{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:20:02Z","timestamp":1777922402175,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T00:00:00Z","timestamp":1619481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>Persons experiencing homelessness (PEH) face countless barriers to equitable health, social, and palliative care across all settings. Brandon was a 23-year-old male, well-spoken, groomed, and polite despite difficult circumstances. He was severely abused then abandoned as a child, living in multiple foster homes until 18. With no consistent caring adult figure, he predictably fell into a chaotic lifestyle, had 3 children by different mothers, and became homeless in New York City. He presented with newly diagnosed renal cell carcinoma metastatic to lung, lymph nodes, and bone. Spine and pelvic metastases caused paralyzing somatic pain that interfered with walking and sitting and prevented Brandon from performing the activities of daily living essential for his survival on the streets and safekeeping of opioids. Lack of basic social support and a history of multiple abandonments made a care plan for this young, homeless, and truly isolated man very challenging. The inpatient and outpatient interdisciplinary team members partnering with Brandon each earned his trust with time. A \u201csafe place\u201d opened hearts on all sides of the therapeutic relationship and led to a plan that was acceptable for both the patient and the palliative care team. Clinicians are often challenged to provide sustained and pragmatic palliative care services for PEH due to complex barriers. Continued advocacy for equitable and tailored services that ensure high-quality palliative care for PEH is critical at individual, institutional, and system levels to promote health equity and dignified care.<\/jats:p>","DOI":"10.1177\/08258597211013957","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T06:09:13Z","timestamp":1619503753000},"page":"265-269","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Fostering Trust With a Young Man Experiencing Homelessness and Advanced Cancer"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0680-8911","authenticated-orcid":false,"given":"William E.","family":"Rosa","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8644-8735","authenticated-orcid":false,"given":"Laurie J.","family":"Andersen","sequence":"additional","affiliation":[{"name":"Supportive Care Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ethel","family":"Frierson","sequence":"additional","affiliation":[{"name":"Department of Nursing, Supportive Care Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn","family":"Fulton","sequence":"additional","affiliation":[{"name":"Palliative Care Service, University of Colorado Hospital, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Moryl","sequence":"additional","affiliation":[{"name":"Department of Medicine, Supportive Care Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,27]]},"reference":[{"key":"bibr1-08258597211013957","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13038"},{"key":"bibr2-08258597211013957","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-020-00483-1"},{"key":"bibr3-08258597211013957","doi-asserted-by":"publisher","DOI":"10.1071\/AH19070"},{"key":"bibr4-08258597211013957","unstructured":"Marmot M, Allen J, Boyce T, et al. Marmot review 10 years on. 2020. http:\/\/www.instituteofhealthequity.org\/resources-reports\/marmot-review-10-years-on. Accessed April 21, 2021."},{"key":"bibr5-08258597211013957","unstructured":"Thomas S. Doctors for health equity\u2014world medical association report. 2016. http:\/\/www.instituteofhealthequity.org\/resources-reports\/doctors-for-health-equity-world-medical-association-report. 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PEACH resource for frontline workers caring for clients experiencing homelessness in COVID-19. 2020. http:\/\/www.icha-toronto.ca\/sites\/default\/files\/PEACH%20Resource%20for%20Frontline%20Workers%20Caring%20for%20Clients%20Experiencing%20Homelessness%20in%20COVID%2019.pdf. Accessed April 21, 2021."},{"key":"bibr14-08258597211013957","unstructured":"Our World in Data. Mortality risk of COVID-19. 2020. https:\/\/ourworldindata.org\/mortality-risk-covid. Accessed April 21, 2021."},{"key":"bibr15-08258597211013957","unstructured":"Skinner E, Colclough A, Downing J, et al. Palliative care for those experiencing homelessness in the time of COVID-19\u00a0\u2013 briefing note: global palliative care COVID-19 Series. 2020. http:\/\/globalpalliativecare.org\/covid-19\/uploads\/briefing-notes\/briefing-note-palliative-care-for-those-experiencing-homelessness-in-the-time-of-covid-19.pdf. 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