CITC

This 90-minute webinar presentation helps health care professionals and service providers to recognize and appropriately manage the TB-related health needs of their clients. The webinar describes how substance abuse, mental health and incarceration increase TB risk among unstably housed individuals and identifies measures to improve housing or stabilize social situations for individuals with TB infection or disease.

39-page report that summarizes the results of a 2015 workshop on TB and homelessness. Public health officials, staff from homeless facilities, and other stakeholders explored strategies for implementing infection control measures in facilities providing services to homeless persons and to highlight resources available to prevent and reduce homelessness.

Web page with information and resources on administrative controls -- the management measures designed to reduce the risk for exposure to persons with infectious TB.

Learn how health care professionals address common mental illnesses and substance use disorders and how SAMHSA helps people access treatments and services.

This systematic review and meta-analysis evaluates the use of chest X-ray (CXR) screening in active case finding for TB in homeless populations.

This presentation was created by Dr. Julie Higashi, TB Controller of San Francisco City and County. In it she explores San Francisco’s homeless TB screening program, TB program costs, and San Francisco’s innovative CHANGES system which has assisted SF TB control with targeted contact investigations in this population.

This modifiable template can be used as a starting point for creating MOUs between healthcare providers and shelter staff to identify the roles and responsibilities of each in the fight against tuberculosis.

This modifiable template can be used as a starting point for creating MOUs between healthcare providers and community health centers to identify the roles and responsibilities of each in the fight against tuberculosis.

This handout of slides presented by Dr. Sapna Bamrah Morris at the 2014 National TB Controller Conference in Atlanta defines the problem of TB in people experiencing homeless as well as offering best practice suggestions for dealing with TB in this vulnerable population.

This presentation gives an overview of TB in the homeless population and includes basic information on TB transmission, infection control recommendations for shelters, and information on a large urban TB outbreak among homeless persons.

This article is for healthcare providers looking for information on latent tuberculosis infection (LTBI). Latent tuberculosis infection refers to an asymptomatic, nontransmissible infection with Mycobacterium tuberculosis, carrying a 5% to 10% lifetime risk of progressing to active disease. One-half of this risk occurs within the first two years after infection. High-risk groups include recent immigrants from high-incidence countries, health care professionals, persons living or working in institutional settings, and homeless persons.

This review examines the evidence supporting active case finding in migrants and social risk groups, as well as the cost-effectiveness of interventions.

This national guideline recommends adaptations in standard clinical practices to improve quality of care and health outcomes for homeless adults with diabetes mellitus.

This national guideline recommends adaptations in standard clinical practices to improve quality of care and health outcomes for homeless adults with HIV/AIDS.

Contact investigations (CI) have been a key component of tuberculosis control programs in the U.S. for over 30 years and are considered an essential prevention activity. This guideline explains the protocols used by LA County Public Health and includes both general CI information as well as protocols specifically geared for CI in vulnerable populations.

This webinar, presented by the Global TB Institute at Rutgers University, explores the health factors that coexist with tuberculosis among homeless persons, as well as successful strategies for the prevention and control of tuberculosis among homeless persons in the US. In particular, it elucidates the partnership between health departments and agencies that serve the homeless to improve the coordination of clinical care and contact investigation outcomes. The format includes an overview of the situation, the perspective of shelter staff, and a case study of collaboration between a local health department, Federally Qualified Health Centers (FQHCs) and homeless services providers.

This modifiable template can be used by local programs to define roles and responsibilities of clients and LHDs who are participating in a DOT program for TB.

This guidebook for Virginia’s HIP program can serve as a guide for creating or modifying homeless incentive and protection programs locally. It is a comprehensive program that could be adapted in part or in full to assist homeless TB patients to find housing. The purpose of this manual is to clarify participation criteria, outline responsibilities, and explain the process.

Excerpted from Guidebook For The Homeless Incentive And Prevention (HIP) Program, this modifiable template can be used by local programs who are able to provide housing for their TB patients who aree experiencing homelessness.

This presentation was created by Kathleen Murphy Shuton, RN, PHN and gives a general overview of the intersection of public health and social service providers in San Francisco, CA. It includes tips on training shelter staff and poster templates to be used in shelter settings.

This modifiable template can be used by local programs to provide clients with temporary clearance to enter a shelter or apply for a job pending their test results.

This form can be used or modified by Healthcare providers when transferring TB patients from a medical facility into a shelter setting. It allows medical staff to communicate to shelter staff the patient’s condition, medical needs, appointments, medications, and whether or not to isolate the patient from the general population.

Partnerships and collaboration are essential components in any comprehensive TB control effort in the homeless population. These begin with establish personal relationships with potential partners. This document lists some simple ways to start a conversation with someone you don’t know, to begin building your confidence, and to create valuable partnerships.

This interactive online course, created by CDC in association with the Regional TB Training Centers, is designed to educate newly hired TB program staff, health care workers in areas related to TB (HIV, corrections), and those who may work with TB patients in their work settings (like homeless shelters) and wish to know more about basic concepts related to TB prevention and control in the United States.

Clinicians with extensive experience caring for individuals who are homeless routinely adapt their practice to foster better outcomes for these patients. This document is intended for health care professionals, students, and ancillary personnel who have less experience working with this population and may not realize that some of their patients are experiencing homelessness.

The purpose of this interactive case-based learning tool is to engae advanced practice nurses, public health nurses, nurse case managers and TB clinical nurses in learning about an outbreak of TB among the homeless.

This webinar, presented by the Global TB Institute at Rutgers University, covers resources that can be utilized to assist at-risk TB patients through a multiple layer approach that looks at TB patients as individuals. Strategies practitioners can use to enhance services through system-wide interventions, and through program collaborations are aslo discussed.

This webinar, presented by the Global TB Institute at Rutgers University, explores successful and innovative approaches to working with these two hard-to-reach groups. Experts from the region share hands-on experiences and practical tools that can improve case management, treatment outcomes, and contact investigations.

This manual is a guide to documenting medical impairments in support of applications for the Social Security Administration’s (SSA) disability benefits programs, Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI). It is primarily intended for health care providers in the United States serving individuals with disabilities who are homeless or marginally housed.

This document is intended for TB controllers and state and local TB programs and is designed to provide the basic information they need to create and sustain productive TB partnerships, including partnerships with social service providers. The guide and toolkit emphasize involving nontraditional partners in TB prevention and control efforts.

A one-page poster that can be placed in healthcare facilities where staff may be less familiar with tuberculosis. It identifies risk factors that should be considered when evaluating a patient for TB.

These case studies demonstrate appropriate, accessible and effective TB treatment for homeless people with substance abuse related disorders. Based on the experience of six successful programs, this report summarizes best practices such as prioritizing access to appropriate housing and providing comprehensive, well-integrated, client-oriented services with uniquely-qualified staff.

This article, published by IUATLD in 2003, describes the outcomes of identification, tuberculin skin testing (TST), clinical evaluation and treatment for contacts of infectious homeless TB cases. It is a retrospective multicenter review of data of contact investigations conducted in 1996 by five health departments in the United States.

This overview of TB in persons experiencing homelessness by John Bernardo, MD and Jill S. Roncarati, PA-C is a comprehensive look at TB control measures including testing, treating and infection control used to prevent the spread of the disease. As it is over 10 years old some of the more recent developments in TB control and prevention are not included but it continues to offer a comprehensive look at the issues of homelessness and TB from one of the nation’s leading experts.