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Sociological perspectives on mental illness among the homeless
Introduction to homeless and mental health issues
Sociological perspectives on mental illness among the homeless
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In our effort to address the barriers to healthcare access, our mission is to improve our clients well-being and health outcomes by providing mental health services and preventive care for individuals with a history of chronic homelessness. With a collaborative effort aided by the case management and outreach currently offered by the Watts Labor Community Action Committee (WLACC), the mobile clinic will provide additional supporting services that will focus on bringing mental health services, healthcare and social services directly to our clients. As we strive to integrate our services by collocating a mobile clinic, we will focus on disease prevention and healthcare promotion through primary care, while employing a biopsychosocial approached. By working hand in hand with WLACC, the mobile clinic strives to add an important component to existing housing interventions and treatment plans with the emphasis on improving the quality of life while creating a safe space for client participation. The mobile clinic will also take part in facilitating referrals for specialty care for those in need of medical and social resources. By adding a mobile clinic to WLACC’s location, many of our clients will have the opportunity to be screened for physical examinations while being offered consults to mental health services as well. By working closely with St, John’s Hospital, and the Martin Luther King County Medical Center, we will rely on their extended services when inpatient referrals are warranted. Services Providing medical services that touch upon the primary care practice guidelines, follow-up care and in treating the most common of medical conditions, our medical students and staff will focus providing informative preventive care. The... ... middle of paper ... ...the Public Health Service Act, applying under the federal designation for a non-profit health center, would allow funding for the start up of the mobile clinic. In funding a program that focuses on addressing the unmet needs of our clients, federal funding will be vital in starting up the mobile clinic that will bring collocated health services to WLACC. Collocating health services at WLACC that provide primary care, preventive and screening services and adhere to federal case management and fiscal management requirements, would further enhance qualifications for targeted funding, based on the fact that WLACC is a nonprofit organization. By meeting the federal requirements of accounting for a budget while outlining goals and and identifying an evaluation process, will also help develop a business plan that will facilitate the creation of the mobile clinic initiative.
On the basis of the clinic’s previous collections experience, Dough was able to convert billings for medical services into actual cash collections. On average, about 20% of the clinic’s patients pay immediately for services rendered. Third-party payers pay the remaining claims, with 20% of the payments made within 30 days and the 60% remainder (of total billings) paid within 60 days. For monthly budgeting purposes, 20% are assumed to be collected one month after the billing month, and 60% are assumed to be collected two months after the billing month.
Douglass, R., Torres, R., Surfus, P., Krinke, B., & Dale, L. (1999). Health Care Needs and Services Utilization Among Sheltered and Unsheltered Michigan Homeless. Journal of Health Care for the Poor and Undeserved, 5-18.
Homelessness is one of the biggest issues society (Unites States) faces today. Homelessness is caused by lack of affordable housing, economic situations and decline in federal funding for low income families and the mentally ill. A homeless person is defined 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 (shelters) facility that provides temporary living accommodations and an individual who is a resident in transitional housing. This definition of housing is used by the U.S Department of Healt...
Sun, A., (2012). Helping homeless individuals with co-occurring disorders: The four components. National Association of Social Workers, 57(1), 23-37.
Mental health disorders and substance use disorders are apparent within the population of individuals who are homeless. Mental health disorders and substance use disorders have varying factors that can cause a person to develop each disorder separately. People can often suffer immensely from each one individually. Mental health and substance use disorders can cause significant distress in the lives of those diagnosed. The opposite can also be said that significant distress can cause mental health and substance use disorders. The difference depends on a number of factors such as genetics, environment, resiliency, gender, and age. However, recovery from homelessness, mental health, and substance use disorders is possible if the right resources are available.
Yet, according to the National Resource Center (NRC) on Homelessness and Mental Illness, 80% of the homeless population is off of the streets within 2 to 3 weeks. The NRC is the only national center specifically focused on the effective organization and delivery of services to the homeless and the mentally ill. It is important to note that the NRC reports 10% of people are homeless for 2 months and only 10% are chronically homeless. This fact shows that many people want to get back to ordinary lives and will work hard to do so, in spite of Awalt’s
It is nearly impossible to walk between any two points in New Haven without being affected in some small way by our city’s homeless problem. On seeing these people, in many cases, it becomes clear that they suffer from some mental disability that, unaided, will obviously impede their living a normal life. In fact, according to the Report of the Federal Task Force on Homelessness and Severe Mental Illness, one in every three homeless people suffers from a severe mental illness, most of which are treatable. In a country that devotes so many resources to various welfare programs for nearly every group, how can this problem persist? The answer to this question lies in a major national policy shift, deinstitutionalization, which occurred progressively between 1960 and 1980. Though deinstitutionalization addressed a necessary problem, in practice, it only worsens the problems facing the mentally disabled and society at large. What prevailing social ideas and changes brought an end to our nation’s established system of state psychiatric hospitals? What is the logic behind our new and inefficient system of community centered outpatient mental health?
Although most people know what homelessness is and it occurs in most societies, it is important to define because the forces of displacement vary greatly, along with the arrangement and meaning of the resulting transient state. The Stewart B McKinney Homeless Assistance Act of 1987 defined a homeless person as “an individual who lacks a fixed, regular, and adequate night-time residence or a person who resides in a shelter, welfare hotel, transitional program or place not ordinarily used as a regular sleeping accommodation, such as streets, cars, movie theaters, abandoned buildings, etc.” Resent surveys conducted in the U.S. have confirmed that the homeless population in America is extremely diverse and includes representatives from all segments of society, including: the old and young, men and women, single people and families, city dwellers and rural residents, whites and people of color, employed and unemployed, able workers and people with serious health problems. The diversity among people that are homeless reflects how difficult it is to generalize the causes of homelessness and the needs of homeless people. Robert Rosenheck M.D., the author of Special Populations of Homeless Americans, explains the importance of studying homelessness based on subgroups, “each subgroup [of homeless people] has unique service needs and identifying these needs is critical for program planning and design.” Despite these diversities, homelessness is a devastating situation for all that experience it. Not only have homeless people lost their dwelling, but they have also lost their safety, privacy, control, and domestic comfort.
A. Thomas McLellan, et al, "Individual characteristics of the literally homeless, marginally housed, and impoverished in a US substance abuse treatment-seeking sample." Social Psychiatry & Psychiatric Epidemiology 43, no. 10 (October 2008): 839-840, EBSCO Academic Search Premier (accessed April 4, 2012).
Despite the variety of health care options offed to the public, most homeless people find that their medical needs are not even being acknowledged. There are many programs that are categorized as healthcare programs, which include things as broad as having a regular primary care giver to things as specific as dental needs or being able to get help from a specialist if needed. Whether or not medical needs are being met is qualified by what defines a “need”. In a study of the homeless population in the New England region, participants were asked “Have you needed to see a doctor or a nurse in the past 12 months but were not able?” (Hwang, Stephen, Ueng, Joanna, Chiu, Shirley &ump; Tolomiczenko, George, 2010, p.1455). If the people in th...
Primary health care - Fact Sheet - First Ministers' Meeting on Health Care September 2004. (n.d.). Welcome to the Health Canada Web site | Bienvenue au site Web de Sante Canada. Retrieved January 31, 2011, from http://www.hc-sc.gc.ca/hcs-sss/delivery-prestation/fptcollab/2004-fmm-rpm/fs-if_08-eng.php
The Center for Disease Control and Prevention [CDC] used the U.S. Department of Health and Human Services’ definition of mental illness as “health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning” (2011). Our community is exposed to a large number of individuals with mental illness. Among those individuals are the widespread homeless populations. The United States Department of Housing and Urban Development reported “twenty-five percent of the sheltered homeless report a severe mental illness (as cited in Allender, Rector and Warner 2014 p. 907).” This author found the target population to be predominantly Caucasian, Non-Hispanic, single males of thirty-one years of age and older. In reviewing the research, this author found that multiple health disparities happen in conjunction with mental health and homelessness. This includes cardiac and respiratory issues and HIV/AIDs. Without the proper healthcare services, the homeless mental health population remains vulnerable.
Fitzpatrick, Joanne. “ONI Opening Doors Project—Improving Health for Homeless People and Families.” Community Practitioner 85.2 (2012): 19+. Academic OneFile. Web. 17 Oct. 2013.
This is a nearly 40-minute interview. The object of this interview is the leader of a community medical centre. This medical centre has five physicians, two nutritionists, one occupational therapist, a nurse and three service desk receptionists. This medical centre serves the community of more than five thousand patients now. After the interview, integration of the following eight items in this leader’s characteristics and traits.
Many believe that a common thread among the homeless is a lack of permanent and stable housing. But beyond that, the factors leading to homelessness and the services that are needed are unique according to the individual. To put them into one general category ? the homeless- suggests that people are homeless for similar reasons and therefore a single solution is the answer. Every homeless person shares the basic needs of affordable housing, adequate incomes and attainable healthcare. But a wide range of other unmet needs cause some people to become or remain homeless which include drug treatment, employment training, transportation, childcare and mental health services (Center 8.)