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What Every Health Care Provider Should Know
Catherine Karr, MD
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What about homeless children?
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How many children
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How can I identify
families & children at risk?
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Lack of affordable housing:
The gap between the number of affordable
housing units and the number of people who
need them is the largest on record ³ 5.4
million units
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Mental Illness:
Õn important risk factor for homelessness
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Mental Illness:
Õn under-treated problem
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Õlcohol and drug abuse
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Substance abuse
plays an important role in single parent families
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Hospitalization
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Homeless children
often have multiple health problems
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Infectious Disease
Infectious Disease
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Infectious Disease:
Õcute Otitis Media
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Infectious Disease:
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Lead
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Mental Health
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Mental Health
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Depression:
Õ summary of studies reporting performance on the Children·s
Depression Inventory - School-Õged Children
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Behavior Problems:
Children·s performance on the Behavior
Problems Index
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Behavior Problems:
Reported performance on the Child Behavior Checklist -
Homeless School-aged Children
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More problems in males. Mean scores were comparable to
Compared to normative data: population means.
Homeless males had statistically
significantly higher scores for
total behavior and subcategories
of externalizing, uncommunicative,
and obsessive-compulsive
behavior.
No statistically significant
differences for homeless females.
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Behavior Problems:
Reported performance on the Child Behavior Checklist ²
Pre-School Children
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Denver Developmental
Screening Test Results
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Psychometric testing
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Nutrition & Growth
Nutrition & Growth
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Õccess
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Õnemia
Õnemia
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Õccess to Dental Care
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Immunization Delay
Immunization delay
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Õsthma
Õsthma rates
increase with poverty
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Vision
Problems with vision
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Child Õbuse
Child Õbuse
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Families reporting
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www.hchirc.com
Web site supported by Health Resources & Service Õdministration,
U.S. Department of Health & Human Services
Includes state-based directory of health care for the homeless
projects
Links to federal agencies, national and student organizations
Links to hotlines including domestic violence and crisis lines
Finding resources
Web-based information
www.nhchc.org
Web site for membership organization serving health care providers working
with homeless people across the U.S.
Features numerous publications including Healing Kids: the pediatric interest
group update
Includes sections on training, research, public policy and advocacy
Links to other organizations and agencies serving homeless populations
Finding resources
Print-based information
No place to call home: Overview of outreach and primary
health care services for the Homeless Children·s Program.
2001. (Health Care for the Homeless Information Resource
Center; phone 1 888-439-3300)
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