Discharge Planning
Virtually every hospital struggles to provide safe discharge for patients who have no place to call home. Shelters are often at capacity and are unequipped to help clients recuperate from illnesses or injuries for which they had been hospitalized. Enter medical respite care: acute and post-acute care for persons experiencing homelessness who are too ill or frail to recover from a physical illness or injury on the streets but are not ill enough to be in a hospital. Learn more about the crucial and growing role of medical respite care; in the absence of medical respite, consider the following resources on safe discharge.
| Title | Categories | Tags | Date | hf:doc_categories | hf:doc_tags |
|---|---|---|---|---|---|
| Elevating Care Through Strategic Partnerships | Developing a Medical Respite Program, Discharge Planning, Healthcare and Homelessness Partnerships, Medical Respite, Older Adults, Quality and Program Improvement in Medical Respite | Council Resources, Fact Sheet | September 29, 2026 | developing-a-medical-respite-program discharge-planning healthcare-and-homelessness-partnerships medical-respite older-adults quality-and-program-improvement-in-medical-respite best-practices homeless-services clinical-practice policy-and-advocacy special-populations | council-resources fact-sheet |
| Best Practices: Provider Recommendations | Developing a Medical Respite Program, Discharge Planning, Healthcare and Homelessness Partnerships, Medical Respite, Older Adults, Quality and Program Improvement in Medical Respite | Council Resources, Tip Sheet | September 29, 2026 | developing-a-medical-respite-program discharge-planning healthcare-and-homelessness-partnerships medical-respite older-adults quality-and-program-improvement-in-medical-respite best-practices homeless-services clinical-practice policy-and-advocacy special-populations | council-resources tip-sheet |
| Hospital, Skilled Nursing Facility, and Medical Respite Care Partnership: Coordinated Transition Workflow | Developing a Medical Respite Program, Discharge Planning, Healthcare and Homelessness Partnerships, Medical Respite, Older Adults, Quality and Program Improvement in Medical Respite | Council Resources, Guide | September 29, 2026 | developing-a-medical-respite-program discharge-planning healthcare-and-homelessness-partnerships medical-respite older-adults quality-and-program-improvement-in-medical-respite best-practices homeless-services clinical-practice policy-and-advocacy special-populations | council-resources guide |
| Launching Coordinated Care Partnerships | Developing a Medical Respite Program, Discharge Planning, Healthcare and Homelessness Partnerships, Medical Respite, Older Adults, Quality and Program Improvement in Medical Respite | Council Resources, Guide | September 29, 2026 | developing-a-medical-respite-program discharge-planning healthcare-and-homelessness-partnerships medical-respite older-adults quality-and-program-improvement-in-medical-respite best-practices homeless-services clinical-practice policy-and-advocacy special-populations | council-resources guide |
| Models of Partnership: Using Community Collaboration through Skilled Nursing Facilities to Increase Access to Medical Respite Care (Executive Summary) | Developing a Medical Respite Program, Discharge Planning, Healthcare and Homelessness Partnerships, Medical Respite, Medical Respite Care Research, Older Adults, Quality and Program Improvement in Medical Respite | Council Resources, Report | September 29, 2026 | developing-a-medical-respite-program discharge-planning healthcare-and-homelessness-partnerships medical-respite medical-respite-care-research older-adults quality-and-program-improvement-in-medical-respite best-practices homeless-services clinical-practice policy-and-advocacy special-populations | council-resources report |
| Using Community Collaboration to Increase Access to Skilled Nursing Facilities and Medical Respite Care | Developing a Medical Respite Program, Discharge Planning, Healthcare and Homelessness Partnerships, Medical Respite, Older Adults, Quality and Program Improvement in Medical Respite | Council Resources, Resource Collection | September 29, 2026 | developing-a-medical-respite-program discharge-planning healthcare-and-homelessness-partnerships medical-respite older-adults quality-and-program-improvement-in-medical-respite best-practices homeless-services clinical-practice policy-and-advocacy special-populations | council-resources resource-collection |
| Supporting Transitions of Care from Institutions | Behavioral Health, Best Practices, Discharge Planning, Homeless Services, Incarceration and Homelessness, Severe Mental Illness, Special Populations | HHRC, Toolkit | August 18, 2026 | behavioral-health best-practices discharge-planning homeless-services incarceration-and-homelessness severe-mental-illness special-populations clinical-practice | hhrc toolkit |
| Toolkit: Creating Care and Discharge Plans for People Experiencing Homelessness who are Hospitalized | Best Practices, Clinical Practice, Discharge Planning, Homeless Services | Online Course | November 1, 2024 | best-practices clinical-practice discharge-planning homeless-services | online-course |
| Lessons Learned: Transitions of Care for People Experiencing Homelessness in the Hospital Setting | Best Practices, Discharge Planning, Health Center-Specific Resources, Homeless Services, Mobile Health, Quality Improvement, Street Medicine, Street Outreach | Webinar | October 23, 2024 | best-practices discharge-planning health-center-specific-resources homeless-services mobile-health quality-improvement street-medicine street-outreach clinical-practice | webinar |
| Patching the Safety Net: Review of a Rapid Post-Hospitalization Shelter Pilot Program | Clinical Practice, Developing a Medical Respite Program, Discharge Planning, Healthcare and Homelessness Partnerships, Homeless Services, Medical Respite, Shelter Health | 2024 National HCH Conference | May 16, 2024 | clinical-practice developing-a-medical-respite-program discharge-planning healthcare-and-homelessness-partnerships homeless-services medical-respite shelter-health-best-practices best-practices policy-and-advocacy | 2024-national-hch-conference |
| Supporting Safe Discharge from Health Care Facility to Shelter | Best Practices, Clinical Practice, Discharge Planning, Homeless Services | 2024 National HCH Conference | May 16, 2024 | best-practices clinical-practice discharge-planning homeless-services | 2024-national-hch-conference |
| Critical Time Intervention | Best Practices, Clinical Practice, Discharge Planning, Homeless Services | Additional Resources | May 6, 2024 | best-practices clinical-practice discharge-planning homeless-services | additional-resources |
| UK Guidance on Discharging Homeless Hospital Patients | Best Practices, Clinical Practice, Discharge Planning, Homeless Services | Additional Resources | May 6, 2024 | best-practices clinical-practice discharge-planning homeless-services | additional-resources |
| 2023 – 2024 Health Center Preparedness and Response Forum Session 3 | Best Practices, Discharge Planning, Emergency Preparedness, Homeless Services | Webinar | April 11, 2024 | best-practices discharge-planning emergency-preparedness homeless-services clinical-practice | webinar |
| Hospitals, Community Care Teams, and Recuperation: Statewide Coordination to Identify, Monitor, and Care for the Homeless | Best Practices, Clinical Practice, Discharge Planning, Homeless Services | NHCHC Resources | May 8, 2015 | best-practices clinical-practice discharge-planning homeless-services | nhchc-resources |
| What Every Hospital Discharge Planner Should Know About Homeless Patient Resource Connections | Best Practices, Clinical Guidelines, Clinical Practice, Discharge Planning, Homeless Services | NHCHC Resources | May 9, 2013 | best-practices clinical-guidelines clinical-practice discharge-planning homeless-services | nhchc-resources |