The Homeless Health Navigation Project (HHNP) was launched in November 2020 to support unhoused individuals following hospital discharge. Recognizing the unique challenges faced by this population—including frequent emergency department visits and complex behavioral health issues—HHNP offers 90 days of post-discharge care. Led by Homeless Health Navigator Sandra Arzola, the program provides personalized support focused on medical follow-ups, housing stability, and financial assistance. By bridging patients to resources, the program fosters greater independence, stability and better connections within the community.

Patient Outcomes Improved Through Holistic Care Community Support Increased By Connecting Patients to Resources Hospital Readmissions Reduced Through Personalized Care

Why We Did It

The need to address health disparities in rural areas, where access to specialized neonatal care is limited, drove the introduction of NICU telemedicine. By connecting local care teams with OHSU experts, Adventist Health aimed to improve health equity, reduce barriers to care, and provide families in underserved communities with high-quality support and resources.

Topics: Charity Care|Chronic Disease Management|Mental Health Care

Other Resources

A journey in supporting patients with barriers to health and housing

Revolutionizing Care for the Unhoused: Homeless Health Navigation Program

Community Voice

“The Latino community is so underserved, and they need so much guidance. In our community and the population of patients we serve, it’s taboo. You don’t go to the therapist because you’re ‘crazy.’ But it’s about educating them that they’re not crazy and it’s okay to seek help.”

Sandra Arzola

Homeless Health Navigator