Poverty and Homelessness Flashcards

1
Q

What is the definition of poverty?

A

The material and social deprivation that comes about as the result of political and public policy decisions related to the distribution of resources within the population.
There is a distinct inter-relationship between poverty and homelessness

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2
Q

What are the three levels/categories of poverty?

A

Absolute poverty
Relative poverty
Low income cut-off line

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3
Q

What is absolute poverty?

A

Not having the resources to satisfy basic biological or physical needs.

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4
Q

What is relative poverty?

A

Living standards and resources below the average person or household in a given area of the country.

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5
Q

What is the low income cut-off line (LICO)

A

Income level at which a family may be in strained circumstances because greater portion of income needs to be spent on basic needs than average family of same size.

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6
Q

What are some definitions of homelessness?

A

Implies more than the absence of four walls and a roof… produces profound social dislocation… is associated with absence of a role in the community, absence of privacy and security.

Marginalized and stigmatized, homeless people lack a base from which to work, go to school, receive training, sustain social contacts, receive social services, provide and receive nurture.

A condition of people who live outside, stay in emergency shelters, or live in overcrowded, substandard conditions and are therefore at serious risk.

People who “live rough” i.e. outside in parks, alleys, doorways, parked vehicles, parking garages etc. as well as those living in shelters.

Also, “invisible homeless” - people who live in substandard housing i.e. shacks and cabins without running water*, transitional housing/in major disrepair; women with children.

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7
Q

What is homelessness (in a nutshell)?

A

A situational transition.
A rupture in community and family ties.
Loss of residence - ST/increases vulnerability and powerlessness; taxes resilience/severely reduces hope over time.

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8
Q

What are the steps of Maslow’s hierarchy of needs? (bottom to top)

A
Physiological Needs
Safety and Security Needs
Love and Belongingness needs
Self-esteem needs
Self-actualization
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9
Q

What are needs that fall under the “physiological needs” level of Maslow’s hierarchy of needs?

A

Air, food, water, shelter, clothing, sleep

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10
Q

What are the needs that fall under the “safety and security needs” level of Maslow’s hierarchy of needs?

A

Health, employment, property, family, stability

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11
Q

What are the needs that fall under the “love and belongingness needs” level of Maslow’s hierarchy of needs?

A

Friendship, family, intimacy, connectedness

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12
Q

What are the needs that fall under the “Self esteem needs” level of Maslow’s hierarchy of needs?

A

Confidence, achievements, respect of others, connections, need for individuality

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13
Q

What are the needs that fall under the “self-actualization” level of Maslow’s hierarchy of needs?

A

Morality, creativity, spontaneity, acceptance, experience purpose, meaning and inner potential.

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14
Q

True or false:

Homelessness can be viewed along a continuum from the extremes of absolute homelessness to the inadequately housed.

A

True.

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15
Q

What is absolute (primary) homelessness?

A

Totally without shelter of any kind, basic needs totally unmet i.e. refugees fleeing for their lives in war torn zones.

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16
Q

What is relative (Secondary) homelessness?

A

Living standards and resources below the average person or household in a given area of the country

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17
Q

What are the UN basic standards that a dwelling must meet? (CPHA 1997).

A
  1. Adequately protect from the elements
  2. Safe water and sanitation
  3. Secure tenure and personal safety
  4. Within easy reach of employment, education and health care
  5. Affordable
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18
Q

What is chronic homelessness? (how long)?

A

6 months or more (potentially years)

19
Q

What is periodic homelessness? (and how long)

A

Temporary, episodic departures from the home when pressures or tensions become intense
Three or more episodes of 30 days or more in the last year. (This is cyclical).

20
Q

What is temporary homelessness?

A

Result of a crisis or situational transition; possibly transient in nature.

21
Q

What is “at risk” homelessness?

A

Due to paying too much of household income for rent (Core Need = 50% or more of income goes to housing)

22
Q

What are some structural factors that influence homelessness? (causes of homelessness)

A

Government, policies/programs, globalization, privatization, housing.

23
Q

What are some personal factors that influence homelessness? (causes of homelessness)

A

Life choices, lifestyle born into

24
Q

What is “core need”?

A

50% or more of income goes to housing.

25
Q

Who are some members of the population that often fall into the “temporary homelessness” category?

A

Victims of domestic violence
Victims of natural disaster
Refugees
(The highest percentage of homeless people fall into this category)

26
Q

What are some social theories about homelessness and poverty?

A
By choice or personality theory
Theory of social disengagement/disaffiliation
Social disconnection theory
Housing and poverty theory
Poverty as a social issue theory
Severe addiction/mental illness (SAMI)
Youth "aging out of care"
Family violence/social breakdown/youth
27
Q

Which factors are usually the breaking point in homelessness?

A

Personal factors will often be the breaking point

28
Q

What is the effect of lack of social support on homelessness?

A

Lack of social support increases risk of losing their housing and once lost can be overwhelming to regain.

29
Q

What are some precipitating factors in homelessness and poverty?

A

Globalization
Reduction in full time jobs with benefits
Lack of education/skills training
Minimum wage
Seasonal/chronic unemployment
Poverty
Breakdown of family structure (intimate partner abuse)
Limitation to social welfare programs/resources
Vulnerable populations
Lack of community support

30
Q

What is gentrification?

A

The process of renovation and revival of deteriorated urban neighbourhoods by means of an influx of more affluent residents.

31
Q

What is the result of gentrification?

A

Increased property values and displacement of lower income individuals/families and small businesses

32
Q

What are some examples of outreach nursing? (Harm reduction)

A

ACT teams (assertive community treatment)
Primary outreach services
Community mental health team
Housing first

33
Q

What is the role of an outreach nurse?

A

Build relationships
Provide primary nursing care
Provide education - meet the client where they are at
Establish partnerships and make referrals to health/social resources/services

34
Q

What are some populations of homeless?

A
Adults
Street youth
Sex trade workers (MSWM)
Mentally ill (dual diagnosis)
Aboriginal/first nations
Single parent (women with children)
35
Q

What are some common health issues experienced by mentally ill homeless population?

A

Psychiatric episodes due to medication lapses, chaotic lifestyle
Upper respiratory infections/TB (33%)
Trauma (25%)
Chronic skin/wound infections/abscesses/cellulitis
IV substance abuse/poor injection tech, potential accidental lethal overdosing on tainted street drugs i.e. heroin
Scabies/lice/bed bugs
Malnutrition/dehydration/dental

36
Q

What are some common health issues experienced by street youth who are homeless?

A
Respiratory infections (35%)/TB
Trauma (20%)
STIs/HIV/HCV
Skin infection
Genito-urinary
Gastro-intestinal 
Dental
Mental health
37
Q

What are some common health issues experienced by sex trade workers who are homeless?

A
Sexually related illnesses/situations
Genito-urinary
Gastro-intestinal
Dental
Skin disorders
Joint problems
Foot problems
Trauma
Addiction complications
38
Q

What are some common health issues experienced by men who have sex with men (MSM) who are homeless?

A
Sexually related issues
Genito-urinary
Trauma
Addiction
Mental illness/dual diagnosis
Discrimination/stigmatization -> negative societal attitudes from within own culture/authorities
39
Q

What are some common health issues experienced by single parent mothers who are homeless?

A
Emotional impact
Diet implications
Upper respiratory infections
Low hemoglobin (anemia)
Poor partner choice (abuse)
Substance abuse/negative coping strategies
Self neglect
40
Q

What are some common health issues experienced by children of single parents who are homeless?

A
Upper respiratory infections
GI/GU
Ear infections
Oral health
Diet
Emotional Impact
41
Q

What are some common health issues experienced by aboriginal/first nations who are homeless?

A
TB
Sexually related issues
Respiratory complications
Ear infections
GI and GU
Alcoholism/drug abuse
Diet
Trauma
Oral health
Chronic wounds
42
Q

What are the most common types of health visits treated in the ER of homeless population?

A
Rape
Intimate partner abuse
Assault
Lacerations/contusions/fractures
Infections
Weather related
43
Q

What are some health implications for homeless populations?

A

Increased morbidity and mortality.
Increased exposure to communicable disease.
Prolonged exposure to stress.
Prolonged exposure to malnutrition.
Increased risk to be victims of trauma.
Increased risk for aggravation of mental health.

44
Q

What are some barriers to accessing healthcare for the homeless population?

A
No fixed address
Chaotic lifestyle
Lack of transportation
Negative stereotyping
Fear of being caught/arrested for illegal activity
Previous experience with health care