Homeless people and travellers:

Question 1

What model is used to structure/assess needs? What subjects does it include?

Answer 1

Maslows hierarchy (top to bottom):

• Self-actualisation (fulfilment of ones talents)
• Esteem
• Love/belonging
• Safety
• Physiological

Question 2

List 4 causes of homelessness:

Answer 2

1) Relationship breakdown
- Mental illness
- Domestic abuse
- Disputes with parents

Question 3

What health problems are faced by the homeless which aren’t normally faced by those in homes?

Answer 3

• TB
• Poor dental health
• Respiratory issues
• Injuries following violence and rape
• Lack of sexual health (smears and contraception)
• Mental illness

Question 4

Outline some barriers present for travellers/gypsies when accessing health care:

Answer 4

• Reluctance of GPs to register Gypsies and Travellers
• Poor reading and writing skills
• Communication difficulties
• Mistrust of professionals

Question 5

Outlines some barriers to healthcare for the homeless:

Answer 5

• Poor access
• Lack of integration between primary care and other agencies
• Other priorities (Marslows Hierachry)

Question 6

What is an asylum seeker?

Answer 6

A person who has made an application for refugee status

Question 7

What is a refugee?

Answer 7

A person granted asylum and refugee status. Reapply in 5 years

Question 8

What is humanitarian protection?

Answer 8

Failed to demonstrate claim for asylum but face serious threat to life if returned. 3 years then reapply

Question 9

How do asylum seekers live?

Answer 9

• Little choice
• Vouchers
• NASS support
• Full NHS access
• Not allowed to work

Question 10

What health issues may be more common in refugees/asylum seekers?

Answer 10

• Injuries from travelling/war
• Malnutrition
• Mental health: PTSD, depression, sleep disturbance, psychosis, self harm

Question 11

What two services are available to those who are homeless?

Answer 11

• Homeless assessment & support service (HASS)

- Travellers team