Healthcare and the Homeless Geriatric Population

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 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.

Many individuals experience homelessness do not have certain needs, including affordable housing, adequate income and health care. Some homeless persons may need additional services such as mental health or drug treatment in order to be securely housed. This research paper will discuss what homeless means, various ways in which individuals become homeless, trends, laws that effect the homeless , and do decriminalization of the homeless community help or hinder the situation.

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 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 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 US homeless population, veterans are slightly overrepresented (Tsai & Rosenheck, 2015). To be exact, veterans constitute 12.3% of all homeless adults (Tsai & Rosenheck, 2015). A study by Harpaz-Rotem, Rosenheck, & Desai (2011) also affirms that roughly 30% are homeless men and 4% are homeless women. By definition, homelessness is not having “a regular or fixed night-time residence,” and homeless people tend to move frequently, stay in homeless shelters, and sleep in places such as vehicles and abandoned buildings (Tsai & Rosenheck, 2015, p. 1). With this in mind, it is important to note that homeless veterans are mostly older males who some form of health insurance coverage than other homeless adults, better educated, and have been married or married (Tsai & Rosenheck, 2015). One would think that these advantages should put veterans at lower risk for homelessness, but this was not the case (Tsai & Rosenheck, 2015). Additionally, a study done by van den Berk-Clark & McGuire (2013) portrays that elderly civilians were less likely to become homeless in comparison to elderly veterans (aged from 51 to 61 years (39%) and 62 years or older (9%)) who were twice as likely to become homeless. Risk factors that can potentially explain homelessness among elderly veterans include life events (e.g., death of spouse or marital breakdown, exiting employment, and evictions), mental illness or medical conditions, minority status, and higher levels of disruptive events during childhood

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 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

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.

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

Homelessness is a problem virtually every society suffers from. There are many things that cause people to become homeless, such as unemployment, relationship problems, and being evicted from ones domicile either by a landlord, friend or even a family member. However, with every cause there must be an effect. Some of the effects of one becoming homeless, besides the obvious change of lifestyle, are various health problems which often times may lead to death.

The cost of housing is on the rise and many become homeless because they that are not making enough money to afford the cost of housing. The cost of health care and insurance has risen dramatically over the past years. For families living low or middle incomes that can be devastating. Families or individuals that lack health insurance, a sudden illness, chronic disease or accident can be financially devastating. Many people don’t understand the problems homeless families are facing and most families are homeless because of finical situations or because