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Although the exact prevalence of IDD among homeless populations is unknown, a small body of literature related to the intersection of IDD and homelessness suggests differential health needs and service use patterns, with a need for targeted health and social services. In this study, we explore the perceptions and experiences of 18 homeless or disability service providers about (a) their clients at the intersection of IDD and homelessness and (b) their role and the services provided at the intersection of IDD and homelessness. Participants struggled to provide appropriate, accessible services for this population, owing to lack of training and awareness of specific needs, fragmented systems, and inadequately funded healthcare and housing support. Our findings also reveal that clients at this intersection have high contact with public systems, which places them at risk for losing their right to self-determination. Recommendations center on systems transformation to facilitate the ability of providers to collaborate and to make data-driven decisions to deliver person-centered care.<\/jats:p>","DOI":"10.1177\/10497323231186880","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T02:09:53Z","timestamp":1691460593000},"page":"1017-1029","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["\u201cThe System Tends to Scoop You Up and Spit You Out and They\u2019re Done With You\u201d: The Intersection of Intellectual\/Developmental Disability and Homelessness From the Perspectives of Service Providers"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3208-4021","authenticated-orcid":false,"given":"Whitney","family":"Thurman","sequence":"first","affiliation":[{"name":"School of Nursing, The University of Texas at Austin, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Heitkemper","sequence":"additional","affiliation":[{"name":"School of Nursing, The University of Texas at Austin, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0489-9012","authenticated-orcid":false,"given":"Tara","family":"Hutson","sequence":"additional","affiliation":[{"name":"School of Nursing, The University of Texas at Austin, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Preston","sequence":"additional","affiliation":[{"name":"School of Nursing, The University of Texas at Austin, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Hecht","sequence":"additional","affiliation":[{"name":"School of Nursing, The University of Texas at Austin, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"key":"bibr1-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12432"},{"issue":"523","key":"bibr2-10497323231186880","first-page":"93","volume":"56","author":"Baxter H.","year":"2006","journal-title":"British Journal of General Practice"},{"key":"bibr3-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1352\/2326-6988-3.1.24"},{"key":"bibr4-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13571"},{"key":"bibr5-10497323231186880","volume-title":"What do NCI data reveal about the guardianship status of people with IDD?","author":"Bradley V.","year":"2019"},{"key":"bibr6-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1177\/1757913914552583"},{"key":"bibr8-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2011.tb00045.x"},{"key":"bibr9-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1179\/1573658X14Y.0000000004"},{"key":"bibr10-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1007\/s40474-018-0141-6"},{"key":"bibr11-10497323231186880","volume-title":"Housing needs for individuals with intellectual and developmental disabilities","author":"ECONorthwest","year":"2020"},{"key":"bibr12-10497323231186880","volume-title":"Bridging the aging and developmental disabilities service networks: Challenges and best practices","author":"Factor A.","year":"2012"},{"key":"bibr13-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050225"},{"key":"bibr14-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13314"},{"key":"bibr16-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1080\/13218719.2012.711683"},{"key":"bibr17-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1177\/0093854816680838"},{"key":"bibr18-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2014.11.002"},{"key":"bibr19-10497323231186880","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316665344"},{"key":"bibr20-10497323231186880","volume-title":"The 2021 annual homeless assessment report (AHAR) to congress: Part 1. 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