Exam 3 Flashcards
(30 cards)
what are the 3 domains of homelessness?
- physical
- social
- legal
what is the physical domain of homelessness?
refers to adequate dwelling (place for humans to live in) to which a person/family has exclusive possession
what is the social domain of homelessness?
privacy, a place to gather with friends/family
what is the legal domain of homelessness?
having exclusion possession, security of occupation
What is HUD?
- department of housing and urban development
- Primary government institution that works to address homelessness and housing
What is Category 1 of homeless?
- literally homeless
- Individuals who lack a fixed, regular and adequate NIGHTTIME residence and includes people in an emergency shelter, or a place that is not meant for human habitation
- Refers to people who are leaving an institution where they resided for a while (getting out of prison, rehab, psychiatric facility)
What is Category 2 of homeless?
- Imminent risk of becoming homeless
- People who may loss their nighttime residence
What is Category 3 of homeless?
- unaccompanied youth
- Children who are unstably houses and may remain that way
What is Category 4 of homeless?
- Fleeing domestic violence
- People who are fleeing dangerous positions and have to leave their home to do that
Homeless children and youth
children and youth who lack a fixed nighttime residence, living in a hotel, trailer park, children who are awaiting foster care placement
Runaway youth
people under the age of 18, who leave home without permission of family or guardian
chronically homeless person
at least 4 episodes of homelessness within 3 years that add up to 12 months
Why is homelessness difficult to account?
because people are constantly coming in and out
Continuum of care concept
group of homeless service providers who collaborate and submit one continuum of care application
Point-in-time count
taken of sheltered homeless people on a single night in late january every year. Collected by shelters and then compiled and it is used to create the AHAR (annual homeless assessment report)
Factors that contribute to homelessness?
- Shortage of affordable housing
- Income insufficient to meet basic needs
- Inadequate and scarce support service
Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Women-
- Higher rates of pregnancy, preterm births and lower weight infants
- History of violence from childhood to adulthood
- Experienced more stressful life events
- High risk for physical and sexual victimization
- Fewer social support networks
- Female vets: disabled, unemployed and history of sexual assault
Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Men-
- Infections, trauma, skin disorders
- Higher rates of HIV/AIDs, TB, STDs
- Alcohol and drug abuse
- Mental health issues
- More likely to have veteran status-income is not enough to provide housing
Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Families-
- Often separated: children may live with family or friends
- Some shelters do not allow male children
- Some protections in social networks-networks characterized by interpersonal conflict increase the risk
Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Youth-
- Risk taking behaviors
- Family disruption
- Exploitation
- Suicide
- Mental health issues
- LGBT are at an increased risk of homelessness and health issues
- May be involved in sex work
Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Children-
- 13 children die on the street everyday
- Depression
- Anxiety
- Cognitive delays
- Resp. infections, skin infections, diarrhea
- Miss days of school and are more likely to repeat grades than other children
Substance abuse and mental health among homeless
- Higher rate of mental disorder
- Alcohol and substance higher-particularly in men
- Severe mental illness co occurring with substance abuse
- Dual diagnosis is the most difficult to treat
- Hard time finding mental health services
Chronically homeless?
- Unaccompanied adults
- Homeless for extended or numerous period
- Have one or more disabling conditions
- Severe mental or substance use
- Rarely addressed in health care venues
Homeless Veterans?
- Predominantly male and single-suffer from co occurring disorders, 11% of adult homeless population are vets
- Many are hispanic and african american
- In general: population is younger than the overall veteran population
- 1.4 million vets are considered AT RISK of homelessness
