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Related Concept Videos

Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Bystander Effect02:09

Bystander Effect

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Related Experiment Video

Updated: Jun 24, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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Published on: February 16, 2011

Step-By-Step: The BRIDGE Framework for Equitable Outreach to People Experiencing Homelessness.

Christopher J Simenz1, Anthony Marchlewski2, David A Nelson1

  • 1Medical College of Wisconsin, Milwaukee, USA.

Health Promotion Practice
|June 23, 2026
PubMed
Summary

The BRIDGE framework improves health outreach for people experiencing homelessness (PEH) by building trust and ensuring continuity of care through systematic street engagement. This approach enhances health equity for unsheltered individuals.

Keywords:
community engagementhealth equityhomelessnessstreet medicinestructural determinants of health

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Published on: September 28, 2022

Area of Science:

  • Public Health
  • Health Equity
  • Community Outreach

Background:

  • Health promotion programs often fail to reach unsheltered individuals experiencing homelessness (PEH).
  • Clinic-based models are insufficient for addressing the needs of PEH in non-clinic settings.
  • Street engagement with community partners is crucial for accessing basic needs, building trust, and ensuring care continuity.

Purpose of the Study:

  • To introduce the BRIDGE framework for systematic street engagement with PEH.
  • To integrate harm reduction, trauma-informed communication, and warm handoffs into outreach.
  • To provide practical tools and feasible metrics for effective and accountable street outreach.

Main Methods:

  • Developed the BRIDGE framework (Build trust, Rapidly assess, Identify needs, Direct connections, Guide handoffs, Evaluate follow-up).
  • Integrated practical tools: approach scripts, packing lists, safety checklists.
  • Collected process indicators: number of contacts, referrals initiated, successful connections.

Main Results:

  • The BRIDGE framework operationalizes equitable health promotion for street engagement.
  • It emphasizes ethics, safety, and trust in outreach efforts.
  • The framework provides a systematic approach to strengthen continuity of care for PEH.

Conclusions:

  • The BRIDGE framework can be adopted by various organizations to systematize street engagement.
  • It elevates outreach from goodwill to accountable practice.
  • This approach advances health equity for people experiencing homelessness.