Code Blue and Gold

The quarterly newsletter of the University of Pittsburgh Department of Medicine

At the heart of the Second Avenue Commons facility, the UPMC Second Avenue Commons Health Center serves one of Pittsburgh’s most vulnerable populations with comprehensive, compassionate, and trauma-informed care that helps patients experiencing homelessness achieve their health and housing goals. The clinic offers everything from treatment of chronic conditions and wound care to substance use support, gynecologic services, behavioral health, and preventive screenings, and it is always with a focus on harm reduction and connection to long-term care.

The past year has been one of both disruption and resilience. When the clinic was displaced from its building between June and October 2024, staff continued to adapt and serve patients until the facility reopened in late October. Almost immediately, patient demand surged, particularly during the harsh winter months when the shelter and engagement center filled to capacity. While staff worked tirelessly to accommodate same-day appointments, the overwhelming demand sometimes meant patients had to return later. Now, the team is preparing for the coming winter by expanding preventive health services, including cancer screenings, and empowering nurses and medical assistants to practice at the top of their licenses.

Amid challenges, the clinic has seen extraordinary successes. One of the clinic’s greatest assets has been its partnership with the National Health Corps (NHC). For the past two years, NHC members have served as patient navigators, helping patients schedule appointments, arrange transportation, and even accompanying them to visits when needed.

The NHC partnership has been life changing for the clinics’ patients. One patient, nearly blind from untreated cataracts, was able to undergo surgery after years of barriers. Another patient had been struggling for years with a painful infected skin cancer. When an internal medicine resident, who was volunteering at the winter shelter, flagged his case, the clinic’s NHC member ensured he was supported every step of the way, even accompanying him to his surgery.

These big victories are matched by smaller, everyday stories of how the clinic has improved the lives of the community it serves. A patient who may first visit for cough drops or clothing may return later, now more comfortable with the clinic, for help with depression. And many patients are simply grateful for feeling respected and cared for in a space that prioritizes dignity.

This year, the clinic will be launching “transition of care” appointments for patients preparing to move into stable housing, supported by pharmacy residents who will ensure smooth medication management and care connections. New partnerships, like monthly ankle-brachial index screenings, are also helping to prevent severe complications in high-risk patients.

As the UPMC Second Avenue Commons Health Center looks forward, it remains steadfast in its mission: to create a safe, welcoming space where patients feel respected, cared for, and supported in their health. For many who have experienced negative encounters in traditional healthcare settings, Second Avenue Commons Health Center offers something different: dignity, trust, and a chance to take the first step toward healing.

Visit the Second Avenue Common’s website to find out how you can help support their mission.