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Speaker says Joshua's House hospice requires prognosis of six months and forgoing curative care for admission
Summary
A speaker at a Sacramento County public comment session described Joshua's House hospice admission criteria as requiring a prognosis of six months or less and that individuals forgo curative treatment; the speaker said the hospice provides an alternative referral point for unhoused people who otherwise rely on emergency departments.
A speaker at a Sacramento County public comment period described Joshua's House hospice as having specific admission criteria: a clinical prognosis of six months or less and a decision to forgo curative treatment.
The commenter framed the hospice as an alternative referral destination for people experiencing homelessness who often rely on hospital emergency departments for care.
“As you can imagine, a lot of unhoused individuals access their health care through the emergency rooms, emergency departments. That's not a great way to access care and many times they leave back going back out onto the streets with a really bad diagnosis. And so now there will be a place to refer them to,” said Staff member (public commenter). The speaker continued: “The criteria for hospice which is the criteria to come to Joshua's house is that the individual will have to have a diagnosis of 6 months or less as a result of their diagnosis and forgo curative treatment. And then we do a series of other intake processes to make sure they're right fit and they will be able to access Joshua's house and be cared for here.”
The transcript records this description but does not include agency documentation, medical records or a confirmation from Joshua's House management in the meeting record. The comment therefore reflects one speaker's account of admission rules rather than a formal policy statement recorded in meeting materials.
No formal motions or votes related to Joshua's House were recorded in the transcript.
