Tools for Healthcare Providers

  • Behavioral Health Treatments and Services
    (Last Updated: 10/16/2014, SAMHSA)
    GUIDELINES / RECOMMENDATIONS
    Learn how health care professionals address common mental illnesses and substance use disorders and how SAMHSA helps people access treatments and services.
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  • Chest radiography for active tuberculosis case finding in the homeless: a systematic review and meta-analysis
    (2014, International Journal of Tuberculosis and Lung Disease 18(10):1231–1236)
    ARTICLES
    This systematic review and meta-analysis evaluates the use of chest X-ray (CXR) screening in active case finding for TB in homeless populations.
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  • Costs and Benefits of Homeless TB Screening in San Francisco
    (2014, San Francisco Department of Public Health TB Control)
    PRESENTATIONS / VIDEOS
    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.
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  • Memorandum of Understanding (MOU) template between Local Health Department and Homeless Shelter
    (2014, San Francisco Department of Health TB Control)
    TOOLS AND TEMPLATES
    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.
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  • Memorandum of Understanding 2 (MOU) between Local Health Department and Community Health Centers
    (2014, San Francisco Department of Health TB Control)
    TOOLS AND TEMPLATES
    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.
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  • TB Among Persons Experiencing Homelessness
    (2014, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination, Centers for Disease Control and Prevention)
    PRESENTATIONS / VIDEOS
    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.
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  • TB in the Homeless
    (2014, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination, Centers for Disease Control and Prevention)
    PRESENTATIONS / VIDEOS
    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.
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  • Update on Latent Tuberculosis Infection
    (2014, American Family Physician Volume 89, Number 11)
    ARTICLES
    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.
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  • Active Case Finding for Tuberculosis Among High-Risk Groups in Low-Incidence Countries
    (2013, International Journal of Tuberculosis and Lung Disease 17(5):573–582)
    ARTICLES
    This review examines the evidence supporting active case finding in migrants and social risk groups, as well as the cost-effectiveness of interventions.
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  • Adapting your practice: treatment and recommendations for patients who are homeless with diabetes mellitus
    (2013, Health Care for the Homeless Clinicians' Network; 2013)
    GUIDELINES / RECOMMENDATIONS
    This national guideline recommends adaptations in standard clinical practices to improve quality of care and health outcomes for homeless adults with diabetes mellitus.
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  • Adapting your practice: treatment and recommendations for unstably housed patients with HIV/AIDS
    (2013, Health Care for the Homeless Clinicians' Network; 2013)
    GUIDELINES / RECOMMENDATIONS
    This national guideline recommends adaptations in standard clinical practices to improve quality of care and health outcomes for homeless adults with HIV/AIDS.
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  • Contact Investigation Protocols, excerpted from Los Angeles County TB Control Manual
    (2013, Los Angeles County Department of Public Health)
    GUIDELINES / RECOMMENDATIONS
    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.
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  • Best Practices in TB Control - TB Among the Homeless: Dealing with Unique Challenges
    (2012, Rutgers Global Tuberculosis Institute)
    PRESENTATIONS / VIDEOS
    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.
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  • Direct Observed Therapy Agreement
    (2012, San Francisco Department of Health)
    TOOLS AND TEMPLATES
    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.
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  • Guidebook For The Homeless Incentive And Prevention (HIP) Program
    (2012, Virginia Department of Health)
    GUIDELINES / RECOMMENDATIONS
    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.
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  • Housing Incentive Program Participation Agreement
    (2012, Virginia Department of Health)
    TOOLS AND TEMPLATES
    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.
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  • Shelter Health and Wellness: A Public Health Nurse Perspective
    (2012, San Francisco Department of Public Health)
    PRESENTATIONS / VIDEOS
    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.
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  • Temporary TB Clearance Form Template
    (2012, San Francisco Department of Health)
    TOOLS AND TEMPLATES
    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.
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  • Medical Facility Communication Sheet
    (2011, San Francisco Department of Public Health)
    TOOLS AND TEMPLATES
    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.
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  • The Art of Schmingling: Practical Tips for Networking
    (2011, adapted from Networking to Advance a Career by Deborah S. Hildebrand)
    FACTSHEETS
    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.
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  • TB 101
    (2011, CDC)
    PRESENTATIONS / VIDEOS
    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.
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  • Adapting Your Practice: General Recommendations for the Care of Homeless Patients
    (2010, Health Care for the Homeless Clinicians’ Network)
    GUIDELINES / RECOMMENDATIONS
    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.
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  • Outbreak of Tuberculosis Among the Homeless
    (2009, University of Washington School of Nursing)
    PRESENTATIONS / VIDEOS
    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.
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  • Best Practices in TB Control: Enhancing Supportive Social Services for TB Patients
    (2008, Rutgers Global Tuberculosis Institute)
    PRESENTATIONS / VIDEOS
    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.
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  • Best Practices in TB Control: Working with Substance Users and Homeless Populations
    (2007, Rutgers Global Tuberculosis Institute)
    PRESENTATIONS / VIDEOS
    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.
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  • Documenting Disability: Simple Strategies for Medical Providers
    (2007, Health Care for the Homeless Clinicians’ Network)
    GUIDELINES / RECOMMENDATIONS
    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.
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  • Forging Partnerships to Eliminate Tuberculosis: A Guide and Toolkit
    (2007, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination, Centers for Disease Control and Prevention)
    GUIDELINES / RECOMMENDATIONS
    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.
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  • THINK TB Poster for Healthcare Providers
    (2005, Maine DHHS, Bureau of Health’s Division of Disease Control)
    TOOLS AND TEMPLATES
    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.
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  • Case Studies: Providing Treatment For Homeless People With Substance Use Disorders
    (2003, National Health Care for the Homeless Council)
    GUIDELINES / RECOMMENDATIONS
    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.
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  • Outcomes of Contact Investigation Among Homeless Persons with Infectious Tuberculosis
    (2003, International Journal of Tuberculosis and Lung Disease 7(12):S405–S411)
    ARTICLES
    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.
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  • The Health Care of Homeless Persons --Part I : Tuberculosis
    (2003, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination, Centers for Disease Control and Prevention)
    ARTICLES
    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.
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