Homelessness contributes to a multitude of health problems; most go unattended due to lack of access to health care services combined with limited understanding of health risks. Covenant House fills this gap for its young clients with a program of primary health care and wellness education. All youth entering Covenant House are provided medical services free of charge. For many, this is the first checkup they've ever had. A health assessment is conducted within 24 hours of intake. Immunizations are provided, as well as testing, care and counseling for HIV, Hepatitis B and C, STDs, substance abuse and tuberculosis. A weekly psychiatric clinic offers clinical intervention to youth in need and a wellness education program provides counseling regarding negative health practices. Last year, over 500 youth received health services.