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Cover page of When Care is Uncaring: Homelessness Stigma in Health Care and Mobile Medicine as a Model for Healing

When Care is Uncaring: Homelessness Stigma in Health Care and Mobile Medicine as a Model for Healing

(2024)

Qualitatively understand the factors contributing to the decision of PEH to seek or accept STI testing.

Cover page of Transgender Youth Experiencing Homelessness: Health Concerns, their Upstream Causes, and Protective Factors

Transgender Youth Experiencing Homelessness: Health Concerns, their Upstream Causes, and Protective Factors

(2024)

Clear health and mortality disparities exist both in transgenderpopulations and for youth experiencing homelessness (YEH).  Transgender youth are overrepresented within populations of YEH. 1 in 100 youth is transgender, but an estimated 1 in 11 youth experiencing homelessness is transgender.  No peer-reviewed research has yet explored the structural factors that underlie health disparities experienced bytransgender YEH.

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Cover page of Understanding How Patients with Congestive Heart Failure (CHF) Perceive the Value of Palliative Care Services

Understanding How Patients with Congestive Heart Failure (CHF) Perceive the Value of Palliative Care Services

(2023)

Patients with CHF seen by an interdisciplinary palliative care team have shown improvements in patients' quality of life, sympton burden, and mood. The Supportive Medicine Clinic (SMC) at UC Davis Health (UCDH) is a Palliative Care Clinic that is embedded in an academic cardiology practice and sees patients one day per week for sixty minutes.

Cover page of Utilizing ASAM CONTINUUM® at Rural FQHC to Identify Gaps in Addiction Services

Utilizing ASAM CONTINUUM® at Rural FQHC to Identify Gaps in Addiction Services

(2023)

20 million people in the USA struggled with asubstance use disorder (SUD) in 2020. SUD affects both rural and urban areas, but rural areas have fewer treatment resources. ASAM CONTINUUM® is an intake assessment tool created by the American Society of Addiction Medicine (ASAM) that helps evaluate SUD and recommend the appropriate level of care.

El Dorado Community Health Center has aLevel 1 SUD treatment clinic in rural NorthernCalifornia that implemented ASAM CONTINUUM®.

Cover page of TRAUMATIC RE-INJURY IN UNHOUSED INDIVIDUALS

TRAUMATIC RE-INJURY IN UNHOUSED INDIVIDUALS

(2023)

The impact of being unhoused on the likelihoodof being violently injured and reinjured (+financial burden) has become more significantas the unhoused population continues toincrease. Being unhoused is associated with an increased likelihood of being re-assaulted (recidivism) after an initial violent assault compared to the housed population.

Cover page of Impact of a Student-Run Free Clinic on Hepatitis B in the Asian-Underserved

Impact of a Student-Run Free Clinic on Hepatitis B in the Asian-Underserved

(2022)

Asian Americans make up 6% of the total United States population but account for up to 58% of individuals with Chronic Hepatitis B(CHB)1 . While guidelines are given for disease screening and management, there remains a gap between screening and linkage to care for those with limited resources or language barriers. The purpose of this study was to describe Paul Hom Asian Clinic’s protocol for Hepatitis B (HBV) screening and follow-up, characterize the population screened, and analyze clinical outcomes of the affected population.

Cover page of Challenges of Engaging At-Risk Youth in the Context of COVID-19: The Family and Me (FAM) Program

Challenges of Engaging At-Risk Youth in the Context of COVID-19: The Family and Me (FAM) Program

(2022)

Data were collected as part of an evaluation of the Family and Me (FAM) program, a family-based foster care pilot program for youth impacted by commercial sexual exploitation (CSE). The initial study was designed to assess changes in youth outcomes over time, but there has been minimal youth enrollment in the context of COVID-19. The research team developed a secondary research objective to better understand the challenges of engaging at-risk youth in the context of COVID-19.

Cover page of Understanding the Impact of COVID-19 on People Who Use Drugs in Sacramento County

Understanding the Impact of COVID-19 on People Who Use Drugs in Sacramento County

(2022)

During the COVID-19 outbreak, there was a surge in overdose-related deaths with the CDC estimating a 38.4% increase in opioid-related deaths and a 26.5% increase in cocaine-related deaths during June 2019-May 2020, when compared to the 12 months prior1. With subsequent surveillance data confirming this trend, it is evident that COVID-19 had a unique impact on people who use drugs (PWUD). However, the psychosocial, socioeconomic, and biopolitical effects of the pandemic on PWUD are poorly understood. The COVID-19 pandemic resulted in disruptions to illicit drug supplies in Canada, leading to increased use of contaminated and variably potent substances2. With social distancing guidelines in place, syringe service programs were deemed non-essential in many areas, effectively cutting off the supply of safe injection materials while contaminated drugs circulated. Given this background, it is necessary to better understand the ways COVID-19 has impacted the health and behaviors of PWUD. By engaging directly with PWUD in Sacramento County, this mixed-methods project aims to go to the source and address this important gap in knowledge.