People experiencing homelessness are at a higher risk of hepatitis C virus (HCV) infection, but face limited access to HCV diagnosis and treatment, resulting in low treatment uptake. This review aims to identify the barriers and facilitators for HCV screening and treatment among adults with lived experience of homelessness in highly developed countries. The analysis of several papers/reports revealed various factors influencing access to HCV testing and treatment for this population. Barriers include challenging conditions associated with homelessness, rigid hospital settings, and lack of awareness. On the other hand, flexibility, outreach, effective communication, tailoring of services, and integration of care were found to be potential facilitators. The findings emphasize the need for targeted measures to improve HCV diagnosis and treatment for people experiencing homelessness, with further research warranted to explore successful models for promoting screening, diagnosis, and treatment. Patient and public contributions were made by a team with experience in HCV care and outreach for this population.
This course is based on the reading-based online article, Barriers and Facilitators to Hepatitis C Screening and Treatment for People With Lived Experience of Homelessness created by Martha Paisi PhD – Public Health Dentistry and Neeltje Crombag PhD in 2021.
Publication Date:
1st Edition Nov 2021
Course Material Authors
Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
Martha Paisi PhD - Public Health Dentistry
Dr. Paisi is a Senior Research Fellow, Research Lead. School of Nursing and Midwifery,
University of Plymouth, mad a Research Lead at the Peninsula Dental School, University of
Plymouth, Plymouth, UK. Her research focuses on health inequities and health promotion. She has had multiple works published in peer reviewed journals.
Neeltje Crombag PhD
Dr. Crombag is a Postdoctoral Research Fellow in the Department of Development and Regeneration, Urogenital, Abdominal and Plastic Surgery, KU Leuven, Leuven, Belgium. Dr. Crombag has multiple articles published in peer reviewed journals.
Allison Brown holds a BS degree in Criminal Justice with a Psychology focus and a Master’s degree in Social Work from Loyola University Chicago. She is a Licensed Clinical Social Worker who currently works at a Long-Term Insurance company bringing clinical experience to claim processes. Additionally, she developed and continues to lead the Continuing Education Program for Social Workers and Nurses and often leads complex process improvement projects Prior to this, her primary focus was in mental health and worked in both the outpatient and inpatient settings providing support to adults with mental illness.
Recommended For:
Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.
Course Objectives:
After taking this course, you should be able to:
Identify the specific barriers that prevent adults with lived experience of homelessness from accessing hepatitis C virus (HCV) screening and treatment in highly developed countries.
Explore the facilitators that promote HCV screening and treatment uptake among individuals experiencing homelessness, including outreach efforts, effective communication, and tailoring of services.
Inform future targeted measures and interventions aimed at improving HCV diagnosis and treatment for people experiencing homelessness by synthesizing the evidence on barriers and facilitators identified in highly developed countries..
Disclosure to Learners
Disclosure of Relevant Financial Relationships
CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited
Continuing Medical Education. Any individuals in a position to control the content of a CE activity –
including faculty, planners, reviewers, or others ― are required to disclose all relevant financial
relationships with ineligible entities (formerly known as commercial interests).
The following relevant financial relationships have been disclosed by this activity's planners, faculty, and
the reviewer:
Planners and Reviewers
The planners of this activity have reported that they have no relevant financial relationships.
Allison Brown, LCSW 149014591 – No relevant financial relationships.
Commercial support
There is no commercial support for this distance-learning course.
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