Social Determinants Of Health Care For The Homeless

Homelessness is a major social crisis in the United States of America. From 2014 to 2015, homelessness in America increased by 2 percent. The major sub-populations which comprise homeless people in America are unsheltered persons, families, chronically homeless people, and veterans (National Alliance to End Homelessness 3). In America, 15 percent of homeless people are defined as being chronically homeless, while 2 percent of homeless families are chronically homeless (ibid. 7). A person is defined as chronically homeless by the United States Government if they have been continually homeless for a year or more, or have experienced more than twelve months of homelessness in the last three years (Office

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.

Homelessness is deemed a social problem because of the many social factors that could play a role in it. “Social forces such as addictions, family breakdown, and mental illness are compounded by structural forces such as lack of available low-cost housing, poor economic conditions, and insufficient mental health services” (Chattopadhyay, et al., 2013). Since there are many contributing factors that aid in homelessness, it has been deemed a social problem.

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

Income and social status is one of the determinants of health. Being able to have a secured, low cost housing that provides for every individual or family during their whole lifetime is a major determinant of health and is important to good health. As Dr. David Hulchanski and colleague’s research “Three Cities” at the University of Toronto stated; “Housing insecurity is linked to income insecurity which is, in turn, leads to illness and premature death” (RNAO,2013). People who live in the street are more susceptible to physical and mental problem and are likely to die early due to sickness compared to general population. Homeless population are vulnerable to communicable diseases and substance abuse and this may jeopardize their health situation (RNAO, 2013). Health conditions become better as income and social status improve. Higher income means the affordability of an individual for a better way of life and providing their family a safe and secured environment. Being able to afford enough nutritious food on the table to share with the whole family is one of the most important things that an individual can hope for. In most cases, higher income and social status means more control and choices in their everyday lives. Some studies show that restricted options and poor coping skills while handling stress raises exposure that can lead to different kinds of diseases involving immune and hormonal systems. According to

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

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

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).

Homelessness in America has existed for some time now, but has grown and changed majorly over the years since the 1980’s. According to Mary Hombs, “the prevailing stereotype of a homeless person was that of a middle-aged white urban male alcoholic” (6). But now there is no stereotype because homelessness could happen to anyone at any moment, so that is why it important to be aware. Millions of people in this country do not have a place to live including whole families, children, veterans, and even the mentally ill. Going day after day without food or shelter. Throughout this paper the main focus will be answering the questions: What is homelessness?; What are the main causes of homelessness?: Who is the homeless?; and How do the people of this country assist the homeless?

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

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

Over the years Los Angeles has had the highest number of homeless people; this situation has been highly overlooked by media and political attention. Cities in many parts of the world may be known as centers for poverty whether if it 's a developed or developing country. No city, state, or country is prone to homelessness. Los Angeles in particular is an entry point for many immigrants who come to look for jobs. The intentions are not to cause there to be a vulnerability to poverty but to try to make a living some how. “Skid Row homeless population originates in South LA – where services and shelters lack resource adequacy and unemployment rates are high among adult men – and policy discussions rarely focus on this trend” (Howard, 4). Los Angeles Skid Row, is known to have the heaviest homeless population compared to other cities. Los Angeles does provide some homeless services like shelter and low-cost housing options for the poor but one of the issues that many homeless people come across is the lack of healthcare. Everyone can suffer from physical and mental health issues but there is a bigger impact on the homeless people in the Los Angeles county because they are not obtaining the proper help mentally, physically, and socially. Many people lose their lives or spread many disease amongst the community. The city of Los Angeles should provide healthcare for the homeless because this issue affects the homeless and everyone else around. More disease are passed around, more

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