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APRIL 2010
HCH RESEARCH UPDATE
New HCH Research Updates Available Online
The Council searches several research databases quarterly for publications related to health care and homelessness. Three new issues of the HCH Research Update include summaries resulting from the search of publications from approximately July 2009 through March 2010. Summaries are categorized into themes that vary each quarter. Click on the links below to access the latest issues.
 
RESEARCH PRE-CONFERENCE INSTITUTE
JUNE 2, 2010 | SAN FRANCISCO
Conducting Practice-Based Health Care for the Homeless Research: Implications for Health Practice, Policy and Advocacy 
As part of the 2010 National Health Care for the Homeless Conference & Policy Symposium, the Council is offering a pre-conference institute for administrators, project directors, program managers, clinicians and consumers who have limited research experience.

Speaker presentations and panel discussions will provide the foundation of why health care for the homeless research is important, and offer techniques for implementing research in practice-based settings. The session will also address the challenges of incorporating research into a busy HCH practice setting.

Attendees will work in groups throughout the institute applying research processes to clinical topics of interest that will be determined by each group. Work groups will
  1. explore research strategies to address chosen clinical topics
  2. identify research stakeholders, collaborators and funding sources
  3. list ways that research findings might be translated into health practice and policy recommendations
Finally, participants will have the opportunity to network and build partnerships for future research endeavors that may include collaborations with academic health centers, residency programs, social service agencies and other organizations. 

> > 2010 National Health Care for the Homeless Conference & Policy Symposium

> > Pre-conference Institutes

> > Register now

Reminder: Conference registration fees increase May 1, 2010!
PRACTICE-BASED RESEARCH NETWORK
Invitation to join the Council's PBRN
The Council's Health Care for the Homeless Practice-Based Research Network (PBRN) focuses on research in clinical settings that explores issues affecting the primary health care needs of those experiencing homelessness.

The HCH PBRN Steering Committee collaborates with the Council's Research Coordinating Committee to develop and manage research projects of particular relevance to homeless health care practice. Once the Steering Committee approves a research proposal, staff invites PBRN members to participate.

To join the HCH PBRN and receive invitations to participate in studies, please contact Darlene Jenkins, DrPH, the Council's research director; our newest members are

  • Nancy Elder, MD | University of Cincinnati, Department of Family Medicine
  • Mark Casanova, MA | Homeless Healthcare Los Angeles
If you are interested in conducting research with the HCH PBRN, download and complete the Research Proposal Form, which is available online.


 
> > More about the HCH Practice-Based Research Network
COUNCIL RESEARCH ACTIVITIES
Violence on the Streets
The National Consumer Advisory Board (NCAB) has been conducting Consumer Participation Outreach surveys the past four years. HCH projects' Consumer Advisory Board members go to the streets and survey homeless individuals about topics ranging from health care utilization to perceived quality of services received.

The Council's Research Coordinating Committee (RCC) is consulting with NCAB on developing a rigorous research process to explore the prevalence and impact of violence among individuals experiencing homelessness. Study results may yield data with implications for health care policy and practice. The Council submitted a research application to the Nashville Metropolitan Public Health Department Institutional Review Board (IRB). If approved, NCAB Chair Amy Grassette will be the study's principal investigator.

> > View past Consumer Participation Outreach survey reports

Chronic Pain Management
In response to clinical priorities established by the HCH Clinicians' Network, the Network Steering Committee embarked on a project to explore issues around pain management. After discovering a gap in pain management guidelines for the care of homeless patients, the committee decided to survey HCH clinicians nationwide regarding chronic pain management practices, knowledge, attitudes and resources.

RCC members and the Network Steering Committee developed a questionnaire that will be available online once approved by the University of Colorado's IRB. Lisa Thompson, DNP, PMHNP-BC, RCC co-chair, is the project's principal investigator. Lisa will co-present a workshop on this topic during the 2010 National Health Care for the Homeless Conference & Policy Symposium in June.


Traumatic Brain Injury
In February, the HCH PBRN submitted a research proposal to the Agency for Healthcare Research & Quality for a $100,000 grant to study the prevalence and impact of traumatic brain injuries in homeless patients. The HCH PBRN invited its members to participate in this pilot study, and ten organizations submitted letters of support for the grant application.

If funded, the Boston Health Care for the Homeless Program will serve as lead agency with Carol Waldmann, MD, as principal investigator. Other researchers serving as study consultants include
  • Stephen Hwang, MD, MPH, Toronto
  • Lillian Gelberg, MD, MSPH, Los Angeles
  • Pamela Diamond, PhD, Houston
  • Barbara Wismer, MD, MPH, San Francisco
The Council thanks everyone who came together to develop this grant application; we anticipate hearing from AHRQ in May.

Clinical Outcome Measures
The Council recently submitted a proposal to the Health Resources & Services Administration to conduct a feasibility study to identify and develop clinical outcome measures specific to homeless individuals seeking care at HCH projects and medical respite care facilities. Once the Council obtains funding, staff will invite PBRN members to participate in the study.

Council Website Improvements
Visit our updated research-related web pages in the coming weeks! Council staff is working to make these pages more informative and user-friendly. Please contact us with suggestions for further improvement.
NEW RESEARCH REVIEW BOARD
Migrant Clinicians Network Institutional Review Board 
Many researchers in the health care for the homeless field will be interested to discover that the Migrant Clinicians Network (MCN) operates its own IRB. MCN is a national, nonprofit organization providing training and technical assistance to migrant health centers and clinicians who deliver health care services to migrant and other mobile medically underserved patients.

MCN's IRB accepts proposals from anyone wishing to conduct research with human subjects. This is a valuable resource for HCH projects interested in conducting research but lacking affiliations with academic institutions where most research review boards are housed. Visit the MCN website for information on how to submit a research proposal.


> > About the Migrant Clinicians Network

> > MCN's Institutional Review Board

NEW SCIENTIFIC JOURNAL REQUESTS SUBMISSIONS
Journal of Primary Care & Community Health
In April, the Journal of Primary Care & Community Health debuted its first quarterly, peer-reviewed issue. JPCCHThe journal is seeking research manuscripts, case studies, commentaries and more on topics related to primary care and community health, including programs for vulnerable populations.

Follow the links below to learn more, and register to receive free online access to volumes one through three (now through December 2012).

> > Read more about the Journal of Primary Care & Community Health

> > FREE online access to volumes 1 - 3

Molly Meinbresse, MPH | Editor, Research Update
Research Associate & HCH Clinicians' Network Coordinator
National Health Care for the Homeless Council
615/226-2292 |
www.nhchc.org | mmeinbresse@nhchc.org

Brenda J. Proffitt, MHA | Membership & Communications Director
National Health Care for the Homeless Council
505/872-1151 | www.nhchc.org | bproffitt@nhchc.org
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HEALTH CARE AND HOUSING ARE HUMAN RIGHTS
The National Health Care for the Homeless Council and the HCH Clinicians' Network produce and distribute this publication with support from the Health Resources & Services Administration. Its contents are solely the responsibility of the editor and do not necessarily represent the official views of HRSA or the National Health Care for the Homeless Council.