Protecting persons experiencing homelessness through a global pandemic.

Area of Science:

• Public Health
• Infectious Disease Prevention
• Organizational Management

Background:

• The COVID-19 pandemic presented significant challenges for organizations serving vulnerable populations, particularly those experiencing homelessness.
• Effective prevention and containment of SARS-CoV-2 transmission are critical in congregate settings.

Purpose of the Study:

• To describe the transformation of organizational practices in a homeless service organization to prevent and contain COVID-19.
• To detail the implementation of evidence-based strategies and community partnerships for virus mitigation.

Main Methods:

• Adoption of the CDC's "whole community" framework for COVID-19 preparedness and response.
• Implementation of new protocols for admissions, testing, monitoring, and managing staff/visitors.
• Establishment of an on-site vaccination clinic through a multi-sector coalition.

Main Results:

• A coordinated organizational response led to a decline in confirmed SARS-CoV-2 cases to zero within the facility.
• The organization enhanced its digital capacity and adaptability in policy and practice.
• Community partnerships were integral to the successful implementation of prevention and containment strategies.

Conclusions:

• A comprehensive, evidence-based approach incorporating organizational changes and community collaboration is effective in controlling infectious disease outbreaks in homeless service settings.
• Adaptability and strategic partnerships are crucial for navigating public health crises in vulnerable populations.