Effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review

Background: Research on interventions to positively impact health and housing status of people who are homeless has received substantially increased attention over the past 5 years. This rapid review examines recent evidence regarding interventions that have been shown to improve the health of homeless people, with particular focus on the effect of these interventions on housing status. Methods: A total of 1,546 articles were identified by a structured search of five electronic databases, a hand search of grey literature and relevant journals, and contact with experts. Two reviewers independently screened the first 10% of titles and abstracts for relevance. Inter-rater reliability was high and as a result only one reviewer screened the remaining titles and abstracts. Articles were included if they were published between January 2004 and December 2009 and examined the effectiveness of an intervention to improve the health or healthcare utilization of people who were homeless, marginally housed, or at risk of homelessness. Two reviewers independently scored all relevant articles for quality. Results: Eighty-four relevant studies were identified; none were of strong quality while ten were rated of moderate quality. For homeless people with mental illness, provision of housing upon hospital discharge was effective in improving sustained housing. For homeless people with substance abuse issues or concurrent disorders, provision of housing was associated with decreased substance use, relapses from periods of substance abstinence, and health services utilization, and increased housing tenure. Abstinent dependent housing was more effective in supporting housing status, substance abstinence, and improved psychiatric outcomes than non-abstinence dependent housing or no housing. Provision of housing also improved health outcomes among homeless populations with HIV. Health promotion programs can decrease risk behaviours among homeless populations. Conclusions: These studies provide important new evidence regarding interventions to improve health, housing status, and access to healthcare for homeless populations. The additional studies included in this current review provide further support for earlier evidence which found that coordinated treatment programs for homeless persons with concurrent mental illness and substance misuse issues usually result in better health and access to healthcare than usual care. This review also provides a synthesis of existing evidence regarding interventions that specifically support homeless populations with HIV.Partial funding for this paper was provided to the Effective Public Health Practice Project by the Region of Peel, Canada

Geophysics Field Camp 2017

Electrical resistivity and induced polarization surveys were conducted in the Las Cienegas National Conservation Area for the Nature Conservancy and in accordance with the Bureau of Land Management. Data collected around Empire Ranch HQ shows a thin, high resistivity layer at the surface underlain by a lower resistivity layer, indicative of typical regional alluvium. H0 and H1 show resistivity of approximately 80 Ω-m down to 5 and 10 meters, underlain by 25 Ω-m and 20 Ω-m respectively. H2 and H3 shows resistivity of 60 Ω-m down to 5 and 15 meters, respectively, underlain by 20 Ω-m resistivity. Moving east, the data displays a distinct change. A thin, high-resistivity surface layer is underlain by an extremely low resistivity layer, typical of clays. H5, Z2 and H6 display surface resistivity between 20 Ω-m and 15 Ω-m, typical alluvium values. The massive underlying layer displays resistivity values of approximately 5 Ω-m. Continuing east, H7 shows a thick layer of high (80 Ω-m) resistivity surface material down to 25 meters, underlain again by a massive, low resistivity layer with a typical clay value of 5 Ω-m. H8 and Z3, collected in the Cieneguita cienegas complex, both display a 5 Ω-m surface layer down to 5 meters, indicative of clays. The surface layer is underlain by a 15 Ω-m, low-porosity layer, essentially devoid of clays, interpreted as Late Tertiary and Quaternary basin fill.The Geophysics Field Camp Reports are made available by the Laboratory for Advanced Subsurface Imaging (LASI) and the University of Arizona Libraries. Visit the LASI website for more information http://www.lasi.arizona.edu