2. Chapter 18 Promoting Healthy Partnerships With Marginalized Groups Part 2 Community as Partner 1

3. Demographics of Homelessness  40% are families with children  41% are single men  14% are single women  5% are unaccompanied youth 2

4. Trends in Homelessness, 2002- 2003  14% increase in requests for emergency food assistance  6% increase in emergency shelter requests (7% for families) 3

5. Common “Last Straws” Leading to Homelessness  Health-related illness (34%)  Domestic violence (31%)  Loss of employment (23%)  Unknown (12%) 4

6. Primary Prevention Strategies  Emergency financial assistance  Legal assistance  Financial advisement  Relocation programs 5

7. Secondary Prevention Strategies  Identify needs  Assess and evaluate community resources  Transitional housing  Help with medication and treatment regimens 6

8. Question 2  Secondary prevention focuses on people who no longer have stable housing. It is helpful to categorize their needs by listing all but which of the following? a. Housing needs b. Health care c. Employment needs d. Religious freedom 7

9. Answer 2  Answer: d  Secondary prevention focuses on people who no longer have stable housing. Begin by listing all their perceived needs. It is helpful to categorize needs as housing needs, health care, or employment. Health care needs must be addressed first. 8

10. Topics for Positive Parenting Sessions  Advantages of breast feeding  Normal behaviors for developmental ages  Behaviors that indicate a child is ill  Normal height and weight for age  Nonviolent ways to discipline  Healthy, low-cost food choices 9

11. Organizing a Health Fair in a Homeless Shelter  Contact shelter administrator  Set date well in advance  Decide what health promotion areas to cover  Invite identified organizations to participate  Solicit prizes from local merchants 10

12. School Enrollment Barriers for Homeless Children  Transportation  Lack of immunizations/medical records  Lack of previous school records  Guardianship/residency issues  School fees 11

13. Points to Consider in Designing a Sexual Health Program for Homeless Teens  Conduct focus groups to allow teens to have input  Establish trust with respectful and nonjudgmental attitude  Maintain confidentiality and privacy  Use small media, such as brochures  Don’t narrowly focus on HIV 12

14. Health Promotion Strategies for Those Exiting Homelessness  Coordination of services  Continuity of care  Case management services  Transportation issues  Job training  Child care issues 13

15. Legislative Agenda for the Homeless  Housing  Benefits  Income  Protected class status  Homeless veterans  Youth 14

16. Question 3  Public health nurses working in the community lobbying for changes in legislation that can prevent homelessness is considered: a. Primary prevention b. Community avocation c. Tertiary prevention d. Secondary prevention e. Political advocacy 15

17. Answer 3  Answer: a  Public health nurses working in the community can lobby for changes in legislation that can prevent homelessness at the primary prevention level. 16

18. Resources Text and associated power points were utilized from: – Anderson, E. & McFarlane, J. (2011). Community as partner: Theory and practice in nursing, 6 th Edition. Philadelphia: Lippincott, Williams & Wilkins. 17