Relationship Development: Approach to Welcoming Patients

Figure 22.  Dr. Ryan, street psychiatrist, makes a call in Malibu. Taken by Dr. Coley King of Venice Family Clinic.

Figure 22.  Dr. Ryan, street psychiatrist, makes a call in Malibu. Taken by Dr. Coley King of Venice Family Clinic.

Steps to welcoming a new patient in the field:

  • Have a trusted source help with introductions, when possible. Examples of a trusted source include an outreach worker, a shopkeeper who lets the person sleep in their doorway, or a security guard at the local hospital.
  • Engage cautiously from a distance (approximately 15-20 feet), call out by introducing yourself and ask permission to approach.
  • Move forward cautiously after receiving acknowledgement to come closer.
  • Be friendly and use eye contact while initiating a safe and comfortable interaction.
  • Address each person by name when possible.
  • Strive for face-to-face communication at or below eye level (stand, sit, stoop or squat).
  • Ask and get approval before initiating each and every interaction, touch and procedure.
  • Take the time to establish rapport before attempting to do a physical exam.
  • Demonstrate humility—this can be a source of relief for an anxious patient.
  • Think: “How does this person experience our interaction?”
  • Offer a pair of socks, shoes, a sandwich, water, a transportation voucher, a blanket or some other simple act of kindness.
Figure 23.  Foot care is a useful service that can alleviate discomfort and support a trusting relationship.  Taken by Peter Miller.

Figure 23.  Foot care is a useful service that can alleviate discomfort and support a trusting relationship.  Taken by Peter Miller.

“How about if I be your coach and your cheerleader, while taking care of your medical needs?”

Dr. Coley King