Synovec Caitlin E, Aceituno Laura
Health Care for the Homeless, Baltimore, MD, USA.
Fox Rehabilitation, Silver Spring, MD, USA.
Work. 2020;65(2):235-246. doi: 10.3233/WOR-203074.
Populations of those experiencing homelessness in the United States expand beyond those living in shelters and on the streets. Many individuals living in poverty experience housing instability, as well as refugee populations who experience deprivation of social resources due to displacement. These populations are significantly affected by social determinants of health (SDOH).
A current policy and literature review was completed to assess prominent SDOH impacting unstably housed populations in the United States, including refugees, encountered in occupational therapy practice. Review of evidence-based practice to address SDOH was completed to provide recommendations for practitioners across healthcare settings.
A review of policy and its impact on those experiencing housing instability or recently resettled identifies several significant barriers to full occupational performance and health management. Several specific occupational therapy interventions exist to address these barriers and are in alignment with current practice.
Occupational therapy practitioners across practice settings should consider how current housing status and social determinants of health may impact their clients' occupational performance and ability to manage health conditions.
美国无家可归者群体不仅包括居住在收容所和街头的人。许多生活贫困的人经历住房不稳定，还有因流离失所而遭受社会资源剥夺的难民群体。这些人群受到健康的社会决定因素（SDOH）的显著影响。
完成了一项当前政策和文献综述，以评估影响美国居住不稳定人群（包括职业治疗实践中遇到的难民）的突出健康社会决定因素。完成了针对解决健康社会决定因素的循证实践综述，为跨医疗环境的从业者提供建议。
对政策及其对住房不稳定或最近重新安置者的影响进行的综述确定了全面职业表现和健康管理的几个重大障碍。存在几种具体的职业治疗干预措施来解决这些障碍，并且与当前实践一致。
跨实践环境的职业治疗从业者应考虑当前的住房状况和健康的社会决定因素如何影响其客户的职业表现和管理健康状况的能力。
