Homelessness and Healthcare in Chester County

A photo of a nurse in scrubs tying a facial mask onto her face in a hospital with the title of the blog featured in text overlay.

Homelessness itself is a serious health condition. According to the National Health Care for the Homeless Council, people who are homeless have higher rates of illness and die on average 12 years sooner than the general U.S. population. Individuals without stable housing are also more likely to suffer from chronic illnesses, mental health issues, and substance abuse disorders. An injury or illness can quickly turn into homelessness when you account for the loss of employment that comes with being ill, the unhealthy living conditions that exacerbate any health issues, and the lack of access to healthcare. 

From Injury to Homelessness
Illness and injuries are a major cause of homelessness. Initially, a health condition can lead to employment issues due to frequent absences, depletion of sick leave, and an inability to maintain a regular work schedule. This is particularly apparent in physically demanding, labor-intensive industries such as construction or manufacturing, where an injury may make it impossible to continue to work. The resulting job loss creates a vicious cycle: without income, paying for necessary healthcare becomes impossible, preventing recovery and reemployment.  Savings deplete quickly, and relying on family and friends for support is often a short-term solution, leading to housing instability or homelessness. 

The Impact of Unhealthy Living Conditions

The absence of essential resources like clean water and sanitation creates a vicious cycle where poor health both causes and results from homelessness. Living on the streets or in crowded shelters is extremely stressful, increasing exposure to communicable diseases, violence, and malnutrition. Homeless individuals have exposure to harsh elements such as extreme heat, rain, and snow, among other elements, making it impossible to recover from illness. Managing chronic diseases and healing from infections or injuries becomes incredibly challenging without a stable place to live, especially without access to regular medications or if medications are lost or stolen on the streets. These conditions underscore the urgent need for stable housing as a foundation for effective healthcare.

Barriers to Healthcare Due to Medical Costs

Many individuals face barriers such as high medical costs, transportation issues, and limited availability of services. Patients without housing are more likely to be admitted to hospitals several times for the same condition, and when admitted tend to stay 2.3 days longer. As a result, healthcare costs multiply for homeless individuals.  

What We’re Doing to Help

The Chester County Partnership to End Homelessness has supported partners in increasing the availability of affordable housing units and in offering various support services, including the Eviction Prevention Case Resolution program and emergency rental assistance. These programs aim to provide immediate relief and long-term stability for those at risk of homelessness. However, while the latest Point-In-Time Count shows an overall decrease in homelessness, the latest Continuum of Care System Performance Data highlights a concerning increase in the average length of stay in emergency by 61% from 103 days in 2022 to 128 days in 2023 due to continued inflation, the high cost of housing, fewer openings in the rapid rehousing programs, and fewer vouchers issued through the Housing Choice Voucher Program. Crucial programs have also faced funding cuts, further straining the system.

How You Can Help

To support the Chester County Partnership to End Homelessness and make a tangible impact, please consider giving to the Partnership’s Fund. Your contributions help provide essential services and support to those in need.

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Youth Experiencing Homelessness and Education

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Annual Point-In-Time count shows decrease in homelessness in Chester County