{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"Research Square"}],"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T06:57:51Z","timestamp":1747205871427,"version":"3.40.5"},"posted":{"date-parts":[[2020,10,26]]},"group-title":"In Review","reference-count":0,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T00:00:00Z","timestamp":1603670400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2020,10,23]]},"abstract":"<title>Abstract<\/title>\n        <p><bold>Background: <\/bold>As COVID-19 surged in people experiencing homelessness, leaders at Boston Medical Center (BMC), New England\u2019s largest safety-net hospital, developed a program to care for them.<bold>Aim:<\/bold> Provide an opportunity for COVID-infected people experiencing homelessness to isolate and receive care until no longer contagious<bold>Setting:<\/bold> A decommissioned hospital building.<bold>Participants: <\/bold>COVID-infected people experiencing homelessness<bold>Program Description: <\/bold>Care was provided by physician volunteers and furloughed staff. Care focused on allowing isolation, managing COVID-19 symptoms, harm-reduction interventions, and addressing problems related to substance use and mental illness.<bold>Program evaluation:<\/bold> Among 226 patients who received care, 65% were referred from BMC. Five percent were transferred to the hospital for a complication that appeared COVID-related. There were no deaths, but 7 patients had non-fatal overdoses. Seventy-nine % had at least one diagnosis of mental illness, and 42% reported actively using at least one substance at the time of admission.  Thirty % had at least one mental health diagnosis plus active substance use.<bold>Discussion:<\/bold> This hospital-based COVID Recuperation Unit was rapidly deployed, provided safe isolation for 226 patients over 8 weeks, treated frequent SUD and mental illness, and helped prevent the hospital\u2019s acute-care bed capacity from being overwhelmed during the peak of the COVID-19 epidemic.<\/p>","DOI":"10.21203\/rs.3.rs-97328\/v1","type":"posted-content","created":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T22:44:54Z","timestamp":1603752294000},"source":"Crossref","is-referenced-by-count":4,"title":["Caring for COVID\u2019s most vulnerable victims: a safety-net hospital responds"],"prefix":"10.21203","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3159-381X","authenticated-orcid":false,"given":"Miriam","family":"Komaromy","sequence":"first","affiliation":[{"name":"Grayken Center for Addiction, Section of General Internal Medicine, Boston Medical Center, Boston University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Harris","sequence":"additional","affiliation":[{"name":"Grayken Center for Addiction, Section of General Internal Medicine, Boston Medical Center, Boston University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MBA Rob M.","family":"Koenig","sequence":"additional","affiliation":[{"name":"Boston Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MA Mary","family":"Tomanovich","sequence":"additional","affiliation":[{"name":"Grayken Center for Addiction, Section of General Internal Medicine, Boston Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glorimar","family":"Ruiz-Mercado","sequence":"additional","affiliation":[{"name":"Grayken Center for Addiction, Section of Infectious Diseases,, Boston Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua A.","family":"Barocas","sequence":"additional","affiliation":[{"name":"Grayken Center for Addiction, Section of General Internal Medicine, Section of Infectious Diseases, Boston Medical Center, Boston University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","container-title":[],"original-title":[],"link":[{"URL":"https:\/\/www.researchsquare.com\/article\/rs-97328\/v1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.researchsquare.com\/article\/rs-97328\/v1.html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T00:06:53Z","timestamp":1659053213000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.researchsquare.com\/article\/rs-97328\/v1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,26]]},"references-count":0,"URL":"https:\/\/doi.org\/10.21203\/rs.3.rs-97328\/v1","relation":{"is-preprint-of":[{"id-type":"doi","id":"10.1007\/s11606-020-06499-2","asserted-by":"subject"}]},"subject":[],"published":{"date-parts":[[2020,10,26]]},"subtype":"preprint"}}