Author: Susan U Bhroin, Cliona N Cheallaigh / Editor: Lauren Fraser / Codes: / Published: 19/04/2022
An interactive learning session covering the relevance of Inclusion Health to ED; the recently published RCEM Best Practice Guideline for Inclusion Health in the ED; the approach to assessment and management of some of our most vulnerable ED patients.
Learning objectives:
- Understand what inclusion health is and how it relates to ED
- Understand and comply with the duty to refer
- Be empathetic to marginalised groups and appreciate the barriers to healthcare that they face
- Understand why these patients frequently attend EDs and consider the various methods available to address this
References
- The Royal College of Emergency Medicine. Inclusion Health in the Emergency Department [Internet]. Best Practice Guideline. 2020.
- Bowen M, Marwick S, et al. Multimorbidity and emergency department visits by a homeless population: a database study in specialist general practice. British Journal of General Practice 2019; 69 (685): e515-e525.
- Ministry of Housing Communities and Local Government. A Guide to the Duty to Refer [Internet]. 2018.
- Shelter. This is England: A picture of homelessness in 2019 The numbers behind the story. 2019.
- Cheallaigh CN, Cullivan S, Sears J, Lawlee AM, et al. Usage of unscheduled hospital care by homeless individuals in Dublin, Ireland: A cross-sectional study. BMJ Open. 2017;7(11):17.
- Aldridge RW, Story A, Hwang SW, Nordentoft M, et al. Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries: a systematic review and meta-analysis. Lancet [Internet]. 2018;391(10117):24150.
- Bowen M, Marshall T, Yahyouche A, Paudyal V, Marwick S, Saunders K, et al. Multimorbidity and emergency department visits by a homeless population: A database study in specialist general practice. Br J Gen Pract. 2019;69(685):E51525.
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- University College London. Collaborative Centre for Inclusion Health [Internet]. 2021.
- Royal College of Physicians. Inclusion Health Designing Services [Internet]. 2021.
- Crisis UK. Types of Homelessness [Internet]. 2021.
- Homeless Link. Statutory Homelessness [Internet]. 2018.
- Homeless Link. SWEP Guidance 2020-21. 2020;(1089173):25.
- Franco A, Meldrum J, Ngaruiya C. Identifying homeless population needs in the emergency department using community-based participatory research. medRxiv. 2020;111.
- Dorney-Smith S, Hewett N, Burridge S. Homeless medical respite in the UK: A needs assessment for South London. Br J Heal Care Manag. 2016;22(8):40513.
- Dorney-Smith S, Schneller K, Swift A, et al. Meeting the needs of homeless people attending the emergency department. Emerg Nurse. 2020;28(4):319.
- U Bhroin S, Kinahan J, Murphy A. Profiling frequent attenders at an inner city emergency department. Ir J Med Sci. 2019;188:10139.
- National Institute for Health and Clinical Excellence. Alcohol-use disorders: diagnosis and management of physical complications NICE Guideline [CG100]. 2017;(June 2010).
- Novakovic, Rutter, Ainsworth, Hudson, Cullum, Canning & M. Drug misuse prevention: targeted interventions (NG64). Natl Inst Clin Excel [Internet]. 2016;(February).
- Royal College of Emergency Medicine. HIV Testing in the Emergency Department. Best Practice Guideline. 2020. 23.
- The Royal College of Emergency Medicine. Frequent Attenders in the Emergency Department [Internet]. Best Practice Guideline. 2017.