Improving post-hospital care for people who are homeless: Community-based participatory research to community-based action

This article discusses how community-based participatory research (CBPR) on hospital care transitions in New Haven, Connecticut led to the development of a new medical respite program to better serve patients who are homeless. Key insights include:. •Homelessness is an important driver of hospital utilization and must be addressed in efforts to decrease hospital readmissions.•Hospitals and community organizations often serve a shared patient/client base and can work together to develop innovative programs that are beneficial to all parties.•Community-based participatory research methods are particularly conducive to producing research that is translatable to policy and new programs.•Targeted dissemination of research results played a pivotal role in securing resources and funding for the new program.