scholarly journals Effectiveness of permanent supportive housing and income assistance interventions for homeless individuals in high-income countries: a systematic review

2020 ◽  
Vol 5 (6) ◽  
pp. e342-e360 ◽  
Author(s):  
Tim Aubry ◽  
Gary Bloch ◽  
Vanessa Brcic ◽  
Ammar Saad ◽  
Olivia Magwood ◽  
...  
Keyword(s):  
Systematic Review ◽  
High Income ◽  
Supportive Housing ◽  
Permanent Supportive Housing ◽  
Income Assistance

Housing Matters, Services Might: Findings from the High Needs Families Program Evaluation

2021 ◽  
Vol 693 (1) ◽  
pp. 209-229
Author(s):  
Debra J. Rog ◽  
Kathryn A. Henderson ◽  
Clara A. Wagner ◽  
Emily L. Abbruzzi
Keyword(s):  
Support Services ◽  
Justice System ◽  
Subsidized Housing ◽  
Supportive Housing ◽  
Intensive Case Management ◽  
Access To Services ◽  
Supportive Services ◽  
Housing Stability ◽  
The Past ◽  
Permanent Supportive Housing

Permanent supportive housing for families experiencing homelessness—typically, subsidized housing that is not time limited and provides access to a range of support services—has substantially increased over the past 10 years, despite an absence of rigorous evidence of its effectiveness. We examine the benefits of subsidized housing with supportive services compared to subsidized housing alone. Our findings suggest that supportive housing offers more opportunities for access to services and benefits than subsidized housing alone, but it may not be beneficial to families’ housing stability or to family members’ employment or involvement with the criminal justice system. We argue that housing that is coupled with intensive case management, that is service rich, and that provides and adheres to harm reduction principles may help to strengthen supportive housing’s effectiveness.

scholarly journals Risk of infection in antimicrobial-resistant Gram-negative bacteria carriers: A systematic review

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Arzilli ◽  
G Scardina ◽  
V Casigliani ◽  
M Moi ◽  
E Lucenteforte ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hospital Admission ◽  
Infection Rate ◽  
High Income ◽  
Attributable Mortality ◽  
Gram Negative Bacteria ◽  
Term Care ◽  
Gram Negative ◽  
Hospitalised Patients ◽  
Risk Of Progression

Abstract Background Antimicrobial-resistant Gram-negative bacteria (AMR-GNB) have emerged as important health care-associated pathogens. Infections with AMR-GNB are associated with high patient morbidity and attributable mortality. Colonization is a prerequisite for infection, however the extent to which colonized patients develop infection is unclear. This systematic review explored the risk of developing infection during hospitalisation among AMR-GNB faecal carriers. Also, we investigated the acquisition rate for AMR-GNB colonization among patients not colonized at admission. Methods We searched on PubMed, Scopus and Cochrane databases for studies published from 2010 up to April 2019. We included studies reporting on hospitalised patients ≥18 years old in high-income countries (excluding long-term care facilities). Results Out of 9496 articles, 55 studies fulfilled our inclusion criteria. Forty-two studies reported data from EU/EEA, 6 from USA and 7 from other regions. Almost all studies (n = 45) were conducted in university hospitals. Most studies (n = 41;74.5%) were performed in high-risk wards (ICU, haematology, burn units and transplant units). Out of 55 studies, 8 examined AMR-GNB, 27 Enterobacteriaceae, while the others investigated specific pathogens: Klebsiella spp. (n = 11), E. Coli (n = 2), A. Baumannii (n = 3) and P. Aeruginosa (n = 4). The rate of AMR-GNB carriage acquisition was 10.5% (n = 40 studies; 95% CI:8.2-13.1). The risk of progression to infection among patients colonized at hospital admission was 13.9% (n = 15; 5.4-24.9), while the infection rate in patients who acquired carriage during hospitalization was 23.0% (n = 7; 5.9-45.2). Patients with an undefined time of colonization presented an infection rate of 16.9% (n = 13; 11.2-23.4). Considering these three populations as a whole, the risk of developing infection was 16.0% (11.0-21.0). Conclusions Our results suggest that risk of progression to infection in AMR-GNB colonized patients in hospital setting is high. Key messages The aim of our study was to estimate the risk of progression to infection, during hospital stay, in patients colonized by AMR-GNB at hospital admission in high-income countries. Our results suggest that faecal colonization with AMR-GNB poses a 16.0% risk of subsequent AMR-GNB infection. This risk in higher (23.0%) in patients who acquired colonization during hospitalisation.

scholarly journals Cognition, Health, and Social Support of Formerly Homeless Older Adults in Permanent Supportive Housing

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Anita M Souza ◽  
Jenny Hsin-Chin Tsai ◽  
Kenneth C Pike ◽  
Francesca Martin ◽  
Susan M McCurry
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Global Mental Health ◽  
Case Managers ◽  
Supportive Housing ◽  
Homeless Population ◽  
Physical And Mental Health ◽  
Permanent Supportive Housing ◽  
Formerly Homeless

Abstract Background and Objectives Formerly homeless older adults residing in Permanent Supportive Housing (PSH) represent an invisible subsector of two distinct, yet related populations: the homeless population and the elderly population. Little research is focused on the complex health concerns facing this aging population within the homelessness response system. Of particular concern is the identification and support of individuals with cognitive impairment and co-occurring chronic conditions. We collaborated with a leading housing services provider to develop a systematic screening system for case managers to capture the cognitive, physical, and psychosocial health of older adults served within homeless housing programs. Research Design and Methods PSH residents aged ≥50 years in four sites screened as being without cognitive impairment on the Mini-Cog were enrolled. A brief demographic survey and selected PROMIS measures were used to characterize participants’ demographics, cognition, global physical and mental health, physical functioning, self-efficacy for social interactions, and instrumental support. PSH case managers were trained to recruit participants and collect data. PROMIS scales were scored using the Health Measures Scoring Service. Descriptive statistics, correlations, and one sample t-tests were performed. Results Fifty-three residents (mean age = 60.8 years, range 50–76 years) participated. The majority self-identified as male and were military veterans; 60% reported having a history of two or more episodes of homelessness. All PROMIS scores were significantly (p < .05) lower than reference U.S. population means, with global mental health and cognition having the lowest scores. Discussion and Implications Self-reported cognitive functioning and global mental health were residents’ greatest concerns. Strengthening housing case manager capacity to assess residents’ cognitive and health status could increase support for older adults in PSH. It is feasible to train PSH staff to conduct structured interviews to identify resident cognitive and health needs to help support this “invisible” population to successfully age in place.

scholarly journals Surveying Tenants of Permanent Supportive Housing in Skid Row about COVID-19

2020 ◽  
Vol 31 (4) ◽  
pp. 1587-1594
Author(s):  
Benjamin F. Henwood ◽  
Brian Redline ◽  
Jack Lahey
Keyword(s):  
Supportive Housing ◽  
Skid Row ◽  
Permanent Supportive Housing
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