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Housing and the Role of Hospitals - Coggle Diagram
Housing and the Role of Hospitals
Types of housing instability & health outcome
homelessness
stress, depression, anxiety disorders; delayed or diminished access to medications; poor self-reported health (Kushel, 2015)
lack of affordable housing
asthma, lead poisoning, carcinogenic exposure-- (Braveman, P. 2011) (CDC Atlanta, 2017)
substandard conditions
chronic conditions, mental health issues, developmental delays in children-- (Downing et Al., 2016) (March et Al., 2011)
The problem
unstably housed individuals-- (1) have limited access to preventative health care (Pollack, 2010) (2) disproportionately high users of acute health care resources (D'Amore, 2001)
Trends/Intersectionality (of race, class, gender) that create a web of cause/effect relationship between housing & health
newly homeless tend to come from zip codes with high rates of unemployment
eviction/foreclosures disproportionately affect women & african americans (Burgard, 2012)
transpo, education, lack of social support (Bonin, 2010)
Strategies
case management-- shown to reduce expenditures by 9-30,000 per person per year
Ex) University of Illinois Hospital
transitional or permanent supportive housing (supportive services & housing): using "Housing First" model
Ex) St. Luke’s Health System and Saint Alphonsus Health System
housing subsidies
neighborhood revitalization
Ex) Bon Secours Baltimore, 700 affordable housing units
medical respite care: Short-term transitional housing for homeless individuals deemed well enough for hospital discharge but not well enough to return to the street or a shelter
Ex) St. Joseph Health, Humboldt County