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Homelessness in the United States: Implications for Critically Ill Children
Insights
Homelessness affects many children in the U.S. Critically ill homeless children face unique challenges, highlighting the need for better screening and intervention in pediatric intensive care units.
Area of Science:
- Pediatric critical care
- Social determinants of health
- Public health crisis
Background:
- Homelessness is a significant and growing crisis in the United States.
- Children constitute a substantial portion of the homeless population.
- Critical illness in homeless children exacerbates existing social and familial burdens.
Purpose of the Study:
- To review the current landscape of homelessness in the U.S.
- To synthesize existing research on homelessness and critical illness in children.
- To propose a novel screening and intervention model for critically ill homeless children.
Main Methods:
- Literature review of U.S. homelessness statistics.
- Synthesis of current research on pediatric critical illness and homelessness.
- Development of a proposed screening and intervention framework.
Main Results:
- Limited research currently exists on the intersection of homelessness and critical illness in pediatric populations.
- Homelessness presents unique stressors for critically ill children and their families.
- A need for systematic screening and targeted interventions in pediatric care settings is identified.
Conclusions:
- The current body of research on critically ill homeless children is insufficient.
- A standardized homelessness screening and intervention model is proposed for pediatric intensive care units.
- This model has potential for broader application across all pediatric inpatient settings.
Abstract:
Homelessness is a growing crisis in the United States (U.S.). Across the country, children represent a large proportion of the homeless population. When these children experience critical illness, it poses significant and specific burdens to the child and family, compounded by the social stressors inherent in being housing insecure. Yet research on homelessness in critically ill children remains limited. Here, we provide an overview of the current U.S. homeless population, discuss what is currently known about homelessness and critical illness to inform future research, and close with a proposed homelessness screening and intervention model for use in the pediatric intensive care unit that can further be applied to all pediatric inpatient settings.
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