Homelessness response: a framework for action by hospitals and healthcare systems
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View abstract on PubMed
Summary
This summary is machine-generated.Healthcare systems need systemic strategies to address the homelessness crisis. A new framework categorizes ten interventions across institutional, community, and policy levels for improved patient health outcomes.
Area Of Science
- Public Health
- Health Systems Management
- Social Determinants of Health
Background
- The homelessness crisis is complex and severe, requiring systemic healthcare approaches.
- Federal policies are shifting homelessness prevention and response to state and local levels.
- Existing frameworks for healthcare system involvement in homelessness are limited.
Purpose Of The Study
- To identify and categorize best practices for healthcare system involvement in addressing homelessness.
- To develop a framework guiding unified healthcare system responses to homelessness.
- To explore how healthcare systems can improve patient health beyond individual care.
Main Methods
- Conducted a literature search on healthcare system involvement in homelessness.
- Performed key informant interviews with experts from healthcare and homelessness organizations.
- Grouped health-system responses into ten intervention categories.
Main Results
- Identified ten categories of health-system responses: screening, Health Care for the Homeless programs, medical respite, wraparound services, medical-legal partnerships, affordable housing investment, healthcare and housing partnerships, data sharing, anchor institutions, and federal program implementation.
- Developed a typology of interventions based on the socioecological model.
- Organized interventions across three interconnected levels: institution-based practices, community partnerships, and public policy.
Conclusions
- The proposed framework offers a structured approach for healthcare systems to address homelessness.
- This typology can guide further research, financial impact analysis, and program evaluation.
- Systemic, multi-level interventions are crucial for improving health outcomes for unhoused populations.
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