The Academy has named School of Nursing faculty members Whitney Nash, PhD, APRN, and Sara Robertson, DNP, APRN, for establishing and growing the clinic, which serves low-income thoroughbred racing industry workers and their families. The designation recognizes original evidence-based and nurse-designed care models that have shown significant clinical and financial outcomes.

Located a block from Churchill Downs, the clinic is a partnership between the School of Nursing and the that provides comprehensive health care to backside workers, including assistant trainers, grooms and hot walkers.

Most workers the clinic serves migrate from Latin America to work U.S. horse racing circuits. These low-paying jobs typically do not include health benefits. Before the clinic opened in 2005, many of its patients forwent health care or used the emergency room for primary care.

“It is a privilege to be recognized with such a prestigious designation,” said Nash, School of Nursing Associate Dean of Practice and Service and founding director of the clinic. “We are honored to serve one of the most vulnerable populations.”

Funded by uncashed parimutuel tickets at horse racing tracks throughout Kentucky, the clinic decreases health care barriers and has reduced medical costs by providing much of the workers’ health care in one place.

Workers can access the clinic for a $5 copay, which covers the patient visit and lab tests. Services include mental health treatment, physicals and women’s annual exams, care for acute illnesses, and maintenance treatment for chronic conditions such as asthma, diabetes and hypertension.

“The high level of comprehensive care and readily available appointments allow patients to understand and manage their unique health situation,” said Richard Riedel, director of the Kentucky Racing Health & Welfare Fund. “Because satisfaction levels are so high, patients often return for their care.”

Recently, the Kentucky Racing Health Services Center – an award-winning, nonprofit clinic run by University of Louisville School of Nursing faculty – began offering mental health services to grooms, hotwalkers, exercise riders and other backside racetrack workers.

Catherine Batscha, DNP MSN, UofL School of Nursing assistant professor and psychiatric-mental health nurse practitioner, provides counseling at the clinic to workers with anxiety and depression. A majority of the patients are from Latin America and speak limited English. Most also consistently travel across the United States throughout the year to work at other racetracks.

“It’s a hard life,” Batscha said. “When you look at the track, a lot of the people who work there have families that are far away. They miss their children. Some have been sexually abused, raped or have grown up in families with alcoholism and substance abuse.”

Previously, the clinic had to send patients to other facilities in the community for mental health treatment, which often took months for an appointment.

“If you’re in the middle of a crisis, you don’t want to wait the eight weeks it’s going to take to find a provider,” Batscha said. “If they have someone who needs to be seen today, I can see them today.”

Providing mental health treatment in-house has made it easier to coordinate care with other nurse practitioners at the clinic, which offers comprehensive services including physicals and women’s annual exams, treatment of minor illnesses and maintenance treatment for conditions such as diabetes, asthma and hypertension.

Founded 11 years ago, the clinic is a joint venture between UofL and the Kentucky Racing Health and Welfare Fund to provide free or low-cost health care to backside track workers and their families. Nursing students see patients under the supervision of faculty members. Students from the Latin American and Latino Studies program also gain experience by serving as translators.

Because most of her patients are transient, Batscha gives them ways to manage anxiety on the road.

Batscha created a SoundCloud relaxation audio in Spanish that patients can access through their smart phones. The audio walks users though progressive muscle relaxation techniques, useful for people who need help getting to sleep or calming their bodies and minds.

The clinic has eliminated barriers to care for the backside workers.

Maria Rinosa, a hotwalker at Churchill Downs and a native of Guatemala, sought mental health treatment for depression at the clinic after the death of her 1-year-old son due to a viral infection.

Without the clinic, Rinosa said she would have limited health care options.

“I don’t know where else I would go,” Rinosa said. “Without medical insurance, the cost is really expensive and the little we earn doesn’t stretch that far.”

Despite their hardships, the workers are incredibly dedicated to their jobs and take pride in their work, Batscha said.

“Everyone is up at 3 in the morning with their horses on the track,” Batscha said. “It’s just humbling to work with folks who have been through so much. They’re still on their feet and working to do a good job and make a difference for Kentucky.”

The clinic is located across from Churchill Downs at the Kentucky Racing Health & Welfare Fund office, 422 Heywood Ave. For more information, .