Because Health Care is a Right, Not a Privilege

Homeless Children: What Every Health Care Provider Should Know

Author: Catherine Karr

Contact Email: network@nhchc.org

 

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Table of Contents

  1. Homeless Children: What Every Health Care Provider Should Know

  2. Acknowledgements

  3. Did you know?

  4. If you care for children..

  5. Contents

  6. This presentation is designed as a primer. The goals are to help you:

  7. Recognizing homelessness and the risks of becoming homeless in families with children

  8. A legal definition

  9. An operational definition Homelessness includes:

  10. Who is homeless?

  11. What about homeless children?

  12. How many children are homeless in the United States?

  13. PPT Slide

  14. What are the trends?

  15. What are the trends?

  16. How can I identify families & children at risk?

  17. An overview of risk and protective factors that influence family homelessness

  18. Causes of homelessness:

  19. Lack of affordable housing:

  20. Domestic Violence: One of the most common reasons for women and their children becoming homeless

  21. Mental Illness: An important risk factor for homelessness

  22. Mental Illness: An under-treated problem

  23. Alcohol and drug abuse are associated with homelessness

  24. Substance abuse plays an important role in single parent families

  25. Homelessness is a dynamic state

  26. Understanding the specific health problems of homeless children

  27. How do the health issues of homeless children differ from housed children?

  28. Overall Health

  29. Homeless parents rate their children's health as fair or poor more often

  30. Hospitalization is common for homeless children

  31. Homeless children are more likely to be seen in an ED

  32. Homeless children often have multiple health problems

  33. Clinic visits by homeless children underscore increased acute problems

  34. Infectious Disease

  35. Infectious Disease

  36. Infectious Disease

  37. Infectious Disease: Acute Otitis Media

  38. Infectious Disease: Diarrhea

  39. Infectious Disease: Lice & scabies

  40. Injury

  41. Injury

  42. Injury

  43. Lead

  44. Lead

  45. Lead toxicity

  46. Lead screening is inadequate

  47. Mental Health & Behavior Problems

  48. Mental Health & Behavior Problems

  49. Mental Health: A chart review of comprehensive care visits at a school-based clinic

  50. Depression: A summary of studies reporting performance on the Children's Depression Inventory - School-Aged Children

  51. Behavior Problems: Children's performance on the Behavior Problems Index

  52. Behavior Problems: Reported performance on the Child Behavior Checklist - School-Aged Children

  53. Behavior Problems: Reported performance on the Child Behavior Checklist - Homeless School-aged Children

  54. Behavior Problems: Reported performance on the Child Behavior Checklist - Pre-School Children

  55. Behavior Problems: Reported performance on the Simmons Behavior Checklist - Pre-School Children

  56. Development

  57. Development

  58. Denver Developmental Screening Test Results

  59. Denver Developmental Screening Test Results

  60. Psychometric testing of pre-school children and toddlers

  61. Psychometric testing of school-age children

  62. Nutrition & Growth

  63. Nutrition & Growth

  64. Obesity and malnutrition

  65. Access to nutritious food is problematic

  66. Access to adequate amounts of food is problematic

  67. Evidence of stunting in homeless children: chronic malnutrition decreases attained height

  68. Evidence of obesity in poor, housed children

  69. Anemia

  70. Anemia is another well-known disease of poverty

  71. Dental Health

  72. Dental caries and lack of dental care is common among the poor

  73. Access to Dental Care

  74. Immunization Delay

  75. Immunization delay is common, particularly in young children

  76. Immunization delay in school-aged children

  77. Asthma

  78. Asthma rates increase with poverty

  79. Asthma

  80. Vision

  81. Problems with vision are common among homeless children

  82. Child Abuse

  83. Child Abuse

  84. Families involved in child abuse investigation

  85. Families reporting abuse of their children

  86. Homeless Child Syndrome

  87. Modifying health care plans and prevention strategies

  88. Homelessness carries a stigma

  89. Suggested assessment questions

  90. Suggested assessment questions (continued)

  91. Altering your plan of care

  92. Altering your plan of care

  93. Altering your plan of care

  94. Altering your plan of care

  95. Altering your plan of care

  96. Altering your plan of care

  97. Altering your plan of care

  98. Altering your plan of care

  99. Know how to find resources for your homeless patients and their families

  100. Finding resources

  101. Finding resources

  102. Finding resources

  103. Homelessness and Children

  104. References used in this presentation

  105. References used in this presentation