Continuum Of Care Case Study

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.

     Here in Tahoe, we are lucky enough to experience a great quality of life, and only a few have to face the horrible life of poverty and homelessness. However, nationwide, even right outside the basin, homelessness is a growing epidemic across the country. There are many ways one can become homeless; for the most part poverty. There are also different concentrations of homeless in different types of terrain, such as urban or suburban areas. Last, there is the ever- growing homeless population, and how much money it costs us for others to live in poverty. These are the questions we ask ourselves about homelessness, and the only way we can help is to know the facts about this lingering

Homelessness has become an evolving epidemic of our time, and the health implications associated with being homeless makes it that much worse. Homeless people are at major risk for premature death and a wide range of health problems such as HIV, skin blemishes, and much more. It is very difficult for homeless people to fix their health issues due to the difficulty of accessing health care possibly because of missing health cards, or simply because of the stigma placed on them when they enter a public facility. Whatever the problem may be that is forcing more people to become homeless, it must be solved, and quickly before our world turns into a travesty.

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

Each country in the world is faced with various social issues that attract the interests of society and the government. Homelessness is an enormous issue that America has been dealing with for years. There are millions of people, including children, families, veterans, and the elderly who go day to day without food, water or any form of shelter. Mentally ill people also have a rough time out on the streets due to their state of confusion, which makes it dangerous for them, as well as others to be on the streets. Many of these people have had no choice but to become homeless. Economic problems such as being laid off work, or the rise in the cost of housing have lead people to live on the streets.

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

Community health nursing is a vocation; striving to improve the health of the community by promoting, stabilizing and protecting the health of individuals, families and identified aggregates. We are able to have the furthest reach when we can isolate a specific deficit of an aggregate through assessment and subsequently the development of a community support program. Community support programs promote health, access to services and self-advocacy.

This paper will explore a community health concern from a population focused nursing perspective. The health concern will be a relevant and validated health concern for the community indicated. The relevancy was determined by the Health People 2020 (HP2020) health indicators and the validation of the concern was compared to past objectives being met and current objectives working forward, and the gap in satisfying the target goals set forth ("2020 Topics & Objectives – Objectives A-Z | Healthy People 2020," 2015). A major force in the community of concern is the Kern County Public Health

Stanhope, M., & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community (8th ed.). Maryland Heights, MO: Mosby Elsev

Nies, M.A. & McEwan, M. (2015-a). Epidemiology. In Community/public health nursing: promoting the health of populations (6th ed.) (p. 70). St. Louis, Missouri: Elsevier.

There are varying estimates regarding the number of homeless people in America. According to reports from NLCHP the number of homeless people in America is 3 million which include 1.3 million children. ("Homelessness and Poverty, Overview," 1). As I am living in the state of California so I want you to take notice of the homelessness in this state. Estimates reveal that there are 4,400 to 8,800 homeless people in Foresno County (Della-Piana, 2006). The other areas like San Joaquin County has 2,700 people homeless (Farrow, 2009) and in Sacramento County there are similar number of homeless individuals. The situation has become worse due to financial crisis and financial conditions of foreclosures and layoffs. Other reasons are shortage of cheap housing and increase in inner city drug culture due to which homelessness increased in California's Central Valley.

People drive or walk past a homeless person almost every day without thinking twice about the plight of that person or they may even unconsciously turn their heads the other way in disgust. Homelessness simply put, means without a home - therefore homelessness is an equal opportunity state that can happen to anyone. Even though we have seen some economic prosperity over the years, statistics show that the number of homeless remains very high. With this in mind, communities need to come together at the state, city, and individual level to come up with solutions to mitigate the spreading of this problem.

Community health nurses incorporate community participation and knowledge about the total population with personal, clinical understandings of the

Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.

Smith, C., & Maurer, F. (2013). Community/Public Health Nursing Practice (5th ed.). :. []. http://dx.doi.org/. Retrieved from www.evolve.elsiver