Trauma Informed Care Paper

was developed by the Skid Row Housing Trust with the intention of fighting homelessness with a holistic model to break the cycle of homeless. This particular organization inhabits the complexes with qualified individuals to connect residents with on-site case management, medical care, mental health services, substance use treatment, advocacy and community building (Skid Row Housing Trust, n.d.). The ground floor of the complex is occupied by the Department of Health Services’ Housing for Health division headquarters whose programs aims to house 10,000 of the county’s sickest, most vulnerable homeless in the following decade (Holland,

Homelessness as a result of deinstitutionalization in the US increased dramatically, tripling in 182 cities over the court of the 1980s (Bagenstos, 2012). In addition, mental health and substance abuse is a major problem in across the country because of homelessness. According to the Substance Abuse and Mental Health Services Administration,20 to 25% of the homeless population in the United States suffers from some form of severe mental illness (DMHAS, 2014). Consequently, mental illnesses disrupt people’s ability to carry out key aspects of daily life, such as self-care and household responsibilities. As a result of these factors and the stresses of living with a mental disorder, people with mentally illnesses are much more likely to become homeless than the general population (Karger, & Stoesz, 2014). Even if homeless individuals with mental illnesses are provided with housing, they are unlikely to achieve residential stability and remain off the streets unless they have access to continued treatment and services. In Connecticut there are a number of housing options that are in place like supportive housing. Research has shown that supported housing is effective for people with mental illnesses (DMHAS, 2014). Unfortunately, in Connecticut, lack of funding is a significant barrier to the successful implementation of supported housing programs. Because of homelessness people cycle between street corner, jail cell and hospital beds, in addition the homeless who are

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,

The homeless population will only increase with our current economic status. Jean Watson’s Theory of Caring states that “intentionality is the projection of awareness, with purpose and efficacy toward some object or outcome” (Leuning, 2001, p. 300). Healthcare organizations and nurses need to collaborate using intentionality. The vulnerability status of the homeless is higher than most due to their lack of basic human needs of food, water, and shelter. The homeless population succumbs to a variety of chronic illnesses and disease, such as tuberculosis, AIDS/HIV, malnutrition and severe dental problems. They also fall prey to parasites, frostbite, infection and violence (Basics of Homelessness, 2002). These reasons alone prove that the homeless population needs to receive specialized care designed around their lifestyles. As one can see, this population is not going away and the problem will only continue to grow. It is up to nurses and other healthcare professionals to advocate for these individuals and help make a change by using specialized assessment tools and learning more about programs specifically for the homeless By ensuring that these individuals receive the proper follow up care through a collaborative effort of nurses, doctors, social workers, case managers, and psychiatric professionals, there will be a

According to the 2012 Annual Homeless Assessment Report released by the Departments of Housing and Urban Development (HUD), an estimated 62,619 veterans were homeless on any given night in 2012. The good news is that the estimate represents a 7.2 percent decline from the 2011 estimate and a 17.2 percent decline compared to the 2009 estimate ("Veterans," 2013). Although progress is being made, there is much to be done. There are veterans with the same needs as the general homeless population, but also veterans with severe physical and mental health disabilities, related to their service, that necessitate permanent housing with supportive services.

According to Donovan, S and Shinseki, E.K. of the American Journal of Public Health, the suggestion to combat this issue is to reenforce intervention strategies of certain government organizations that work and to funnel federal resources to those strategies (Donovan, 2013). One of the main factors for why people are homeless is due to the mental and physical illness and substance abuse. Effective intervention strategies must be achieved in order to combat homelessness and to ensure veterans are receiving aid they deserve. An example of improving intervention would be to increase investment in effective, evidence-based programs utilizing such as the Housing First model created by the VA which helps assist veterans with access to health care, employment and other supportive services that promote long-term housing stability, reduce recidivism and improve quality of

After doing much research, I have learned that to develop awareness and interventions to be able to help the homeless population, we must understand their mental health and behavioral needs. The information they all share in common are the factors why a specific type of population became homeless. The interrelation of homelessness and mental illness are informed by many factors such as; the lack of support, extreme poverty, substance abuse, lack of affordable health insurance, and lack of affordable housing. The homeless population shares different struggles when dealing with homelessness and mental illnesses because there are not enough resources for them to be able to come back to their normal self. When it comes to their struggles, they

Researchers and policymakers are newly optimistic about the prospect of ending homelessness. For two decades, the goal of our homeless programs was to first treat people for their myriad afflictions (substance abuse, say, or illness) and hope that

Among general population, homelessness has been a social, economic, and public health concern in the U.S. for at least three decades.

In fiscal year 2006, the HUD, Department of Housing and Urban Development, was presented a budget by the Bush Administration consisting of $528.5 billion for homeless programs (Romeo 1). The problem of homelessness and extreme poverty is not a new occurrence; but in past years more extreme measures have been taken to combat the issue as more people become homeless. Expensive social programs and housing developments for the homeless have been created to help battle the increasing issue. Homelessness is an expensive problem that will never end; furthermore, the condition of homeless people in America is affected by the type of education they receive, the state of the economy, and the amount of funds that are available to house and feed them.

Homelessness in Seattle has proven to be a tremendous issue. Fighting for years, Seattle has not been able to make any significant improvements when it comes to homelessness. Although eliminating homelessness may seem to have a simple solution, more housing, the causes of homelessness determine how difficult eliminating it will be. Seattle’s homelessness stems from many complex issues that can be traced back many years. One of the most significant causes of homelessness in Seattle is cuts in funding towards low-income housing combined with raised rent prices in both previously affordable housing and housing geared towards the affluent.

Housing Crisis Center (HCC) was established over 37 years of pioneering programs and services assisting homeless families and individuals in our community. HCC saw a need to opening the homeless shelter in Dallas, Texas, in 1978. Since that beginning, has added additional programs and services, always in response to needs in the community. The HCC has three target populations to help in the community. One target population is All Citizens Empowered (ACE). To qualify for assistance in the ACE housing program the head-of-households has to have a disabling, mental condition such as schizophrenia, and also have an addiction to substances. Individuals must also be continually homeless. Half of the population that the Housing Crisis

In January 2014, approximately 49,933 American veterans were homeless on a given night. This number represents approximately 11% of the entire homeless adult population in the United States. Of those homeless veterans, 64% were reported to be sleeping in an emergency shelter or transitional housing and 36% were living on the streets or other places not meant for human habitation. Today, the federal government has many programs targeted to end veteran’s homelessness; however, the Department of Veterans Affairs (VA) currently has only one program offering a permanent supportive housing solution for homeless veterans – the U.S. Department of Housing and Urban Development (HUD) and Department of Veterans Affairs (VA) Supportive Housing program (HUD-VASH). With this program HUD provides eligible homeless veterans with a Section 8 Housing Choice Voucher (HCV), while the VA provides clinical case management and supportive services through its health care system. The purpose of this evaluation synthesis is to assess the HUD-VASH program’s effectiveness in targeting limited resources to the needs of homeless veterans today, as well as to provide specific policy recommendations so as to improve the overall taxpayer value of this program.

S263). This test is “11 questions in the Adverse Childhood Experiences (ACE) Module” and was issued on a scale of one to eight (Montgomery et al. S263). Another test conducted by a different team was used on a scale of either affective or psychotic and it was called the IES-R (Helfrich et al. 119). Both testing groups decided that housing and constant therapeutic sessions were key into reintroducing people to society. The most difficult problem with their conclusions is the aspect of housing. Housing First is one of the many healthcare and housing organizations to yield multiple aids for the homeless and mentally ill (Somers et al. 1). These aids consist of sustainable market housing without the requirement of a lease (Somers et al. 1). “Our findings confirm that HF programs- particularly the ones using scattered site format- promote reductions in offending and reconviction among people who were previously homeless and have a current mental illness ” (Somers et al. 6). By using a “scattered site format,” the organization chose a random sample that pulled many subjects from the streets and put them through the HF program. This was one of the first real solutions shown in reintroducing the once homeless into society. Haven for Hope homeless shelter is centered on returning the homeless and mentally ill to community. They have plans on renovating one of the male housings into a psychiatric facility with rooms for the residents

I can now make a nursing diagnosis to better understand precipitants of homelessness and develop a level 4 partnership for collaborating, involves exchanging information, altering activities, and sharing resources. The implementation of the 5 steps of the nursing process, as well as the possible solutions of outreach, qualitative and quantitative strategies, targeting of prevention resources, and development of novel interventions, is the approach (Montgomery 2013 et al).