City Of Roseburg Essay

Financial burdens greatly limit the system’s accessibility; however, many in the U.S. are unable to fully utilize either option. Census estimates from 1999 indicate that 43 million Americans live without health insurance even though 75 percent of them have a full-time job or live in a household with at least one member working full-time (Mueller, , 5) In addition to the totally uninsured, census estimates also reveal that approximately 42 million other people in the U.S. are underinsured. This means that they have some insurance, but are still unable to afford all of their needed prescriptions, tests, visits to physicians, or hospital

​Homelessness and substance abuse are often two problems that continue to be linked together. According to the Substance Abuse and Mental Health Administration (2011), research conducted in the past five years indicates that about 50% of those who are homeless have co-occurring substance abuse problems. Along with co-occurring substance abuse problems, there continues to be other problems such as treatment access to those who are homeless. In this paper we will explore research on the homeless population in relation to substance abuse, and effective interventions on an individual level.

So why don’t these people get insurance? Well, as is so often quoted, “money makes the world go round.” When it comes to health insurance however, it is not the world, but only America that seems to have a problem with providing health care for a reasonable price to its citizens. 55 percent of uninsured people answered that the reason they are without the safety of insurance is the reason everyone expects--they cannot afford it (NRHA 1).

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).

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

According to the American Journal of Public Health (AJPH), disease was prevalent in the newly homeless. This population accessed health care services at high rates in the year before becoming homeless. Significant improvements in health status were seen over the study period as well as a significant increase in the number who were insured (American Journal of Public Health, 2012). The homeless in Overtown face a variety of risks and barriers to their health. Firstly, a good number of the population suffers from mental illness, they suffer from a range of mental health problems from depression, personality disorders, schizophrenia and many more. Most are unable to treat their mental

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

Though the American healthcare system has made big steps towards providing affordable healthcare for everyone, there remains a growing population of people who fall through the system’s cracks. These people are the medically underserved. They are typically the victims of unfortunate life circumstances that has left them without health insurance, or with insurance that provides inadequate coverage. The underserved also includes those who have trouble accessing healthcare for any reason. Anyone with illnesses or disabilities that require assistance beyond their coverage, or people who live in remote areas where healthcare services are sparse fall under this title. The term also does not exclude those who have sufficient insurance and resources, but struggle to understand and navigate our increasingly complex system of healthcare.

Homelessness in Seattle has proven to be a tremendous issue. Fighting for years, Seattle has not been able to make any significant improvements when it comes to homelessness. Although eliminating homelessness may seem to have a simple solution, more housing, the causes of homelessness determine how difficult eliminating it will be. Seattle’s homelessness stems from many complex issues that can be traced back many years. One of the most significant causes of homelessness in Seattle is cuts in funding towards low-income housing combined with raised rent prices in both previously affordable housing and housing geared towards the affluent.

As of January 1, 2011 a survey by the North Carolina Department of Health and Human Services found that 12,371 people identified as homeless individuals of which over 25 percent fell into the third type of homelessness (NC Department of Health and Human Services) and there are three major categories that drive this negative impact. The first category is healthcare. The cost of providing healthcare to the homeless is much higher than low income housed population since the homeless are prone to infectious and chronic diseases but do not have regular visits with the doctor

The research question for this study: Is keeping homeless individuals off the Polk County streets will cost healthcare less than leaving them on the streets? The homelessness problem has become increasingly catastrophe in the United States because of the increasingly limited availability of less expensive housing. According to National Alliance to End Homelessness (2015), putting homeless individuals in the shelters is the best, less expensive way to meet basic needs for individuals who are going through homelessness. It is believed that shelters are an ideal way out for individuals experiencing homelessness. The healthcare cost can be quite high on homelessness due to unsafe lifestyle, frequent emergency visits, and hospitalization.

With the rising number of uninsured Americans, health care has been a major issue in the United States. Due to “The Great Recession” and the growing number of Americans who found themselves unemployed, the number of uninsured Americans has rose from 46.6 million in 2005 to a record number of 50.7 million in 2010. Many of these uninsured again have lost their employee health insurance benefits or they made the decision to cut their health insurance just to cut back costs. The rising prices of health care have also been a concern over the last few years. With new medical technology and increasing prices of prescription drugs, it has become hard for one particular group to keep up. Our

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

An emerging issue is that of urban sprawl. While some aspects of urban sprawl has been seen since ancient times, this phenomenon has started gaining the most momentum in the past century, aided by the advancement of technology, especially with the rise of mass produced automobiles, houses and highway systems. Many people unknowingly contribute to this environmental problem, as is the nature of it. Urban sprawl deals with the growth of the suburbs, the area between the urban and rural areas of a city. Most of America’s largest cities and states, in terms of population, are prime examples of urban sprawl. Opponents of urban sprawl usually cite the government as a major cause of sprawl. The government may be a major catalyst of