<h4>EXCERPT</h4> <p>The transition to long-term care is a critical period for new residents. This interpretive study examines the perspectives and experiences of a convenience sample of 10 newly admitted residents. Participants were interviewed within 1 week of admission and then periodically during the next 3 months. Thirty-two verbatim interviews were analyzed using interpretive phenomenology. Themes that emerged were becoming homeless, learning the ropes and getting settled, and creating a place. Understanding residents&rsquo; experience of transition leads to innovative practice changes in anticipation of individuals&rsquo; needs. Recommendations for the delivery of consumer-directed care are offered.</p>

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This study examined 40 homeless people and their health care needs in Baltimore. As the length of the homelessness episode increased, the person's health care needs became more complex. Health care services must be appropriate to three stages of homelessness--marginal, recent, and chronic. An understanding of these stages can help social workers ensure that homeless people receive correct medical treatment and that they are assisted in reconnecting with mainstream society.

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