Understanding transitions from hospital to shelter/housing: Perspectives of people with lived experience of homelessness

People with lived experience of homelessness (PWLEs) have poorer health and higher rates of hospital admissions than stably housed persons. However, PWLEs are often discharged from hospital to unsupportive settings that do not meet their complex health needs, resulting in ongoing and worsening health conditions and prolonged recoveries. To expand on current understandings of hospital-to-shelter/housing transitions and to investigate the differences between younger and older PWLEs, this study conducts a secondary data analysis of 20 in-depth interviews with 11 younger (45 years) PWLEs. Findings are organized into three categories: 1) Self-rated health and healthcare use; 2) Discharge planning; and 3) Recovery and follow-up care. Differences between older and younger PWLEs are highlighted. Identifying challenges of hospital-to-shelter/housing transitions and supports needed provides an avenue for healthcare and shelter/housing providers to improve service delivery.