Clinic and Nursing
Christine Thomas, RN, BSN
Tiffany Wolfe, RN FNP
Family Nurse Practitioner
Mandy Whisman, RN
Public Health Nurse
Billie Dunigan, RN, BSN
Public Health Nurse
Billing Coordinator, Administrative Assistant
Nursing Service and Clinic
The Nursing Division operates a Clinic that is open to clients Monday through Friday from 8:00AM to 4:30PM.
The Clinic is staffed with a Nurse Practitioner, Nurses, and a Receptionist. Appointments are available, and walk-in clients are accepted. The clinic offers extended hours, by appointment only for clients who cannot come during regular business hours.”.
There is a strong emphasis on providing care to low income and indigent clients, although clients of all socio-economic groups are accepted. The Clinic accepts a large variety of medical insurance plans.
Clients who are uninsured are offered services on a sliding fee scale, based on annual income.
Clients who are not enrolled in an insurance program are offered assistance by the Certified Application Counselor (CAC) on staff, with enrollment into a Medicaid managed care program or a market-place insurance program offered through the Affordable Care Act.
Clients may be eligible for up to 40% discount with proof of income. Work and School Physicals, High Blood Pressure, Diabetes, General Wellness Exams, Asthma, etc.
Other Public Health and Nursing Services
- Reproductive Health and Wellness
- Recovery Gateway
- Vivitrol/Naltrexone Opiate/Alcohol Addiction Treatment Program
- Children with Medical Handicaps
- Project DAWN (Deaths Avoided with Naloxone) Program
- Communicable Disease
- Ohio Buckles Buckeyes Program
The Portsmouth City Health Department receives funding for the Reproductive Health and Wellness Clinic from the Ohio Department of Health.
Reproductive Health and Wellness (RHWP) focuses on public health, disease prevention, contraception and family planning for adolescent and adult males and females who meet the RHWP eligibility requirements.
The program assists clients in developing a reproductive life plan. Through education and provision of contraceptives that meet their personal needs, clients are provided the resources to have children when they are ready, healthy, and free of disease.
In addition to the medical care provided to our clients, there is a strong emphasis on education related to prevention of sexually transmitted diseases, on benefits and risks of various types of birth control, and on screening and preventative care, to optimize general health.
The following services are offered through this program:
- General women and men’s health screening and care to promote good health and prevent disease
- Cancer screening
- Pap smears
- Pregnancy screening, initial prenatal care, and referral
- Contraceptive counseling, education, and care
- Screening, education on prevention, and treatment of sexually transmitted diseases
- Adolescent services, including encouragement of family involvement and education on sexual coercion
- HPV and other forms of vaccination
- Laboratory testing
- Education on breast self-exam and testicular self-exam
- Free HIV testing
- Nutritional counseling and education
- Partner violence screening and support
- Human trafficking screening and support
- Smoking cessation education and support
The program will reduce the number of barriers to accessing substance abuse treatment, mental health treatment, and other social services by managing each case individually and accessing all available resources.
The ultimate goal is to reduce drug related morbidity and mortality for Scioto County residence through the development of a navigation and follow up system.
- SERVICES PROVIDED
- Addiction Consultations
- Assigned navigators to assist clients in accessing needed services.
- Assistance with applying for medical insurance, CAC (certified application counselor) on site.
- In house primary care and reproductive healthcare.
- Linkage to care for treatment services.
Client Navigation Coordinator
Naltrexone is a synthetic opioid antagonist—it blocks Opioids from binding to their receptors and thereby prevents their euphoric and other effects. It has been used for many years to reverse opioid overdose and is also approved for treating opioid addiction. Clinicians have found Naltrexone is best suited for highly motivated, recently detoxified patients who desire total abstinence because of external circumstances—for instance, professionals or parolees. Vivitrol, a long-acting injectable version of Naltrexone, was approved to treat opioid addiction. Because it only needs to be delivered once a month, this version of the drug can facilitate compliance and offers an alternative for those who do not wish to be placed on agonist/partial agonist medications ¹.
The Clinic assists opiate and alcohol addicted individuals in recovery through Naltrexone / Vivitrol treatment. Clients are treated with the medications while being monitored by Clinic nurses and the Nurse Practitioner. The Clinic works with local drug-addiction counselors to obtain an initial mental health assessment and to provide drug-addiction counseling for each client while they are enrolled in the Vivitrol program.
1 Cornish, J.W.; Metzger, D.; Woody, G.E.; Wilson, D.; McClellan, A.T.; and Vandergrift, B. Naltrexone pharmacotherapy for opioid dependent federal probationers. Journal of Substance Abuse Treatment 14(6):529–534, 1997.
The Health Department operates the Children with Medical Handicaps Program (CMH) through a grant from the Ohio Department of Health (ODH). CMH links families of children with special health care needs to a network of quality providers and helps families obtain payment for the services their children need. CMH promotes early identification of children with handicapping conditions and treatment of those children by appropriate health care providers.
Major components of the program include: conducting quality assurance activities to establish standards of care and to determine unmet needs of children with handicaps and their families; funding services for the diagnosis and treatment of medically eligible conditions; collaborating with public health nurses and local health departments to assist in increasing access to care; supporting service coordination for children with selected diagnoses; and assisting families to access and utilize appropriate sources of payment for services for their child.
Home visits are made by the Public Health Nurse (PHN)to help families coordinate services. The PHN works with other agencies to make sure the child’s needs are met and keeps in touch with families with letters and phone calls. The PHN coordinates and staffs specialty clinics and informs families and care providers about CMH and the Medical Home Concept.
Through the development and support of high quality, coordinated systems, children with special health care needs and their families obtain comprehensive care and services that are family centered, community based and culturally sensitive.
Phone: 740-354-8922 or Email: email@example.com
The Portsmouth City Health Department began Project DAWN as a pilot harm-reduction public health program in 2012. The goal of this program is to reduce deaths caused by overdose of opiates. Naloxone is administered intra-nasally temporarily reverse the effects of opiates in the client’s body. The drug, along with emergency resuscitation breathing is provided to the individual until emergency responders arrive and transport the individual for further medical care. In October of 2016, Section 4729.44 of the Ohio Revised Code (ORC) and rule 4729-5-39 of the Ohio Administrative Code (OAC), authorizes pharmacies to dispense Narcan to individuals without a prescription.
Communicable Disease Control improves the quality of life of all Portsmouth and Scioto County residents by responding to and investigating communicable diseases. The Portsmouth City Health Department closely follows the mandate of the Ohio Department of Health and the Centers for Disease Control and Prevention (CDC) for reporting and control of communicable diseases. The primary role of Public Health Nursing is in surveillance- monitoring the number of cases and types of communicable diseases and illnesses in the community, to identify trends and patterns in the population. When indicated, Public Health Nurses conduct follow-up investigations which include interviewing persons affected by communicable disease. In addition, Public Health Nurses educate individuals and the general public regarding communicable diseases and how to prevent transmission, in order to minimize or halt the spread of illness.
Reportable diseases are conditions that, due to their infectious nature and the risks they pose in being spread to others, are mandated under Ohio law to be reported to the local health department for follow-up. Primary responsibility to report these diseases rests with health care providers, hospitals, and laboratories, but anyone with knowledge of a reportable disease is encouraged to report. Recommended preventive measures might include vaccination, treatment of other individuals exposed to the illness, or temporary restriction from work or school.
Click here for the ABC’s of Communicable Disease. It includes a list of all reportable communicable diseases Health care providers, hospitals, and laboratories also report communicable diseases to the Health Department. Remember, anyone can report a communicable disease! During regular business hours, call 740.353-5153, the same number is used after-hours public health emergencies, you will be transferred to the Scioto County Sheriff Dispatch (this option is provided for public health emergencies ONLY – not general calls, appointment requests, or to leave staff messages).
If you are looking for the Ohio Department of Health (ODH) Communicable Disease Poster, click here. You will be taken to the ODH online Infectious Disease Control Manual. There is a link to order a poster from ODH. You may also click here for a PDF.
The Ohio Buckles Buckeyes Program is a child passenger safety program of the state of Ohio that provides child safety seats and booster seats to low income families in Ohio.
The goals of the program are to reduce the number of child traffic deaths, to increase the availability of child safety seats, to increase the use of child safety seats, and to increase the proper installation and use of seat belts.
Those who are permanent residents of Ohio who have children that require a car seat are eligible.
The families must meet WIC income guidelines but they do not need to be enrolled in the WIC program.
Prior to receipt of a child safety seat, families must attend a class provided by trained Child Passenger Safety staff.
Fines will range from a minimum of $25 to a maximum of $75 per occurrence. Second offense fines have a maximum of $250 and jail time to 30 days. A booster seat can be purchased for as little as $15.
It is advised that a children to stay in car seats or boosters as long as possible, even beyond the requirements of state law.The OBB program is overseen by The Ohio Department of Health and is in all 88 counties.
Each county receives a set number of car seats at intervals throughout the year.
These seats are distributed to children who are on WIC (Women Infants and Children) or who are WIC income eligible.