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  • Housing as Health

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    JAMA. 2018; 319(1):12-13. doi: 10.1001/jama.2017.20081
  • Investing in Housing for Health Improves Both Mission and Margin

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    JAMA. 2017; 318(23):2291-2292. doi: 10.1001/jama.2017.15771

    This Viewpoint reviews the contribution of housing instability to health care outcomes and costs and proposes ways hospitals and health systems could address homelessness to prevent the health problems that result from it.

  • Homelessness—Challenges and Progress

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    JAMA. 2017; 318(23):2293-2294. doi: 10.1001/jama.2017.15875

    This Viewpoint reviews the causes of homelessness and models and programs that have been effective at housing homeless people and families, and proposes roles hospitals and health systems might play in addressing the problem.

  • JAMA December 6, 2016

    Figure: Types of Accommodations Used by 89 US Allopathic Medical Schools

    Testing was defined as extra time used for school-based examinations (including time and a half and double time), use of low-distraction or private environments, and testing breaks. Facilitated learning was defined as flexible attendance, note takers, Livescribe pen, recorded lectures, and preferential seating. Ergonomic was defined as ergonomic evaluation and equipment. Assistive technology was defined as textbooks in alternate formats and text-to-speech and speech-to-text computer programs. Housing was defined as living accommodations such as single-room housing, release from housing, assistance animal (eg, therapy dogs), service animal, and reserved parking. Clinical was defined as clinical placement, deferred clinical year, leave of absence, and release from overnight call. Hearing-related was defined as use of transcriptionist, Communication Access Realtime Translation, sign language interpreter, specialized phone, and specialized pager.
  • CMS Grants to Address Social Needs of Beneficiaries

    Abstract Full Text
    JAMA. 2016; 315(8):741-741. doi: 10.1001/jama.2016.1077
  • Effect of Scattered-Site Housing Using Rent Supplements and Intensive Case Management on Housing Stability Among Homeless Adults With Mental Illness: A Randomized Trial

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    JAMA. 2015; 313(9):905-915. doi: 10.1001/jama.2015.1163

    Stergiopoulos and coauthors examine the effect of scattered-site housing with Intensive Case Management program services on housing stability and generic quality of life among homeless adults in 4 Canadian cities with mental illness and moderate support needs for mental health services.

  • Housing as a Remedy for Chronic Homelessness

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    JAMA. 2015; 313(9):901-902. doi: 10.1001/jama.2015.1277
  • Associations of Housing Mobility Interventions for Children in High-Poverty Neighborhoods With Subsequent Mental Disorders During Adolescence

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    JAMA. 2014; 311(9):937-947. doi: 10.1001/jama.2014.607

    In a randomized clinical trial involving 3689 children residing in high-poverty neighborhoods, Kessler and coauthors assessed the effect of moving to a lower-poverty neighborhood on development of subsequent mental disorders among adolescents, and found that boys had an increased rate of select mental disorders while girls did not.

  • Improving Population Health in US Cities

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    JAMA. 2013; 309(5):449-450. doi: 10.1001/jama.2012.154302
  • Supportive Housing Cuts Costs of Caring for the Chronically Homeless

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    JAMA. 2012; 308(1):17-19. doi: 10.1001/jama.2012.7045
  • Health Impact Assessment: A Step Toward Health in All Policies

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    JAMA. 2009; 302(3):315-317. doi: 10.1001/jama.2009.1050
  • Effect of a Housing and Case Management Program on Emergency Department Visits and Hospitalizations Among Chronically Ill Homeless Adults: A Randomized Trial

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    JAMA. 2009; 301(17):1771-1778. doi: 10.1001/jama.2009.561
  • Housing the Chronically Homeless: High Hopes, Complex Realities

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    JAMA. 2009; 301(17):1822-1824. doi: 10.1001/jama.2009.596
  • JAMA April 1, 2009

    Figure 3: Use Reduction With Longer Time in Housing

    Based on Poisson generalized estimating equation regression. Time in house was transformed using the natural logarithm to yield a linear relationship with costs. Thus, rate ratios are based on log-month time. HMC indicates Harborview Medical Center; EMS, emergency medical services; RR, rate ratio; CI, confidence interval.
  • JAMA April 1, 2009

    Figure 4: Predicted Mean Total Cost per Participant During Time in Housing

    One hundred eleven participants were housed at some point during the study (95 initially assigned to housing and 16 initially assigned to wait-list group). Median time in housing was 17.2 months (interquartile range, 6.4-26.7 months). Solid line indicates predicted mean decrease in total cost per person based on Poisson generalized estimating equation regression. Dashed lines indicate 95% confidence intervals.
  • Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems

    Abstract Full Text
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    JAMA. 2009; 301(13):1349-1357. doi: 10.1001/jama.2009.414
  • JAMA April 1, 2009

    Figure 1: Participant Flow Diagram

    Individuals were drawn from a list provided by secondary data sources and offered housing on a “first found, first assigned” basis. After 166 participants were located and enrolled in housing or placed on a wait-list, outreach employees discontinued searching for the remaining homeless individuals. DESC indicates Downtown Emergency Service Center; ABRC, Addictive Behaviors Research Center (University of Washington).
  • JAMA March 12, 2008

    Figure: FEMA and Formaldehyde

    High levels of formaldehyde, which poses a cancer risk, were found in trailers housing those left homeless by Hurricane Katrina.
  • JAMA December 21, 2005

    Figure: Role of Environment in Addiction Probed

    The environment may alter cocaine's reinforcing effects by dysregulation of the dopaminergic system. An imaging study of dominant and subordinate monkeys housed alone or together shows effects of environment on levels of dopamine D2 receptors (Morgan et al. NatNeurosci. 2002;5:169-174).
  • JAMA January 7, 2004

    Figure: Model of Physician Responsibility in Relation to Influences on Health

    The ways in which socioeconomic factors influence individual patients' health are shown in expanding domains, depicting the proximity of each to physicians' core responsibility for patient care. Physicians have professional obligations to promote access to care and address socioeconomic factors that directly influence individuals' health (eg, smoking, road safety, interpersonal violence, housing conditions that cause disease), according to evidence of illness causation and feasibility of physician action. Aspirations for improving broader health determinants (eg, local or global disparities in income, education, or opportunity) are laudable, but physicians' responsibilities in these domains may not be sufficiently different from those of other citizens for them to be recognized as professional obligations. As evidence changes, however, issues may move from one domain to another.