Abstract
More than two million people experience homelessness annually in the United States, with point-in-time estimates indicating the presence of greater than 500,000 homeless individuals nationwide in a single night in January 2014. Despite these numbers, homeless individuals struggle every day under the weight of anti-homeless stigma and oppression that render them seemingly invisible yet vulnerable to acts of violence, restrictions on the activities related to homelessness, sexual assault, exploitation, and human trafficking. This stigma, reflected in general society, city legislation, law enforcement, and even the health care system, dramatically decreases the quality of life of homeless individuals and further marginalizes a population that already struggles with meeting the basic human needs of food, clothing, and shelter. These anti-homeless sentiments date back centuries in America to before the birth of the nation, and vestiges of historical anti-homeless ideologies dating back to colonial times can be found in modern iterations of legislation and societal attitudes toward individuals experiencing homelessness today. Individuals experiencing homelessness are three to four times more likely to die prematurely than the general population, reflecting marked disparities in health outcomes for this population compared to the general population. Eliminating stigmatization of homeless individuals will require multi-disciplinary, concerted efforts involving the legislative, social services, law enforcement, and health care fields.
Keywords
- Homelessness
- Stigma
- Prejudice
- Discrimination
- Health care
This is a preview of subscription content, access via your institution.
Buying options
References
Burt M, Aron L, Lee E, Valente J. How many homeless people are there? Helping America’s homeless: emergency shelter or affordable housing? Washington DC: Urban Institute; 2001. p. 23–54.
Henry M, Cortes A, Shivji A, Buck K. The 2014 annual homeless assessment report to congress. Office of Community Planning and Development. Washington DC: U.S. Department of Housing and Urban Development; 2014.
The McKinney-Vento Homeless Assistance Act. General definition of homeless individual. 42 U.S. Code § 11302; 2009.
Kuhn R, Culhane D. Applying cluster analysis to test a typology of homelessness by pattern of shelter utilization: results from the analysis of administrative data. Am J Community Psychol. 1998;26(2):207–32.
Kusmer K. Down & out, on the road. Oxford: Oxford University Press; 2002.
Bls.gov. Overview of BLS statistics on unemployment. [Internet]. 2015 [Cited 8 Feb 2015]. Available from: http://www.bls.gov/bls/unemployment.htm.
Arnold A, Crowley S, Bravve E, Brundage S, Biddlecombe C. Out of reach 2014. [Internet]. National Low Income Housing Coalition. 2014.
National Coalition for the Homeless. Who is homeless? Fact Sheet. [Internet]. 2009. Available from: http://www.nationalhomeless.org.
The National Center on Family Homelessness at the American Institutes for Research. America’s youngest outcasts: a report card on child homelessness. Waltham; 2014.
The National Law Center on Homelessness and Poverty and the National Coalition for the Homeless. Homes not handcuffs: the criminalization of homelessness in U.S. Cities. 2009.
National Coalition for the Homeless. Share no more: the criminalization of efforts to feed people in need. Washington, D.C: National Coalition for the Homeless; 2014.
Webster R. Homeless given 3 days to leave encampment under Pontchartrain expressway. The Times-Picayune. [Internet]. 2014 [Cited 8 Feb 2015]. Available from: http://www.nola.com/politics/index.ssf/2014/08/homeless_given_3_days_to_leave.html.
National Coalition for the Homeless. Vulnerable to hate: a survey of hate crimes & violence committed against homeless people in 2013. Washington, D.C: National Coalition for the Homeless; 2014.
Martin D. Experiences of homeless people in the health care delivery system: a Descriptive Phenomenological Study. Public Health Nurs. 2008;25(5):420–30.
McCormack R, Hoffman L, Norman M, Goldfrank L, Norman E. Voices of homeless alcoholics who frequent Bellevue hospital: a qualitative study. Ann Emerg Med. 2015;65(2):178–186.e6.
Wen C, Hudak P, Hwang S. Homeless people’s perceptions of welcomeness and unwelcomeness in healthcare encounters. J Gen Intern Med. 2007;22(7):1011–7.
Hwang S, O’Connell J, Lebow J, Bierer M, Orav E, Brennan T. Health care utilization among homeless adults prior to death. J Health Care Poor Underserved. 2001;12(1):50–8.
Baggett T, O’Connell J, Singer D, Rigotti N. The unmet health care needs of homeless adults: a National Study. Am J Public Health. 2010;100(7):1326–33.
O’Connell J. Premature mortality in homeless populations: a review of the literature. Nashville: National Health Care for the Homeless Council, Inc.; 2005.
Hibbs J, Benner L, Klugman L, Spencer R, Macchia I, Mellinger A, et al. Mortality in a cohort of homeless adults in Philadelphia. New England J Med. 1994;331(5):304–9.
Barrow S, Herman D, Córdova P, Struening E. Mortality among homeless shelter residents in New York City. Am J Public Health. 1999;89(4):529–34.
Hwang S, Lebow J, Bierer M, O’Connell J, Orav E, Brennan T. Risk factors for death in homeless adults in Boston. Arch Intern Med. 1998;158(13):1454–60.
Baggett T, Hwang S, O’Connell J, Porneala B, Stringfellow E, Orav E, et al. Mortality among homeless adults in Boston: shifts in causes of death over a 15-year period. JAMA Int Med. 2013;173(3):189–95.
Baggett T, Chang Y, Singer D, Porneala B, Gaeta J, O’Connell J, et al. Tobacco-, alcohol-, and drug-attributable deaths and their contribution to mortality disparities in a cohort of homeless adults in Boston. Am J Public Health. 2015;105(6):1189–97.
O’Connell JJ. Stories from the shadows: reflections of a street doctor. Boston: BHCHP Press; 2015.
Kertesz S, Holt C, Steward J, Jones R, Roth D, Stringfellow E, et al. Comparing homeless persons’ care experiences in tailored versus nontailored primary care programs. Am J Public Health. 2013;103(S2):S331–9.
King Jr T, Wheele M, Wheeler M. Medical management of vulnerable and underserved patients: principles, practice, and populations. New York: McGraw-Hill Medical Publishing Division; 2007.
O’Connell J, Oppenheimer S, Judge C, Taube R, Blanchfield B, Swain S, et al. The Boston health care for the homeless program: a public health framework. Am J Public Health. 2010;100(8):1400–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
De Las Nueces, D. (2016). Stigma and Prejudice Against Individuals Experiencing Homelessness. In: Parekh, R., Childs, E. (eds) Stigma and Prejudice. Current Clinical Psychiatry. Humana Press, Cham. https://doi.org/10.1007/978-3-319-27580-2_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-27580-2_5
Published:
Publisher Name: Humana Press, Cham
Print ISBN: 978-3-319-27578-9
Online ISBN: 978-3-319-27580-2
eBook Packages: MedicineMedicine (R0)