Newsletter

Healing Hands: Integrating Primary & Behavioral Health Care for Homeless People

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

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Healing Hands: The Challenges of Supervision in HCH: Helping Staff Succeed

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

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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. Indeed, too many choose to avoid these difficult clients altogether — an option that experienced homeless assistance providers find unacceptable. The following articles describe the complex tapestry of cognitive disabilities and homelessness, and specify

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Healing Hands: Paso a Paso: Step-by-Step Toward Cultural Competence

Achieving cultural competence — the ability to communicate effectively across different linguistic and cultural traditions — is necessarily a gradual process. For clinicians, this requires close examination of health-related attitudes and beliefs — their clients’ and their own. The following articles suggest some steps that homeless health care providers can take to begin the journey.

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Healing Hands: Hard to Reach: Rural Homelessness & Health Care

This issue of Healing Hands examines obstacles to health care encountered by people who first experience homelessness in small communities and remote rural areas of the United States. The following articles briefly explain the causes of rural homelessness and how unstably housed people in rural areas differ from their urban counterparts. In addition, they highlight

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Healing Hands: Eliciting Behavior Change: Tools for HCH Clinicians

The following article summarizes currently recommended strategies for eliciting health-related behavior change which clinicians and their homeless clients are finding useful. Subsequent articles focus on the experience of individual practitioners in dealing with some of the most critical and persistent health problems their homeless patients face to which lifestyle modification is at least part of

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Healing Hands: Coping with Stress, Creating & Maintaining Hope

In this issue of Healing Hands, we examine the spiritual and psycho- logical roots of their ability to cope with stress while creating and maintaining hope for clients, colleagues and themselves. In the midst of year-end pressures, we conducted interviews with ten HCH clinicians, practicing in different regions of the United States, and representing a

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