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Journal articles on the topic 'Unhoused'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Chang, Jamie Suki, Katherine Saxton, Georgia Bright, Michelle A. Jorden, Andy Gutierrez, and Katherine Xia. "Deaths of profound despair: A retrospective cohort study of mortality among people experiencing homelessness." PLOS ONE 18, no. 2 (2023): e0281912. http://dx.doi.org/10.1371/journal.pone.0281912.

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Introduction The number of people dying while unhoused is increasing nationally. In Santa Clara County (SCC), deaths of unhoused people have almost tripled in 9 years. This is a retrospective cohort study examining mortality trends among unhoused people in SCC. The objective of the study is to characterize mortality outcomes in the unhoused population, and compare these to the SCC general population. Materials and methods We obtained data from the SCC Medical Examiner-Coroner’s Office on unhoused people’s deaths that occurred between 2011–2019. We analyzed demographic trends and cause of death

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2

Ahuja, Naina J., Allison Nguyen, Sandra J. Winter, et al. "Well-Being without a Roof: Examining Well-Being among Unhoused Individuals Using Mixed Methods and Propensity Score Matching." International Journal of Environmental Research and Public Health 17, no. 19 (2020): 7228. http://dx.doi.org/10.3390/ijerph17197228.

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The morbidity and mortality experiences of people who are unhoused have been well-described, but much less is known about the overall well-being of these individuals. In this mixed methods study, housed and unhoused participants completed a multi-faceted 10 domain measure of well-being (the Stanford WELL Survey), and a subset of unhoused participants shared their experiences during qualitative interviews. Using propensity score matching, unhoused participants (n = 51) were matched at a ratio of 1:5 with housed participants (n = 255). The mean overall well-being score of the unhoused participan

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3

Decker, Hannah, Sara Colom, Jennifer L. Evans, et al. "Association of housing status and cancer diagnosis, care coordination and outcomes in a public hospital: a retrospective cohort study." BMJ Open 14, no. 9 (2024): e088303. http://dx.doi.org/10.1136/bmjopen-2024-088303.

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ObjectivesCancer is a leading cause of death in unhoused adults. We sought to examine the association between housing status, stage at diagnosis and all-cause survival following cancer diagnosis at a public hospital.DesignRetrospective cohort study examining new cancer diagnoses between 1 July 2011 and 30 June 2021.SettingA public hospital in San Francisco.ExposureHousing status (housed, formerly unhoused, unhoused) was ascertained via a county-wide integrated dataset that tracks both observed and reported homelessness.MethodsWe reported univariate analyses to investigate differences in demogr

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Shah, Kanan, Patricia Mae Garcia Santos, Justin Michael Barnes, Anna Tao, Chiaojung Jillian Tsai, and Fumiko Chino. "Disparities in outcomes among hospitalized unhoused patients with cancer in the US." Journal of Clinical Oncology 41, no. 16_suppl (2023): 6502. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.6502.

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6502 Background: Cancer is the 2nd leading cause of death among death among unhoused adults in the US. Use of aggressive medical interventions and costs during hospitalizations remains unstudied in the unhoused population. Methods: All hospitalized adults age ≥18 with a principal cancer diagnosis were identified in the 2016-2020 National Inpatient Sample (NIS). Logistic regression tested associations between unhoused status and: cost of care, mortality, and receipt of invasive procedures/systemic therapy. Adjusted analysis accounted for patient demographics, socioeconomic status, comorbidities

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Ross, Erin E., Noah Speiser, Sean J. Donohue, Justin Gillenwater, and Haig A. Yenikomshian. "742 Injury Pattern Analysis to Optimize Burn Injury Prevention in the Unhoused Community." Journal of Burn Care & Research 45, Supplement_1 (2024): 222–23. http://dx.doi.org/10.1093/jbcr/irae036.285.

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Abstract Introduction Unhoused patients represent a unique and vulnerable population of burn survivors. Burn injuries in unhoused patients are more likely to be related to assault, drug use, and mental health issues compared to the general population. Here, we explore the more specific circumstances and activities contributing to burn admissions among unhoused patients to better inform injury prevention efforts. Methods After IRB approval, the burn registry at an urban regional burn center was queried for burn admissions in unhoused adults from 2019-2022. Registry data pulled included demograp

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Park, Stephen, Sean Kim, Hye Kwang Kim, et al. "Unhoused and Injured: Injury Characteristics and Outcomes in Unhoused Trauma Patients." Journal of Surgical Research 301 (September 2024): 365–70. http://dx.doi.org/10.1016/j.jss.2024.06.021.

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7

Krasner, Henry, Emma Chevalier, Samantha Chang, David Slattery, and Syed Saquib. "Exploring Disparities in Pavement Burns: A Comparative Analysis of Housed and Unhoused Burn Patients." European Burn Journal 6, no. 3 (2025): 38. https://doi.org/10.3390/ebj6030038.

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In some regions, extreme heat can result in pavement temperatures that are high enough to cause severe burn injuries within seconds of skin contact. This risk is elevated for unhoused individuals who may lack adequate clothing and shelter and have susceptibility to other risk factors, including substance use and in turn loss of consciousness. While prior studies have shown worse outcomes for unhoused individuals due to delays in care and higher susceptibility, there is a lack of data on the impact of pavement burns specifically within this population. This single-institution retrospective coho

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8

Robertson, Brett W., Kirstin Dow, Julie Salinas, and Susan L. Cutter. "Heat Risk Perceptions and Coping Strategies of the Unhoused." International Journal of Environmental Research and Public Health 21, no. 6 (2024): 737. http://dx.doi.org/10.3390/ijerph21060737.

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The escalating awareness of heat-related risks and the associated imperative to enhance preparedness strategies at various levels has spurred a growing emphasis on disseminating knowledge about heat vulnerability. These efforts aim to equip diverse stakeholders with practical heat planning and forecasting tools. The success of these communication initiatives hinges on understanding the nuanced perceptions of risk and the priority assigned to addressing heat as a health risk. This paper delves explicitly into the unhoused population’s risk perceptions and coping strategies. Acknowledged as one

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Nevárez Martínez, Deyanira. "Homelessness in Southern California: Street-Level Encounters with the State and the Structural Violence of Performative Productivity." Radical Housing Journal 3, no. 2 (2021): 9–26. http://dx.doi.org/10.54825/pacx7645.

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For the unhoused, the criminalization of their existence amplifies their entanglement with the state. Drawing on interviews and over 200 hours of ethnographic observations in Southern California, US, this paper focuses on everyday interactions between street-level bureaucrats and unhoused residents to examine when and how discretion is exercised and how unhoused residents experience these actions. It elucidates the ‘performative productivity’ employed by street-level bureaucrats to perpetuate ‘the myth’ that housing is available and that the central reason we still have homelessness is that un

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10

Johnson, Ian, and Michael Light. "Identifying the Role of Spatial Transitions in the Palliative Care Experiences of Unhoused Older Adults." Innovation in Aging 4, Supplement_1 (2020): 254. http://dx.doi.org/10.1093/geroni/igaa057.817.

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Abstract The national population of unhoused older adults is predicted to nearly triple by 2030. Unhoused older adults have a mortality rate four to nine times higher than housed populations, and face structural barriers during illness trajectory that likely influence both where care takes place and processes around attaining psychosocial later-life goals. This study aimed to (1) document patterns in the healthcare trajectories of unhoused older adults and (2) examine the role of care transitions in psychosocial goal attainment. Retrospective chart review was completed in partnership with a mo

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Melekis, Kelly, and Kelly Melekis. "PALLIATIVE AND END-OF-LIFE CARE FOR OLDER ADULTS WITH EXPERIENCES OF HOMELESSNESS." Innovation in Aging 7, Supplement_1 (2023): 358. http://dx.doi.org/10.1093/geroni/igad104.1190.

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Abstract Although palliative and end-of-life (PEOL) care offers many benefits to those with life-limiting illness, unhoused older adults face significant barriers in accessing these types of care. This symposium examines disparities in PEOL care, emerging services for disadvantaged older adults, and recommendations for capacity-building within healthcare, housing, and aging services. The first paper is an exploratory study of programs serving the PEOL care needs of unhoused adults with serious illnesses. The second paper is a mixed methods study that explores provider perspectives on approache

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Morris, Meghan D., Irene H. Yen, Steve Shiboski, Jennifer L. Evans, and Kimberly Page. "Housing Stability and Hepatitis C Infection for Young Adults Who Inject Drugs: Examining the Relationship of Consistent and Intermittent Housing Status on HCV Infection Risk." Journal of Urban Health 97, no. 6 (2020): 831–44. http://dx.doi.org/10.1007/s11524-020-00445-7.

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AbstractHousing status affects drug using behaviors, but less is known about the relationship between housing patterns and hepatitis C virus (HCV) infection. HCV-negative young people who inject drugs (PWID) were enrolled into a prospective cohort (2003–2019) with quarterly study visits. We used Cox regression to estimate the independent association of recent housing status (housed vs. unhoused, housing stability, and housing trajectory) on HCV incidence. Among 712 participants, 245 incident HCV infections occurred over 963.8 person-years (py) (cumulative incidence 24.4/100 py). An inverse rel

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Ludwig, Klaus, Martin Steinau, and Jürgen Sauerbier. "Overmolding for Unhoused Transmission Controls." ATZ worldwide 123, no. 12 (2021): 26–31. http://dx.doi.org/10.1007/s38311-021-0741-3.

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14

Green, Jessica M., Sonya P. Fabricant, Christina J. Duval, et al. "Trends, Characteristics, and Maternal Morbidity Associated With Unhoused Status in Pregnancy." JAMA Network Open 6, no. 7 (2023): e2326352. http://dx.doi.org/10.1001/jamanetworkopen.2023.26352.

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ImportanceUnhoused status is a substantial problem in the US. Pregnancy characteristics and maternal outcomes of individuals experiencing homelessness are currently under active investigation to optimize health outcomes for this population.ObjectiveTo assess the trends, characteristics, and maternal outcomes associated with unhoused status in pregnancy.Design, Setting, and ParticipantsThis cross-sectional study analyzed data from the Healthcare Cost and Utilization Project National (Nationwide) Inpatient Sample. The study population included hospitalizations for vaginal and cesarean deliveries

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Ross, Erin E., Noah Speiser, Sean Donohue, and Haig A. Yenikomshian. "Injury Pattern Analysis to Optimize Burn Injury Prevention in the Unhoused Community." Journal of Burn Care & Research 45, no. 2 (2024): 273–76. http://dx.doi.org/10.1093/jbcr/irae013.

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Abstract Unhoused patients are an overrepresented group in burn injury, and are a uniquely vulnerable population. Current research focuses on the consequences of homelessness on burn outcomes, with little known about the specific circumstances and behaviors leading to burn injury that may represent specific targets for injury prevention efforts. The burn registry at an urban regional burn center was queried for burn admissions in unhoused adults from 2019 to 2022. Registry data pulled included demographics, urine toxicology, mechanism of injury, and injury subjective history. Subjective injury

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Lee, Justin, Izza Sattar, Shawn Dodd, et al. "655 Assessing Housing Status of Inpatient Admissions for Thermal Injuries: Insights from a Canadian Burn Unit." Journal of Burn Care & Research 46, Supplement_1 (2025): S218. https://doi.org/10.1093/jbcr/iraf019.284.

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Abstract Introduction Houselessness has increased in urban regions since the Covid-19 pandemic, potentially posing a risk to the population in the northern climate. This study investigates how pre-injury living conditions influence health outcomes among thermally injured inpatients post-pandemic. We hypothesized that housing status at the time of injury and admission is a significant determinant of health in our patient population. Methods A retrospective chart review was completed on patients admitted to the burn service at a level one trauma centre from January to December 2023. We examined

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Luepnitz, Deborah Anna, and Dennis M. Debiak. "Psychoanalysis and the Experience of Homelessness." Psychoanalytic Review 111, no. 2 (2024): 135–66. http://dx.doi.org/10.1521/prev.2024.111.2.135.

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Psychoanalysis is often viewed as a practice relevant only to educated people of means. This article describes a project that matches psychoanalytically trained clinicians with unhoused and formerly unhoused adults in a large urban community. D. W. Winnicott's ideas about impingement, the holding environment, fear of breakdown, and careful monitoring of the analyst's interiority have proven to be most valuable theoretical and clinical tools. A decade-long case example demonstrates the challenges and healing potentials of the work.

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Foster, Angela. "Psychoanalytic thinking on the unhoused mind." Psychoanalytic Psychotherapy 33, no. 4 (2019): 278–83. http://dx.doi.org/10.1080/02668734.2019.1706628.

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19

Heim, Nikolas. "Psychoanalytic thinking on the unhoused mind." British Journal of Guidance & Counselling 48, no. 6 (2020): 865–66. http://dx.doi.org/10.1080/03069885.2020.1774042.

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O'Meara, Rylie, Thomas Quigley, Akshita Gorantla, and Pegge Halandras. "Amputation Recovery In The Unhoused Population." Annals of Vascular Surgery 112 (March 2025): 412–13. https://doi.org/10.1016/j.avsg.2024.11.032.

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21

Bacon, David. "The Second Demolition of Wood Street." Contexts 23, no. 1 (2024): 36–45. http://dx.doi.org/10.1177/15365042241229709.

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22

VanSteelandt, Amanda, Brandi Abele, Raahyma Ahmad, et al. "Housing status and accidental substance-related acute toxicity deaths in Canada, 2016–2017." Health Promotion and Chronic Disease Prevention in Canada 44, no. 7/8 (2024): 319–30. http://dx.doi.org/10.24095/hpcdp.44.7/8.03.

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Introduction There is a complex relationship between housing status and substance use, where substance use reduces housing opportunities and being unhoused increases reasons to use substances, and the associated risks and stigma. Methods In this descriptive analysis of people without housing who died of accidental substance-related acute toxicity in Canada, we used death investigation data from a national chart review study of substance-related acute toxicity deaths in 2016 and 2017 to compare sociodemographic factors, health histories, circumstances of death and substances contributing to dea

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23

Pope, Natalie, Abigail Latimer, Debra Moser, Olivia Sasdi, and Hilda Okeyo. "CHALLENGES AND CONSIDERATIONS IN RESEARCH WITH OLDER ADULTS EXPERIENCING HOMELESSNESS." Innovation in Aging 7, Supplement_1 (2023): 1001. http://dx.doi.org/10.1093/geroni/igad104.3216.

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Abstract Individuals in their late 50s and 60s constitute the fastest growing cohort of homeless adults; homelessness among the older adult population is expected to triple by 2030 (Culhane et al., 2019). Older adults find themselves homeless due to systemic (e.g., unaffordable housing, structural racism, increasing healthcare costs) and individual factors (e.g., substance misuse, mental health diagnoses). Unhoused older adults have high rates of multiple chronic conditions (Henwood et al., 2018) worsened by unmet healthcare needs (Baggett et al., 2010). Older adults, especially those with ser

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Ingle, M. Pilar, Asia Cutforth, and Elise Matatall. "“AN INHUMANE LACK OF RESOURCES”: PERSPECTIVES ON PALLIATIVE AND HOSPICE CARE FOR UNHOUSED OLDER ADULTS." Innovation in Aging 7, Supplement_1 (2023): 359. http://dx.doi.org/10.1093/geroni/igad104.1192.

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Abstract Palliative and end-of-life (PEOL) care offer many benefits to those with life-limiting illness; however, older unhoused individuals face barriers in accessing these types of care. The purpose of this study was to explore healthcare and social service providers’ perspectives on approaches and challenges to addressing PEOL needs among unhoused individuals in Colorado. A descriptive, convergent mixed-methods design was used, including an online survey and semi-structured interviews. Participants were eligible if they worked in healthcare or social services in Colorado and provided direct

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Robinson, Leah, Caitlin R. Ryus, Bidisha Nath, et al. "Disparities in use of physical restraint and chemical sedation in the emergency department by patient housing status." PLOS ONE 20, no. 3 (2025): e0319286. https://doi.org/10.1371/journal.pone.0319286.

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Background A growing body of research has found there to be disproportionate physical restraint and chemical sedation use for historically marginalized populations in the emergency department (ED). This association has been examined with regard to patient race, ethnicity, sex, and age. Preliminary research has highlighted the ways in which unhoused status may also relate to the use of physical restraint and chemical sedation in the ED. Given the adverse health outcomes associated with these methods in the ED, further research is needed to explore the relationship between patient housing status

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Kantor, Paul. "914 Daily Rounds and Length of Stay: Housed versus Unhoused." Journal of Burn Care & Research 46, Supplement_1 (2025): S337. https://doi.org/10.1093/jbcr/iraf019.445.

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Abstract Introduction Burn patients’ length of stay (LOS) are complicated by the extent of injury and inpatient interventions. Complexities (not limited to) wound care and surgical needs can delay discharge; housing situations impose added factors for hospital systems to account for when planning exit strategies. Charges for an overnight stay in the intensive care unit (ICU) vary based on several factors and acuity of injury; In 2021, average overnight costs in Burn Unit Intensive Care (BICU) was $4,181, but costs vary based on burn injury acuity (KFF.org). Methods An analysis utilizing the na

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Graves, Caran, Christopher R. LaChapelle, Callie M. Thompson, Irma D. Fleming, and Giavonni M. Lewis. "524 Nutritional Risk in Frostbite." Journal of Burn Care & Research 45, Supplement_1 (2024): 128. http://dx.doi.org/10.1093/jbcr/irae036.159.

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Abstract Introduction People with frostbite are often unhoused and have a history of substance use which increases risk of malnutrition. In this retrospective study, we sought to evaluate malnutrition risk and incidence in those with frostbite admitted to an academic medical center. Methods Medical records of adults admitted with frostbite (ICD codes T33, T34) in 2019-2021 and with stays &gt;4 days were reviewed. Data included anthropometrics, housing status, substance use and nutritional status. Patients were screened for nutritional risk using a modified malnutrition screening tool which

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NICHOLS, LAURA, and FERNANDO CÁZARES. "Homelessness and the Mobile Shelter System: Public Transportation as Shelter." Journal of Social Policy 40, no. 2 (2010): 333–50. http://dx.doi.org/10.1017/s0047279410000644.

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AbstractThose without housing often use public space differently than those who are housed. This can cause dilemmas for and conflicts among public officials as guardians of public space and goods. In this paper, we look at one such utilisation of space from the perspective of those who board 24-hour public transportation routes and ride the bus all night for shelter. We describe the results of a preliminary survey, observations and informal conversations with unhoused riders on the bus over three nights in one county in the United States. We found that a substantial number of the unhoused ride

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Hoang, Tiffany, Jennifer Felner, Shawn Flanigan, and Megan Carroll. "Psychological Costs and Administrative Burdens Produce Systemic Service Avoidance among People Experiencing Homelessness." Journal of Health and Human Services Administration 45, no. 3 (2022): 220–42. http://dx.doi.org/10.37808/jhhsa.45.3.4.

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How do people experiencing homelessness make decisions about accepting or avoiding social services and health care? The study presented here seeks to answer this question by drawing on remotely-gathered surveys (n=244) and in-depth interviews (n=57) with unhoused people during the first wave of the COVID-19 pandemic. In this paper, we explore service-seeking behaviors and processes to understand how to best support people experiencing homelessness during current and future public health disasters. We find that homelessness services systems are often fragmented, increasing administrative burden

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Nuti, Sudhakar V., Amanda K. Johnson, and Theodore Long. "Population-Based Payments to Deliver Health Care to Unhoused Individuals." JAMA Health Forum 6, no. 3 (2025): e250004. https://doi.org/10.1001/jamahealthforum.2025.0004.

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31

Herring, Chris. "Complaint-Oriented “Services”: Shelters as Tools for Criminalizing Homelessness." ANNALS of the American Academy of Political and Social Science 693, no. 1 (2021): 264–83. http://dx.doi.org/10.1177/0002716221996703.

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This article argues that the expansion of shelter and welfare provisions for the homeless can lead to increased criminalization of homeless people in public spaces. First, I document how repression of people experiencing homelessness by the police in San Francisco neighborhoods increased immediately after the opening of new shelters. Second, I reveal how shelter beds are used as a privileged tool of the police to arrest, cite, and confiscate property of the unhoused, albeit in the guise of sanitary and public health initiatives. I conclude by considering how shelters increasingly function as c

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Adams, Cristin S., Chelsea A. Roach, Carole R. Berini, et al. "Health Needs Assessment of Unhoused Youth in Charleston, South Carolina." Family & Community Health 47, no. 4 (2024): 280–87. http://dx.doi.org/10.1097/fch.0000000000000414.

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Background: Over 35 000 youth experience homelessness on any given night in the United States (US). Unhoused youth experience unique physical and mental health challenges and face barriers in every social determinant of health (SDoH), which may be amplified in the LGBTQ+ population. Objective: The objective of this study was to define characteristics of the unhoused youth population and their utilization of healthcare to inform programs to meet their needs. Methods: Secondary analysis of data from the College of Charleston’s YOUth Count survey was conducted, focusing on health-related characte

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Al-Assil, Talal, Claire Kalina, Madison Laird, et al. "Abstract 4799: Hidden epidemics: The gender divide in HCV and cancer screenings among the unhoused." Cancer Research 84, no. 6_Supplement (2024): 4799. http://dx.doi.org/10.1158/1538-7445.am2024-4799.

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Abstract Background & Methodology: In the United States, the unhoused population experiences disproportionately higher rates of cancer incidence and mortality—double that of the general populace. Despite these startling statistics, there is a notable dearth of research on this topic within medical literature. Our medical student-led pilot study aimed to bridge this knowledge gap by evaluating the uptake of cancer screenings and identifying the barriers faced by the unhoused in Southwest Michigan. Our objective was to enhance the understanding of cancer care disparities and identify factors

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Esguerra, Aaron, and Thomas J. Weinandy. "Factors predicting access to medications for opioid use disorder for housed and unhoused patients: A machine learning approach." PLOS ONE 19, no. 9 (2024): e0308791. http://dx.doi.org/10.1371/journal.pone.0308791.

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Background Opioid use disorder (OUD) is a growing public health crisis, with opioids involved in an overwhelming majority of drug overdose deaths in the United States in recent years. While medications for opioid use disorder (MOUD) effectively reduce overdose mortality, only a minority of patients are able to access MOUD; additionally, those with unstable housing receive MOUD at even lower rates. Objective Because MOUD access is a multifactorial issue, we leverage machine learning techniques to assess and rank the variables most important in predicting whether any individual receives MOUD. We

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Johnson, Ian. "Effects of the COVID-19 Pandemic on Place in End-of-Life Care: Insights From a Homeless Mobile Palliative Care Team." Innovation in Aging 5, Supplement_1 (2021): 375. http://dx.doi.org/10.1093/geroni/igab046.1457.

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Abstract The effects of the COVID-19 pandemic on both those experiencing homelessness (Tsai & Wilson, 2020) and those with life-limiting illnesses (Abbott et al., 2020) is of great public health concern. This presentation details the findings from an organizational case study (Yin, 2014) aimed at investigating COVID-related changes to the service environments in which unhoused palliative care patients receive care. Through ethnographic field observation (Phillippi & Lauderdale, 2017) and interviews with a homeless palliative care team and their community partners (Turner, 2005), findin

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Marshall, Carrie Anne, Abrial Cooke, Julia Holmes, et al. "“It’s like your days are empty and yet there’s life all around”: A mixed methods, multi-site study exploring boredom during and following homelessness." PLOS ONE 19, no. 5 (2024): e0302900. http://dx.doi.org/10.1371/journal.pone.0302900.

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Purpose To identify experiences of boredom and associations with psychosocial well-being during and following homelessness. Methods Using a convergent, mixed-methods explanatory design, we conducted quantitative interviews with 164 participants) (n = 102 unhoused; n = 62 housed following homelessness) using a 92-item protocol involving demographic components and seven standardized measures of psychosocial well-being. A sub-sample (n = 32) was approached to participate in qualitative interviews. Data were analyzed by group (unhoused; housed). Quantitative data were analyzed using descriptive st

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Kobialka, Michal. "Of the Memory of a Human Unhoused in Being." Performance Research 5, no. 3 (2000): 41–55. http://dx.doi.org/10.1080/13528165.2000.10871746.

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Scanlon, Christopher, and John Adlam. "Housing ‘unhoused minds’: inter‐personality disorder in the organisation?" Housing, Care and Support 9, no. 3 (2006): 9–14. http://dx.doi.org/10.1108/14608790200600018.

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Fleming, Victoria, and Fergus Maxwell. "Expropriating Privacy." Persona Studies 8, no. 2 (2023): 56–69. http://dx.doi.org/10.21153/psj2022vol8no2art1683.

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During the winter of 2020, Toronto resident Khaleel Seivwright, began to construct small mobile shelters to provide insulation and privacy to unhoused residents living outdoors. Conditions produced by the COVID-19 pandemic increased demand on the city’s already underfunded and strained shelter system, subsequently accelerating development of encampments in parks throughout the city. From the outset, these “tiny shelters” served as a flashpoint in public discourse on the question of the relative health, safety, and beauty of unhoused privacy. Drawing on media coverage of Seivwright’s case, we a

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Lundberg, Kajsa, Hristijan Popovski, and Alison Young. "Spatial Governance of the Unhoused: On Social Death in the Contemporary City." Social & Legal Studies, August 1, 2024. http://dx.doi.org/10.1177/09646639241265358.

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In this article, we examine tactics in municipal policy and the criminal law regarding socio-spatial governance of unhoused individuals in city spaces. We explore the intentions and effects of tactics such as sweeps, which remove or destroy unhoused people's possessions, move on orders targeting the mobility and immobility of unhoused people and spatial banning which prohibits the presence of unhoused people in particular locations. We argue here that such tactics respond to houselessness by associating the presence of unhoused individuals with that of waste. Examination of legal and municipal

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Lahue, Katie. "Unhoused Persons: Perspectives on Perceived Benefits of Music Therapy." Music Therapy Perspectives, December 20, 2021. http://dx.doi.org/10.1093/mtp/miab025.

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Abstract There is limited literature to support the use of music therapy with unhoused persons and more research is needed to deepen the understanding of music therapy with this population. This researcher aimed to gather information from music therapists who work with unhoused persons to gain more perspective on the perceived benefits of the music therapy treatment process. Three music therapists were interviewed; interviews were then transcribed and coded to find themes regarding perceived benefits of music therapy with unhoused persons. The four themes derived from the data were increased r

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Dolenc Nott, Brooke, Daniel P. Dowhower, Melissa L. Cannon, and Kathryn A. Setter. "How Are Dehumanizing Perceptions of Homelessness Associated with Age?" Gerontologist, January 29, 2025. https://doi.org/10.1093/geront/gnaf026.

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Abstract Background and Objectives Increasing numbers of unhoused older individuals in the U.S. underscores the urgency for tailored services and support. Previous studies demonstrate prevalent negative attitudes and dehumanizing perceptions towards unhoused people. Additionally, past research highlights the influence of ageism and dehumanization on the care older adults receive. However, limited work addresses the layered dehumanization faced by unhoused aging individuals. This study investigated how dehumanizing perceptions of homelessness were associated with age. Research Design and Method

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Park, Stephen, Sean Kim, Hye Kwang Kim, et al. "Back on the Streets: Examining Emergency Department Return Rates for Unhoused Patients Discharged After Trauma." American Surgeon™, April 24, 2024. http://dx.doi.org/10.1177/00031348241248691.

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Background The unhoused population is at high risk for traumatic injuries and faces unique challenges in accessing follow-up care. However, there is scarce data regarding differences in Emergency Department (ED) return rates and reasons for return between unhoused and housed patients. Methods We conducted a 3-year retrospective cohort study at a level-1 trauma center in a large metropolitan area. All patients who presented to the ED with traumatic injuries and were discharged without hospital admission were included in the study. The primary outcome was ED returns for trauma-related complicati

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Avelar Portillo, Lourdes Johanna, Georgia L. Kayser, Charlene Ko, et al. "Water, Sanitation, and Hygiene (WaSH) insecurity in unhoused communities of Los Angeles, California." International Journal for Equity in Health 22, no. 1 (2023). http://dx.doi.org/10.1186/s12939-023-01920-8.

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Abstract Background Access to water and sanitation is a basic human right; however, in many parts of the world, communities experience water, sanitation, and hygiene (WaSH) insecurity. While WaSH insecurity is prevalent in many low and middle-income countries, it is also a problem in high-income countries, like the United States, as is evident in vulnerable populations, including people experiencing homelessness. Limited knowledge exists about the coping strategies unhoused people use to access WaSH services. This study, therefore, examines WaSH access among unhoused communities in Los Angeles

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Ergui, Ian, Joshua Salama, Urvashi Hooda, et al. "In‐hospital outcomes in unhoused patients with cardiogenic shock in the United States: Insights from The National Inpatient Sample 2011−2019." Clinical Cardiology 47, no. 2 (2024). http://dx.doi.org/10.1002/clc.24235.

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AbstractBackgroundUnhoused patients face significant barriers to receiving health care in both the inpatient and outpatient settings. For unhoused patients with heart failure who are in extremis, there is a lack of data regarding in‐hospital outcomes and resource utilization in the setting of cardiogenic shock (CS).HypothesisUnhoused patients hospitalized with CS have increased mortality and decreased use of invasive therapies as compared to housed patients.MethodsThe National Inpatient Sample (NIS) database was queried from 2011 to 2019 for relevant ICD‐9 and ICD‐10 codes to identify unhoused

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Decker, Hannah, Caroline Erickson, and Elizabeth Wick. "Addressing Colorectal Cancer Disparities in Unhoused Populations: A Call for Equitable Access and Compassionate Care." Clinics in Colon and Rectal Surgery, May 2, 2024. http://dx.doi.org/10.1055/s-0044-1786531.

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AbstractHousing is essential for health. Unhoused individuals have markedly worse health status than the general population culminating in higher rates of premature mortality. Cancer is a leading cause of death in older unhoused adults. Caring for unhoused patients at risk for or with colorectal cancer poses challenges at every stage of oncologic care: prevention, screening, diagnosis, treatment, and follow-up. These challenges result in later stages at diagnosis and worse overall survival. Health systems can work to advance health equity in colorectal cancer in unhoused patients by improving

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Lee, Justin J., Izza Sattar, Sean Harrop, et al. "Impact of Housing on Burn Injury Patterns and Outcomes: a Retrospective Cohort Study at a Canadian Burn Centre." Journal of Burn Care & Research, June 9, 2025. https://doi.org/10.1093/jbcr/iraf107.

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Abstract Houselessness is an important social determinant of health, which may predispose to poor health and difficulty in recovering from new health issues. We examined the demographic variables and clinical outcomes of housed and unhoused patients experiencing thermal injuries. A retrospective chart review was performed on all patients admitted to or followed by the burn service from January 2022 to June 2024. There were 571 new thermal injuries requiring admission at our institution, including 414 patients with housing and 157 unhoused patients. Frostbite accounted for 35% of admissions amo

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McFarland, Jessica M., Ruchi Rawal, Yueqi Yan, and Geetha Sivasubramanian. "340. Infections in The Unhoused: A Descriptive Review of Unhoused People Presenting to The Emergency Room with Fever." Open Forum Infectious Diseases 10, Supplement_2 (2023). http://dx.doi.org/10.1093/ofid/ofad500.411.

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Abstract Background Homelessness has been increasing in several cities in California. The US Department of Housing and Urban Development and the Fresno Madera Point in Time Homeless Count, estimates that 4,216 people were experiencing homelessness during the year 2022 alone in Fresno County (Fig 1). People who are homeless often lack adequate health insurance, access to medical care, and have low healthcare literacy. They are subjected to poor sanitation and overcrowded living conditions putting them at risk for communicable diseases. Comprehensive studies of febrile illnesses in unhoused pati

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Millhuff, Alexandra, Mohammed Quazi, Aman Goyal, and Abu Baker Sheikh. "Abstract 4146205: Housing Status Disparities in Inpatient Outcomes of Chronic Limb-Threatening Ischemia." Circulation 150, Suppl_1 (2024). http://dx.doi.org/10.1161/circ.150.suppl_1.4146205.

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Introduction: Chronic limb-threatening ischemia (CLTI) is associated with significant morbidity and mortality, and has a high risk of limb amputation. Previous studies have found gender and racial disparities with regards to mortality and disease severity, but the impact of other social factors such as housing status has yet to be investigated. Identifying potential disparities is key to developing targeted interventions to address inequities in social determinants of health. Research Question: What impact does housing status have on inpatient outcomes of limb-threatening ischemia? Methods: A

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Scott, Charles L. "Interventions for the unhoused individual with schizophrenia: a civilized plan." CNS Spectrums 30, no. 1 (2025). https://doi.org/10.1017/s109285292500001x.

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Abstract This article provides an overview of individuals with schizophrenia who become unhoused and explores current approaches to managing this severe illness in those who often do not want care or believe they need it. Individuals with schizophrenia and who are unhoused face numerous adverse consequences including premature mortality and increased rates of suicide. There is a dearth of research evidence demonstrating efficacy of the Housing First (HF) model and harm reduction approach in decreasing psychotic symptoms in individuals with schizophrenia. Ensuring medication adherence in indivi

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