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Kushel encouraged people to go past the textbooks and learn from people on the frontlines of homelessness. Experiences like this made him want to contribute to solutions in the community. They would eventually end up back at where the hospitals they came from. Watts added a tangible example where people experiencing homelessness would be dropped off by ambulances in front of the center for homelessness where he worked, which was not equipped to deal with their medical circumstances. Kushel towards work on solving the systemic failures causing “catastrophic” health outcomes in populations experiencing homelessness. Kushel explained how discharging patients experiencing homelessness only for them to come back a few days later in worse shape was unacceptable. We must know who we are serving to truly be able to tackle the systemic injustices that cause disproportionate rates of homelessness in America. Missing racial and ethnic data on homelessness is an example of structural racism. Disaggregated data on homelessness is vital. Push back against discussions that homelessness is caused by substance use or mental health problems.Ĥ. Push back against individual narratives that blame individuals for systemic injustice.

Watts remind healthcare providers to speak out about the structural causes of homelessness. If we are not part of the solution, we are complicit in structural injustice.ĭr. Do you have a medical respite center? Do you have a coordinated entry system (CES) in your community? Can you refer your patient there?ģ. Our guests emphasize that physicians must be familiar with community resources. If we do not know the housing status of our patients, then we do not know one of the most fundamental things that is going to affect their health and wellbeing. Our guests remind us to ask our patients about their housing status using non-judgmental and non-stigmatizing language.

INJUSTICE 2 CRACK STATUS HOW TO

We must know the housing status of our patients, and how to ask about it.

Bobby Wattsġ1:58 Non-stigmatizing language around homelessnessġ9: 30 Structural racism and homelessnessģ3:09 Increasingly older population experiencing homelessnessĤ8:30 Criminalizing and over-policing homelessness

Show notes: Victor Anthony Lopez-Carmen, MPH.

Hosts: Sudarshan Krishnamurthy, Jazzmin Williams, Alec J.

Essien, MD, MPH, Jennifer Tsai MD, MEd, Chioma Onuoha, Ayana Watkins Fields, LaShyra Nolen, Rohan Khazanchi, MPH, Michelle Ogunwole, MD, Utibe R.

Written and produced by: Sudarshan Krishnamurthy, Jazzmin Williams, Alec J.

Describe the utility of medical respite care when working with patients experiencing homelessness.

Learn how homelessness contributes to adverse health outcomes, especially in the context of the COVID-19 pandemic.

Understand the systemic factors that have increasingly led to the aging population experiencing homelessness today.

Understand how systemic racism, including injust housing policies and over-policing, are at the root of homelessness and its disproportionate impact on Black and Brown communities.

Learn about non-stigmatizing language for healthcare providers when talking about individuals experiencing homelessness.

This episode was hosted by Sudarshan Krishnamurthy, Jazzmin Williams, and Alec Calac.Īfter listening to this episode, learners will be able to: Bobby Watts is the chief executive officer of the National Health Care for the Homeless Council. Margot Kushel is a Professor of Medicine and Division Chief at the Division of Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center and Director of the UCSF Center for Vulnerable Populations and UCSF Benioff Homelessness and Housing Initiative. Bobby Watts about what brought them into their fields, how their work reaches the most marginalized, and what can be done at the community and structural level to address homelessness. During this episode, we gained insight from special guests Dr. This is the last of three episodes interrogating the relationships between race, place, housing, and health.

Summary: This episode highlights homelessness’ impact on health, the structural and racialized nature of homelessness, and practical interventions to address housing inequities. Show Notes by: Victor Anthony Lopez-Carmen, MPH CPSolvers: Anti-Racism in Medicine SeriesĮpisode 15: Housing is Health: Racism and Homelessness – Clinician + Community Perspectives