Australasian Emergency Nursing Journal
Volume 10, Issue 4 , Pages 178-185 , November 2007

Homelessness, health status and emergency department use: An integrated review of the literature

  • Gaye Moore, BN (Hons)

      Affiliations

    • The School of Nursing, The University of Melbourne, Level 1, 723 Swanston Street, Carlton, Victoria 3053, Australia
    • St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, Victoria 3065, Australia
    • Corresponding Author InformationCorresponding author at: 78 Dobson Street, Ferntree Gully, Victoria 3156, Australia. Tel.: +61 408366981.
    • ,
  • Marie Gerdtz, BN, PhD

      Affiliations

    • The School of Nursing, The University of Melbourne, Level 1, 723 Swanston Street, Carlton, Victoria 3053, Australia
    • ,
  • Elizabeth Manias, MPharm, PhD

      Affiliations

    • The School of Nursing, The University of Melbourne, Level 1, 723 Swanston Street, Carlton, Victoria 3053, Australia

Received 29 June 2007 ,Accepted 22 July 2007.

References 

  1. Daly GP. Homeless: policies, strategies, and lives on the street. New York: Routledge; 1996;
  2. Basser M. Homelessness and human services—a health service response. Sydney: South East Health; 2000;
  3. Thomson Goodall and Associates . It can be done: healthcare for people who are homeless. Melbourne: Royal District Nursing Service; 1992;
  4. Bor DH, Epstein PR. Pathogenesis of respiratory infection in the disadvantaged. Semin Respir Infect. 1991;6(4):194–203
  5. Bunce D. Problems faced by homeless men in obtaining health care. Nursing Standard. 2000;14(34):43–45
  6. Chamberlain C, MacKenzie D. Counting the homeless. Canberra: Australian Bureau of Statistics; 2001;
  7. Kermode M, Crofts N, Miller P, Speed B, Streeton J. Health indicators and risks among people experiencing homelessness in Melbourne, 1995–1996. Aust N Z J Public Health. 1998;22(4):464–470
  8. Babidge NC, Buhrich N, Butler T. Mortality among homeless people with schizophrenia in Sydney, Australia: a 10-year follow-up. Acta Psychiatrica Scand. 2001;103(2):105–110
  9. Schneider KC, Dove HG. High users of VA emergency room facilities: are outpatients abusing the system or is the system abusing them?. Inquiry. 1983;20(1):57–64
  10. Phillips GA, Brophy DS, Weiland TJ, Chenhall AJ, Dent AW. The effect of multidisciplinary case management on selected outcomes for frequent attenders at an emergency department. Med J Aust. 2006;184(12):602–606
  11. Mandelberg JH, Kuhn RE, Kohn MA. Epidemiologic analysis of an urban, public emergency department's frequent users. Acad Emerg Med. 2000;7(6):637–646
  12. Okin RL, Boccellari A, Azocar F, Shumway M, O’Brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603–608
  13. Hwang SW. Homelessness and health. Can Med Assoc J. 2001;164(2):229–233
  14. Dent AW, Phillips GA, Chenhall AJ, McGregor LR. The heaviest repeat users of an inner city emergency department are not general practice patients. Emerg Med. 2003;15(4):322–329
  15. Kushel MB, Perry S, Bangsberg D, Clark R, Moss AR. Emergency department use among the homeless and marginally housed: results from a community-based study. Am J Public Health. 2002;92(5):778–784
  16. DHS. Victorian Homelessness Strategy. Information paper. Melbourne: Office of Housing, Victorian Department of Human Services; 2004.
  17. Palmer G, Short S. Health care and public policy: an Australian analysis. 3rd ed.. Melbourne: McMillan; 2000;
  18. Bearing Point. Hospital Admission Risk Program (HARP): establishing the base for preventive services. Evaluation report: July 2001 to June 2003. Melbourne: Bearing Point, Department of Human Services. Available from: http://www.health.vic.gov.au/archive/archive2005/harp/pubrep0304.pdf; 2004 [cited August 27, 2007].
  19. Shanahan M, Haas M, Viney R, Cameron I. To HITH or not to HITH: making a decision about establishing hospital in the home. Aust Health Rev. 2001;24(2):179–186
  20. Moss JE, Flower CL, Houghton LM, Moss DL, Nielsen DA, Taylor DM. A multidisciplinary Care Coordination Team improves emergency department discharge planning practice. Med J Aust. 2002;177(8):435–439
  21. Everard N. Royal District Nursing Service Homeless Person's Program. Taking nursing out there. Parity. 2004;17(8):4–5
  22. Chamberlain C, Johnson G. The debate about homelessness. Aust J Social Issues. 2001;36(1):35–50
  23. Argeriou M, McCarty D, Mulvey K. Dimensions of homelessness. Public Health Rep. 1995;110(6):734–741
  24. Peressubu T, McDonald L, Hulchanski D. Estimating homelessness: towards a methodology for counting the homeless in Canada. Toronto: Centre for Applied Social Research Faculty of Social Work University of Toronto, Canada Mortgage and Housing Corporation; 1995;
  25. Chamberlain C, Mackenzie D. Understanding contemporary homelessness: issues of definition and meaning. Aust J Social Issues. 1992;27(4):274–297
  26. Farrell SJ, Reissing ED. Picking up the challenge: developing a methodology to enumerate and assess the needs of the street homeless population. Eval Rev. 2004;28(2):144–155
  27. Herrman H. Homelessness in mentally ill people: Understanding the risks and service needs. Mental Health Aust. 1999;1(1):7–16
  28. Simoens S, Scott A. Towards a definition and taxonomy of integration in primary care. Oxford: Health Economics Research Unit, University of Oxford; 1999;
  29. Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. J Am Med Assoc. 2001;285(2):200–206
  30. Gillis LM, Singer J. Breaking through the barriers: Healthcare for the homeless. J Nursing Admin. 1997;27(6):30–34
  31. Crane M, Warnes AM. Primary health care services for single homeless people: Defects and opportunities. Family Practice. 2001;18(3):272–276
  32. Chamberlain C, Mackenzie D. How many homeless in 2001?. Just Policy. 2003;31:3–13
  33. Crook W. The new sisters of the road: Homeless women and their children. J Family Social Work. 1999;3(4):49–64
  34. Starr P. The homeless and the public household. N Engl J Med. 1998;338(24):1761–1763
  35. Joly L. Health and homelessness. Primary Health Care. 2004;14(4):8
  36. ABS . Measures of Australia's Progress. The measures. Family, community and social cohesion. Canberra: Australian Bureau of Statistics; 2004;
  37. Lloyd R, Harding A, Payne A. Australians in poverty in the 21st century. In: 33rd Annual Conference of Economists. The University of Sydney, September 27–30, 2004. Sydney: National Centre for Social and Economic Modelling; 2004;p. 1–25
  38. Scott J. Homelessness and mental illness. Br J Psychiatry. 1993;162:314–324
  39. Herrman H, Evert H, Harvey C, Gureje O, Pinzone T, Gordon I. Disability and service use among homeless people living with psychotic disorders. Aust N Z J Psychiatry. 2004;38(11–12):965–974
  40. Teesson M, Hodder T, Buhrich N. Psychiatric disorders in homeless men and women in inner Sydney. Aust N Z J Psychiatry. 2004;38(3):162–168
  41. Victorian Homelessness Strategy Project Team . Drug and alcohol use among those experiencing homelessness. Parity. 2001;14(8):37–38
  42. Zerger S. Substance abuse treatment: what works for homeless people? A review of the literature. Available from: http://www.nhchc.org/Publications/SubstanceAbuseTreatmentLitReview.pdf; 2002 [cited August 27, 2007].
  43. Horn M. Homelessness and drugs—links between experiences. Parity. 2001;14(8):8–12
  44. Drake RE, Osher FC, Wallach MA. Homelessness and dual diagnosis. Am Psychol. 1991;46(11):1149–1158
  45. Breakey WR, Calabrese L, Rosenblatt A, Crum RM. Detecting alcohol use disorders in the severely mentally ill. Commun Mental Health J. 1998;34(2):165–174
  46. DHS. Victorian Homelessness Strategy. Background paper—current service system. Melbourne: Victorian Homelessness Strategy Unit, Department of Human Services; 2000.
  47. Kessler RC. The epidemiology of dual diagnosis. Biol Psychiatry. 2004;56(10):730–737
  48. Herrman H. A survey of homeless mentally ill people in Melbourne, Australia. Hospital Commun Psychiatry. 1990;41(12):1291–1292
  49. McQuistion HL, Finnerty M, Hirschowitz J, Susser ES. Challenges for psychiatry in serving homeless people with psychiatric disorders. Psychiatric Services. 2003;54(5):669–676
  50. Stein JA, Gelberg L. Homeless men and women: Differential associations among substance abuse, psychological factors, and severity of homelessness. Exp Clin Psychopharmacol. 1995;3(1):75–86
  51. Tomaszewski I, Edwards S. Victorian Government drug initiatives—management and partnerships. Parity. 2001;14(8):39–44
  52. Nordentoft M, Wandall-Holm N. 10 year follow up study of mortality among users of hostels for homeless people in Copenhagen. Br Med J. 2003;327(7406):81–83
  53. Somerville P. Explanations of social exclusion: Where does housing fit in?. Housing Studies. 1998;13(6):761–780
  54. Waterford D. Broadening our understanding of homelessness. Parity. 2005;18(1):14–15
  55. Smith M, Maiizey A. The faces of homelessness. Wesley Mission's Strategic Planning and Development Unit. Available from: http://www.wesleymission.org.au/publications/homeless; 2005 [cited August 27, 2007].
  56. Hargrave C. Homelessness in Canada: from housing to shelters to blankets. Share International. Nanaimo, British Columbia, Canada. Available from: http://www.share-international.org/archives/homelessness/hl-ch_Canada.htm; 2004 [cited August 27, 2007].
  57. Plumb JD. Homelessness: Reducing health disparities. Can Med Assoc J. 2000;163(2):172–173
  58. Centre for Neuro Skills . Traumatic brain injury resource guide. Los Angeles: Centre for Neuro Skills; 2005;
  59. Bremner AJ, Duke PJ, Nelson HE, Pantelis C, Barnes TRE. Cognitive function and duration of rooflessness in entrants to a hostel for homeless men. Br J Psychiatry. 1996;169(4):434–439
  60. Buhrich N, Hodder T, Teesson M. Prevalence of cognitive impairment among homeless people in inner Sydney. Psychiatric Services. 2000;51(4):520–521
  61. Solliday-McRoy C, Campbell TC, Melchert TP, Young TJ, Cisler RA. Neuropsychological functioning of homeless men. J Nervous Mental Disease. 2004;192(7):471–478
  62. AIHW. Chronic diseases and associated risk factors in Australia, 2001. Canberra: Australian Institute of Health and Welfare. Available from: http://www.aihw.gov.au/publications/phe/cdarfa01/cdarfa01-c00.pdf; 2002 [cited August 27, 2007].
  63. Emergency Demand Coordination Group. Hospital Admission Risk Program (HARP) background paper. Melbourne: Department of Human Services. Available from: http://www.health.vic.gov.au/harp-cdm/harpbgpap.pdf; 2002 [cited August 27, 2007].
  64. Krieger J, Higgins DL. Housing and health: Time again for public health action. Am J Public Health. 2002;92(5):758–768
  65. AIHW. Australia's Health 2002: the eighth biennial health report of the Australian Institute of Health and Welfare. Canberra: Australian Institute of Health and Welfare. Available from: http://www.aihw.gov.au/publications/aus/ah02/; 2002 [cited August 27, 2007].
  66. Romios P, MacWilliams J, Crawford S. Opening the doors. Melbourne: Melbourne District Health Council; 1992;

PII: S1574-6267(07)00109-7

doi: 10.1016/j.aenj.2007.07.003

Australasian Emergency Nursing Journal
Volume 10, Issue 4 , Pages 178-185 , November 2007

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