Causes Of Homeless Population

The homeless are a vulnerable population. They are defined by the U.S. Department of Health and Human Services 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 facility (e.g., shelters) that provides temporary living accommodations, and an individual who is a resident in transitional housing.” (The National Health Care for the Homeless Council, 2016). They are a social group throughout the US who are susceptible to all of the life’s cruelties. They are much more at risk for adverse illnesses due to their lack of available resources and medical help. Many have predetermined illnesses which need daily treatment but cannot acquire the medication needed. The homeless population lacks the funding for life’s necessities, thus the luxury of insurance and medicine is a dream.

Homelessness is defined as the situation of an individual or family without stable, permanent, appropriate housing, or the immediate prospect, means, and ability of acquiring it. It is the result of systemic or societal barriers, a lack of affordable and appropriate housing, the individual/household’s financial, mental, cognitive, behavioral or physical challenges, and/or racism and discrimination. Most people do not choose to be homeless, and the experience is generally negative, unpleasant, stressful and distressing6. Homelessness is a problem that affects every Canadian town or city, and is one that is dealt with using a variety of different methods.

The most recent survey of homeless individuals conducted January 29, 2014 revealed 958 homeless adults with no dependants, 70 of which were completely unsheltered, and an additional 130 homeless adults who also had dependent children with them. 208 of these homeless adults are chronically homeless (HUD’s 2014 Continuum of Care Homeless Assistance Programs, Populations, and Subpopulations, 2014).Wayside Christian Mission reaches approximately 7,000 homeless individuals annually (Wayside Christian Mission, 2007). In the Journal of General Internal Medicine, a majority of homeless individuals surveyed stated that they felt discriminated against or that they received lesser care because of their poverty or homelessness (Wen, Hudak, & Hwang, 2007). Homeless and impoverished individuals suffer from high rates of depression, psychiatric illness, alcohol and or substance abuse, HIV/AIDS, TB, Trauma, preterm birth, COPD, low birth weight, musculoskeletal problems, decreased access to care, foot problems, malnutrition, and high Emergency Room utilization (Stanhope & Lancaster, 2014). Not only do homeless persons have a high rate of illness, but they are also less able to appropriately treat health problems. Many homeless individuals have limited access to care, cannot afford medications or nutritious food, and may have difficulty with managing a strict

There are currently 564,708 homeless individuals in the United States (U.S.), however this is just an estimate as there are probably hundreds that go uncounted, during PIT (point-in-time count) or remain unregistered with non-profit agencies providing services (The National Alliance to End Homelessness, 2016). Before the Affordable Care Act (ACA) most homeless individuals did not have health insurance, as provisions for these individuals as well as the low-income population could only be accepted into the Medi-cal / Medicaid program, if they had children that were eligible. Since ACA was implemented a large percentage of the homeless are insured, but, this does not mean that the preexisting gaps and barriers to access health care do not exist. They do. Being homeless has been found to correlate to a poor health status (Robert Wood Johnson Foundation, 2016). In fact, homeless individuals are at risk and experience more chronic illness than someone who has housing. Additionally, once chronic illness develops in a homeless individual, they are at higher risk for comorbid conditions, new conditions (such as skin disorders and respiratory illness) and an acceleration in the development of their disease(s).

A place of safety and security is something that many of us take for granted, until we are confronted in our own neighborhood by someone holding up a sign pleading for help. Homelessness is a problem that has been afflicting hundreds of thousands of people around the world for ages. According to the U.S. Census Bureau, on a single night in 2016, 549,928 people were experiencing homelessness in the United States. That means that there were at least 500,000 individuals suffering without a place to lay their heads at night. In this report I will be discussing the causes of homelessness, who is affected, how it affects people, and homeless mistreatment.

Homelessness in America has existed for some time now, but has grown and changed majorly over the years since the 1980’s. According to Mary Hombs, “the prevailing stereotype of a homeless person was that of a middle-aged white urban male alcoholic” (6). But now there is no stereotype because homelessness could happen to anyone at any moment, so that is why it important to be aware. Millions of people in this country do not have a place to live including whole families, children, veterans, and even the mentally ill. Going day after day without food or shelter. Throughout this paper the main focus will be answering the questions: What is homelessness?; What are the main causes of homelessness?: Who is the homeless?; and How do the people of this country assist the homeless?

The clinical issues affecting the homeless individual can range from mental illness to health issues. Several clinical issues affect the homeless population because of lack of health insurance and clinical resources. “The clinical issues affecting homeless people are dental, vision, foot diseases, post-traumatic arthritis, HIV, TB, STD’s respiratory infections, diabetes, hypertension, and nutritional problems are all major clinical issues” (Zevin, 2013). Quite a few people are homeless and suffer from various clinical issues because they have no insurance, housing, support from family/friends, or program resources. It seems when populations such homelessness is so huge some are left behind with no help. Various social service organizations exist that cater to the homeless population, but so many individuals and families are not helped because of mis-direction. Health care is an important factor to many, especially those who do not have access to a health care facility. Social services resources are available as well as the human service

b) Lack of supply- Along with the presence of higher demand in the housing market of the country already, the lack of supply of affordable housing in Canada has aggravated the crisis even more. Due to the presence of excess demand in the market, the quantities of housing, especially the private sector profit-maximizing ones have increased the price of their housing facilities, which in turn has contributed significantly to the already existing problems of homelessness in the country.

The homeless population will only increase with our current economic status. Jean Watson’s Theory of Caring states that “intentionality is the projection of awareness, with purpose and efficacy toward some object or outcome” (Leuning, 2001, p. 300). Healthcare organizations and nurses need to collaborate using intentionality. The vulnerability status of the homeless is higher than most due to their lack of basic human needs of food, water, and shelter. The homeless population succumbs to a variety of chronic illnesses and disease, such as tuberculosis, AIDS/HIV, malnutrition and severe dental problems. They also fall prey to parasites, frostbite, infection and violence (Basics of Homelessness, 2002). These reasons alone prove that the homeless population needs to receive specialized care designed around their lifestyles. As one can see, this population is not going away and the problem will only continue to grow. It is up to nurses and other healthcare professionals to advocate for these individuals and help make a change by using specialized assessment tools and learning more about programs specifically for the homeless By ensuring that these individuals receive the proper follow up care through a collaborative effort of nurses, doctors, social workers, case managers, and psychiatric professionals, there will be a

The social determinants of health are the conditions in which people are born, grow, live, work, and age (WHO, 2016). This current event relates to the social determinants of health because homelessness has a huge impact on someone’s overall health and quality of life. People who experience homelessness do not have the resources to maintain their health. This can lead to stress, depression, substance abuse, and a number of problems. They are exposed to communicable diseases, malnutrition and many other health issues. Over 500,000 Americans are homeless every night (Kertesz, 2016). This is why we have Health Care for the Homeless programs. The majority of federally funded organizations for the homeless are operated properly. But, there are some

Over the years Los Angeles has had the highest number of homeless people; this situation has been highly overlooked by media and political attention. Cities in many parts of the world may be known as centers for poverty whether if it 's a developed or developing country. No city, state, or country is prone to homelessness. Los Angeles in particular is an entry point for many immigrants who come to look for jobs. The intentions are not to cause there to be a vulnerability to poverty but to try to make a living some how. “Skid Row homeless population originates in South LA – where services and shelters lack resource adequacy and unemployment rates are high among adult men – and policy discussions rarely focus on this trend” (Howard, 4). Los Angeles Skid Row, is known to have the heaviest homeless population compared to other cities. Los Angeles does provide some homeless services like shelter and low-cost housing options for the poor but one of the issues that many homeless people come across is the lack of healthcare. Everyone can suffer from physical and mental health issues but there is a bigger impact on the homeless people in the Los Angeles county because they are not obtaining the proper help mentally, physically, and socially. Many people lose their lives or spread many disease amongst the community. The city of Los Angeles should provide healthcare for the homeless because this issue affects the homeless and everyone else around. More disease are passed around, more

There are many populations that are medically vulnerable and underserved globally and they change depending on the region on the world you are in. However, one medically vulnerable and underserved population can be found in all regions on the world, is the homeless population. Savage, Lindell, Giepsie, Lee and Corbin state that “About 1.2 % of the US population experiences homelessness at any given point in time, with a lifetime prevalence of &7.5% within the general US population” (2008, p. 469).

Throughout history there has always been a portion of society living in disadvantaged conditions. With the current high cost of living, global issues, unemployment rate on the rise, and low wages, many Americans are finding themselves homeless. One would think that in this advanced century, there would not be individuals living without the basic necessities such as food, water, and shelter. Unfortunately, there are millions of people with nowhere to sleep. Besides the many problems homeless people face daily, one of the leading problems is health care. Being homeless with limited access to health care or shelter in conjunction with mental illness or exposure to harmful diseases can lead to poor health, or

Stanhope and Lancaster (2008) define vulnerable populations as “those defined at a greater risk for poor health status and health care access”(p.712). The role of a public health nurse in contrast to a vulnerable population is to establish interventions to help break the cycle of vulnerability thus aiding to eliminate health disparities within the population. The term “risk” helps public health nurses establish a person probability of something happening to them. This epidemiological term is used with the triangle of host, agent and environment in contrast to ones health within a population. The author will discuss vulnerability as discovered within a community based on surveying the community and establishing risk and interventions on the

Homelessness has become a serious problem in today’s society. Despite the organizations that help multitudes of homeless people, homelessness is continually increasing. In recent years, America’s culture has been changing due to economic, political, and social issues. These issues have caused a lot of stress on America resulting in abject poverty in several cities. Poverty is not nationwide, but if dealt with lightly, the affects can be catastrophic. Homelessness is increasing more than ever, and research proves that changing culture contributes to rising amount of homelessness.