The health of the homeless

Donley, Amy M.; Wright, James

doi:10.1111/soc4.12550

Cited by 8 publications

(3 citation statements)

References 31 publications

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“…[34] The Washington State Department of Commerce Housing Strategic Plan program made 1 in 4 homeless individuals get into permanent housing in 2016. However, programs or policies for interstate homeless individuals and neighboring effects from out-of-state homeless individuals remain wilderness, [35] which suggests that more cooperative interstate regional policy support targeting substance using homeless individuals is needed.…”

Section: Discussionmentioning

confidence: 99%

Trends and age-related characteristics of substance use in the hospitalized homeless population

et al. 2022

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We aimed to examine trends and characteristics of substance use (opioid, cocaine, marijuana, and heroin) among hospitalized homeless patients in comparison with other hospitalized patients in 3 states.This was a cross-sectional study, based on the 2007 to 2015 State Inpatient Data of Arizona, Florida, and Washington (n = 32,162,939). Use of opioid, cocaine, marijuana, heroin, respectively, was identified by the International Classification of Diseases, 9th Revision. Multi-level multivariable regressions were performed to estimate relative risk (RR) and 95% confidence intervals (CI). Dependent variables were the use of substances (opioid, cocaine, marijuana, and heroin), respectively. The main independent variable was homeless status. The subgroup analysis by age group was also conducted.Homeless patients were associated with more use of opioid (RR [CI]), 1.23 [1.20-1.26], cocaine 2.55 [2.50-2.60], marijuana 1.43 [1.40-1.46], and heroin 1.57 [1.29-1.91] compared to other hospitalized patients. All hospitalized patients including those who were homeless increased substance use except the use of cocaine (RR [CI]), 0.57 [0.55-0.58] for other patients and 0.60 [0.50-0.74] for homeless patients. In all age subgroups, homeless patients 60 years old or older were more likely to be hospitalized with all 4 types of substance use, especially, cocaine (RR [CI]), 6.33 [5.81-6.90] and heroin 5.86 [2.08-16.52] in comparison with other hospitalized patients.Homeless status is associated with high risks of substance use among hospitalized patients. Homeless elderly are particularly vulnerable to use of hard drugs including cocaine and heroin during the opioid epidemics.

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Section: Discussionmentioning

confidence: 99%

Trends and age-related characteristics of substance use in the hospitalized homeless population

et al. 2022

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“…Homelessness is an extreme form of housing exclusion and linked to several other social problems and vulnerabilities. The homeless have high mortality rates and greater health risks like mental health problems, substance abuse, personality disorders, disability, higher rates of infectious and chronic health conditions, including HIV/AIDS, hepatitis and hypertension, which are all coupled with worse access to healthcare services than for the general population (see e.g., Donley & Wright, 2018;Quilgars & Pleace, 2003;Wolf et al, 2016). The homeless are therefore one of the more vulnerable groups with regard to health risks during the COVID pandemic.…”

Section: Introductionmentioning

confidence: 99%

Quality of life in COVID-19 pandemic: A kaleidoscope of challenges and responses of various population groups during the crisis

2022

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The chapter addresses the (temporary) changes in care in Slovenia in the period of the COVID-19 pandemic in terms of care regime embeddedness. Analysis of public policies, intervention measures, and data from available surveys leads to shifts being identified in the role played by different actors (state, market, family) concerning care. The chapter shows how measures like the closing of childcare facilities and schools, or the limits placed on home care services, saw the care role shifting from the state to individuals (emphasis on individual responsibility) and particularly to families (refamilialisation). This has left families with an especially challenging worklife balance, notably those belonging to the 'sandwich generation'. The conclusion discusses the implications of these changes for work-life balance policies and broader gender equality issues.

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“…With these numbers, Philadelphia found itself on the top 10 list of U.S. cities with the highest rates of homelessness. There is strong evidence to support that health care of homeless individuals is more costly with their high utilization of the emergency department, more expensive hospital stays, added advanced chronic comorbidities, and greater likelihood of health care needs going unmet (Donley & Wright, ; Mitchell, Leon, Byrne, Lin, & Bharel, ).…”

Section: Introductionmentioning

confidence: 99%

Living libraries: Nurse integration in interprofessional homeless health care team

Mariano

Harmon

2018

Public Health Nursing

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Background Despite an increase in national health care service utilization, entry into the health care system remains inequitable. This disparity in health care access disproportionately affects those experiencing homelessness. Because the homeless population faces significant financial and nonfinancial barriers, health care system engagement with these individuals must be reconsidered. Objective This article will describe the piloting of an interprofessional model within an urban library to address barriers to health care access that homeless individuals face. Design The library's unique status as a community hub presents an opportunity for partnership in addressing this population's health care access issues. This community‐based model is the first recorded to utilize three distinct professions—nursing, social work, and library science—in a public library. Results and Conclusions The implementation of this pilot project resulted in a high retention rate of referrals to community health services for those unstably housed and facilitated a system of warm transfers. Although opportunities to improve generalizability exist, this initiative sets the stage for discussion around co‐location of health and social services in a nontraditional community‐based setting to achieve equitable access to health care.

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The health of the homeless

Cited by 8 publications

References 31 publications

Trends and age-related characteristics of substance use in the hospitalized homeless population

Trends and age-related characteristics of substance use in the hospitalized homeless population

Quality of life in COVID-19 pandemic: A kaleidoscope of challenges and responses of various population groups during the crisis

Living libraries: Nurse integration in interprofessional homeless health care team

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