Including Homeless Populations in Disaster Preparedness, Planning, and Response: A Toolkit for Practitioners

Gin, June L.; Levine, Cheryl A; Canavan, David; Dobalian, Aram

doi:10.1097/phh.0000000000001230

Cited by 11 publications

(6 citation statements)

References 19 publications

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“…Prior research has identified lack of technology access or familiarity 6 - 8 and clients dropping out of care 8 , 9 as significant challenges for delivering appropriate care to Veterans in homeless programs through virtual telehealth modalities. Structural supports to facilitate their access, by referring patients to the Federal Communications Commission’s Affordable Connectivity Program, 38 the VA’s iPad program, which provides cellular-enabled tablets to patients to access tele-services, 39 and the VA’s Digital Divide Consult, which connects Veterans to a social worker to assist their enrollment in VA’s telehealth services programs, 40 may help address these barriers. Peer support, digital literacy, and motivational interviewing can also help some Veterans sustain their engagement with video-based care modalities.…”

Section: Discussionmentioning

confidence: 99%

Responding to COVID-19 While Serving Veterans Experiencing Homelessness: The Pandemic Experiences of Healthcare and Housing Providers

Gin

Balut

Alenkin

et al. 2022

J Prim Care Community Health

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The U.S. Department of Veterans Affairs (VA) provides essential care through transitional housing and healthcare for Veterans experiencing homelessness through the Grant and Per Diem (GPD) program and the Homeless Patient Aligned Care Team (HPACT), respectively. At the onset of the SARS-CoV-2 pandemic, GPD organizations and HPACT clinics faced the challenge of being essential providers tasked with ensuring the well-being of Veterans under their care. Through semi-structured interviews with 13 providers (6 HPACT health care providers representing 2 HPACT programs, and 7 GPD staff members) across the U.S., this study explored their experiences navigating the tasks of keeping Veterans safe and providing ongoing care from the start of the pandemic up to the 2021 interview dates. Both GPD and HPACT providers reported amplified safety concerns about COVID-19 infection among staff at the start of the pandemic, which diminished to a lower, stable level after a few months as adaptations made for safety became embedded in their routines. However, ongoing challenges included isolation and mental health challenges among Veterans, inherent limitations of telehealth as a care delivery avenue, provider frustration and burnout due to increased workload and frequent change, and the logistics of administering testing for Veterans to enter GPD housing. Enhanced pandemic preparedness planning for GPD organizations, funding for personal protective equipment (PPE) and providing technology to facilitate Veterans’ telehealth access, and strategies for preventing provider burnout are critical to both sustaining homeless providers’ capabilities during this pandemic and enhancing readiness to respond to the next public health emergency.

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Section: Discussionmentioning

confidence: 99%

Responding to COVID-19 While Serving Veterans Experiencing Homelessness: The Pandemic Experiences of Healthcare and Housing Providers

Gin

Balut

Alenkin

et al. 2022

J Prim Care Community Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…People experiencing homelessness face a lack of regular shelter, as well as access to information and resources to prepare for and respond to wildfires, which amplify their wildfire smoke and health risk (Every et al 2014;Gin et al 2021;Gin et al 2022). Additionally, many people experiencing homelessness are also working in low-wage, frontline jobs and thus represent a portion of the labor force especially vulnerable to disruptions from smoke exposures.…”

Section: Housing-vulnerable People and People Experiencing Homelessnessmentioning

confidence: 99%

Disruptions from Wildfire Smoke: Vulnerabilities in Local Economies and Disadvantaged Communities in the U.S.

Lappe¹,

Vargo²

2022

CDRB

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Wildfires, which are increasing in frequency, duration, and intensity, are measurably affecting vulnerable populations, labor, housing, and education. This report describes how wildfire smoke disrupts various sectors of the economy across the United States. Wildfire smoke is a growing problem for groups that face greater economic barriers than the general population, such as low-income families, housing-vulnerable communities, and frontline workers.

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“…As a result, the only way to deal with this phenomenon is to be prepared, which can then prevent or reduce the amount of damage caused by it [ 7 , 8 ]. The health systems, as one of the main pillars of the communities, play the most important role in disaster risk reduction [ 4 , 9 ]. Disaster preparedness provides a platform for designing effective, realistic, and coordinated planning, reducing duplication of efforts and increasing its overall effectiveness and response efforts by National Societies, households, and community members [ 2 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Developing and psychometric testing of the evaluation tool for disaster exercises design stage: A mixed method study

et al. 2022

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Background Exercise in different health sectors is an important step in preparing programs for disaster risk management. The present study aimed to develop and validate a tool for evaluating disaster exercises during the design stage in the health sector. Methods This methodological study was conducted in two phases using an explanatory sequential mixed method approach. Semi-structured interviews with 25 disaster-related health professionals were conducted during the qualitative phase (item generation), and a systematic review was done to evaluate items pool of disaster exercises design stage tool. The quantitative phase (item reduction) assessed both face and content validity, as well as reliability using Cronbach’s alpha and intra-class correlation coefficient. Results At the first stage four main categories and eleven subcategories were extracted from the data, the main categories including "coordination, command and guidance of exercise", "hardware and software requirements of exercise ", "organizational exercise resources", and "communication and exercise public information". The initial items pool included 164 items that were reduced to 50 after the assessment of validity (face and content). Cronbach’s alpha (0.89) and intra-class correlation coefficient (ICC = 0.72) tests indicated that the tool is also reliable. Conclusion The research findings provide a new categorization perspective to understand the disaster exercises evaluation in the health sector. The existing 50-item tool can evaluate disaster exercises design stage in the health sector through collecting data with appropriate validity and reliability.

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Including Homeless Populations in Disaster Preparedness, Planning, and Response: A Toolkit for Practitioners

Cited by 11 publications

References 19 publications

Responding to COVID-19 While Serving Veterans Experiencing Homelessness: The Pandemic Experiences of Healthcare and Housing Providers

Responding to COVID-19 While Serving Veterans Experiencing Homelessness: The Pandemic Experiences of Healthcare and Housing Providers

Disruptions from Wildfire Smoke: Vulnerabilities in Local Economies and Disadvantaged Communities in the U.S.

Developing and psychometric testing of the evaluation tool for disaster exercises design stage: A mixed method study

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