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Budget at Work: Health and Social Services

Health Department

The goals of the Metro Public Health Department is to improve and sustain family and child well-being, promote and support healthier living, create healthier community environments, prevent and control epidemics and respond to public health emergencies, and increase access and connection to clinical care. The clinics offer a variety of preventive health services, including immunizations, testing and treatment of STDs, HIV, and TB, and family planning services. The Health Department provides services based on a sliding fee scale basis, and all are served regardless of their ability to pay.

In 2016, Metro Public Health Department had a total number of 83,731 clinic visits, 28,472 immunizations, 82,173 school health medical responses, 17,859 MACC service calls, 14,952 pest management inspections, and 634,572 vehicle emissions tests. All these activities are geared towards achieving the department's mission of creating healthy conditions within Nashville / Davidson County.

The Metro Public Health Department prides itself on providing a wide variety of services to Metro Public Schools. With help from the Metro Council, Health has now been able to provide every school within the MNPS system with registered nurses. These nurses provide skilled services to students who need care, as determined by their health care provider, in order to attend school.

The Metro Nashville Public Health Department has been chosen as a finalist for the RWJF Culture of Health Prize given by the Robert Wood Johnson Foundation. This puts Nashville one step closer to the national prize. Nashville is among nine other finalists chosen out of a group of 200. The grand prize winner will receive $25,000 cash and a national platform to share their story and lessons learned. Winners will be announced in the Fall of 2018.

Social Services

Metro Social Services coordinates a number of programs that empowers residents of Davidson County to achieve economic stability and social well-being. These programs include:

  • Family Service Program: the program helps customers in developing or improving their life skills, increase independence and improve family stability. Services include Information and Referral Services, Counseling, Case Management and other assistance.
  • Homeless Services: addresses the needs of individuals and families who are homeless or at imminent risk of becoming homeless by providing supportive services and coordinating direct services with partner agencies.
  • Burial Assistance: provides assistance to families experiencing grief from the loss of a loved one.
  • Senior Nutrition Services: promotes health and well-being of persons age 60 and over by providing nutritious m3eals at congregate meal sites or delivering to senior homes.
  • Planning, Coordination and Social Data Analysis: Planning 7 Coordination collects and analyzes data regarding social / human service needs to identify unmet needs and anticipate emerging issues. The information is disseminated to elected officials, funders, community organizations and to the community. Planning and Coordination produces an annual Community Needs Evaluation, issues briefs and newsletters, available online.

Homelessness Commission's Initiative and Program Goals

The Metropolitan Homelessness Commission's goal is to build a system that ends homelessness in Nashville. Ending homelessness does not mean that no person will ever lose housing again. Rather it means that the Nashville community has a system in place that prevents homelessness whenever possible. For people who lose their housing, our systems approach assists them swiftly to link them with housing and support services rapidly.

As a planning and coordination entity, the Commission focuses on collaborative efforts that support permanent solutions to homelessness. We are mainly working on building a Housing Crisis Resolution System.

While our main focus per Ordinance BL2014-777 remains on ending homelessness, commissioners felt that staff should lead efforts to coordinate among other issues in our community that were identified in commission meetings as gaps such as cold weather sheltering coordination and leading encampment task force in spring of 2016. Consequently, the Homelessness Commission has formed an outreach team for encampments, which is tasked to coordinate among providers from nonprofits, faith-based, and government agencies to link people living in encampments to services and help them remove barriers to housing.

In addition, the Homelessness Commission staff works with Metro departments to improve their coordination around homelessness.

Cold Weather Information

Last year shelter providers and other organizations have come together to create a Cold Weather Community Response Plan. A description of the plan and collaboration is available online at We continue to work on improvements to our community's cold weather responses.

Day Shelters for people who need to get out of the cold

  • Room In The Inn provides a day shelter option from 6 a.m. to 4 p.m.
  • Nashville Rescue Mission - will be open doors when there is precipitation, or temperatures feel like 37 degrees or colder.
  • Community Care Fellowship - Monday through Friday, from 9 a.m. to 3 p.m. (closing at 2 p.m. on Wednesday).

Night Shelters

  • Nashville Rescue Mission - please call their Cold Patrol at 615-255-2475 (they start after dark, around 5 p.m., and when temperatures are predicted to be 32 degrees or colder overnight).
  • Room In The Inn - night shelter, 5 p.m. For winter shelter referrals, please call 615-251-7019.

Shelters for single women or single women with children, after hours

  • Nashville Rescue Mission's Women's Shelter (Family Life Center) at 615-312-1574.

General Homeless Organization Information

  • Room In The Inn, at 705 Drexel Street, Nashville, TN 37203, 615-251-9791 (also known as the Campus for Human Development or just "the Campus")
  • Nashville Rescue Mission: 615-255-2475
  • Nashville Rescue Mission's Men's Campus: 639 Lafayette Street, Nashville, TN 37203-4226
  • Nashville Rescue Missions Family Life Center (Women's Campus): 1716 Rosa L. Parks Blvd., Nashville, TN 37208
  • Community Care Fellowship, at 511 S 8th Street, Nashville, TN 37206, 615-227-1953

Connecting people with support services


The Homelessness Commission believes in permanent supportive housing, which offers a choice of permanent housing options to the most vulnerable and chronically homeless people in our community and combines the housing with available support services. Well-functioning Housing Crisis Resolution System utilizes all types of high-performing programs to give people options while our community works with them on housing solutions. The How's Nashville campaign, launched by the Homelessness Commission in 2013, focuses on permanent supportive housing.

Our initiatives and programs support solutions to homelessness.