@article{e33928a87329459f8e6571b3f337599f,
title = "Development of a homelessness risk screening tool for emergency department patients",
abstract = "Objective: To develop a screening tool to identify emergency department (ED) patients at risk of entering a homeless shelter, which could inform targeting of interventions to prevent future homelessness episodes. Data sources: Linked data from (1) ED patient baseline questionnaires and (2) citywide administrative homeless shelter database. Study design: Stakeholder-informed predictive modeling utilizing ED patient questionnaires linked with prospective shelter administrative data. The outcome was shelter entry documented in administrative data within 6 months following the baseline ED visit. Exposures were responses to questions on homelessness risk factors from baseline questionnaires. Data collection/extraction methods: Research assistants completed questionnaires with randomly sampled ED patients who were medically stable, not in police/prison custody, and spoke English or Spanish. Questionnaires were linked to administrative data using deterministic and probabilistic matching. Principal findings: Of 1993 ED patients who were not homeless at baseline, 5.6% entered a shelter in the next 6 months. A screening tool consisting of two measures of past shelter use and one of past criminal justice involvement had 83.0% sensitivity and 20.4% positive predictive value for future shelter entry. Conclusions: Our study demonstrates the potential of using cross-sector data to improve hospital initiatives to address patients' social needs.",
keywords = "delivery of health care, emergency service, homeless persons, hospital, housing, social problems",
author = "Doran, {Kelly M.} and Eileen Johns and Sara Zuiderveen and Marybeth Shinn and Kinsey Dinan and Maryanne Schretzman and Lillian Gelberg and Dennis Culhane and Donna Shelley and Tod Mijanovich",
note = "Funding Information: The authors would like to thank the ED-CARES Research Assistants and the Research Stakeholder and Expert Advisory Panel. This research was supported by the National Institute on Drug Abuse of the National Institutes of Health (K23DA039179, PI Doran), the United Hospital Fund (PI Doran), and the Doris Duke Charitable Foundation—NYULMC through the Fund to Retain Clinical Scientists (PI Doran). The funders had no role in the conduct of the research or the writing of the manuscript. The content is solely the responsibility of the authors and does not represent the official views of any funder, organization, or government agency, including authors' places of employment. Funding Information: The authors would like to thank the ED‐CARES Research Assistants and the Research Stakeholder and Expert Advisory Panel. This research was supported by the National Institute on Drug Abuse of the National Institutes of Health (K23DA039179, PI Doran), the United Hospital Fund (PI Doran), and the Doris Duke Charitable Foundation—NYULMC through the Fund to Retain Clinical Scientists (PI Doran). The funders had no role in the conduct of the research or the writing of the manuscript. The content is solely the responsibility of the authors and does not represent the official views of any funder, organization, or government agency, including authors' places of employment. Publisher Copyright: {\textcopyright} 2021 Health Research and Educational Trust",
year = "2022",
month = apr,
doi = "10.1111/1475-6773.13886",
language = "English (US)",
volume = "57",
pages = "285--293",
journal = "Health Services Research",
issn = "0017-9124",
publisher = "Wiley-Blackwell",
number = "2",
}