A Daily Low-threshold Integration Center for the Homeless.  Model of Social and Healthcare for Excluded Populations

Herdics, G.; Procházková, Kateřina; Mikloskova, Monika; Mikolasova, G.; Olah, M.; Kovac, R.; Tordova, Sandra; Gliganic, Matej; Novák, Vladimír; Matuschek, Carsten; Bucko, Ladislav; Karvaj, M; Benca, Juraj; Jankechova, M.; Mrazova, M.; Radková, Libuša; Tománek, Pavol; Thimm, Dora; Ondrejková, Anna; Vallova, Jana; Kara, Sergej

doi:10.22359/cswhi_8_1_04

Cited by 1 publication

(1 citation statement)

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“…(1997) comment that ‘raising therapy completion rates to acceptable levels may require additional social services … and enforceable legal remedies for noncompliance’ (p. 381). Recent literature has highlighted the success and need for a shift to a holistic model which takes into consideration not only the imminent threat of the diagnosed pandemic‐related disease but also of comorbid factors such as substance misuse (Brudney & Dobkin, 1992; Lesnic et al., 2016), mental health (Lau & Ferson, 1997) or HIV (Auer et al., 2020; Berg et al., 2005; Craig et al., 2007; Herdics et al., 2017; Hirsch‐Moverman et al., 2010). This may promote compliance and can serve to decrease the risk of transmission or reinfection and improve treatment outcomes overall.…”

Section: Resultsmentioning

confidence: 99%

Responding to pandemics and other disease outbreaks in homeless populations: A review of the literature and content analysis

Babando

Quesnel

Woodmass

et al. 2021

Health Social Care Comm

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Considering the recent COVID‐19 pandemic, we recognised a lack of synthesis amongst the available literature pertaining to the intersections of homelessness and pandemic response and planning. Therefore, the purpose of this review was to identify relevant peer‐reviewed literature in this area to thematically produce evidence‐based recommendations that would inform community planning and response amongst homeless populations. Although this review is inspired by the COVID‐19 pandemic, our intention was to produce relevant recommendations to for all current and future outbreaks and pandemics more generally. Our search criteria focused on pandemics and rapid‐spread illnesses such as contagious respiratory diseases with contact spread and with an emphasis on individuals experiencing homelessness. Content analysis methods were followed to extract and thematically synthesise key information amongst the 223 articles that matched our search criteria between the years of 1984 and 2020. Two reviewers were assigned to the screening process and used Covidence and undertook two rounds of discussion to identify and finalise themes for extraction. This review illustrates that the current breadth of academic literature on homeless populations has thus far focused on tuberculosis (TB) rather than diseases that are more recent and closely related to COVID‐19—such as Severe Acute Respiratory Syndrome (SARS) or H1N1. Our thematic content analysis revealed six themes that offer tangible and scalable recommendations which include (1) education and outreach, (2) adapting structure of services, (3) screening and contract tracing, (4) transmission and prevention strategies, (5) shelter protocols and (6) treatment, adherence and vaccination. The breadth and depth of reviews such as these are dependent on the quantity and quality of the available literature. Therefore, the limited existing literature outside of tuberculosis specific to homelessness in this review illustrates a need for more academic research into the intersections of pandemics and homelessness—particularly for evaluations of response and planning. Nonetheless, this review offers timely considerations for pandemic response and planning amongst homeless populations during the current COVID‐19 pandemic and can facilitate future research in this area.

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