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Northern Navajo Medical Center Delivers Care Directly to Patients Experiencing Homelessness

by Dr. Asha Atwell, Emergency Physician, Health Promotion and Disease Prevention, Northern Navajo Medical Center, Navajo Area IHS

At the Northern Navajo Medical Center in Shiprock, New Mexico, we have always envisioned a health care model that includes delivering care directly to patients who are experiencing homelessness. Homeless individuals often have difficulty coming in to appointments and are seen as high-utilizers of emergency department services.

To address this issue, in October 2021, our Health Promotion and Disease Prevention team launched Sih Hasin, a street medicine mobile health care program for those experiencing homelessness. This is the first program of its kind, serving rural communities on a reservation. Through our mobile clinic, we offer a variety of services that include physical exams, wound care, and treatment of acute and chronic medical conditions. All services offered have a similar or the same standard of care as they would when offered in a traditional hospital setting. The clinic also offers COVID-19 testing and vaccines.

You can find the Sih Hasin team around Shiprock on Tuesdays and on Wednesdays in downtown Farmington, New Mexico. Learn more about the program in the video below:


Dr. Asha Atwell, Emergency Physician, Health Promotion and Disease Prevention, Northern Navajo Medical Center, Navajo Area IHS

Asha Atwell, DO, is an emergency physician at the Northern Navajo Medical Center in Shiprock, New Mexico. She previously served as the center's emergency room director for three years before developing the Sih Hasin Street Medicine Program under the Health Promotion and Disease Prevention department. Dr. Atwell is emergency medicine trained and a board certified physician who trained at the UCLA-affiliated emergency medicine program at Kern Medical Center in Bakersfield, California.