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The lack of shelter creates many health hazards for the homeless and the lack of regular health care exacerbates chronic illnesses and fosters poor health practices within this group. Homeless children lack immunizations, evidence developmental delays and have increased school related health problems.
Nursing, along with other health care professions, is concerned about health care available for the homeless. Schools of nursing and individual nurses have joined with other health care providers in developing special programs to meet the needs of this population. These providers have now documented specific information about the composition of the homeless as a group and their health care needs. This book provides a national perspective of nurses' service delivery, research and experiences in working with the homeless.
"As the triple threat of homelessness, AIDS, and substance abuse erodes the resources of the health care system, information relative to providing care for this 'at risk' population will become more valuable. A book reflective of the experiences of persons working in the field should be invaluable to providers of care and to student educators and researchers. Personally, my belief is that a multi-disciplinary, multi-cultural approach to the solution of the problem is imperative." — Bernardine M. Lacey, Howard
"With the national trend toward cost effective health care delivery and national health care for the uninsured, the work and ideas in this book are overdue." — Cheryl Taylor, Louisiana State University Medical Center School of Nursing
Acknowledgments
Section One: Overview
1. Introduction
Juanita K. Hunter
2. Nursing Care for the Underserved: Crisis and Opportunity
Tim Porter-O'Grady
3. Homelessness and Public Policy
Bob Prentice
Section Two: Demographics and Characteristics of Various Homeless Populations
4. Evolution and Population Characteristics of a Nurse-Managed Health Center for the Homeless and High-Risk, Low-Income Families
Mary Margaret Gottesman, Mary Ann Lewis, Ada M. Lindsey, Mary-Lynn Brecht
5. Health Perceptions of the Homeless: A Survey of Buffalo's City Mission
Anne H. Skelly, Cathleen Getty, Martha J. Kemsley, Juanita K. Hunter, Jeanne Shipman
6. Analysis of the Differences and Similarities Between Homeless People Seen at On-site Health Clinics, in Soup Kitchens and Shelters
Virginia E. Taylor
7. Characteristics of Homeless Families: A Research Report
Joseph L. Halbach and Lillie M. Shortridge
Section Three: Issues Related to Homeless Families
8. A Nursing Model for Addressing the Health Needs of Homeless Families
Andrea S. Berne, Candy Dato, Diana J. Mason, Margaret Rafferty
9. Health Needs of Infants and Children in Homeless Families in Houston, Texas
Kim Evans
10. Providing Quality Child-Care for Homeless Children: A Descriptive Study of the Seattle Experience
Nancy L. Stokley
11. Model for Assessment of Homeless Children
Martha J. Kemsley and Juanita K. Hunter
Section Four: Considerations in the Design, Implementation and Evaluation of a Homeless Project in Nursing
12. Role of Clinical Nurse Specialist in Homeless Populations
Martha J. Pituch and Mary A. Kiplinger
13. Essentials of Establishing an Outreach Health-Care Unit for the Homeless
Catherine L. Hopkins
14. Homeless Families in Westchester: A Case Study in Individual, Social, and Professional Ethics
Strachan Donnelley, Lillie M. Shortridge, and Bruce Jennings
Section Five: Mental Health and the Homeless
15. Is Mental Health Care a Priority Need of Homeless People?
Barbara Cross
16. Predictors of Homelessness in the Severely Mentally Ill
Marilyn A. Davies and Barbara Cross
17. The Department of Veterans Affairs' Program for the Homeless Chronically Mentally Ill Veteran
Marilyn R. Englert
Section Six: Innovative Approaches to Nursing Service, Practice, and Education
18. The Homeless Populations: A Clinical Laboratory for Students in Community Health and Psychiatric/Mental Health Nursing
Judith Anderson
19. Testing a College-Based Nursing Model for Health Care for the Homeless
Jane C. Swart, Mary Ann Christ, and Paige Gradick
Section Seven: Cost Effectiveness of Nurse-Managed Clinics
20. Development of a Model Nurse-Managed Clinic for the Homeless
Bernadine M. Lacey and Beatrice V. Adderley-Kelly
21. A Survey of Evaluation Approaches for Health Care in Homeless Projects
Juanita K. Hunter
22. The Role of Nurses and Nursing Schools in Health Services for the Homeless
Susan L. Kitchen
Summary
Juanita K. Hunter
Contributors
Index