Homeless Outreach: Framework, Influencers, and Best Practices

Illness Crisis & Loss, Год журнала: 2025, Номер unknown

Опубликована: Фев. 28, 2025

This article aims to enrich the conceptualization and implementation of community-based health outreach focused on housing stabilization homeless prevention from a public framework. First, it will conceptualize outreach. Next, identify describe selected influencers as well review best practices. Finally, clinical application these theoretical approaches in project with U.S. military Veterans be highlighted. The framework allows for granular appreciation instability operationalize primary (i.e., stably housed) secondary at risk homelessness) tertiary homeless) measures. address how intersectional identities relate stigma shame internalization factors may impact engagement services. A international practices outreach, including social identity, presented. this highlight critical time intervention trauma-informed care demonstrated quality improvement that provides services transitioning Army Veterans. use commentary clinicians, Veteran consultants, vignettes, literature review. Taken together, advance policies by drawing attention biases current adding understanding identity related housed status its implication provision acceptance

Язык: Английский

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A cross-sectional needs assessment for a trauma-informed care curriculum for multidisciplinary healthcare providers

BMC Health Services Research, Год журнала: 2025, Номер 25(1)

Опубликована: Март 24, 2025

Trauma-informed care (TIC) is a framework that recognizes the pervasive impact of trauma, aiming to enhance both patient outcomes and provider well-being. Given high prevalence trauma among individuals seeking healthcare, it essential for healthcare providers (HCPs) be informed. However, standardized TIC curricula training staff are lacking. This study assessed perceptions towards multidisciplinary HCPs, patients, leadership at two urban hospitals in Canada. mixed-methods prospective cross-sectional employed Kern's six-step approach curriculum development. A needs assessment was conducted via an online questionnaire HCPs semi-structed interviews with from three participant groups: staff. The knowledge, skills, attitudes regarding TIC. Semi-structured explored perspectives on TIC, including priorities potential implementation barriers. Findings informed development virtual curriculum, iterative feedback collected refine assess its acceptability. Among 106 HCP respondents Medical Doctors, Social Workers Registered Nurses, 96 (90.6%) identified as women, 97 (91.5%) direct care. Despite 93 (87.7%) having prior education, 77 (72.6%) reported low confidence applying knowledge clinical practice. Key perceived challenges included time constraints lack standardization across disciplines. multimedia, self-paced course preferred solution. Thematic analysis 28 participants (10 10 8 staff) revealed six major themes: interactions, implementation, needs, system level barriers, preferences, systems improvements. Participants underscored risk re-traumatization patients settings without emphasized need universal all strong interest supports translation into practice incorporates focus cultural humility. Integrating insights key stakeholders this phase resulted inclusive diverse voices viewpoints strengthened understanding contextual factors will support effective implementation.

Язык: Английский

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JOURNAL OF SURGICAL RESEARCH

Journal of Surgical Research, Год журнала: 2024, Номер 296, С. iv - x

Опубликована: Март 16, 2024

Язык: Английский

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Integrating Compassion and Collaboration into the Care of Intensive Care Unit Survivors

Critical Care Clinics, Год журнала: 2024, Номер 41(1), С. 171 - 183

Опубликована: Сен. 14, 2024

Язык: Английский

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