This article describes the Montefiore Care for the Homeless Team, a multidisciplinary health care outreach team that has provided health care to a diverse homeless population in the Bronx, NY, for 10 years. Yearly descriptions of patient demographics, continuity measures, diagnoses, interventions, and referral patterns are presented for a four-year period. These reveal that an increasing number and diversity of … More
A Multidisciplinary Health Care Outreach Team to the Homeless: The 10-Year Experience of the Montefiore Care for the Homeless Team.
In this article, the author introduces an outreach model based on universal principles of ecology and development in order to better serve disaffiliated, homeless adults with psychiatric disabilities. The outreach process is viewed as transactional in nature and consisting of manageable stages. This presents a transactional and phasic context for a psychosocial developmental assessment which identifies client-worker issues relevant to … More
This report describes the first year of a major effort to address homelessness in the Times Square district in New York City. The stories demonstrate the difficulty of the work and challenge the reader to continue to grapple with the complexities involved in working with homeless clients. Components of the project described include: concept; challenges; outreach; stories about specific people … More
Mobile Outreach Crisis Services: An Innovative Model for Taking Psychiatric Care into the Community.
Mobile outreach psychiatric services have become a popular model of providing care to the mentally ill. A mobile program has been instituted in Tulsa, Oklahoma, to provide care to homeless mentally ill in Tulsa County and to assist with emergency crisis intervention. The SPMI (Severely and Persistently Mentally III) have been a challenge for both medical and psychiatric providers, and … More
In an address to the nurses at Pine Street Inn Nurses’ Clinics in Boston, Massachusetts, U.S. Secretary of Health and Human Services Donna Shalala recognizes their commitment to outreach and preventive care for homeless men and women. For the past 25 years, the clinic-the first in the country to be licensed by a state-has been caring for citizens who too … More
This resource guide lists resources covering street outreach to homeless youth and other street populations.… More
Assessing Substance Abuse Treatment Needs Among the Homeless: A Telephone-Based Interactive Voice Response System.
The authors report on a pilot project that used a telephone-based interactive voice response system, accessed by cellular phones at diverse sites, to interview homeless persons on their need for alcohol and other drug treatment. Using this technique, 207 homeless adults at eight shelters in Cleveland, Ohio were interviewed. The cellular approach was comparable to human-administered interviews in reliability and … More
Engagement of Persons Who Are Homeless and Have Serious Mental Illness: An Overview of the Literature and Review of Practices by Eight Successful Programs.
This paper examines the literature on outreach to persons who are homeless and have serious mental illness and the results of a survey of eight programs that offer outreach services. Programs were found to share a highly mobile “find and serve” approach to the target population. The largest portion of new clients are engaged at homeless shelters, followed by mobile … More
With the increased emphasis on cost containment, hospital administrators are investigating community outreach projects to remain economically viable. The authors describe the planning and implementation of a mobile health unit for rural elderly residents. This project represents an alternative model of healthcare delivery in a rural area with limited resources and healthcare providers (authors).… More
Results from a survey of 134 homeless people living in 42 urban encampments in central Los Angeles found many in poor health status. Over 30% had chronic illnesses, and 40% had a substance abuse problem. Although outreach efforts have had success in bringing HIV and tuberculosis screening services to encampments, residents report significant barriers to using primary health care and … More