Primary care training and enhancement -- residency training in street medicine - address: 405 belcher street, centreville, AL 35042-2946 project director name: lacy smith, MD email address

The Department of Health and Human Services Health Resources and Services Administration Bureau of Health Professionals awarded Cahaba Medical Care Foundation $500,000 on July 1, 2026, under the Primary Care Training and Enhancement program (CFDA 93.884) to expand residency training in street medicine within its existing family medicine residency program.

Cahaba Medical Care, a federally qualified health center and teaching health center based in Centreville, Alabama, will build on its established four-track family medicine residency to develop interdisciplinary street medicine services including weekly shelter-based care and mobile outreach to encampments. Residents will receive training in managing chronic conditions, mental health and addiction treatment, cultural humility, social determinants of health, and evidence-based approaches to caring for individuals experiencing homelessness. Training emphasizes harm reduction strategies and collaborative work with social workers, behavioral health consultants, and legal professionals through the organization's medical-legal partnership. The program targets adults and families experiencing housing instability in Jefferson County and surrounding rural counties in central Alabama, populations disproportionately affected by chronic illness, substance use, and socioeconomic constraints.

The award runs through June 30, 2031, with place of performance in Brent, Alabama. This is a Project Grant assistance type supporting a five-year project period.