The Development of an Inclusion Health Integrated Care Programme for Homeless Adults in Dublin, Ireland

Cheallaigh, Clíona Ní; Lawlee, Ann-Marie; Sears, Jess; Dowds, Joanne

doi:10.5334/ijic.s2184

“…A common thread across many of the articles is that these circumstances are compounded by difficulties in accessing the health system (Goward et al., 2006; Grenier, Sussman, et al., 2016; Rhoades et al., 2014) and that there must be efforts to account for individual experiences, and structural issues that face these individuals to facilitate better care (Milaney et al., 2020). Literature on inclusion health highlights that there is an increasing potential for health and social care services, particularly primary care delivery, to target a reduction in complex forms of social exclusion among vulnerable population groups (Cheallaigh, Lawlee, Sears, & Dowds, 2018; O'Donnell, O'Donovan, & Elmusharaf, 2018).…”

Section: Discussionmentioning

confidence: 99%

Positive health among older Traveller and older homeless adults: A scoping review of life‐course and structural determinants

Cush

¹

,

Walsh

²

,

Carroll

³

et al. 2020

Health Soc Care Community

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With 703 million older people worldwide, and the rapid increase in global average life expectancy (from 64.6 years (1990-1995) to 72.3 years (2015-2020)), there is significant pressure on governments to protect the health of ageing populations (SNIPH, 2006; WHO, 2018). Within western developed nations this has led to a strong focus on goal-orientated concepts related to positive health in later life, such as healthy, positive and active ageing (Beard et al., 2016; Dizon, Wiles, & Peiris-John, 2019). The emergence of these ideas has given rise to discourse around "...developing and maintaining the functional ability that enables well-being in older age" (WHO, 2015), and the necessary resources and capacity to support older people to pursue what is meaningful to them. These more positive aspects of health amount to a sense of 'ontological security', where the individual strives for certainty and the belief that they can be active participants within society (Giddens, 1991). However, such constructs are not easily demarcated for a heterogeneous older population and have attracted criticism for being individualistic (Dizon

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“…The North Dublin City General Practitioner Training Programme educates doctors to work with marginalised, urban populations and has increased empathy and decreased prejudice amongst trainees 35 . Very few hospitals internationally offer dedicated Inclusion Health services like the two in Ireland that, by providing a more coordinated approach to patient care, are improving patient outcomes 36 . Incorporating this type of patient-centred programmes into strategic healthcare planning could be a way to remove barriers to care in Ireland and abroad.…”

Section: Discussionmentioning

confidence: 99%

Priority healthcare needs amongst people experiencing homelessness in Dublin, Ireland: a qualitative evaluation of community expert experiences and opinions

Ingram,

MacNamara,

Buggy

et al. 2023

Preprint

0

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In light of evidence that housing-related disparities in mortality are worsening over time, this study aimed to explore the perspectives of experts working in homeless health and addiction services on priority healthcare needs amongst people experiencing homelessness in Dublin, Ireland, a city facing problematic increases in homelessness. As part of a larger qualitative study, a series of semi-structured interviews were carried out with 19 community experts followed by inductive thematic framework analysis to identify emergent themes and sub-themes relating to priority healthcare needs. At the societal level, community experts identified a need to promote a culture that values health equity. At the policy level, accelerating action in addressing health inequalities was recommended with an emphasis on strategic planning, Housing First, social support options, interagency collaboration, improved data linkage and sharing, and auditing. At the health services level, removing barriers to access will require the provision of more and safer mental health, addiction, women-centred, and general practice services; resolved care pathways in relation to crisis points and multi-morbidity; expanded trauma-informed education and training and hospital-led Inclusion Health programmes; and outreach programmes and peer support for chronic disease management. The voices of people experiencing homelessness, including representatives from specific homeless groups such as migrants, youth, and the elderly, must be thoroughly embedded into health and social service design and delivery to facilitate impactful change.

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“…The North Dublin City General Practitioner Training Programme educates doctors to work with marginalised, urban populations and has increased empathy and decreased prejudice amongst trainees [ 38 ]. Very few hospitals internationally offer dedicated Inclusion Health services like the two in Ireland that, by providing a more coordinated approach to patient care, are improving patient outcomes [ 39 ]. Incorporating this type of patient-centred programmes into strategic healthcare planning could be a way to remove barriers to care in Ireland and abroad.…”

Section: Discussionmentioning

confidence: 99%

Priority healthcare needs amongst people experiencing homelessness in Dublin, Ireland: A qualitative evaluation of community expert experiences and opinions

Ingram,

MacNamara,

Buggy

et al. 2023

PLoS ONE

0

View full text Add to dashboard Cite

In light of evidence that housing-related disparities in mortality are worsening over time, this study aimed to explore the perspectives of experts working in homeless health and addiction services on priority healthcare needs amongst people experiencing homelessness in Dublin, Ireland, a city facing problematic increases in homelessness. As part of a larger qualitative study, a series of semi-structured interviews were carried out with 19 community experts followed by inductive thematic framework analysis to identify emergent themes and sub-themes relating to priority healthcare needs. At the societal level, community experts identified a need to promote a culture that values health equity. At the policy level, accelerating action in addressing health inequalities was recommended with an emphasis on strategic planning, Housing First, social support options, interagency collaboration, improved data linkage and sharing, and auditing. At the health services level, removing barriers to access will require the provision of more and safer mental health, addiction, women-centred, and general practice services; resolved care pathways in relation to crisis points and multi-morbidity; expanded trauma-informed education and training and hospital-led Inclusion Health programmes; and outreach programmes and peer support for chronic disease management. The voices of people experiencing homelessness, including representatives from specific homeless groups such as migrants, youth, and the elderly, must be thoroughly embedded into health and social service design and delivery to facilitate impactful change.

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The Development of an Inclusion Health Integrated Care Programme for Homeless Adults in Dublin, Ireland

Cited by 3 publications

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Positive health among older Traveller and older homeless adults: A scoping review of life‐course and structural determinants

Positive health among older Traveller and older homeless adults: A scoping review of life‐course and structural determinants

Priority healthcare needs amongst people experiencing homelessness in Dublin, Ireland: a qualitative evaluation of community expert experiences and opinions

Priority healthcare needs amongst people experiencing homelessness in Dublin, Ireland: A qualitative evaluation of community expert experiences and opinions

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