Inclusion Health in the ED

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
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References

  1. The Royal College of Emergency Medicine. Inclusion Health in the Emergency Department [Internet]. Best Practice Guideline. 2020.
  2. 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.
  3. Ministry of Housing Communities and Local Government. A Guide to the Duty to Refer [Internet]. 2018.
  4. Shelter. This is England: A picture of homelessness in 2019 The numbers behind the story. 2019.
  5. 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.
  6. 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.
  7. 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.
  8. Ma PHX, Chan ZCY, Loke AY. The Socio-Ecological Model Approach to Understanding Barriers and Facilitators to the Accessing of Health Services by Sex Workers: A Systematic Review. AIDS Behav. 2017;21(8):241238.
  9. Smith D, Ruston A. If you feel that nobody wants you youll withdraw into your own: Gypsies/Travellers, networks and healthcare utilisation. Sociol Heal Illn. 2013;35(8):1196210.
  10. Warfa N, Bhui K, Craig T, Curtis S, et al. Post-migration geographical mobility, mental health and health service utilisation among Somali refugees in the UK: a qualitative study. Health Place. 2006 Dec;12(4):503-15.
  11. University College London. Collaborative Centre for Inclusion Health [Internet]. 2021.
  12. Royal College of Physicians. Inclusion Health Designing Services [Internet]. 2021.
  13. Crisis UK. Types of Homelessness [Internet]. 2021.
  14. Homeless Link. Statutory Homelessness [Internet]. 2018.
  15. Homeless Link. SWEP Guidance 2020-21. 2020;(1089173):25.
  16. Franco A, Meldrum J, Ngaruiya C. Identifying homeless population needs in the emergency department using community-based participatory research. medRxiv. 2020;111.
  17. 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.
  18. 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.
  19. U Bhroin S, Kinahan J, Murphy A. Profiling frequent attenders at an inner city emergency department. Ir J Med Sci. 2019;188:10139.
  20. National Institute for Health and Clinical Excellence. Alcohol-use disorders: diagnosis and management of physical complications NICE Guideline [CG100]. 2017;(June 2010).
  21. Novakovic, Rutter, Ainsworth, Hudson, Cullum, Canning & M. Drug misuse prevention: targeted interventions (NG64). Natl Inst Clin Excel [Internet]. 2016;(February).
  22. Royal College of Emergency Medicine. HIV Testing in the Emergency Department. Best Practice Guideline. 2020. 23.
  23. The Royal College of Emergency Medicine. Frequent Attenders in the Emergency Department [Internet]. Best Practice Guideline. 2017.

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