Trends in Homeless Children and Young Adults Seeking Shelter in a Boston Pediatric Emergency Department Following State Housing Policy Changes, 2011–2016

Kanak, Mia; Stewart, Amanda M.; Vinci, Robert J.; Liu, Shanshan; Sandel, Megan

doi:10.2105/ajph.2018.304493

Cited by 8 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 482 , 483 A few studies focused on specific sub-populations of homeless patients, including veterans, 492 , 519 , 524 , 528 older adults, 499 , 501 and pediatric patients. 485 , 486 , 507 , 534 Two (40%) interventional studies centered on analyzing the effect of case management interventions on ED utilization. 537 , 541 …”

Section: Resultsmentioning

confidence: 99%

A Scoping Review of Current Social Emergency Medicine Research

Shah

Porta

Leung

et al. 2021

WestJEM

View full text Add to dashboard Cite

Introduction: Social emergency medicine (EM) is an emerging field that examines the intersection of emergency care and social factors that influence health outcomes. We conducted a scoping review to explore the breadth and content of existing research pertaining to social EM to identify potential areas where future social EM research efforts should be directed. Methods: We conducted a comprehensive PubMed search using Medical Subject Heading terms and phrases pertaining to social EM topic areas (e.g., “homelessness,” “housing instability”) based on previously published expert consensus. For searches that yielded fewer than 100 total publications, we used the PubMed “similar publications” tool to expand the search and ensure no relevant publications were missed. Studies were independently abstracted by two investigators and classified as relevant if they were conducted in US or Canadian emergency departments (ED). We classified relevant publications by study design type (observational or interventional research, systematic review, or commentary), publication site, and year. Discrepancies in relevant publications or classification were reviewed by a third investigator. Results: Our search strategy yielded 1,571 publications, of which 590 (38%) were relevant to social EM; among relevant publications, 58 (10%) were interventional studies, 410 (69%) were observational studies, 26 (4%) were systematic reviews, and 96 (16%) were commentaries. The majority (68%) of studies were published between 2010–2020. Firearm research and lesbian, gay, bisexual, transgender, and queer (LGBTQ) health research in particular grew rapidly over the last five years. The human trafficking topic area had the highest percentage (21%) of interventional studies. A significant portion of publications -- as high as 42% in the firearm violence topic area – included observational data or interventions related to children or the pediatric ED. Areas with more search results often included many publications describing disparities known to predispose ED patients to adverse outcomes (e.g., socioeconomic or racial disparities), or the influence of social determinants on ED utilization. Conclusion: Social emergency medicine research has been growing over the past 10 years, although areas such as firearm violence and LGBTQ health have had more research activity than other topics. The field would benefit from a consensus-driven research agenda.

show abstract

Section: Resultsmentioning

confidence: 99%

A Scoping Review of Current Social Emergency Medicine Research

Shah

Porta

Leung

et al. 2021

WestJEM

View full text Add to dashboard Cite

show abstract

“…19,20,36–40 The remainder used both structured and unstructured data to increase the yield of social risk detection ( N = 12/19, 63%). 41–52 Articles in this category extracted data pertaining to social support/isolation ( N = 11/19, 58%), 19,20,36,37,39,40,47–49,51,52 housing-related social risks ( N = 10/19, 53%) 19,20,38,41,44–46,49,51,52 and/or personal safety concerns ( N = 5/19, 26%). 42,43,48,50,52…”

Section: Resultsmentioning

confidence: 99%

“…19,20,[36][37][38][39][40] The remainder used both structured and unstructured data to increase the yield of social risk detection (N = 12/19, 63%). [41][42][43][44][45][46][47][48][49][50][51][52] Articles in this category extracted data pertaining to social support/isolation (N = 11/19, 58%), 19,20,36,37,39,40,[47][48][49]51,52 housing-related social risks (N = 10/19, 53%) 19,20,38,41,[44][45][46]49,51,52 and/or personal safety concerns (N = 5/19, 26%). 42,43,48,50,52 Unspecified refers to articles that did not include sufficient detail to determine whether social risk data was extracted from structured or unstructured fields.…”

Section: Unstructured Datamentioning

confidence: 99%

Evaluating the comparability of patient-level social risk data extracted from electronic health records: A systematic scoping review

Linfield,

Patel,

et al. 2023

Health Informatics J

View full text Add to dashboard Cite

Objective: To evaluate how and from where social risk data are extracted from EHRs for research purposes, and how observed differences may impact study generalizability. Methods: Systematic scoping review of peer-reviewed literature that used patient-level EHR data to assess 1 ± 6 social risk domains: housing, transportation, food, utilities, safety, social support/isolation. Results: 111/9022 identified articles met inclusion criteria. By domain, social support/isolation was most often included ( N = 68/111), predominantly defined by marital/partner status ( N = 48/68) and extracted from structured sociodemographic data ( N = 45/48). Housing risk was defined primarily by homelessness ( N = 39/49). Structured housing data was extracted most from billing codes and screening tools ( N = 15/30, 13/30, respectively). Across domains, data were predominantly sourced from structured fields ( N = 89/111) versus unstructured free text ( N = 32/111). Conclusion: We identified wide variability in how social domains are defined and extracted from EHRs for research. More consistency, particularly in how domains are operationalized, would enable greater insights across studies.

show abstract

“…This is also a snapshot of early academics in CEH who experienced the secondary effects of the COVID-19 pandemic during critical periods of development. Research has established a substantive gap in the academic readiness of CEH ( Herbers et al, 2012 ; Fantuzzo et al, 2013 ; Manfra, 2019 ), which is magnified for children experiencing homelessness early in life ( Barnes et al, 2017 ; Kanak et al, 2018 ). However, previous studies have examined academic readiness holistically and measured it among those later in development.…”

Section: Discussionmentioning

confidence: 99%

Initial characterization of print awareness in unhoused children

Hoffmann,

Little,

Vincent

et al. 2024

Front. Psychol.

View full text Add to dashboard Cite

This study provides an initial understanding of print awareness, a foundational literacy skill, in a group of 12 unhoused children at two shelters in a large urban setting. Children ranged in age from 4;1 to 8;0, representing grades associated with learning to read (i.e., pre-kindergarten to second grade). Findings indicate that the majority of children in this sample were significantly delayed in their acquisition of print awareness skills. Caregivers were surveyed regarding their beliefs about supporting literacy development and what would be beneficial for helping them in this area. Responses indicated that almost all caregivers believed that some literacy development should occur outside of the school setting and that it would be helpful if they (the caregivers) were taught both what skills to teach and how to teach them.

show abstract

Trends in Homeless Children and Young Adults Seeking Shelter in a Boston Pediatric Emergency Department Following State Housing Policy Changes, 2011–2016

Cited by 8 publications

References 7 publications

A Scoping Review of Current Social Emergency Medicine Research

A Scoping Review of Current Social Emergency Medicine Research

Evaluating the comparability of patient-level social risk data extracted from electronic health records: A systematic scoping review

Initial characterization of print awareness in unhoused children

Contact Info

Product

Resources

About