Consultation Services

The Street Medicine Institute offers paid consultations for established and developing street medicine programs. 

Each consultation is tailored to suit the needs of your individual program or organization. Consultations may include virtual discussions and/or in-person visits from SMI expert consultants. Consultants can play an active role in document and policy creation, shadow your team on street rounds, address stakeholders, or provide hands-on training to volunteers and staff. See common consultation topics below.

SMI consultation services can be built into your program’s existing grant budget as technical assistance or training. General consultation rates (in USD) are:

Virtual consultation- $165 per hour 

On-site consultation- $2,200 per day, plus the cost of consultant travel 

The initial discussion about your consultation needs is complimentary. If you are interested in learning more about a consultation for your program, please reach out to [email protected]. 

“The Street Medicine Consult service provided by Street Medicine Institute was fundamental to our success in organizing a service line at a large institution. The in-person visit helped UNM leadership understand the significance of delivering care to our unhoused neighbors is not only the right action, but that these actions can be sustainable through appropriate organizational structure and billing.” 

- Lindsay E. Fox MSPAS, PA-C
Director, Center for Inclusive Health at UNM, General Internal Medicine Division

Free Resources

SMI holds periodic webinars and trainings and co-hosts regular webinars through Street Medicine ECHO. We also provide numerous open-access articles and tools on our Resources Page.

If you have a general question, SMI can answer simple inquiries by email. Reach out to [email protected].

Member Resources

SMI members can access our forums and connect directly with street medicine experts during monthly member-only office hours. Click here to join SMI as a member. 


Common Consultation Topics

In-person consultation

Start-up Considerations

  • Values and philosophy
  • Concepts including harm reduction, structural violence, exclusion, social justice, community building, resilience, social theory, and conceptual frameworks for street medicine
  • Existing street medicine models
  • Leadership structure
  • Local environment and needs assessment
  • Program funding
  • Record keeping and data collection
  • Legal considerations
  • Quality assurance and quality improvement

Program Development

  • Defining your scope of practice
  • Engagement and establishing street relationships (street politics, etiquette, networks)
  • Collaboration with other street-based entities
  • Building the street medicine practice
  • Rounding/street coverage strategies
  • Outreach and clinical teams
  • Safety and compliance
  • Policies and procedures, including form creation
  • Medication management
  • Medical protocols
  • Harm reduction and trauma informed care
  • Continuity of care and follow-up
  • In-reach (systematic linkage to needed services)
  • Medical supplies and equipment
  • Staff and volunteer training and support
  • Infection control
  • Special circumstances or crises

Additional Topics

  • Street psychiatry
  • Harm reduction and substance use treatment collaboration
  • Case management
  • Including people with lived experience
  • Medical education and working with learners
  • Patient navigation
  • Hospital consultations
  • Communications and media
  • Public and government relations