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PracticumAssessmentOnTheHomelessPopulation.docx

Practicum Assessment on The Homeless Population in Florida

The assignments in this course are interrelated and based on a practicum experience. The assignments culminate in a final presentation submitted during week 10.  As a nurse, you understand the challenges facing under-served populations.  For this practicum assignment, you will identify a vulnerable, at-risk population in your community.  You will examine the challenges currently facing members of this group and the resources available to assist them.  You will gather information from a variety of sources and interview a professional who is involved in the provision of services to this group.  A vulnerable or at-risk population can be defined as a population with a common identified risk factor or risk exposure presenting a threat to health. Examples of at-risk populations include, but are not limited to the following:

· Urban or rural individuals and families living at or below the poverty line

· Immigrants and non-English-speaking individuals

· Stigmatized or marginalized groups

· Undocumented workers

· Incarcerated individuals

· The homeless

· The mentally ill 

This five-part assignment is submitted in weeks 3, 5, 8, and 10.  Please refer to the Practicum Assignment link on the navigation pane for an explanation of all steps.  Please read it in its entirety before starting.  

 

You will work on this assignment over weeks 1-3.  It is submitted at the end of week 3.  In this assignment, you will:

1. Identify your vulnerable, at-risk population of interest.

2. Complete a needs assessment, analyzing data available through scholarly references that is specific to the identified population. At least 3 references should be used to complete the needs assessment

3. Present your needs assessment data by filling out the attached worksheet below. Fill out the chart and answer the questions listed on the worksheet. Attach a reference page to the worksheet to list your references utilized in step 2.

4. Save and submit your assignment to the Week 3 Drop Box. 

Use this document. Do not change the formatting. This is not a formal, APA style research paper, although you are expected to cite sources as needed using APA format.

Week 3: Needs Assessment

Provide an overview of the at-risk group you are investigating and its presence in your community. Provide any available demographic data.

The homeless population in Florida is a vulnerable group, with an estimated 25,810 individuals experiencing homelessness in 2022 (Florida Health CHARTS, 2022). Despite some reduction in homelessness rates over the years, Florida still has the nation's third-highest homeless population (Homeless Voice, 2022). The demographic is diverse, including families, veterans, and individuals categorized as chronically homeless (Florida Times-Union, 2023).

Why are you interested in studying this group?

Studying this group can help identify the root causes of homelessness and understand the multifaceted challenges they face, enabling better-targeted interventions and support systems.

Complete the following chart. Be as specific to your community (city or county) as possible. Common sources of data include: US Census data, Chamber of Commerce, community libraries, social service agencies, US Department of Labor, the Department of Public Health and Department of Education.

Needs Assessment

Assessment Data for the At-risk Group

Environment/Living Arrangements

An estimated 45.2% of the homeless population were unsheltered as of January 2022 (The Center Square, 2022).

Access to Transportation

Access to transportation could be inferred as limited given the high percentage of unsheltered individuals. However, Fort Lauderdale, Florida, has initiated a "Homeless Reunification Program" providing one-way bus tickets to eligible homeless individuals aiming to reunite them with family or friends (FindLaw, n.d.; Broward Palm Beach New Times, n.d.).

Financial considerations

Low-wage jobs and the high cost of living contribute to homelessness, with the survival wage for a family of four being $34.76 per hour as of 2018 (Florida Housing Coalition, 2022).

Cultural/language barriers

Racial Disparities: In Pinellas County, while Black individuals constitute about 11% of residents, they make up 65% of the homeless population (WUSF, n.d.).

Language Barriers: The U.S. Department of the Treasury emphasizes culturally and linguistically competent outreach in Emergency Rental Assistance programs, including providing language access resources to those with limited English proficiency (U.S. Department of the Treasury, n.d.).

Public perception of the group

There are instances of negative public perception, as seen in a city in Florida using music as a deterrent for homeless people congregating in certain areas (Homeless Voice, n.d.).

Common health risks

Substance abuse and mental illness are common health issues, with 33.2% and 34.2% of the homeless population affected respectively, as of 2016 (Homeless Voice, n.d.). Additionally, the mortality rate among the homeless increased by 33% as noted in a report, indicating severe health disparities (Florida Phoenix, n.d.).

Access to health and social services

Services include domestic violence assistance, shelters, emergency financial assistance, food banks, job search resources, and legal assistance among others (HUD, n.d.). However, the high rate of unsheltered individuals might indicate barriers to accessing these services.

Based on the information you gathered and what you find in the literature, address the following questions:

1. What are the primary health concerns for this group?

The primary health concerns for the homeless population in Florida include mental health issues, substance abuse, and a higher mortality rate. The shift in reporting from total incidences of mental illness and substance abuse to only chronic or severe cases led to a significant drop in reported figures in 2017 compared to 2016. However, in 2016, it was found that 33.2% of homeless individuals were suffering from substance abuse and 34.2% from mental illness (Homeless Voice, n.d.). Additionally, a report highlighted a 33% rise in the mortality rate among the homeless population, indicating a severe health disparity (Florida Phoenix, n.d.).

2. How does the care provided to this population differ from the care provided to other populations?

The provision of healthcare services to the homeless population differs significantly from that provided to other populations. Barriers such as lack of insurance, financial constraints, and potential stigmatization often hinder the homeless population's access to healthcare services. Furthermore, the transient nature of homelessness makes continuous care and treatment adherence challenging.

3. Explain how health inequalities impact healthcare access and delivery for this group.

Health inequalities significantly impact the healthcare access and delivery for the homeless population in Florida. The lack of stable housing, financial resources, and the prevalence of mental health issues and substance abuse contribute to the health disparities faced by this population. These inequalities often lead to delayed or inadequate healthcare, exacerbating health conditions and creating a cycle of poor health outcomes.

4. What impact does this under-served population have on the healthcare delivery systems in your area?

The presence of a sizable homeless population in Florida may strain local healthcare delivery systems, particularly emergency services, leading to higher healthcare costs. The frequent use of emergency departments for non-emergency conditions, lack of preventive care, and the high prevalence of chronic illnesses can overburden healthcare facilities, impacting the quality and cost of care.

5. How might this affect nursing practice?

The unique health and social needs of the homeless population in Florida may necessitate specialized training for nurses to foster a more holistic, empathetic, and effective approach to care. The understanding and addressing of the complex social determinants of health, including housing instability, will likely require multidisciplinary approaches and collaborations between healthcare providers, social workers, and community organizations to improve health outcomes for the homeless population.

References

Broward Palm Beach New Times. (n.d.). Fort Lauderdale Gives Homeless Free Bus Tickets Out of Town. Retrieved from Broward Palm Beach New Times

FindLaw. (n.d.). FL Homeless Get One-Way Bus Tickets. Retrieved from FindLaw

Florida Health CHARTS. (2022). Homeless Estimate, Single Year Alachua Florida. Florida Department of Health. Retrieved from Florida Health CHARTS

Florida Housing Coalition. (2022). Home Matters Florida 2022. Retrieved from Florida Housing Coalition

Florida Phoenix. (n.d.). High mortality rate of homeless highlighted in new report. Retrieved from Florida Phoenix

Florida Times-Union. (2023). Volunteers needed for 'critical' 2023 homeless. Retrieved from Florida Times-Union

Homeless Voice. (2022). Why Florida Could See a Spike in Homelessness in 2023. Retrieved from Homeless Voice

Homeless Voice. (n.d.). Florida De-Emphasizes Effects of Mental Health and Substance Abuse. Retrieved from Homeless Voice

Homeless Voice. (n.d.). The Policies and Laws of Florida Cities. Retrieved from Homeless Voice

The Center Square. (2022). How Florida’s Homelessness Problem Compares to the Nation. Retrieved from The Center Square

U.S. Department of Housing and Urban Development (HUD). (n.d.). Homeless Information: Florida. Retrieved from HUD

U.S. Department of the Treasury. (n.d.). Culturally and Linguistically Competent Outreach. Retrieved from U.S. Department of the Treasury

WUSF. (n.d.). Pinellas County community group calls high number of homeless youth. Retrieved from WUSF