Finding Hope in a Hopeless Place

One of Boston's major teaching hospitals is examining how it handles patients’ bodies and supports family members after a death.

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

A tiny home and RV community outside of Austin, Texas does more than house the homeless; it provides community and economic independence. With backing from local business, nonprofits, and religious institutions, Community First Village houses over 200 people and provides residents with ways to find jobs in the community as well as access to healthcare information and services. With homelessness on the rise in Austin, Texas, one community has a solution that includes housing, employment and above all a sense of social connection.

Environments designed with soundscapes and visual art help to reduce anxiety and pain. In London, Chelsea and Westminster Hospital has noted a marked improvement in patient experience, including decreased pain and even a reduction in the time women spent in labor, in the presence of artistic installations. Other hospitals in the UK report similar benefits.

To reduce maternal mortality in the Masai region of Tanzania, Catholic nuns with Sisters of Notre Dame are building hospitals and educating local women about the importance of giving birth in a medical setting. Although this goes against the community's use of a "traditional birth attendant," delivering in a hospital allows for emergency situations to be better addressed and is receiving positive feedback from women in the region.

A coalition of local groups in the Cowichan region focused on the welfare of vulnerable populations during COVID-19 opened five tenting sites that have provided people experiencing homelessness with safety, meals, and access to service. The temporary solution, pending the opening of 100 units of housing to open in 2021, has uncertain financing after its initial $392,000 phase. But, almost immediately, the well-managed sites have had a visible effect: many fewer people wandering the streets.

The state of Vermont has been able to keep COVID-19 cases to a minimal, at least in part by focusing on offering preventive protections for the most at-risk and vulnerable – such as the unhoused. The state's response has included "state-supported housing for the homeless, hazard pay, meal deliveries, and free, pop-up testing in at-risk communities," all of which prioritize high-risk populations rather than those who can easily self-isolate at home.

The Wraparound Project at Zuckerman San Francisco General Hospital and Trauma Center turns gunshot victims' hospital stays into "a teachable moment," by providing them with services aimed at helping them avoid a repeat injury. Getting shot once is a key risk factor for a second injury, particularly for gun violence's most common victims, young Black men. Wraparound is one of the nation's oldest hospital-based violence intervention programs. It has helped about 850 clients, mostly with mental health counseling, housing, and jobs. The program is associated with a decreased reinjury rate in San Francisco.

The Golden Girls shelter has been providing meals, medical aid, and other support services for women with children who are experiencing homelessness. Since the Golden Girls living space opened, the program has served a total of 50 women ranging in age from the early 50s to late 70s. While at the shelter, staff members help them complete paperwork so they can receive Social Security payments, pensions, or alimony, and apply for affordable housing. They’re also provided medical care, counseling, and assistance finding jobs.