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Identified service gaps included mental health support and help securing public assistance (e.g., cash benefits). Opportunities to enhance PSH care coordination were also identified, such as the need for a simplified approach. Hospitals, health plans and systems considering PSH programmes may look to these results for implementation guidance.What happens when you teach someone about the effects of climate change? Dr Jennifer Rudd shares her reaction to hearing that the world could be on track for 4 °C of global heating in her lifetime