Clinical Practice

Mobile medical care | Mobile Medical Outreach: A Commitment to Service

The outreach model of health care delivery was designed from its beginning to bridge care to the hardest to reach, most marginalized homeless populations. From its humble origins, the Health Care for the Homeless (HCH) model of outreach has been a work-in-progress. First, care was often delivered from the back of vans with supplies stored […]

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Healing Hands: Meeting the Challenges of Comorbid Mental Illness & Substance-Related Disorders

Comorbid mental illness and substance-related disorders—commonly known as co-occurring disorders (COD) or dual diagnosis—present difficult treatment problems. Clients with COD are extremely heterogeneous with respect to type and severity of illness, personal skills, and available care networks. Those who are homeless may be at increased risk for exacerbated illness due to limited treatment access and

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Healing Hands: Meeting the Challenges of Comorbid Mental Illness & Substance-Related Disorders

Comorbid mental illness and substance-related disorders—commonly known as co-occurring disorders (COD) or dual diagnosis—present difficult treatment problems. Clients with COD are extremely heterogeneous with respect to type and severity of illness, personal skills, and available care networks. Those who are homeless may be at increased risk for exacerbated illness due to limited treatment access and

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Adapting Your Practice: Treatment Recommendations for Homeless Patients with Hypertension, Hyperlipidemia and Heart Failure

Diseases affecting the heart or blood vessels are highly prevalent among people experiencing homelessness. Among the cardiovascular diseases most commonly seen by primary care providers serving homeless individuals are hypertension (high blood pressure), hyperlipidemia (high cholesterol and triglycerides) and heart failure (impaired cardiac function, which often results from uncontrolled hypertension and/or hyperlipidemia). Metabolic syndrome—including hypertension,

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Cardiovascular Disease Risk Among the Poor and Homeless—What We Know So Far

Homelessness [and poverty] is rapidly escalating across North America and is associated with dire implications for public health and our health care systems. Both are compelling states of existence affecting all ages, ethnicities and both genders. Homelessness frequently evolves through a complex interaction of factors that are both internal and external to the individual themselves.

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