Notes

Cardiac connection between detraining within players: a story evaluation.
Previous research has utilized survey and administrative data to document health problems among Housing First (HF) residents; however, little is known about residents' personal perspectives on their health. The purpose of this study was to utilize conventional content analysis to analyze health-related concerns among HF residents with histories of alcohol use disorder. Between June and December 2013, we interviewed 44 adults who had histories of chronic homelessness and alcohol use disorder and were residing in single-site HF in Seattle, Washington. Responses centered on five primary topics alcohol-related harm, perceived health vulnerability, concern for fellow residents' health, end of life, and health and safety promotion. HF residents experience complex alcohol-exacerbated health difficulties and existing health services may not meet the needs of those whose health is particularly compromised. Considering that HF facilitates aging in place, end-of-life care and grief counseling should be integrated into HF services.
To explore attitudes and beliefs about the role of health coaching for vulnerable populations, including people experiencing substance use or homelessness.

From May-July 2016, we conducted semi-structured qualitative interviews with patients, primary care clinicians, pulmonary specialists, and health coaches participating in a study of health coaching for chronic obstructive pulmonary disease (COPD). We developed a codebook and applied it in Atlas.ti, generating themes for frequently occurring codes.

All stakeholder groups (n=20 patients, 11 primary care clinicians, three specialists, and two health coaches), reported improved COPD management and behavior change, even for patients experiencing substance use or homelessness. Clinicians observed greater symptom awareness and prioritization of COPD during the medical visit. The strength of the health coaching relationship and flexibility of the role were key to its effectiveness.

Lay health coaching may provide a model to meet the needs of highly vulnerable populations with COPD.
Lay health coaching may provide a model to meet the needs of highly vulnerable populations with COPD.While challenges related to health care utilization among transgender individuals have been discussed, studies examining health services under Medicaid are limited. A retrospective review was performed on all patients who presented with Gender Dysphoria from 2013-2018 to one Medicaid managed program. Utilization rates of distinct services and interventions were analyzed. A total of 192 patients, with 787 encounters, were identified. Mean patient age was 15 years old. Mean number of encounters per patient was 4.1. The average number of distinct specialties seen was 1.4. Behavioral health (BH) services were most commonly utilized (50%). Endocrinology and surgical services were encountered less frequently. Medications were prescribed for 25% of patients; hormonal treatment was prescribed for 6.7%. This study highlights the deficiencies in services this population is receiving under one managed Medicaid program. While behavioral health services are widely employed, underutilization of medical and surgical consultations compromises patient awareness of available interventions.
To examine the relationship between parents' sense of coherence (SOC) and children's oral health outcomes among newcomers (immigrants to Canada).

Immigrant parents with children aged 1-12 years who lived in Canada for 10 years or less were recruited. Outcome variables included children's caries experience (DMFT/dmft) and oral health-related behaviors (frequency of toothbrushing, sugar intake, and dental visits). Parents SOC was measured.

Among 274 parents mean (SD) age 34.92 (6.35) years; 57% post-secondary education; 38% monthly income below $2000; and 41% living in Canada for less than five years. Children mean (SD) age 4.5 (2.9) years; 55% born in Canada; 42% dental coverage; 52% untreated caries. The mean (SD) of parents' SOC was 59.1 (12.03). Sense of coherence scores were not significantly associated with children's caries experience and oral health behaviors.

Parent's SOC was relatively low among newcomers and not associated with children's oral health outcomes.
Parent's SOC was relatively low among newcomers and not associated with children's oral health outcomes.This study analyzes the effect of arrest and community supervision on mental health and mental health care using a U.S.-based nationally representative data from National Survey of Drug Use and Health (NSDUH) and Behavioral Model for Vulnerable Populations. It conducts a bivariate analysis to estimate population prevalence rates and generalized structural equation modeling (GSEM) to test the conceptual model. Individuals who were recently arrested or under community supervision (probation/parole) are more likely to use treatment (medication, inpatient, and outpatient care) for mental health problems compared with those with no CJ contact. However, there still remains a large unmet need. Overall, people with mental illness may be accessing mental health treatment through their involvement with the CJ system more broadly. There is the need for multiple societal institutions to work in tandem and communicate with vulnerable individuals who experience CJ contact to further assess appropriate assistance and mental health treatment.
Residential eviction is a component of housing instability that negatively affects physical and mental health, but the effect of eviction on health care utilization, specifically hospital readmissions and outpatient no-show rates, is not known.

We conducted a retrospective review of health care utilization of individuals evicted from public housing between January 2013 and December 2017, investigating hospital readmissions and no-show rates one year before and after eviction.

131 individuals who had been evicted had one year of data pre-and post-eviction. VX-445 order The majority were African American (97.7%) and female (80.9%). There was no significant change in 30-, 60-, and 90-day hospital readmissions (p>.05). No-show rate decreased from 27.57 per person per year to 20.13 (p=.05).

For our study population, health care utilization was not disrupted. The decreased no-show rate represents an opportunity for health systems to engage with patients on social factors affecting their health post-eviction.
For our study population, health care utilization was not disrupted.
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