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Exam 3 Flashcards

1
Q

what are the 3 domains of homelessness?

A
  • physical
  • social
  • legal
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2
Q

what is the physical domain of homelessness?

A

refers to adequate dwelling (place for humans to live in) to which a person/family has exclusive possession

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3
Q

what is the social domain of homelessness?

A

privacy, a place to gather with friends/family

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4
Q

what is the legal domain of homelessness?

A

having exclusion possession, security of occupation

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5
Q

What is HUD?

A
  • department of housing and urban development

- Primary government institution that works to address homelessness and housing

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6
Q

What is Category 1 of homeless?

A
  • literally homeless
  • Individuals who lack a fixed, regular and adequate NIGHTTIME residence and includes people in an emergency shelter, or a place that is not meant for human habitation
  • Refers to people who are leaving an institution where they resided for a while (getting out of prison, rehab, psychiatric facility)
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7
Q

What is Category 2 of homeless?

A
  • Imminent risk of becoming homeless

- People who may loss their nighttime residence

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8
Q

What is Category 3 of homeless?

A
  • unaccompanied youth

- Children who are unstably houses and may remain that way

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9
Q

What is Category 4 of homeless?

A
  • Fleeing domestic violence

- People who are fleeing dangerous positions and have to leave their home to do that

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10
Q

Homeless children and youth

A

children and youth who lack a fixed nighttime residence, living in a hotel, trailer park, children who are awaiting foster care placement

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11
Q

Runaway youth

A

people under the age of 18, who leave home without permission of family or guardian

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12
Q

chronically homeless person

A

at least 4 episodes of homelessness within 3 years that add up to 12 months

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13
Q

Why is homelessness difficult to account?

A

because people are constantly coming in and out

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14
Q

Continuum of care concept

A

group of homeless service providers who collaborate and submit one continuum of care application

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15
Q

Point-in-time count

A

taken of sheltered homeless people on a single night in late january every year. Collected by shelters and then compiled and it is used to create the AHAR (annual homeless assessment report)

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16
Q

Factors that contribute to homelessness?

A
  • Shortage of affordable housing
  • Income insufficient to meet basic needs
  • Inadequate and scarce support service
17
Q

Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Women-

A
  • Higher rates of pregnancy, preterm births and lower weight infants
  • History of violence from childhood to adulthood
  • Experienced more stressful life events
  • High risk for physical and sexual victimization
  • Fewer social support networks
  • Female vets: disabled, unemployed and history of sexual assault
18
Q

Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Men-

A
  • Infections, trauma, skin disorders
  • Higher rates of HIV/AIDs, TB, STDs
  • Alcohol and drug abuse
  • Mental health issues
  • More likely to have veteran status-income is not enough to provide housing
19
Q

Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Families-

A
  • Often separated: children may live with family or friends
  • Some shelters do not allow male children
  • Some protections in social networks-networks characterized by interpersonal conflict increase the risk
20
Q

Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Youth-

A
  • Risk taking behaviors
  • Family disruption
  • Exploitation
  • Suicide
  • Mental health issues
  • LGBT are at an increased risk of homelessness and health issues
  • May be involved in sex work
21
Q

Health Status of Homeless Adults:
Morbidity rates are higher than the general population
-Children-

A
  • 13 children die on the street everyday
  • Depression
  • Anxiety
  • Cognitive delays
  • Resp. infections, skin infections, diarrhea
  • Miss days of school and are more likely to repeat grades than other children
22
Q

Substance abuse and mental health among homeless

A
  • Higher rate of mental disorder
  • Alcohol and substance higher-particularly in men
  • Severe mental illness co occurring with substance abuse
  • Dual diagnosis is the most difficult to treat
  • Hard time finding mental health services
23
Q

Chronically homeless?

A
  • Unaccompanied adults
  • Homeless for extended or numerous period
  • Have one or more disabling conditions
  • Severe mental or substance use
  • Rarely addressed in health care venues
24
Q

Homeless Veterans?

A
  • Predominantly male and single-suffer from co occurring disorders, 11% of adult homeless population are vets
  • Many are hispanic and african american
  • In general: population is younger than the overall veteran population
  • 1.4 million vets are considered AT RISK of homelessness
25
Q

-Conceptual approaches to health of the homeless-

Mark justice system

A
  • people are entitled to valued ends according to their own individual efforts
  • Stresses individual responsibility
26
Q

-Conceptual approaches to health of the homeless-

Social justice system

A
  • Belief that all people are equally entitled to key ends

- All members of society must accept collective burdens

27
Q

Members of rural are more likely to be?

A
  • Less educated
  • Older
  • Live in poverty, lack health insurance
  • Experience a lack of HCPs and access to care
28
Q

Define rural

A

Population with fewer than 45 persons per square mile OR total population of 2,500 or less

29
Q

Define Frontier

A

Geographical area with fewer than 6 persons per square mile

30
Q

Rural health disparities?

A
  • Access to care
  • income and poverty
  • Health risk, injury and death
  • vulnerable groups
  • occupational health risks

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