A Primary Care-Public Health Partnership Addressing Homelessness, Serious Mental Illness, and Health Disparities

被引:29
|
作者
Weinstein, Lara Carson [1 ]
LaNoue, Marianna D. [1 ]
Plumb, James D. [1 ]
King, Hannah [2 ]
Stein, Brianna [1 ]
Tsemberis, Sam [3 ]
机构
[1] Thomas Jefferson Univ, Jefferson Med Coll, Dept Family & Community Med, Philadelphia, PA 19107 USA
[2] Thomas Jefferson Univ, Jefferson Med Coll, Philadelphia, PA 19107 USA
[3] Pathways Housing, New York, NY USA
关键词
Community Medicine; Delivery of Health Care; Homeless Persons; Mental Health; Public Health;
D O I
10.3122/jabfm.2013.03.120239
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: People with histories of homelessness and serious mental illness experience profound health disparities. Housing First is an evidenced-based practice that is working to end homelessness for these individuals through a combination of permanent housing and community-based supports. Methods: The Jefferson Department of Family and Community Medicine and a Housing First agency, Pathways to Housing-PA, has formed a partnership to address multiple levels of health care needs for this group. We present a preliminary program evaluation of this partnership using the framework of the patient-centered medical home and the "10 Essential Public Health Services." Results: Preliminary program evaluation results suggest that this partnership is evolving to function as an integrated person-centered health home and an effective local public health monitoring system. Conclusion: The Pathways to Housing-PA/Jefferson Department of Family and Community Medicine partnership represents a community of solution, and multiple measures provide preliminary evidence that this model is feasible and can address the "grand challenges" of integrated community health services.
引用
收藏
页码:279 / 287
页数:9
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