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Repair common Windows errors and clear accumulated junk for a smoother, more stable PC - no reinstall needed.Free scan · no reinstallA four-year evaluation of Seattle’s One Health Clinic found that more than half of its human clients established healthcare after having none in the previous two years, 85% attended at least one non-emergency follow-up appointment within two years, and every animal received care during the clinic visit. The results suggest that coordinating human and veterinary services can be feasible and acceptable for young people experiencing homelessness and their pets—but the study does not prove the clinic caused those outcomes.
What did the study find?
Rejto and colleagues reviewed deidentified clinic forms, electronic medical records, and veterinary records from Seattle’s One Health Clinic for 2019–2022. The evaluation describes people who reached the clinic and the care recorded there.
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- Healthcare access: More than 50% of human clients established healthcare for the first time in two years.
- Follow-up: 85% attended one or more non-emergency healthcare follow-up appointments within two years of their initial One Health Clinic appointment.
- Animal care: Every animal received care during the clinic visit.
- Shared environmental concerns: Food insecurity, heat, and cold were the most commonly reported concerns affecting clients and pets.
The study also recorded needs at the human-animal interface, including zoonotic infections, animal allergies, and mental or behavioral health concerns. The headline proportions are reported measures for this clinic population; the available abstract does not state their denominators, so they should not be read as estimates for all young people experiencing homelessness.
How does the clinic bring care together?
The Seattle clinic began in October 2018 after a community needs assessment identified animal ownership as a barrier to accessing healthcare. Its implementation report describes adding veterinary services to a human-health clinic already operating at a pet-friendly youth shelter. Human health practitioners, veterinary faculty and students, and navigation support work together to address the needs of people and their companion animals.
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This integrated approach matters because a pet’s health and a person’s access to care can be connected. A visit prompted by an animal’s needs can also create an opportunity to connect the person with healthcare and other support. In an AAHA interview, clinic administrator Vickie Ramirez described the work as “trust building.” Study lead author and patient navigator Natalie Rejto said that even when someone comes for veterinary care, “the whole team has that shared goal [of improving health for pets, people, and environment].”
What the results do—and do not—show
The 2025 evaluation is descriptive: it reports what was documented among clinic clients over four years. It calls the model feasible and acceptable and suggests promise for health-seeking behavior and follow-up care. It does not establish that the clinic caused the reported outcomes, compare the service with a control group, or show that similar results would occur in other locations. The accessible abstract does not provide a sample size, confidence intervals, or detailed subgroup findings.
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A separate 2022 Seattle study offers context about access, but it measured a different group and period: among 44 people experiencing homelessness with animals, 86% had sought healthcare for themselves and 93% had sought veterinary care for their pet in the prior year. Those figures should not be combined with the clinic evaluation’s outcomes.
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Who can use the Seattle clinic?
The clinic’s public page lists services at two Seattle locations: New Horizons for pet owners experiencing homelessness aged 13–25, and Hobson Place for adults experiencing homelessness, living in supportive housing, or at risk of housing insecurity. It says Seattle currently offers free veterinary care for up to three pets per family over one year and invites people to email for help connecting with appropriate resources. Schedules, eligibility, and service details can change, so confirm them directly with the One Health Clinic.
Independent reader supportYour contribution helps us test, update, and keep practical guides available for everyone.Can another community create a similar clinic?
For health systems, veterinary schools, community health providers, and homelessness-service organizations, the AAHA interview reports that the Seattle clinic offers a free toolkit, technical assistance, and technical support to groups starting similar clinics. Local partners considering the model can explore those resources through the AAHA interview. The Seattle implementation report also describes how the clinic was established and organized: the One Health Clinic implementation report.
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