Adapting Your Practice: Treatment and Recommendations for Homeless Patients with Chlamydial or Gonococcal Infections

This resource, developed by the National Health Care for the Homeless Council, provides valuable information about Chlamydial or Gonococcal Infections, its effects on homeless patients and the subsequent treatment recommendations.

Clinicians practicing in Health Care for the Homeless (HCH) projects and others who provide primary care to people who are homeless or at risk of homelessness routinely adapt their medical practice to foster better outcomes for these patients.

Standard clinical practice guidelines often fail to take into consideration the unique challenges faced by homeless patients that may limit their ability to adhere to a plan of care. Recognizing the gap between standard clinical guidelines and clinical practices used by health care providers experienced in the care of individuals who are homeless, the HCH Clinicians’ Network has made the adaptation of clinical practice guidelines for homeless patients one of its top priorities.

The original edition of these adapted clinical guidelines was developed in 2003 by primary health care providers representing HCH projects across the United States. The 2008 edition reflects changes in practice standards for the treatment of sexually transmitted infections (STIs) as well as recommended practice adaptations for the care of homeless patients, alerting clinicians to the strong association between STIs and sexual abuse in this population. These recommendations reflect the collective experience of practitioners with extensive experience serving homeless adults, adolescents and children.

We hope these recommendations offer helpful guidance to primary care providers serving patients who are homeless or at risk of homelessness, and that they will contribute to improvements in both quality of care and quality of life for the patients they serve. (Authors).