
The Fourth Street Clinic Report is where we explore the systems, challenges, and solutions shaping health outcomes for people experiencing homelessness.
Recognition for Extraordinary Care
In June, the Utah Office of Homeless Services and the Utah Homeless Services Board recognized Fourth Street Clinic for the extraordinary care our team provides to Utah's most vulnerable neighbors. In their words, our staff "meet people in the hardest moments of their lives with unwavering dignity, professionalism, and genuine compassion." We were especially honored to be the only organization recognized during this presentation. As the award was shared, members of the Utah Homeless Services Board reflected on Fourth Street Clinic's impact and the vital role we play in our community. Randy Shumway, Board Chair, Utah Office of Homeless [...]
More Than a Smile: Oral Health and Homelessness
When people think about health, they often focus on conditions like diabetes, heart disease, or high blood pressure. Yet oral health plays a critical role in overall well-being. Healthy teeth and gums affect our ability to eat, speak, sleep, work, and even connect with others. Poor oral health can lead to pain, infection and tooth loss and has been linked to many serious chronic health conditions. For individuals experiencing homelessness, maintaining oral health can be especially difficult. Most people take having access to a toothbrush, toothpaste, clean water and a safe place to store personal belongings for granted. For [...]
A Missed Opportunity: Why Access to Healthcare Still Matters
Fourth Street Clinic is encouraged to see a reported 1.6% decrease in homelessness reflected by the 2026 Point-in-Time (PIT) Count. Although modest, this progress demonstrates what is achievable when healthcare providers, housing partners, outreach teams, municipalities and community organizations work together in a coordinated and sustained way. We see what expanding collaboration, strengthening street outreach efforts, increasing behavioral health coordination, and connecting individuals to healthcare, housing navigation and supportive services can do. These collective efforts matter, and the PIT Count results suggest the community is taking small steps in the right direction. At the same time, the PIT Count represents only a [...]
Healing Without Barriers
Mental health challenges, substance use disorder and homelessness are often deeply connected – and deeply misunderstood. Stigma, past trauma, and broken trust can make seeking care feel impossible, leaving many without the support they need. At Fourth Street Clinic, we believe care begins with meeting people where they are at, building trust and providing compassionate behavioral health care and substance use disorder support that treats the whole person, not just their addiction. At just 21, Atreyo began experiencing homelessness, cycling in and out of the prison system while battling substance use disorder for over a decade. Exhausted and ready [...]
