Paeds Vivas · child-safety-and-social-paediatrics
Homelessness and housing instability — viva
Branching structured oral on homelessness and housing instability as a paediatric health problem: the housing continuum and the vital-sign screening principle, the five domains of clustered morbidity, the toxic-stress mechanism, the portable health summary, the housing intervention evidence, safeguarding and domestic-violence screening, and the advocacy role.
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The examiner presents a four-year-old girl with a recurrent asthma exacerbation whose mother discloses the family has been sleeping on a relative's lounge room floor for six weeks since an eviction. The address on file is wrong and two appointments were missed. The candidate is asked to outline the approach to her care. [4] [1]
References7ShowHide
- [1]Lebrun-Harris LA, Sandel M, Sheward R, et al. Prevalence and Correlates of Unstable Housing Among US Children. JAMA Pediatrics, 2024.PMID 38767882
- [3]Bess KD, Miller AL, Mehdipanah R The effects of housing insecurity on children's health: a scoping review. Health Promotion International, 2023.PMID 35134939
- [4]Sandel M, Sheward R, Ettinger de Cuba S, Coleman SM, Heeren TC, Black MM, et al. Unstable Housing and Caregiver and Child Health in Renter Families. Pediatrics, 2018.PMID 29358482
- [7]Keen R, Chen JT, Slopen N, et al. Prospective Associations of Childhood Housing Insecurity With Anxiety and Depression Symptoms During Childhood and Adulthood. JAMA Pediatrics, 2023.PMID 37338896
- [10]Carroll A, Corman H, Curtis MA, Noonan K Housing Instability and Children's Health Insurance Gaps. Academic Pediatrics, 2017.PMID 28232258
- [13]Bovell-Ammon A, Mansilla C, Poblacion A, et al. Housing Intervention For Medically Complex Families Associated With Improved Family Health: Pilot Randomized Trial. Health Affairs, 2020.PMID 32250672
- [15]Coughlin CG, Sandel M, Stewart AM Homelessness, Children, and COVID-19: A Looming Crisis. Pediatrics, 2020.PMID 32747589