ArticlePsychiatric services (Washington, D.C.)2016
Factors Affecting Emergency Department Use by a Chronically Homeless Population.
Article in Psychiatric services (Washington, D.C.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed.
- Trial
- Trial
- No Place to Rest: Housing Instability and Pain Experiences in the Emergency Department.Journal of emergency nursing · 2026Article
- Exploring the complexity of homelessness in emergency medicine: Dissecting myths, evidence, and solutions.AEM education and training · 2025Review
- Eviction and Poverty in American Cities.The quarterly journal of economics · 2024Article
- Emergency Department Use Among Recently Homeless Adults in a Nationally Representative Sample.The western journal of emergency medicine · 2023Article
- Associations Between Different Types of Housing Insecurity and Future Emergency Department Use Among a Cohort of Emergency Department Patients.Journal of health care for the poor and underserved · 2023Article
- What do Veterans with homeless experience want us to know that we are not asking? A qualitative content analysis of comments from a national survey of healthcare experience.Health & social care in the community · 2022Article
- The role of homelessness community based organizations during COVID-19.Journal of community psychology · 2022Article
- The relationship between outpatient service use and emergency department visits among people treated for mental and substance use disorders: analysis of population-based administrative data in British Columbia, Canada.BMC health services research · 2022Article
- Reduced rate of postpartum readmissions among homeless compared with non-homeless women in New York: a population-based study using serial, cross-sectional data.BMJ quality & safety · 2022Article
- A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021Article
- Predictors of Overnight and Emergency Treatment among Homeless Adults.International journal of environmental research and public health · 2020Article
- Exploring Quality of Primary Care for Patients Who Experience Homelessness and the Clinicians Who Serve Them: What Are Their Aspirations?Qualitative health research · 2020Article
- Comparing Unsheltered and Sheltered Homeless: Demographics, Health Services Use and Predictors of Health Services Use.Community mental health journal · 2020Article
- Health Care Spending And Use Among People Experiencing Unstable Housing In The Era Of Accountable Care Organizations.Health affairs (Project Hope) · 2020Article
- Violence and Emergency Department Use among Community-Recruited Women Who Experience Homelessness and Housing Instability.Journal of urban health : bulletin of the New York Academy of Medicine · 2020Article
- Motivational and cognitive correlates of community integration in homeless veterans entering a permanent supported housing program.The American journal of orthopsychiatry · 2020Article
- Factors associated with emergency department useamong veteran psychiatric patients.The Psychiatric quarterly · 2017Article
- Comprehensive services delivery and emergency department use among chronically homeless adults.Psychological services · 2017Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectiveHomeless adults make extensive use of emergency department (ED) services. This study examined factors associated with moderate and high ED use in a cohort of chronically homeless individuals.
methodsA cross-sectional analysis identified factors related to ED use in a cohort of 755 individuals at 11 sites at entry into the Collaborative Initiative to Help End Chronic Homelessness (CICH). Bivariate analyses identified sociodemographic, housing status, health status, and service-related factors associated with moderate and high ED use. Independent risk factors were then identified by using a multivariate multinomial model. Hierarchical regression was used to compare the strengths of association between ED use and blocks of factors composed of sociodemographic, housing, health, and service-related characteristics.
resultsIn a three-month period, 30% of participants visited the ED one or two times (moderate ED use) and 12% visited three or more times (high-ED use). ED use was most strongly associated with poor health and utilization of other non-ED services and to a lesser extent with housing status.
conclusionsIncreased ED utilization was associated with both general medical and psychiatric morbidity and greater use of non-ED services. Thus ED use was related to high need and acuity and was not ameliorated by use of other services. Housing instability and homelessness contributed less robustly to increased ED use. More coordinated services may better address the complex medical, housing, and psychosocial needs of chronically homeless individuals.
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