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Tools for Homeless Service Providers

  • TB Prevention & Control for Homeless Shelters
    (Updated 2015, Iowa Department of Health, Bureaus of Immunizations and TB)
    GUIDELINES / RECOMMENDATIONS
    This web page gives a quick overview of TB control measures that can be implemented in a shelter setting, including information TB risk assessment and testing for staff and clients.
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  • Guidelines for Tuberculosis (TB) Control and Prevention in Homeless Housing Facilities
    (2014, Georgia Department of Public Health)
    GUIDELINES / RECOMMENDATIONS
    The Georgia Department of Public Health issued these guidelines in 2014 to help shelters prevent the transmission of TB among staff, volunteers and homeless clients and to prevent TB outbreaks in homeless housing facilities. This document can be adapted in part or in full for a variety of shelter and congregate living sites.
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  • Preventing & Addressing Tuberculosis among People Experiencing Homelessness
    (2014, United States Interagency Council on Homelessness)
    SIGNS / HANDOUTS
    This one page document gives a quick overview of what social service providers can do to decrease risk of exposure to TB. It is also suitable for posting in a shelter setting.
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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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  • Preventing Tuberculosis in Homeless Shelters: A Guide for Preventing and Controlling TB and other Aerosol Transmissible Diseases in Los Angeles County Facilities
    (2013, Los Angeles County Department of Public Health Tuberculosis Control Program)
    GUIDELINES / RECOMMENDATIONS
    These recommendations to help homeless service providers prepare their facility, staff, and clients for possible cases of aerosol transmissible diseases, like tuberculosis were created by LA County TB Control in response to an outbreak among people experiencing homelessness. They’re meant to help homeless service providers to prepare their facility, staff, and clients for possible cases of aerosol transmissible diseases, also known as ATDs. These recommendations can be adapted in part or in full for any area with a shelter system for people experiencing homelessness.
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  • Shelters and TB: What Staff Need to Know, Second Edition
    (2013, Curry International Tuberculosis Center)
    PRESENTATIONS / VIDEOS
    Designed for homeless shelter staff, Shelters and TB: What Staff Need to Know is an 18-minute training video about how to prevent the spread of TB in homeless shelters. It includes information on how to develop and implement a TB infection control policy and how shelters and health departments can work together to create a healthy and safe environment for staff and clients.
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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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  • TB Can Be Treated
    (2012, CDC)
    SIGNS / HANDOUTS
    This brochure, which explains the basics of TB and its treatment, can be distributed to shelter clients wishing to learn more about TB.
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  • TB Screening in the Homeless shelter Setting
    (2012, Santa Barbara County Public Health Department)
    GUIDELINES / RECOMMENDATIONS
    This policy document assists shelter staff working with their local public health department to identify clients who may have LTBI or active disease, implement basic infection control measures to prevent the spread of TB to others, refer clients for clinical assessment and treatment, and assist shelter staff in clearing clients to enter and remain in the shelter setting.
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  • Know Sick When You See It
    (2011 San Francisco Department of Public health)
    SIGNS / HANDOUTS
    This poster set can be used as handouts for shelter staff who screen new clients or need to be aware of conditions that could affect the general shelter population. It is also suitable to distribute to clients. Symptom recognition for the flu, TB, MRSA, and more is covered in this easy to understand, colorful handout.
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  • Medical Facility Transportation Log
    (2011, San Francisco Department of Public Health)
    TOOLS AND TEMPLATES
    Shelter staff can use this form to document client transportation to medical facilities, if necessary. Also includes a shelter bed number field if a contact investigation is needed.
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  • Motivational Interviewing: An Overview with Application for Outreach for the HCH setting
    (2011, National Healthcare for the Homeless Council)
    PRESENTATIONS / VIDEOS
    An overview of the concepts of motivational interviewing from a practitioner specializing in dual-diagnosis, this webinar will also include practical application of motivational interviewing in outreach to persons experiencing homelessness.
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  • Preventing Aerosol Transmissible Disease: A Reference Guide for Homeless Shelters and Residential Treatment Facilities
    (2011, San Francisco Department of Public Health)
    GUIDELINES / RECOMMENDATIONS
    This guide is to be used by homeless service providers to assist in preparing their facility, staff, and clients for possible cases of aerosol transmissible diseases — infectious diseases like influenza or tuberculosis that spread through the air. This is a manual, not an official policy, but can be used with HSA’s ATD Program to adopt policies for your facility. These recommendations should help you prevent exposure to ATD, respond to exposure incidents, and protect your staff.
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  • Sick Client Monitoring Form
    (2011, San Francisco Department of Public Health)
    TOOLS AND TEMPLATES
    This form can be used by shelter staff to record symptoms of infectious conditions such as cough, fever, sore throat, etc in their clients. The form includes fields for date, bed numbers, symptoms, and a check box to ensure that medical follow-up has taken place.
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  • Social Distancing and Isolation Protocols
    (2011, San Francisco Department of Public Health)
    GUIDELINES / RECOMMENDATIONS
    This 3-page document (excerpted from SFDPH’s Preventing Aerosol Transmissible Disease : A Reference Guide for Homeless Shelters and Residential Treatment Facilities) contains information for shelter directors and shelter staff regarding social distancing and isolation as ways to minimize the spread of certain infectious diseases to others.
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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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  • Tuberculosis Infection Control: A Practical Manual for Preventing TB
    (2011, Curry International Tuberculosis Center)
    GUIDELINES / RECOMMENDATIONS
    The Tuberculosis Infection Control Manual is designed to provide information about TB infection control to clinics, homeless shelters, hospitals, and other interested parties. The goal of this manual is to provide consistent and up-to-date information about the guidelines and regulations pertaining to TB infection control, methods of reducing the risk of TB infection, and facility-specific guidelines for reducing the risk and dealing with potential TB exposure.
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  • What You Need to Know About TB
    (2011, CDC)
    SIGNS / HANDOUTS
    This tri-fold patient education brochure can be printed and distributed to shelter clients wishing to learn more about TB.
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  • Tuberculosis Prevention and Control Guidelines for Homeless Service Agencies in Seattle-King County, Washington
    (2010, Seattle-King County Homelessness & Tuberculosis Coalition)
    GUIDELINES / RECOMMENDATIONS
    This document, created for for emergency shelters, day centers, safe havens, supportive housing programs, SROs, and other programs that work with people experiencing homelessness in King County, Washington, provides information about TB and promotes a standard set of guidelines designed to reduce the ongoing transmission of TB among homeless people in Seattle-King County. These guidelines are written for program directors, managers, and staff, and they apply to organizations providing services for men, women, families with children, and unattached youth. It can be adapted for any area experiencing TB in its homeless population.
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  • Signs and Symptoms of Tuberculosis (TB) Information for Shelter Guests—English and Spanish
    (2009, USCHC)
    SIGNS / HANDOUTS
    This one page flyer includes information on recognizing TB symptoms and can be posted in a shelter setting or printed and made available to shelter clients.
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  • Cough Alert Policy for Shelters
    (2009, Santa Barbara County Public Health Department)
    GUIDELINES / RECOMMENDATIONS
    Shelter staff can play an important role in communicable disease detection and prevention. These cough alert policies can help staff identify symptoms indicative of TB disease.
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  • Cough Alert Referral Form
    (2009, Santa Barbara County Public Health Department)
    TOOLS AND TEMPLATES
    This form can be used by shelter staff to refer clients to public health department disease control.
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  • Enhanced Homeless TB control
    (2009, Santa Barbara County Public Health Department)
    GUIDELINES / RECOMMENDATIONS
    This policy document outlines an enhanced comprehensive case management plan that offers people experiencing homelessness an opportunity to complete an LTBI treatment regimen (and/or be closely monitored by Public Health staff) in an effort to prevent future outbreaks of TB.
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  • TB Screening Form
    (2009, Santa Barbara County Public Health Department)
    TOOLS AND TEMPLATES
    This form can be used by shelter staff to record symptoms of infectious conditions such as cough, fever, sore throat, etc in their clients. The form includes fields for date, bed numbers, symptoms, and a check box to ensure that medical follow-up has taken place.
    View
  • Environmental Control Best Practices: Guidelines to Reduce TB Transmission in Homeless Shelters and Drop-In Centres
    (2007, Toronto Public Health)
    GUIDELINES / RECOMMENDATIONS
    This document is meant to be used as a reference manual and is divided into two parts – environmental control guidelines and implementation guide. The best practice guidelines recommend minimum ventilation and air disinfection targets to reduce TB transmission. It also prioritizes environmental measures for high-risk areas such as dormitories and dining areas.
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  • Assessing Your Shelter Guests' Risk for TB
    (2005, Maine Department of Health)
    SIGNS / HANDOUTS
    This form can be posted or distributed to shelter staff. Staff may use this information to help make decisions about referring clients for testing for LTBI, symptom screening and what kind of education might be most helpful for your shelter. If you answer "yes" any of the following questions, your shelter population may be considered to be "high-risk."
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  • Cough Alert Policy And Procedures For Shelters & Resource Centers
    (2005 San Francisco Department of Public health)
    GUIDELINES / RECOMMENDATIONS
    This cough alert policy was developed by San Francisco Department of Public Health to protect shelter and resource center clients and staff from airborne transmissible diseases. Shelter staff play a key role in detecting communicable diseases because of their familiarity with the clientele and facilities. This policy can be implemented by facility staff working closely with clients or monitoring the sleeping rooms at night. This form can be posted or distributed to shelter staff.
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  • Sick Client Decision Guide
    (2005, San Francisco Department of Public Health)
    SIGNS / HANDOUTS
    This easy-to-use algorithm can assist in following the correct procedures when a sick client comes to access homeless services. It can be posted in shelter for use by shelter staff.
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  • TB Infection Control Guidelines for Homeless Shelters
    (2005, San Francisco Department of Public Health)
    GUIDELINES / RECOMMENDATIONS
    The purpose of the Tuberculosis (TB) Infection Control Guidelines for Homeless Shelters is to provide the management and staff who work at homeless shelters with the tools for making appropriate decisions about persons seeking shelter at homeless facilities who may have tuberculosis. These guidelines will help to ensure that people seeking services from homeless shelters are not excluded from these services because of infectious disease concerns, but are directed into the appropriate health care delivery system with minimal risks to shelter staff. It can be adapted in part or in full for any area with a shelter system for people experiencing homelessness. This document is currently being updated by SFDPH and the newer version will be posted here when complete.
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  • THINK TB for Shelter Guests
    (2005, Maine Department of Health)
    SIGNS / HANDOUTS
    This handout, which includes a bulleted list of the basics of TB transmission, symptoms and steps for treatment, can be posted in shelters to assist clients wishing to learn more about TB.
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  • Tuberculosis Prevention and Control Recommendations
    (2005, Maine Department of Health and Human Services Bureau of Health, Division of Disease Control)
    GUIDELINES / RECOMMENDATIONS
    These recommendations were created by the Maine Department of Health and Human Services to help homeless service providers prepare their facility, staff, and clients for possible cases of aerosol transmissible diseases, like tuberculosis.
    View
  • What Your Shelter Can Do to Prevent TB
    (2005, Maine Department of Health)
    SIGNS / HANDOUTS
    This one-page document lists simple steps that can be taken to reduce risk of TB transmission in a shelter setting. This form can be posted or distributed to shelter staff.
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  • Cover Your Cough Poster (Amheric)
    SIGNS / HANDOUTS
    This one page flyer can be posted in shelter settings to remind clients to take precautions to protect others if they are sick or have a cough.
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  • Cover Your Cough Poster (Arabic)
    SIGNS / HANDOUTS
    This one page flyer can be posted in shelter settings to remind clients to take precautions to protect others if they are sick or have a cough.
    View
  • Cover Your Cough Poster Chinese)
    SIGNS / HANDOUTS
    This one page flyer can be posted in shelter settings to remind clients to take precautions to protect others if they are sick or have a cough.
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  • Cover Your Cough Poster (English)
    SIGNS / HANDOUTS
    This one page flyer can be posted in shelter settings to remind clients to take precautions to protect others if they are sick or have a cough.
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  • Cover Your Cough Poster (Hmong)
    SIGNS / HANDOUTS
    This one page flyer can be posted in shelter settings to remind clients to take precautions to protect others if they are sick or have a cough.
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  • Cover Your Cough Poster (Tagolog)
    SIGNS / HANDOUTS
    This one page flyer can be posted in shelter settings to remind clients to take precautions to protect others if they are sick or have a cough.
    View
  • Cover Your Cough Poster (Vietnamese)
    SIGNS / HANDOUTS
    This one page flyer can be posted in shelter settings to remind clients to take precautions to protect others if they are sick or have a cough.
    View
  • Cover Your Cough Poster (Spanish)
    SIGNS / HANDOUTS
    This one page flyer can be posted in shelter settings to remind clients to take precautions to protect others if they are sick or have a cough.
    View