Clinical Practice

Healing Hands: The Specter of Liver Disease (2008)

HCH providers see many patients with liver disease, mainly secondary to hepatitis C (HCV). While the incidence of newly acquired HCV infection has decreased in the United States, over 4 million Americans are estimated to have been infected.1 A disproportionate number of homeless people (22%–53%) have the virus2,3– indeed, incarcerated and homeless individuals are not

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Healing Hands: Tools to Help Clinicians Achieve Effective Discharge Planning

Too many people without financial resources and social supports cycle among hospitals, mental health facilities, foster care or group homes, correctional institutions, shelters, and the streets. These insidious “revolving doors” exacerbate homelessness and call for clinicians and communities to find coordinated solutions that are humane and cost effective. First steps often involve creative adaptation of

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Healing Hands: The Presence of Spirituality in Healing

The following article discusses healing practices that incorporate spirituality as part of the recovery process for individuals with mental illness and addictions whose psychological distress is exacerbated by homelessness. Arising from both secular and sectarian models of care, the approaches featured here include empathic engagement and support, Native Hawaiian Healing, meditation and yoga, group meetings

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Traumatic Brain Injury Among Homeless Persons: Etiology, Prevalence & Severity

This monograph by Jennifer L. Highley, PMHNP-BC, and published by the HCH Clinicians’ Network, describes the etiology, prevalence and severity of cognitive dysfunction as a result of traumatic brain injury (TBI) among persons experiencing homelessness. It is hoped that this information will improve our ability to identify, assess, diagnose, treat, house and create aftercare services

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