Adapting Backpack Medicine in COVID-19 Response for People Experiencing Homelessness in Southern California

Alarcón, Jemma; Khan, Tipu

doi:10.2105/ajph.2020.305956

Cited by 5 publications

(6 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While these are vastly different, many studies combined multiple constituent elements, collectively shedding light on these barriers. Even before the COVID-19 pandemic, marginalized groups were facing stigma, racism, mistrust, and lack of cultural understanding as significant barriers to accessing healthcare ( 11 , 18 , 21 ). The pandemic not only exacerbated these barriers but also brought to the forefront the pervasiveness of health inequity due to these barriers.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to identifying barriers, 30 of the 42 publications we analyzed offered some potential solutions, and in a few studies, investigators implemented solutions aimed at overcoming certain barriers ( 16 , 21 , 22 ). Barriers to accessing medical care rooted in racism, mistrust, and lack of cultural understanding are systemic and difficult to overcome.…”

Section: Resultsmentioning

confidence: 99%

“…However, the strong public interest and motivation to curb the COVID-19 pandemic has presented us with unique opportunities to design and implement some innovative solutions. In our analysis, we identified three notable approaches, each uniquely targeted to a specific underserved population group ( 16 , 21 , 22 ). While we do not endorse a particular approach, these studies show that innovative approaches to overcome barriers can positively affect members of these underserved groups and the community at large.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Access to COVID-19 testing by individuals with housing insecurity during the early days of the COVID-19 pandemic in the United States: a scoping review

Johannesson,

Glover,

Petti

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

IntroductionThe COVID-19 pandemic focused attention on healthcare disparities and inequities faced by individuals within marginalized and structurally disadvantaged groups in the United States. These individuals bore the heaviest burden across this pandemic as they faced increased risk of infection and difficulty in accessing testing and medical care. Individuals experiencing housing insecurity are a particularly vulnerable population given the additional barriers they face. In this scoping review, we identify some of the barriers this high-risk group experienced during the early days of the pandemic and assess novel solutions to overcome these barriers.MethodsA scoping review was performed following PRISMA-Sc guidelines looking for studies focusing on COVID-19 testing among individuals experiencing housing insecurity. Barriers as well as solutions to barriers were identified as applicable and summarized using qualitative methods, highlighting particular ways that proved effective in facilitating access to testing access and delivery.ResultsUltimately, 42 studies were included in the scoping review, with 143 barriers grouped into four categories: lack of cultural understanding, systemic racism, and stigma; medical care cost, insurance, and logistics; immigration policies, language, and fear of deportation; and other. Out of these 42 studies, 30 of these studies also suggested solutions to address them.ConclusionA paucity of studies have analyzed COVID-19 testing barriers among those experiencing housing insecurity, and this is even more pronounced in terms of solutions to address those barriers. Expanding resources and supporting investigators within this space is necessary to ensure equitable healthcare delivery.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Access to COVID-19 testing by individuals with housing insecurity during the early days of the COVID-19 pandemic in the United States: a scoping review

Johannesson,

Glover,

Petti

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

“… 35 Other agencies created response teams using street outreach. 36 In Boston, MA, the Boston Hope Field Hospital created 500 beds specifically for PEH using a mental health disaster response team. 24 Medical students, whose clinical rotations were hampered by the pandemic, provided telehealth to PEH in some areas.…”

Section: Discussionmentioning

confidence: 99%

Behavioral Health Providers’ Experience with Changes in Services for People Experiencing Homelessness During COVID-19, USA, August–October 2020

Marcus

Meehan

Jeffers

et al. 2022

J Behav Health Serv Res

View full text Add to dashboard Cite

The COVID-19 pandemic caused disruptions in behavioral health services (BHS), essential for people experiencing homelessness (PEH). BHS changes created barriers to care and opportunities for innovative strategies for reaching PEH. The authors conducted 50 qualitative interviews with behavioral health providers in the USA during August–October 2020 to explore their observations of BHS changes for PEH. Interviews were transcribed and entered into MAXQDA for analysis and to identify salient themes. The largest impact from COVID-19 was the closure or limited hours for BHS and homeless shelters due to mandated “stay-at-home” orders or staff working remotely leading to a disconnection in services and housing linkages. Most providers initiated telehealth services for clients, yielding positive outcomes. Implications for BHS are the need for long-term strategies, such as advances in communication technology to support BHS and homeless services and to ensure the needs of underserved populations are met during public health emergencies. Supplementary Information The online version contains supplementary material available at 10.1007/s11414-022-09800-9.

show abstract

“…A relationship exists between eviction and health problems (Desmond & Kimbro, 2015;Desmond, 2016) including hypertension which has been associated with more severe cases of COVID-19 (CDC, 2021). In addition, people experiencing homelessness often have underlying conditions including heart disease, respiratory conditions, liver disease, high rates of smoking, and other factors such as poor nutrition that increase their risk of developing severe disease from COVID-19 (Alarcon & Khan, 2021;Ha et al, 2021;Perri et al, 2020). Among COVID-19 patients, homelessness is associated with an increased likelihood of hospitalization (CDC, 2021).…”

Section: Homelessness and The Risk Of Severe Disease From Covid-19mentioning

confidence: 99%

State Eviction Bans: A Policy Response to Covid-19

2021

AJPA

View full text Add to dashboard Cite

The COVID-19 pandemic has shined a light on the importance of housing as a social determinant of health. To prevent millions of American renters from being evicted from their homes during the COVID-19 pandemic and potentially becoming homeless, the Centers for Disease Control and Prevention (CDC) issued a temporary eviction ban order on September 4, 2020 that has currently been extended through June 30, 2021. This paper examines the rationale for the CDC temporary eviction ban order from a public health perspective. It then uses statistical techniques to explore the relationship between political and demographic variables and temporary eviction bans enacted in individual states during the pandemic. Results show a statistically significant relationship between political party control of the state legislature and temporary state eviction bans which suggests that partisanship has largely driven the use of temporary eviction bans as a policy response to COVID-19 at the state level.

show abstract

Adapting Backpack Medicine in COVID-19 Response for People Experiencing Homelessness in Southern California

Cited by 5 publications

References 4 publications

Access to COVID-19 testing by individuals with housing insecurity during the early days of the COVID-19 pandemic in the United States: a scoping review

Access to COVID-19 testing by individuals with housing insecurity during the early days of the COVID-19 pandemic in the United States: a scoping review

Behavioral Health Providers’ Experience with Changes in Services for People Experiencing Homelessness During COVID-19, USA, August–October 2020

State Eviction Bans: A Policy Response to Covid-19

Contact Info

Product

Resources

About