Others may have become "environmental alcohol abusers" Shandler and Shipley,adapting to a homeless subculture that encourages drinking. People experiencing homelessness are susceptible to the same issues as people who are not, but their living conditions tend to make treating and coping with issues much more difficult.
Examples of this can be found for alcoholism and nearly any chronic illness, such as diabetes or hypertension. In interpreting research data on the psychiatric disorders suffered by homeless people, distinctions among the different diagnostic categories are important.
Unless a woman has a very severe mental disorder, it is probably easier for her to remain within the family network or, failing that, to find some kind of housing. Whether homelesshess alone led to the high prevalence of tuberculosis or whether multiple other predisposing factors were equally important is not obvious from the results of this single study.
Most of the findings in the literature, including those from the national HCH program, describe inner city homeless people. Some critics object to emphasizing the psychopathology of homeless people as an explanation for their homelessness, noting that failure to provide community-based care and appropriate housing are the crucial factors; they are concerned about "blaming the victim" instead of focusing public attention on the societal problems and political choices that are responsible for the increase in homelessness.
Finally, various illnesses associated with increased mortality are related to environmental exposure, such as hypothermia and frostbite or hyperthermia Olin, ; Brickner et al.
Other psychiatric illnesses, such as the anxiety and phobic disorders and milder depressive reactions, can either be contributing factors in causing homelesshess or, more commonly, result from the stress of homelesshess.
United States Census Bureau. Estimates of the prevalence of current major mental illness range from 25 to 50 percent of individual homeless adults Bachrach, However, withdrawal from alcohol in people with serious concurrent medical or psychiatric disorders is best undertaken in a hospital setting; many homeless people fall into this category.
Mentally ill homeless people have attracted considerable attention from the news media. In addition, during those site visits, members of the committee occasionally received reports of homeless people who manifested symptoms that might indicate the presence of mental retardation or other developmental disabilities.
Women who are heads of households and who are homeless with their children represent a segment of the homeless population that is growing both in numbers and in proportion.
Although ambulatory treatment for mentally ill patients is preferred in most cases, hospital admission may be necessary for treating some patients with severely distressing and disabling symptoms, or for the protection of others if a person is violent.
In a study of tuberculosis among homeless people in New York City in Sherman,based on tuberculin skin test reactivity and subsequent case findings, people were initially screened. Chronic Diseases The proportion of adults seen more than once in the HCH clinics who suffer from various chronic illnesses e.
One of a series of articles in The New York Times in late called attention to a successful new approach to outreach, treatment, and rehabilitation Goleman, As is the case with the homeless in general, their material resources and access to public support programs are extremely limited see Chapter 4.
Specialized treatment and active rehabilitation for alcohol-related problems are complex a forthcoming Institute of Medicine study will explore this subject in detail.health care to homeless persons.
It was established in and was reauthorized in by Congress via the Health Care Safety Net Amendments Act. Understanding the Health Care Needs of Homeless Youth.
It is estimated that million youth are homeless each year in the United States. Some may stay away from home for only one or two nights while others have been living on the street for years.
At present, there is one federally funded program, Health Care for the Homeless (HCH), that is designed specifically to provide primary health care to homeless persons.
HCH projects are required to provide primary health care, substance abuse services, emergency care, outreach, and assistance in. Health Care Utilization in Homeless People: Translating Research into Policy and Practice Stephen W. Hwang and Melford J.
Henderson Agency for Healthcare Research and Quality Working Paper No. October Suggested citation: Hwang SW, Henderson MJ. Health Care Utilization in Homeless People: Translating Research into.
Chapter 11 Review Questions. Underserved Populations, Chapter 11 (Essay Questions) STUDY. What are the characteristics and health concerns of the homeless population?
Characteristics: 8% families 1/3 veterans 20% women Chapter 11 US Healthcare delivery system. 62 terms.
Final Exam - Child Development Ch. Features. Quizlet Live. 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.Download