Community paramedic outreach support for people experiencing homelessness

John Taplin, Dana Dalgarno, Michele Smith, Ty Eggenberger, Sumantra Monty Ghosh
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Abstract

Objective: To evaluate the implementation phase of a community paramedic program focused on individuals experiencing homelessness (IEH) in Calgary, Alberta, Canada with a high prevalence of mental health and substance use disorders. Methods: A manual chart review was performed to characterise patients of the City Centre Team (CCT). A survey was performed of health professionals and partners for allied agencies that interacted with the CCT in the first 6 months of program implementation. Findings There were 832 patient events involving 365 unique patients. Mental health and substance use disorders accounted for 75% of the events. The survey results were positive with 85% agreeing that the CCT reduced the reliance on emergency services. Conclusion: The community paramedics address the health and social needs of IEH while working in a multidisciplinary setting. The CCT is an innovative program that can inform future health service design in similar settings.
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社区护理人员向无家可归者提供外展支持
目的:评估加拿大阿尔伯塔省卡尔加里的社区护理人员计划的实施阶段,重点关注精神健康和物质使用障碍高发的无家可归者(IEH)。方法:对城市中心小组(CCT)患者的特征进行手工图表回顾。在项目实施的前6个月,对与有条件现金援助有互动的联合机构的卫生专业人员和合作伙伴进行了调查。结果:共有832例患者事件,涉及365例特殊患者。精神健康和物质使用障碍占这些事件的75%。调查结果是积极的,85%的人同意有条件现金援助减少了对紧急服务的依赖。结论:社区护理人员在多学科背景下工作,解决了IEH的健康和社会需求。有条件现金援助是一个创新项目,可以为未来类似环境下的卫生服务设计提供参考。
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