7 Community Assessment And Analysis Presentation

Homeless in AlaskaConcepts in Community and Public Health​NRS 427

Presented by:

Name……….

YouthVeteransFamiliesDomestic Violence VictimsDaniel

Make-up of the Homeless Community and Community Boundaries

People, Ethnic Background and Education Levels of the Homeless

Daniel

Geographic and Population

Alaska is the largest state in the U.STotal Population: 738,432 (2015 est). Anchorage is most populated with 298,192Anchorage  city limits span 1,961.1 square miles (5,079.2 km2)

Tobias

83.7%  of Anchorage residents speak English  at home.They share hunting, sport and fishing.Communal activities in Arts and MuseumsSurrounded by parks and Recreation activities

Social Interaction, Common Goals and Interests

Tobias

One of the coldest states in AmericaExcessive alcohol consumptionFewer shelters for homeless Opposition of communities to integrate homeless Fewer affordable housing.

Barriers and Challenges Within the Community

Chiquita Hicks

PovertyFood insecurityUnemploymentUnstable housingLimited resources for self-careExposure to crime/violenceLack of transportationLack of access to healthcareDiscriminationSchool drop-out ratesIncreased cost of living/development

Social Determinants of Health

Chiquita Hicks

Impaired Home MaintenanceWhen it comes to the homeless community, there is an inability to independently secure or maintain a safe, growth-promoting immediate environment related to poverty, unemployment and unfamiliarity with community resources.  

Use community resources to secure safe housingUse community resources to aide in health care needs when discharged from medical facilities

 Opportunity for Health Promotion

Chiquita Hicks

Value/Belief PatternØ Predominant ethnic and cultural groups along with beliefs related to healthØ Predominant spiritual beliefs in the community that may influence health

Health Perception/ManagementØ Prevention programs Ø Common referrals to outside agencies  Nutrition/Metabolic

Summary of the direct community assessment done by the group using the Functional Health Community Assessment Guide

Tobias

Summary of the direct community assessment done by the group using the Functional Health Community Assessment Guide

Elimination (environmental Health concerns)Coal ash”  coal combustion waste Common air contaminants’ impact on the community. . Noise   Activity/Exercise

 Sleep/RestFactors affecting sleep; Environment (noise, Crowding, etc.), Health issuesCognitive/PerceptualEducational levelsSelf-Perception/Self-ConceptCommunity history Pride indicators: Self-esteem or caring behaviors. 

Summary of the direct community assessment done by the group using the Functional Health Community Assessment Guide

Role/relationshipØ Interaction of community members (e.g., friendliness, openness,  prejudices, etc.)Coping/Stress:Ø Crime issues/indicatorsØ Poverty issues/indicatorsØ Stress management resources Ø  Crisis intervention plan

 1.5 million Americans rely on homeless programs for overnight shelter. (Popov, 2014)Homeless shelters provide: beds, clothing, access to running waterShelters are largely run by non-profits aiming to solve the problem, of living in places that were not meant for human habitation.Grants

Funding Sources Available to Assist the Homeless Community

Tiffany

Hundreds of homeless assistance programs in each state.www.Hudexchange.info gives list of assistance programs state-by-stateHome Again- Resource for emergency, transitional, and permeant housing for the homeless in Richmond, Virginia.

Partnerships or Programs That Assist the Homeless Community/ Resources

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Tiffany

Homeless affects people from different backgroundAlaska natives affected mostAlcohol abuse  much commonUnemployment a driving force1.5 million people lives in shelters  nationwideMost shelters  are operated by nonprofit organizationsHomelessness associated with poor health.

Describe the Overall Health of the Community

Daniel

High risk for acute and chronic illnessesMental illness is the most common health problemDifficult to find treatmentDifficulty managing chronic illness

Describe the Overall Health of the Community

Tiffany

Interview With Alexandra Draper LCSW

Alexandra Draper LCSW, Providence Health and ServicesBackground and EducationProfessional InteractionThe Homeless Population: Anchorage, Mat-Su BoroughForming Therapeutic Relationships With Clients Beliefs and ValuesServices Available to Undocumented Residents 

Lesa Andrews

Interview Summary

Health Prevention and Management Referrals Nutrition , food availability Environmental Concerns 

Ethnic and Religious Recognition​Health Perception, Promotion and Prevention​Resources for Pregnant Mothers​

Interview Summary 

Lesa Andrews

Activity ( safety, injuries, activities for children)​Sleep Rest (consumption of drugs, alcohol, caffeine)​How do you evaluate mental health​Self-PerceptionFears, bullying, prejudice, sex traffickingRelationship with law enforcement​

Reference

A. (2017, September 28). New York City’s runaway homeless youth deserve better services. Retrieved       from       https://cityandstateny.com/articles/opinion/new-york-city-runaway-homeless-youth-deserve-better-services.htmlAlaska Coalition on Housing and Homelessness (2018). Retrieved from https://www.alaskahousing-homeless.org/Alaska Department of Health and Social Services (2018). Social determinants of health. Retrieved from http://dhss.alaska.gov/dph/Epi/hia/Pages/sdh.aspxCatholic Social Services (2018). Medical care at brother francis shelter. Retrieved from https://www.cssalaska.org/our-programs/brother-francis-shelter/medical-care-brother-francis-shelterEaton, Daysha. (2013).Where are alaska’s homeless coming from. Retrieved from https://www.alaskapublic.org/2013/06/21/where-are-anchorages-homeless-coming-from/Healthy People 2020 (2018). Social determinants of health. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health?topicid=39HHS Office. (2016, May 19). Grants. Retrieved from                 tps://www.hhs.gov/programs/social-services/homelessness/grants/index.htmlHomeAgain – The Only Difference is a Key. (n.d.). Retrieved from http://homeagainrichmond.org/

Reference

Our homeless crisis. (2015, January 17). Retrieved May 10, 2018,      from http://www.oregonlive.com/portland-homeless/How Homeless Shelters Work. (n.d.). Retrieved from http://homelessadvice.com/how-homeless-       shelters-work.htmlInstitute of Medicine (US) Committee on Health Care for Homeless People. Homelessness, Health, and Human Needs. Washington (DC): National Academies Press (US); 1988. 3, Health Problems of Homeless People.Available from: https://www.ncbi.nlm.nih.gov/books/NBK218236/Shcrag, J. (2014 October 24). The social determinants of health: homelessness and unemployment. Retrieved from https://essentialhospitals.org/quality/the-social-determinants-of-health-homelessness-and-unemployment/Shelter Funding for Homeless Individuals and Families Brings Tradeoffs. (n.d.). Retrieved from https://poverty.ucdavis.edu/policy-brief/shelter-funding-homeless-individuals-and-families-brings-tradeoffsState of Alaska Homeless Population (2015) Retrieved from https://gov.alaska.gov/Walker_media/documents/20151217_state-of-alaska_homeless-info-sheet.pdfWelcome to HUD Exchange. (n.d.). Retrieved May 10, 2018, from https://www.hudexchange.info/