ArticleBMJ open2021
Barriers and facilitators to accessing health and social care services for people living in homeless hostels: a qualitative study of the experiences of hostel staff and residents in UK hostels.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Pooled it
- 'You can change your life through sports'-physical activity interventions to improve the health and well-being of adults experiencing homelessness: a mixed-methods systematic review.British journal of sports medicine · 2024Pooled it
- Trauma-informed palliative care: A systematic scoping review of evidence sources describing concepts relevant to an emerging field of practice.Palliative medicine · 2026Article
- "We need to keep in mind that battle fatigue": A commentary on moral injury among substance use treatment and community service providers.Journal of substance use and addiction treatment · 2026Article
- Barriers and facilitators of implementation of liver screening in an outreach-based care pathway for people experiencing homelessness and substance use disorders: a qualitative study of clinicians' and stakeholders' perspectives.Harm reduction journal · 2026Article
- 'No Foot, No Future': Lived Experiences of Foot Health and Care Access Among Rough-Sleeping Adults in a UK Coastal Community-A Qualitative Study.Journal of foot and ankle research · 2026Article
- Protocol for a mixed methods realist evaluation of the Intervention to optiMise Palliative caRe for peOple with liVed Experience of homelessness (IMPROVE).NIHR open research · 2026Article
- Healthcare access and perceived value of liver screening among people experiencing homelessness and substance use disorders: a qualitative study.BMC health services research · 2025Article
- The Experiences of Adults Experiencing Homelessness When Accessing and Using Psychosocial Interventions: A Systematic Review and Qualitative Evidence Synthesis.Campbell systematic reviews · 2025Review
- What are the training and support needs for homelessness hostel staff supporting older residents with memory and cognitive problems? A qualitative study.BMC health services research · 2025Article
- A critical examination of 'family' caregiving at the end of life in contexts of homelessness: Key concepts and future considerations.Palliative care and social practice · 2025Article
- The public health significance of prior homelessness: findings on multimorbidity and mental health from a nationally representative survey.Epidemiology and psychiatric sciences · 2024Article
- Hostel support workers' experiences navigating healthcare alongside people experiencing homelessness: a qualitative study in the UK.BMJ open · 2024Article
- Barriers and facilitators to health care access for people experiencing homelessness in four European countries: an exploratory qualitative study.International journal for equity in health · 2023Article
- A qualitative exploration of older people's lived experiences of homelessness and memory problems - stakeholder perspectives.BMC geriatrics · 2023Article
- Description of Otolaryngology (OTO) Disease in Houseless Patients on O'ahu, Hawai'i.Hawai'i journal of health & social welfare · 2023Article
- Unmet needs in street homeless people: a commentary on multiple interconnected needs in a vulnerable group.Future healthcare journal · 2023Article
- People living in homeless hostels: a survey of health and care needs.Clinical medicine (London, England) · 2023Article
- Health and care needs of hospitalised people experiencing homelessness: an inpatient audit.Clinical medicine (London, England) · 2023Article
- Street Clinics and the Healthcare of Vulnerable Homeless Communities in Brazil: A Qualitative Study.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
introductionThe number of people living in homeless hostels in the UK has steadily increased over the past decade. Despite people experiencing homelessness often having considerable health problems and a range of complex needs frequently in association with addictions, the experiences of hostel staff and residents especially in relation to accessing health and social care support have seldom been explored. The aim of this paper is to identify the barriers and facilitators to accessing health and social care services for people living in homeless hostels.
designExploratory qualitative baseline data were collected as part of an intervention to facilitate palliative care in-reach into hostels. SETTING/
participantsInterviews were conducted with 33 participants; 18 homeless hostel managers/support staff and 15 people experiencing homelessness, from six homeless hostels in London and Kent.
resultsThree themes were identified (1) internal and external service barriers to health and social care access due to stigma, lack of communication and information sharing from services and assumptions around capacity and the role of the hostel, (2) the impact of lack of health and social care support on hostel staff leading to burnout, staff going beyond their job role and continuous support given to residents, (3) potential facilitators to health and social care access such in-reach and support from those who understand this population and hostel staff training. DISCUSSION: Residents have multiple complex needs yet both hostel staff and residents face stigma and barriers accessing support from external services. Positive relationships were described between hostel residents and staff, which can be an essential step in engaging with other services. People experiencing homelessness urgently need better access to person-centred, trauma-informed support ideally via in-reach from people who understand the needs of the population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.