Homeless Outreach Program


First Nations Community HealthSource (FNCH) Homeless Outreach Program (HOP) is dedicated to addressing homelessness and improving the health and well-being of individuals and families. It offers comprehensive healthcare services and social support to individuals experiencing homelessness or facing the risk of homelessness. The program provides accessible walk-in case management and outreach services, aiming to improve the overall health outcomes of its clients.

Homeless Outreach Program


To provide comprehensive, holistic services that will assist individuals and families experiencing homelessness with their medical, social, spiritual, and emotional needs.

All individuals and families must complete the following procedures to be eligible for HOP services.

  • Register as a FNCH patient in primary care,
  • Complete an Intake

HOP Case Management Services:

  • Behavioral Health Referrals
  • Dental Referrals
  • Disability Income/Appeal
  • Domestic Violence Prevention
  • Housing Referrals/Placement
  • ID/CIB Assistance
  • Legal Services
  • Education/GED
  • Employment
  • Health Care Home
  • Homeless Prevention
  • Housing Referrals/Placement
  • Vision Assistance/Referral
  • Medicaid/SNAP/SSI Enrollment
  • Mail Services

Office Hours

  • Monday – Friday: 8:00 AM to 6:00 PM
  • Saturday: 8:00 AM 12:00 PM

Walk-in Hours

  • Monday: 8:00 AM to 5:00 PM
  • Tuesday: 8:00 AM to 5:00 PM
  • Wednesday: 8:00 AM to 5:00 PM
  • Thursday:  8:00 AM to 5:00 PM
  • Friday:  8:00 AM to 5:00 PM
  • Saturday 8:00 AM to 5:00 PM

Job Development

Job Development services include resume writing, job searches, job training referrals, computer lab services, career planning, etc. These services focus on job readiness and employment placement.
Time: Monday – Thursday
Time: 9:00 AM – 12:00 PM
Where:  All Nations Wellness Center
6416 Zuni Rd SE

Job Development Services

  • Computer Lab with Internet Access
  • Resume, Cover Letter, and Reference Writing
  • Job Interview Prep
  • Employment Resources
  • Printing and Photocopying
  • Job Search Training

Indigenous Plate Program

Serves warm meals to individuals who experience hunger due to having limited financial resources.
Time: Monday – Friday
Time: Breakfast 7:30 AM – 9:00 AM
Lunch 12:00 PM – 1:30 PM
Where:  All Nations Wellness Center
6416 Zuni Rd SE

Homeless Advisory Council

The Homeless Advisory Council (HAC) discusses issues and topics that affect the homeless

community and provides an opportunity for community members to provide feedback on FNCH and HOP services.
Date: Last Wednesday of every month
Time: 9:00 AM – 10:00 AM
Where:  All Nations Wellness Center
6416 Zuni Rd SE

Art Group

The HOP Art Group is open to HOP clients and provides an opportunity to use the creative process of art-making to improve and enhance individuals’ physical, mental, and emotional well-being
When: Every Tuesday
Time:   9:00 AM – 10:00 AM
Where: All Nations Wellness Center
6416 Zuni Rd SE

Healthy Living Education Group

The Healthy Living Education Series is open to all community members and provides fun interactive activities for all ages, information on various health prevention and intervention topics, and dates for upcoming community events.
When: Every Wednesday
Time:   9:00 AM – 10:00 AM
Where: All Nations Wellness Center
6416 Zuni Rd SE

Street Outreach

FNCH street outreach staff conduct weekly street outreaches to connect unsheltered individuals with services. The team targets all areas and works in collaboration with community partners.

Am I eligible for HOP services?

Individuals and families are eligible for HOP services if they are in any of the following situations:

  • Lack a fixed, regular, and adequate nighttime residence.
  • Will imminently lose their primary nighttime residence.
  • Fleeing, or attempting to flee, domestic violence or other life-threatening conditions that relate to violence.
What does establishing with a FNCH primary care provider mean?

Establishing a primary care provider means a client will see a FNCH medical provider a minimum of 2 times every 12 months. This medical provider will be the client’s first point of contact for all health issues. The goal is for the client to build a comfortable relationship with their provider, have confidence in asking questions, and receive whole-person care.

What is a HOP Intake?

A HOP intake involves completing assessments with a case manager to identify healthcare and other support service needs. This process involves prioritizing goals, creating a care plan, completing appropriate referrals, assisting with appointment scheduling, and providing direct assistance. HOP intake appointments are scheduled as walk-ins. An intake takes approximately one hour to complete and must be completed annually. 

Can I get an ID voucher?

To be assisted with obtaining an ID or the documents needed for an ID, an individual must be a registered patient of FNCH, established with an FNCH primary care provider, and have completed a HOP Intake. A HOP case manager will determine whether a client is eligible for ID assistance during the HOP Intake or follow-up case management appointment. The case manager will assist clients eligible for an ID in retrieving and paying for necessary documents.

Do you have housing?

HOP does not have a shelter and does not issue housing vouchers directly. HOP offers housing referrals/placement into programs that provide shelter and/or housing assistance, such as the Barrett House, AOC, the New Mexico Coalition to End Homelessness, Albuquerque Heading Home, Navajo Housing Authority, Albuquerque Housing Authority, Subsidized Housing, Low-Income Housing, etc. HOP case managers are trained in completing a VI-SPDAT Coordinated Entry housing assessments. Individuals with incomes may be assisted by HOP case managers in looking and applying for affordable housing options.

Can I get a motel voucher?

Motel vouchers are contingent on funding availability and eligibility requirements. When funds are available, HOP case managers collaborate with FNCH’s Motel Voucher Program to complete the eligibility, intake, and necessary paperwork. Clients who receive a motel voucher are expected to meet with a HOP case manager at least once during their stay to address their service needs. Motel vouchers are available once per year per individual. Individuals who do not follow the program’s rules will be ineligible for future motel vouchers.

Do you provide rental or utility assistance?

Rental and utility assistance are contingent on funding availability and eligibility requirements. HOP does not issue rental or utility assistance directly; however, staff collaborate with FNCH’s rental and utility assistance programs by making referrals as needed. In general, the following documents are required in order to receive rental or utility assistance:

  • FNCH Homeless Outreach Letter
  • ID
  • Certificate of Indian Blood (CIB), if applicable
  • Proof of Income
  • Lease agreement with client’s name
  • Completed rental assistance application if requesting move-in assistance
  • Past due rent notice or eviction notice (must be issued within same month of request)
  • Utility bill (must be issued within same month of request)

Donations are always appreciated.

  • Most needed items:
  • Jackets
  • T-shirts
  • Backpacks or duffle bags
  • Hygiene products (soap, toothbrushes, toothpaste, shampoo, conditioner, brushes/combs, feminine hygiene)
  • Shoes
  • Men’s Pants
  • Professional clothing
  • Socks
  • Underwear
  • Blankets or sleeping bags


If you would like more information about these services, you may fill out the Contact Page on this website or call 505-944-2561 or 505-262-2481.