Exploring the challenges of providing palliative care to people experiencing homelessness.

Why you should read this article: • To understand the association between chronic homelessness, tri-morbidity, complex health needs and premature death • To enhance your knowledge of the complexity of mental health issues in people experiencing homelessness • To be aware of the barriers to palliative care provision for people who are homeless. Homelessness is a growing issue, not only with regards to people's housing status but also their overall health and well-being. People experiencing homelessness face several health inequities compared with the general population, including a greater incidence of long-term physical health conditions and a higher prevalence of mental health issues. Tri-morbidity – the combination of physical ill health, mental ill health and drug and/or alcohol misuse – is common in this population. Access to palliative care is particularly challenging for people who are homeless, whose mental healthcare needs in the final phases of life may be particularly acute due to compound trauma. This article explores the challenges of providing suitable palliative care to people experiencing homelessness, including the challenge of tri-morbidity. The author, who leads an outreach service in Bedfordshire for people who are homeless and have life-limiting conditions, shares useful strategies and reflections on a case study from his practice. [ABSTRACT FROM AUTHOR]