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Janian Medical Care - Brooklyn

Brooklyn, NY 11203

Facility Details

Janian Medical Care is our award-winning health care program. Established in 2011, Janian delivers a matrix of psychiatric and primary medical care services to homeless and formerly homeless individuals throughout New York City.

Named in the spirit of Janus, the Roman god of transition, change, and new beginnings, Janian is on the forefront of providing compassionate, seamless care to people with complex medical and mental health illnesses.

As the largest provider of psychiatric care to homeless and formerly homeless people in New York City, our Janian psychiatrists are the vanguard of helping people with serious mental health illnesses.  

On the streets, in soup kitchens, shelters, housing programs, and in communities throughout the city, we provide person-centered, recovery-oriented psychiatric care that integrates mental health, substance use, and physical health to the most vulnerable New Yorkers.

  •  Collaborative & Person-Centered Treatment Model - Although our patient caseloads remain lower than traditional settings of care, Janian psychiatric services reach more than 2,500 individuals each year.  The success of our program is due to our engagement and relationship building which is at the core of providing meaningful care to our patients.  For our clinicians, our caseload model is an opportunity to provide well informed, high-quality care within the subspecialty of homeless psychiatry.  Clinicians have autonomy and flexibility to provide engagement services, psychotherapy, and medication management as clinically indicated.  Integration is essential. Our model involves primary care-behavioral health integration, integrated dual disorder treatment, and clinicians are integrated team members at their program sites.  Janian clinicians meet with the onsite case management team for case conferencing and mental health training.  Our clinicians are also able to address the social determinants of health by connecting individuals to supportive housing, supported employment and reintegrating people into their communities. All of our clinicians provide consultation to their partnered site with a goal of making mental health part of the program’s architecture, informing the overall services to homeless individuals.  Our partner sites welcome this effort.
  • Satisfaction-Our approach to caseload and service model has meant a consistently high level of satisfaction reported by our patients, our partner programs, and our clinicians. Our clinicians enjoy administrative and supervisory support to provide excellent care. Our innovative model limits the administrative bureaucracy of clinic or hospital-based care so that our clinicians can provide creative, flexible and individualized support to an important population.   The outcome of this success is program expansion and clinician satisfaction.
  • Business Model-Our program is funded primarily by public and private grants, which have enabled us to deliver high-quality care to homeless and formerly homeless New Yorkers for more than 35 years.
  •  Janian physicians and nurse practitioners are graduates of Columbia, NYU, Cornell, Mt. Sinai, Einstein and University of Washington psychiatric training programs.  We attract mission-driven clinicians who are committed to social justice and reducing the disparities in healthcare by providing high-quality services to our city’s most vulnerable adults.  Our clinicians use supervision and support to further develop their understanding of community care for individuals experiencing homelessness so they may practice at the top of their license. 

Community Details

Brooklyn, NY

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Brooklyn offers attractions for every type of traveler. Want to be on the cutting-edge? Head for Williamsburg, where you can hear live music every night and shop for vintage threads. If you want to root for the home team, there’s pro hockey and basketball at Barclays Center in Downtown Brooklyn. Traveling with kids? Prospect Park and the stroller-filled sidewalks of Park Slope beckon, as does the area’s restaurant scene. And since the best things in life are free, consider a walk across the Brooklyn Bridge or along the scenic Brooklyn Heights promenade. Brooklyn's many exciting neighborhoods, packed with cultural institutions, restaurants, and shops, make the borough a top New York City destination. Downtown Brooklyn provides the perfect starting point for experiencing an eclectic area full of energy and brimming with culture. It's centrally located streets serve as an introduction to the surrounding neighborhoods of Brooklyn Heights, BoCoCa, DUMBO, Fort Greene, Park Slope, Prospect Heights, Williamsburg, and Bushwick—all a short train ride or walk away.


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