Case Report

Comorbid TB and HIV in a Chronically Homeless Male: Social Isolation Compounds Stress of Medical Confinement (2006) – This case report by HCH clinicians in Baltimore is a reminder that relationship building, coordination of care by multiple providers, and maintaining contact with homeless clients during and after medical confinement are key in assuring treatment adherence and progress toward resolving homelessness. It also points to the special vulnerabilities of homeless persons with infectious diseases, whose coping mechanisms may exacerbate their social isolation and interfere with efforts to provide appropriate medical care.

Healing Hands Newsletter

Prevention & Treatment Guidelines

  • The Health Care of Homeless Persons: A Manual of Communicable Diseases & Common Problems in Shelters & on the Streets (2004) – This easy to use and read manual is designed for clinicians and shelter staff. Sections cover communicable diseases and infections, major medications, heat-related conditions and cold-related injuries, emerging challenges, management of chronic illnesses, immunizations, food management in shelters and soup kitchens, and fact sheets in English and Spanish for clients. The manual includes a chapter on tuberculosis.
  • Shelters & TB: What Staff Need to Know, Second Edition (2011) | Curry International Tuberculosis Center – An 18-minute video and viewer’s guide (PDF) designed to help homeless shelter staff create a healthy and safe environment. The video helps train staff about how to prevent the spread of TB in homeless shelters. It describes what TB is, how it is spread, what to do when you suspect someone has TB, how to develop and implement a TB infection control policy, and how you and your local health department can work together to create a healthy and safe environment for staff and clients. The accompanying viewer’s guide expands on the content covered in the video and serves as a reference guide containing additional information, resources, templates, and checklists to help establish your shelter’s TB infection control policy.

Training Opportunities

Additional Resources