Discuss the health problems and health service issues associated with homelessness THE ESSAY SHOULD Include THE BELOW SUBHEADING 1 Health needs assessment 2 Global Health and Health Inequalities 3 Global health and health inequalities 4 Public health and health promotion. 5 Community empowerment 6 Health policy 7 Politics and ideology 8 Some key public health documents Spectrum of housing need Problem of a settings approach Hard to reach groups Housing as a determinant of health homelessness is a major public health problem The homeless are not a homogenous group. official and the unofficially homeless Homelessness is associated with increased risk of physical ill health Remember that this is not an homogenous group A wide range of mental health problems are common in the homeless As above Health problems might lead to homelessness Organisation of health services around the homeless. Many are not registered with a GP and there are other barriers to accessing care such as the previous experience of negative attitudes. Health service provision needs to be coordinated with the work of other agencies. Need for specialist services with specially trained staff. Homeless may have pressing survival and social needs and not prioritize their health needs Social exclusion and stigma