Aim: This research examines the impact of the COVID-19 virus on the delivery of services to persons experiencing homelessness with concurrent disorders (PEHCD) in Greater Victoria,

No abstract

Older adults living with HIV (OALHIV) (i.e., age ≥50) now constitute over 50% of all people accessing HIV treatment in British Columbia (BC), Canada. As OALHIV age, the need for supportive care in non-acute settings, including home and community care (HCC), is increasing. The Thrive research project was co-created alongside OALHIV in BC to support people to thrive with a good quality of life (as contrasted with just surviving). Phase 1 of the project linked treatment and demographic records for 5603 OALHIV accessing care in BC. Phase 2 took a community-based research approach with semi-structured interviews to understand obstacles and pathways experienced by 27 OALHIV in accessing HCC. This article summarizes previously published Phase 1 findings and explores Phase 2 findings in-depth. On the HCC journey traveled by OALHIV in BC, there are four main junctures at which obstacles and pathways appear: (1) before referral, (2) during the referral process, (3) at the assessment, and (4) while receiving services. Obstacles are largely related to fluctuating HCC priorities and funding cuts tied to election cycles, requiring systemic and policy changes to enable positive outcomes and impacts in the provision of HCC services. These obstacles can be transformed into pathways through public policy and client-centered, culturally safe care.

This community-based research examines the impact of the coronavirus disease of 2019 (COVID-19) pandemic on service provision to people experiencing homelessness and concurrent disorders (PEHCD) in British Columbia, Canada. Using mixed methods, 119 service providers from across BC participated in a survey, and of those, 25 participated in semi-structured interviews. Several gaps emerged in service delivery to PEHCD during the COVID-19 pandemic. Despite these challenges, service providers adapted to support their clients’ needs, which included supporting new and expanding service groups: (a) people who were experiencing homelessness for the first time due to pandemic-related job loss, (b) people who receive low incomes and are experiencing food insecurity, (c) more complex mental health needs, (d) seniors, (e) youth/students, and (f) family members fleeing violence in the home (e.g., intimate partner violence and child abuse). In the absence of Point-in-Time Counts in Canada during the COVID-19 pandemic as per physical distancing protocols, this data on new and expanding service groups highlights the critical need to embed considerations for social vulnerabilities and secondary impacts into pandemic planning and response efforts.