Care for homeless

Question 1

The vast majority of homeless people are what type?

a. transitional
b. episodic
c. chronic

Answer 1

a. transitional (80%)

Question 2

Transitionally homeless people are usually what?

Answer 2

younger and healthier who suffered a single catastrophic event

Question 3

Chronically homeless people are usually what?

Answer 3

middle-aged to older with mental illness, substance abuse, disabilities

Question 4

What is the difference between jail and prison?

Answer 4

• jail = short-term

- prison = long-term

Question 5

Which of the following is true about homeless patients?

a. they have a higher number of substance abuse
b. they have an increased length of hospital stay
c. they have an increased medical cost
d. all of the above are true

Answer 5

d. all of the above are true

Question 6

> 1/2 of all homeless individuals reside in what 5 states?

Answer 6

CA, NY, TX, FL, WA

Question 7

Often what is the cause of transitional homeless?

Answer 7

due to a single catastrophic event (e.g. rent increase)

Question 8

Abandoned buildings and shelters are considered what type of living environment?

a. sheltered
b. unsheltered
c. doubled up
d. housed
e. transiently housed

Answer 8

a. sheltered

Question 9

Living under bridges, in cars, on streets are considered what type of living environment?

a. sheltered
b. unsheltered
c. doubled up
d. housed
e. transiently housed

Answer 9

b. unsheltered

Question 10

Living with family and friends are considered what type of living environment?

a. sheltered
b. unsheltered
c. doubled up
d. housed
e. transiently housed

Answer 10

c. doubled up

Question 11

Living in motels, hospitals, or jails are considered what type of living?

a. sheltered
b. unsheltered
c. doubled up
d. housed
e. transiently housed

Answer 11

e. transiently housed

Question 12

What country has the highest rate of incarceration?

Answer 12

United States

Question 13

T/F: Homelessness is a social determinant of health.

Answer 13

True

Question 14

What are the 3 health issues common in the homelessness population?

Answer 14

• poorly managed acute/chronic diseases
• mental illness
• substance use disorders

Question 15

Which of the following is true about the homeless population?

a. they have high number of substance abuse/mental illness chief complaint
b. they have an increased length of hospital stay
c. they have increased healthcare cost
d. all of the above are true

Answer 15

d. all of the above are true

Question 16

How is hepatic encephalopathy treated?

Answer 16

lactulose

main side effect is diarrhea

Question 17

what is the difference between compensated vs. decompensated cirrhosis?

Answer 17

• compensated means there is no symptom of the the disease

- decompensated means you has symptoms (e.g. ascites)

Question 18

____% of BHCHP have one or more mental illness diagnoses

Answer 18

60%

Question 19

what is the major cause of mortality at BHCHP among the homeless?

Answer 19

drug overdose

cancer, heart disease next