those exiting foster careor incarceration.55
I have seen this demographic be a victim of so much abuse and violence not just while in the situation they are exiting but long after.
129 Matching Annotations
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www.healthaffairs.org www.healthaffairs.org
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consortium
an association of two or more individuals, companies, or governments pooling their resources to achieve a common goal or undertake a massive enterprise
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Portland, Oregon, in 2016
six health care organizations partnered with Central City Concern, a community organization that provides housing and health care services, to create more than 300 units of affordable hous- ing with an on-site clinic and other services.
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A 2020 study found that during 2017–19, fifty-two hospitals and health systems acrossthe US announced commitments totaling$1.6 billion in housing-related investments
Now this right here is a huge step forward by local and state wide resources. I love this.
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deleterious
causing harm or damage.
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aHousing First basis remained housed longer, re-ported fewer psychiatric symptoms, and hadmore primary care use than people who didnot receive housing or who participated in treat-ment-first models.
This is a constant element in the research associated with ending homelessness
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HUD-VASH
HUD-VASH (Housing and Urban Development-VA Supportive Housing) is a joint federal program that combines permanent rental assistance with dedicated case management and supportive services to help homeless Veterans and their families find and sustain safe housing
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lack of comparison groups.
In Thesis: Homeless Demographics, Initiaves for change+the set backs we are facing,
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medical respite program stays were associ-ated with reductions in hospital readmissionsand lengths-of-stay,
medical respite gives people a chance to heal and recuperate. Makes sense that this would help an individual build a health centered foundation so that they can give themselves some form of autonomy moving forward.
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ameliorating
Ameliorate is a formal verb that means to make a bad, unpleasant, or difficult situation better, more tolerable, or more satisfactory.
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likely require a high-touch approach,including warm handoffs and ongoing engage-ment.
I love this idea when coupled with a Social Needs Screening
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ocialneeds,
Social needs screening* I get it but it feels invasive
"screening patients for housing instablity and homelessness"
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However, other stud-ies have not found evidence of improvement
says social screenings dont help much
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Two high-quality studies
says social needs screening are helpful
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discharged from psychiatric hospitalizationfound that compared with the control group,those assigned to receive CTI had a significantlylower risk of homelessness nine months after theintervention ended.
More on CTI
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2000s, the model has expanded toother populations and contexts domesticallyand internationally,
"CTI gradually diminishes in the transition to the community" and it works
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devel-oped in the 1980s for people with serious mentalillness who were experiencing homelessness.
CTI
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tran-sition from an institution, such as a prison orhospital, to the community.
These people face the most discrimination and stigma. Life is fair by being not fair IMO but then theres unneccessary hatred and loathing to this community that truly is not fair considering people can change and people just need a little or a lot of help. There's nothing wrong with needing suppport. Everyone needs support.
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CriticalTime Intervention (CTI)
Short term yet powerful interventions.
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HPACTs reported better patient experienceon all measures, including access to care, thanveterans who received care from traditional
Homeless Patient Aligned Care Team HPACT
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Health Care System Efforts
This country has needed efforts from the Health care system since as long as I can remember and I was born in the 90's so I know it was there long before I was born. The fact that here they are finally taking some initiative is breath taking.
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Empirical
categorizes or describes something based entirely on observable, measurable, and tangible evidence rather than theory, intuition, or logic alone.
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a higher proportion ofpeople experiencing homelessness are hospital-ized for mental health and substance use con-ditions.31
Co-occurring disorders such as this is proven to decrease with proper housing and support. Not a boring life... but a life that can heal from trauma and give the survivor a chance to reflect and experience the the emotions they ignored during survival mode. Once housed there is still the need for support because there was so much missing when one was homeless.
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discrimination, and stigma. 2
Everyone judges. I know that sounds like a blanket statement but it is. Now it is through what lens do we judge that is important. Do we judge through rose colored glasses? This is no good because then you are in a fantasy and could be perceived as being naive and the possibility of being taken advantage of arises. Do we judge through cynicism and apathy blaming someone for everything that has ever happened to them? This is a sore state of disposition and why there is little to no change in this sector at times. Or do we judge through Wisdom, Compassion, and Balance? Here we can accept that there is a problem and not lie to ourselves about the outcome if there isn't a change. With that radical acceptance we can then make realistic strides towards the advancement of this minority group and give them a chance at not just surviving but thriving with time and proven solutions that work.
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higherrates of unmet health care need
Health care in this country is not affordable and even medicaid/medicare is a carrot on a stick.
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displace-ments increase criminal justice involvement, dis-rupt social networks, and create challenges forengagement with health and social services pro-viders; each of these outcomes may negativelyaffect health. 27,28
Consequential punishment for being unhoused.
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increased sleep disruption and itsadverse health effects
Sleep literally contributes to a third of our life experience. With out we can't really survive. Mortality is on the rise at that point.
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drug overdose has become theleading cause of death in the US homeless popu-lation overall.7,21,22
This sounds like a cry for help from this nation of people.
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depres-sion and anxiety were the most common. 5 Two-thirds reported ever using illicit drugs regularlyor drinking heavily; 35 percent said that theywere currently using illicit drugs regularly.
I don't blame them. Giving up is easy when the world gives up on you.
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have ele-vated rates of mental health conditions and sub-stance use disorders. 20
Breaking under the pressure of trying to cope in their immediate situation.
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chronic conditions, evenonce housed.1
The stress and anxiety associated with trying to re-integrate into society can lead to chronic mental and health conditions, but that means that many will need and continue to need support until they can stand on their own 2 feet and not be totally dependent.
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disparity hasbeen attributed, in part, to evidence indicatingthat homelessness has direct and indirect dele-terious impacts on health
this is comparing low-income to homeless persons.
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higher prevalence of acute andchronic physical and mental health conditionsand higher mortality rates.16
Acute usually means severe but temporary not small or irrelevant. So acute "..." conditions here most likely is referring to drastic short term lapses in mental and physical health, while chronic is well... untill death do they part basically.
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leading to social problems such asdepleted personal networks or criminal justiceinvolvement.5
I think I saw in a psych2go youtube video once, that you shouldn't be friends with someone that is always seeming to fail or have problems in life. I think that this is what happens often in society and I disagree with the claim/ statement. I actually think this widely contributes to the problem.
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Physical andmental health conditions, as well as substanceuse disorders, may precipitate homelessness
I think that it is also important to point out that more than likely substance use and mental health conditions are often associated with adverse childhood experiences, and genetic/foundational dispositions. So basically there was a recipe for disaster that led to the co-occuring disorders and then homelessness followed as a result.
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Poor Health Status Is Associated WithHomelessness
Another "duh" moment.
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reate a negative feedbackloop. 12
create*, "structural, community, household, and individual factors related to housing security can intersect"
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Withinthis context, people with individual vulnerabil-ities, such as having a substance use disorder,severe mental illness, or a history of incarcera-tion, are at heightened risk for homelessness.
Especially because many housing authorities, and jobs do not trust these individuals thus causing for unconventional techniques for survival.
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Only one in four US households thatare eligible for a housing choice voucher (arental subsidy also known as Section 8)
We cannot neccessarily cast blame but rather have those in power take accountability for the fact that they can directly influence the outcomes in the lives of so many people living impoverished.
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in 2021 there were 33 units of afford-able housing available for every 100 extremelylow income households,
There should be shame in this disparity
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and individual factors
Substance use and chidhood adversity are listed here.
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Research has shown that homelessadults experience accelerated aging, with prema-ture onset of chronic medical conditions, func-tional and cognitive impairments, and high ratesof age-adjusted mortality.
If you cannot receive proper care or care for yourself in a proper way both physically and intrinsically, the negative impact this has on an individual will compound in a number of related concerning conditions and homelessness exacerbates these symptoms.
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arises from an interaction be-tween structural factors
I think that a lot of the time some one ends up homeless because they lack a foundation that they either once had or never had.
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Unsheltered homelessness is associat-ed with disconnection from health care services,a high prevalence of substance use and mentalhealth disorders, exposure to the elements, andrisks such as experiencing violence.3
All of the articles I have been reading are constantly bringing up this as more than a consequence of homelessness but also as a fact related to the experience of homelessness.
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In 2023 nearly 40 percentof those experiencing homelessness in the USwere unsheltered—an increase from 30 percentin 2014.1
The rate is going up here. I am not surprised.
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According to the federaldefinition, people are homeless if they lack afixed, adequate nighttime residence; will immi-nently lose their residence without another placeto go; or are fleeing interpersonal violence.2 Thedefinition includes people staying in homelessshelter
Federal Definition of homelessness although the word homeless is pretty clear in its definition home-less...
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On a single night in 2023, 653,104people experienced homelessnessin the United States.1 Minoritizedpopulations—including Black,Indigenous, and Pacific Islanderpeople and gender and sexual minorities—andpopulations with specific adverse experiences,such as domestic violence survivors, youngadults exiting foster care, and people exiting in-carceration, are overrepresented within thehomeless population.1
Demographics
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Health careproviders and systems should leverage their political power to advocatefor policies that scale durable, evidence-based solutions to reducehomelessness,
This could truly be game changer in the efforts to fight homelessness. It would give people a chance to breathe knowing that health care and health related expenses weren't out of reach.
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In this overview, wehighlight structural and individual risk factors that can lead tohomelessness, explore evidence on the relationship between homelessnessand health, discuss programmatic and policy innovations, and providepolicy recommendations.
The main claim or purpose of this work.
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strat-egies to expand the availability of affordablehousing and increase incomes.10
This should be a point of reference in my thesis.
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journalistsresource.org journalistsresource.org
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Covering homelessness responsibly
Terminology inclusion political correctness and compassion is what this statement is refering to.
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the authors found.
This is to reference the age distribution chart below.
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older people experiencing homelessness] have more complex health and social challenges
Family and friends begin dying as you get older and health tends to decline as you get older. It is hard to seek or receive stability in older ages because most times if life was not made easier by the time they were in their 40's chances are life will be worse off for so many number of factors in the age range of 50+ (although I do not think 50 is that old.) I will be 50 in 18 years and I do not feel old yet...
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time-limited assistance to quickly stabilize enrollees, is an effective strategy for rapidly improving housing instability, but that additional interventions may be needed to continue to reduce housing instability over time,”
People need support. No man is an island. Everyone needs somebody to lean on in times of crisis.
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They found survivors who received Housing First assistance overall achieved better housing stability after six months.
This also means a more robust economy.
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After six months, the researchers were able to reach 50 of the 55 initial participants. Nearly all — 94% — remained housed.
Success rates across the board for housing first initiatives and flexible funding resources, and it doesn't take much to put people back in control of their lives it seems.
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Funding averaged $2,000 per grant, with about half of the grants going toward rent.
Garners a "duh" moment. Of course these people just a needed a leg up. Equity vs. Equality comes in to play here.
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The researchers interviewed 55 survivors one month, three months and then six months after they received flexible funds from the nonprofit.
I am happy to see that some were helped. Not so much to see that the amount of those helped is such a light number. Considering, according to the article, that many of these survivors were of black or african descent, it makes you wonder about why exactly theres a such a great resistance to helping these people in the minds of those in power behind closed doors...?
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nonprofit flexible funding program in Washington, D.C. that offered money to help domestic violence survivors avoid homelessness
I kind of wonder why there is such a hush hush stance on helping the homeless. I see a lot written but I don't see alot of this information in the news outlets. I think it should be in your face that they need help on a large scale not just with funding or small advancements.
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policy makers should support innovative initiatives for organizations that serve survivors,”
They should. The goal on paper is to help these people maintain stability. The goal for some of those with the power to do a great amount of good in reality is to drive out the little man and keep them in their place with no chance for succes
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providing temporary shelter in a safe environment, tended to reduce PTSD and such violence in the future
Again I say.... Why are we not funding this?
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Survivors of intimate partner violence may have few housing options available to them, “which often forces [them] to return to their abuser or to turn to options that offer little, if any, safety,”
This happens alot and many times these people did look for help and did not find it and many times the abuser knows they can get a way with it. Its like the abusers have the proof of support they need to do as much damage as they can to their victim.
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“Many survivors face financial abuse, in which a partner controls their access to money, employment, or credit, making it difficult to secure stable housing,”
I actually have someone close to me that has dealt with this. The worst part is that this abuse can cloud judgement, and make the survivor scrounge for support in any way that they can.
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“intimate partner violence,”
There are people in this world who want nothing to more to control the very air someone breathes and to cut that air supply off as they see fit causing the victim to suffocate under the pressure of being disabled financially and mentally. It is akin to the horrible effects of institutionalization.
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displaced were more likely to report that they suffered from infectious diseases and poorer mental health.
Causing someone to go into survival mode and made to feel primitive and disowned, can cause low self esteem anxiety dissocitation, and most certainly depression along with various other health concerns. The body is not seperate from the mind.
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‘in the meantime’ approach of displacing people is harmful and, ultimately, worsens public health.”
"Public Health" this means everyone is affected by this tragic behavior not just the persons left destablized.
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“While ‘housing for all’ is a laudable goal, such infrastructure takes time,”
Now this is realistic. Time takes time, but a domino effect is all it takes. Let's build this community back up brick after brick. And although it won't be perfect it coud yield higher success rates than what we have experienced in the past. Chances are there is still a chance.
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high trauma load
According to this portion of the article sweeps traumatize this community who already has a high trauma load including CPTSD and PTSD. It just makes matters worse.
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one nurse told the authors. “I am unable to find people after they have been moved.”
There are people out there who want to help and be helped. Let's help them then.
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Losing a stable location also made it generally difficult for homeless people to receive medical care.
With out a base or foundation to rely on physically it makes perfect sense that physical health( an important facet of wellness) could get left behind in the hierarcy of needs.
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Many also noted the loss of medical equipment such as HIV medication and sterile needles, the loss of medication such as buprenorphine to treat opioid use disorder, along with the loss of mobility equipment, such as walkers and wheelchairs.
Be human for once. Be decent. Have some sense of peace in your heart enough to know that this is not a viable solution. This is not the answer to the problem. This is part of the problem.
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All providers except one mentioned the psychological toll homeless people face when they lose their belongings, as often happens during sweeps, including sentimental items, food and hygiene products.
I would go insane. I know I would. It is hard when you lose everything. It's hurtful to know that the country you live in is against you for no reason ultimately. Why are you mad at me for being in a situation that I did not ask for? Why do I have to see you as my abuser and not my ally? "in god we trust" that's what the money in this country says but I'm not sure they are being very "godly"
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“Sweeps are actions in which government agencies, often in collaboration with the police department, move [people experiencing homelessness] out of the location where they are sleeping,”
People need a fighting chance for survival. With that principle in mind, whose to say that this encampment did not give them a chance, to stay safe, find refuge, and be found and not lost in the streets.
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wrest
To wrest means to forcibly pull, twist, or seize something away with effort or violence
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In June 2024, the Supreme Court reversed the 2019 ruling, allowing jurisdictions to proceed with dismantling homeless encampments without other shelter available.
That's just mean and unruly. If you're going to dismantle the only stability they have then have a solution in place, because they are just going to go somewhere else probably unsafe.
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In 2019, a federal appeals court ruled that a city enforcing a ban on public encampments would violate the Constitution’s Eighth Amendment prohibition on cruel and unusual punishment — if the city lacked enough shelter beds to house its homeless population.
It is unconstitutional... But I do believe there is a way around it... Housing First.
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Some states —
such as California, Massachusetts, Montana and Oregon — have mandated local governments increase their housing density, allowing more multifamily housing to be built, according to the paper. ( this is how I think the hand off from the higher government agencies, to the lower government entities should occur. Make it so that local and state governments are requiring a solution to the problem and not being one of the dust bunnies in the eyes of the homeles...(can I say that?))
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shorter-term efforts
“immediately responsive to highly visible homelessness” could be more politically viable in situations where property owners use zoning laws to try to block longer-term solutions that could increase housing supply and affordability. (something is better than nothing)
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“There’s a few exceptions, but for the most part, what we see is that cities really aren’t thinking about their broader housing supply when they’re constructing their homelessness policies,” Einstein says
Hmm... I could see that. A lot of times people do not think about the little man, and many root for the underdog but no one really roots for the loser.
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But cities with high levels of unsheltered people were not more apt to consider a lack of affordable housing as a reason for homelessness than cities with low levels of unsheltered people. And a majority of the mayors surveyed did not see housing costs as driving local homelessness.
Seems counter-intuitive then at that point. Meaning that for some reason many see the problem on a low scale and then show some form of compassion yet those who experience the issue on a large scale and do not really have much sympathy or empathy...
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“Indeed, plans are, by their very nature, nonbinding, and, at times, aspirational documents,”
That's a beautiful statement that elludes to the wishful thinking and fantasy driven hope for the future of homelessness.
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For example, property owners in Portland, Oregon, filed legal challenges in 2022 objecting to a year-round women’s shelter being opened in an area zoned for industrial use,
Surprising to hear considering Portland, Oregon is such a free-loving space for many people, or so I hear.
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Zoning laws and land use policies
These can set back a society not just homeless persons. Mainly because there is alot of corruption in these important yet redactive systems.
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nexus
A nexus refers to a central connection, link, or focal point tying together members of a system or group.
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scientific inquiry is an iterative process
Iterative: Definition: describes a process or method that involves repeating a cycle of operations or procedures, with each repetition (or "iteration") intended to refine, improve, or bring you closer to a desired result
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successfully house families and individuals with intersecting vulnerabilities, such as veterans, individuals experiencing substance use or mental health issues, survivors of domestic violence, and individuals with chronic medical conditions such as HIV/AIDS.”
This is backed by evidence and proven to be successful. If something is broken and you fix it why would you not care for it in a way that it is less likely to break again.
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Research also suggests the housing first approach tends to offer greater economic returns than what it typically costs per person. A 2022 review of 17 peer reviewed and gray literature analyses of Housing First programs in the U.S. found the median cost per person was $16,479 per year, with $18,247 in economic benefits.
This is profound. There is even a return on investment when helping those experiencing housing instablity.
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“Housing First programs offer permanent housing with accompanying health and social services, and their clients are able to maintain a home without first being substance-free or in treatment,” the authors write. “Clients in stable housing experienced better quality of life and generally showed reduced hospitalization and emergency department use.”
This is what we need to hear. We need a solution and we found one.
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The studies were conducted in urban or suburban areas and focused on homeless people with other diagnoses, such as mental health or substance use disorders. Results were “mixed,” according to the authors, when it came to participants’ alcohol and substance use. But the Housing First programs reduced homelessness by 37% among people with HIV infection, who also saw their viral load go down 22%.
It's hard to help those that do not know how to help themselves out of the burden of alcohol and substance abuse. I do believe that struggles with mental health can be alleviated by reducing stress, trauma and anxiety due to homelessness.
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When compared with treatment first programs, Housing First programs decreased homelessness by nearly 90%, according to a 2020 systematic review of 26 studies on efforts aimed at addressing homelessness across more than 17,000 participants in the U.S. and Canada. The housing first programs operated for a range of time periods, from less than one year to more than two years.
This is drastic. This is dramatic. With A success rate in the 90th percentile should cause a surge of funding and resources to put the people first in this country.
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Recent research suggests the Housing First model offers better odds that homeless people will gain housing stability, compared with Treatment First programs. There are several recent papers that journalists reporting on homelessness should know about.
Statistics and proper research does not lie. In my opinion (IMO)
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The Housing First concept originated in 1992 in New York City
To hear that many of those helped by this concept remained housed years later helps me feel that there is room for success but that there just is not enough support for progress.
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Prominent advocacy organizations, such as the National Alliance to End Homelessness, favor Housing First. HUD has also in recent years adopted Housing First. The administration of President George W. Bush in 2004 became the first to use Housing First in its national recommendations to reduce homelessness.
Yes!!! This is a realistic approach to alleviating the national poverty crisis.
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The current administration has advanced consequential actions, including Medicaid cuts, proposed cuts to housing subsidies, dismantling the U.S. Interagency Council on Homelessness — the very agency dedicated to coordinating the federal homelessness response — and law enforcement targeting of people experiencing
It's almost as if the government is against the very people they are meant to serve. It is a very "bite the hand that feeds you" sort of stance this administration is taking.
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The most recent count available, conducted in January 2024 with results published in a report later that year, found 771,480 people
From the cost of living, to high inflation, a volatile job market, and lack of resources its no surprise that this number is astounding and "the highest ever recorded". I believe it is only going to scale up.
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Treatment First requires stability on other issues, such as substance use disorder, before someone becomes eligible for independent housing. This approach was popular among homeless service providers and federal policymakers during the 1990s.
I get this approach and I understand the intention but I think it undermines the individuals autonomy and does not give them the chance to have a "come to Christ" moment on their own. I think it actually hurts more than helps because if someone is not ready for sobriety because of their situation and has to jump through hoops and hurdles just for stability could cause failure for that individual which would not end the vicious cycle of poverty they are trying so hard to get out of.
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While the federal government does not directly manage how local governments address homelessness, it sets national policy priorities and controls vast amounts of money historically disbursed to cities and rural jurisdictions in all corners of the U.S.
I think this is a good thing, with not enough support from the govt. Just looking at the proof below about how Trump cut half a billion dollars in help is astounding, but I'm not surprised but mainly dumbfounded.
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There is no single model or method for governments to provide services to homeless people,
This makes sense considering every person is different and what one individual might need another might not.
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October 8, 2025
A more recent article that is informative on the experience of homelessness within various demographics and the solutions that have been helpful and detrimental to those in need of stable housing.
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www.huduser.gov www.huduser.gov
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“One of the hallmarks of our program is that each person is treated as someonequite precious,” says Murray Itzkowitz,
The compassion of the statement is something that I will carry with me from now on. Each person no matter the personality, or lifestyle, or good or bad choices is precious. And I love that.
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auspices
Definition:Auspices (plural noun) refers to the support, patronage, or sponsorship of an organization or individual.
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HUD’s homeless assistance funding has shifted from emergency measuresto programs that provide transitional and permanent housing.
Yes go HUD! The US department of Housing and Urban Development.
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Continuum of Care
Let's sustain these people with knowledge and abilities, and basic skillsets that could further their lives and ultimately keep them off the streets.
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Priority: Home!
Self sufficiency! This is the anwer if you ask me.
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Involve a comprehensive set of services for developing living, interpersonal,vocational, and social skills
This is what I want to fight for in communities around our country. I think that if we were to fund helping our own people then the world could actually turn into a reasonable space to exist within.
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good news
This was in the late 90's that they began to solve or find solutions, I am not so sure that we continued, as a country, to the advancement of their efforts.
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SSI Disability Reviews and Related Policies
Did people even like Reagan? Because I do not know much about his presidency but I'm not seeing a huge difference between him and some of the executive branches decisions today.
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low SSI payments and high rents
Not fair and honestly so unsensible. I get not wanting people to be so dependent that they refuse to help themselves because they are being enabled into lacking self autonomy. But it makes no sense not to make it so that they may be able to solve their problems with just a little more added support.
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most deinstitutionalized mentally ill men andwomen avoided homelessness until the late 1970s.
Of course they did. Life was reasonably affordable. Back then I'm sure they complained when gas went from 17 cents to a quarter. Now the compounding cost of living has sky rocketed sending people into the streets.
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In 1980 Congress passed the Mental Health Systems Act—based on the CarterCommission’s National Plan for the Chronically Mentally Ill—to renew Federalcommitment to community mental health systems. In 1981, however, the Act wasrepealed, which reversed the momentum of 17 years of Federal efforts to improvecommunity-based systems. In its place, President Reagan signed a bill that cutFederal funds for mental health and created the Alcohol, Drug Abuse, and MentalHealth Services Block Grant, to be administered by the States.
... Again and again I can see that government entities can see the issue right in their face but they pose one of the biggest threats to this demographic.
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n the mid-1960s, deinstitutionalization and efforts to promote alternatives to hospi-talization were powerfully reinforced by Federal legislation. The Community MentalHealth Centers Act of 1963 authorized Federal funding for the construction andoperation of comprehensive community mental health centers (CMHCs) to pro-vide outpatient, inpatient, emergency, consultation, and partial hospitalizationservices for the deinstitutionalized population.However, fewer than one-half of the number of CMHCs originally proposed werefunded, and little coordination developed between CMHCs and State hospitals.
Feels like there's something missing in this country sometimes. Because we have the money. We have the resources. So why are we not funding this?!
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Many mentally ill people were released from institutions with-out a safety net of assured treatment, supportive services, or appropriate housing
This doesn't seem fair to me, considering how scary it is to return to society in the first place with no knowledge of how to care for yourself because everything was taken care of for you, and the amount of anxiety that must be present for someone who knows they aren't like most people, and who may deal with negative responses for being different.
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Advocates of deinstitutionalization knew that the asylum was not the best placefor the mentally ill. However, deinstitutionalization was intended to be only thefirst step in a careful shifting of money and responsibility to community mentalhealth centers. What actually happened was the worst possible combination ofevents: Deinstitutionalization began, but funds for the planning and implementa-tion that were supposed to create responsive community care were cut.
One step forward then ten toes up. Basically what I'm saying is we started and then failed these people causing so much death and pain in the end. ( Ten toes down is slang for standing on earth and not being below it. So ten toes up is the positon of your feet in a casket and then ultimately in the ground.
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Deinstitutionalization
definition: Deinstitutionalization is the systemic public policy of moving individuals with severe mental illnesses or developmental disabilities out of large, isolated state-run psychiatric institutions and transitioning them into community-based care and independent living.
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Contemporary homelessness came to the general public’s attention in the late 1970sand early 1980s.3
This actually astounded me. I guess I never really thought about how far back does homelessness go and where it really all started or why.
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Given consistentmedical and psychosocial treatment along with stable housing, many of themcould again function at a high level. But such stability and consistent care areimpossible to achieve when one is homeless. Thus homelessness and mentalillness become a vicious circle, one compounding the other in a vortex of suffer-ing for the individual.
I think I mentioned something about this already, but it's almost unnerving how the governments turn an ignorant eye on the homeless causing such a vicious circle to occurr.
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These individuals suffer from severe mental illnesses such as schizophrenia,mood disorders, severe depression, and personality disorders.
Facts all facts. I've seen it up close and in personal. I have worked with this demographic closely and have lived to tell the tale that there are ways for these individuals to get better, but there is not a robust enough system in place to rehabilitate and stabilize these perons.
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Figure 1
People who don't have family support, or those who have been ostricized because they are felons and lack the ability to receive gainful employment, coupled with those who cannot afford health care is just a recipe for disaster. It's in plain sight for these people. They know what they need, they just do not know how to get it.
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suspicious of offers of help, thesepeople become vulnerable to freezing to death in winter, having limbs amputated,or dying prematurely from a range of illnesses.
This is one of things where we can see that homelessness is akin to the plague yet no amount of washing your hands or having access to medicine can stop this problem. What they need is help.
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many mentally illhomeless people pose is to themselves.
This is true. Within my own personal experiences I've seen how many mentally ill people do not neccessarily wish harm on others but they do inflict harm onto themselves a lot of the time.
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Because mentally ill homeless men and women are vulnerable to attack, they areoften victims of violent crime. Some of the crimes against them are examples ofthe worst behavior imaginable. But many mentally ill homeless also come intocontact with the criminal justice system as offenders, arrested as they engage insuch illegal activities as trespassing, petty theft, shoplifting, and prostitution—often crimes of survival under the most desperate of conditions, and a directresult of their mental illness.
I have a few thoughts about this statement right here. FIrst off it's very odd to me to see just how evil people can be towards those that are down trodden. I can't stand to be kicked while I am down but this is a real reality that we live in today. Then choices that must be made because of the streets are criminalized ,such as survival sex, seeking shelter in unconventional ways, and stealing food, clothing, self care items etc.. I think that survival sex should be decriminalized not legal so that people faced with this hard decision specifically can seek help when they are in danger.
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They areamong the poorest people in our Nation, earning or receiving in SupplementalSecurity Income (SSI) and other benefits an average annual income of $4,200.
This is a grave reality. It just doesn't really make sense to not go all in for a program like this. While its something it's not really ultimately a realistic way for a person to come out of poverty. It seems like they want to keep this people poor in a sense and I can't figure out why.
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becauserationality itself is compromised by mental illness, they are often the least able tohelp themselves, either economically or medically, and thus they slide more deeplyinto danger.
This is more or less simply sad. I wouldn't deem it morose or melancholy, but I would say that this is simply a sad truth for the fact that pain and trauma and their past treatment by others, has led them to distrust an actual helpful and kind hand, therefore exacerbating or putting no end to the vicious cycle of being unhoused.
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those who are homeless and mentally ill are often diagnosed withmany accompanying disabilities—such as drug addiction, alcoholism, HIV/AIDS,diabetes, and tuberculosis.
I'm not surprised to see this. It makes sense once you see how expensive and unsustainable many of these issues are. These disablities are statistically bound to come hand in hand for just one individual living in this form of a "lifestyle" because of how daunting and traumatic being homeless is/can be.
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Some cities have dealt with their homeless populations by jailing indi-viduals for sitting on the streets or sleeping in parks. Other cities, citing publichealth concerns, have bulldozed encampments and shantytowns built under citybridges.
This is one of those things that really grinds my gears. If they're going to dismantle these peoples position of refuge, they should atleast do it humanely and with some form of clear execution for improving these persons lives and lifestyle.
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in the United States, an estimated 600,000 people are home-less. 1 Of those, approximately 200,000 suffer from serious mental illness.
It's so sad to see the volume of people that are homeless, and it seems like it's one of those things that will constantly affect a large percentage of our communities for years to come.
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Local autonomy
Not only is local autonomy neccessary but individual autonomy must be of high priority on local, state, and federal levels. IMO... synthesis
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HUD’s
Define this Acronym
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Ensure a stable residential situation with a continuum of housing options thatare safe and free of illegal drugs and alcohol.
Reminder to include information on the homeless and drug abuse in the synthesis project
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