Clinical Management of the Homeless Patient

Elspeth Cameron RitchieChairDepartment of PsychiatryMedstar Washington Hospital CenterVice ChairMedstar Georgetown University HospitalMaria D. Llorente MDGeorgetown University School of MedicineDeputy to the Assistant Undersecretary for Health, Patient Care ServicesDepartment of Veterans Affairs810 Vermont Ave NW Washington DC 20024

• Epidemiology.- Determinants of And Contributors To Homelessness.- Legal/ethical issues.- Excess Police/Justice Involvement.- Excess Ed Resource Use.- Human And Sex Trafficking And Homelessness.- The Housing First Model.- Pathways to Housing.- The VA.- Other.- Efforts To Reduce Justice Reinvolvement: Jail Diversion, Justice Outreach, Justice Re-Entry.- Employment, Job Training, Education.- Deinstitutionalization, Homelessness Among Seriously Mentally Ill, Prevalence Of Psychiatric Illness Among Homeless.- Substance Use Disorders.- Trauma.- Nonadherence to treatment.- Suicide Prevention.- Cognitive impairment/TBI.- Management of the chronic mentally ill and chronically suicidal patient who is in and out of the ER and inpatient all the time.- Diabetes, hypertension, HIV and other STDs, cellulitis, abscesses, arthritis.- Infestations: bed bugs, lice, ant and mosquito bites and associated cellulitis.- Managing these issues.- A focus on toenails.- Veterans.- Women.- Children.- LGBTQ.- OlderHomeless (50-65, 65 to 85 Years).