Design Considerations for the Development and Implementation of a Medical Respite for Older Adults Experiencing Homelessness in Metro Vancouver
Bibliographic Data
| ID | 9104414 |
|---|---|
| Authors | Sarah L Canham (0000-0002-0421-2612, College of Social Work, corresponding author), Joe Humphries (0000-0001-9264-9146, Simon Fraser University), Chris Danielsen (Power N Knowledge), Scott Small (Catholic Charities, Roman Catholic Archdiocese of Vancouver), Scott A Small (0000-0001-9742-8983, Catholic Charities), Harvey Bosma (Providence Health Care, corresponding author) |
| Year | 2021 |
| Volume | 59 |
| Issue | Suppl 2 |
| Pages | S146-S153 |
| Publication date | 2021-04-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001335 |
| PMID | 33710087 |
| OpenAlex | W3133985206 |
| Language | EN |
| Citations received | 5 |
| References cited | 24 |
BACKGROUND: Older persons with lived or living experience of homelessness (PWLEs) often live with complex physical and/or mental health conditions which are challenged by poor access to health services, especially primary care. To fill the gap in the continuum of care following hospital discharge for PWLEs, medical respite provides health and shelter support for PWLEs who do not have acute care needs that qualify for a stay in a hospital bed, yet are too sick or frail to recover on the streets or in a traditional shelter. OBJECTIVE: This study examines how a medical respite could be designed for older PWLEs in Metro Vancouver, BC. RESEARCH DESIGN: Using a community-based participatory research approach, in-depth interviews and focus groups were conducted with PWLE (n=15) and service provider (n=11) participants. RESULTS: Participants offered rich suggestions about (a) the culture of the medical respite, (b) the physical design of a medical respite, (c) individuals who should be involved in medical respite delivery, (d) services a medical respite should provide, and (e) who the medical respite should serve. CONCLUSIONS: When designing a medical respite for older PWLEs, considerations include providing an environment where patients can rest, but also feel safe and be surrounded by persons who they trust and who care for them. Developing a medical respite that adheres to the tenets of trauma-informed and patient-centered care acknowledges the mistrust and traumatization that often accompanies homeless patients presenting to health care
Health care · Mental health · Political science · Psychiatry · Respite care · Healthcare Decision-Making and Restraints · Homelessness and Social Issues · Medicine · Nursing · Psychiatric care and mental health services · Gerontology
Levels of engagement in participatory health systems strengthening
A right place for everybody”
Evaluation of the implementation of a medical respite program for persons with lived experience of homelessness
A qualitative examination of the challenges and needs during hospital discharge for people with lived experience of homelessness
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Effect of a Housing and Case Management Program on Emergency Department Visits and Hospitalizations Among Chronically Ill Homeless Adults
Homeless people's experiences of medical respite care following acute hospitalisation in Denmark
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The Health Impact of Supportive Housing for HIV-Positive Homeless Patients
Health Care for the Homeless
The Effects of Respite Care for Homeless Patients
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Accessing Housing
| Citations per year | 1 |
|---|---|
| Citation span | 2021 - 2025 (5) |
| Highly cited | No |