Social Workers’ Perspectives on Homelessness and End-Stage Kidney Disease

Abstract

Housing instability can contibute to poor treatment adherence and adverse health outcomes among end-stage kidney disease (ESKD) receiving hemodialysis. Social workers are tasked with navigating patients through the complexities of housing instability, yet little is known about the challenges they face in providing these services. This anonymous online survey of dialysis unit social workers identified frequent missed dialysis sessions, transportation barriers, hygiene concerns, and difficulties navigating housing resources as major challenges faced by patients. Qualitative analysis revealed insufficient training, the lack of  collaboration with housing agencies, and highlighted the need for centralized resource development and improved communication. Providing social workers with the training and tools to to address housing could improve patient outcomes and care delivery for this vulnerable population.