CAEP position statement on improving emergency care for persons experiencing homelessness: executive summary

Edward C Xie^{1

2}, Kathryn Chan³, Jaspreet K Khangura^{4

5}, Justin Jek-Kahn Koh⁶, Aaron M Orkin^{7

8}, Hasan Sheikh^{9

10}, Kate Hayman^{9

11}, Sahil Gupta¹², Thara Kumar^{5

13

14}, Jennifer Hulme^{15

16}, May Mrochuk⁴, Kathryn Dong^{5

17}

Affiliations

¹ Department of Family & Community Medicine, Division of Emergency Medicine, University Health Network, Toronto General Hospital Research Institute, University of Toronto, Toronto, ON, Canada. edward.xie@utoronto.ca.
² Emergency Department, RFE Building, Toronto General Hospital, Toronto, ON, Canada. edward.xie@utoronto.ca.
³ Division of Emergency Medicine, McMaster University, Hamilton, ON, Canada.
⁴ Department of Emergency Medicine, Royal Alexandra Hospital, University of Alberta, Edmonton, AB, Canada.
⁵ Department of Emergency Medicine, University of Alberta, Edmonton, AB, Canada.
⁶ Department of Emergency Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
⁷ Department of Family and Community Medicine, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
⁸ Department of Emergency Medicine, St Joseph's Health Centre, Unity Health Toronto, Inner City Health Associates, Toronto, ON, Canada.
⁹ Division of Emergency Medicine, University Health Network, Toronto, ON, Canada.
¹⁰ Department of Family & Community Medicine, University of Toronto, Toronto, ON, Canada.
¹¹ Department of Medicine, University of Toronto, Toronto, ON, Canada.
¹² Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
¹³ Medical Officer of Health, Central Zone, Alberta, Canada.
¹⁴ Department of Emergency Medicine, University of Calgary, Calgary, AB, Canada.
¹⁵ Department of Family and Community Medicine, University Health Network, Toronto General Hospital Research Institute, University of Toronto, Toronto, ON, Canada.
¹⁶ Toronto General Hospital, 200 Elizabeth Street, R. Fraser Elliott Building, Ground Floor, Room 480, Toronto, ON, M5G 2C4, Canada.
¹⁷ B804 Women's Centre, Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, AB, T5H 3V9, Canada.

PMID: 35389188
PMCID: PMC8988109
DOI: 10.1007/s43678-022-00303-2

Review

CAEP position statement on improving emergency care for persons experiencing homelessness: executive summary

Edward C Xie et al. CJEM. 2022 Jun.

. 2022 Jun;24(4):369-375.

doi: 10.1007/s43678-022-00303-2. Epub 2022 Apr 7.

Authors

Affiliations

¹ Department of Family & Community Medicine, Division of Emergency Medicine, University Health Network, Toronto General Hospital Research Institute, University of Toronto, Toronto, ON, Canada. edward.xie@utoronto.ca.
² Emergency Department, RFE Building, Toronto General Hospital, Toronto, ON, Canada. edward.xie@utoronto.ca.
³ Division of Emergency Medicine, McMaster University, Hamilton, ON, Canada.
⁴ Department of Emergency Medicine, Royal Alexandra Hospital, University of Alberta, Edmonton, AB, Canada.
⁵ Department of Emergency Medicine, University of Alberta, Edmonton, AB, Canada.
⁶ Department of Emergency Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
⁷ Department of Family and Community Medicine, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
⁸ Department of Emergency Medicine, St Joseph's Health Centre, Unity Health Toronto, Inner City Health Associates, Toronto, ON, Canada.
⁹ Division of Emergency Medicine, University Health Network, Toronto, ON, Canada.
¹⁰ Department of Family & Community Medicine, University of Toronto, Toronto, ON, Canada.
¹¹ Department of Medicine, University of Toronto, Toronto, ON, Canada.
¹² Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
¹³ Medical Officer of Health, Central Zone, Alberta, Canada.
¹⁴ Department of Emergency Medicine, University of Calgary, Calgary, AB, Canada.
¹⁵ Department of Family and Community Medicine, University Health Network, Toronto General Hospital Research Institute, University of Toronto, Toronto, ON, Canada.
¹⁶ Toronto General Hospital, 200 Elizabeth Street, R. Fraser Elliott Building, Ground Floor, Room 480, Toronto, ON, M5G 2C4, Canada.
¹⁷ B804 Women's Centre, Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, AB, T5H 3V9, Canada.

PMID: 35389188
PMCID: PMC8988109
DOI: 10.1007/s43678-022-00303-2

No abstract available

Keywords: Disadvantaged populations; Emergency medicine; Homelessness; Patient safety; Quality improvement.

PubMed Disclaimer

Conflict of interest statement

No funding was provided for this manuscript. Edward C. Xie received reimbursement for costs as an executive member of Global Health Emergency Medicine, a non-profit academic institution based at University Health Network, Toronto. Kathryn Chan declares no potential conflicts of interest. Jaspreet K. Khangura is co-lead of the health equity working group and a member of the anti-racism / colonialism committee of the Canadian Association of Emergency Physicians and a member of the EZMSA opiate poisoning crisis committee. She is a research scientist in health equity at the University of Alberta. Justin Jek-Kahn Koh declares no potential conflicts of interest. Aaron M. Orkin declares no potential conflicts of interest. Hasan Sheikh declares no potential conflicts of interest. Kate Hayman receives a stipend from the UHN Emergency Department as a "Disadvantaged Populations Co-Lead". In 2020–21, she was also employed by Inner City Health Associates, Toronto. Sahil Gupta is the lead of the health equity working group of the Canadian Association of Emergency Physicians. Thara Kumar declares no potential conflicts of interest. Jennifer Hulme is a co-director of Global Health Emergency Medicine and receives a stipend from the UHN Emergency Department as a "Disadvantaged Populations Co-Lead". May Mrochuk declares no potential conflicts of interest. Kathryn Dong has received research support from the Canadian Research Initiative in Substance Misuse, committee honoraria from the College of Physicians and Surgeons of Alberta and the Edmonton Zone Medical Staff Association, and receives a medical leadership salary from Alberta Health Services.

Figures

**Fig. 1**
Summary of interventions along the care pathway

See this image and copyright information in PMC

References

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1. Aldridge RW, Story A, Hwang SW, Nordentoft M, Luchenski SA, Hartwell G, et al. Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries: a systematic review and meta-analysis. The Lancet. 2018;391(10117):241–250. doi: 10.1016/S0140-6736(17)31869-X. - DOI - PMC - PubMed
1. Fazel S, Geddes JR, Kushel M. The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. The Lancet. 2014;384(9953):1529–1540. doi: 10.1016/S0140-6736(14)61132-6. - DOI - PMC - PubMed

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CAEP position statement on improving emergency care for persons experiencing homelessness: executive summary

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CAEP position statement on improving emergency care for persons experiencing homelessness: executive summary

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Conflict of interest statement

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