Grantee: Harborview Medical Center
Timeframe: July 2025 – June 2027 | Amount: $400,000
- Year 1: July 2025 – June 2026 | Amount: $200,000
- Year 2: July 2026 – June 2027 | Amount: $200,000
Harborview Medical Center is implementing the Stimulant Health Incentive Program (SHIP), an innovative Contingency Management (CM) program at Hobson Clinic that expands access to wraparound health services and evidence-based treatment for people with stimulant use disorder. The program integrates CM with medical, behavioral health, and harm reduction services for unstably housed individuals in King County.
Since receiving PHPDA funding, SHIP has made substantial progress. Harborview hired a full-time Peer Support Specialist and part-time Program Coordinator and launched a pilot program serving approximately 22 participants. The pilot is being used to refine workflows, data systems, and clinical protocols before full implementation. More than 50 referrals have been received from UW Medicine providers and addiction medicine clinicians despite limited outreach, demonstrating strong community demand.
SHIP also launched SHIPmates, a weekly peer support group that has engaged more than 64 unique participants through meals, activities, harm reduction resources, and opportunities for connection. An 11-member Lived Experience Advisory Board was established to guide program design, incentive structures, recruitment, and evaluation. Harborview has also developed key operational systems, including referral and waitlist processes, data infrastructure, financial workflows, and clinical protocols.
During the pilot phase, Harborview addressed operational and compliance challenges related to incentive structures, staffing capacity, and available space. Temporary adjustments included limiting harm reduction supplies and using the clinic’s general waiting area while the program continues to evolve. Harborview also implemented staffing coverage plans to minimize service disruptions and is exploring additional funding opportunities to support long-term sustainability.
In Year 2, SHIP will refine its clinical protocols and incentive model based on participant and advisory board feedback, strengthen integration with healthcare and basic needs services, and continue improving operational systems. Harborview will also develop a sustainability plan to support the program’s long-term growth and continuation.
ABOUT OUR GRANTEE
Harborview Medical Center
“Harborview Medical Center is a comprehensive healthcare facility dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County.
The UW Medicine physicians, staff and other healthcare professionals based at Harborview provide exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care; neurosciences, ophthalmology, vascular surgery, HIV/AIDS and rehabilitation medicine.
Patients given priority for care include the non-English speaking poor; the uninsured or underinsured, victims of domestic violence or sexual assault; people incarcerated in King County’s jails; people with mental illness or substance abuse problems, particularly those treated involuntarily; people with sexually transmitted diseases; and those who require specialized emergency, trauma or burn care.
Harborview Medical Center is owned by King County, governed by a county-appointed board of trustees and managed under contract by the University of Washington. The medical center plans and coordinates with Public Health Seattle and King County, other County agencies, community providers, and area hospitals, to provide programs and services.”
