{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:54:45Z","timestamp":1747187685564,"version":"3.40.5"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,10,8]],"date-time":"2021-10-08T00:00:00Z","timestamp":1633651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In response to the challenges imposed by the COVID\u201019 global pandemic, the leadership of a large homeless service and residential recovery organization transformed its organizational practices in accordance with best available evidence for prevention and containment of the SARS\u2010CoV\u20102 virus. The coordinated organizational response was based on the CDC's \u201cwhole community\u201d framework for addressing the threat of COVID\u201019 among persons experiencing homelessness and included strategies for preparation and containment of the virus and identification of exposures and disease outbreaks. Organizational practice changes were also instituted to mitigate spread. New protocols and procedures addressed admission intake processes, testing and monitoring, and guidelines for managing staff, vendors, and volunteers. Finally, an on\u2010site vaccination clinic was organized through the establishment of a four\u2010pronged coalition. The program outreached to staff, residents, and essential volunteers. Following implementation of this coordinated organizational response, confirmed SARS CoV\u20102 cases in the facility declined to zero. Through this experience, the leadership became more adept at improving its digital fitness and pivoting when circumstances dictated a shift in policy and practice. In every major initiative or policy change aimed at addressing the spread of the virus, community partnerships were key to effective implementation of COVID\u201019 prevention and containment strategies.<\/jats:p>","DOI":"10.1111\/phn.12984","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T13:04:17Z","timestamp":1633871057000},"page":"456-463","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Protecting persons experiencing homelessness through a global pandemic"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8806-7813","authenticated-orcid":false,"given":"Mary","family":"Lashley","sequence":"first","affiliation":[{"name":"Public Health Nursing Towson University  Towson Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. Daniel","family":"Stoltzfus","sequence":"additional","affiliation":[{"name":"Helping Up Mission  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,10,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1750458920949453"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2020.06.055"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0033354920936227"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2021.03.023"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0275074020942062"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.2012370118"},{"volume-title":"Interim guidance for homeless service providers to plan and respond to coronavirus disease 2019 (COVID\u201019)","year":"2020","author":"Centers for Disease Control and Prevention","key":"e_1_2_12_8_1"},{"volume-title":"Health equity considerations and racial ethnic minority groups","year":"2021","author":"Centers for Disease Control and Prevention","key":"e_1_2_12_9_1"},{"volume-title":"Interim guidance for health departments: COVID\u201019 vaccination implementation for people experiencing homelessness","year":"2021","author":"Centers for Disease Control and Prevention","key":"e_1_2_12_10_1"},{"volume-title":"Baltimore City vaccine dashboard","year":"2021","author":"City of Baltimore","key":"e_1_2_12_11_1"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/phn.12733"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/v1303390\/v13030408"},{"volume-title":"Intake and safety protocols for COVID\u201019","year":"2020","author":"Helping Up Mission","key":"e_1_2_12_14_1"},{"volume-title":"Unpublished raw data on racial distribution","year":"2021","author":"Helping Up Mission","key":"e_1_2_12_15_1"},{"volume-title":"Helping Up Mission Programs","year":"2021","author":"Helping Up Mission","key":"e_1_2_12_16_1"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6927a3"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/v13030460"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/phn.12779"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615\u2010020\u201000879\u20104"},{"volume-title":"COVID\u201019 statistics in Maryland","year":"2021","author":"Maryland Department of Health. 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