Community paramedic outreach support for people experiencing homelessness

Taplin, John; Dalgarno, Dana; Smith, Michele; Eggenberger, Ty; Ghosh, Sumantra

doi:10.12968/jpar.2023.15.2.51

Cited by 3 publications

(14 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Risk of readmission post-discharge was found to increase when individuals met challenges managing existing chronic conditions due to lack of access to medications combined with low health literacy [31,32]. Amidst limitations from low health literacy and the complexities of system navigation, community paramedicines' role in care coordination arose as a key aspect of support provided by various program models [32][33][34][35][36][37]. Capabilities for community paramedicine to address health needs was demonstrated in reports that paramedics are perceived as trusted health professionals engaged in health promotion and education during home-visits and outreach, and is evident where care coordination and system navigation is a program feature [28,35,[38][39][40][41][42][43][44][45].…”

Section: Domain 1 -Access To Health and Social Servicesmentioning

confidence: 99%

“…People experiencing homelessness and/or experiencing poverty were identified as key populations facing structural barriers to health and wellness in 30 of the studies (70%) [34,43,[47][48][49]. A total of 22 studies (51%) featured home-visit program models, while 11 studies (25.5%) described programs that adapted to create outreach services, specifically addressing the needs of people experiencing homelessness [34,40,43,44,49]. Other programs established clinics within shelters and paramedic specialist units tasked to inner-city areas with high rates of people who are unhoused [34,48,49].…”

Section: Domain 2 -Daily Livingmentioning

confidence: 99%

“…A total of 22 studies (51%) featured home-visit program models, while 11 studies (25.5%) described programs that adapted to create outreach services, specifically addressing the needs of people experiencing homelessness [34,40,43,44,49]. Other programs established clinics within shelters and paramedic specialist units tasked to inner-city areas with high rates of people who are unhoused [34,48,49]. One jurisdiction in the USA leveraged technology by trialling GPS-based mobile health interventions to facilitate care coordination and health education for people experiencing homelessness [43].…”

Section: Domain 2 -Daily Livingmentioning

confidence: 99%

“…Community paramedics encounter a high proportion of individuals with complex health, including mental health needs, that could benefit from further integration of care [53,54]. In response to high health system utilisation by people experiencing homelessness, and building on proven effectiveness of mobile outreach, an innovative "City Centre Team" (CCT) was created in a major Canadian city to focus care needs on people who are unhoused with a high prevalence of substance use [34,38,47]. Evaluation demonstrated the capability of community paramedicine to address health and social needs of people experiencing homelessness by using interdisciplinary and interprofessional collaboration and communication across community, social, and health services.…”

Section: Domain 3 -Mental Health and Substance Usementioning

confidence: 99%

“…A total of 36 studies (84%) reported on models of service delivery. In addition to outlining the service models, studies discussed the need for programs to be designed around community needs [3,27,34,41,45]. There was alignment across studies recommending engaging caregivers, broader stakeholders, and community members early when designing needs-based programming.…”

Section: Community Needs Assessmentmentioning

confidence: 99%

See 4 more Smart Citations

Community Paramedicine Supporting Community Needs: A Scoping Review

Lunn,

Bolster,

Batt

2024

Preprint

View full text Add to dashboard Cite

Health and social needs exist along a dynamic continuum. Recognizing that health status is inextricably impacted by social determinants of health, community paramedicine has opportunities and a responsibility to reduce inequities. The objective of this scoping review was to investigate peer-reviewed and grey literature to explore how community paramedicine supports community needs along a health and social continuum. We conducted a scoping review of English language literature using the JBI Scoping Review methodology. We searched CINAHL, EMBASE, MEDLINE, Google Scholar, and organisational websites. 30 peer-reviewed and 13 grey literature articles met inclusion criteria. The findings describe the ways community paramedicine models evolved from minimising system pressures on emergency health services to addressing health and social needs. A key recommendation across the literature was the need to meaningfully engage communities early in program development to understand how best to implement and co-design integrated service models addressing specific community needs, though there was a lack of evidence to guide this approach. There is a notable lack of evidence pertaining to optimising technologies in program design and implementation. Results highlight opportunities to determine best practices for conducting holistic community needs assessments that include equitable stakeholder engagement and enhancing education to prepare paramedics for expanded roles. Community paramedicine provides opportunities to better meet the needs of structurally marginalised communities. There is a social responsibility and opportunity to engage communities to co-design service delivery, advance paramedic education, and enhance interprofessional collaboration to better support community needs and generate upstream solutions for individuals and communities.

show abstract

Section: Domain 1 -Access To Health and Social Servicesmentioning

confidence: 99%

Section: Domain 2 -Daily Livingmentioning

confidence: 99%

Section: Domain 2 -Daily Livingmentioning

confidence: 99%

Section: Domain 3 -Mental Health and Substance Usementioning

confidence: 99%

Section: Community Needs Assessmentmentioning

confidence: 99%

See 3 more Smart Citations

Community Paramedicine Supporting Community Needs: A Scoping Review

Lunn,

Bolster,

Batt

2024

Preprint

View full text Add to dashboard Cite

show abstract

Community Paramedicine Supporting Community Needs: A Scoping Review

Lunn,

Bolster,

Batt

2024

Health & Social Care in the Community

View full text Add to dashboard Cite

Health and social needs exist along a dynamic continuum. Recognising that health status is inextricably impacted by social determinants of health, community paramedicine has opportunities and a responsibility to reduce inequities. The objective of this scoping review was to investigate the peer‐reviewed and grey literature to explore how community paramedicine supports community needs along a health and social continuum. We conducted a scoping review of the English language literature using the JBI Scoping Review methodology. We searched CINAHL, EMBASE, MEDLINE, Google Scholar, and organisational websites. 30 peer‐reviewed and 13 grey literature articles met the inclusion criteria. The findings describe the ways community paramedicine models evolved from minimising system pressures on emergency health services to addressing health and social needs. A key recommendation across the literature was the need to meaningfully engage communities early in the program development to understand how best to implement and codesign integrated service models addressing specific community needs although there was a lack of evidence to guide this approach. There is a notable lack of evidence pertaining to optimising technologies in the program design and implementation. The results highlight opportunities to determine the best practices for conducting holistic community needs assessments that include equitable stakeholder engagement and enhancing education to prepare paramedics for expanded roles. Community paramedicine provides opportunities to better meet the needs of structurally marginalised communities. There is a social responsibility and opportunity to engage communities to codesign service delivery, advance paramedic education, and enhance interprofessional collaboration to better support community needs and generate upstream solutions for individuals and communities.

show abstract

Community Paramedicine Supporting Social Needs: A Scoping Review

Lunn,

Bolster,

Batt

2023

Preprint

View full text Add to dashboard Cite

Introduction: Health and social needs exist along a dynamic continuum. Recognizing that health status is inextricably impacted by social determinants of health, there exists opportunities and a professional responsibility to better understand how community paramedicine can address social needs in effort to reduce healthcare inequities.Aim: The primary objective of this scoping review is to systematically investigate published peer reviewed and grey literature to explore how community paramedicine supports social needs along a health and social continuum.Methods: A scoping review of English language literature was conducted using the JBI Scoping Review methodology. We searched CINAHL, EMBASE, and MEDLINE and grey literature searches in Google Scholar and organisational websites. We used search terms related to community paramedicine and social needs. Results: A total of 30 peer-reviewed and 13 grey literature articles met inclusion criteria. The main findings of this scoping review describe the evolving ways community paramedicine models are addressing health and social needs. A key recommendation across the literature was the need to meaningfully engage communities early in program development to understand how best to implement and co-design an integrated service model that addresses the needs specific to each community, though there was a lack of evidence to guide this approach. There is a notable lack of evidence pertaining to how best to optimize technologies in program design and implementation. The results highlight opportunities to determine best practices for conducting holistic community needs assessments that include equitable stakeholder engagement and enhance education to prepare paramedics for expanded roles.Conclusion: Community paramedicine provides opportunities to better meet the needs of structurally marginalised communities. However, there is a social responsibility and opportunity to engage in community needs assessments to co-design service delivery, advance paramedic education, and enhance interprofessional collaboration to better support social needs and generate upstream solutions for individuals and communities.

show abstract

Community paramedic outreach support for people experiencing homelessness

Cited by 3 publications

References 10 publications

Community Paramedicine Supporting Community Needs: A Scoping Review<strong></strong>

Community Paramedicine Supporting Community Needs: A Scoping Review<strong></strong>

Community Paramedicine Supporting Community Needs: A Scoping Review

<strong></strong>Community Paramedicine Supporting Social Needs: A Scoping Review

Contact Info

Product

Resources

About