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One promising approach taken by the homeless services system is to provide interventions that attempt to prevent homelessness before it occurs. Experts have suggested that health care settings may be ideal locations to identify and intervene with patients at risk for homelessness, yet little is known even about the basic characteristics of patients who might benefit from such interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted in\u2010depth, one\u2010on\u2010one qualitative interviews with <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> patients who had become homeless within the past 6 months. Using a semistructured interview guide, we asked patients about their pathways into homelessness and what might have prevented them from becoming homeless. Interviews were digitally recorded and professionally transcribed. Transcripts were coded line by line by multiple investigators who then met as a group to discuss and refine codes in an iterative fashion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Interviews were completed with 31 patients. Mean interview length was 42 minutes. Four main themes emerged: 1) unique stories yet common social and health contributors to homelessness, 2) personal agency versus larger structural forces, 3) limitations in help from family or friends, and 4) homelessness was not expected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings demonstrate gaps in current homeless prevention services and can help inform future interventions for unstably housed and homeless <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> patients. More immediately, the findings provide rich, unique context to the lives of a vulnerable patient population commonly seen in <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>s.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.13677","type":"journal-article","created":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T08:01:13Z","timestamp":1565942473000},"page":"982-993","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["\u201cIt Wasn't Just One Thing\u201d: A Qualitative Study of Newly Homeless Emergency Department Patients"],"prefix":"10.1111","volume":"26","author":[{"given":"Kelly M.","family":"Doran","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine NYU School of Medicine New York NY"},{"name":"Department of Population Health NYU School of Medicine New York NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziwei","family":"Ran","sequence":"additional","affiliation":[{"name":"NYU Silver School of Social Work New York NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna","family":"Castelblanco","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine NYU School of Medicine New York NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna","family":"Shelley","sequence":"additional","affiliation":[{"name":"Department of Population Health NYU School of Medicine New York NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah K.","family":"Padgett","sequence":"additional","affiliation":[{"name":"NYU Silver School of Social Work New York NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,16]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Corporation for Supportive Housing.Improving Community\u2010wide Targeting of Supportive Housing to End Chronic Homelessness. 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