This article describes a cold-related tissue injury that may be overlooked by healthcare practitioners who treat homeless clients: trench foot. Trench foot is a preventable condition which can be mitigated by early intervention but which, because it occurs at above-freezing temperatures, might go unrecognized and untreated. The sequelae of unrecognized and untreated trench foot can […]
A Case of Trench Foot in a Homeless Woman Read More >>
This report describes the experiences of 33 HCH projects that use outreach vehicles, ranging from passenger vans to custom-designed clinics on wheels, to provide a variety of health services to people without stable housing. Download Research (PDF)
Mobile Health Care for Homeless People: Using Vehicles to Extend Care Read More >>
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 (Szerlip 2002, Burt 1999, Hwang 1999, Kleinman 1997, White 1997, Kinchen and Wright 1991, Wright 1990, Plantieri et al. 1990, and Gelberg 1990, as cited in Zerger
Hypertension | Emotional and Cognitive Impact of Chronic Homelessness on a Child Read More >>
Higher incidence, prevalence, and acuity of medical and behavioral problems among people who are homeless warrant the availability of comprehensive medical and behavioral health services. Limited access to mental health specialists, stigma associated with mental illness, and negative health outcomes relat- ed to undiagnosed or untreated behavioral disorders make it incumbent on primary care providers
Healing Hands: Integrating Primary & Behavioral Health Care for Homeless People Read More >>
Serious health problems are common among homeless persons, and shelter settings may pose or exacerbate particular health risks for residents and service providers, as well as opportunities for important health care interventions. This guide has been designed for communities where providers of shelter and other services can come together, learn about and discuss the issues,
Shelter Health: Essentials of Care for People Living in Shelter Read More >>
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
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
Healing Hands: The Challenges of Supervision in HCH: Helping Staff Succeed Read More >>
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.
