{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:22:10Z","timestamp":1777929730797,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"14","license":[{"start":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T00:00:00Z","timestamp":1668038400000},"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":["Qual Health Res"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>The experiences of care of people with lived experience of homelessness are rarely embraced to change care delivery. We conducted qualitative group and one-on-one interviews utilizing experience group methodology with 27 people with lived experience of homelessness currently housed in one permanent housing community in central Texas. We analyzed data using an inductive thematic approach to identify shared obstacles and barriers to receiving health care. We then analyzed findings with the capability, comfort, and calm value framework to identify health outcomes that matter most to study participants. Poor access to care, discontinuities in care, distrust in providers, and confusing terminology were identified as the biggest barriers to health. The overwhelming majority of experiences reflected poor health outcomes of calm, the outcome of a health care experience that adds ease to one\u2019s life rather than logistical and administrative chaos. We propose three practical approaches to achieve calm for this population as follows: systems-level embracement of compassionate care, integration of relationship-based care navigation into all levels of care, and building efficient transportation into care design. We conclude that designing health care that works in the lives of people with lived experience of homelessness is critical to address the gaps in care that fuel the health disparity these individuals face compared to people without this lived experience.<\/jats:p>","DOI":"10.1177\/10497323221135795","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T15:49:32Z","timestamp":1668095372000},"page":"2118-2125","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Achieving\n                    <i>Calm<\/i>\n                    : A Study on the Health Care Experiences of People With Lived Experience of Homelessness in Central Texas"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7538-9776","authenticated-orcid":false,"given":"Nicholaus","family":"Christian","sequence":"first","affiliation":[{"name":"Yale Program in Addiction, Yale School of Medicine, New Haven, CT, USA"},{"name":"VA Connecticut Healthcare System, West Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Curk","family":"McFall","sequence":"additional","affiliation":[{"name":"Mobile Loaves & Fishes, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Suarez","sequence":"additional","affiliation":[{"name":"The CUNY School of Labor and Urban Studies, New York, NY, USA"},{"name":"Edmond J. Safra Center for Ethics at Harvard University, Cambridge, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Ulack","sequence":"additional","affiliation":[{"name":"Value Institute for Health and Care, Austin, TX, USA"},{"name":"The University of Texas at Austin Dell Medical School, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brooke","family":"Wagen","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin Dell Medical School, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Whitney","family":"Williams","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin Dell Medical School, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Teisberg","sequence":"additional","affiliation":[{"name":"Value Institute for Health and Care, Austin, TX, USA"},{"name":"The University of Texas at Austin Dell Medical School, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,11,10]]},"reference":[{"key":"bibr1-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-577"},{"key":"bibr2-10497323221135795","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301792"},{"key":"bibr3-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1882"},{"key":"bibr4-10497323221135795","volume-title":"Innovation","author":"Austin-Travis County EMS","year":"2019"},{"issue":"1","key":"bibr5-10497323221135795","first-page":"1","volume":"37","author":"Baggett T.","year":"2014","journal-title":"SGIM Forum"},{"key":"bibr6-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400294"},{"key":"bibr7-10497323221135795","volume-title":"Best practices for serving aging tenants in supportive housing","author":"Corporation for Supportive Housing","year":"2014"},{"key":"bibr8-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04234.x"},{"key":"bibr9-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300195"},{"key":"bibr10-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1097\/NCM.0000000000000038"},{"key":"bibr11-10497323221135795","volume-title":"Austin\/travis county 2020 point-in-time (PIT) count source document","author":"Ending Community Homelessness Coalition","year":"2020"},{"key":"bibr12-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1177\/2150131916656009"},{"key":"bibr13-10497323221135795","volume-title":"Key elements of integrated care for persons experiencing homelessness","author":"Goyer C.","year":"2011"},{"key":"bibr14-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2020.0150"},{"key":"bibr15-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1177\/1049732318821692"},{"key":"bibr16-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1353\/cpr.2013.0005"},{"key":"bibr17-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-020-01206-3"},{"key":"bibr18-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.4892"},{"key":"bibr19-10497323221135795","volume-title":"Chapter 1: The necessity for trust","author":"Knight Foundation","year":"2018"},{"key":"bibr20-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1722-x"},{"key":"bibr21-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-5205-5"},{"key":"bibr22-10497323221135795","volume-title":"Understanding the health, housing, and social inclusion of formerly homeless older adults","author":"McDonald L.","year":"2009"},{"key":"bibr23-10497323221135795","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.44.5.4"},{"key":"bibr24-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1016\/j.evalprogplan.2015.03.009"},{"key":"bibr25-10497323221135795","volume-title":"Community first village statement of resident qualifying criteria","author":"Mobile Loaves &amp; Fishes","year":"2018"},{"key":"bibr26-10497323221135795","volume-title":"Community first! Village - 2020 video tour","author":"Mobile Loaves &amp; Fishes","year":"2020"},{"key":"bibr27-10497323221135795","volume-title":"Community first! Village","author":"Mobile Loaves &amp; Fishes","year":"2022"},{"key":"bibr28-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1177\/1049732319829434"},{"key":"bibr29-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.0.0068"},{"key":"bibr30-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1097\/JAC.0000000000000086"},{"key":"bibr31-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.561"},{"key":"bibr32-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-013-9686-3"},{"key":"bibr33-10497323221135795","first-page":"1","volume-title":"Qualitative research methods A data collector\u2019s field guide","author":"Taha M.","year":"2005"},{"key":"bibr34-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000003122"},{"key":"bibr35-10497323221135795","volume-title":"Austin joins federal homelessness housing effort","author":"Thompson B.","year":"2021"},{"key":"bibr36-10497323221135795","volume-title":"HUD 2019 continuum of care homeless assistance programs homeless populations and subpopulations","author":"US Dept of Housing and Urban Development","year":"2019"},{"key":"bibr37-10497323221135795","volume-title":"HUD 2020 continuum of care homeless assistance programs homeless populations and subpopulations","author":"US Dept of Housing and Urban Development","year":"2020"},{"key":"bibr38-10497323221135795","volume-title":"Experience Group\u00ae sessions","author":"Value Institute for Health and Care","year":"2022"},{"key":"bibr39-10497323221135795","volume-title":"Measuring what matters: Connecting excellence, professionalism, and empathy","author":"Wallace S.","year":"2016"},{"key":"bibr40-10497323221135795","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-007-0183-7"},{"key":"bibr41-10497323221135795","doi-asserted-by":"publisher","DOI":"10.37765\/ajmc.2021.88790"}],"container-title":["Qualitative Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10497323221135795","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10497323221135795","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10497323221135795","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:52:07Z","timestamp":1777679527000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10497323221135795"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,10]]},"references-count":41,"journal-issue":{"issue":"14","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1177\/10497323221135795"],"URL":"https:\/\/doi.org\/10.1177\/10497323221135795","relation":{},"ISSN":["1049-7323","1552-7557"],"issn-type":[{"value":"1049-7323","type":"print"},{"value":"1552-7557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,10]]}}}