Advertisement

Homelessness pp 133-163 | Cite as

Health and Health Care of Homeless People

  • René I. Jahiel
Part of the Topics in Social Psychiatry book series (TSPS)

Abstract

Information relevant to the health status of homeless persons is fragmented and has come forth only recently. Health programs focusing on homeless people were virtually nonexistent until the 1970s. Spurred by individuals who had become aware that homeless people were the most medically underserved people in their community, a few local health care programs with modest funding targeted homeless people and residents of single room occupancy (SRO) hotels in the 1970s.1–3 Experiences gathered in such programs were reviewed in the first contemporary monograph on the health care of homeless people, which was published in 1985.4

Keywords

American Public Health Association Homeless People Homeless Youth Human Immunodeficiency Virus Disease Homeless Person 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Brickner PW, Greenbaum D, Kaufman A, et al: A clinic for male derelicts. Ann Intern Med 77:565–569, 1972.PubMedCrossRefGoogle Scholar
  2. 2.
    Reilly E, McInnis BN: Boston, Massachusetts: The Pine Street Inn Nurses’ Clinic and Tuberculosis Program, in Brickner PW, Scharer LK, Conanan B, et al (eds): Health Care of Homeless People. New York, Springer, 1985, pp 291–299.Google Scholar
  3. 3.
    Bargmann E: Washington, DC: The Zacchaeus Clinic—A model of health care for homeless persons, in Brickner PW, Scharer LK, Conanan B, et al (eds): Health Care of Homeless People. New York, Springer, 1985, pp 323–332.Google Scholar
  4. 4.
    Brickner PW, Scharer LK, Conanan B, et al (eds): Health Care of Homeless People. New York, Springer, 1985.Google Scholar
  5. 5.
    Morse G, Shields NM, Hanneke CR,et al: Homeless People in St. Louis: A Mental Health Program Evaluation, Field Study, and Follow-up Investigation. Jefferson City, State of Missouri Department of Mental Health, 1985.Google Scholar
  6. 6.
    Mulkern V, Bradley VJ, Spence R,et al: Homeless Needs Assessment Study: Findings and Recommendations for the Massachusetts Department of Mental Health. Boston, Human Research Institute, 1985.Google Scholar
  7. 7.
    Rosnow MJ, Shaw T, Concord CS: Listening to the Homeless. A Study of Homeless Mentally Ill in Milwaukee. Madison, Wisconsin Office of Mental Health, 1985.Google Scholar
  8. 8.
    Roth D, Bean J, Lust N,et al: Homelessness in Ohio: A Study of People in Need. Columbus, Ohio Department of Mental Health, 1985.Google Scholar
  9. 9.
    Farr RK, Koegel P, Burnam A: A Study of Homelessness in the Skid Row Area of Los Angeles. Los Angeles, County Department of Mental Health, 1986.Google Scholar
  10. 10.
    Mowbray CT, Johnson VS, Solarz A,et al: Mental Health and Homelessness in Detroit: A Research Study. Lansing, Michigan Department of Mental Health, 1986.Google Scholar
  11. 11.
    Fischer PJ, Shapiro S, Breakey WR, et al: Mental health and social characteristics of the homeless: A survey of mission users. Am J Public Health 76:519–524, 1986.PubMedCrossRefGoogle Scholar
  12. 12.
    Brown C, MacFarlane S, Paredes R, et al: The Homeless of Phoenix: Who Are They and What Should Be Done? Phoenix, South Phoenix Community Mental Health Center, 1983.Google Scholar
  13. 13.
    Robertson MJ, Ropers RH, Boyer MA: The Homeless of Los Angeles County: An Empirical Evaluation. Los Angeles, Psychiatric Epidemiology Program, UCLA School of Public Health, 1985.Google Scholar
  14. 14.
    Rossi PH, Wright JD, Fisher GA, et al: The urban homeless: Estimating composition and size. Science 235:1336–1341, 1987.PubMedCrossRefGoogle Scholar
  15. 15.
    Vernez G, Burnam MA, McGlynn EA,et al: Review of California’s Program for the Homeless Mentally Disabled. Santa Monica, Rand Corporation, 1988.Google Scholar
  16. 16.
    Andrade SJ: Living in the Gray Zone: Health Care Needs of Homeless Persons. San Antonio, Benedictine Health Resource Center, 1988.Google Scholar
  17. 17.
    Wright J: The National Health Care for the Homeless Program, in Bingham RD, Green RE, White SB (eds): The Homeless in Contemporary Society. Newbury Park, CA, Sage, 1987, pp 150–169.Google Scholar
  18. 18.
    Wright JD, Weber E: Homelessness and Health. New York, McGraw-Hill, 1987.Google Scholar
  19. 19.
    Institute of Medicine: Homelessness, Health, and Human Needs. Washington, DC, National Academy Press, 1988.Google Scholar
  20. 20.
    Burst MR, Cohen BE: America’s Homeless. Numbers, Characteristics, and Programs That Serve them. Washington, DC, Urban Institute Press, 1989.Google Scholar
  21. 21.
    Lewin/ICF: The Health Needs of the Homeless: A Report on Persons Served by the McKinney Act’s Health Care for the Homeless Program. Washington, DC, National Association of Community Health Centers, 1989.Google Scholar
  22. 22.
    Stine OC, Fischer PJ, Breakey WR: Co-morbid physical problems of homeless mentally ill persons in Baltimore. Presented at 116th annual meeting of the American Public Health Association, November 13-17, 1988, Boston.Google Scholar
  23. 23.
    Jahiel RI: Surveys of homeless populations, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach. Baltimore, John Hopkins University Press, in press, ch 4.Google Scholar
  24. 24.
    Gelberg L, Linn LS, Rosenberg DJ: Dental health of homeless adults. Special Care in Dentistry, 167-172, July-August 1988.Google Scholar
  25. 25.
    Baumann DJ, Osborne R, Osborn M, et al: The Subjective Underestimation of Problems by the Homeless: A Puzzle Solved by Theory. Unpublished manuscript, University of Texas, Austin, 1988.Google Scholar
  26. 26.
    Stark L: Barriers to health care for the homeless, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach. Baltimore, Johns Hopkins University Press, in press, ch 10.Google Scholar
  27. 27.
    Ovrebo B: Understanding the needs of homeless and near-homeless people, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach. Baltimore, Johns Hopkins University Press, in press, ch 9.Google Scholar
  28. 28.
    Kelly JT, Goldfinger SM: Hospitalization of the homeless in San Francisco. Presented at the first meeting of the Homelessness Study Group, 112th annual meeting of the American Public Health Association, November 10-11, 1984, Anaheim, CA.Google Scholar
  29. 29.
    Morris W, Crystal S: Diagnostic patterns of hospital utilization by the homeless. Presented at the 116th annual meeting of the American Public Health Association, November 13-17, 1988, Boston.Google Scholar
  30. 30.
    Alstrom CH, Lindelius R, Salum I: Mortality among homeless men. Br J Addict 70:245–252, 1975.CrossRefGoogle Scholar
  31. 31.
    Chavkin W, Kristal A, Seabron C, et al: Reproductive experience of women living in hotels for the homeless in New York City. NY State J Med 87:10–13, 1987.Google Scholar
  32. 32.
    Waxman LD, Reyes LM: A Status Report on Hunger and Homelessness in America’s Cities: 1988. Washington, DC, United States Conference of Mayors, 1989.Google Scholar
  33. 33.
    Wright JD: Poverty, homelessness, health, nutrition, and children. Presented at the National Conference of Homeless Children and Youth: Coping with a National Tragedy, April 25-29, 1989, Washington, DC.Google Scholar
  34. 34.
    Shah CP, Kahan M, Krauser J: The health of children of low-income families. Can Med Assoc J 137:485–490, 1987.Google Scholar
  35. 35.
    Newachek P, Starfield B: Morbidity and use of ambulatory care facilities among poor and non-poor children. Am J Public Health 78:927–933, 1988.CrossRefGoogle Scholar
  36. 36.
    Whitman BY, Accardo P, Sprankel J: Homeless families and their children: Health, developmental and educational needs, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach. Baltimore, Johns Hopkins University Press, in press, ch 7.Google Scholar
  37. 37.
    Acker P, Fierman A, Dreyer B: An assessment of parameters of health care and nutrition in homeless children. Am J Dis Child 141:388, 1987.Google Scholar
  38. 38.
    Bassuk EL, Rubin L, Lauriat A: Characteristics of sheltered homeless families. Am J Public Health 76;1097–1101, 1986.PubMedCrossRefGoogle Scholar
  39. 39.
    Bassuk EL, Rosenberg L: Why does family homelessness occur? A case-control study. Am J Public Health 78:783–788, 1988.PubMedCrossRefGoogle Scholar
  40. 40.
    Whitman B: The crisis in homelessness: Effects on children and families. Testimony presented before the US House of Representatives Select Committee on Children Youths and Families. Washington, DC, US Government Printing Office, 1987.Google Scholar
  41. 41.
    Chicago Coalition for the Homeless: Position Paper: Youth Homelessness in Chicago. Chicago, Youth Committee of the Coalition, 1985.Google Scholar
  42. 42.
    Yates GL, MacKenzie R, Penbridge J, et al: A risk profile comparison of runaway and non-runaway youths. Am J Public Health 78:820–821, 1988.PubMedCrossRefGoogle Scholar
  43. 43.
    Robertson M: Homeless youth: An overview of recent literature, Homeless Children and Youth. Transition Press, 1991, pp 33-68.Google Scholar
  44. 44.
    Robertson MJ, Koegel P, Grella C: Street kids and AIDS: Beliefs, attitudes and high risk behaviors for exposure. Presented at the 115th annual meeting of the American Public Health Association, 1987, New Orleans.Google Scholar
  45. 45.
    Stricof RL, Novick LF, Kennedy JT, et al: Seroprevalence of antibodies to human immunodeficiency virus-I in a facility for runaway or homeless adolescents in New York City. Presented at the 116th annual meeting of the American Public Health Association, 1988, Boston.Google Scholar
  46. 46.
    Rossi PH, Fisher GA, Willis G: The Condition of the Homeless in Chicago. Amherst, Social and Demographic Research Institute, University of Massachusetts, 1986.Google Scholar
  47. 47.
    Fischer PJ, Breakey WR, Kramer, M, et al: Homeless mentally ill: The Baltimore study. Presented at the 116th annual meeting of the American Public Health Association, November 13, 1988, Boston.Google Scholar
  48. 48.
    Knight J: Alcohol Abuse among the Homeless. Unpublished doctoral dissertation, University of Massachusetts, Amherst, 1987.Google Scholar
  49. 49.
    Koegel P, Burnam MA: The Epidemiology of Alcohol Abuse and Dependence among Homeless Individuals: Findings from the Inner City of Los Angeles. Los Angeles, County Department of Mental Health, 1987.Google Scholar
  50. 50.
    Ropers RH, Boyer R: Perceived health status among the new urban homeless. Soc Sci Med 24:669–678, 1987.PubMedCrossRefGoogle Scholar
  51. 51.
    US General Accounting Office: Homelessness: A Complex Problem and the Federal Response. Washington, DC, US Government Printing Office, 1985.Google Scholar
  52. 52.
    Morse GA: A Contemporary Assessment of Urban Homelessness: Implications for Social Change. St. Louis, University of Missouri-St. Louis, Center for Metropolitan Studies, 1986.Google Scholar
  53. 53.
    Sosin MR, Colson P, Grossman S: Homelessness in Chicago: Poverty and Pathology, Social Institutions, and Social Change. Chicago, Chicago Community Trust, 1988.Google Scholar
  54. 54.
    Rossi P: Without Shelter—Homelessness in the 1980s. New York, Priority Press, 1989.Google Scholar
  55. 55.
    McChesney KY: Growth of homelessness: An aggregate rather than an individual problem, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach. Baltimore, Johns Hopkins University Press, in press, ch 20.Google Scholar
  56. 56.
    Bassuk E, Rubin L, Lauriat A: Characteristics of sheltered homeless families. Am J Public Health 76:1097–1101, 1986.PubMedCrossRefGoogle Scholar
  57. 57.
    McChesney KY: Women without: Homeless Mothers and Their Children. Doctoral dissertation, University of Southern California, Los Angeles, 1987.Google Scholar
  58. 58.
    Weitzman B: Homeless families in New York City. Assessment of factors that increase risk of homelessness. Presented at the eighth meeting of the Homelessness Study Group, 117th annual meeting of the American Public Health Association, October 21, 1989, Chicago.Google Scholar
  59. 59.
    Coalition for the Homeless and SRO Tenants Rights Coalition: Single Room Occupancy Hotels: Standing in the Way of the Gentry. New York, The Coalition, 1985.Google Scholar
  60. 60.
    Traska MR: No home means no home care for AIDS patients. Hospitals 60(1):69–70, January 1986.Google Scholar
  61. 61.
    Rango N, Anderson EJ, Feldman I, et al: Post-discharge needs of hospitalized persons with AIDS and HIV-related illnesses in New York City. Presented at the fifth International Conference on AIDS, June 1989, Montreal.Google Scholar
  62. 62.
    Partnership for the Homeless: AIDS—The Cutting Edge of Homelessness in New York City. A Survival Plan for People with AIDS Who Are Homeless. New York, The Partnership, 1989.Google Scholar
  63. 63.
    Kelly JT: Trauma: With the example of San Francisco’s shelter program, in Brickner PW, et al (eds): 1985, pp 77-91.Google Scholar
  64. 64.
    Jahiel RI: Definition and significance of homelessness, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach, in press, ch 1.Google Scholar
  65. 65.
    Baxter E, Hopper K: Private Lives/Public Spaces: Homeless Adults in the Streets of New York City. New York: Community Service Society, 1981.Google Scholar
  66. 66.
    Goldfrank L: Exposure: Thermoregulatory disorders in the homeless patient, in Brickner PW, et al: 1985, pp 57-75.Google Scholar
  67. 67.
    Green RW: Infestations: Scabies and lice. In Brickner PW, et al (eds): 1985, pp 35-55.Google Scholar
  68. 68.
    McBride K, Mulcare RJ: Peripheral vascular disease in the homeless, in Brickner PW, et al (eds): 1985, pp 121-129.Google Scholar
  69. 69.
    Gross TP, Rosenberg ML: Shelters for battered women and their children: An underrecognized source of communicable disease transmission. Am J Public Health 77:1198–1201, 1987.PubMedCrossRefGoogle Scholar
  70. 70.
    Schuman SH: Day care associated infections: More than meets the eye. JAMA 249:76, 1983.PubMedCrossRefGoogle Scholar
  71. 71.
    US Department of Health and Human Services: Helping the Homeless: A Resource Guide. Washington, DC, US Government Printing Office, 1984, pp 2–61.Google Scholar
  72. 72.
    De Maria A Jr, Brown K, Berk SL, et al: An outbreak of pneumococcal pneumonia in a men’s shelter. JAMA 244:1446–1447, 1980.CrossRefGoogle Scholar
  73. 73.
    Filice GA: Group A meningococcal disease in skid row: Epidemiology and implications for control. Am J Public Health 74:253–254, 1984.PubMedCrossRefGoogle Scholar
  74. 74.
    Glickman R: Tuberculosis screening and treatment of New York City homeless people. Ann NY Acad Sci 435:19–21, 1984.Google Scholar
  75. 75.
    Centers for Disease Control: Drug resistant tuberculosis among the homeless. MMWR CDC Surveill Summ 34:429–431, 1985.Google Scholar
  76. 76.
    Sherman MN: Tuberculosis in single room occupancy hotel residents: A persisting focus of disease. NY Medical Quarterly 1:39–41, 1980.Google Scholar
  77. 77.
    McAdam J, Brickner PW, Glickman R, et al: Tuberculosis in the SRO/homeless population, in Brickner PW, et al (eds): 1985, pp 155-175.Google Scholar
  78. 78.
    Narde E, McInnis B, Thomas B: Exogenous reinfection with tuberculosis in a shelter for the homeless. N Engl J Med 315:1570–1575, 1986.CrossRefGoogle Scholar
  79. 79.
    Iseman M: Tuberculosis: An overview, in Brickner PW, et al (eds): 1985, pp 151-154.Google Scholar
  80. 80.
    Winick M: Nutritional and vitamin deficiency states, in Brickner PW, et al (eds): 1985, pp 103-108.Google Scholar
  81. 81.
    Filardo T: Chronic disease management in the homeless, in Brickner PW, et al (eds): 1985, pp 19-31.Google Scholar
  82. 82.
    Alperstein G, Arnstein E: Homeless children—A challenge for pediatricians. Pediatr Clin North Am 35:1413–1425, 1988.PubMedGoogle Scholar
  83. 83.
    Acker P, Fierman A, Dreyer B: An assessment of parameters of health care and nutrition in homeless children. Am J Dis Child 141:388, 1987.Google Scholar
  84. 84.
    Miller D, Lin E: Children in sheltered homeless families: Reported health status and use of health services. Pediatrics 81:688–673, 1988.Google Scholar
  85. 85.
    Paone D, Alperstein G: A population-based retrospective review of health problems of homeless children of New York (NYC). Presented at the 117th annual meeting of the American Public Health Association, October 22-26, 1989, Chicago.Google Scholar
  86. 86.
    Primas P: A health needs assessment of homeless infants and preschool children. Presented at the 117th annual meeting of the American Public Health Association, October 22-26, 1989, Chicago.Google Scholar
  87. 87.
    Ciocca J, Rump N, Fox ER, et al: Health needs of homeless children. Presented at the 117th annual meeting of the American Public Health Association, October 22-26, 1989, Chicago.Google Scholar
  88. 88.
    Koegel P: Understanding homelessness: An ethnographic approach, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach, in press, ch 8.Google Scholar
  89. 89.
    Stark L: Barriers to health care for the homeless, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach, in press, ch 10.Google Scholar
  90. 90.
    Baumann D, Gribsby C: Understanding the Homeless: From Research to Action. Unpublished manuscript, University of Texas, Austin, 1988.Google Scholar
  91. 91.
    Baumann DJ, Osborne R, Osborne M,et al: The Subjective Underestimation of Problems by the Homeless: A Puzzle Solved by Theory. Unpublished manuscript, University of Texas, Austin, 1988.Google Scholar
  92. 92.
    Levy L, Henley B: Psychiatric care for the homeless: Human beings or cases? in Brickner PW, et al (eds): 1985, pp 205-219.Google Scholar
  93. 93.
    Ryan W: Blame the victim. New York, Random House, 1971.Google Scholar
  94. 94.
    Breakey W: Treating the homeless. Alcohol, Health, and Research World 11:42–47, 1987.Google Scholar
  95. 95.
    Ovrebo B: Understanding the needs of homeless and near-homeless people, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach, in press, ch 9.Google Scholar
  96. 96.
    Robert Wood Johnson Foundation: Health Care for the Homeless Program. Princeton, NJ, The Foundation, 1983.Google Scholar
  97. 97.
    Stewart B: McKinney Homeless Assistance Act, Public Law 100-77 (July 22,1987), codified as 42 U.S.C. SS11301-11472.Google Scholar
  98. 98.
    National Directory of Homeless Health Care Projects (Section 340, Public Health Service Act), funded through the Stewart B. McKinney Homeless Assistance Act of 1987. Washington, DC, National Association of Community Health Centers, 1989.Google Scholar
  99. 99.
    Rand McNally: Commercial Atlas and Marketing Guide, ed 120. Chicago, Rand McNally, 1989.Google Scholar
  100. 100.
    Rand McNally: Housing and Homelessness. Washington, DC, National Alliance to End Homelessness, 1988.Google Scholar
  101. 101.
    Schwartz, DC, Perlauto RC, Hoffman DN: A New Housing Policy for America. Philadelphia, Temple University Press, 1988, pp 26–27.Google Scholar
  102. 102.
    Jahiel RI: Size of the homeless population, in Jahiel RI (ed): Homelessness: A Prevention-Oriented Approach, in press, ch 22.Google Scholar
  103. 103.
    Jahiel RI: The homeless child syndrome. Today’s Child 2:4, 1988.Google Scholar
  104. 104.
    Savarese M, Conanan B, Scharer LK, et al: Teamwork in health care for homeless people. Unpublished manuscript, 1985.Google Scholar
  105. 105.
    Redlener IE, Redlener KB: Urban homeless children: Planning and implementing health services. Presented at the 117th annual meeting of the American Public Health Association, October 22-26, 1989, Chicago.Google Scholar
  106. 106.
    Reuler JB: Health care for the homeless in a national health program. Am J Public Health 79:1033–1035, 1989.PubMedCrossRefGoogle Scholar
  107. 107.
    Reid J: The homeless and the changing British National Health Service. Am J Public Health 79:965–966, 1989.PubMedCrossRefGoogle Scholar
  108. 108.
    Ramsden SS, Nyiri P, Bridgew J, et al: A mobile surgery for single homeless people in London. Br Med J 298:372–374, 1989.CrossRefGoogle Scholar
  109. 109.
    Bennett SF, Gomm EH: A mobile surgery for single homeless people. Br Med J 298:753, 1989.CrossRefGoogle Scholar
  110. 110.
    Dennison B, Burke K, Redlener I: The New York Children’s Health Project (NYCHP): Addressing the health care needs of New York City’s homeless children. Presented at the 117th annual meeting of the American Public Health Association, October 22-26, 1989, Chicago.Google Scholar
  111. 111.
    Vallbona C: A mobile unit for health care delivery to homeless people in Houston, TX. Presented at first meeting of the Homelessness Study Group, 112th meeting of the American Public Health Association, November 10-11, 1984.Google Scholar
  112. 112.
    Leutz WN, Greenberg JN, Abrahams R,et al: Changing Health Care for an Aging Society. Planning for the Social Health Maintenance Organization. Lexington, MA, Lexington Books, 1985.Google Scholar

Copyright information

© Springer Science+Business Media New York 1992

Authors and Affiliations

  • René I. Jahiel
    • 1
  1. 1.New School of Social ResearchGraduate School of Management and PolicyNew YorkUSA

Personalised recommendations