Co-Occurring Disorders among Chronically Homeless Individuals
Brandi R. Severson
Concordia University, St. Paul
Abstract
As rates of homelessness continue to rise across the United States, the overall quality of life for this population is in question as many are victimized on a daily basis (Martin, 2015). Homelessness is a growing problem in nearly every city across the United States and yet it is often overlooked. One of the primary causes of homelessness across the United States is the result of chronic mental health disorders followed by increasing rates of poverty (Martin, 2015). The harmful effects of long-term homelessness are well known and documented as incidents of violence and sexual abuse increase among
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Rates of homeless continue to grow and the need for support is becoming increasingly apparent (Bawden, 1990). By looking into the characteristics and backgrounds of the homeless population across the United States, a better understanding will be gained to help address the systemic issues that can lead to homelessness and design services that address current needs (Wilder Research Foundation, 2013). On the night of October 25, 2012, shelter providers in Minnesota counted 7,961 homeless individuals in shelters and transitional housing programs and an additional 2,221 homeless individuals were identified who were not staying in a formal shelter for a total of 10,214 homeless individuals (Wilder Research Foundation, 2014). The count from October 25, 2012 is an underrepresentation of the total homeless population in Minnesota, since many homeless people staying outside of the shelter system are not found on the night of the study. Research and descriptions of the homeless population are extremely limited due to the many difficulties associated with identifying and describing this population (Bawden, 1990). Many researchers have focused on shelters and soup kitchens in attempts to engage and study the mentally ill on the street; however this strategy limits …show more content…
73). What the social adaptation theory fails to mention is that different homeless groups have been known to respond to the homeless subculture in different ways. Chamberlain & Johnson (2013) examine homelessness based on five pathways: housing crisis, family breakdown, substance abuse, mental health, and youth to adult. Individuals on different pathways relate to the homeless subculture differently and often have different coping strategies with dealing with
“One diverse population that has continued to increase over the quarter of a century is composed of people who are homeless” (Baggerly & Zalaquett, 2006, p.155). Homelessness has become a growing problem in society because more and more people are finding themselves to be homeless and not knowing where to turn. Many people do not
Homelessness has always been a problem for the United States. Since its birth as a nation, there have consistently been individuals who find themselves without a place to live, looking for shelter with family, friends, or simply anywhere they can find it. These individuals have been targeted as candidates for social aid, but this was primarily provided by churches and other care organizations. However, in the past thirty years the homeless population has increased almost exponentially in numbers. While the cause of this is undetermined, it is quite certain that while the
In our communication they made clear that they also looked at themes that did not match, such a voluntary leaving of the home. However, no member took into consideration metal health. All members also focused on the cause and problems of homelessness with no member viewing the possible solutions to it. An article by Bassuk, E., Rubin, L., & Lauriat, A. (1984). “Is homelessness a mental health problem?” Looked at Seventy-eight homeless men, women, and children staying at an emergency shelters and found The vast majority have severe psychological illnesses that remained untreated. The authors discuss the relationship of mental health policy to the homeless and suggest that shelters have become alternative institutions to meet the needs of mentally ill people who are no longer cared for by departments of mental health. The findings of the management of metal issues for those who are homeless is mirrored by the case studies of Stephanie’s and Teresa’s mental health playing a large role in their homelessness. Fischer, P. J., & Breakey, W. R. (1991) in their “The epidemiology of alcohol, drug, and mental disorders among homeless persons” look into the prevalence of alcohol, drug, and mental disorders and the characteristics of homeless substance abusers and persons with mental illnesses. They found that prevalence rates of disorders are much higher in homeless
Homelessness in the United States is a multifaceted problem, there are many factors to consider when examining this homelessness including access to health care, economic conditions and public policy as well as a host of other issues. Problems with homelessness that need addressed are the stigmatizations of being homeless and how this perception has led to anti-homeless policies, how reforming anti-homeless policies can lead to shifting society’s perception of the issue of homelessness, and finally why social workers must be at the forefront of the campaign to facilitate meaningful change to reduce the human suffering
Homelessness is an issue in American society today that affects anywhere from 800,000 to 3.5 million people. There are a substantial amount of people that are without shelter, food, or employment, and there are numerous other people affected by poverty and homelessness. People living in nearly every city in the United States are affected by homelessness due to the large amounts of homeless individuals living on the streets and begging for money, food, and other necessities. The issue of homelessness has been a constant problem since the conquering of the New World, and soup kitchens and homeless shelters have not been able to fully end homelessness. Especially today, with a lack of affordable housing and high unemployment rates, homelessness is prevalent.
Homelessness tends to be associated with images of people who sleep in the streets, parks, subways, and sidewalks; who lack shelter of any kind, and are transient throughout the year, moving from place to place. The homeless are sometimes considered as undeserving of support; they are frequently stigmatized as being mentally ill, out of control, and are viewed by some as personally responsible for their situation (Phelan, Link, Moore & Stueve, 1997).
The issue of chronic homelessness is not just a political or academic debate but has become evident from men and women living without homes in the streets of America. Homeless men and women
In the United States the homeless population continues to grow rapidly. Homelessness has been a public health issue for many decades. Often times these individuals feel as though society has turned a blind eye to them. This at risk population is seen by society as lazy or chose to live a life on the streets, but if one would examine this population closely would see that there is more to this at risk population than what society has labeled them as. The forces, which affect homelessness, are multifaceted. Social forces such as family breakdown, addictions, and mental illnesses are in combined with structural forces such as lack of low-cost housing, insufficient health services, and poor economic conditions. Many would
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 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 different gander, social class,color and age. 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
Homelessness is a major social crisis in the United States of America. From 2014 to 2015, homelessness in America increased by 2 percent. The major sub-populations which comprise homeless people in America are unsheltered persons, families, chronically homeless people, and veterans (National Alliance to End Homelessness 3). In America, 15 percent of homeless people are defined as being chronically homeless, while 2 percent of homeless families are chronically homeless (ibid. 7). A person is defined as chronically homeless by the United States Government if they have been continually homeless for a year or more, or have experienced more than twelve months of homelessness in the last three years (Office
“Los Angeles County is the homeless capital of the USA, with at least 88,000 homeless in 2005 (Reese, Deverteuil, & Thach, 2010).” The reason for the high number of homeless is the lack of income, a drop in non-existent welfare support and not enough affordable housing, as a result has people into homelessness. The rent in California is high with a studio apartment running an average $843 per month, which is not within the affordable rent for a minimum wage earner nor a recipient of Supplemental Security Income. According to Reese et al. (2010), a majority of the homeless are in the older, diverse urban neighborhoods where homeless services have a habit of gathering. As a result of low-income living in one area, the degree of mental disabilities and substance misuse are roughly twice as high among the homeless compared to the entire County.
Out of all of the social problems that are prevalent across America, homelessness is the one that should be grabbing the nation’s attention. As of April 20th of 2015, according to the National Law Center on Homelessness and Poverty, 1,750,000 individuals in the United States were reported as being homeless (Homelessness/Poverty). Homelessness in America is a major problem, which needs to be addressed in a much more effective manner than it currently is. It should be at the forefront of every citizen’s mind. This is not simply a problem of people’s skewed opinions or attitudes, but is rather a matter of the survival of millions of people. American citizens are living, day by day, in deplorable conditions. Some are trying to survive in
The face of homelessness has shifted over the past 35 years. Homelessness started to increase around the 1980s. Homelessness and poverty are inextricably linked - over 50 million people live in poverty - 35% are children. For most, the encounter of becoming homeless is rooted in financial difficulty. Once a person ends up becoming homeless, poverty and the social issues that coalesce in circumstances of poverty increase the probability of encountering repeat occurrence of homeless, especially among female-headed single-parent families. Data from the 1996 National Survey of Homeless Assistance Providers and Clients demonstrate that homeless people are more likely be African American than white or Hispanic. Historically, minorities are overrepresented in the homeless population. Single men hold a vast extent of the homeless population across the nation. Recent years, family homelessness has turned out to be progressively more common, and almost 43% of the homeless population is now composed of families with youngsters.
Understanding how both individual and structural factors contribute to and sustain homelessness is a critical factor in successfully addressing homelessness. All to often service providers blame homeless individuals for the circumstances they are in, making assumptions that substance abuse or other irresponsible behaviors have caused the problems leading to the individual to become homeless. Hoffman and Coffey (2008) suggest, “the perpetuation of homelessness is not internal to the homeless individual as many claim, but rather may be embedded in the service industry itself, which subjects both clients and providers to bureaucratic forms of authority and experiences of disrespect.” While not all homeless people suffer from mental illness or substance abuse, all of