Introduction: Are Canadians people who are facing homelessness getting the health care that they need in Canada? Most people would think so because Canada has a system of universal health insurance. The World Health Organization(WHO) describes universal health insurance as ensuring that all people can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship. Homelessness is one on of the worst things that can happen to anyone. People who are homeless are generally in worse health than the general population. Even with experiencing excessive burden of acute and chronic health issues, many homeless people should not be facing barriers to primary health care, especially a universal system healthcare. In a study conducted by Hwang, S. W., Ueng, J. J. M., Chiu, S., Kiss, A., Tolomiczenko, G., Cowan, L., … Redelmeier, D. A. (2010). Universal Health Insurance and Health Care Access for Homeless Persons. American Journal of Public Health, 100(8), 1454–1461. They looked at unmet needs for health care among homeless people in Toronto, Canada. This was done by surveying a representative sample of 1169 homeless individuals at shelters and meal programs and asked them if within the last year they had needed health care but been unable to get it. 17% of homeless individuals which was about one in six
“Today … there is a growing crisis of women’s homelessness across Canada. The Canadian government has failed to explore the causes of women’s homelessness” (Rahder, 2006, p.38). This growing issue is caused by societies carelessness on the homelessness issue, and the lack of support to change it. Even the Canadian government does not see it as an urgent issue to address because, as stated above, they have even failed to
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.
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.
The majority of homeless children and females are victims of domestic violence (NCH, 1998). It is estimated that there are 200 000 homeless people who live on the streets of Canada (Globe and Mail, 1998) and an 80 000 more in risk of becoming homeless (National Post, 1998). Of these people between 30% and 35% are people with severe mental illnesses (National Post, 1998). "On any given night, 45% of the 4 200 people filling Toronto's homeless shelters are families with children" (Toronto Star, 1998). An increasing number of the homeless are teenagers of which many are runaways who have been kicked out or felt they had no choice but to leave (Michaud, Margaret, 1988). It is difficult to find out exactly what age categories the homeless fit into because the information is very limited. -3- WHY THEY ARE HOMELESS There is so many different causes of homelessness the largest being poverty (NCH, 1998). Poor people are frequently unable to pay for housing, food, health care and child care. It is hard to make choices when recourses are so limited. Unemployment is also a large contribution to the homeless society (NCH, 1998). Another factor contributing to homelessness is the decline in Social Services. Within the last few years, government has made it increasingly difficult for anyone to be approved to get assistance. There is also the factors of domestic violence which forces many out of their home, mental illness which enables the individuals to obtain
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
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 Canadian health care system is funded majorly by the public, with very few private donations. Over the past few decades acts of large-scale philanthropy by wealthy private donors have started to increase, due to the investments in social programs and infrastructure from the government declining. Without the aid of private donors and large sources of income from outside of the public (government) the infrastructure of all hospitals, clinics, and the totality of western healthcare systems would collapse and ultimately fail as the system is set up presently. There is an opportunity of keeping a healthy and happy society sustained by public funds, as long as the government is able to step up and provide the healthcare system with enough funds, making the donations from philanthropists an excess instead of a necessity.
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
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
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
If you do not already know what homelessness means, it is someone who is not able to live in a stable residence because of financial or psychological problems, so they are forced to live on the streets or put themselves on the streets, because they feel it would be a better fit. Homelessness in Canada is a very large and concerning issue because of the growing population.
At least 200,000 people experience homelessness in Canada each year! To give you a better visualization, approximately 30,000 Canadians will spend their night unsheltered, tonight. That’s more than 30,000 people waking “up on Christmas Day without a home to call their own” [2]. Canada is known as a very developed country, but we still suffer challenges like this. Topics to consider to why someone might fall into the community of homelessness could be the following: poverty, unemployment,
Homes for the Homeless program is trying to assist members in the Prince Albert com-munity to overcome barriers in order to have a second chance. More specifically, the program is doing its part to form equity in health and assist with social justice in the community. As stated in A Population Health Promotion Framework For Saskatchewan Regional Health Authorities document “the healthiest societies are those in which there is a relatively small gap between the best-off and worst-off members” (p. 5). However, no single program contains the resources needed to prevent homelessness (Burt, Pearson, Montgomery, 2007). Therefore social action needs to occur in order to keep the program doors open and to address the issue of homelessness.
I believe homelessness is one of the most pressing social issues that Canada is facing, there are a number of diverse reasons for people living like this and the homeless population is more or less invisible to the rest of society. There are both external and internal factors that may contribute to an individual becoming homeless, these may include, but are not limited to; mental health issues, addiction and/or alcoholism, physical disabilities, lack of financial and social support, lack of employment skills and a lack of employment opportunities. There seems to be a gap in services and the large number of homeless individuals and families are the ones that fall through the cracks.
The vulnerability is defined in terms of two distinctive elements. The individual vulnerability is a denoted as a shortcoming within the systems context. The collective vulnerability is an aggregate of the individuals and normally denoted as vulnerable populations. The vulnerability can be defined in terms of the individual's circumstances, life scenarios, illness, or events occurring in one's life. Hence it is evident that any individual can be vulnerable at any given time. The concepts of vulnerable population are related to the aggregate public health perception that inherits the vulnerability through status. It can be explained that a certain group of individual faces risk at a given time in comparison with the other group. The vulnerable populations are also explained in terms