Hospital-based transitional housing and care at discharge for persons experiencing homelessness
Bibliographic record
Abstract
People identifying as homeless in high income countries are becoming older and more medically complex. Previous studies have demonstrated the health and social benefits of various housing interventions for people who are homeless after hospital discharge. In this pre-/post-intervention cohort study, we recruited 57 participants from two transitional housing programs on the grounds of a single inner-city tertiary care center. In comparison to the 12 months prior to attending the transitional housing program, the number of hospital admissions decreased by 45% in the 12 months thereafter from an average of 2.0 to 1.1 admissions (p = 0.01). The number of inpatient days decreased by 64% from an average of 23.2 to 8.3 days (p < 0.01). Housing status at 12 months after baseline interviews had improved for 42% of our participants. Through our qualitative interviews with participants, key strengths of the programs included the trauma-informed approach and social service navigation provided by staff members, as well as the stable physical environment with proximity to comprehensive healthcare and social resources. Among hospitalized individuals facing homelessness, our study demonstrates that participation in a hospital-based transitional housing program can be associated with reductions in hospitalizations and hospital length of stay, and improved housing status.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.003 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".