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      Access to self-care interventions can improve health outcomes for people experiencing homelessness

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      Author(s): 1 , , 2
      Publication date (Electronic):
      Journal: The BMJ
      Publisher: BMJ Publishing Group Ltd.

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          Abstract

          Jon Hopkins and Manjulaa Narasimhan examine the barriers to self-care for people experiencing homelessness and how to overcome them

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          Most cited references25

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          The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations.

          Seena Fazel, John R Geddes, Margot Kushel (2014)
          In the European Union, more than 400,000 individuals are homeless on any one night and more than 600,000 are homeless in the USA. The causes of homelessness are an interaction between individual and structural factors. Individual factors include poverty, family problems, and mental health and substance misuse problems. The availability of low-cost housing is thought to be the most important structural determinant for homelessness. Homeless people have higher rates of premature mortality than the rest of the population, especially from suicide and unintentional injuries, and an increased prevalence of a range of infectious diseases, mental disorders, and substance misuse. High rates of non-communicable diseases have also been described with evidence of accelerated ageing. Although engagement with health services and adherence to treatments is often compromised, homeless people typically attend the emergency department more often than non-homeless people. We discuss several recommendations to improve the surveillance of morbidity and mortality in homeless people. Programmes focused on high-risk groups, such as individuals leaving prisons, psychiatric hospitals, and the child welfare system, and the introduction of national and state-wide plans that target homeless people are likely to improve outcomes.
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            Health interventions for people who are homeless.

            Stephen Hwang, Tom Burns (2014)
            Homelessness has serious implications for the health of individuals and populations. Primary health-care programmes specifically tailored to homeless individuals might be more effective than standard primary health care. Standard case management, assertive community treatment, and critical time intervention are effective models of mental health-care delivery. Housing First, with immediate provision of housing in independent units with support, improves outcomes for individuals with serious mental illnesses. Many different types of interventions, including case management, are effective in the reduction of substance misuse. Interventions that provide case management and supportive housing have the greatest effect when they target individuals who are the most intensive users of services. Medical respite programmes are an effective intervention for homeless patients leaving the hospital. Although the scientific literature provides guidance on interventions to improve the health of homeless individuals, health-care providers should also seek to address social policies and structural factors that result in homelessness.
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              The Case For More Active Policy Attention To Health Promotion

              J McGinnis, P. Williams-Russo, J. Knickman (2002)
              Article 0 comments Cited 99 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Jonathan Hopkins: Role: chief operations officer
                Manjulaa Narasimhan: Role: scientist
                Journal
                Journal ID (nlm-ta): BMJ
                Journal ID (iso-abbrev): BMJ
                Journal ID (publisher-id): BMJ-UK
                Journal ID (hwp): bmj
                Title: The BMJ
                Publisher: BMJ Publishing Group Ltd.
                ISSN (Print): 0959-8138
                ISSN (Electronic): 1756-1833
                Publication date Collection: 2022
                Publication date (Electronic): 24 March 2022
                Volume: 376
                Electronic Location Identifier: e068700
                Affiliations
                [1 ]U-turn, Cape Town, South Africa
                [2 ]Department of Sexual and Reproductive Health and Research, UNDP/UNFPA/Unicef/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland
                Author notes
                Correspondence to: J Hopkins jon@ 123456homeless.org.za
                Article
                Publisher ID: BMJ-2021-068700.R2 Publisher ID: hopj068700
                DOI: 10.1136/bmj-2021-068700
                PMC ID: 8943590
                PubMed ID: 35331989
                SO-VID: 60ea1b82-0e23-4bb1-a58a-4d63a2f01d8c
                Copyright © Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution IGO License ( https://creativecommons.org/licenses/by-nc/3.0/igo/), which permits use, distribution, and reproduction for non-commercial purposes in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Analysis
                Series title: Self-Care Interventions for Sexual and Reproductive Health Rights

                ScienceOpen disciplines: Medicine
                Data availability:
                ScienceOpen disciplines: Medicine

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