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Harm Reduction Principles in a Street Medicine Program: A Qualitative Study.

Jessica Frankeberger¹, Kelly Gagnon¹, Jim Withers²

¹Behavioral and Community Health Sciences, University of Pittsburgh School of Public Health, Pittsburgh, USA.

Culture, Medicine and Psychiatry

|October 13, 2022

Summary

This summary is machine-generated.

Street medicine providers build trusting relationships with unsheltered patients through relational harm reduction. Key principles include meeting patients where they are, humanism, and nonjudgmental care for better engagement.

Keywords:

Harm reduction Homeless medicine Homelessness Patient engagement Provider–patient relationships Street medicine

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Area of Science:

Public Health
Social Medicine
Healthcare Disparities

Background:

Homelessness is linked to increased illness and death.
Street Medicine aims to reduce these health inequities.
Limited research exists on provider-patient relationship building in street medicine.

Purpose of the Study:

To explore how street medicine providers build and maintain patient relationships.
To identify core principles guiding effective patient engagement in street medicine.
To understand the unique aspects of street medicine care delivery.

Main Methods:

Qualitative exploratory study using a harm reduction framework.
Conducted semi-structured interviews with eleven street medicine providers.
Employed deductive thematic analysis to interpret interview data.

Main Results:

Relational harm reduction is central to street medicine patient care.
Key themes identified: individualism, humanism, and nonjudgmental care.
Challenges included systemic failures and provider emotional distress.

Conclusions:

Relational harm reduction principles enhance patient engagement and retention in care.
Findings can inform the expansion of street medicine research and practice.
Understanding these principles helps bridge the gap to traditional healthcare models.