Medical non-compliance in the Homeless: Methods of Improving Medical Adherence Medical adherence is an important factor of health in the homeless population. Failure to adhere in the way prescribed by a health provider not only exacerbates existing and additional medical conditions, but it increases the overall cost of healthcare due to additional emergency hospital visits (Hong, Reed, Novick, Haro, & Aguado, 2011). The New England Healthcare Institute (NEHI) estimated that an annual medical cost of up to $290 billion is a result of medical nonadherence (Coe et al., 2015). Besides medical costs, not only is the homeless population negatively impacted by medical nonadherence, but the general population is also affected due to the higher possibility …show more content…
Within their social circle, the life expectancy differs greatly from the general population, dying at much younger ages. While the life expectancy is 80 years for women and 74 years for men in the housed population, that is changed to 43 and 47 years in the homeless population, respectively (Parker-Radford, 2016). Within the homeless youth, many are escaping circumstances or living environments where they were subject to physical or sexual abuse. They may even exchange sex for food, clothing, and shelter, which increase the risk of sexually transmitted diseases or unintended pregnancy. Many homeless youth also are at increased risk of physical or sexual assault after leaving their homes, which in turn is not limited to only poor households, but is also inclusive of socioeconomic backgrounds. Among the homeless youth population is also a higher risk for depression and thoughts of suicide, which can be contributing factors to nonadherence. Another reason for nonadherence is that homeless individuals may feel a sense of achievement and an extreme self-reliance due to their methods of survival that mainstream society would more than likely be unable to accept or get used …show more content…
In one survey, 36% of people stated that they would not want to work closely with an individual who has an acute mental illness (McGinty, Webster & Barry, 2013). This survey can also shed insight on the problems that nurses face and the toll it takes on them over time when dealing with homeless patients, who have many mental disabilities in addition to physical ailments. The standards and lifestyles and quality of life between nurses and the homeless population are very much culturally different. Outside of the medical arena, these different groups of people rarely intermingle within society. There is a lack in the full understanding that the homeless population does not live in, or have direct access to clinics, hospitals, shelters, or any other medical establishment where advice and/or medical instructions or diagnoses are held. Healthcare for the homeless is generally facilitated in shelters, store-front clinics, mobile medical vehicles, hospital EDs, and churches, where appointments are often mistakenly required. This limits the amount of homeless patients that can even be seen for a regular checkup. A concern of nurses who work independently is personal safety due to the possibility of a homeless person acting in an unpredictable
The purpose of their study was to establish a better understanding of the characteristics of the mentally-ill homeless adults. Upon the collection of data through a review of the archived shelter medical records of the 74 subjects included in the study, the researchers aggregated and analyzed the data, calculating the medication adherence rates for the previous 30days. Mental illness and substance use disorders in the study were identified in 67.6 percent and 44.6 percent of the participants respectively. These findings prompted the acknowledgement that homeless individuals suffering from mental illness that specialized transitional shelters serve constitutes of population whose psychiatric, social and mental needs are complex. Thus, the characteristics of homeless populations are complicated by the numerous needs that need systematic assessment and thoughtful addressing to enhance the likelihood of successful outcomes (Viron, Bello, Freudenreich, & Shtasel, 2014).
Young Australians being homeless in 2009 were 62% females who were concerned about homeless and leaving home at the age between 13 to 17 years old 73%. The young people who were homeless and had other concerns in the age between 18 to 25 years was 65% of them likely to be 92% female (show in figure 1.1). (Website 3) The health issues with in young homeless individuals include Mental illness and Mental disorders. Evidence shows that depression, anxiety and post- traumatic stress disorders are experienced by individuals young homeless
This can be achieved through policies such as rent control and the construction of new affordable housing units. Additionally, we can work with local landlords to encourage them to accept tenants who are receiving rental assistance. Another critical step is to provide homeless individuals with access to medical and mental health services. This can be achieved by partnering with local healthcare providers and offering free or low-cost healthcare services to homeless individuals. Mental health services are particularly important, as many homeless individuals suffer from mental health problems that prevent them from accessing housing and employment
Abuse and neglect are one of the top three leading causes of youth homelessness. “Studies show 70 percent of homeless youth have suffered some form of physical, sexual or emotional abuse” and “45.7 percent of street
According to the Substance Abuse and Mental Health Services Administration, 20 to 25% of the homeless population in United States suffers from a form of severe mental illness (National Institute of Mental Health, 2009). Mental illness is the third largest cause of homelessness for single adults. (National Coalition for the Homeless). People with mental illness who become homeless lack both proper medications for the illness and suffer from extreme psychological problems. It is often a challenge hosting and caring for individuals with mental illness because they suffer from mental issues such as delusions and bizarre conduct.
Our capstone project is aimed at combating the lack of basic healthcare and basic service in the poor and homeless. The biggest factors toward poor health are discriminatory behavior towards homeless communities and insufficient clothing to combat weather. According to a study done by Diversity and Equality in Health and Care, “people who are homeless are frequently treated as objects or dehumanized by nurses.” A comprehensive study done by NCBI and the city of Toronto confirms this behavior in cities throughout Canada and the United States.
These factors include, but are not limited to, lack of affordable housing, economic insecurity, behavioral health, etc. Research has found that the main contributing factors for children living in homeless families are the lack of affordable housing, poverty, and domestic violence (Aratani, 2009). Similarly, mental illness, substance abuse, and lack of affordable housing are the top contributing factors of homelessness among unaccompanied youth (Aratani, 2009). In addition to analyzing the factors that can cause homelessness, the article explores the impact that homelessness can have on youth. For example, homelessness can often lead to food insecurity since food supplies can be scarce, which can then have a negative impact on the child/youth’s overall health.
As mentioned Vulnerable populations are categorized in many sub-segment and face with numerous challenges. For instance, the homeless population is one of the subgroup of vulnerable populations that facing tremendous economic and health conditions. It is estimated 564,708 people are homeless in the United States, and many of these homeless are youth under 18 years of age (Housing and Urban Development, 2016). Because of their leaving condition and precarious behavior of some homeless individual, they are at risk for poor health status. They are more susceptible to various diseases like skin infection, pneumonia, influenza, tuberculosis, hepatitis, and HIV.
Homelessness is a struggle that most people don’t know, or that people ignore because they frown on homeless people. These people frown on homeless people because the homeless are often unshaven ruff looking people that had a bad turn in life, this life changing event that turned them into what some people frown upon. These people are frowned upon by so many but the people that frown upon them have no idea what their going through. Being homeless, a struggle known by too many in the United States, in fact there are estimated numbers of 633,782 people being homeless in just the United States alone. These people have found their self’s homeless for many different reasons like bad decisions, not a high enough paying job, or no job could be found,
In brief, the use of drugs has multiple adverse effects, and is highly associated with the status of homelessness among
The issue of homelessness in America has been evident since the early 1600’s. Across the country men, women and children spend their nights on the streets not knowing when or if they will ever find a permanent home. States and federal officials or city councils have tried to alleviate or at least reduce the number of homeless over the last several decades at a city, state or national level but it continues to be an ongoing problem. There is a multitude of factors that account for the growing homeless population that affects each state in the country differently. Though there are many contributing factors that contribute to the amount of people living on the street at any given night in the U.S.
making Mental illness the third major cause of homelessness. C. Most people believe it 's their own fault or it is over drug and alcohol abuse or just being lazy period, but according to rock center by Jessica Hopper believe it or not 20% of people that have jobs who are not on any alcohol substance or drug abuse are also homeless, which leads us to the requirement wages in order to afford a place to stay in. Not just in TN but in every state more than minimum wage is needed, Families need to earn a housing wage of 15$ an hour in order to afford a two-bed room apartment. Transition: it is very clear to us that homelessness is a major problem in our society, and that we need to take action, let 's look at some ways we can help to aid these types of situations. II.
Increase the number of the free clinics that will provide some health issue. Homeless population are at risk for chronic illness making them vulnerable to volience and substance abuse. This population has limited access to resources; difficulty in essentials of daily living: food, clothing, shelter. Often these individual has an underlining mental health issues or substance abuse problems. They do not have support outside their homeless community.
Women and children are overwhelming affected by this, with one in two homeless women with children in homeless services are escaping domestic violence (Homelessness in Australia 2012). In addition to domestic violence the other frequent seen causes of homelessness are, lack of affordable housing, intergenerational poverty, unemployment, mental illnesses and young people exiting state care (Homelessnessaustralia.org.au, 2015). A common misconception is that mental health and drug addiction are the main circumstances for people being homeless(Roger, June 2015) .Although there is a link between the two circumstances most homeless individuals develop mental health issues and drug addiction after living on the streets for a long period of time (Homelessness in Australia 2012).
In the current healthcare system, attempts to provide adequate care for the homeless are frustrating for patients and care providers. The homeless population is anything, but stable, and their lifestyle promotes illness and disease, not health.