Vaccination Barriers for People Experiencing Homelessness: How Social Workers are Making an Impact

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Article by Hook up with Finish COVID-19 Ambassador and NASW (DC-VA) Member, Lauren Morris, MSW, ACM, LCSW-S

Hospitalizations and deaths from COVID-19 are trending down in keeping with the Facilities for Illness Management (CDC) information. Nonetheless, solely 17% of eligible folks nationwide have obtained an up to date booster dose. Developments famous from CDC information collected in 2021 confirmed the overall inhabitants being absolutely vaccinated at 59.8% whereas solely 25% of individuals experiencing homelessness (PEH) have been vaccinated. These statistics point out that vaccination charges amongst PEH have additionally dropped.

The Federal Drug Administration (FDA) started approving vaccines in late 2020. The FDA has now permitted a 4th vaccine, Novavax, that’s permitted for a 1st and 2nd dose to kids and adults age 12 and up. Extra info on the totally different vaccinations is accessible on the CDC’s website. Nonetheless, COVID-19 stays an lively concern. Latest CDC info reveals that greater than 1 million folks have died of COVID-19 within the US as of November 2022. The virus continues to mutate and presently we’re studying about lengthy COVID’s illness course of and presentation.

The Nationwide Well being Look after the Homeless Council (NHCHC) famous in a 2020 temporary that PEH are in danger for experiencing persistent medical situations in addition to behavioral well being considerations. NHCHC notes that demographics collected in 2018 confirmed 40% of the 1 million purchasers served have been age 50 or older. These well being dangers alone open PEH to greater threat of infections. Moreover PEH usually have restricted entry to hygiene services making it tough to observe public well being recommendation.

Persevering with Challenges Reaching the PEH Inhabitants

Whilst availability to vaccines turns into extra widespread, challenges stay in reaching the PEH inhabitants. Distrust of healthcare establishments is one issue to contemplate. If earlier experiences with clinics the place vaccines are being supplied have been unfavorable, an individual may not be motivated to return. Additional considerations include the necessity for a secondary dose and potential unintended effects from the preliminary vaccine. Adherence to masking and social-distancing tips stay tough to ensure. The Nationwide Affiliation of Social Employees (NASW) gives info on the way to attain folks with restricted entry to COVID-19 vaccines within the Connect to End COVID resources.

Woman receiving bandage after COVID-19 vaccination.

Whereas challenges stay within the supply of healthcare to PEH, this pandemic expertise has been a chance to increase all well being care to PEH. Some states participated within the National Health Care for the Homeless Council’s Vaccine Ambassador Project to interact folks experiencing homelessness and supply training across the vaccines whereas additionally creating methods to help with distancing. The NHCHC acknowledges a few of the classes realized from the Ambassador Undertaking in a short from November 2022, COVID-19 & the HCH Community: Lessons Learned from the Pandemic.

Social Employees as Trusted Messengers

Social Employees are current in lots of programs that PEH entry, offering us a chance to make the most of these classes for the good thing about our purchasers. One vital lesson realized is together with folks with lived expertise into the choice making course of when searching for new methods to attach PEH with vaccines or training in modifications with the COVID19 virus. Hiring a Vaccine Ambassador into organizations working with PEH is an effective way to incorporate somebody with lived expertise. The growth of digital healthcare is one other alternative to interact PEH with healthcare professionals.

Older man receiving COVID-19 vaccination.

Some recommendations from the temporary are to spend money on moveable know-how that is perhaps taken to encampments, or prepare for a personal room in a shelter or useful resource heart to permit purchasers to have digital medical visits. Creating partnerships with different suppliers and companies has been a key a part of some success in distributing vaccines. One instance was partnering with native meals banks to supply snacks throughout a vaccine drive. Moreover, sharing info with native suppliers can help in providing extra alternatives for PEH to entry a vaccine drive and doubtlessly encounter a supplier they belief. The CDC has info on arranging a cell vaccine on its website.

As social employees, we’re seen as trusted messengers by our purchasers, together with those that could also be experiencing homelessness. We meet folks the place they’re and provides them the knowledge they want in a non-judgmental manner to allow them to make an knowledgeable choice about vaccines and self-care. Educating ourselves concerning the virus and the most recent developments about vaccines is step one towards serving to our purchasers and communities.

For extra details about NASW’s Hook up with Finish COVID-19 initiative, go to the NASW website.

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This venture and weblog submit is supported by the Facilities for Illness Management and Prevention of the U.S. Division of Well being and Human Providers (HHS) as a part of a monetary help award totaling $3.3 million with 100% funded by CDC/HHS. The contents are these of the writer(s) and don’t essentially characterize the official views of, nor an endorsement by, CDC/HHS, or the U.S. Authorities.



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