Barriers to Healthcare for the Homeless Population
Dana Duggan
University of Phoenix
Sheila De Vaugh, APRN, BC
August 3, 2009
Introduction A homeless person is defined as someone “who lacks a fixed, regular adequate night time residence or a person who resides in a shelter, welfare hotel, transitional program or place not ordinarily used as regular sleeping accommodations, such as streets, movie theaters, cars, abandoned buildings, etc.” (Cone, 2008, p. ). Homelessness is a growing problem in the United States that affects the psychological and physical aspects of its victims. Two of the fastest growing subpopulations of the homeless are single mothers and families. The word homeless implies being extremely vulnerable and
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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
A homeless person is an individual without a permanent, stable housing situation who either spends his or her nights on the streets or in temporary facilities, such as shelters and abandoned buildings. Throughout history, society has been “holding the poor, rape or incest victims, minorities, or the handicapped responsible for their misfortunes” (Zur). Society has been blaming the homeless for being in the position they are in. However, upon closer inspection, it must be noted that “children under the age of 18 accounts for 39% of the homeless population…battered women who live in poverty are often forced to choose between abusive relationships and homelessness…[and] 40% of homeless men have served in the armed forces” (Who Is Homeless?). It is clear that those who are homeless are not
Homelessness has been a problem for many years in the United States. This misfortune is becoming even a bigger issue due to people losing jobs and having no income. Not having any type of income leads to neglect in the way of just trying to survive. One issue that homeless individuals neglect is their health care. In this literature review, the main theme centers on how vulnerable this population is to not receiving adequate health care. “Meeting the needs of the homeless requires a different approach than that of the general population, thus healthcare providers must be aware of these needs and learn how to facilitate and improve care for homeless individuals” (Seiler & Moss, 2012, p. 305). The homeless population is a group that is sometimes stereotyped for their homeless situation; however, many are in an unfortunate situation that was not chosen by
Homelessness is an issue in American society today that affects anywhere from 800,000 to 3.5 million people. There are a substantial amount of people that are without shelter, food, or employment, and there are numerous other people affected by poverty and homelessness. People living in nearly every city in the United States are affected by homelessness due to the large amounts of homeless individuals living on the streets and begging for money, food, and other necessities. The issue of homelessness has been a constant problem since the conquering of the New World, and soup kitchens and homeless shelters have not been able to fully end homelessness. Especially today, with a lack of affordable housing and high unemployment rates, homelessness is prevalent.
The issue of chronic homelessness is not just a political or academic debate but has become evident from men and women living without homes in the streets of America. Homeless men and women
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 United States of America is the place known to many as the land of the free, home of the brave, and the place to start a better life. With any place that has good qualities, some have not so good qualities. The homeless population in the United States is at a staggering high, and many individuals are suffering because many lack employment/financial resources, housing resources, support from family and friends, and others negligence; such as natural disasters or fires. Homeless individuals may have no other choice than to live on the streets, trains, and alley ways to name a few places where homeless people seek shelter. The history of homelessness, social problems, demographics, common clinical
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
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.
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).
It often very difficult to address every situation in addressing homeless people barriers in accessing healthcare. However, there are things that can be in placed to address such issues.
“Many (e.g,Gultai, 1990: McChesney, 1990) argue that changes in federal social policies have played a significant role in the rise in homelessness and particularly in the increase in the number of homeless families”(Family Relations. 1995,44.13-18.) Homelessness is defined as a condition where people cannot live or afford regular, safe and secure homes, warm meals or to be fully clothed. It’s also defined differently in many countries or regions. It also includes that some homeless people shelter is a cardboard box, shelters that may or may not have room, the sides of the interstate as well as living in a junk yard car. My purpose is to study the reasons why the homeless rates are going up and the loss of assistance for homeless person or families.
This research proposal will discuss 1) the issues concerning the homeless population and their health; 2) the reasons behind the homeless lacking proper knowledge regarding these changes and 3) the necessary accommodations that are needed to better acclimate and educate the homeless population on these changes.
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.
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
The researchers who gathered the youth found a majority of them living in the streets for 2 years or longer. The other homeless participants who were in shelters reported their homelessness ranged between 2 days to 6 years. After the study was complete, it revealed the most common reasons for seeking health care was because of complications related to drug use, chronic conditions, prenatal care, and mental health