Chronic Disease

Cardiovascular Disease Risk Among the Poor and Homeless—What We Know So Far

Homelessness [and poverty] is rapidly escalating across North America and is associated with dire implications for public health and our health care systems. Both are compelling states of existence affecting all ages, ethnicities and both genders. Homelessness frequently evolves through a complex interaction of factors that are both internal and external to the individual themselves. […]

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Documenting Disability for Persons with Substance Use Disorders & Co-occurring Impairments: A Guide for Clinicians

This guide was written to assure that individuals with substance use disorders and co-occurring impairments that meet Social Security disability criteria receive Federal disability assistance under the Supplemental Security Income (SSI) program or the Social Security Disability Insurance (SSDI) program. The guide focuses on the complex issues involved in documenting impairments that co-occur with substance

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Hypertension & Homelessness: What Interferes with Treatment

Homeless adults are two-to-four times more likely to have hypertension and other cardiovascular diseases, at younger ages, than either the general population or low-income adults with stable housing. Among the factors that increase their risk are poor diet and excessive use of alcohol, nicotine and other drugs that exacerbate elevated blood pressure and damage the

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Health, Housing and the Heart: Cardiovascular Disparities in Homeless People

The interaction between housing and health is intimate and complex, yet little evidence exists with regard to the healthcare outcomes for people struggling to survive without housing. The study in this issue by Lee and colleagues not only exposes a resounding need for community-wide interventions to improve the cardiovascular health of homeless adults but also

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Providing Treatment for Homeless People With Substance Use Disorders: Case Studies of Six Programs

Clinicians who work with homeless people with substance related disorders are aware of the critical need to provide appropriate, accessible, and effective treatment for individuals and families in their care. Unfortunately, much of the scientific research about treatment for substance use disorders does not sufficiently inform the distinctive characteristics of treatment required for people experiencing

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Substance Abuse Treatment: What works for Homeless Individuals? A Review of the Literature

In substance abuse treatment, a gap exists between scientific research and clinical practice that is not common to other fields of medicine. This gap between research and practice is a concern shared in the Health Care for the Homeless (HCH) field as well, a concern which led to the formation of the “Translating Research Into

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