Practice Guideline

. 2020 Mar 9;192(10):E240-E254.

doi: 10.1503/cmaj.190777.

Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience

Kevin Pottie¹, Claire E Kendall², Tim Aubry², Olivia Magwood², Anne Andermann², Ginetta Salvalaggio², David Ponka², Gary Bloch², Vanessa Brcic², Eric Agbata², Kednapa Thavorn², Terry Hannigan², Andrew Bond², Susan Crouse², Ritika Goel², Esther Shoemaker², Jean Zhuo Jing Wang², Sebastian Mott², Harneel Kaur², Christine Mathew², Syeda Shanza Hashmi², Ammar Saad², Thomas Piggott², Neil Arya², Nicole Kozloff², Michaela Beder², Dale Guenter², Wendy Muckle², Stephen Hwang², Vicky Stergiopoulos², Peter Tugwell²

Affiliations

¹ C.T. Lamont Primary Health Care Research Centre (Pottie, Kendall, Magwood, Shoemaker, Saad, Hannigan, Wang, Kaur), Bruyère Research Institute; Department of Family Medicine (Pottie, Kendall, Ponka, Shoemaker), and School of Epidemiology and Public Health (Pottie, Kendall), University of Ottawa; Ottawa Hospital Research Institute (Kendall, Shoemaker), Ottawa, Ont.; ICES (Kendall, Shoemaker); Li Ka Shing Knowledge Institute (Kendall), St. Michael's Hospital, Toronto, Ont.; School of Psychology (Aubry), University of Ottawa, Ottawa, Ont.; Departments of Family Medicine, and Epidemiology, Biostatistics and Occupational Health (Andermann), Faculty of Medicine, McGill University, Montréal, Que.; Department of Family Medicine (Salvalaggio), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Besrour Centre for Global Family Medicine (Ponka), College of Family Physicians of Canada, Mississauga, Ont.; Department of Family and Community Medicine (Bloch), St. Michael's Hospital; Department of Family and Community Medicine (Bloch), Faculty of Medicine, University of Toronto; Inner City Health Associates (Bloch, Bond, Hwang, Goel), Toronto, Ont.; Department of Family Practice (Brcic), University of British Columbia, Vancouver, BC; Department of Pediatrics, Obstetrics and Gynecology and Preventive Medicine and Public Health (Agbata), Faculty of Medicine, Universitat Autònoma de Barcelona; Ottawa Hospital Research Institute (Thavorn); School of Epidemiology and Public Health (Thavorn), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Department of Family and Community Medicine (Bond, Goel), University of Toronto, Toronto, Ont.; Faculty of Medicine (Crouse), Memorial University, St. John's, NL; Department of Family Medicine (Crouse), Dalhousie University, Halifax, NS; Faculty of Medicine (Wang, Kaur, Hashmi), University of Ottawa, Ottawa, Ont.; Department of Family Medicine (Mott), McGill University, Montréal, Que.; Department of Health Research Methods, Evidence, and Impact (Piggott, Guenter), McMaster University, Hamilton, Ont.; scholar in residence (Arya), Wilfrid Laurier University, Waterloo, Ont.; Department of Family Medicine (Arya), McMaster University, Hamilton, Ont.; Centre for Addiction and Mental Health (Kozloff, Stergiopoulos); Department of Psychiatry, and Institute of Health Policy, Management and Evaluation (Kozloff), University of Toronto; Department of Psychiatry (Beder), University of Toronto and St. Michael's Hospital, Toronto, Ont.; Department of Family Medicine (Guenter), McMaster University, Hamilton, Ont.; Ottawa Inner City Health (Muckle), Ottawa, Ont.; MAP Centre for Urban Health Solutions (Hwang), St. Michael's Hospital, Toronto, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont. kpottie@uottawa.ca.
² C.T. Lamont Primary Health Care Research Centre (Pottie, Kendall, Magwood, Shoemaker, Saad, Hannigan, Wang, Kaur), Bruyère Research Institute; Department of Family Medicine (Pottie, Kendall, Ponka, Shoemaker), and School of Epidemiology and Public Health (Pottie, Kendall), University of Ottawa; Ottawa Hospital Research Institute (Kendall, Shoemaker), Ottawa, Ont.; ICES (Kendall, Shoemaker); Li Ka Shing Knowledge Institute (Kendall), St. Michael's Hospital, Toronto, Ont.; School of Psychology (Aubry), University of Ottawa, Ottawa, Ont.; Departments of Family Medicine, and Epidemiology, Biostatistics and Occupational Health (Andermann), Faculty of Medicine, McGill University, Montréal, Que.; Department of Family Medicine (Salvalaggio), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Besrour Centre for Global Family Medicine (Ponka), College of Family Physicians of Canada, Mississauga, Ont.; Department of Family and Community Medicine (Bloch), St. Michael's Hospital; Department of Family and Community Medicine (Bloch), Faculty of Medicine, University of Toronto; Inner City Health Associates (Bloch, Bond, Hwang, Goel), Toronto, Ont.; Department of Family Practice (Brcic), University of British Columbia, Vancouver, BC; Department of Pediatrics, Obstetrics and Gynecology and Preventive Medicine and Public Health (Agbata), Faculty of Medicine, Universitat Autònoma de Barcelona; Ottawa Hospital Research Institute (Thavorn); School of Epidemiology and Public Health (Thavorn), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Department of Family and Community Medicine (Bond, Goel), University of Toronto, Toronto, Ont.; Faculty of Medicine (Crouse), Memorial University, St. John's, NL; Department of Family Medicine (Crouse), Dalhousie University, Halifax, NS; Faculty of Medicine (Wang, Kaur, Hashmi), University of Ottawa, Ottawa, Ont.; Department of Family Medicine (Mott), McGill University, Montréal, Que.; Department of Health Research Methods, Evidence, and Impact (Piggott, Guenter), McMaster University, Hamilton, Ont.; scholar in residence (Arya), Wilfrid Laurier University, Waterloo, Ont.; Department of Family Medicine (Arya), McMaster University, Hamilton, Ont.; Centre for Addiction and Mental Health (Kozloff, Stergiopoulos); Department of Psychiatry, and Institute of Health Policy, Management and Evaluation (Kozloff), University of Toronto; Department of Psychiatry (Beder), University of Toronto and St. Michael's Hospital, Toronto, Ont.; Department of Family Medicine (Guenter), McMaster University, Hamilton, Ont.; Ottawa Inner City Health (Muckle), Ottawa, Ont.; MAP Centre for Urban Health Solutions (Hwang), St. Michael's Hospital, Toronto, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.

PMID: 32152052
PMCID: PMC7062440
DOI: 10.1503/cmaj.190777

Practice Guideline

Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience

Kevin Pottie et al. CMAJ. 2020.

. 2020 Mar 9;192(10):E240-E254.

doi: 10.1503/cmaj.190777.

Authors

Affiliations

¹ C.T. Lamont Primary Health Care Research Centre (Pottie, Kendall, Magwood, Shoemaker, Saad, Hannigan, Wang, Kaur), Bruyère Research Institute; Department of Family Medicine (Pottie, Kendall, Ponka, Shoemaker), and School of Epidemiology and Public Health (Pottie, Kendall), University of Ottawa; Ottawa Hospital Research Institute (Kendall, Shoemaker), Ottawa, Ont.; ICES (Kendall, Shoemaker); Li Ka Shing Knowledge Institute (Kendall), St. Michael's Hospital, Toronto, Ont.; School of Psychology (Aubry), University of Ottawa, Ottawa, Ont.; Departments of Family Medicine, and Epidemiology, Biostatistics and Occupational Health (Andermann), Faculty of Medicine, McGill University, Montréal, Que.; Department of Family Medicine (Salvalaggio), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Besrour Centre for Global Family Medicine (Ponka), College of Family Physicians of Canada, Mississauga, Ont.; Department of Family and Community Medicine (Bloch), St. Michael's Hospital; Department of Family and Community Medicine (Bloch), Faculty of Medicine, University of Toronto; Inner City Health Associates (Bloch, Bond, Hwang, Goel), Toronto, Ont.; Department of Family Practice (Brcic), University of British Columbia, Vancouver, BC; Department of Pediatrics, Obstetrics and Gynecology and Preventive Medicine and Public Health (Agbata), Faculty of Medicine, Universitat Autònoma de Barcelona; Ottawa Hospital Research Institute (Thavorn); School of Epidemiology and Public Health (Thavorn), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Department of Family and Community Medicine (Bond, Goel), University of Toronto, Toronto, Ont.; Faculty of Medicine (Crouse), Memorial University, St. John's, NL; Department of Family Medicine (Crouse), Dalhousie University, Halifax, NS; Faculty of Medicine (Wang, Kaur, Hashmi), University of Ottawa, Ottawa, Ont.; Department of Family Medicine (Mott), McGill University, Montréal, Que.; Department of Health Research Methods, Evidence, and Impact (Piggott, Guenter), McMaster University, Hamilton, Ont.; scholar in residence (Arya), Wilfrid Laurier University, Waterloo, Ont.; Department of Family Medicine (Arya), McMaster University, Hamilton, Ont.; Centre for Addiction and Mental Health (Kozloff, Stergiopoulos); Department of Psychiatry, and Institute of Health Policy, Management and Evaluation (Kozloff), University of Toronto; Department of Psychiatry (Beder), University of Toronto and St. Michael's Hospital, Toronto, Ont.; Department of Family Medicine (Guenter), McMaster University, Hamilton, Ont.; Ottawa Inner City Health (Muckle), Ottawa, Ont.; MAP Centre for Urban Health Solutions (Hwang), St. Michael's Hospital, Toronto, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont. kpottie@uottawa.ca.
² C.T. Lamont Primary Health Care Research Centre (Pottie, Kendall, Magwood, Shoemaker, Saad, Hannigan, Wang, Kaur), Bruyère Research Institute; Department of Family Medicine (Pottie, Kendall, Ponka, Shoemaker), and School of Epidemiology and Public Health (Pottie, Kendall), University of Ottawa; Ottawa Hospital Research Institute (Kendall, Shoemaker), Ottawa, Ont.; ICES (Kendall, Shoemaker); Li Ka Shing Knowledge Institute (Kendall), St. Michael's Hospital, Toronto, Ont.; School of Psychology (Aubry), University of Ottawa, Ottawa, Ont.; Departments of Family Medicine, and Epidemiology, Biostatistics and Occupational Health (Andermann), Faculty of Medicine, McGill University, Montréal, Que.; Department of Family Medicine (Salvalaggio), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Besrour Centre for Global Family Medicine (Ponka), College of Family Physicians of Canada, Mississauga, Ont.; Department of Family and Community Medicine (Bloch), St. Michael's Hospital; Department of Family and Community Medicine (Bloch), Faculty of Medicine, University of Toronto; Inner City Health Associates (Bloch, Bond, Hwang, Goel), Toronto, Ont.; Department of Family Practice (Brcic), University of British Columbia, Vancouver, BC; Department of Pediatrics, Obstetrics and Gynecology and Preventive Medicine and Public Health (Agbata), Faculty of Medicine, Universitat Autònoma de Barcelona; Ottawa Hospital Research Institute (Thavorn); School of Epidemiology and Public Health (Thavorn), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Department of Family and Community Medicine (Bond, Goel), University of Toronto, Toronto, Ont.; Faculty of Medicine (Crouse), Memorial University, St. John's, NL; Department of Family Medicine (Crouse), Dalhousie University, Halifax, NS; Faculty of Medicine (Wang, Kaur, Hashmi), University of Ottawa, Ottawa, Ont.; Department of Family Medicine (Mott), McGill University, Montréal, Que.; Department of Health Research Methods, Evidence, and Impact (Piggott, Guenter), McMaster University, Hamilton, Ont.; scholar in residence (Arya), Wilfrid Laurier University, Waterloo, Ont.; Department of Family Medicine (Arya), McMaster University, Hamilton, Ont.; Centre for Addiction and Mental Health (Kozloff, Stergiopoulos); Department of Psychiatry, and Institute of Health Policy, Management and Evaluation (Kozloff), University of Toronto; Department of Psychiatry (Beder), University of Toronto and St. Michael's Hospital, Toronto, Ont.; Department of Family Medicine (Guenter), McMaster University, Hamilton, Ont.; Ottawa Inner City Health (Muckle), Ottawa, Ont.; MAP Centre for Urban Health Solutions (Hwang), St. Michael's Hospital, Toronto, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.

PMID: 32152052
PMCID: PMC7062440
DOI: 10.1503/cmaj.190777

No abstract available

PubMed Disclaimer

Conflict of interest statement

Competing interests: Gary Bloch is a founding member, former board member and currently a clinician with Inner City Health Associates (ICHA), a group of physicians working with individuals experiencing homelessness in Toronto, which provided funding for the development of this guideline. He did not receive payment for work on the guideline and did not participate in any ICHA board decision-making relevant to this project. Ritika Goel, Michaela Beder and Stephen Hwang also receive payment for clinical services from ICHA, and did not receive payment for any aspect of the submitted work. No other competing interests were declared.

Comment in

Pekiwewin (coming home): advancing good relations with Indigenous people experiencing homelessness.
Thistle J, Smylie J. Thistle J, et al. CMAJ. 2020 Mar 9;192(10):E257-E259. doi: 10.1503/cmaj.200199. CMAJ. 2020. PMID: 32152055 Free PMC article. No abstract available.

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Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience

Affiliations

Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience

Authors

Affiliations

Conflict of interest statement

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