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Homelessness

Dana Sprute, MD, MPH, FAAFP and Feba Thomas, MD, MS Reviewed 06/2019
 


BASICS

DESCRIPTION

Defined as the condition in which (i) an individual lacks a fixed, regular, and adequate nighttime residence; or (ii) an individual who has a primary nighttime residence that is (a) ...

DIAGNOSIS

HISTORY

  • Living conditions: location, access to food, restrooms, place to store medicines, safety

  • Prior homelessness: causes and circumstances

  • Individual/family history of reactive airway diseas...

TREATMENT

  • Establish rapport: Many patients will have had negative health care experiences.

  • Enlist community resources: mental health and substance abuse programs, free clinics, case management.

  • Health c...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Patients with a history of nonadherence need additional support (e.g., case manager, outreach) to succeed in ongoing care after hospital discharge.

  • Limited telepho...

REFERENCES

1
U.S. Department of Housing and Urban Development, Office of Community Planning and Development. The 2017 annual homeless assessment report (AHAR) to congress. https://www.hudexchange.info/...

CODES

ICD10

  • Z59.0 Homelessness

  • Z59.1 Inadequate housing

  • Z59.8 Other problems related to housing and economic circumstances

  • Z59.9 Problem related to housing and economic circumstances, unsp

  • Z59.3 Problems r...

CLINICAL PEARLS

  • Permanent supportive housing is an important step toward ending homelessness, in accordance with a Housing First approach.

  • Assistance in gaining access to benefits or providing help to ...

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