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In a small city (population 86,000) situated in the Interior Health Authority, one of six health authorities in British Columbia, Canada, a local Public Health Street Outreach program was challenged with addressing the increasing complexities of individuals and families affected by substance use, poverty, mental illness, human immunodeficiency virus (HIV), hepatitis C virus (HCV), and homelessness. The individual health service delivery model currently used to provide care in the community, limited and impeded prevention and health promotion activities by nurses working with these populations. Changing to a client centred population health approach instead of the individual service approach gave Street Outreach nurses greater flexibility so that they were able to more effectively engage with clients, families, and other service providers regarding health related issues.

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