Voices of Homeless Alcoholics Who Frequent Bellevue Hospital: A Qualitative Study

McCormack, Ryan; Hoffman, Lily F.; Norman, Michael; Goldfrank, Lewis R.; Norman, Elizabeth M.

doi:10.1016/j.annemergmed.2014.05.025

Cited by 33 publications

(26 citation statements)

References 42 publications

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“…Many factors may play into this preference, including the dislike of hospitals mentioned by one participant. Nevertheless, lack of feeling respect in the ED, previously noted in another marginalized ED population [32], did not appear to play a significant role in patient's THN location preferences or in their reasons for refusing THN.…”

Section: Discussionmentioning

confidence: 62%

Yes, not now, or never: an analysis of reasons for refusing or accepting emergency department-based take-home naloxone

Kestler

Giesler

Buxton

et al. 2018

CJEM

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CLINICIAN'S CAPSULE What is known about the topic? Not all patients at risk of opioid overdose accept emergency department (ED)-based take-home naloxone (THN). What did this study ask? Why do at-risk ED patients refuse or accept THN? What did this study find? Those refusing THN felt: 1) not at risk of overdose; or 2) their ED visit was not the right time or place for THN. Those accepting THN wanted to save the lives of others. Why does this study matter to clinicians? Those refusing ED THN may accept THN elsewhere if referred to appropriate community services for overdose risk education and THN distribution.

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Section: Discussionmentioning

confidence: 62%

Yes, not now, or never: an analysis of reasons for refusing or accepting emergency department-based take-home naloxone

Kestler

Giesler

Buxton

et al. 2018

CJEM

View full text Add to dashboard Cite

show abstract

“…Responses from participants with substance addiction resonated with other research, which reported the challenges in receiving support for detoxification and treatment facilities . It has been well documented that the success of treatment for addiction is highly correlated with internal motivation and perceived ability to recover . Before an individual falls into the cycle of continued drug/alcohol use, early intervention should be in place to increase the likelihood of a successful rehabilitation.…”

Section: Discussionmentioning

confidence: 74%

Don't Label Me: A Qualitative Study of Patients’ Perceptions and Experiences of Sedation During Behavioral Emergencies in the Emergency Department

Yap

Knott

Kong

et al. 2017

Academic Emergency Medicine

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“…In addition, few studies to date have focused in depth on patient perspectives. One previous study conducted qualitative interviews with homeless frequent ED users to identify influences on alcoholism (McCormack, Hoffman, Norman, Goldfrank, & Norman, 2015). Recent systematic reviews have called for studies to characterize the complex needs of homeless frequent users to guide evidence-based care guidelines (Salhi et al, 2017).…”

mentioning

confidence: 99%

From Their Perspective: The Connection between Life Stressors and Health Care Service Use Patterns of Homeless Frequent Users of the Emergency Department

Moore

Conrick

Reddy

et al. 2019

Health &Amp; Social Work

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The perspective of homeless adults on their health care service utilization is not well studied. This article describes a study that used in-depth, semistructured interviews with 18 individuals to highlight the viewpoints of homeless people who are frequent users of the emergency department (ED) about the influence of life events on service utilization. Participants reported high levels of pain and comorbid psychiatric, substance use, and medical conditions. They also reported an identifiable pattern of health care utilization, often centered on a crisis event, influenced by high perceived medical needs, inability to cope after crisis, predisposing vulnerability from social determinants of health, and health care system factors. A social work case management intervention often led to a period of stability and use of ED alternatives. Modifiable targets for intervention at the health care system and local levels include improving trust and convenience of ED alternatives, enhancing consistency of care at ED-alternative sites, and educating those at risk of frequent ED use about community alternatives.

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Voices of Homeless Alcoholics Who Frequent Bellevue Hospital: A Qualitative Study

Cited by 33 publications

References 42 publications

Yes, not now, or never: an analysis of reasons for refusing or accepting emergency department-based take-home naloxone

Yes, not now, or never: an analysis of reasons for refusing or accepting emergency department-based take-home naloxone

Don't Label Me: A Qualitative Study of Patients’ Perceptions and Experiences of Sedation During Behavioral Emergencies in the Emergency Department

From Their Perspective: The Connection between Life Stressors and Health Care Service Use Patterns of Homeless Frequent Users of the Emergency Department

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