Rural Communities And The Homeless Population

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.

Family homelessness, accompanied by increased rates of unemployment and absence of affordable housing, developed as a major social and public health problem in the 1980’s. This was largely due to “economic conditions in

     To be homeless is to not have a home or a permanent place of residence. Nationwide, there is estimated to be 3.5 million people that are homeless, and roughly 1.35 million of them are children. It is shown that homeless rates, which are the number of sheltered beds in a city divided by the cities population, have tripled since the 1980’s (National Coalition for Homeless, 2014). Worldwide, it is estimated that 100 million children live and work on the streets. Homeless children are more at risk than anyone else, and are among the fastest growing age groups of homelessness. Single women with children represent the fastest growing group of homeless, accounting for about 40% of the people that are becoming

1). Complete families are also in need of other human services before, during, and after the use of homeless shelter services (Culhane, et al., 2011). According to this research study, homeless families appear to use more services provided by homeless service programs than individual single adults do. Apparently, these homeless families supplant mainstream medical services intended for the general public, with services directed towards the homeless offered by homeless service programs (Culhane et al.,

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

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 common profile of a homeless family is headed by a single mother, in her 20’s with an average of two children, of which one or both are under the age of six. Homeless mothers tend to be poorly educated, unemployed, and lacking the skills necessary to become employed. There is an equal representation of Caucasian (47%) and African American (47%) homeless mothers. These women commonly described their lives as ““… a remarkably constant stream of distressing and spirit-breaking encounters, beginning in early childhood …” including experiencing physical and/or sexual abuse, constant crisis, stress from persistent poverty, violence in the family and community, and isolation. Most of these women grew up homeless and spent their childhood in foster care making them distrustful of the system.

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

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

First, government provides housing assistance to low-income families. Low-income families just need pay 30% of their total income for rent. Second, mainstream programs provide a safety net for homelessness. This net makes mainstream programs like housing assistance, welfare, and substance support could provide what homelessness need quickly. Third, Communities created a data system to record information about homelessness. These information could be analyzed to help people know the cause of people become homeless, how long people become homeless, what exactly homeless people need, and the effect of mainstream’s support. Government already saw some positive influence of these programs. The number of family homelessness decreased 43 percent in Hennepin Country. New York creased 11 percent of homeless families was placed by a permanent housing. (National Alliance to End Homelessness, 2010)

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

Homeless families compose a fraction of the homeless population as they “represent roughly a third of the homeless population in the United States (U.S. Department of Housing and Urban Development, 2010), and approximately 1.5 million children—1 in 50 youngsters—are homeless each year in the United States” (p. 389). These homeless families often struggle to find permanent residency as a collective unit. There are several types of housing situations available for homeless families such as temporary housing, transitional housing settings, and shelters, yet the housing situation for homeless families often causes stress for families as stability and a secure home is always in question. “The lack of stable, consistent housing is the central, defining characteristic of families experiencing homelessness, distinguishing them and their experience(s) from those with stable housing who experience other correlated conditions (e.g., poverty)” (Kilmer, Cook, Crusto, Strater, and Haber, 2012, p. 394). Homeless families often seek different types of housing usually by first reaching out to temporary shelters in emergency situations like domestic violence that often lead to homelessness, which provide services for children and families. There are many challenges families encounter in the process of seeking permanent housing.

The condition of homelessness for a pregnant woman creates all kinds of complexities to their care. The Nurse-Family Partnership and Invest in Kids program in Denver is a provider dedicated to forming relationships with patients and sending skilled nurses to help at risk mothers and their children. The health assessment needs of homeless pregnant women revolve greatly around prenatal health, nutrition, mental health, substance abuse and physical abuse screenings.

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

In today’s society children becoming homeless and having to fend for themselves is wide-spread but homelessness in families also tends to be common (Jewel 2). This issue affects the human population in a very grave way which leaves one out of every fifty children experiencing this immense epidemic (Crary 1). The current recession, has caused sixteen percent of homeless children to be present in our country today and with the economy worsening this statistic will increase (Kingsbury 1).