Clinical Guidelines

Clinical Guidelines for Supporting IV Antibiotics in MRC Programs

Outpatient Parenteral Antimicrobial Therapy (OPAT), or the administration of intravenous antibiotics (IV antibiotics) and other antimicrobials, is a medical intervention used to treat serious infections by delivering medication through the bloodstream. Here, we focus on bacterial infections treated by IV antibiotics. IV antibiotics are recommended when there are no appropriate oral alternatives, or when the […]

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General Recommendations for the Care of Homeless Patients

Clinicians with extensive experience caring for individuals who are homeless routinely adapt their practice to foster better outcomes for these patients. This document is intended for health care professionals, students, and ancillary personnel who have less experience working with this population and may not realize that some of their patients are homeless. Download Research (PDF)

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Clinical Guidelines: The Importance of Assessing and Addressing Health Management

Health management is an essential task for maintaining a person’s overall health and well-being, particularly for people experiencing homelessness who have increased prevalence and higher onset of chronic health conditions. Health management is defined as “activities related to developing, managing, and maintaining health and wellness routines, including self-management, with the goal of improving or maintaining

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Clinical Guidelines for Medical Respite Care: Cognition

People experiencing homelessness have higher rates of cognitive impairment than the general population, and cognitive changes can affect a person’s ability to manage their health, organize daily activities, and navigate complex service systems. Because of these high rates, medical respite programs are likely to encounter clients with cognitive impairment. This guide provides guidance for understanding

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Clinical Guidelines for Medical Respite Care: Dementia

Dementia is one of the major causes of disability and dependency among older people, and experiencing homelessness appears to be both a risk factor for and a possible consequence of Alzheimer’s Disease and related dementias. This guide provides an overview of Alzheimer’s Disease and Related Dementias, how they impact the individual, and strategies to support

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Clinical Guidelines for Medical Respite Care: Cardiovascular Conditions

Cardiovascular disease is one of the leading causes of morbidity and mortality among people experiencing homelessness, driven by a high prevalence of risk factors, barriers to care, and the challenges of managing heart conditions without stable housing. This guide provides guidance for addressing cardiovascular conditions within medical respite care programs, including congestive heart failure, coronary

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Clinical Guidelines for Medical Respite Care: Skin and Subcutaneous Conditions

People experiencing homelessness are at increased risk for dermatologic conditions and related complications, including delayed healing and chronic wounds, due to exposure to extreme weather, prolonged time on their feet, ectoparasites such as lice, scabies, and bed bugs, and difficulty maintaining hygiene for skin and wound care. This guide provides guidance for addressing skin and

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Clinical Guidelines for Medical Respite Care: Respiratory Conditions

People experiencing homelessness have higher rates of asthma, chronic obstructive pulmonary disease, influenza, and pneumonia than the general population, and respiratory infections are a common reason for referral to medical respite programs, especially during cold-weather months. This guide provides guidance for addressing respiratory conditions within medical respite care programs. COVID-19 and tuberculosis are covered in

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