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The diversity of case management needs for the care of homeless persons.
  • Published Date:
    1991 Jan-Feb
  • Source:
    Public Health Rep. 106(1):15-19
  • Language:
    English
Filetype[PDF-942.98 KB]


Details:
  • Personal Authors:
  • Keywords:
  • Pubmed ID:
    1899934
  • Pubmed Central ID:
    PMCnull
  • Description:
    Health care providers have been attempting to meet the special needs of homeless people on a national level since 1984. The need to implement strategies specific to serving the diversity of services required by homeless people has been apparent. To devise appropriate strategies, clinical information was drawn from the Health Resources and Services Administration-Health Care for the Homeless (HRSA-HCH) projects, which were created in 1987 primarily to fill such a need. In addition, data gathered by the HCH projects (1984-87) funded by the Robert Wood Johnson and Pew Memorial Trust were used. It is suggested that the past mode of providing health care for the homeless has been found to be inadequate when confronting the complex problems of the homeless person of today. In general, health care providers need to focus more on case management activities, which may include activities not necessarily associated with the provision of health care services (for example, finding and providing food, clothing, shelter, and assessing entitlement eligibility) to achieve the ultimate goal--stabilization--and when possible, reintegration of the homeless person back into society.

  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
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      Crane, A B
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      Source:
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      Description:
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      The principal responsibility of the Health Resources and Services Administration (HRSA) is to see to it that primary health care services and qualified health personnel and facilities are available to all Americans, particularly the disadvantaged and...
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      Description:
      Strategies designed to meet the health care needs of Americans should include the issues of access as well as financing. And primary care and clinical preventive services should receive as much national attention as acute care and long-term care. The...
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    4. HRSA's long range plan for meeting the health care needs of the underserved.
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      Harmon, R G
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      1991 Jan-Feb
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      Public Health Rep. 106(1):1
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      Published:
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      Public Health Rep. 106(1):47-52
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      Access to obstetrical services has deteriorated in recent years, as large numbers of physicians have discontinued or restricted obstetrical practice. In Washington State, one response to this access crisis has been the establishment of the Access to ...
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      Personal Author:
      Tavani, C
      Published:
      1991 Jan-Feb
      Source:
      Public Health Rep. 106(1):19-26
      Description:
      Current national activities directed toward improving access to health care and assessing the potential effectiveness of various financing and service delivery strategies were reviewed by an invited group of 39 public and private sector health policy...
      File Type:
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    9. Cancer mortality in Cuba and among the Cuban-born in the United States: 1979-81.
      Personal Author:
      Shai, D
      Published:
      1991 Jan-Feb
      Source:
      Public Health Rep. 106(1):68-73
      Description:
      The Cuban-born population of the United States, enumerated at 608,000 in the 1980 census, has been little studied with regard to cancer mortality. Being older and rarely migrating back to Cuba, Cuban Americans present a good subject for comparative c...
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    10. Changes in characteristics of women who smoke during pregnancy: Missouri, 1978-88.
      Personal Author:
      Stockbauer, J W; Land, G H;
      Published:
      1991 Jan-Feb
      Source:
      Public Health Rep. 106(1):52-58
      Description:
      The Missouri birth certificate has had a question, "cigarettes smoked per day?" since 1978; the current data base contains more than 800,000 records. A comparison of the Missouri data for married mothers with the National Natality Survey (NNS) data s...
      File Type:
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    11. Mortality, cardiovascular risk factors, and diet in China, Finland, and the United States
      Personal Author:
      Vartiainen, Erkki; Dianjun, Du; Marks, James S.; Korhonen, Heikki; Guanyi, Geng; Ze-Yu, Guo; Koplan, Jeffrey P.; Pietinen, Pirjo; Guang-Lin, We; Williamson, David; Nissinen, Aulikki;
      Published:
      1991 Jan-Feb
      Source:
      Public Health Rep. 106(1):41-46
      Description:
      Mortality, cardiovascular risk factors, and diet were compared in Tianjin province, People's Republic of China; in North Karelia Province, Finland; and in the United States as a whole. People in Tianjin received 7 percent of their energy intake from ...
      File Type:
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    12. Report of an expert panel on the Public Health Laboratory role in early intervention and treatment of human immunodeficiency virus infections.
      Published:
      1991 Jan-Feb
      Source:
      Public Health Rep. 106(1):27-31
      Description:
      A coordinated national effort to control the HIV epidemic based on an early intervention model must be initiated. This national strategy will provide for an effective distribution, application, and utilization of limited Federal, State, and local res...
      File Type:
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    13. FDA's Center for Biologics Evaluation and Research comments on the Report of the expert panel.
      Personal Author:
      Quinnan, G V
      Published:
      1991 Jan-Feb
      Source:
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      File Type:
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      Personal Author:
      Schrager, L; Friedland, G; Feiner, C; Kahl, P;
      Published:
      1991 Jan-Feb
      Source:
      Public Health Rep. 106(1):78-84
      Description:
      Intravenous (i.v.) drug users are a key factor in the transmission of human immunodeficiency virus (HIV) infection, yet epidemiologic information about this population, especially those with acquired immunodeficiency syndrome, is scarce. The demograp...
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      Personal Author:
      Dignan, M B; Michielutte, R; Sharp, P C; Young, L D; Daniels, L A;
      Published:
      1991 Jan-Feb
      Source:
      Public Health Rep. 106(1):73-77
      Description:
      The Forsyth County, NC, Cervical Cancer Prevention Project is a 5-year public health education program designed to increase the proportion of black women in the county who are appropriately screened for cervical cancer. In this paper, the authors rep...
      File Type:
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    16. Use of physician assistants in a managed health care system.
      Personal Author:
      Hooker, R S; Freeborn, D K;
      Published:
      1991 Jan-Feb
      Source:
      Public Health Rep. 106(1):90-94
      Description:
      Kaiser Permanente Northwest Region is a prepaid group practice health maintenance organization. Among the employed are 65 physician assistants (PAs) who work in primary care and in certain subspecialties. Kaiser Permanente was one of the first manage...
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    17. Home blood pressure monitoring for mild hypertensives.
      Personal Author:
      Midanik, L T; Resnick, B; Hurley, L B; Smith, E J; McCarthy, M;
      Published:
      1991 Jan-Feb
      Source:
      Public Health Rep. 106(1):85-89
      Description:
      A clinical trial of 204 untreated patients with mild hypertension was conducted to assess the effect of home blood pressure monitoring on blood pressure level, pharmacologic treatment, reduction of risk factors, and use of health services. After 1 ye...
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    18. PROGRAMS, PRACTICES, PEOPLE
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      Published:
      1991 Jan-Feb
      Source:
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      Description:
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      Personal Author:
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      Source:
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      Description:
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