For example, in California, according to Carmen Ibarra, director of clinic operations at the Venice Family Clinic, a Title X-funded site in the Los Angeles area, a client receives an average of about 10 minutes of counseling in the course of a routine, initial family planning visit.
A homeless client or a teenager can easily take twice as long.Homeless clients, Ibarra
adds, often need to talk about the many intersecting issues in their lives, and are likely to have more mental health concerns.
At these sites, peer educators try to provide the patient advocacy on the front end that the case managers offer on the back end, according to Ibarra
of California's Venice clinic says her
agency sends street outreach teams into the community with backpacks of condoms and basic educational materials, while other teams make regular visits to homeless shelters.Often, it will take multiple visits to a shelter or street-corner conversations until someone feels safe enough to come to a clinic.According to Ibarra
, Title X will fund and train the outreach workers, purchase the condoms and often even develop the educational materials they distribute.