Chronic Disease

Healing Hands: A Comprehensive Approach to Substance Abuse and Homelessness

For many individuals, substance abuse and homelessness are inextricably intertwined. Indeed, substance use is often both a precipitating factor and a consequence of being homeless. Further, individuals who are homeless rarely have substance use disorders alone—many have serious mental illnesses, acute and chronic physical health problems, and histories of trauma. They require safe and appropriate […]

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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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Healing Hands: Pregnant and Homeless: Risk Reduction for Substance Abusing Mothers

In this issue of Healing Hands, we examine health risks and barriers to reducing them experienced by homeless women and their children, during and following pregnancy. The lead article addresses the greatest challenge reported by Health Care for the Homeless clinicians in caring for these women: alleviating substance abuse problems, to protect maternal and fetal

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Healing Hands: Heart of the Matter: Hypertension & Homelessness

Cardiovascular (CV) disease is the leading cause of premature death and permanent disability in the United States. Most apparent in its acute manifestations (heart failure, heart attack, stroke, end-stage renal disease), CV disease can be nearly invisible, though insidious, in its chronic form hypertension (high blood pressure), which affects nearly one in four adult Americans

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