Browsing by Subject "Homeless persons"
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Item Health care for homeless individuals : implications of the patient protection and Affordable Care Act(2011-05) Rolle, Mary Joy; Thompson, Sanna J.; Angel, Jacqueline LoweThis professional report explores the unique health needs of homeless individuals, how homeless individuals access medical and mental health services, and the impact that the Patient Protection and Affordable Care Act (ACA) may have on medical services for homeless individuals. Homeless individuals are more likely to experience physical and mental health problems and earlier mortality rates than the general population. Common access points for homeless medical services include clinics, such as Community Health Centers, and emergency care centers, such as hospital emergency rooms. Homeless individuals often face barriers of access to medical services, including competing priorities to sustain life, strained relationships with medical providers, and an inability to pay for high health care costs. Through the expansion of Medicaid and the Community Health Center network, the ACA has the potential to increase access to medical services for homeless individuals. This report concludes by offering recommendations to ensure that homeless individuals benefit from health care reform through the ACA.Item Housing as sanctuary: an urban housing project for transients(Texas Tech University, 1990-05) Strickland, Gerald S.The project I have selected as a way of creating place is an urban housing project for transients in Albuquerque, New Mexico. This project relates to place in the following ways: First, by placing housing in an urban context, it is made recognizable through its scale and expression. Second, housing in an urban context can be made sacred and set apart, contrasting with its environment. Third, housing contains rituals, and designing for rituals results in the creation of place.Item Reasons for underutilization of public bureaucracy services by the homeless(Texas Tech University, 1996-08) Guffey, Marsha KiddThis dissertation represents an attempt to understand the service utilization behavior of the homeless and ways the public service bureaucracy can better meet the needs of this population. Other than efforts by Calsyn, Kohfeld and Roades (1993), almost no attention has been directed specifically to why the homeless do not utilize services. The study employs a model of homeless service utilization, based on the medical service utilization model of Andersen (1968) and the help-seeking model of Nelson (1980) to fill this void. In the Andersen model, utilization is believed to be a result of need, predisposing, and enabling factors, while in the Nelson model, the decision to seek help is believed to be a process. Here it is theorized that a combination of the two models, with a particular emphasis on the importance of the first step of problem definition/need recognition, helps to explain utilization. The Andersen-Nelson synthesis model was tested on 343 homeless persons from Central Arkansas shelters. Defining the problem as one in need of government help was found to be key to utilization and number of other factors were found to affect utilization at various points in the help-seeking process.