Health promotion


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Health promotion

  1. 1. Homelessness Presented by Tedra Estis
  2. 2. Homelessness defined• To be without a home. Lacking a fixed, regular, safe and secure place to dwell.• A state of vulnerability – Health risks due to exposure to the elements – Violence – Harassment – Absence of privacy – Alienation from society (Homelessness, n.d.)
  3. 3. The Problem• Homeless is everywhere.• Estimated 2-3 million homeless people in the U.S.• Homelessness breaks up families. Some shelters won’t accept men or children.• Small illnesses become serious health conditions due to expose to elements and unsanitary conditions.• Depression sets in, the homeless become hopeless.• Violent attacks on the homeless, rape, and cruelty.• Urban slum and blight. (Homelessness, 1996)
  4. 4. ConsequencesThe homeless frequently visit hospitalemergency rooms. – Each visit costs approximately $3,700 – Average of $18,500 in ER stays per year per homeless person (The cost, n.d.)
  5. 5. Who are homeless? (HUD, 2012)
  6. 6. Who lives in Shelters?Statistics• 62% are male• 38% are female• 21.8% are under age 18• 23.5% are 18-30• 37% are 31 to 50• 14.9% are 51 to 61• 2.8% are 62 or older• 41.6% are White, Non-Hispanic• 9.7% are White, Hispanic• 37% are Black/African-American• 4.5% are other single races• 7.2% are multiple races (Current, 2011)
  7. 7. Homelessness MythsMyth-The homeless are lazy.Fact- 45% of homeless work, but do not earn a living wage.Myth-Homeless people want to be homeless.Fact-Nobody wants to be homeless. They have often lost faith.Myth-Homeless people are dirty and smelly.Fact-Many homeless find ways care for hygiene; in shelters, in gyms, at truck stops.Myth- The homeless are uneducated.Fact-Many homeless are educated. Some have Master’s degrees.Myth-It won’t happen to me.Fact- 1 out of 3 working individuals are 3 paychecks or less away from poverty. (Homelessness, n.d.)
  8. 8. Vulnerable Populations• Veterans• Mentally Ill• The Working Poor• Unattached youth• Elderly• Alcoholics• Transients (At risk, 2011; United, 2012)
  9. 9. Health DeterminantsPolicy Making – Include the homeless in policy making. Give them a voice. – Allow everyone to apply for HEARTH ACT assistance and be flexible – Maintain adequate level of outreach, emergency housing, transitional housing, and supportive services – Include rural homeless and let them not be disadvantaged (Priority, 2011)
  10. 10. Health DeterminantsIndividual Behavior – Substance abuse • About two thirds of homeless people abuse drugs and/or alcohol – Domestic Violence • Half of homeless women have left abusive relationships (At risk, 2011)
  11. 11. Health DeterminantsSocial – Available affordable housing – Safety of environment • Big city – Crime rates – Gangs • Rural area – Elements of weather – Lack of assistance (HUD, 2012)
  12. 12. Health DeterminantsHealth Services – Barriers to help • Language barriers • Pride – Unavailable housing or refuge • Transient housing • Shelters • Churches (U.S., 2012)
  13. 13. Health DeterminantsBiology and Genetics – Mental Health- 20 to 25% of all homeless people have some type of mental illness • Schizophrenia • Post traumatic stress disorder (especially Veterans) • Bi-polar – Family history of alcohol abuse (Current, 2012, United, 2012)
  14. 14. Housing and Urban Development• HUD’s objectives: – Eliminating slum and blight – Eliminating conditions which are detrimental to health, safety, and public welfare – Principally benefiting person of low and moderate income (HUD, 2012)
  15. 15. HUD Regions in the U. S. (HUD, 2012)
  16. 16. Health PromotionHomelessness assistance programs – McKinney-Vento Homeless Assistance Act – Supportive Housing Program – Shelter Plus Care Program – Single Room Occupancy Program – Title V Program – Emergency Solutions Grant Program (HUD, 2012)
  17. 17. One SolutionProvide affordable housing• Health care costs are reduced by 59%.• Emergency room costs are decreased by 61%.• General inpatient hospitalizations are decreased by 77% (The cost, n.d.)
  18. 18. In Springfield, MissouriOne Door (ran out of the Kitchen) – 11,000 phone calls – 577 client assessments – 2,656 requests for shelter – 3,523 requests for utilities assistance • Total spent $74,000Emergency Rent Assistance 62 households assisted • Total spent $22,900 (B. Griesemer, personal communication, December 4, 2012)
  19. 19. In Springfield, Missouri• Jordan Valley• The Kitchen• Victory Mission• Salvation Army• Missouri Hotel• First Step• New Life Evangelistic• Community Partnership (Springfield, n.d.)
  20. 20. Get InvolvedBecome an advocate for the homeless – Be familiar with community assistance – Provide information to the homeless – Refer patients – Provide tools – Follow up
  21. 21. Get Involved…• In your local government – Attend City Council meetings – Join a council or advisor committee• In your community – Volunteer at clothing banks, soup kitchens, and homeless shelters – Donate
  22. 22. Final thoughtI am a mental health nurse who deals with homelessness on adaily basis in my job and in our community. I have served on theCitizen’s Advisory Committee to City Council for the last two years.We allocate HUD discretionary fund money to the City ofSpringfield’s non-for-profit organizations. I have worked in ourcommunity and am passionate about our citizens. Homelessnessis everyone’s problem. I implore you to get involved! For moreinformation about this committee and others like it, please visit:
  23. 23. ReferencesAt risk of becoming homeless. (2011). Destination home. Retrieved from http://www.destination- statistics on the prevalence and characteristics of people experiencing homelessness in the United States (2011, July). Substance abuse and mental health services administration. Retrieved from defined. (n.d.). The suitcase clinic. Retrieved from Programs and the people they serve. (1996). Urban institute and the national survey of homeless assistance providers and clients. Retrieved from
  24. 24. ReferencesPriority recommendations regarding implementation of the homeless emergency assistance and rapid transition to housing act(2011). National coalition for the homeless. Retrieved from Missouri homeless shelters and services for the needy. (n.d.). HDS helping the needy. Retrieved from bin/id/city.cgi?city=Springfield&state=MOThe cost of homelessness facts. (n.d.). Green doors. Retrieved from states department of veterans affairs. (2012). Retrieved from department of housing and urban development. (2012). Retrieved from