which health centers and medical respite care (MRC) programs can use the SSI/SSDI Outreach, Access, and Recovery (SOAR) model to help participants with disabling conditions obtain disability income (SSI/SSDI). In partnership with the SAMHSA SOAR Technical Assistance Center, we interviewed 30 key informants from 18 organizations across the United States, seeking to better understand:
1. How SOAR is currently being utilized in health centers and MRC programs;
2. The impact that such SOAR work has on participants and organizations;
3. Strategies for optimizing SOAR initiatives within these settings.
This resource synthesizes our key learnings and describes proven strategies employed by practitioners in the field that can be adapted and replicated elsewhere.
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April 29 Webinar Will Explore Lessons Learned from Implementing SOAR Strategies
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Join us for a webinar to discuss the ways in which health centers and medical respite programs can assist participants with obtaining SSI/SSDI benefits using the principles and techniques of the SSI/SSDI Outreach, Access, and Recovery (SOAR) model. The webinar will feature staff from the SAMHSA SOAR TA Center who support SOAR trained individuals across the country as they help their participants obtain disability benefits.
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NIMRC Certification Update |
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The inaugural application window for NIMRC Certification opened April 1-14. Fifty-six (56) medical respite programs submitted interest forms, including 20 within the first 24 hours! We are beginning the certification process with 22 respite programs. This group represents every region in the country and includes programs of different sizes, organizational structures, and clinical capacities. We expect to open another application window before the end of 2025 and again in 2026. Sign up for updates here.
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Greetings RCPN Members,
It's hard to believe that it's already been almost a year and a half since I joined the Council staff and the Medical Respite Team. It has been quite the transition from HCH and Medical Respite Program Director to Senior Medical Respite Manager with the Medical Respite Team. I spent almost 20 years in direct services. I leaned on the Council and folks like you to improve my program through networking, learning opportunities via webinars, committee work, and the National Conference. Now, I have the honor and privilege to be on the other end, connecting programs to the people and resources that help improve their program.
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My first year and a half has been exciting. I have worked on several projects that help strengthen and expand medical respite and best practices nationwide. With so many developments in medical respite, our Medical Respite Team has grown to ensure we can continue supporting our expanding community. I want to highlight a project that will significantly impact the field of medical respite care and further help create new opportunities for medical respite programs across the country. I'm talking about the NIMRC Certification for Medical Respite Programs. Certification had been a topic of discussion for a few years with the RCPN, and in 2023, field testing began with five (5) medical respite programs, with our very own Stephen Wilder leading the effort. In 2024, under Stephen's leadership and my support, we entered into the pilot phase with ten (10) programs. From that phase, we created a solid certification program that medical respite programs could feel confident about. Now, as of April 1, under Stephen's continued leadership and with the addition of one of our newest team members, Nikiya Cruz, and myself, the NIMRC Certification has officially launched, and we will have 22 programs going through this first official iteration of certification. Certification is a historic moment for NIMRC and the Medical Respite Team, and it has been such an honor and privilege to work with Stephen and the team to get certification to this point. I look forward to our continued work on this and many other projects.
Meeting new programs and reconnecting with established programs I knew before joining the Council staff has been great. While a lot of it has been through Zoom calls and webinars, I hope to see so many of you at our National Conference and Symposium. I remember going to the conference for years in my former role. I learned a lot from the PCIs and the general sessions, but I learned so much more from being with all of you and with our community.
Whenever we are together in community, we are at our strongest, and we will need that strength as we fight even harder than ever before, not just for your programs but more importantly for the people you serve. So, I look forward to seeing everyone in Baltimore in May.
I want to say with heartfelt gratitude how great it has been not only working with my team but also working with and getting to know you and your programs better. Your dedication and commitment to this work continue to motivate and inspire me. I am excited about the work we've done so far and the impact it will have on your programs and your communities. Thank you for being so passionate about this work and your willingness to fight; I know we will continue to do great things together to ensure healthcare is a human right and make homelessness brief and rare.
In solidarity,
Brandon Cook, MBA-HA
Senior Medical Respite Manager
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Respite Kudos and Accomplishments |
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The Virginia legislature passed Senate Joint Resolution 299 commending PathForward, and offered an expression of the General Assembly's admiration for the organization's legacy of achievements on behalf of the most vulnerable members of the Arlington community.
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Cheryl Towns is a registered nurse who works to remove racial inequities in healthcare and aid underserved communities. She is the chief community care officer for Trenton Health Team, where she leads initiatives to expand healthcare access. She is also director of nursing at the Rescue Mission of Trenton. In 2024 she played a role in establishing Trenton’s first Medical Respite Center to offer those released from hospitals a place to recover. Cheryl was honored in YWCA Princeton 41st Annual Tribute to Women.
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Sister Adele O’Sullivan, CSJ, M.D,. was recognized with six other Arizona leaders and a couple as a Prestigious Arizona Historymaker on Feb 19. at the Arizona Heritage Center’s announcing celebration in Tempe. The organization highlighted her as an Arizona leader establishing an innovative continuum of care for Arizona adults experiencing homelessness. O’Sullivan began her work in 1996 and with her efforts on the streets of Phoenix, along with community donations, founded the Circle the City.
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Activities and Opportunities |
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New Medical Respite Directory is Now Live! |
The new Medical Respite Directory of Programs is live! If your program isn’t represented, please fill out the new form. Programs listed in our old directory were not rolled over to the new one to ensure we have the most up-to-date information.
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Learning More about End-of-Life Care in Medical Respite |
Medical respite care programs have seen an increasing need for more resources related to palliative and end-of-life care for people experiencing homelessness. Through NIMRC, we have been working to develop resources that support programs to expand their services to provide this type of care. For programs interested in supporting people nearing or at end-of-life, we encourage you all to join us at this year’s National Health Care for the Homeless Annual Conference and Policy Symposium and attend the “Providing End of Life Care in Medical Respite” Pre-Conference Institute (PCI). This PCI will feature speakers from the PEACH team from Toronto and include panelists from programs providing end-of-life care services.
Also, stay tuned for a new guide coming later this year that will provide in-depth guidance for programs to provide end-of-life care within their settings.
Finally, if you are providing end-of-life care or are interested in doing so, we also recommend checking out the Omega Network, whose annual conference takes place in June:
Omega Home Network (OHN) is a national non-profit membership organization that fosters the development and growth of community homes for people who are dying. Founded in 2017, they have grown to over 130 members in 35 states. Omega Homes are a home-away-from-home for people in their last weeks of life who need more help than family and friends can provide. They are not hospices but collaborate with them to fill the gap in caregiving that stresses individuals and families at the end of life. Many of the Omega Homes have and are serving unhoused individuals who need a place to stay for their end-of-life care, and some of these programs are also part of the RCPN!
Omega Homes are part of the movement to improve the end-of-life experience for individuals and families in America. OHN connects these independent homes and facilitates a grassroots effort to spread this innovative model. Membership spans those who have been providing compassionate care in their communities for 30+ years to members who are inspired by the vision and want to get started.
A start-up manual, online forum, monthly webinars and annual national conference are among the resources offered. The 2025 OHN conference – Bridging Gaps: Connecting People and Resources – is June 2-4 in Buffalo, NY. Please visit the website or reach out to Britni Smith, OHN Administrator, to learn more about attending the conference. More information and an interactive map of Omega Homes and developing projects are available at omegahomenetwork.org.
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Recommended reading: Housing instability complicates end-of-life care for aging unhoused populations
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Tuesday April 29th: Lessons Learned from Implementing SSI/SSDI Outreach, Access, and Recovery (SOAR) Strategies in Medical Respite Programs and Health Centers |
Wednesday May 28th: Motivational Interviewing in Medical Respite Care |
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Medical Respite and HCH Staff Wellness Training Series |
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Join us this June and July for a wellness training series tailored for staff of medical respite and Health Care for the Homeless programs. Hosted by the Respite Care Providers’ Network and HCH Clinicians’ Network, these learning sessions will cover topics including compassion fatigue and vicarious trauma, coping with the complexity of overdose grief, burnout among leadership, and work-life balance. Speaker Lexi Alberts, LICSW, will define and explore these topics and offer strategies for individual and collective care. Participants are welcome to register for as many of the sessions as they would like to attend; space is limited.
Session schedule:
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- Coping with Compassion Fatigue: Caring for Self & Community | June 12, 2025, 2:00-4:30 ET
- Understanding & Coping with Overdose Grief | June 26, 2025, 2:00-3:30 ET
- Powers & Burden of Leadership | July 10, 2025, 2:00-3:30 ET
- Conversations on Maintaining Work-Life Balance | July 24, 2025, 2:00-3:30 ET
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Medical Respite Role-Specific Meetups |
We are excited to continue RCPN Role Specific Meet-ups, an opportunity for medical respite program staff to engage and connect with others in similar roles across the country. Many medical respite programs are often the only program in their community, and it can feel challenging to have conversations with others who truly understand your day to day work. These meetups are held quarterly for the different program staff who are involved in medical respite programs.
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Connect With Us at Conference |
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Connect with us at the National Health Care for the Homeless Annual Conference!
The Conference has many great offerings – listed below are medical respite specific activities we would love for you to join. These are in addition to all of the great programming and content related to medical respite throughout the Conference week.
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Monday May 12th
· NIMRC Reception sponsored by United Health Foundation 5-6 p.m. – We hope you'll join us on the opening night of conference for the National Institute for Medical Respite Care Reception to meet with fellow recuperative care providers, partners, and funders from across the country. We'll enjoy small bites/appetizers and there will be a cash bar available.
Tuesday May 13th
· RCPN Breakfast 7:00-8:15 am – All RCPN Members and medical respite program staff are welcome to join us for breakfast, which will include a short program with NIMRC and RCPN Steering Committee updates, as well as an opportunity to meet and connect with other medical respite programs.
Wednesday May 14th
· Make sure to attend the Awards Luncheon to honor this year’s Willie J. Mackey Award winner for their outstanding contributions to the field of medical respite care. This award is given in memory of Willie J. Mackey who was a dedicated member of the RCPN Steering Committee and advocate for medical respite care.
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Hill Visits During Conference: Are you attending the 2025 National Health Care for the Homeless Conference & Policy Symposium in Baltimore, May 12-15? Want to visit D.C. to meet with your elected officials’ offices? Email Laura Brennan to learn more about scheduling Hill visits and connecting with folks in your state!
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Tarryn Bieloh, Manager on the Medical Respite Team, had a site visit with Haywood Street Respite in Asheville, NC. Pictured below left is Tarryn with the Haywood team, and on the right is a dog who was a former companion of a respite guest. The dog is now part of the team, and guests get to enjoy and play ball with.
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More than 100 attendees joined members of the Medical Respite team at the L.A. Recuperative Care Forum in early April. The theme for this year's Forum was Looking Forward: L.A.’s Vision for Recuperative Care. By convening healthcare providers, community organizations, health plans and policymakers, the L.A. Forum aims to strengthen the collaborative approach to recuperative care services and create a system that provides accessible, comprehensive post-acute care to the region’s most vulnerable people experiencing homelessness.
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Circle the City plans to use a new grant from the U.S. Department of Health and Human Services to expand its health care services to people experiencing homelessness in Phoenix. The grant will allow mobile medical teams to provide weekend services for the first time. Additionally, Circle the City also plans to use the new grant funding to add weekend hours for its hospital navigation program, which connects homeless patients being discharged from hospitals with respite programs or follow-up care.
- Circle the City is set to start construction on a new medical respite center in Mesa to help those experiencing homelessness receive medical care. The nonprofit received a grant from Maricopa County to open the center. Dr. Kim Despres, its CEO, says it will have 84 beds and is projected to open in 2026.
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The Whole Person Care Clinic in Calexico approved a proposed memorandum of understanding between the Calexico Police Department and the Whole Person Care Clinic Sobering Center. The partnership seeks to provide an alternative to incarceration for individuals under the influence of alcohol or drugs, redirecting them to treatment and recovery services instead. Whole Person Care provides recuperative care and other services on their campus as well.
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Oakland- The Kaiser Foundation Health Plan, Inc, Kaiser Foundation Hospitals, and Risant Health reported consolidated 2024 annual financial results that reflect the organizations’ commitment to a mission of providing high-quality, affordable care and services while continuing to advance value-based care models that improve the health of more people. An investment was made in the expansion of medical respite care delivery by funding 15 medical respite providers in 4 states in 2024.
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Thanks to a $313,000 grant from Health Net, a managed care organization, and CalAIM, the state’s initiative to improve Medi-Cal, the Modesto Gospel Mission completed an expansion of its recuperative care facility for men at the end of March. Besides expanding the Mission’s emergency shelter capacity for recuperative care, the grant helped pay for renovations of the bathrooms and common areas, and allowed more staff to be hired and trained.
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San Bernardino County’s Community Development and Housing Department announced two significant contracts totaling $989,820 from the Housing and Homeless Incentive Program (HHIP) funding pool. The first recipient of this targeted funding is the City of Victorville’s Wellness Center, which will receive $489,820. This 170-bed facility is a comprehensive resource hub, offering an emergency shelter, wraparound services, recuperative care, and an on-site medical clinic tailored to Medi-Cal and Medicare-eligible residents.
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Colorado Coalition for the Homeless will get $480,000 for one year from the City and County of Denver to provide 14 beds and care for sick and recovering people, if the council approves the expenditure. The contract requires the Coalition to provide respite care services at the Stout Street Recuperative Care Center “or other approved respite sites.”
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One year ago this March, Hope Has A Home for Women opened its doors in southeast DC, becoming the first medical respite program in the District dedicated exclusively to women experiencing homelessness. The program, operated by Volunteers of America Chesapeake & Carolinas (VOA-CC), has since filled a critical gap in care for women who are too ill to recover on the streets but do not require hospitalization.
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In January the Salvation Army of Palm Beach County, alongside key community partners, hosted a ribbon cutting ceremony to commemorate the grand opening of its new medical respite center at the Center of Hope. The West Palm Beach center provides temporary housing, medical oversight, case management, and wraparound support services to help patients regain stability and transition into permanent housing solutions.
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- Daybreak, a resource center in Macon, opened a 12-bed medical respite in September. The respite program has been nearly full since opening and 14 clients have moved into permanent housing after their respite stay.
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Since opening less than a year ago, A’ala Medical Respite in Honolulu has served some of Oahu’s most elderly unhoused people and has reunited 14 clients with family members. Congrats A’ala!
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Living Way Church Maui and Project Vision Hawai‘i have opened Kupanaha Medical Respite, a specialty shelter providing a safe space for individuals experiencing homelessness to recover after medical treatment or hospital stays. Located on the grounds of Living Way Church Maui, Kupanaha—meaning “miracle” in Hawaiian—offers temporary housing, medical oversight and connections to social services.
- In Wailuku, Chaplain Ministries of Maui held a soft opening where dozens gathered for a formal blessing. Lefale O Tehani Respite Shelter will provide medical care and beds for up to 20 men. They hope to open formally in July.
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Chicago-area community information exchange (CIE) is set to launch with the goal of coordinating care for people experiencing homelessness. Led by the Illinois Public Health Institute and developed in partnership with the Chicago Department of Public Health and the Cook County Bureau of Economic Development, the Chicago Regionwide CIE effort will seek to create a network that connects healthcare providers, social services, and community-based organizations to better address the needs of underserved populations in Chicago. Medical respite and shelter-based care will be a key focus of this project.
- In Springfield, Helping Hands has celebrated its one-year anniversary in a new downtown location. They plan to look at how they can expand medical respite and how to better serve clients with psychiatric conditions and needs.
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Maine’s Department of Health and Human Services is introducing Maine’s Whole Person Care waiver. This 1115 waiver application will expand the existing one for substance use disorder care to include several new items, including the development of three new recuperative care pilot programs.
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Kaiser Permanente awarded over $1.2 million in grants to 19 community organizations and nonprofits to help advance access to health care and promote health equity in Washington DC, Maryland and Virginia. $200,000 will go to Volunteers of America Chesapeake and Carolinas to help establish the first medical respite program in Prince George’s County, Maryland. The full list of grant recipients can be found here as well.
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Our Savior's Community Services in Minneapolis has accepted over 300 referrals into their medical respite program since 2022, through partnership with M Health Fairview. This article shares a story of a respite guest who was able to receive medical care and eventually move into her own apartment and reconnect with family.
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Jaynell Assmann, founder of Care Beyond the Boulevard in Kansas City MO, discusses the results of extreme cold weather on people experiencing homelessness in her community. Referrals to their medical respite for people with cold-related injuries illnesses have increased, and local cold weather shelters have expanded their capacity as well. Last year, Beyond the Boulevard saw 3,000 patients and provided 12,000 clinical visits.
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City of Las Vegas officials are asking state lawmakers to expand Medicaid to pay for medical respite care for unhoused people. Senate Bill 54 would require the state’s Department of Health and Human Services to apply for a federal waiver and amend the state Medicaid plan to cover medical respite care for people experiencing homelessness. The bill would also require DHHS to adopt guidelines for respite care for unhoused populations.
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The Trenton Rescue Mission Medical Respite Center opened in November with four medical respite beds, in partnership with the New Jersey Coalition to End Homelessness. A Princeton Social Impact Fellow joined the team to use his expertise acquired in business school and to gain practical experience in healthcare and social services.
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Albuquerque Medical Respite Collaborative has created a workgroup to convene local partners to increase access to these respite beds. New Mexico News Insiders Podcast interviews Kate Morton and Rachel Biggs and you can listen to it here.
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In March, New York City Mayor Eric Adams and NYC Health + Hospitals CEO Dr. Mitchell Katz announced an expansion to its medical respite bed program, which offers patients experiencing homelessness a place to stay for up to 90 days after a major health event, in addition to expanded medical services that are not available in shelter. The 24 additional beds will serve 100 more patients each year, connecting medically frail New Yorkers experiencing homelessness with critical care and intensive housing case management.
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Wilmington’s Eden’s Village purchased a home that will provide respite stays for up to six people at a time released from New Hanover Regional Medical Center. Novant paramedics will offer at-home care services like administering medicine at the respite house through the “Hospital at Home” program it launched in New Hanover County last year
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Bismarck will soon be home to a place of respite for unhoused people with nowhere to go after they are discharged from the hospital. Benedictine Sister Idelle Badt with Annunciation Monastery and Martha Reichert already see its potential. The respite program will offer beds, meals, transportation and access to medical and substance abuse services. The goal is to help about 60 people each year get back on their feet.
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A task force in Oregon including representatives from hospitals, nursing homes and union leaders have released ten recommendations to address longer hospitals stays and limited options for patient discharges. Establishing presumptive eligibility for Medicaid and expanding medical respite are top priorities.
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Pittsburgh’s Bethlehem Haven medical respite center has become one of the first fifteen programs in the US to attain NIMRC Certification. “At Bethlehem Haven’s Medical Respite, we remain dedicated to addressing the complex needs of our community’s most vulnerable members,” said Michael Turk, vice president of Community & Wellness Services at Pittsburgh Mercy. “This NIMRC certification demonstrates our ongoing commitment to meet high standards of essential care and promote healing support to our patients on their journey to stability and well-being.”
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An organization is currently raising funds to help the elderly who are homeless get back on their feet after experiencing a medical issue. The founder of Unity Housing says respite health care is an approach that is relatively new to Northeast Tennessee. Under the respite care plan, she said Unity Housing would partner with health care providers to offer an “independent living situation” for the elderly homeless that would allow them to receive home health services once they’re discharged from the hospital.
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Memphis’ only medical facility and mobile unit specifically for homeless patients, Operation Outreach aims to make individuals more aware of and committed to their wellness — even as they face multiple barriers to being safely housed, a key factor in health outcomes. Living or sleeping on the streets, in a car or an accommodation lent by friends or relatives is dangerous in ways most housed people do not understand, said Bobby Watts, chief executive officer for the National Health Care for the Homeless Council, based in Nashville.
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In Austin, Central Health is running a bridge program designed for people experiencing homelessness to receive care for acute and chronic health concerns. They have recently expanded their services and offer these to Central Health’s medical respite clients as well.
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A recent study focusing on The INN Between, a medical respite facility in Salt Lake City, revealed substantial benefits in reduced hospital utilization, financial savings, and enhanced patient compliance. Additionally, filmmaker Ondi Timoner’s documentary on The INN Between is being shown locally in February and may be available online soon.
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Utah's Senate has introduced a pivotal piece of legislation, SB 2, aimed at addressing the pressing issue of homelessness in the state. Proposed on March 2, 2025, this New Fiscal Year Supplemental Appropriations Act allocates nearly $80 million towards various homeless services, including a significant $450,000 grant to The INN Between for medical respite and end-of-life care for homeless adults.
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As of January 24th, the federal government has given the go-ahead for Vermont to use Medicaid funds to help pay for housing for people experiencing homelessness who have certain medical needs. With this amendment approval, Vermont can now use Medicaid funds to pay for rental assistance, capacity building, and medical respite services for up to six months.
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The City of Spokane has partnered with Providence, Jewels Helping Hands and the Empire Health Foundation to open a medically-supported respite facility with 30 beds for individuals experiencing homelessness. The facility held an open house in mid-January for community members to join city leaders to learn about the facility.
- Hope House, a women’s shelter in Spokane, will transition to becoming a medical respite program beginning on July 1.
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In Bremerton, Peninsula Community Health Services has gained ownership of two lots and plans to build a medical respite center and 52 units of housing.
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Naheed Dosani is a health justice activist and a palliative care physician at St. Michael’s Hospital in Toronto. Naheed built a palliative care program for people experiencing homelessness called the Palliative Education and Care for the Homeless (PEACH). His story is shared here on “GeriPal; A Geriatrics and Palliative Care Podcast for Every Healthcare Professional”.
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If you have a news story recognizing a medical respite care program, please share it with us by emailing Beau at bantonelis@nhchc.org.
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The Respite Care Providers’ Network is a membership network of the National Health Care for the Homeless Council (NHCHC). The mission of the RCPN is to improve the health status of individuals who are homeless by supporting programs that provide medical respite care (also known as recuperative care) and related services. Not already a member? Join us!
The National Institute for Medical Respite Care (NIMRC) is a special program of the National Health Care for the Homeless Council launched on July 15, 2020. The primary focus of NIMRC is expanding medical respite care programs in the U.S. Through NIMRC, we advance best practices, deliver expert consulting services, and disseminate state-of-field knowledge in medical respite care.
Does your program need technical assistance? Please contact us to request a TA meeting to help address your program’s needs! Additional resources for medical respite/recuperative care can be found here.
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Copyright © 2025 National Health Care for the Homeless Council, Inc.
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