The physical and mental health of homeless people is considerably worse than that of the general population. The prevalence of mental disorders, substance misuse, affective disorders, and anxiety disorders is significantly elevated in individuals who have been homeless for long periods of time. Historically, homeless people have had poor engagement with healthcare services due to a lack of financial resources, health insurance, and accessibility. Solutions to slow homeless persons’ continued cycle of poor health include improving access to healthcare via outreach services that leverage mobile treatment options, and establishing rapport and trust in clinical settings by placing an emphasis on the quality of communication between provider and patient and by removing the social stigma associated with homelessness in healthcare. We make a conceptual analysis of the available literature to explore the ethical considerations associated with caring for the homeless, offer methods to improve health service utilization, and minimize the stigma that homeless individuals face in the clinical setting.
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