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Your search keyword '"Brett J. Feldman"' showing total 2 results
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2 results on '"Brett J. Feldman"'

1. Characteristics of Homeless Temporarily-Housed in Project RoomKey During the COVID-19 Pandemic

Author

Kylie Sloan, Alexis Coulourides Kogan, Jodie Guller, Corinne T. Feldman, and Brett J. Feldman

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

Introduction: People experiencing unsheltered homelessness (PEUH) have higher disease burden yet limited access to healthcare. COVID-19 introduced even greater risk for PEUH aged 65+ years with an underlying chronic health condition and were temporarily housed in hotels/motels for Project RoomKey (PRK). This study aimed to characterize a PRK cohort who received primary care from a street medicine program. Methods: This observational case series study included a sample of 35 PRK participants receiving primary care from a street medicine team at a single site from July to September 2020. We used the HOUSED BEDS assessment tool for taking history on PEUH. Results: Participants were 63% male, 40% Hispanic/Latino/a, 40% white, 94% English-speaking, and 73% had chronic health conditions. Assessment revealed: average Homelessness (H) of 4 years; 76% had no prior social service Outreach (O); average Utilization (U) was 4 emergency department visits in prior 6-months; 68% received Salary (S) from government income; Food access or Eat (E) was commonly purchased (29%) or donated (26%); clean water to Drink (D) for 59% of participants; 86% had access to a Bathroom (B); Encampment (E) was varied and 38% reported safety concerns; Daily routine (D) showed 76% could access a telephone, 32% received social support from family; 79% reported past or current Substance use (S). No participants contracted COVID-19 during study period. Conclusions: This study describes health and demographic characteristics of PRK participants in Southern California. Findings inform policies to continue PRK that includes onsite healthcare such as via street medicine.

Published
2024
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2. Prevalence of Homelessness in the Emergency Department Setting

Author

Yasir H Abunamous, Osman Z. Abbasi, Kareem S Elsayed, Marna Rayl Greenberg, Stephen W. Dusza, Joshua Enyart, Brett J. Feldman, Cristina G. Calogero, and Timothy J Friel

Subjects
Gerontology, Adult, Male, prevalence, Psychological intervention, 03 medical and health sciences, 0302 clinical medicine, Statistical significance, mental disorders, Prevalence, Medicine, Vulnerable population, Humans, Mass Screening, Screening tool, Prospective Studies, Prospective cohort study, homelessness, Mass screening, Original Research, Veterans, 030505 public health, business.industry, Trauma center, 030208 emergency & critical care medicine, General Medicine, Emergency department, Pennsylvania, Emergency Department Access, Health Surveys, United States, Government Programs, United States Department of Veterans Affairs, Ill-Housed Persons, Emergency Medicine, Housing, Female, 0305 other medical science, business, Emergency Service, Hospital, Demography
Abstract

Introduction According to the National Alliance to End Homelessness, the national rate of homelessness has been cited as 17.7 homeless people/10,000 people in the general population, and 24.8 homeless veterans/10,000 veterans in the general population. However, it is unknown what the prevalence of homelessness is in the emergency department (ED) setting. We set out to determine the prevalence of homelessness or at risk for homelessness in the ED setting. Methods Using a five-question screening tool derived from the U.S. Department of Housing and Urban Development, Health and Human Services and the Veterans Administration definition for homelessness, we surveyed all patients meeting inclusion/exclusion criteria on scheduled shifts in one of three EDs in Northeastern Pennsylvania. To participate, subjects had to be a registered patient in the ED, be 18 years or older, speak English, have the capacity to answer survey questions, not be critically ill, be willing to participate, and not have taken the survey before. We selected two survey periods to represent seasonal variations. Results We included 4,395 subjects in the analysis. The mean age of those who screened positive for homelessness or at risk for homelessness was 43.1 (SD 16.6). Overall, 136 (3.1%) participants screened positive for at risk for homelessness and 309 (7.0%) screened positive for homelessness. A total of 103 subjects (9.8%) screened positive for homelessness or at risk for homelessness on weekends and 312 (10.3%) on weekdays (p=0.64). The proportion of those screening positive for homelessness or at risk for homelessness varied by site: 145 (7.5%) at the trauma center, 151(9.1%) at the suburban site, and 149 (18.7%) at the center city site, p

Published
2017

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