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Supporting Emergency Department Patients Experiencing Homelessness.

Antony Hsu1, Michael A Light2, Callan Fockele3

  • 1Department of Emergency Medicine, Trinity Health Ann Arbor, Ypsilanti, Michigan, USA.

Journal of the American College of Emergency Physicians Open
|January 19, 2026
PubMed
Summary
This summary is machine-generated.

Emergency physicians can address the health needs of patients experiencing homelessness by coordinating care and adapting practices. This approach tackles immediate medical issues and social determinants of health for better outcomes.

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Area of Science:

  • Public Health
  • Emergency Medicine
  • Social Determinants of Health

Background:

  • Homelessness presents a significant and growing public health crisis in the United States.
  • Emergency departments (EDs) are critical access points for individuals experiencing homelessness, who often have complex medical and social needs.

Purpose of the Study:

  • To outline strategies for emergency physicians to address the immediate medical concerns and social drivers of health for patients experiencing homelessness.
  • To highlight practice adaptations within the ED and complementary initiatives outside the ED to support this vulnerable population.

Main Methods:

  • Review of practice adaptations within the emergency department, including early engagement, trauma-informed care, addressing nonmedical needs, safe dispositions, and documentation.
  • Description of external programs such as street medicine and government initiatives.
  • Emphasis on utilizing existing programs and incentives for sustainable solutions.

Main Results:

  • EDs can initiate care coordination to meet the hierarchy of needs for patients experiencing homelessness.
  • Key practice adaptations include trauma-informed care, addressing nonmedical needs, and establishing safe discharge plans.
  • Integrating street medicine and government initiatives can provide comprehensive support.

Conclusions:

  • Emergency physicians play a vital role in addressing the multifaceted needs of patients experiencing homelessness.
  • Coordinated care within the ED, coupled with external resources, can improve health outcomes and facilitate transitions to appropriate care settings.
  • Sustainable solutions leverage existing community programs and incentives to support long-term well-being.