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Before Offering Treatment, Good Doctors Need to Further Study Family Homelessness

Diane Nilan
5 min readNov 11, 2022
Hospital bragging rights
Hospital bragging rights - Photo Diane Nilan

My excitement soared, seeing that a team of medical doctors from Harvard tackled the topic of family homelessness in the latest issue of JAMA Pediatrics, Housing Instability and Homelessness — An Undertreated Pediatric Chronic Condition. The good doctors (the docs), however, significantly missed the diagnosis and treatment.

Their initial description of housing instability and homelessness as experienced by families started out on target.

“Housing instability should be considered a chronic illness, even in pediatrics, because of its detrimental effects on health and need for ongoing medical attention.”

A very unhappy baby in a church-based shelter — Photo Diane Nilan

DEFINITION OF HOMELESSNESS

But then they plunged into the morass of definitions of homelessness. HUD’s narrow definition points to about 500,000 identified as homeless (an inaccurate interpretation of their still inaccurate census). The…

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Diane Nilan
Diane Nilan

Written by Diane Nilan

Founder/pres. HEAR US Inc., gives voice & visibility to homeless families & youth, ran shelters, advocate, filmmaker, author, 20 yrs. on US backroads. hearus.us

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