Crane M, Warnes A M
Sheffield Institute for Studies on Ageing, University of Sheffield, Community Sciences Centre, Northern General Hospital, Sheffield S5 7AU, UK.
Health Soc Care Community. 2001 Nov;9(6):436-44. doi: 10.1046/j.0966-0410.2001.00327.x.
This paper examines the reasons why in contemporary Britain many single homeless people with severe physical and mental health problems and welfare needs do not receive the treatment, care and financial support that they manifestly need, and in particular considers the interaction between their personal characteristics and the organisation and the obligations of services. Homelessness is a complex concept associated with problems of housing, health, social care and income. The greatest weaknesses of the service system are that no single agency has a statutory responsibility to ensure that vulnerable homeless people are served, and none of the generalist welfare agencies have a duty to seek out those who do not present. As a result, single homeless people fall between the housing, health and social services and amass exceptional unmet needs. The paper appraises the approaches to single homeless people's problems that have recently been introduced by the Rough Sleepers' Unit (RSU), and discusses the ways in which current reforms of the welfare services may impact on the situation of homeless people. With the possibility that the RSU's prime responsibility for commissioning single homeless people's services will transfer to local authorities in 2002, the paper concludes by specifying the implications for voluntary and statutory providers and makes recommendations about the attribution of the responsibility to care for this vulnerable group.
本文探讨了在当代英国,为何许多有严重身心健康问题和福利需求的单身无家可归者得不到他们显然需要的治疗、护理和经济支持,尤其考虑了他们的个人特征与服务机构的组织及义务之间的相互作用。无家可归是一个与住房、健康、社会护理和收入问题相关的复杂概念。服务体系最大的弱点在于,没有一个单一机构负有法定责任来确保为弱势无家可归者提供服务,而且没有一个综合福利机构有义务去寻找那些没有主动求助的人。结果,单身无家可归者处于住房、健康和社会服务之间的空白地带,积累了大量未得到满足的特殊需求。本文评估了露宿者救助小组(RSU)最近针对单身无家可归者问题所采取的方法,并讨论了当前福利服务改革可能对无家可归者状况产生影响的方式。鉴于2002年RSU委托提供单身无家可归者服务的主要职责可能会移交给地方当局,本文最后明确了对志愿机构和法定机构的影响,并就照顾这一弱势群体的责任归属提出了建议。