Social Exclusion, Homelessness, Refugees, Asylum Seekers, Travellers Flashcards
Maslow’s hierachy of need

Give examples of emotional needs of the elderly.
- –Security
- –Attention
- –Meaning and purpose
- –Intimacy
- –Privacy
- –Status
- –Part of a wider community
- –Autonomy and control
- –Competence
- –Achievement
What are the risks when the emotional needs of elderly are unmet?
- Isolation
- Loneliness
- Purposelessness
- Depression
- Despair
- Self-neglect
- Self-harm
- Earlier mortality
Define social exclusion.
The dynamic process of being shut out, fully or partially, from any of the social, economic, political or cultural systems which determine the social integration of a person in society.
Explain the social theory.
–Disengagement -> Ageing is an inevitable, mutual withdrawal or disengagement, resulting in decreased interaction between the ageing person and others in the social system he belongs to.
–It is natural and acceptable for older adults to withdraw from society, it is innate, universal and unidirectional.
What are the 5 domains of social exclusion?
- –Material resources
- –Basic services
- –Civic activities
- –Neighbourhood
- –Social relationships
What are the initiatives and help provided to people who are socially excluded?
–National -> Silverline, dementia friends, men in sheds
–Sheffield -> Darnall dementia care, dementia cafes, age better £6m lottery funding, age UK 50% club
–Housing -> Intergenerational housing, co-housing, flexible care
–Self-help -> Books (retirement with attitude), mindful ageing
What are the risk factors for loneliness?
–Low income
–Few qualifications
–Living in rented housing
What is the most common cause of homelessness?
RELATIONSHIP BREAKDOWN
Caused by:
- Mental illness/breakdown
- Domestic abuse
- Disputes with parents
- Bereavement- more than half say they have ‘no family ties’
Which groups are at risk of being homelessness?
Looked after children
Ex-servicemen/women
People who have been in care
Ex-prisoners
Give examples of the needs of children.
Stability and emotional stability
Safety
Immunisations
School
Play, pals, toys
What health problems do homeless people suffer from?
–Infectious diseases
–Poor feet and teeth condition
–Respiratory problems
–Violent/rape injuries
–Sexual health, smears, contraception
–Serious mental illnesses
–Poor nutrition
–Addictions/substance misuse
What is the inverse care law?
The availability of good medical or social care varies inversely with the need of the population served
Give examples of barriers to healthcare.
–Prioritising other immediate survival issues over health
–May not know where to find help
–Poor reading/writing skills
–Communication difficulties
–Mistrust of professionals
–Difficulties accessing healthcare -> Discrimination, physical difficulties
–Lack of integration between primary care and other agencies -> Housing, social services, voluntary sector, criminal system
Name 2 organisations which offer help to homeless people.
–Homeless Assessment and Support Service (HASS)
–Travellers’ team
Define refugee.
Someone who is forced to flee his/her country due to persecution, war, violence and has a well founded fear of persecution due to race, religion, nationality, political opinion, membership in a particular group
Define asylum seeker.
–Someone who has left their country of origin and formally applied for asylum in another country but whose application has not yet been approved
–They have applied to be a refugee in the UK
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Facts on refugee in the UK.
- Indefinite leave to remain (ILR)
–Have all the rights of a UK citizen
–Eligible for family reunion – 1 spouse and any child of that marriage under the age of 18
Facts on asylum seeker.
–Entitled to £35/wk (not entitled if failed asylum seeker)
–Entitled to housing (not entitled if failed asylum seeker)
–Entitled to NHS care (not entitled if failed asylum seeker)
–Social services key worker and school if <18 yrs
–NOT allowed to work
–NOT entitled to any other form of benefit
What are some barriers to health for asylum seekers?
–Lack of knowledge of where to get help
–Lack of understanding how NHS works
–Communication difficulties
–Hyper-mobility
–Health is not the priority
–Not homogenous group
Give examples of health problems faced by asylum seekers.
–Injuries form war and travelling
–Malnutrition
–Illness specific to country of origin
–No previous health surveillance, neonatal screening, immunisation
–Torture and sexual abuse
–Communicable disease/blood borne disease
–Untreated chronic disease/congenital problems
–Mental health problems
What are the factors which impact most on traveller’s health?
–Low education -> Low literacy rate
–Smoking
–Poor uptake of antenatal care