Week 4- Homelessness & Health Flashcards

1
Q

What counts as homeless?

A

Staying with friends or family

Staying in a hostel, night shelter or B&B

Squatting

At risk of violence or abuse in your home

Living in poor conditions that affect your health

Living apart from your family because you don’t have a place to live together

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2
Q

What is statutory homeless?

A

A ‘main homelessness duty’ is owed by a council where the authority is satisfied that the applicant is eligible for assistance, unintentionally homeless and falls within a specified priority need group

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3
Q

In statutory homeless give some groups of people that count as priority need

A
  • households with dependent children or a pregnant woman
  • who are vulnerable in some way e.g. because of mental illness or physical disability.
  • aged 16 or 17
  • aged 18 to 20 who were previously in care
  • who are vulnerable as a result of time spent in care, in custody, or in HM Forces
  • who are vulnerable as a result of having to flee their home because of violence or the threat of violence
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4
Q

Give some reasons for intentional homelessness

A
  • You have been violent to someone else in the household
  • You left your home before you had to
  • You didn’t pay the rent or mortgage and you could afford to
  • You knew the payments were unaffordable when you moved in
  • You leave/are sacked from a job that came with accommodation
  • You are evicted for antisocial behaviour
  • You refuse an offer of housing
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5
Q

Define rough sleepers

A

People sleeping, about to bed down (sitting on/in or standing next to their bedding) or actually bedded down in the open air (such as on the streets, in tents, doorways, parks, bus shelters or encampments)

People in buildings or other places not designed for habitation (such as stairwells, barns, sheds, car parks, cars, derelict boats, stations, or ‘bashes’).

This does not include people in hostels or shelters, people in campsites or other sites used for recreational purposes or organisedprotest, squatters or travellers.

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6
Q

What are sofa surfers?

A

Staying for short periods with different friends or family because you have nowhere settled to stay

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7
Q

What are the hidden homeless?

A

people who become homeless but find a temporary solution by staying with family members or friends (sofa surfing), living in squats or other insecure accommodation, cars and night shelters.

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8
Q

Give some causes of homelessness (2 catagories)

A

Structural:

  • Poverty
  • Inequality
  • Housing supply & affordability
  • Unemployment & insecure employment
  • Access to social security

Individual:

  • Poor physical health
  • MH
  • Childhood trauma
  • Experience of violence/abuse
  • Substance abuse
  • Bereavement
  • Relationship breakdown
  • Time in care/ prison
  • Refugees
  • Poor physical health
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9
Q

Give some examples of modern slavery

A

Child trafficking

Forced labour

Sexual exploitation

Criminal exploitation

Forced labour/ debt bondage

Domestic servitude

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10
Q

Give some signs of modern slavery

A

Physical

Sexual

Psychological

Pregnancy

Stimulation & environmental indicators

General signs

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11
Q

Give some examples of conditions/ disease people who are homeless are more likely to have

A

Greater:

  • Long term health problems- physical & MH
  • IVDU

Health needs:

  • Asthma
  • TB
  • IHD
  • Hep C

Regular smoking

Do not east x2 meals per day

Lower life expectancy

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12
Q

What are your rights to registering at a GP practice in England?

A

Everyone has the right to register with a GP practice in England.

  • You do notneed a fixed address
  • You do not needi dentification
  • Your immigration status does not matter
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13
Q

Why may people who are homeless not access GP services?

A
  • Prejudice from HCP
  • Fear and embarrassment
  • No phone –cannot book an appointment
  • Inflexible appointment times
  • No consistent GP
  • Short appointments
  • Chaotic lives
  • Lack of self-worth
  • Lack of trust in authority (sometimes specifically medical professionals)
  • “Blacklisted” from local GPs
  • Other priorities
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14
Q

What is the role of a HCP in helping people who are homeless (3)>

A
  • Identify the risk of homelessness among people who have poor health, and prevent this
  • Minimise the impact of homelessness on health among people who are already homeless
  • Enable improved health outcomes for people experiencing homelessness so that their poor health is not a barrier to moving on to a home of their own
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15
Q

What does the homeless reduction act (2017) state?

A

Legal duty on councils to offer more support to wide ranger people of people- homeless/ threatened homelessness w/in 56 days

  • Must ask customer
  • Referral must include: reason/ how to contact individual

Duty to refer: Some public authorities in England have a duty to notify Local Housing Authorities of service users they think may be homeless or at risk of homelessness

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16
Q

In the homeless reducation act 2017 list some services that have a duty to refer

A
  • prisons
  • youth offender institutions
  • secure training centres
  • secure colleges
  • YOT
  • probation services (including community rehabilitation companies)
  • Jobcentre Plus
  • social service authorities
  • emergency departments
  • urgent treatmentcentres
  • hospitalsin their function of providing inpatient care.