Closing the Gap: Improving Health Equity

Closing the Gap: Improving Health Equity for Atlanta’s Homeless

The homeless community in Southwest Atlanta faces enormous health disparities compared to the general population. You may not realize the scale of the problem in your own backyard. Over 3,000 people in Atlanta are homeless on any given night, struggling with lack of healthcare, food insecurity, unsafe living conditions, and health issues that often go unaddressed. The statistics are sobering. Average life expectancy for a homeless person is decades shorter. Chronic health conditions like diabetes and heart disease are far more common, as are infectious diseases, mental health issues, and substance abuse disorders. The healthcare system has failed our most vulnerable populations for too long. It's time to close the gap and make health equity a reality for Atlanta's homeless.

Understanding Health Disparities Facing Atlanta's Homeless

Many of us take having health insurance and access to healthcare for granted. For Atlanta's homeless population, health disparities and lack of access are harsh realities.

Facing Barriers to Healthcare

Atlanta has over 3,000 homeless individuals, many struggling with physical and mental health issues. However, they often can’t get medical care. Homeless individuals face barriers like:

  • Lack of health insurance. Most homeless people can’t afford private insurance and don’t qualify for Medicaid.
  • Difficulty accessing resources. Homeless individuals may not know where to go for medical care or how to arrange transportation and time off work. Some homeless shelters and clinics provide resources, but more outreach is needed.
  • Mental health and addiction issues. A large portion of Atlanta’s homeless population suffers from mental health conditions, substance abuse disorders, or both. They require treatment and support services beyond just temporary housing or healthcare.
  • Distrust in the system. Some homeless individuals are wary of seeking medical care due to past negative experiences, perceived judgment from healthcare workers, or not understanding their rights and options. Building trust and compassion are key.

Improving health equity requires addressing disparities in healthcare access, expanding Medicaid, increasing funding for homeless services, and building a system that treats all people with dignity and respect. By understanding the barriers facing Atlanta’s homeless and taking action to remedy health inequities, we can work to close the gap.

Barriers to Healthcare Access for the Homeless

Healthcare can be hard to access for those without a permanent address. Many homeless individuals struggle with chronic health issues, yet face barriers preventing them from getting the care they need.

To start, homeless people often can’t make it to doctor’s offices or clinics. They may lack transportation or the means to take time off work if they are employed. We decided the solution was simple: bring the doctors to them. Our mobile health clinic visits areas where homeless individuals congregate, providing screenings, checkups, and referrals on the spot.

Homelessness also often means lacking health insurance. We accept patients regardless of ability to pay, and help enroll eligible individuals in other viable options available to them. For those still uninsured, we offer care at little to no cost.

Mental health issues and substance abuse problems are common in the homeless population. We have access to doctors and nurses who are trained to handle these situations sensitively, and connect people with additional resources. We also have access to counselors and social workers to help address non-medical challenges.

Many homeless struggle with basic hygiene and nutrition. We provide things like toothbrushes, soap, snacks and vitamins along with education on healthy habits. Small changes can make a big difference in well-being.

By delivering compassionate, comprehensive care where it’s needed most, we’re working to overcome obstacles and close the health equity gap for Atlanta’s homeless and underserved. Healthcare is a basic human right, and our mission is to serve those for whom it remains out of reach.

Innovative Programs Improving Health Equity

Several innovative programs in Atlanta are working to close the health equity gap for homeless individuals

Love Beyond Walls

Love Beyond Walls is an organization that exists to create a world where no one is invisible. In addition to job readiness courses, they provide food, clothing, and shelter to the homeless populations of Southwest Atlanta.

Healthcare for the Homeless

Healthcare for the Homeless provides access to integrated health care, housing, and social services. They offer services like medical and dental care, behavioral health counseling, vision services and more to over 100,000 homeless patients each year across Georgia.

Mercy Care

Mercy Care provides medical care, dental services, vision services, and behavioral health and substance abuse counseling for homeless individuals and families in Atlanta. They operate clinics throughout the city and also visit local shelters, soup kitchens and temporary housing to provide care. Mercy Care aims to eliminate barriers to health care for people experiencing homelessness.

Hope Atlanta

Hope Atlanta provides temporary and permanent housing, healthcare, education and job training programs for people experiencing homelessness in Atlanta. In addition to housing, they offer supportive services to help clients improve health, secure income and gain independence. Hope Atlanta's programs focus on helping vulnerable groups like youth, families, veterans and those with disabilities or mental health conditions.

Pathways Community Network

Pathways Community Network provides healthcare, housing and social services for homeless individuals struggling with addiction and mental health issues. They operate homeless shelters, transitional housing, outpatient clinics, and permanent supportive housing across Atlanta. Pathways aims to provide coordinated care that addresses both health and housing needs. Their programs include addiction treatment, job training, healthcare, and benefits assistance.

Innovative programs like these are helping to close the health equity gap for Atlanta’s homeless by providing access to high-quality integrated health care and social services. By addressing health, housing and other basic needs together, they are able to have the greatest impact on this vulnerable population.

How You Can Support Health Equity Efforts

There are several ways you can support efforts to improve health equity in Atlanta's homeless community.

Donate Supplies

Homeless shelters and outreach programs are always in need of essential supplies. Donate items like:

  • Blankets, sleeping bags, pillows
  • Toiletries: toothbrushes, toothpaste, soap, shampoo, deodorant
  • Feminine hygiene products
  • Diapers and baby wipes
  • Non-perishable food items: canned goods, granola bars, bottled water

Volunteer Your Time

Donate your time by volunteering at a local shelter or outreach program. Help serve meals, assist clients in accessing resources, help with administrative work, or organize donation drives. Many places need help year-round.

Advocate and Raise Awareness

Use your voice to advocate for the homeless community. Contact your political representatives and express support for affordable housing programs, healthcare initiatives, job training programs and other measures that can help lift people out of homelessness.

Raise awareness of the challenges of homelessness in your local community. Organize fundraising events, share information on social media, or write letters to the editor for local media outlets. Educate others about the systemic issues that contribute to homelessness and what they can do to help.

Donate Money

Monetary donations are always needed to help fund essential services. Donate to organizations like the National Health Care for the Homeless Program, Healthcare for the Homeless Network, and local homeless shelters and outreach programs in your area. Your financial gift, no matter the amount, can go a long way toward improving health equity and quality of life for Atlanta's homeless population.

Every action makes a difference. By coming together to support those in need, we can make meaningful progress toward establishing equal access to healthcare and opportunity for all members of our community.

Achieving Health Equity: Collaboration and Compassion

To achieve health equity for Atlanta’s homeless, collaboration and compassion are key. Healthcare providers, community organizations and local government must work together with empathy and understanding to serve this vulnerable population.

Partnerships That Serve

John’s Creek Pharmacy has partnered with Kaiser Permanente and Love Beyond Walls, a non-profit supporting Atlanta’s homeless, to bring wellness resources to those in need. By coming together, we can leverage each other’s expertise and connections to provide medical care, medications, and other necessities for people without shelter. These types of cooperative alliances are models for how to extend healthcare to disadvantaged groups throughout the city.

Meeting People Where They Are

Reaching the homeless requires meeting them where they live - on the streets, in camps, and in shelters. John’s Creek Pharmacy dispatches a mobile clinic to offer vaccinations, health screenings and hygiene products at locations where homeless individuals gather. They strive to eliminate barriers like lack of transportation that often prevent people from accessing healthcare. Programs should be convenient, low-cost or free, and walk-in ready so that those with unstable housing have every opportunity to improve their wellbeing.

A Caring, Non-Judgmental Approach

Perhaps most important is addressing homeless patients with compassion. Staff must be sensitive, patient and non-judgmental. Homeless individuals often face stigma and discrimination when trying to get healthcare and other services. Programs targeting this group should create a safe, welcoming environment where people feel heard, respected and supported. By focusing on the human being behind the homelessness, real progress can be made toward equity and justice.

Overall, achieving health equity for the homeless comes down to collaboration, outreach and above all else, compassion. With understanding and the willingness to meet people where they are, healthcare can successfully serve even the most vulnerable in our communities. Equity starts with empathy.

Humility is Healthy

To serve the homeless community with empathy and cultural humility, recognize that you likely come from a place of privilege to some degree. Check your assumptions and biases, and approach each person with an open mind and compassion.

Humility is a lifelong process of self-reflection and learning. Educate yourself on issues of poverty, mental health, addiction, and even racial inequity. Read, take a course, volunteer, or talk to those with lived experiences. The more you understand people's diverse circumstances, the better equipped you'll be to advocate and provide helpful resources.

Listen without judgment

Create space for people to share their stories and be truly heard. Make eye contact, give them your full attention, and listen without interruption. Be open to learning from them. Ask open-ended questions to better understand their experiences, while also respecting their privacy

See the whole person

Avoid labels and preconceptions. Each person has a complex, multi-faceted identity beyond their current circumstance. Recognize their inherent worth and dignity. Look for their strengths, skills, and humanity. Compliment them and help build confidence in their abilities.

Conclusion

So at the end of the day, there's clearly still much work to be done to provide quality healthcare for Atlanta's homeless population. But by taking steps to establish mobile clinics, improve access to mental health resources, and build trust within the community, real progress is being made. Healthcare is a basic human right, regardless of socioeconomic status, and these grassroots efforts are helping close the gap for some of the city's most vulnerable. You've seen the challenges, you've seen the solutions, now it's up to all of us to advocate for change and make our voices heard. Together, we can create a healthier, more equitable Atlanta for everyone. The time for action is now.