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Homelessness in Canada was not a social problem until the 1980s. Canadian government housing policies and programs in place throughout the 1970s were based on a concept of shelter as a basic need or requirement for survival and of the obligation of government and society to provide adequate housing for everyone. Public policies shifted away from rehousing in the 1980s in wealthy Western countries like Canada, which led to a de-housing of households that had previously been housed. By 1987, when the United Nations established the International Year of Shelter for the Homeless (IYSH), homelessness had become a serious social problem in Canada. The report of the major 1987 IYSH conference held in Ottawa said that housing was not a high priority for government, and this was a significant contributor to the homelessness problem. While there was a demand for adequate and affordable housing for low income Canadian families, government funding was not available. In the 1980s a "wider segment of the population" began to experience homelessness for the first time – evident through their use of emergency shelters and soup kitchens. Shelters began to experience overcrowding, and demand for services for the homeless was constantly increasing. A series of cuts were made to national housing programs by the federal government through the mid-1980s and in the 1990s. While Canada's economy was robust, the cuts continued and in some cases accelerated in the 1990s, including cuts to the 1973 national affordable housing program. The government solution for homelessness was to create more homeless shelters and to increase emergency services. In the larger metropolitan areas like Toronto the use of homeless shelters increased by 75% from 1988 to 1998. Urban centres such as Montreal, Laval, Vancouver, Edmonton, and Calgary all experienced increasing homelessness.
In the United States, the number of homeless people varies from different federal government accounts. In 2014, approximately 1.5 million sheltered homeless people were counted. In 2018, the Department of Housing and Urban Development estimated roughly 553,000 homeless people in the United States on a given night, or 0.17 percent of the population. Approximately 65 percent of people were sheltered in provided housing while 35 percent were unsheltered. Annual federal HUD reports contradict private state and local reports where homelessness is shown to have increased each year since 2014 across several major American cities, with 40 percent increases noted in 2017 and in 2019.
Homeless shelters are a type of homeless service agency which provide temporary residence for homeless individuals and families. Shelters exist to provide residents with safety and protection from exposure to the weather while simultaneously reducing the environmental impact on the community. They are similar to, but distinguishable from, various types of emergency shelters, which are typically operated for specific circumstances and populations—fleeing natural disasters or abusive social circumstances. Extreme weather conditions create problems similar to disaster management scenarios, and are handled with warming centers, which typically operate for short durations during adverse weather.
Social exclusion or social marginalisation is the social disadvantage and relegation to the fringe of society. It is a term that has been used widely in Europe and was first used in France in the late 20th century. It is used across disciplines including education, sociology, psychology, politics and economics.
Out of 10,000 female individuals 13 are homeless. Although studies reflect that there are many differences among women suffering homelessness and there is no universal experience, the average homeless woman is 35 years old, has children, is a member of a minority community, and has experienced homelessness more than once in their lifetime.
Complex post-traumatic stress disorder (CPTSD) is a stress-related mental disorder theoretically happening in response to complex traumas, i.e. generally prolonged or repetitive exposures to a series of traumatic events, within which individuals perceive few or no chance to escape.
The recovery model, recovery approach or psychological recovery is an approach to mental disorder or substance dependence that emphasizes and supports a person's potential for recovery. Recovery is generally seen in this model as a personal journey rather than a set outcome, and one that may involve developing hope, a secure base and sense of self, supportive relationships, empowerment, social inclusion, coping skills, and meaning. Recovery sees symptoms as a continuum of the norm rather than an aberration and rejects sane-insane dichotomy.
Youth exclusion is a form of social exclusion in which youth are at a social disadvantage in joining institutions and organizations in their societies. Troubled economies, lack of governmental programs, and barriers to education are examples of dysfunctions within social institutions that contribute to youth exclusion by making it more difficult for youth to transition into adulthood. European governments have recently recognized these shortcomings in societies organizational structures and have begun to re-examine policies regarding social exclusion. Many policies dealing with social exclusion are targeted at youth since this demographic of people face a transition into adulthood; defining career and lifestyle choices that will affect the future culture and structure of a society.
Discrimination against homeless people is the act of treating homeless people, or people perceived to be homeless, unfavorably. As with most types of discrimination, it can manifest in numerous forms.
Anti-homelessness legislation can take two forms: legislation that aims to help and re-house homeless people; and legislation that is intended to send homeless people to homeless shelters compulsorily, or to criminalize homelessness and begging.
Outreach is the activity of providing services to any population that might not otherwise have access to those services. A key component of outreach is that the group providing it is not stationary, but mobile; in other words, it involves meeting someone in need of an outreach service at the location where they are. Compared with traditional service providers, outreach services are provided closer to where people may reside, efforts are very often voluntary, and have fewer, if any, enforceable obligations. In addition to delivering services, outreach has an educational role, raising the awareness of existing services. It includes identification of under-served populations and service referral and the use of outreach tools like leaflets, newsletters, advertising stalls and displays, and dedicated events. Outreach is often meant to fill in the gap in the services provided by mainstream services, and is often carried out by non-profit, nongovernmental organizations.
The social determinants of health in poverty describe the factors that affect impoverished populations' health and health inequality. Inequalities in health stem from the conditions of people's lives, including living conditions, work environment, age, and other social factors, and how these affect people's ability to respond to illness. These conditions are also shaped by political, social, and economic structures. The majority of people around the globe do not meet their potential best health because of a "toxic combination of bad policies, economics, and politics". Daily living conditions work together with these structural drivers to result in the social determinants of health.
The Homeless Bill of Rights refers to legislation protecting the civil and human rights of homeless people. These laws affirm that homeless people have equal rights to medical care, free speech, free movement, voting, opportunities for employment, and privacy. Legislation of this type is currently being debated at the state level in the United States. Over 120 organizations in five different states have shown public support for a Homeless Bill of Rights and are working towards its implementation. A Homeless Bill of Rights has become law in Rhode Island, Connecticut and Illinois and is under consideration by several other U.S. states, including California, Delaware, Minnesota, Missouri, Oregon, Tennessee, and Vermont.
In a study in Western societies, homeless people have a higher prevalence of mental illness when compared to the general population. They also are more likely to suffer from alcoholism and drug dependency. It is estimated that 20–25% of homeless people, compared with 6% of the non-homeless, have severe mental illness. Others estimate that up to one-third of the homeless have a mental illness. In January 2015, the most extensive survey ever undertaken found 564,708 people were homeless on a given night in the United States. Depending on the age group in question and how homelessness is defined, the consensus estimate as of 2014 was that, at minimum, 25% of the American homeless—140,000 individuals—were seriously mentally ill at any given point in time. 45% percent of the homeless—250,000 individuals—had any mental illness. More would be labeled homeless if these were annual counts rather than point-in-time counts. Being chronically homeless also means that people with mental illnesses are more likely to experience catastrophic health crises requiring medical intervention or resulting in institutionalization within the criminal justice system. Majority of the homeless population do not have a mental illness. Although there is no correlation between homelessness and mental health, those who are dealing with homelessness are struggling with psychological and emotional distress. The Substance Abuse and Mental Health Services Administration conducted a study and found that in 2010, 26.2 percent of sheltered homeless people had a severe mental illness.
Spirituality affects both mental and physical health outcomes in the general United States population across different ethnic groups. Because of the nuanced definitions of spirituality and religiosity, the literature on spirituality is not consistent in definitions or measures resulting in a lack of coherence. However, taken as a whole, research tends to show that the effect of spirituality is positive, associated with better health outcomes. For those who engage in spirituality, it may serve as a buffer from negative life events, often moderating the relationship between negative life experiences and levels of anxiety or depression. The exception is when negative spiritual coping is practiced. This type of coping has negative health implications.
The San Francisco Bay Area comprises nine northern California counties and contains four of the ten most expensive counties in the United States. Strong economic growth has created hundreds of thousands of new jobs, but coupled with severe restrictions on building new housing units, it has resulted in an extreme housing shortage which has driven rents to extremely high levels. The Sacramento Bee notes that large cities like San Francisco and Los Angeles both attribute their recent increases in homeless people to the housing shortage, with the result that homelessness in California overall has increased by 15% from 2015 to 2017. In September 2019, the Council of Economic Advisers released a report in which they stated that deregulation of the housing markets would reduce homelessness in some of the most constrained markets by estimates of 54% in San Francisco, 40 percent in Los Angeles, and 38 percent in San Diego, because rents would fall by 55 percent, 41 percent, and 39 percent respectively. In San Francisco, a minimum wage worker would have to work approximately 4.7 full-time jobs to be able to spend less than 30% of their income on renting a two-bedroom apartment.
Family homelessness refers to a family unit who do not have access to long term accommodation due to various circumstances such as socioeconomic status, access to resources and relationship breakdowns. In some Western countries, such as the United States, family homelessness is a new form of poverty, and a fast growing group of the homelessness population. Some American researchers argue that family homelessness is the inevitable result of imbalanced “low-income housing ratio” where there are more low-income households than there are low-cost housing units. A study in 2018 projected a total of 56,342 family households were recognized as homeless. Roughly 16,390 of these people were living in a place not meant for human habitation. It is believed that homeless families make up about a third of the United States’ population, with generally women being the lead of the household.
Homelessness in Florida is considered a major social issue, mainly due to its warm weather.
Covenant House Toronto is a nonprofit organization that serves, at-risk, homeless and trafficked youth between the ages of 16 and 24. It is based in Toronto, Ontario, Canada and is one of many Covenant House locations based in North America. The Toronto location is the largest agency of its kind in Canada, with 80 per cent of their annual funding coming from donors. The house serves as many as 300 youth a day regardless of their race, religion, sexual orientation, gender identity, or the circumstances that have brought them to their doors. Covenant House also offers services such as education, after-care, counseling, health care, employment assistance, and job training. The organization has also offered their services to more than 95,000 young people since its start in 1982.
The concept of street outreach to individuals that are experiencing homelessness is a classic example of a form of outreach. Those who experience homelessness have a variety of complex issues that incite the need for specific forms of care. As such, street outreach is challenging work. There are multiple governmental and non-governmental agencies that have sought to engage in this work because of the understanding that unhoused people tend to have increased barriers to access traditional services. Street outreach comes in different forms, from people walking around carrying supplies or offering resources, to mobile health clinics with teams of medical volunteers driving around and offering services. Regardless of its form, the essence of street outreach is the desire to meet people where they are at, build deep trust and connections, offer support, and reinforce the human dignity and respect that is deserving of all people. The core elements of effective street outreach include being systematic, coordinated, comprehensive, housing-focused, person-centered, trauma-informed, culturally responsive, as well as emphasizing safety and reducing harm.
References
- 1 2 3 Elwood and Lawson (2018). "Relational Poverty Politics Forms, Struggles, and Possibilities".
{{cite journal}}: Cite journal requires|journal=(help) - ↑ Elwood, Sarah; et al. (2017). "Geographical Relational Poverty Studies". 41 (6): 745–65.
{{cite journal}}: Cite journal requires|journal=(help) - 1 2 Crane, Austin; et al. (2020). "Re-Politicising Poverty: Relational Re-conceptualisations of Impoverishment". Antipode. 52 (2): 1156–78. doi:10.1111/anti.12603. S2CID 214010263.
- 1 2 Feldman, Guy (2018). "Towards a Relational Approach to Poverty in Social Work: Research and Practice Considerations". The British Journal of Social Work. 49 (7): 1705–22.
- ↑ Mosse, David (2010). "A Relational Approach to Durable Poverty, Inequality and Power". The Journal of Development Studies. 46 (7): 1156–78. doi:10.1080/00220388.2010.487095. PMID 20737731. S2CID 9986392.
- ↑ Pahwa, Rohini; et al. (2019). "The Ties That Bind and Unbind Ties: Experiences of Formerly Homeless Individuals in Recovery from Serious Mental Illness and Substance Use". Qualitative Health Research. 29 (9): 1313–23. doi:10.1177/1049732318814250. PMID 30499369. S2CID 54166051.
- ↑ Liu, Michael; et al. (2021). "Adverse Childhood Experiences and Related Outcomes Among Adults Experiencing Homelessness: a Systematic Review and Meta-Analysis". The Lancet: e836–e847.
- ↑ Hwang, Stephen W; et al. (2009). "Multidimensional Social Support and the Health of Homeless Individuals". Journal of Urban Health. 86 (5): 791–803. doi:10.1007/s11524-009-9388-x. PMC 2729873 . PMID 19629703.