Mental and Nonmental Health Hospital Admissions among Chronically Homeless Adults Before and After Supportive Housing Placement

被引:20
作者
Rieke, Katherine [1 ]
Smolsky, Ann [2 ]
Bock, Erin [3 ]
Erkes, Laura Peet [4 ]
Porterfield, Erin [5 ]
Watanabe-Galloway, Shinobu [1 ]
机构
[1] Univ Nebraska Med Ctr, Dept Epidemiol, 984395 Univ Nebraska Med Ctr, Omaha, NE 68198 USA
[2] Metro Area Continuum Care Homeless, Omaha, NE USA
[3] Sherwood Fdn, Omaha, NE USA
[4] Creighton Univ, Med Ctr, Omaha, NE USA
[5] Heartland Workforce Solut, Omaha, NE USA
关键词
Homelessness; housing; service use; medical conditions; ILLNESS; CARE; SERVICES; PEOPLE; EMERGENCY; PROGRAM; COSTS; 1ST;
D O I
10.1080/19371918.2015.1063100
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Individuals experiencing chronic homelessness may utilize hospital services more frequently than the general population. Understanding the benefits of providing permanent supportive housing to these individuals can lead to improved services for this population. This study examined the effect of supportive housing placement on hospital admissions of adults who were homeless. Admissions were examined for a period of one-year pre- and postsupportive housing placement for 23 adults. Results showed a reduction in the number of emergency department admissions and an increase in outpatient admissions during the year following housing placement, indicating that supportive housing may encourage more appropriate use of health care services.
引用
收藏
页码:496 / 503
页数:8
相关论文
共 20 条
  • [1] [Anonymous], NATL VITAL STAT REPO
  • [2] Do Official Hospitalizations Predict Medical Vulnerability among the Homeless? A Postdictive Validity Study of the Vulnerability Index
    Cronley, Courtney
    Petrovich, James
    Spence-Almaguer, Emily
    Preble, Kathleen
    [J]. JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED, 2013, 24 (02) : 469 - 486
  • [3] Public service reductions associated with placement of homeless persons with severe mental illness in supportive housing
    Culhane, DP
    Metraux, S
    Hadley, T
    [J]. HOUSING POLICY DEBATE, 2002, 13 (01) : 107 - 163
  • [4] The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations
    Fazel, Seena
    Geddes, John R.
    Kushel, Margot
    [J]. LANCET, 2014, 384 (9953) : 1529 - 1540
  • [5] Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system
    Folsom, DP
    Hawthorne, W
    Lindamer, L
    Gilmer, T
    Bailey, A
    Golshan, S
    Garcia, P
    Unützer, J
    Hough, R
    Jeste, DV
    [J]. AMERICAN JOURNAL OF PSYCHIATRY, 2005, 162 (02) : 370 - 376
  • [6] Gilmer TP, 2009, PSYCHIAT SERV, V60, P445, DOI 10.1176/appi.ps.60.4.445
  • [7] Factors associated with the health care utilization of homeless persons
    Kushel, MB
    Vittinghoff, E
    Haas, JS
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 285 (02): : 200 - 206
  • [8] Emergency department use among the homeless and marginally housed: Results from a community-based study
    Kushel, MB
    Perry, S
    Bangsberg, D
    Clark, R
    Moss, AR
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 2002, 92 (05) : 778 - 784
  • [9] Effects of housing circumstances on health, quality of life and healthcare use for people with severe mental illness: a review
    Kyle, Tania
    Dunn, James R.
    [J]. HEALTH & SOCIAL CARE IN THE COMMUNITY, 2008, 16 (01) : 1 - 15
  • [10] Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems
    Larimer, Mary E.
    Malone, Daniel K.
    Garner, Michelle D.
    Atkins, David C.
    Burlingham, Bonnie
    Lonczak, Heather S.
    Tanzer, Kenneth
    Ginzler, Joshua
    Clifasefi, Seema L.
    Hobson, William G.
    Marlatt, G. Alan
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 301 (13): : 1349 - 1357