Original Publication
Open Access

Critical Synthesis Package: Health Professional’s Attitude Towards the Homeless Inventory (HPATHI)

Published: October 23, 2013 | 10.15766/mep_2374-8265.9589

Included in this publication:

  • Critical Analysis of the Health Professionals Attitude Toward the Homeless Inventory.pdf
  • HPATHI Instrument.pdf

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Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and the application to health science education of the Health Professional's Attitude Towards the Homeless Inventory (HPATHI), and (2) a copy of the HPATHI instrument developed by David Buck, MD.

The HPATHI is a short, self-administered instrument with 19 items, divided into subscales titled: Personal Advocacy, Social Advocacy, and Cynicism. Personal Advocacy measures a personal commitment to work with the homeless, and Social Advocacy assesses attitudes regarding society’s responsibility to care for the homeless population. Cynicism measures a negative attitude and sense of futility in working with the homeless. The response options are presented along a 5-point Likert scale for each item. Higher scores indicate more favorable attitudes towards homelessness. The HPATHI has been demonstrated to respond to change in the attitudes about homelessness in medical students, residents, and practicing physicians. The scale also demonstrates concurrent validity with one other instrument used to gauge attitudes towards the homeless. Studies designed to validate the instrument with students and faculty across health professions and across specialties within medicine are needed.

Educational Objectives

  1. To describe the purpose and basic properties of the Health Professional's Attitude Towards the Homeless Inventory (HPATHI), including number of items and scales, and psychometric properties;
  2. To describe the application of the HPATHI to the field of health sciences education;
  3. To evaluate the relative strengths and weaknesses of the HPATHI; and
  4. To provide the HPATHI and supplemental materials to aid in its administration.

Author Information

  • Sheila M. Crow, PhD: University of Oklahoma College of Medicine

None to report.

None to report.


Crow S. Critical synthesis package: health professional’s attitude towards the homeless inventory (HPATHI). MedEdPORTAL. 2013;9:9589. https://doi.org/10.15766/mep_2374-8265.9589