Described as a significant determinant of poor health, homeless people face many medical challenges due to long term exposure to weather, infections, drugs, limited access to ongoing health care and is associated with a high incidence of acute and chronic health problems. (Henwood, 2013) According to the National Health Care for the Homeless, a person is labeled homeless that does not have primary residence, they may reside with family or friends, stay in shelters, live under bridges, in automobiles, in parks, and rely on emergency shelters, for shelter at night. (National Health Care for the Homeless Council, n.d.) This type of living situation is associated with morbidity related to infectious disease, poor nutrition, can exacerbate poor (Hauff, 2014) In the 1980’s there was an increase of the number of people without proper living conditions caused by cuts in housing and social services, a deteriorating economy and a loss of low cost housing options. Studies displayed the most common causes for homelessness for women and families was domestic violence, abuse, and intergenerational poverty. Post-traumatic stress disorder in veterans of the Vietnam War and drug use were also causes leading to an increase of homelessness and all of these factors aid in being barriers to healthcare access. (Zlotnick, 2013) Also becoming more prevalent in the 1980’s were foundations and political movements driven to reduce the number of homeless persons and a drive to create medical services that were more accessible. Through the creation of community clinics, mobile clinics and temporary clinics at homeless shelters, many were given access to medical supplies, examinations and access to nurses, physicians, social The Patient Protection and Affordable Care Act allows access to health care for those who are most impoverished. Official in 2010, this act was one of the largest developed since the Medicare and Medicaid programs and was expected to decrease the number of uninsured persons, including the homeless. With the commonality of homelessness and the expansion of programs and funding, a 2015 study revealed a decline in the number of homeless persons by 2 percent between 2014 and 2015 and by 11 percent since 2007. (National Alliance to End Homelessness) On the contrary, the concern of health and social services has turned toward limiting the focus of those served, and costs of services, rather than addressing the underlying causes of homelessness as a public health issue. (Zlotnick,
As per the State Housing Authority, the issue and trend of homelessness has changed particularly throughout the most recent three decades. Public homelessness first turned into an issue in the 1970's and now it is normal to see individuals congregating before sanctuaries and thinking about park seats. Soup kitchens are generally stuffed to limit. Safe houses have multiplied their ability since 1993 and they dismiss individuals consistently because of absence of cots (Kenyon 1991). During 1987, Congress passed the Stewart B. Mckinney Homeless Ass...
Tunstall, L. (2009). Homelessness: an overview. EBSCO Publishing Service Selection Page. Retrieved February 5, 2011, from http://web.ebscohost.com/pov/detail?hid=119&sid=d5f751fa-0d0d-4ed1-8deb-483e701af50c%40sessionmgr111&vid=3&bdata=Jmxhbmc9ZW4tY2Emc2l0ZT1wb3YtY2Fu#db=p3h&AN=28674966
Yet, according to the National Resource Center (NRC) on Homelessness and Mental Illness, 80% of the homeless population is off of the streets within 2 to 3 weeks. The NRC is the only national center specifically focused on the effective organization and delivery of services to the homeless and the mentally ill. It is important to note that the NRC reports 10% of people are homeless for 2 months and only 10% are chronically homeless. This fact shows that many people want to get back to ordinary lives and will work hard to do so, in spite of Awalt’s
Homelessness in the United States has been an important subject that the government needs to turn its attention to. There has been announced in the news that the number of the homeless people in many major cities in the United States has been increasing enormously. According to United States Interagency Council on Homelessness reported that there was an estimation of 83,170 individuals have experienced chronic homelessness on the streets of the United States’ streets and shelters on only a single night of January 2015, which is a small decrease of only 1% from the previous year (People Experiencing Chronic Homelessness, n.d.). The United States must consider this subject that most of the people underestimate it and not pay attention
Although most people know what homelessness is and it occurs in most societies, it is important to define because the forces of displacement vary greatly, along with the arrangement and meaning of the resulting transient state. The Stewart B McKinney Homeless Assistance Act of 1987 defined a homeless person as “an individual who lacks a fixed, regular, and adequate night-time residence or a person who resides in a shelter, welfare hotel, transitional program or place not ordinarily used as a regular sleeping accommodation, such as streets, cars, movie theaters, abandoned buildings, etc.” Resent surveys conducted in the U.S. have confirmed that the homeless population in America is extremely diverse and includes representatives from all segments of society, including: the old and young, men and women, single people and families, city dwellers and rural residents, whites and people of color, employed and unemployed, able workers and people with serious health problems. The diversity among people that are homeless reflects how difficult it is to generalize the causes of homelessness and the needs of homeless people. Robert Rosenheck M.D., the author of Special Populations of Homeless Americans, explains the importance of studying homelessness based on subgroups, “each subgroup [of homeless people] has unique service needs and identifying these needs is critical for program planning and design.” Despite these diversities, homelessness is a devastating situation for all that experience it. Not only have homeless people lost their dwelling, but they have also lost their safety, privacy, control, and domestic comfort.
In fiscal year 2006, the HUD, Department of Housing and Urban Development, was presented a budget by the Bush Administration consisting of $528.5 billion for homeless programs (Romeo 1). The problem of homelessness and extreme poverty is not a new occurrence; but in past years more extreme measures have been taken to combat the issue as more people become homeless. Expensive social programs and housing developments for the homeless have been created to help battle the increasing issue. Homelessness is an expensive problem that will never end; furthermore, the condition of homeless people in America is affected by the type of education they receive, the state of the economy, and the amount of funds that are available to house and feed them.
Many believe that a common thread among the homeless is a lack of permanent and stable housing. But beyond that, the factors leading to homelessness and the services that are needed are unique according to the individual. To put them into one general category ? the homeless- suggests that people are homeless for similar reasons and therefore a single solution is the answer. Every homeless person shares the basic needs of affordable housing, adequate incomes and attainable healthcare. But a wide range of other unmet needs cause some people to become or remain homeless which include drug treatment, employment training, transportation, childcare and mental health services (Center 8.)
Douglass, R., Torres, R., Surfus, P., Krinke, B., & Dale, L. (1999). Health Care Needs and Services Utilization Among Sheltered and Unsheltered Michigan Homeless. Journal of Health Care for the Poor and Undeserved, 5-18.
Homelessness is one of the biggest issues society (Unites States) faces today. Homelessness is caused by lack of affordable housing, economic situations and decline in federal funding for low income families and the mentally ill. A homeless person is defined as an individual who lacks housing (without regard to whether the individual is a member of a family) including an individual whose primary residence during the night is a supervised public or private (shelters) facility that provides temporary living accommodations and an individual who is a resident in transitional housing. This definition of housing is used by the U.S Department of Healt...
Mental health disorders and substance use disorders are apparent within the population of individuals who are homeless. Mental health disorders and substance use disorders have varying factors that can cause a person to develop each disorder separately. People can often suffer immensely from each one individually. Mental health and substance use disorders can cause significant distress in the lives of those diagnosed. The opposite can also be said that significant distress can cause mental health and substance use disorders. The difference depends on a number of factors such as genetics, environment, resiliency, gender, and age. However, recovery from homelessness, mental health, and substance use disorders is possible if the right resources are available.
...is to understand the factors that lead people into homelessness, that keep them homeless, and how they can recover from homelessness. Advocates for the homeless have proposed policies range from taking preventative measures, such as making housing and health care affordable, to policies that deal with individuals that are already homeless, such as rapid rehousing and redefining what it means to be homeless. Although many of the experts disagree on how the homeless epidemic should be handled, many acknowledge that the federal government plays an inexpendable role in helping the homeless. Homelessness is, obviously, a complex issue, but like all difficult issues it must be undertaken. It has become clear that homelessness is not something that will eradicate itself given time, homelessness will continue to grow and evolve unless an outside force stops it in its tracks.
“Homeless is more than being without a home. It is tied into education needs, food, security; health issues both mental and physical, employment issues, etc. Don’t forget the whole picture.” (“Boxed In” 2005 pg. 108)
“The average rate of homelessness in America is 1,750,000”, according to an article from the statistic brain on homelessness. Homelessness is defined as when someone is forced out of their living situation or can no longer afford a living space. “Overall, the number of people who experience homelessness estimate between 2.3 million and 3.5 million” (the National Law Center on Homelessness and Poverty). Homelessness is a serious problem in our country, knowing how to help is the first step to making a difference.
Many homeless people do not have access to healthcare and they go many years without seeing a doctor. According to Fitzpatrick, “there is a clear and defined need for healthcare for homeless people and their families.” She is right, it todays society homelessness is just ignored by many people and has became a serious problem. Most of society does not know about the organizations that help the homeless. For example, Fitapatrick believes in a organization called The Opening Doors Project it is a group of nurses and other health professionals that look at substance abuse within the homeless community. Due to not seeing a doctor and the common knowledge of homeless people abusing drugs and alcohol, “homeless people can have complex and multiple health problems” (Who quoted it). Not everyone agrees with Fitzpatrick, “I am convinced that handouts are basically wrongheaded,” says Sherman. She believes giving anything to the homeless will not help change the homeless persons situation (Sherman). Sherman's advice does not make sence, ignoring the problem will not help either and without proper medical care there is no way to improve homeless health which will cause many people to die a unessary death. According to Hopper, “generative forces behind widespread homelessness runs deep and their correction will req...
Homelessness is a problem virtually every society suffers from. There are many things that cause people to become homeless, such as unemployment, relationship problems, and being evicted from ones domicile either by a landlord, friend or even a family member. However, with every cause there must be an effect. Some of the effects of one becoming homeless, besides the obvious change of lifestyle, are various health problems which often times may lead to death.