How Intensive Primary Care Interventions Can Improve Health Outcomes for People Experiencing Homelessness
Medically complex patients experiencing homelessness may be good candidates for “ambulatory ICUs” (A-ICUs)—interdisciplinary provider teams with low patient-staff ratios and additional resources to address social determinants (e.g. case managers). However, a systematic review revealed data on effectiveness of A-ICUs for homeless patients are insufficient. In addition, because these teams are resource intensive, improving feasibility and scalability of healthcare for homeless interventions is necessary. The objective of this project seeks to understand how an existing multi-disciplinary A-ICU intervention at partner Central City Concern impacts health outcomes and experiences of high-need, high-cost patients experiencing homelessness in order to develop refinements to the intervention and provide preliminary data for future intervention development.
Project Outcomes
Grants:
$777,486 - NIH/NIDA grant, Identifying High-Utilizing Patients with Opioid Use Disorder to Engage in Primary Care: research focused on implementing and disseminating novel primary care interventions to target high-risk patients with Opioid Use Disorder (OUD) for intervention in safety-net settings.
$2,000,000 - American Heart Association grant, Rural Community Peer Partnerships for Improving Methamphetamine-Associated Heart Failure Screening and Engagement (PEER-HEART): Part of the Rural PRO-CARE network, the goal is to design and implement community based peers interventions to target people who use drugs to screen for heart failure in rural communities in Oregon which have been disproportionately impacted by addiction.
$40,000 - PeaceHealth Medical Center grant, Project HOPE: Improving care for medical and socially complex patients: Consultant to lead design, implementation, and preliminary feasibility and acceptability evaluation of a novel on-site care model for high risk adults in permanent supportive housing.