Learnings from providing integrated health, housing and wider care for people rough sleeping during the COVID- 19 pandemic: a national qualitative study of the ‘Everyone In’ policy initiative

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Publicado en:BMC Health Services Research vol. 25 (2025), p. 1
Autor principal: Jain, Neha
Otros Autores: Adams, Emma A, Haddow, Kate, Brown, Jo, Bleksley, Dan, Morrison, Stephan, Kesten, Joanna, Howells, Kelly, Sanders, Caroline, Adamson, Ashley J, Kaner, Eileen, Ramsay, Sheena E
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Springer Nature B.V.
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022 |a 1472-6963 
024 7 |a 10.1186/s12913-025-12713-w  |2 doi 
035 |a 3201523156 
045 2 |b d20250101  |b d20251231 
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100 1 |a Jain, Neha 
245 1 |a Learnings from providing integrated health, housing and wider care for people rough sleeping during the COVID- 19 pandemic: a national qualitative study of the ‘Everyone In’ policy initiative 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundThe ‘Everyone In’ national policy initiative launched in England during the COVID- 19 pandemic provided accommodation and health and care support to people who were (or at risk of) sleeping rough. This study aims to understand what worked well and less well in implementing ‘Everyone In’ for improving physical and mental health outcomes for people experiencing homelessness.MethodsBetween January and October 2023, in-depth interviews/focus groups were conducted across England with those involved in the delivery/implementation of ‘Everyone In’ and those accommodated. Framework analysis and case study analysis were used for a contextual understanding of the implementation of the policy initiative.ResultsTwenty-five people accommodated through ‘Everyone In’ (28–58 years; 88% males) and 43 service providers (25–62 years; 40% males) were interviewed. Flexibility in funding and resources, ‘joining up’ services/support, and innovative responsiveness in services across health, care, and housing systems were key positive features of the initiative. In the long term, ‘Everyone In’ has provided positive learnings for delivering holistic and integrated health and social care. It has also highlighted the importance of accommodating psychosocial needs and addressing the complexities of alcohol and substance use in all homelessness strategies.ConclusionsPathways to care for people experiencing homelessness need to be flexible and responsive. Complexities such as substance use need to be approached with compassion while addressing the role of wider determinants in such health behaviours. Innovative approaches and joined-up work improve delivery of interventions and integrated care can reduce barriers to access to support. 
651 4 |a United Kingdom--UK 
651 4 |a England 
653 |a Health care access 
653 |a Emergency medical care 
653 |a Mental health services 
653 |a Shelters 
653 |a Homeless people 
653 |a Research ethics 
653 |a Case studies 
653 |a Health behavior 
653 |a Housing 
653 |a Hotels & motels 
653 |a COVID-19 
653 |a Innovations 
653 |a Substance abuse 
653 |a Focus groups 
653 |a Pandemics 
653 |a Social services 
653 |a Mental health 
653 |a Qualitative research 
653 |a Alternative approaches 
653 |a Student housing 
653 |a Responsiveness 
653 |a Health status 
653 |a Integrated care 
653 |a Clinical outcomes 
653 |a Alcohol use 
653 |a Psychosocial factors 
653 |a Sympathy 
700 1 |a Adams, Emma A 
700 1 |a Haddow, Kate 
700 1 |a Brown, Jo 
700 1 |a Bleksley, Dan 
700 1 |a Morrison, Stephan 
700 1 |a Kesten, Joanna 
700 1 |a Howells, Kelly 
700 1 |a Sanders, Caroline 
700 1 |a Adamson, Ashley J 
700 1 |a Kaner, Eileen 
700 1 |a Ramsay, Sheena E 
773 0 |t BMC Health Services Research  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t ABI/INFORM Global 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3201523156/abstract/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3201523156/fulltext/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3201523156/fulltextPDF/embedded/75I98GEZK8WCJMPQ?source=fedsrch