One of the first documented free clinics was the Haight Ashbury Free Medical Clinic, which opened in 1967 in San Francisco, around the time the culture of free clinics began. These organizations shared grassroots origins and used donated supplies, medications, and volunteer staff. The original Volunteers in Medicine clinic, after which our clinic is modeled, was started by a retired family physician named Dr McConnell in Hilton Head, South Carolina. His goal was to care for the uninsured, often undocumented workers in the wealthy neighborhood. The free clinic movement continued to grow and in 2022, there were over 1200 free and charitable clinics in the US, providing 5.8 million patient visits per year, according to the National Association of Free and Charitable Clinics. The cost and complexity of securing and maintaining reliable health insurance still leave many families without access to affordable healthcare, and this is where free clinics provide much-needed services in underserved communities.
VIM-NH is a mobile clinic, as we do not have a physical site, and instead the medical staff travel to locations such as homeless shelters to provide care. A study done in 2020 estimated there are about 2000 mobile clinics in the US. VIM-NH’s two active locations are at Cross Roads House shelter in Portsmouth and the Willand Dr Warming Center in Somersworth. The medical team visits these two locations to provide care to the shelter clients who seek medical attention.
Working with underserved and marginalized populations requires organizations to collaborate to avoid duplicating services and to maximize available resources. Locally, VIM-NH partners with the Greater Seacoast Community Health (GSCH) Mobile Health Clinic, which uses a van to provide weekly care in various Seacoast neighborhoods. When VIM-NH encounters patients needing to establish care, we refer them to the Mobile Health Clinic. Recently, we received referrals from caseworkers at Greater Seacoast Community Health clinics and Lamprey Health for our Dental Day of Caring. This type of community collaboration makes our work rewarding and ensures that resources reach the patients in the community.