New Policy and Practice Brief: Improving Care Transitions for People Experiencing Homelessness

Care transitions refer to the movement of patients between health care locations, providers, or different levels of care within the same location as their conditions and care needs change. While health reform has created a number of new initiatives, care transition for people who are experiencing homelessness is challenging due to lack of affordable housing and transportation options, poor health literacy, and limited social support. Additionally, while a number of evidence-based care transition models offer guidelines for care transition, most target older adults enrolled in Medicare; very few models have been tested for adults under the age of 65. This new policy and practice brief defines care transitions, describes health reform initiatives to systemize care transitions, explores various evidence-based care transition models, and offers practice and policy recommendations for improving care transitions for people experiencing homelessness.