• J Urban Health · Apr 2023

    Care and Complexity in Emergency Housing: an Examination of the COVID-19 Shelter-in-Place (SIP) Hotel Program to House People Experiencing Homelessness in San Francisco.

    • Elizabeth Abbs, Naomi Schoenfeld, Mason Lai, Shannon Satterwhite, Sara Zhou, Joshua Bamberger, and Barry Zevin.
    • San Francisco Department of Public Health, San Francisco, CA, USA. Elizabeth.abbs@sfdph.org.
    • J Urban Health. 2023 Apr 1; 100 (2): 303313303-313.

    AbstractIn this study, we consider the patient, provider, and public health repercussions of San Francisco's (SF) COVID-related response to homelessness using tourist hotels to house people experiencing homelessness (PEH). We describe the demographics, medical comorbidities, and healthcare utilization patterns of a subset of PEH who accessed the shelter-in-place (SIP) hotel sites during the 2020-2021 pandemic. We focus on how SIP hotels impacted connection to outpatient care and higher-cost emergency utilization. Our mixed methods study integrates qualitative and quantitative data to consider the impact of this temporary housing initiative among a medically complex cohort in a time of increased morbidity and mortality related to substance use. We found that temporary SIP housing increased outpatient care and reduced higher-cost hospital utilization. Our results can inform the future design and implementation of integrated supportive housing models to reduce mortality and promote wellness for PEH.© 2023. The Author(s).

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