Population-Based Care: A Case Study
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I presently work with a homeless population in Baltimore County. They tend to have very fragmented health care
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Today in America the homeless account for almost 1.8 million with nearly 44 % of them being men. Disease and mortality are greatest in the homeless, there has “been a 51% increase in the number of patients age 50 or older between 2008 and 2014 (Healthcare).” With these increasing numbers, the growing need for advanced care planning in the homeless is becoming more relevant. The case study that was examined was Paul: No Surrogate.
There are still many homeless people who have not had a chance to look into healthcare programs because of demands on services for the homeless. In the article “Health Care for the Homeless: What We Have Learned in the Past 30 Years and What’s Next” the writer explains information about older programs and how they affect the poor and homeless. The writer claims “Concerns about rapidly growing demands on service systems fueled local and national attempts to accurately enumerate homeless persons” (Lanese 1). This may prove that older and more recent programs are starting to become a growing demand for the services that they could receive. It should be easier for the homeless to get this access, but due to the lack of funding and resources to fully address the issue, it makes it
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According to Goldstein, Luther, Haas, Gordon, & Appelt (2009), “many homeless individuals with psychiatric difficulties experience often untreated general health problems” (p.200). TB, HIV, lung disease, and other critical healthcare concerns are of the many medical issues faced by homeless veterans. Although there are benefits and insurance for war veterans, some veterans who become homeless do not have that option to cover insurance and therefore cannot see a medical professional to cure any disease that could impede this veteran once homeless for a long period of time. Analyze the Impact of Local, State, and National Public Policies on the Quality and Accessibility of Clinical Mental Health Services Luckily there have been many advocates for the homeless veterans who have been fighting to change the world and give these heroes a place to call home.
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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.
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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.
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With that being said the not all states deal with the issue of hemelessness to the magnitude that others do. The states which have the highes rates of homelessness are “Alaska, California, Colorado, Hawaii, Idaho, Nevada, Oregon, Rhode Island, Washington State, and Washington, D.C. According to a study released in 2007 by The National Allliance to End Homelessness,” with 66% reporting mental health problems and/or substance abuse (PBS, 2009). The reporting shows that in the United States the homeless population has grown to 1,750,000 people, and of those individuals 1,155,000 people are suffering the effects of mental health, drug abuse, and alcohol problems. To understand the dilema, one must look to the source of the issue.
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