The BMC ACCESS project: the development of a medically enhanced safe haven shelter

UMMS Affiliation

Department of Psychiatry

Publication Date


Document Type



Adult; Boston; Community-Institutional Relations; *Delivery of Health Care, Integrated; Female; Health Services Accessibility; *Homeless Persons; Humans; Male; Mental Disorders; Middle Aged; Models, Organizational; Residential Facilities; Safety; Substance-Related Disorders


Community Health and Preventive Medicine | Mental and Social Health | Psychiatric and Mental Health | Psychiatry and Psychology


This paper describes the development and implementation of the Boston Medical Center (BMC) Advanced Clinical Capacity for Engagement, Safety, and Services Project. In October 2002, the BMC Division of Psychiatry became the first such entity to open a Safe Haven shelter for people who are chronically homeless, struggling with severe mental illness, and actively substance abusing. The low-demand Safe Haven model targets the most difficult to reach population and serves as a "portal of entry" to the mental health and addiction service systems. In this paper, the process by which this blended funded, multi-level collaboration, consisting of a medical center, state, city, local, and community-based consumer organizations, was created and is maintained, as well as the clinical model of care is described. Lessons learned from creating the Safe Haven Shelter and the development and implementation of the consumer-informed evaluation are discussed as well as implications for future work with this population.

DOI of Published Version



J Behav Health Serv Res. 2009 Oct;36(4):478-91. Epub 2008 Oct 1. Link to article on publisher's site

Journal/Book/Conference Title

The journal of behavioral health services and research

Related Resources

Link to Article in PubMed