Homelessness and substance abuse are prevalent, interconnected issues that present significant challenges for both social and medical communities. Despite significant efforts from various stakeholders, including supportive lawmakers, governing councils, and the medical community, these problems persist and are often refractory to interventions. This study aims to investigate the coexistence and severity of homelessness and substance abuse in Clinica Sierra Vista, a federally qualified health center serving Kern County and other counties in California’s Central Valley. By identifying potential points for early intervention, we hope to improve outcomes for individuals affected by homelessness and substance abuse. Evidence suggests that early intervention in disease processes can lead to better outcomes. We aim to explore whether this is true for the complex interplay between homelessness and substance abuse.

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