Challenges included: 1) limited availability of affordable and appropriate housing 2) other guests’ ways of life 3) complex needs versus limited after-care resources and 4) inequities in program access. Data were analyzed in NVivo 12 to identify successes including: 1) achieving health stability and recovery following hospital discharge 2) having privacy and freedom while in the program 3) building relationships with providers 4) having formal support to find housing and 5) cross-sector relationships between providers. Participants included eight healthcare and shelter/housing decision-makers and providers and a convenience sample of ten program participants (two females and eight males who ranged in age from 31 to 74 years old average = 50 years old). Using a community-based participatory research approach, we conducted in-depth interviews in-person or by phone. To improve the continuity of care and health outcomes for PWLEs who are being discharged from hospital, a more complete understanding of two hospital-to-shelter/housing programs in Metro Vancouver, Canada was sought. Persons with lived and living experiences of homelessness (PWLEs) commonly use hospitals and emergency departments to access healthcare yet support for transitions from hospital to shelter/housing can be challenging to access.
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