Clinical Practice

The Health Care of Homeless Persons: A Manual of Communicable Diseases & Common Problems in Shelters & on the Streets

A 384-page manual that describes serious health problems that commonly afflict homeless persons and discusses appropriate responses and treatment. The manual addresses communicable disease control and food handling in shelter settings, and current approaches to the management of chronic diseases. It includes convenient patient education materials in English and Spanish that can be easily reproduced […]

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Healing Hands: A Comprehensive Approach to Substance Abuse and Homelessness

For many individuals, substance abuse and homelessness are inextricably intertwined. Indeed, substance use is often both a precipitating factor and a consequence of being homeless. Further, individuals who are homeless rarely have substance use disorders alone—many have serious mental illnesses, acute and chronic physical health problems, and histories of trauma. They require safe and appropriate

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Healing Hands: Patients with Borderline Personality Disorders Challenge HCH Clinicians

Patients with borderline personality disorder (BPD) have been described as having a “black hole of need.” They can be friendly one minute, and “turn on you like a snake” the next. Therapists working with individuals who have BPD are advised to be prepared to “look into the heart of darkness.”1 Indeed, patients who have this

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Providing Treatment for Homeless People With Substance Use Disorders: Case Studies of Six Programs

Clinicians who work with homeless people with substance related disorders are aware of the critical need to provide appropriate, accessible, and effective treatment for individuals and families in their care. Unfortunately, much of the scientific research about treatment for substance use disorders does not sufficiently inform the distinctive characteristics of treatment required for people experiencing

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Healing Hands: Filling the Gaps in Dental Care

Limited access to dental care increases homeless people’s high risk for oral pathologies, often resulting in loss of function, self-esteem and well-being. Health Care for the Homeless projects are endeavoring to fill the gaps in dental services for this vulnerable, hard-to reach population through public/ private partnerships. Over 200 HCH grantees and their subcontractors currently

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Healing Hands: Homelessness & Family Trauma: The Case for Early Intervention

This edition of Healing Hands presents an overview of one of the most pressing issues confronting homeless families and clinicians that serve them — the effects of domestic violence, abuse and neglect on young children. The following articles discuss conditions under which clinical interventions are warranted and report strategies used by HCH practitioners to prevent

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Healing Hands: Dealing with Disability: Cognitive Impairments & Homelessness

Homeless people with cognitive impairments affecting thought, memory, speech, and/or psychosocial competence present some of the toughest challenges that clinicians face. Articles describe disabling brain disorders often seen in homeless individuals and specify effective case management strategies. Download Research (PDF)

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