Best Practices

Comorbid TB and HIV in a Chronically Homeless Male: Social Isolation Compounds Stress of Medical Confinement

Homelessness, long recognized as a risk factor for tuberculosis, can also complicate treatment, as this case report demonstrates. HIV coinfection increases the risk of progression from latent TB infection to active tuberculosis. Clinicians experienced in the care of homeless persons stress the importance of maintaining communication with these patients, even during medical confinement, and recommend […]

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Healing Hands: The Challenges of Supervision in HCH: Helping Staff Succeed

Supervising staff in today’s health care settings is difficult at best. Patients present with complex needs, time and resources are scarce, and managed care requirements exert pressure to do more with less. But supervision in Health Care for the Homeless programs is fraught with a special set of challenges, including the need to oversee staff

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Comparison of ACT and standard case management for delivering integrated treatment for co-occurring disorders

Authors: Essock SM, Mueser KT, Drake RE, et al. OBJECTIVE: Clients with co-occurring severe mental and substance use disorders are at high risk of institutionalization and other adverse outcomes. Although integrated mental health and substance abuse treatment is becoming a standard clinical approach for such clients, the optimal method for delivering integrated treatment remains unclear.

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“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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Access to Medications by Underserved Populations: Recommendations for Process Improvement

The operation of the Pharmacy and Therapeutics Committee (P&T) is the cornerstone of pharmaceutical management. Clinician representation in the P&T Committee process, which involves an evidence-based approach to clinical decision making, is part of the transdisciplinary team model that ACU supports. This sharing of knowledge and expertise, along with trust and respect, provides some assurance

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Developing Outcome Measures

Health Care for the Homeless (HCH) grantees need to track measurable outcomes to determine whether their services are having a positive impact on clients and to provide an empirical basis for improving quality of care. They also need a means of ensuring accountability to funders. This report addresses difficulties and potential benefits that HCH projects

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