Conditions and Issues

“Got Milk?” Responding to Pediatric Dental Injuries of Homeless Children

Advertisements declare that milk builds strong bones and teeth for children, but it also can be a critical solution during a dental emergency. Dental trauma is extremely common among children. One-third of five-year-olds have suffered injury to their primary teeth and one-fourth of 12-year-olds have suffered injury to their permanent teeth.1 Knowing the right response […]

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Healing Hands: HCH Clinicians Can Help Homeless People Die with Dignity

Death is ever present among homeless people and the providers who treat them. People who are homeless may die unexpectedly—often violently—or they may be seriously ill but not have access to sophisticated hospice and palliative care programs. However, some innovative programs provide compassionate end-of-life care to homeless and other underserved people, and there are some

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Traumatic Brain Injury | Chapter from The Health Care of Homeless Persons | Boston Health Care for the Homeless Program

Traumatic brain injury (TBI), caused either by blunt force or acceleration/deceleration forces, is common in the general population. Homeless persons are at particularly high risk of head trauma and adverse outcomes to TBI. Even mild traumatic brain injury can lead to persistent symptoms including cognitive, physical, and behavioral problems. It is important to understand brain

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Healing Hands: Patients with Borderline Personality Disorders Challenge HCH Clinicians

Patients with borderline personality disorder (BPD) have been described as having a “black hole of need.” They can be friendly one minute, and “turn on you like a snake” the next. Therapists working with individuals who have BPD are advised to be prepared to “look into the heart of darkness.”1 Indeed, patients who have this

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Healing Hands: Filling the Gaps in Dental Care

Limited access to dental care increases homeless people’s high risk for oral pathologies, often resulting in loss of function, self-esteem and well-being. Health Care for the Homeless projects are endeavoring to fill the gaps in dental services for this vulnerable, hard-to reach population through public/ private partnerships. Over 200 HCH grantees and their subcontractors currently

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Healing Hands: Homelessness & Family Trauma: The Case for Early Intervention

This edition of Healing Hands presents an overview of one of the most pressing issues confronting homeless families and clinicians that serve them — the effects of domestic violence, abuse and neglect on young children. The following articles discuss conditions under which clinical interventions are warranted and report strategies used by HCH practitioners to prevent

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Healing Hands: Dealing with Disability: Cognitive Impairments & Homelessness

Homeless people with cognitive impairments affecting thought, memory, speech, and/or psychosocial competence present some of the toughest challenges that clinicians face. Articles describe disabling brain disorders often seen in homeless individuals and specify effective case management strategies. Download Research (PDF)

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Healing Hands: Dealing with Disability: Cognitive Impairments & Homelessness

Homeless people with cognitive impairments affecting thought, memory, speech, and/or psychosocial competence present some of the toughest challenges that clinicians face. Indeed, too many choose to avoid these difficult clients altogether — an option that experienced homeless assistance providers find unacceptable. The following articles describe the complex tapestry of cognitive disabilities and homelessness, and specify

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