Background: Patients experiencing unsheltered homelessness are at extreme risk for worse outcomes, including increased mortality 10 times that of the general population and an average life expectancy of 53 (over 20 yrs less than general population). Transitions of care pose unique difficulties for this vulnerable population, with numerous barriers to ongoing care and resulting readmission […]

Background: Lack of stable housing adversely affects health outcomes, increases healthcare utilization, and increases mortality. Few studies have assessed the prevalence of homelessness and housing insecurity in hospitalized patients. To address this gap, we conducted a hospital point-in-time study to determine the prevalence of housing insecurity and homelessness among hospitalized patients at two academic medical […]

Background: Patients experiencing homelessness have unique healthcare needs due to barriers of care, lack of access to food and safety, and limited social services. Patients can be experiencing homelessness temporarily or chronically. They experience high rates of substance abuse, mental illness and other health problems like HIV. These unique circumstances make patients experiencing homeless unique […]

Background: An estimated 580,000 individuals were experiencing homelessness during the most recent national point-in-time count. Dialysis requires substantial patient engagement, and not having secure housing impedes medical care and could increase acute care utilization. The prevalence of homelessness and its impact on hospitalizations among patients with ESKD are unknown. This retrospective cohort study examined differences […]

Background: The care management and discharge planning of psychiatric patients experiencing homelessness (PPEH) is an area of debate. Due to the lack of research on best practices and community resources available, there are currently insufficient actionable guidelines in place to properly assist PPEH in their psychiatric care post-discharge, leading to high rates of readmission. Though […]