The Refuge Transition Team (RTT) is a program currently being provided through Mental Health Care, Inc. in the Tampa Bay area. The program is designed with the evidenced based model of Critical Time Intervention. Refuge transition team targets adult individuals who are chronically homeless, diagnosed with a serious mental illness, have histories of public inebriation by the Substance Abuse and Mental Health Services Administration’s (SAMSHA) definition with priority enrollment given to veterans. The program services 36 individuals per year and services begin in shelter facility and transition to the community as the individual progresses in recovery and independent living. The Critical time Intervention model is time-limited intervention that last up to nine months. The model provides the additional support and assistance this population needs to secure a stable independent life.
Counseling Program Evaluation Cycle
Program Planning
The Substance Abuse and Mental Services Administration (SAMSHA) defines a need for priority of treatment services to those defined as “chronic public inebriates”. These individuals are in need of priority and legislative preferences due to the connections between public inebriates and homelessness, frequent emergency room use, criminal activities, mental illness and co-occurring disorders.
Homeless people lack social support, have mental illnesses, physical health issues, nutritional deficient, and transportation issues and repeatedly remain
To begin, lets define the term homeless. According to the Department of Housing and Urban Development, homelessness is defined as “People who are living in a place not meant for human habitation, in emergency shelter, in transitional housing, or are exiting an institution where they
Homeless people are not always the victims that the media have portrayed them to be. The alarming fact is that many of the homeless are there by choice. Don't get me wrong, I am not trying to portray all homeless people as lazy people who dont want to take care of themselves. This couldn't be further from the truth. In my experience with the homeless they are usually either in bad health, addicted to drugs, mentally ill or a combination of any of these. To compound matters worse, they are usually without any type of legitimate income to support themselves.
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.
Homelessness is often accompanied by many other problems such as mental disorders, substance abuse issues, isolation from family and friends, and poor general health. Often time’s people that suffer from homelessness experience a lower quality of life than those who have a place to call home.
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
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
Homelessness is basically another form of poverty except more extreme, yet society treats it as if it was on another spectrum of problems. Some in society stigmatize this population by saying things like: they’re homeless because they are drug addicts, alcoholics, they don’t want to work and just live off the government for free. What many forget to think about are the factors that have these people on the street, or the fact that they are not only experiencing personal hardship by being without a permanent residence but emotional ones as well. Add the fact they are sometimes discriminated against and excluded by society, and you will realize you are looking at one of the most vulnerable populations.
Homelessness tends to be associated with images of people who sleep in the streets, parks, subways, and sidewalks; who lack shelter of any kind, and are transient throughout the year, moving from place to place. The homeless are sometimes considered as undeserving of support; they are frequently stigmatized as being mentally ill, out of control, and are viewed by some as personally responsible for their situation (Phelan, Link, Moore & Stueve, 1997).
The Homeless are a vulnerable population. Homelessness is a social issue that anyone can almost be subjected to despite his or her age, race, ethnicity or geographical background. Kornblum (2012) defined homelessness as… “as a social condition in which people do not have regular housing and are forced to sleep in public places, public shelters, or facilities designed for homeless individuals and families” (p.280). The homeless population faces several adversaries in their lifetime of being homeless. Their adversaries are a lack physical and emotional disabilities, and possibly drug abuse. Grant some are homeless by choice, whereas most are homeless by mishaps, but nevertheless, they are humans deserving to be treated with fairness, dignity,
There are a large number of interrelated factors that contribute to people becoming homeless which includes poverty, lack of affordable housing, mental illness,
Homelessness is a serious societal problem affecting our communities. Katel of Housing the Homeless says “about 1.5 million Americans use a shelter in a given year- and advocates for the homeless say that figure badly understates the problem.” Yet, society looks down at these people, not doing anything to help them. They are judged, criticized, and bombarded by false assumptions everywhere they go. I have heard people say “they are like that because they chose to” or “they are lazy and don't want to work.” This is not true in most cases. The reality is life can go wrong at any moment for anyone. For some people there is no one there to help them and their only option is living on the streets or a shelter.
Homelessness is a serious problem in our society. Every night in our nation thousands of people are on the streets. This type of behavior is considered deviant because it does not reflect the norms and values of our society. In many cases the homeless people in our country are treated as total outcasts. Many of these people have severe mental disorders. Some are victims of an economy that has failed them. One may ask how such harsh situations exist in such an advanced society. With all the money and programs created to help people it seems ridiculous that this behavior exists. In a society where people have so much how is it possible that there are still people that have so little. The homeless are humans, no different than anyone else.
Homelessness is a national epidemic that affects much of our society. “In Texas, there were 29,615 persons homeless in 2013, meaning that approximately 12 out of every 10,000 persons in Texas are homeless” (Homelessness 101). Homelessness is a problem that is everywhere and unseen by many. There are many community outreach programs, religious organizations, including government agencies that aid in the welfare of homeless. Why is it that homelessness still remains a unsolved
Many people have preconceived ideas or thoughts about the homeless population. Some of these thoughts are the individuals are lazy, unmotivated, drug addicts, ill, dirty, and mentally unstable. Then bring in the aging population and the perceptions of incompetence, incontinent, and incapable all of which have been documented beliefs among service professionals such as doctors, nurses, social workers, and mental health professional (Kane, Green, & Jacobs, 2013). Until these perceptions
Many reasons for worsening situation of homelessness in the country have been reported but none has gathered as much support as poverty. Poverty alone accounts for major increase in homeless households while other possible reasons include loss of job, eroding job opportunities, lack of public assistance and lack of affordable housing facilities. Despite these being powerful reasons, they are all linked to one major reason i.e. poverty.