Thank you for sharing your experiences, while working in the emergency room(ED). I agree with you in that it is disconcerting to admit that homeless patients with mental illness return to the ED consequently suffering from acute or chronic exacerbation of the disease. It is important to recognize that acute exacerbation can be prevented. For example, COPD episodes can be prevented. Usually readmission can be prevented by taking preventive measures: flu vaccine, long acting inhalers, exercise, and nutrition (World Health Organization, 2012). The health system has failed the homeless patients. There are many people without social and financial resources, consequently returning to emergency rooms for follow up care. These social problems create
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
Often times the homeless people were sent to jail for possession, public urination and/or intoxication, or sleeping outside (B S, 112-113). Society has criminalized those who needed to be treated and while they’re in jail they experience withdrawal symptoms. Once they’re released, many of them do not have anywhere or any jobs to go. Relapsing is a high probability because some do not have a social network or support to help them. In the 1990s and 2000s the only form of post aid was the Narcotics
One of the biggest leading social issues around the world is homelessness. In the United States alone, there are more than half a million people experiencing homelessness. There are different factors that led a person to homelessness, economic, social, political issues, and natural disasters. But in the United States, homelessness is often caused by system failure, and people and with related issues. A brief history of homelessness, the issues documented during the early colonial period, back then it was viewed as a character flaw in the person and not outside causes. The Great Depression hits the United States hard and millions lost their jobs result in homelessness. Comes swooping in with the New Deal policy from presidents Franklin D. Roosevelt helps save the economy by providing jobs and helps reduce homeless population (Homelessness). In the early 80’s the economy was losing jobs again due to the decline of manufacturing, causes a high-rise in homelessness. That led to many cutbacks in affordable housing, medical care that makes many mentally ill patients unable to afford housing. With that many Individuals with disabilities or mental health issues that can’t afford proper health can be in danger of homelessness. But for those who are already living on the streets don’t have access to nutrient, personal hygiene, and other serious health conditions. There is some organization across the United States that provides health care service for
Homelessness has been a social problem for a long time so by trying to enable the individuals to gain access to the same health care as others it may prevent the amount of deaths of homeless people. It was found that just over a third of homeless person’s deaths were due to alcohol and drug misuse; if homeless individuals had access to a GP or health services they may be able to be referred and continuously reviewed to enable them to stop the substance misuse.
Homelessness affects one fifth of the United States population (Hwang et al., 2010). The homeless population experience health conditions at higher rates than the general population and fifty percent of them are uninsured or lack access to health care services (Kar, Kumar, Singh, & Upadhyay, 2015). This study examine the homeless population and examines their level of health care utilization to demonstrate that homeless individuals are intensive users of health services. Tracing the sample population 's health care encounters is critical in and addressing the gaps they face in access to healthcare and understanding the importance of health access as a result of their vulnerable situations. The researchers discovered that homeless people with provincial health cards were accessing health services at high rates, specifically Emergency Department and inpatient hospital visits. Despite the study 's comprehensive assessment of high utilization of health services amongst homeless people, the study is limited by a biased sampling strategy that favored participants with valid provisional health card numbers, use of secondary data analysis, and generalizations due to minimal references to other cities in California. Strengthening
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
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
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.
The lack of mental health services available to the mentally-ill and the deinstitutionalization of mental health hospitals have created a public health concern. These issues along with a failed continuum of care plans and a lack of community mental health services have been major contributing factors to homelessness. In addition, the strict guidelines for psychiatric hospitalization are critical when analyzing homelessness. In many cases, only the critically ill are meeting clinical criteria for hospitalization, leaving those who have significant mental health problems to fend for themselves. The link between homelessness and mental health is acknowledged but requires reform.
A homeless person is one who lacks a permanent place to live. This person is therefore forced to live on the streets, in abandoned buildings, in cars, and some lucky ones get to live in shelters where they are safe from the dangers of the night and also from the harsh elements. These people find themselves in such a situation because they cannot afford to pay for a place to live. This can be caused by a variety of reasons. Economic factors is one of them, where one is unable to get enough money to pay for their house either because they don’t have a job or the money they get at the end of the month is insufficient. There is also the issue of high cost of housing which renders a permanent place to live way out of their reach. They
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 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.
The purpose of this paper is to discuss current health issues among the homeless population. The paper will also explore the reasons behind homelessness and the society’s perception. According to the National Coalition for the Homeless an individual experiencing homelessness fall into one of the three categories such as, chronic, transitional or episodic homelessness. Medicine or treatment for homeless individuals seeking medical attention, are not as accessible compared to non-homeless individuals due to the culture and rough life style. Neglecting proper housing and health care to underprivileged people is inhumane and increases the 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.
My experience is working ED in triage; my rule was if a patient was 18 years or older, I looked at their chief complaint, took a quick visual assessment of the patient than made a judgement call if I choose to have anyone during triage. My feeling I can establish a relationship with the patient, get them to be honest with me about any situation and placing the blame on me for not letting anyone back. In a quiet whispering voice, I tell the patients I'm required to ask you a few mandatory questioning to everyone because it may help the someone one day who needs our help. I have had a dozen patient at least who have admitted and said yes to some of the questions, only a couple were there for that actual domestic violence. The time the patients