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Homelessness and our most vulnerable patients
1Veterans Affairs Maryland Health Care System, USA.
Insights
Homelessness in children significantly impacts health. Healthcare providers can improve outcomes by addressing barriers, educating teams, and advocating for these vulnerable youth.
Area of Science:
- Pediatrics
- Public Health
- Social Determinants of Health
Background:
- Childhood homelessness is a widespread and escalating issue with profound physical and mental health consequences.
- Healthcare providers face challenges in addressing the complex needs of homeless children.
- Understanding and overcoming barriers specific to this population is crucial for effective care.
Purpose of the Study:
- To outline strategies for healthcare providers to improve the health and well-being of homeless children.
- To emphasize the role of providers in addressing barriers beyond direct medical treatment.
- To advocate for integrated care models that support homeless children and their families.
Main Methods:
- Reviewing existing literature on childhood homelessness and healthcare interventions.
- Identifying key barriers faced by homeless children in accessing healthcare.
- Proposing practical changes in clinical practice, education, and advocacy.
Main Results:
- Healthcare providers can significantly impact homeless children's health through targeted interventions.
- Addressing barriers requires a multi-faceted approach including education and collaboration.
- Establishing practices as 'medical homes' can provide essential stability and support.
Conclusions:
- Healthcare providers play a vital role in mitigating the health effects of homelessness in children.
- Collaborative efforts with parents and community agencies enhance care.
- Creating a supportive 'medical home' is paramount for improving the health trajectory of homeless children.
Abstract:
The scope of homelessness among children is broad and growing, and its affect on physical and mental health is extensive. It may seem daunting for individual providers to make an impact on the challenges faced by these most vulnerable of patients. However, healthcare providers who care for homeless children can improve more than just their physical health by understanding barriers specific to this population, and addressing them through minor changes in standard practice; education of self, staff, and colleagues; and advocacy. By collaborating with parents and local agencies, clinicians can make tangible progress in improving the health of their homeless patients and can provide parents with the information and support they need to prioritize a child's health needs appropriately. Ultimately, providers should strive to make their practices a true medical home, as it may be the only home a child knows.
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