Some Words about Homelessness

Homelessness is the condition and social category of people who lack housing, because they cannot afford, or are otherwise unable to maintain, regular, safe, and adequate shelter. The term "homelessness" may also include people whose primary nighttime residence is in a homeless shelter, in an institution that provides a temporary residence for individuals intended to be institutionalized, or in a public or private place not designed for use as a regular sleeping accommodation for human beings.A small number of people choose to be homeless nomads, such as some Romani people (Gypsies) and members of some subcultures.An estimated 100 million people worldwide are homeless.

The United States Department of Housing and Urban Development (HUD) defines a "chronically homeless" person as "an unaccompanied homeless individual with a disabling condition who has either been continuously homeless for a year or more, or has had at least four episodes of homelessness in the past three years

The term "homelessness" includes the people whose primary daytime residence is in an institution that provides a residence for individuals intended to be institutionalized, or in a public or private place not designed for use as a regular sleeping conditions for human beings.

Other names for homelessness

The term used to describe homeless people in academic articles and government reports is "homeless people". Popular slang terms for the homeless include: vagrant, tramp, hobo (U.S.), transient, bum (U.S.), bagman/bagwoman, street walker, urban outdoorsmen , or the wandering poor. The term '(of) No Fixed Abode' (NFA) is used in legal circumstances. Sometimes the term "houseless" is used to reflect a more accurate condition in some cases.

The major reasons and lack of causes for homelessness as documented by many reports and studies include:

• Lack of affordable housing.
• Unavailability of employment opportunities.
• Poverty, caused by many factors including unemployment and underemployment.
• Lack of affordable healthcare.
• Substance abuse and unavailability or lack of needed services.
• Mental illness, such as and unavailability or lack of needed mental health services.
• Domestic violence.
• Prison release and re-entry into society.
• The mass deinstitutionalisation of the mentally ill in the Western world from the 1960s and 1970s onwards.
• Natural disaster.
• Forced eviction - In many countries, people lose their homes by government order to make way for newer upscale high rise buildings, roadways, and other governmental needs. The compensation may be minimal, in which case the former occupants cannot find appropriate new housing and become homeless.
• Mortgage foreclosures where mortgage holders see the best solution to a loan default is to take and sell the house to pay off the debt. The popular press made an issue of this in 2008; the real magnitude of the problem is undocumented.

A substantial percentage of the U.S. homeless population are individuals who are chronically unemployed or have difficulty managing their lives effectively due to prolonged and severe drug and/or alcohol abuse. Substance abuse can cause homelessness from behavioral patterns associated with addiction that alienate an addicted individual's family and friends who could otherwise provide support during difficult economic times.

Increased wealth disparity and income inequality causes distortions in the housing market that push rent burdens higher, making housing unaffordable.

Problems faced by homeless people

Homeless people face many problems beyond the lack of a safe and suitable home. They are often faced with many social disadvantages and reduced access to private and public services such as:

• Reduced access to health care.
• Limited access to education.
• Increased risk of suffering from violence and abuse.
• General discrimination from other people.
• Not being seen as suitable for employment.
• Reduced access to banking services to save money.
• Reduced access to communications technology, such as telephones and the internet.

Violent crimes against the homeless

There have been many violent crimes committed against the homeless. A recent study in 2007 found that this number is increasing.

Assistance and resources available to the homeless

Most countries provide a variety of services to assist homeless people. They often provide food, shelter and clothing and may be organised and run by community organisations (often with the help or volunteers) or by government departments. These programs may be supported by government, charities, churches and individual donors.

Income sources

Many non-profit organizations such as Goodwill Industries maintain a mission to "provide skill development and work opportunities to people with barriers to employment", though most of these organizations are not primarily geared toward homeless individuals. Many cities also have street newspapers or magazines: publications designed to provide employment opportunity to homeless people or others in need by street sale.

While some homeless have paying jobs, some must seek other methods to make money. Begging or panhandling is one option, but is becoming increasingly illegal in many cities. Despite the stereotype, not all homeless people panhandle, and not all panhandlers are homeless. Another option is busking: performing tricks, playing music, drawing on the sidewalk, or offering some other form of entertainment in exchange for donations. In cities where plasmapheresis centers still exist, homeless people may generate income through frequent visits to these centers.

Homeless people have been known to commit crimes just to be sent to jail or prison for food and shelter. In police slang, this is called "three hots and a cot" referring to the three hot daily meals and a cot to sleep on given to prisoners. Similarly a homeless person may approach a hospital's emergency department and fake physical or mental illness in order to receive food and shelter.^{[citation needed]}

Invented in 2005, in Seattle, Bumvertising, an informal system of hiring the homeless to advertise by a young entrepreneur, is providing food, money, and bottles of water to sign-holding homeless in the Northwest. Homeless advocates accuse the founder, Ben Rogovy, and the process, of exploiting the poor and take particular offense to the use of the word "bum" which is generally considered pejorative.

Australia

In Australia the Supported Accommodation Assistance Program (SAAP) is a joint Commonwealth and state government program which provides funding for more than 1,200 organisations which are aimed to assist homeless people or those in danger of becoming homeless, as well as women and children escaping domestic violence . They provide accommodation such as refuges, shelters and half-way houses, and offer a range of supported services. The Commonwealth has assigned over $800 million between 2000-2005 for the continuation of SAAP. The current program, governed by the Supported Assistance Act 1994, specifies that "the overall aim of SAAP is to provide transitional supported accommodation and related support services, in order to help people who are homeless to achieve the maximum possible degree of self-reliance and independence. This legislation has been established to help the homeless people of the nation and help rebuild the lives of those in need, the joining of the states also helps enhance the meaning of the legislation and demonstrates the collaboration of the states and their desire to improve the nation as best they can.

United States

Housing First is an initiative to help the homeless get re-integrated into society, and out of homeless shelters. It was initiated by the federal government's Interagency Council on Homelessness. It asks cities to come up with a plan to end chronic homelessness. In this direction, there is the belief that if homeless people are given independent housing to start off with, with some proper social supports, then there would be no need for emergency homeless shelters, which it considers a good outcome. However this is a controversial position.

In Boston, Massachusetts, in September 2007, an outreach to the homeless was initiated in the Boston Common, after some arrests and shootings, and in anticipation of the cold winter ahead. This outreach targets homeless people who would normally spend their sleeping time on the Boston Common, and tries to get them into housing, trying to skip the step of an emergency shelter. Applications for Boston Housing Authority were being handed out and filled out and submitted. This is an attempt to enact by outreach the Housing First initiative, federally mandated. Boston's Mayor, Thomas Menino, was quoted as saying "The solution to homelessness is permanent housing". Still, this is a very controversial strategy, especially if the people are not able to sustain a house with proper community, health, substance counseling, and mental health supportive programs.

Refuges for the homeless

There are many places where a homeless person might seek refuge.

• Outdoors: On the ground or in a sleeping bag, tent, or improvised shelter, such as a large cardboard box, in a park or vacant lot.
• Shantytowns: Ad hoc campsites of improvised shelters and shacks, usually near rail yards, interstates and high transportation veins.
• Derelict structures: abandoned or condemned buildings
• Squatting in an unoccupied house where a homeless person may live without payment and without the owners knowledge or permission.
• Vehicles: cars or trucks are used as a temporary or sometimes long-term living refuge, for example by those recently evicted from a home. Some people live in vans, sport utility vehicles, covered pick-up trucks, station wagons, sedans, or hatchbacks.
• Public places: Parks, bus or train stations, airports, public transportation vehicles (by continual riding where unlimited passes are available), hospital lobbies or waiting areas, college campuses, and 24-hour businesses such as coffee shops. Many public places use security guards or police to prevent people from loitering or sleeping at these locations for a variety of reasons, including image, safety, and comfort.
• Homeless shelters: such as emergency cold-weather shelters opened by churches or community agencies, which may consist of cots in a heated warehouse, or temporary Christmas Shelters.
• Inexpensive Boarding houses: Also called flophouses, they offer cheap, low-quality temporary lodging.
• Residential hotels, where a bed as opposed to an entire room can be rented cheaply in a dorm-like environment.
• Inexpensive motels also offer cheap, low-quality temporary lodging. However, some who can afford housing live in a motel by choice. For example, David and Jean Davidson spent 22 years at a UK Travelodge.
• 24-hour Internet cafes are now used by over 5,000 Japanese "Net cafe refugees". An estimated 75% of Japan's 3,200 all-night internet cafes cater to regular overnight guests, who in some cases have become their main source of income.
• Friends or family: Temporarily sleeping in dwellings of friends or family members ("couch surfing"). Couch surfers may be harder to recognize than street homeless people
• Underground tunnels such as abandoned subway, maintenance, or train tunnels are popular among the permanent homeless. The inhabitants of such refuges are called in some places, like New York City, "Mole People". Natural caves beneath urban centers allow for places where the homeless can congregate. Leaking water pipes, electric wires, and steam pipes allow for some of the essentials of living.

Health care for the homeless

Health care for the homeless is a major public health challenge.

Homeless people are more likely to suffer injuries and medical problems from their lifestyle on the street, which includes poor nutrition, substance abuse, exposure to the severe elements of weather, and a higher exposure to violence (robberies, beatings, and so on). Yet at the same time, they have little access to public medical services or clinics. This is a particular problem in the US where many people lack health insurance: "Each year, millions of people in the United States experience homelessness and are in desperate need of health care services. Most do not have health insurance of any sort, and none have cash to pay for medical care."

Homeless persons often find it difficult to document their date of birth or their address. Because homeless people usually have no place to store possessions, they often lose their belongings, including their identification and other documents, or find them destroyed by police or others. Without a photo ID, homeless persons cannot get a job or access many social services. They can be denied access to even the most basic assistance: clothing closets, food pantries, certain public benefits, and in some cases, emergency shelters.

Obtaining replacement identification is difficult. Without an address, birth certificates cannot be mailed. Fees may be cost-prohibitive for impoverished persons. And some states will not issue birth certificates unless the person has photo identification, creating a Catch-22.

This problem is far less acute in countries which provide free-at-use health care, such as the UK, where hospitals are open-access day and night, and make no charges for treatment. In the US, free-care clinics, especially for the homeless do exist in major cities, but they are usually over-burdened with patients.

The conditions affecting the homeless are somewhat specialized and have opened a new area of medicine tailored to this population. Skin conditions and diseases abound, because homeless people are exposed to extreme cold in the winter and they have little access to bathing facilities. Homeless people also have more severe dental problems than the general population. Specialized medical textbooks have been written to address this for providers.

There are many organizations providing free care to the homeless in countries which do not offer free medical treatment organised by the state, but the services are in great demand given the limited number of medical practitioners. For example, it might take months to get a minimal dental appointment in a free-care clinic. Communicable diseases are of great concern, especially tuberculosis, which spreads more easily in crowded homeless shelters in high density urban settings.

In 1999, Dr. Susan Barrow of the Columbia University Center for Homelessness Prevention Studies reported in a study that the "age-adjusted death rates of homeless men and women were 4 times those of the general US population and 2 to 3 times those of the general population of New York City".

A proposed solution to homelessness

In 2007 urban designer and social theorist Michael E. Arth proposed a controversial national solution for homelessness that would involve building nearly carfree Pedestrian Villages in place of what he terms "the current band-aid approach to the problem."^[48] A prototype, Tiger Bay Village, was proposed for near Daytona Beach, FL. He claims that this would be superior for treating the psychological as well as psychiatric needs of both temporarily and permanently homeless adults, and would cost less than the current approach. It would also provide a lower cost alternative to jail, and provide a half-way station for those getting out of prison. Work opportunities, including construction and maintenance of the villages, as well as the creation of work force agencies would help make the villages financially and socially viable. ^[49][50][51]

International law and homelessness

Since the publication of the Universal Declaration of Human Rights (Charter of the United Nations -- UN) in 1948, the public perception has been increasingly changing to a focus on the human right of housing, travel and migration as a part of individual self-determination rather than the human condition. The Declaration, an international law reinforcement of the Nuremberg Trial Judgements, upholds the rights of one nation to intervene in the affairs of another if said nation is abusing its citizens, and rose out of a 1939-1945 World War II Atlantic environment of extreme split between "haves" and "have nots." The modern study of homeless phenomena is most frequently seen in this historical context.

Homelessness in specific countries

Main articles: Homelessness in the United States, Homelessness in Canada, Homelessness in Australia, and Homelessness in the United Kingdom

Statistics for developed countries

In 2005, an estimated 100 million people worldwide were homeless.

The following statistics indicate the approximate average number of homeless people at any one time. Each country has a different approach to counting homeless people, and estimates of homelessness made by different organizations vary wildly, so comparisons should be made with caution.

European Union: 3,000,000 (UN-HABITAT 2004)

United Kingdom: 10,459 rough sleepers, 98,750 households in temporary accommodation (Department for Communities and Local Government 2005)

Canada: 150,000 (National Homelessness Initiative - Government of Canada)

Australia: In total, 99,900 people were homeless in 2001

14,200 sleeping rough (In improvised dwellings or tents, or in streets, parks, cars or derelict buildings). 14,300 in emergency or transitional housing. 48,600 were defined as homeless because they were staying with another household and had no usual residence. Finally, 22,900 people living in boarding houses were included in the homeless count. (ABS: 2001 Census)

United States: According to HUD's July 2008 3rd Homeless Assessment Report to Congress, in a single night in January 2007, single point analysis reported to HUD showed there were 671,888 sheltered and unsheltered homeless persons nationwide in the United States.^[55]. Also, HUD reported the number of chronically homeless people (those with repeated episodes or who have been homeless for long periods, 2007 data) as 123,833.^[55] 82% of the homeless are not chronically homeless, and 18% are (6% Chronically Homeless Sheltered, 12% Chronically Homeless Unsheltered). Their Estimate of Sheltered Homeless Persons during a One-Year Period, October 2006 to September 2007, that about 1,589,000 persons used an emergency shelter and/or transitional housing during the 12-month period, which is about 1 in every 200 persons in the United States was in a homeless facility in that time period. Individuals accounted for 1,115,054 or 70.2% and families numbered 473,541 or 29.8%. The number of persons in sheltered households with Children was about 130,968.

Japan: 20,000-100,000 (some figures put it at 200,000-400,000) Reports show that homelessness is on the rise in Japan since the mid-1990s.

Developing and undeveloped countries

The number of homeless people worldwide has grown steadily in recent years. In some Third World nations such as India, Nigeria, and South Africa, homelessness is rampant, with millions of children living and working on the streets. Homelessness has become a problem in the countries of China, Thailand, Indonesia, and the Philippines despite their growing prosperity, mainly due to migrant workers who have trouble finding permanent homes and to rising income inequality between social classes.

For people in Russia, especially the youth, alcoholism and substance abuse is a major cause and reason for becoming and continuing to be homeless.