Delivering Services to Older Persons Experiencing Homelessness: Providers’ Perspectives of What Does and Does Not Work

Weldrick, Rachel; Canham, Sarah L.; Sussman, Tamara; Walsh, Christine A.; Cormier, Émilie; Mahmood, Atiya

doi:10.1080/01634372.2022.2087128

Cited by 5 publications

(2 citation statements)

References 33 publications

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“…In Canada, the level of homelessness has been described as a national disaster, yet there is a lack of discharge planning and policies that cater to homeless individuals [43]. Echoing our study, Weldrick et al [46] found the need for individualised support, rapport building, and partnership working across agencies to be instrumental in supporting homeless patients. Tis indicates that the introduction of a specifc role to provide specialist housing support and provide a liaison function between sectors would be benefcial in other Western settings.…”

Section: Implications For Policy and Practicementioning

confidence: 51%

Exploring the Impact of a Housing Support Service on Hospital Discharge: A Mixed-Methods Process Evaluation in Two UK Hospital Trusts

Holding,

Foster,

Lumley

et al. 2023

Health & Social Care in the Community

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Delayed discharge from hospital is a global healthcare problem with negative impacts on patient outcomes and the wider health system. Delays to discharge can arise when a patient remains in hospital even when they are medically fit due to nonmedical reasons such as a lack of appropriate housing or social care. However, whilst several nonmedical interventions have been developed to facilitate timely hospital discharge, there remains a lack of evidence on their impact. This study reports on findings from a mixed-methods process evaluation of a newly integrated housing and health service in two United Kingdom- (UK-) based hospitals (one mental health hospital and one general hospital). The service involved housing support coordinators (HSCs) being based within hospitals and supporting inpatients with their housing-related needs. We employed qualitative interviews with service users and hospital/housing staff (N = 16) and routine data analysis (n = 488) to understand the impact of the service and any challenges to service delivery. Service users faced different housing barriers, for example: 28.3% experienced homelessness (n = 136) whilst 80 (16.4%) faced challenges with their accommodation no longer meeting their physical needs. Service users received support for a variety of issues such as assistance with medical priority applications, support to apply for social housing, and referral to other support services. Healthcare professionals at all levels credit the service for improving hospital discharge processes and reducing stress on clinical staff, enabling them to concentrate more effectively on clinical tasks. Key to success is experienced housing staff providing patient-centred support, being integrated within a multidisciplinary team with management and oversight from the health service, and the availability of appropriate housing stock and wider services to support people after discharge. Our findings indicate that other hospitals may benefit from implementing similar housing and health integrated services.

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Section: Implications For Policy and Practicementioning

confidence: 51%

Exploring the Impact of a Housing Support Service on Hospital Discharge: A Mixed-Methods Process Evaluation in Two UK Hospital Trusts

Holding,

Foster,

Lumley

et al. 2023

Health & Social Care in the Community

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“…We were initially unsure how to begin this process in the context of pandemic restrictions. Fortunately, one research team member (CW) had already done virtual CBPR work with other groups [ 32 , 33 ] and she recommended that we proceed in this fashion. We, therefore, created a plan to eliminate potential barriers by providing internet-enabled tablets with technology and training to co-researchers and attempt to build rapport through online CBPR-related activities.…”

Section: Main Textmentioning

confidence: 99%

Lessons learned from a virtual Community-Based Participatory Research project: prioritizing needs of people who have diabetes and experiences of homelessness to co-design a participatory action project

Tariq,

Grewal,

Booth

et al. 2023

Res Involv Engagem

Self Cite

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In Community-Based Participatory Research (CBPR), people with shared lived experiences (co-researchers) identify priority needs and work collaboratively to co-design an action-oriented research advocacy project. For this to occur, academic researchers must build mutually respectful partnerships with co-researchers by establishing trust. In the context of the COVID-19 pandemic, our objective was to virtually assemble a group of co-researchers (people with diverse but relevant experiences of homelessness and diabetes) and academic researchers who engaged in the CBPR process to identify a project that would address the difficulties of diabetes management while experiencing homelessness. Co-researchers were recruited to the committee from community homeless-serving organizations. Six co-researchers, one peer researcher and three academic researchers from Calgary, Alberta met virtually for bi-weekly committee meetings, from June 2021 to May 2022 to explore barriers to diabetes management and to complete a priority-setting exercise to determine the focus of our collective project. After reflecting on our virtual CBPR experience we present lessons learned related to: i) technical challenges and logistical considerations, ii) meeting virtually and building rapport, iii) driving engagement, and iv) challenges of transitioning from virtual to in-person meeting format. Overall, the process of conducting a CBPR project virtually to engage a group of co-researchers during a pandemic presents its challenges. However, a virtual CBPR project is feasible and can lead to meaningful experiences that benefit all group members, both from the community and academia.

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Equity, Diversity, and Inclusion in the Care of Older Adults

Veltman,

La Rose

2024

Geriatric Psychiatry

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Delivering Services to Older Persons Experiencing Homelessness: Providers’ Perspectives of What Does and Does Not Work

Cited by 5 publications

References 33 publications

Exploring the Impact of a Housing Support Service on Hospital Discharge: A Mixed-Methods Process Evaluation in Two UK Hospital Trusts

Exploring the Impact of a Housing Support Service on Hospital Discharge: A Mixed-Methods Process Evaluation in Two UK Hospital Trusts

Lessons learned from a virtual Community-Based Participatory Research project: prioritizing needs of people who have diabetes and experiences of homelessness to co-design a participatory action project

Equity, Diversity, and Inclusion in the Care of Older Adults

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