La Clínica Del Pueblo
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La Clínica del Pueblo is a non-profit,
Federally Qualified Health Center A Federally Qualified Health Center (FQHC) is a community-based Health care, health care organization that provides comprehensive primary care and support services to underserved populations in the United States. These centers serve patients regar ...
(FQHC) clinic that serves the Latino population of the
Washington, D.C. Washington, D.C., formally the District of Columbia and commonly known as Washington or D.C., is the capital city and federal district of the United States. The city is on the Potomac River, across from Virginia, and shares land borders with ...
, metropolitan area that provides services through medical services, mental health and substance abuse counseling, language access services, and community health action programs.


History

La Clínica del Pueblo (LCDP) was founded in 1983 to address the growing medical needs of Washington's Latino community by Salvadorian activists at the Central American Refugee Center (CARECEN) and "self-proclaimed North American hippies" at Plenty International. Many Salvadorians fled to Washington during the
Salvadoran Civil War The Salvadoran Civil War () was a twelve-year civil war in El Salvador that was fought between the government of El Salvador, backed by the United States, and the Farabundo Martí National Liberation Front (FMLN), a coalition of left-wing guer ...
, seeking refuge, but were unable to access traditional forms of health care due to linguistic and cultural barriers and immigration status. LCDP opened to serve these immigrants, as well as other Latin Americans fleeing war-torn countries, but soon started serving the entire Latino community. Initially, LCDP provided only basic medical care one day a week, at no cost, staffed by volunteer doctors and health promoters. The start was with Ed Horowtiz as it first employee, who was part-time, and Dr. Peter Shields, who was the volunteer medical director. The clinic rapidly grew due to demand and the hard work of numerous volunteers, developing training programs for lay medical workers (Promoteres de Salud), increasing provision of primary care and start of a mental health program. The clinic was at the forefront at the start of the HIV epidemic and continues with important services for HIV and other infections. It quickly became a safe place for undocumented refugees to go for care from understanding individuals. As the Latino population grew, so did LCDP. It began to provide many different social services, such as health education and outreach.


1987–1995

In 1987, Dr. Juan Romagoza, himself a refugee from
El Salvador El Salvador, officially the Republic of El Salvador, is a country in Central America. It is bordered on the northeast by Honduras, on the northwest by Guatemala, and on the south by the Pacific Ocean. El Salvador's capital and largest city is S ...
, became director of LCDP. Under Romagoza and the continued work of Dr. Peter Shields as medical director, LCDP expanded the scope of its operations to
alternative medicine Alternative medicine refers to practices that aim to achieve the healing effects of conventional medicine, but that typically lack biological plausibility, testability, repeatability, or supporting evidence of effectiveness. Such practices are ...
, community health outreach and prevention. In 1989, LCDP received a grant from the DC Mayor's Office of Latino Affairs to start a HIV/AIDS program. In 1990, LCDP received its first multi-year contract from the
Roman Catholic Archdiocese of Washington The Archdiocese of Washington () is a Latin Church ecclesiastical territory, or archdiocese, of the Catholic Church for the District of Columbia and several Maryland counties in the United States. The Archdiocese of Washington is home to the Ca ...
to provide physicals to Vietnamese refugees. At this time, LCDP was still operating under CARECEN. Due its growth, LCDP's staff and patients lobbied for autonomy and in 1995, LCDP became an independent non-profit organization. Dr. Shields was the first President of the Board of Directors and Dr. Romagoza was the first Executive Director.


1995–present

From 1995-2003, LCDP grew rapidly, increasing its budget from $800,000 to $4.6 million. During this period, LCDP also began accepting reimbursements from
Medicaid Medicaid is a government program in the United States that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by U.S. state, state governments, which also h ...
, which meant it was no longer a
free clinic A free clinic or walk in clinic is a health care facility in the United States offering services to economically disadvantaged individuals for free or at a nominal cost. The need for such a clinic arises in societies where there is no universal ...
, but services continued to be provided based on need (including free services). This period also saw the creation of the interpreter services program, a Social Services Department which provided patients with case managers, and the launch of an
HIV/AIDS The HIV, human immunodeficiency virus (HIV) is a retrovirus that attacks the immune system. Without treatment, it can lead to a spectrum of conditions including acquired immunodeficiency syndrome (AIDS). It is a Preventive healthcare, pr ...
prevention program. In 2000, LCDP received a large grant from the
Substance Abuse and Mental Health Services Administration The Substance Abuse and Mental Health Services Administration (SAMHSA; pronounced ) is a branch of the U.S. Department of Health and Human Services (HHS). SAMHSA is charged with improving the quality and availability of treatment and rehabilitati ...
, which allowed its mental health department to hire full-time therapists for the first time. In 2007, Romagoza stepped down after 20 years and returned to El Salvador to continue his medical outreach there. Enrique Cobham served as Interim Executive Director until 2009, when Alicia Wilson was appointed as executive director. Wilson, who was development director before her appointment as executive director, started at LCDP in 1999 as a case manager. After her appointment as executive director, she started "''¡La Clínica Adelante!''", an ambitious agenda to grow LCDP's patient programs as well as its resources. In 2007, LCDP became a
Federally Qualified Health Center A Federally Qualified Health Center (FQHC) is a community-based Health care, health care organization that provides comprehensive primary care and support services to underserved populations in the United States. These centers serve patients regar ...
and implemented a sliding-scale payment system, which ended its tenure as a "free-clinic". LCDP currently accepts some forms of private insurance, Medicare, Medicaid and DC alliance. In 2007, LCDP served 7,500 clients with over 55,000 health services. As of 2019, LCDP has a staff of around 110 employees and is located across five different sites in Washington D.C., and Prince George's County, Maryland.


Service areas

LCDP patient services are divided into four different areas. They are: *Medical services: provides basic health care. *Mental health/substance abuse: provides substance abuse help and mental health services *Community health action: works with communities on HIV prevention and other issues, like transgender rights and youth issues. *Language Access Services: provides patients, staff and the community at large with interpretation services.


See also

* Hispanics in Washington, D.C. * Office of Latino Affairs of the District of Columbia *
Central America Resource Center The Central American Resource Center (CARECEN) are two community-based organizations that seek to foster the comprehensive development of the Latino community. CARECEN in the Washington, D.C. metropolitan region was founded in 1981 to protect the ...
* Latin American Youth Center


References


External links


La Clínica del Pueblo websiteCase Study SummaryFull Case Study
{{DEFAULTSORT:Clinica del Pueblo, La Non-profit organizations based in Washington, D.C. Immigrant services organizations Health charities in the United States Hispanic and Latino American culture in Washington, D.C. Medical and health organizations based in Washington, D.C. Clinics in the United States