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Homeless Death Review Report 7.10

Homeless Death Review Report 7.10

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Published by Isabelle Walker
The Homeless Death Review is a study commissioned by the Santa Barbara County Board of Supervisors in 2010 when the number of homeless people dying in the City and County appeared to be rising at an alarming rate. The study examines the underlying causes of death of 45 individuals and looks at ways that healthcare and outreach to the homeless could be improved.
The Homeless Death Review is a study commissioned by the Santa Barbara County Board of Supervisors in 2010 when the number of homeless people dying in the City and County appeared to be rising at an alarming rate. The study examines the underlying causes of death of 45 individuals and looks at ways that healthcare and outreach to the homeless could be improved.

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Published by: Isabelle Walker on Aug 31, 2011
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01/13/2013

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 Revised on July 29, 2010
 Deaths and Violence Against Homeless Personsin Santa Barbara County
January 1, 2009 through March 31, 2010
A Report for theCounty Board of Supervisors
Presented on: August 10, 2010
 
 
Homeless Death Review Team Members
Public Health Department
 
David Lennon, MD
 
Dana Gamble, LCSW
 
Susan Klein-Rothschild, MSW
 
Ralph Barbosa
Department of Social Services
 
Ken Williams
 
Mary Grace Dacheff 
Alcohol, Drug and Mental Health Services
 
Andrew Vesper,LCSW
Community Collaborators
 
Cottage Hospital - Sal Robledo, LCSW
 
Casa Esperanza - Imelda Loza, Esq.
 
Parish Nursing - Jan Fadden, PHN
 
Santa Barbara Police Department - Officer Keld Hove
 
 
Table of Contents
Executive Summary............................................................................................................................................1
Background......................................................................................................................................................1Review Caveat..................................................................................................................................................1Methods............................................................................................................................................................1Demographics...................................................................................................................................................1Death Statistics.................................................................................................................................................1
Homeless Death Review Team Study...............................................................................................................3
Background on Homelessness in the United States and Beyond.....................................................................3History of Homelessness in Santa Barbara County..........................................................................................3Formation of the Homeless Death Review Team............................................................................................3Examining Death and Violence in the Homeless Population...........................................................................4Review of Current Literature...........................................................................................................................4Methods............................................................................................................................................................6Case Selection Criteria.....................................................................................................................................6Deciding Which Cases to Include in the Study................................................................................................7
Results..................................................................................................................................................................7
Cases Reviewed................................................................................................................................................7Demographics of the Case Studies: Age, Gender, Race, Ethnicity, Veteran Status.......................................8Living Situation................................................................................................................................................8Death Statistics...............................................................................................................................................10Co-Morbidity of Conditions...........................................................................................................................15Figure 1. Patient Condition by Category........................................................................................................16Figure 2. Percent of Patients per Category.....................................................................................................17
Discussion..........................................................................................................................................................17
Questions & Answers.....................................................................................................................................18Figure 3. Quality Indicator Results................................................................................................................21
Conclusions and Recommendations...............................................................................................................25PHD Recommendations...................................................................................................................................26
Identifying Homeless Patients........................................................................................................................26Establishing Patients and Improving Continuity of Care...............................................................................26Other Recommendations................................................................................................................................27Improve Access to Housing and Shelter........................................................................................................27Future Homeless Death Reviews...................................................................................................................28Violence and Trauma Recommendations....................................................................................................28
Additional Observations..................................................................................................................................28Acknowledgments.............................................................................................................................................30References and Literature Cited.....................................................................................................................30

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