Abstracts
Abstract
Despite the benefits of palliative and end-of-life (PEOL) care for individuals with serious and terminal illness, barriers to accessing this form of care persist among adults experiencing homelessness. Seriously ill unhoused individuals die at younger ages than stably housed individuals, are less likely to be receiving comprehensive care, and are more likely to die in unsupportive settings. Strengthening the evidence base for PEOL interventions for adults experiencing homelessness may help inform the development and implementation of future programs, ultimately improving this population’s access to PEOL care. The objective of this mixed-methods systematic review is to summarize the literature of PEOL interventions and programs for unhoused adults and identify barriers and facilitators for developing, implementing, and maintaining these interventions. Six databases and gray literature were searched to identify programs between December 2023 and February 2025. The search produced 407 articles; 30 met inclusion criteria and were assessed and synthesized using a convergent integrated approach. A total of 21 unique programs were described across the articles, including interventions focused on advanced care planning, service provider support, mobile palliative care, fixed-site services, and systemic strategies. Common barriers for program success included lack of funding or staff support, lack of buy-in from participating providers, an overall lack of resources available for unhoused individuals, and insufficient engagement with unhoused communities. Conversely, multi-agency and cross-disciplinary collaboration, community support, workforce training and support, and financial or organizational support were commonly identified as facilitators for program success. More financial and organization support are needed for the successful development and long-term success of PEOL programs for people experiencing homelessness. Future research should use implementation science to identify best practices for the development, implementation, and maintenance of evidence-based PEOL programs.
Keywords:
- palliative care,
- hospice,
- end-of-life,
- homelessness,
- systematic review
Appendices
Bibliography
- Appelbaum, E., Curchin, E., & Batt, R. (July 2024). Structural determinants of health: Hospitals' unequal capital investments drive health inequities. Center for Economic and Policy Research. https://cepr.net/publications/structural-determinants-of-health-hospitals-unequal-capital-investments-drive-health-inequities/Google Scholar Search this bibliographic reference on Google Scholar
- Armstrong, M., Shulman, C., Hudson, B., Brophy, N., Daley, J., Hewett, N., & Stone, P. (2021). The benefits and challenges of embedding specialist palliative care teams within homeless hostels to enhance support and learning: Perspectives from palliative care teams and hostel staff. Palliative Medicine, 35(6), 1202–1214. https://doi.org/10.1177/0269216321100631810.1177/02692163211006318 Google Scholar Search this bibliographic reference on Google Scholar
- Bassuk, E.L., Latta, R. E., Sember, R., MA, Raja, S., & Richard, M. (2017). Universal design for underserved populations: Person-centered, recovery-oriented and trauma informed. Journal of Health Care for the Poor and Underserved, 28(3), 896-914. https://doi.org/10.1353/hpu.2017.008710.1353/hpu.2017.0087 Google Scholar Search this bibliographic reference on Google Scholar
- Bensken, W.P., Krieger, N.I., Berg, K. A., Einstadter, D., Dalton, J. E., & Perzynski, A. T. (2021). Health status and chronic disease burden of the homeless population: An analysis of two decades of multi-institutional electronic medical records. Journal of Health Care for the Poor and Underserved, 32(3), 1619-1634. https://doi.org/10.1353/hpu.2021.015310.1353/hpu.2021.0153 Google Scholar Search this bibliographic reference on Google Scholar
- Breen, J. (2022). Caring work, women’s work, essential work: Reconsidering comparable worth as an approach to pay equity for care workers. Berkeley Journal of Employment and Labor Law, 43(2), 311-359. https://doi.org/10.15779/Z38QV3C49HGoogle Scholar Search this bibliographic reference on Google Scholar
- Brown, R.T., Evans, J.L., Valle, K., Guzman, D., Chen, Y. H., & Kushel, M. B. (2022). Factors associated with mortality among homeless older adults in California: The HOPE HOME Study. JAMA Internal Medicine, 182(10), 1052–1060. https://doi.org/10.1001/jamainternmed.2022.369710.1001/jamainternmed.2022.3697 Google Scholar Search this bibliographic reference on Google Scholar
- Byrne, T., Doran, K.M., Kuhn, R., Metraux, S., Schretzman, M., Treglia, D., & Culhane, D. P. (2024). Persistence of a birth cohort effect in the US among the adult homeless population. JAMA Network Open, 7(12), e2452163-e2452163. https://doi.org/10.1001/jamanetworkopen.2024.5216310.1001/jamanetworkopen.2024.52163 Google Scholar Search this bibliographic reference on Google Scholar
- Canham, S. L., Weldrick, R., Erisman, M., McNamara, A., Rose, J. N., Siantz, E., ... & McFarland, M. M. (2024). A scoping review of the experiences and outcomes of stigma and discrimination towards persons experiencing homelessness. Health and Social Care in the Community, 2024(1), 2060619. https://doi.org/10.1155/2024/206061910.1155/2024/2060619 Google Scholar Search this bibliographic reference on Google Scholar
- Center to Advance Palliative Care (n.d.). About palliative care. https://www.capc.org/about/palliative-care/Google Scholar Search this bibliographic reference on Google Scholar
- Connor, S.R., Centeno, C., Garralda, E., Clelland, D., & Clark, D. (2021). Estimating the number of patients receiving specialized palliative care globally in 2017. Journal of Pain and Symptom Management, 61(4), 812-816. https://doi.org/10.1016/j.jpainsymman.2020.09.03610.1016/j.jpainsymman.2020.09.036 Google Scholar Search this bibliographic reference on Google Scholar
- Cortez, D.M., Harding, K., Koutouratsas, L., Pietras, C., & Meyer, J. (2017). Advance care planning for the homeless: A community collaboration. Narrative Inquiry in Bioethics, 7(1), E14–E15. https://doi.org/10.1353/nib.2017.002810.1353/nib.2017.0028 Google Scholar Search this bibliographic reference on Google Scholar
- Courtright, K.R., Madden, V., Bayes, B., Chowdhury, M., Whitman, C., Small, D. S., Harhay, M. O., Parra, S., Cooney-Zingman, E., Ersek, M., Escobar, G. J., Hill, S. H., & Halpern, S. D. (2024). Default palliative care consultation for seriously ill hospitalized patients: A pragmatic cluster randomized trial. JAMA, 331(3), 224–232. https://doi.org/10.1001/jama.2023.2509210.1001/jama.2023.25092 Google Scholar Search this bibliographic reference on Google Scholar
- Coverdale, M.R. & Murtagh, F. (2024). Destitute and dying: Interventions and models of palliative and end of life care for homeless adults - A systematic review. BMJ Supportive and Palliative Care, 14(e3), e2411–e2422. https://doi.org/10.1136/spcare-2024-00488310.1136/spcare-2024-004883 Google Scholar Search this bibliographic reference on Google Scholar
- Covidence systematic review software. (2022). Veritas Health Innovation, Melbourne, Australia. www.covidence.org.Google Scholar Search this bibliographic reference on Google Scholar
- Crooks, J., Flemming, K., Shulman, C., & Hudson, B. (2024). Understanding aims, successes and challenges of palliative care and homelessness initiatives across the UK: An exploratory study. BMJ Open, 14(1), e075498. https://doi.org/10.1136/bmjopen-2023-07549810.1136/bmjopen-2023-075498 Google Scholar Search this bibliographic reference on Google Scholar
- Doty, P. (July 2023). Cash and counseling: Self-directed home and community long-term care. InterAmerican Development Bank (IDB). https://publications.iadb.org/publications/english/document/Cash-and-Counseling-Self-directed-home-and-community-long-term-care.pdf10.18235/0004857 Google Scholar Search this bibliographic reference on Google Scholar
- Dubbert, P.M., Garner, K. K., Lensing, S., White, J. G., & Sullivan, D. H. (2017). Engagement in steps of advance health care planning by homeless veterans. Psychological Services, 14(2), 214–220. https://doi.org/10.1037/ser000014710.1037/ser0000147 Google Scholar Search this bibliographic reference on Google Scholar
- Franco, A., Meldrum, J. & Ngaruiya, C. (2021). Identifying homeless population needs in the emergency department using community-based participatory research. BMC Health Services Research 21(1), 428. https://doi.org/10.1186/s12913-021-06426-z10.1186/s12913-021-06426-z Google Scholar Search this bibliographic reference on Google Scholar
- Glasgow, R. E., Vogt, T.M., & Boles, S.M. (2011). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health 89(9). 1322-1327. https://doi.org/10.2105/AJPH.89.9.132210.2105/AJPH.89.9.1322 Google Scholar Search this bibliographic reference on Google Scholar
- Håkanson, C., Sandberg, J., Ekstedt, M., Kenne Sarenmalm, E., Christiansen, M., & Öhlén, J. (2016). Providing palliative care in a Swedish support home for people who are homeless. Qualitative Health Research, 26(9), 1252–1262. https://doi.org/10.1177/104973231558850010.1177/1049732315588500 Google Scholar Search this bibliographic reference on Google Scholar
- Heyer, K.E. (2023). Enfleshing the work of social production: Gender, race, and agency. Journal of Moral Theology, 12(1), 81-107. https://doi.org/10.55476/001c.7519510.55476/001c.75195 Google Scholar Search this bibliographic reference on Google Scholar
- Hong, Q.N., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M.-P., Griffiths, F., Nicolau, B., O’Cathain, A., Rousseau, M.-C., Vedel, I., & Pluye, P. (2018). The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information, 34(4), 285-291. https://doi.org/10.3233/EFI-18022110.3233/EFI-180221 Google Scholar Search this bibliographic reference on Google Scholar
- Hotchkiss, M., Rice, E., & Blosnich, J. R. (2024). Housing insecurity and government housing support utilization among a nationally representative sample of transgender and gender non-conforming adults. Journal of Social Distress and Homelessness, 1-8. https://doi.org/10.1080/10530789.2024.242629010.1080/10530789.2024.2426290 Google Scholar Search this bibliographic reference on Google Scholar
- Housing ACCESS Act, S.292, 118th Cong. (2023). https://www.congress.gov/bill/118th-congress/senate-bill/2932/all-actionsGoogle Scholar Search this bibliographic reference on Google Scholar
- Ingle, M.P., Cutforth, A., Hasche, L., & Matatall, E.K. (2025). Centering humanizing, individualized care amidst systemic barriers: A qualitative exploration of provider approaches to palliative and end-of-life care for unhoused adults. Health and Social Care in the Community, 2025(6631688), 1-13. https://doi.org/10.1155/hsc/663168810.1155/hsc/6631688 Google Scholar Search this bibliographic reference on Google Scholar
- Jensen, F.B., Supiano, K.P., Towsley, G. L., Ellington, L., & Cloyes, K. G. (2023). Experiences of homeless recipients of social model hospice care: A photovoice exploration. Journal of Hospice and Palliative Nursing,25(5), E71–E84.https://doi.org/10.1097/NJH.000000000000096310.1097/NJH.0000000000000963 Google Scholar Search this bibliographic reference on Google Scholar
- Jensen, F.B. & Thorpe, D. (2024). Social model hospice: Providing hospice and palliative care for a homeless population in Salt Lake City, Utah. Journal of Hospice and Palliative Nursing, 26(2), 91-97. https://doi.org/10.1097/NJH.000000000000100010.1097/NJH.0000000000001000 Google Scholar Search this bibliographic reference on Google Scholar
- Johnson, I.M., Doran, R., Sullivan, N., Enich, M., & Light, M. A. (2024). Becoming housed during palliative care enrollment: Identifying drivers, deterrents, and directions for future care. International Journal of Environmental Research and Public Health, 21(12), 1596. https://doi.org/10.3390/ijerph2112159610.3390/ijerph21121596 Google Scholar Search this bibliographic reference on Google Scholar
- Johnson, I.M. & Harborview Medical Center’s Homeless Palliative Care Team (2023). Homelessness, aging, and serious illness in King County. UW Medicine. https://give.uwmedicine.org/wp-content/uploads/2023/10/HPC-Report_FINAL_10.2.2023-002.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Johnson, I.M. & Light, M.A. (2023). Pathways of individuals experiencing serious illness while homeless: An exploratory 4-point typology from the RASCAL-UP Study. Journal of Social Work in End-of-Life and Palliative Care, 19(3), 209–228. https://doi.org/10.1080/15524256.2023.222377210.1080/15524256.2023.2223772 Google Scholar Search this bibliographic reference on Google Scholar
- Johnson, I.M., Traver, A. C., & Light, M. A. (2024). Resident care in the “in-between time”: Cross-sector perspectives on enhancing synergy between palliative care and permanent supportive housing. Journal of Health and Human Services Administration, 47(3-4), 76-88. https://doi.org/10.1177/1079373924125322210.1177/10793739241253222 Google Scholar Search this bibliographic reference on Google Scholar
- Jones, A.L., Hausmann, L. R., Kertesz, S. G., Suo, Y., Cashy, J. P., Mor, M. K., ... & Gundlapalli, A. V. (2019). Providing positive primary care experiences for homeless veterans through tailored medical homes: The Veterans Health Administration’s homeless patient aligned care teams. Medical Care, 57(4), 270-278. https://doi.org/10.1097/MLR.000000000000107010.1097/MLR.0000000000001070 Google Scholar Search this bibliographic reference on Google Scholar
- Jones, T., Nedjat-Haiem, F., & Bullock, K. (2022). Health equity in palliative care. in Altilio, Otis-Green, & Cagle. (2nd Eds). The Oxford Textbook of Palliative Social Work, 14. https://doi.org/10.1093/med/9780197537855.001.000110.1093/med/9780197537855.001.0001 Google Scholar Search this bibliographic reference on Google Scholar
- Kamimura, A., Panahi, S., Kang, A., Whitesitt, K. C., Ashby, J., & Olmsted, J. (2023). Volunteer experiences at a hospice for homeless individuals during the COVID-19 pandemic. Progress in Palliative Care, 31(6), 346–351. https://doi.org/10.1080/09699260.2023.224179110.1080/09699260.2023.2241791 Google Scholar Search this bibliographic reference on Google Scholar
- Kaplan-Weisman, L., Sansone, S., Walter, E., & Crump, C. (2020). Feasibility of advance care planning in primary care for homeless adults. Journal of Aging and Health, 32(7-8), 880–891. https://doi.org/10.1177/089826431986242010.1177/0898264319862420 Google Scholar Search this bibliographic reference on Google Scholar
- Kaplan-Weisman, L., Tam, J., & Crump, C. (2019). Utilization of advance care planning for homeless adults: Case studies. Journal of Urban Health, 96(5), 726–733. https://doi.org/10.1007/s11524-019-00369-x10.1007/s11524-019-00369-x Google Scholar Search this bibliographic reference on Google Scholar
- Kennedy, P., Sarafi, C., & Greenish, W. (2013). Homelessness and end of life care–practical information and tools to support the needs of homeless people who are approaching the end of life, and those who are bereaved. Marie Curie Cancer Care and St. Mungo’s. https://www.mariecurie.org.uk/globalassets/media/documents/commissioning-our-services/current-partnerships/homeless_report.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Kertesz, S.G., deRussy, A. J., Kim, Y. I., Hoge, A. E., Austin, E. L., Gordon, A. J., ... & Jones, A. L. (2021). Comparison of patient experience between primary care settings tailored for homeless clientele and mainstream care settings. Medical Care, 59(6), 495-503. https://doi.org/10.1097/MLR.000000000000154810.1097/MLR.0000000000001548 Google Scholar Search this bibliographic reference on Google Scholar
- Kiser, T. & Hulton, L. (2018). Addressing health care needs in the homeless population: A new approach using participatory action research. Sage Open, 8(3), 2158244018789750. https://doi.org/10.1177/215824401878975010.1177/2158244018789750 Google Scholar Search this bibliographic reference on Google Scholar
- Klein, H., Radwany, S., Palmisano, B., & Thompson, C. (2025). No one dies alone: Developing a comfort care home for unhoused, isolated, and vulnerable individuals. Journal of Palliative Medicine, 28(3), 298–301. https://doi.org/10.1089/jpm.2024.019210.1089/jpm.2024.0192 Google Scholar Search this bibliographic reference on Google Scholar
- Klop, H.T., de Veer, A. J. E., Gootjes, J. R. G., Groot, M., Rietjens, J. A. C., & Onwuteaka-Philipsen, B. D. (2022). Implementation of a threefold intervention to improve palliative care for persons experiencing homelessness: A process evaluation using the RE-AIM framework. BMC Palliative Care, 21(1), 192. https://doi.org/10.1186/s12904-022-01083-310.1186/s12904-022-01083-3 Google Scholar Search this bibliographic reference on Google Scholar
- Klop, H.T., de Veer, A. J. E., Gootjes, J. R. G., van de Mheen, D., van Laere, I. R., Slockers, M. T., & Onwuteaka-Philipsen, B. D. (2022). Evaluating the perceived added value of a threefold intervention to improve palliative care for persons experiencing homelessness: A mixed-method study among social service and palliative care professionals. BMC Palliative Care, 21(1), 112. https://doi.org/10.1186/s12904-022-01000-810.1186/s12904-022-01000-8 Google Scholar Search this bibliographic reference on Google Scholar
- Klop, H.T., van Dongen, S. I., Francke, A. L., de Veer, A. J., Rietjens, J. A., Gootjes, J. R., & Onwuteaka-Philipsen, B. D. (2018). The views of homeless people and health care professionals on palliative care and the desirability of setting up a consultation service: a focus group study. Journal of Pain and Symptom Management, 56(3), 327-336. https://doi.org/10.1016/j.jpainsymman.2018.05.02610.1016/j.jpainsymman.2018.05.026 Google Scholar Search this bibliographic reference on Google Scholar
- Knox, M. (2022). Design-related impacts on end-of-life experience: A brief report of findings from an exploratory qualitative study. American Journal of Hospice and Palliative Medicine, 0(0), 1-8. https://doi.org/10.1177/1049909122112920310.1177/10499091221129203 Google Scholar Search this bibliographic reference on Google Scholar
- Lepore, M.J., & McMullen, T. (2025). Older adult health and well-being in the context of population aging: Opportunities and challenges for policy and practice. Public Policy and Aging Report, 35(1), 1-2. https://doi.org/10.1093/ppar/praf00210.1093/ppar/praf002 Google Scholar Search this bibliographic reference on Google Scholar
- Leung, A.K., Nayyar, D., Sachdeva, M., Song, J., & Hwang, S. W. (2015). Chronically homeless persons' participation in an advance directive intervention: A cohort study. Palliative Medicine, 29(8), 746–755. https://doi.org/10.1177/026921631557567910.1177/0269216315575679 Google Scholar Search this bibliographic reference on Google Scholar
- Leung, A.K., To, M. J., Luong, L., Vahabi, Z. S., Gonçalves, V. L., Song, J., & Hwang, S. W. (2017). The effect of advance directive completion on hospital care among chronically homeless persons: A prospective cohort study. Journal of Urban health, 94(1), 43–53. https://doi.org/10.1007/s11524-016-0105-210.1007/s11524-016-0105-2 Google Scholar Search this bibliographic reference on Google Scholar
- May, P., Normand, C., Cassel, J. B., Del Fabbro, E., Fine, R. L., Menz, R., Morrison, C. A., Penrod, J. D., Robinson, C., & Morrison, R. S. (2018). Economics of palliative care for hospitalized adults with serious illness: A meta-analysis. JAMA Internal Medicine, 178(6), 820–829. https://doi.org/10.1001/jamainternmed.2018.075010.1001/jamainternmed.2018.0750 Google Scholar Search this bibliographic reference on Google Scholar
- McNeil, R., Guirguis-Younger, M., Dilley, L. B., Aubry, T. D., Turnbull, J., & Hwang, S. W. (2012). Harm reduction services as a point-of-entry to and source of end-of-life care and support for homeless and marginally housed persons who use alcohol and/or illicit drugs: A qualitative analysis. BMC Public Health, 12, 312. https://doi.org/10.1186/1471-2458-12-31210.1186/1471-2458-12-312 Google Scholar Search this bibliographic reference on Google Scholar
- Moore, H., Bablitz, C., Santos Salas, A., Morris, H., Sinnarajah, A., & Watanabe, S. M. (2024). Describing the characteristics and symptom profile of a group of urban patients experiencing socioeconomic inequity and receiving palliative care: A descriptive exploratory analysis. Palliative Care and Social Practice, 18, 26323524241264880. https://doi.org/10.1177/2632352424126488010.1177/26323524241264880 Google Scholar Search this bibliographic reference on Google Scholar
- Morrow-Howell, N., Backes, K., O ‘Neill, G., & Greenfield, J. C. (2018). Volunteering in later life: Policies and programs to support a resilient aging society. Resilience in Aging: Concepts, Research, and Outcomes, 171-189. https://doi.org/10.1007/978-3-030-04555-5_910.1007/978-3-030-04555-5_9 Google Scholar Search this bibliographic reference on Google Scholar
- National Consensus Project for Quality Palliative Care. (2018). Clinical practice guidelines for quality palliative care, 4th edition. Richmond, VA: National Coalition for Hospice and Palliative Care. https://www.nationalcoalitionhpc.org/ncp-guidelines/Google Scholar Search this bibliographic reference on Google Scholar
- National Low-Income Housing Coalition (14 Nov 2025). Trump administration releases CoC funding notice drastically cutting funding for permanent housing and putting 170,000 people at risk of homelessness. https://nlihc.org/resource/trump-administration-releases-coc-funding-notice-drastically-cutting-funding-permanent#:~:text=Share,the%20country%20and%20increase%20homelessness.Google Scholar Search this bibliographic reference on Google Scholar
- Nelson, K.E., Wright, R., Peeler, A., Brockie, T., & Davidson, P. M. (2021). Sociodemographic disparities in access to hospice and palliative care: An integrative review. American Journal of Hospice and Palliative Medicine, 38(11), 1378-1390. https://doi.org/10.1177/104990912098541910.1177/1049909120985419 Google Scholar Search this bibliographic reference on Google Scholar
- Nuti, S.V., Johnson, A.K., & Long, T. (2025). Population-based payments to deliver health care to unhoused individuals. JAMA Health Forum, 6(3):e250004. doi:10.1001/jamahealthforum.2025.000410.1001/jamahealthforum.2025.0004 Google Scholar Search this bibliographic reference on Google Scholar
- Patanwala, M., Tieu, L., Ponath, C., Guzman, D., Ritchie, C. S., & Kushel, M. (2018). Physical, psychological, social, and existential symptoms in older homeless-experienced adults: An observational study of the HOPE Home cohort. Journal of General Internal Medicine, 33(5), 635–643. https://doi.org/10.1007/s11606-017-4229-110.1007/s11606-017-4229-1 Google Scholar Search this bibliographic reference on Google Scholar
- Petruik, C., & Colgan, S. (2022). Extending palliative approaches to care beyond the mainstream health care system: An evaluation of a small mobile palliative care team in Calgary, Alberta, Canada. Palliative Medicine Reports, 3(1), 87–95. https://doi.org/10.1089/pmr.2021.005910.1089/pmr.2021.0059 Google Scholar Search this bibliographic reference on Google Scholar
- Podymow, T., Turnbull, J., & Coyle, D. (2006). Shelter-based palliative care for the homeless terminally ill. Palliative Medicine, 20(2), 81–86. https://doi.org/10.1191/0269216306pm1103oa10.1191/0269216306pm1103oa Google Scholar Search this bibliographic reference on Google Scholar
- Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., & Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health, 38(2), 65–76. https://doi.org/10.1007/s10488-010-0319-710.1007/s10488-010-0319-7 Google Scholar Search this bibliographic reference on Google Scholar
- Rajaram, A., Morey, T., Shah, S., Dosani, N., & Mamdani, M. (2020). Providing data-driven equitable palliative and end-of-life care for structurally vulnerable populations: A pilot survey of information management strategies. The American Journal of Hospice and Palliative Care, 37(4), 244–249. https://doi.org/10.1177/104990911987275610.1177/1049909119872756 Google Scholar Search this bibliographic reference on Google Scholar
- Ramamonjiarivelo, Z., Renick, O., & Osborne, R. (2021). Intergenerational service learning: A way to increase cultural competency and decrease ageism. Journal of Health Administration Education, 38(3), 785-808. https://www.proquest.com/scholarly-journals/intergenerational-service-learning-way-increase/docview/2615646966/se-2Google Scholar Search this bibliographic reference on Google Scholar
- Robinson, L., Trevors Babici, L., Tedesco, A., Spaner, D., Morey, T., & Dosani, N. (2023). Assessing the impact of a health navigator on improving access to care and addressing the social needs of palliative care patients experiencing homelessness: A service evaluation. Palliative Medicine, 37(4), 646–651. https://doi.org/10.1177/0269216322114681210.1177/02692163221146812 Google Scholar Search this bibliographic reference on Google Scholar
- Rollans, C., Baek, J., Bloch, G., Nyhof-Young, J., Morey, T., Dosani, N., & Spaner, D. (2023). Exploring the barriers and facilitators experienced by palliative health care providers working with patients experiencing homelessness during the COVID-19 pandemic. Palliative Medicine Reports, 4(1), 3–8. https://doi.org/10.1089/pmr.2022.005110.1089/pmr.2022.0051 Google Scholar Search this bibliographic reference on Google Scholar
- Schneider, E., & Dosani, N. (2021). Retrospective study of a Toronto-based palliative care program for individuals experiencing homelessness. Journal of Palliative Medicine, 24(8), 1232–1235. https://doi.org/10.1089/jpm.2020.077210.1089/jpm.2020.0772 Google Scholar Search this bibliographic reference on Google Scholar
- Semere, W., Kaplan, L., Valle, K., Guzman, D., Ramsey, C., Garcia, C., & Kushel, M. (2022). Caregiving needs are unmet for many older homeless adults: Findings from the hope home study. Journal of General Internal Medicine, 37(14), 3611-3619. https://doi.org/10.1007/s11606-022-07438-z10.1007/s11606-022-07438-z Google Scholar Search this bibliographic reference on Google Scholar
- Shulman, C., Hudson, B. F., Kennedy, P., Brophy, N., & Stone, P. (2018). Evaluation of training on palliative care for staff working within a homeless hostel. Nurse Education Today, 71, 135–144. https://doi.org/10.1016/j.nedt.2018.09.02210.1016/j.nedt.2018.09.022 Google Scholar Search this bibliographic reference on Google Scholar
- Sítima, G., Galhardo-Branco, C., & Reis-Pina, P. (2024). Equity of access to palliative care: A scoping review. International Journal for Equity in Health, 23(1), 248. https://doi.org/10.1186/s12939-024-02321-110.1186/s12939-024-02321-1 Google Scholar Search this bibliographic reference on Google Scholar
- Song, J., Ratner, E. R., Wall, M. M., Bartels, D. M., Ulvestad, N., Petroskas, D., West, M., Weber-Main, A. M., Grengs, L., & Gelberg, L. (2010). Effect of an End-of-Life Planning Intervention on the completion of advance directives in homeless persons: A randomized trial. Annals of Internal Medicine, 153(2), 76–84. https://doi.org/10.7326/0003-4819-153-2-201007200-0000310.7326/0003-4819-153-2-201007200-00003 Google Scholar Search this bibliographic reference on Google Scholar
- Song, J., Wall, M. M., Ratner, E. R., Bartels, D. M., Ulvestad, N., & Gelberg, L. (2008). Engaging homeless persons in end of life preparations. Journal of General Internal Medicine, 23(12), 2031–2045. https://doi.org/10.1007/s11606-008-0771-110.1007/s11606-008-0771-1 Google Scholar Search this bibliographic reference on Google Scholar
- Speight, C., & Lyons, H. (2023). Supporting homeless people with collaborative palliative and end-of-life care. Nursing Times [online], 119(6), 30-31.Google Scholar Search this bibliographic reference on Google Scholar
- Stein, G. L., Berkman, C., O'Mahony, S., Godfrey, D., Javier, N. M., & Maingi, S. (2020). Experiences of lesbian, gay, bisexual, and transgender patients and families in hospice and palliative care: Perspectives of the palliative care team. Journal of Palliative Medicine, 23(6), 817-824. https://doi.org/10.1089/jpm.2019.054210.1089/jpm.2019.0542 Google Scholar Search this bibliographic reference on Google Scholar
- Stern, C., Lizarondo, L., Carrier, J., Godfrey, C., Rieger, K., Salmond, S., Apóstolo, J., Kirkpatrick, P., & Loveday, H. (2020). Methodological guidance for the conduct of mixed methods systematic reviews. JBI Evidence Synthesis, 18(10), 2108–2118. https://doi.org/10.11124/JBISRIR-D-19-0016910.11124/JBISRIR-D-19-00169 Google Scholar Search this bibliographic reference on Google Scholar
- Stone, W., Mixer, S. J., & Mendola, A. (2019). Culturally acceptable advance care planning and advance directives for persons experiencing homelessness. Journal of Hospice and Palliative Nursing, 21(5), 350–357. https://doi.org/10.1097/NJH.000000000000053010.1097/NJH.0000000000000530 Google Scholar Search this bibliographic reference on Google Scholar
- Sumalinog, R., Harrington, K., Dosani, N., & Hwang, S. W. (2017). Advance care planning, palliative care, and end-of-life care interventions for homeless people: A systematic review. Palliative Medicine, 31(2), 109–119. https://doi.org/10.1177/026921631664933410.1177/0269216316649334 Google Scholar Search this bibliographic reference on Google Scholar
- Tedesco, A., Shanks, L., & Dosani, N. (2020). The Good Wishes Project: An end-of-life intervention for individuals experiencing homelessness. Palliative Medicine Reports, 1(1), 264–269. https://doi.org/10.1089/pmr.2020.000610.1089/pmr.2020.0006 Google Scholar Search this bibliographic reference on Google Scholar
- Tsai, J., & Lampros, A. (2025). Disproportionate increases in numbers and rates of homelessness among women in the United States, 2018-2022. Public Health Reports (Washington, D.C. 1974), 140(1), 103–107. https://doi.org/10.1177/0033354924125580510.1177/00333549241255805 Google Scholar Search this bibliographic reference on Google Scholar
- Weldrick, R., Canham, S. L., Sussman, T., Walsh, C. A., Mahmood, A., Nixon, L., & Burns, V. F. (2022). “A right place for everybody”: Supporting aging in the right place for older people experiencing homelessness. Health and Social Care in the Community, 30(6), e4652-e4661. https://doi.org/10.1111/hsc.1387110.1111/hsc.13871 Google Scholar Search this bibliographic reference on Google Scholar
- Wilson, Bianca DM, Soon Kyu Choi, Gary W. Harper, Marguerita Lightfoot, Stephen Russell, and Ilan H. Meyer. (2020). "Homelessness among LGBT adults in the US." https://escholarship.org/uc/item/3b00p5hmGoogle Scholar Search this bibliographic reference on Google Scholar
- van Berkum, A., Oudshoorn, A., & Garnett, A. (2025). A systems approach to homelessness prevention for older adults. The Gerontologist, 65(6), 1-8. https://doi.org/10.1093/geront/gnaf08710.1093/geront/gnaf087 Google Scholar Search this bibliographic reference on Google Scholar
- Yedidia, M. J., & Cantor, J. C. (2025). Providing health care to people experiencing homelessness: Strategies and challenges for cross‐sector initiatives. The Milbank Quarterly. https://doi.org/10.1111/1468-0009.7005610.1111/1468-0009.70056 Google Scholar Search this bibliographic reference on Google Scholar