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Article
Development of a Homelessness Risk Screening Tool for Emergency Department Patients
Health Services Research
(2021)
Abstract
Objective: To develop a screening tool to identify emergency department (ED) patients at risk of entering a homeless shelter, which could inform targeting of interventions to prevent future homelessness episodes.
Data sources: Linked data from (1) ED patient baseline questionnaires and (2) citywide administrative homeless shelter database.
Study design: Stakeholder-informed predictive modeling utilizing ED patient questionnaires linked with prospective shelter administrative data. The outcome was shelter entry documented in administrative data within 6 months following the baseline ED visit. Exposures were responses to questions on homelessness risk factors from baseline questionnaires.
Data collection/extraction methods: Research assistants completed questionnaires with randomly sampled ED patients who were medically stable, not in police/prison custody, and spoke English or Spanish. Questionnaires were linked to administrative data using deterministic and probabilistic matching.
Principal findings: Of 1993 ED patients who were not homeless at baseline, 5.6% entered a shelter in the next 6 months. A screening tool consisting of two measures of past shelter use and one of past criminal justice involvement had 83.0% sensitivity and 20.4% positive predictive value for future shelter entry.
Conclusions: Our study demonstrates the potential of using cross-sector data to improve hospital initiatives to address patients' social needs.
Keywords
- homelessness,
- risk screener,
- Emergency Department
Disciplines
Publication Date
October, 2021
DOI
10.1111/1475-6773.13886
Citation Information
Kelly M. Doran, Eileen Johns, Sara Zuiderveen, Marybeth Shinn, et al.. "Development of a Homelessness Risk Screening Tool for Emergency Department Patients" Health Services Research (2021) p. 1 - 9 Available at: http://works.bepress.com/dennis_culhane/260/