Homelessness, Social Exclusion and Health: Global Perspectives, Local Solutions (27)

In a globalised world, the wealthy elite and the rough sleeper negotiate the same streets, jostling for space in the doorways of shops selling luxury goods, thus the winners and losers of global capitalism meet in the same urban spaces. While the visibility of rough sleepers has become a shorthand to frame poverty and inequality, homelessness is not confined to the doorways of cities. It is experienced in a multitude of different ways: as single homeless people living in hostels, shelters and temporary supported accommodation, as those ‘sofa-surfing’ and living in overcrowded accommodation and as those who are termed ‘statutory homeless’, waiting for a house from a social housing provider.
Homelessness is recognised as a multi-dimensional phenomenon. The issue of homelessness and social exclusion has received increasing attention in the wider arena of health and social care policy and practice, the issue of homelessness and health has been the focus of recent Public Health attention in Scotland. Positioned within a health inequalities framework, homelessness is understood to be ‘both a consequence and a cause of poverty, social and health inequality’. Homeless people experience poorer physical and mental health than the general population and present a higher prevalence of physical, mental and substance misuse issues.
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