Covid-19 Coupled with Existing Financial and Housing Policy: Effects on Homelessness

Written by Sohini Bhattacharjee

Prior to the Covid-19 pandemic, homelessness in Spain was a constant and increasing challenge. The economic crisis of 2008 created a large income gap and contributed to high unemployment rates. While Spain has been gradually recovering from the crisis, as of 2022, the unemployment rate stands at 13.7%, which is more than double the average of Europe, while youth unemployment is at 30.6%. The effects of Covid-19 on the economic capabilities of the country as a whole but specifically the homeless population have been devastating. Covid-19 coupled with ineffective existing policy has made the issue of homelessness in Spain vastly overlooked. The aid of financial assistance policy and housing policy were not sufficient to aid homeless populations. In fact, the virus made the homeless population particularly vulnerable.

If people experiencing homelessness don’t get the empowerment-based support they need to get off the streets, they will die in the streets of the city they are living in, while receiving a never-ending supply of basic assistance that helps them survive to a certain extent instead of helping them thrive.
— Andrew Funk, Founding President of Homeless Entrepreneur

During March of 2020, there was a government-imposed lockdown in Spain that was deemed to be the best strategy to keep people safe. However, many people were forced to stay on the streets with even less resources than before. Day centers and soup kitchens closed gradually and more people found themselves challenged with homelessness. As the streets became eerily empty, the informal sector and panhandling died off as well.

Small firms even struggled to stay afloat. With limited financial, managerial and technological resources, responding to such a dire financial crisis was impossible and technological alternatives are inaccessible to those without the necessary equipment. Telework is not an option for many people.

Picture captured by Sohini Bhattacharjee of a local business that closed down

Because many homeless people accrue their only revenue from the informal sector or businesses that permanently closed, lockdowns terminated their only income stream. Walking through the streets of Barcelona, I witnessed various shops permanently closed and awaiting new owners or renters. Head of Madrid’s social emergency department, Dario Perez, spoke about hoping for the pandemic’s gradual slowing to return the informal sector back to some sort of normalcy.

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In May of 2020, the Spanish government approved a financial assistance plan for a minimum income scheme. The Social Security Ministry aimed to triple the existing number of families receiving some sort of minimum income through previously established schemes. However, according to a report by Caritas, a charity organization, 96.4% families that use aid from Caritas had not received financial aid after applying while 12.8% had their applications rejected. But there has also been a sizable contingent who never applied due to lack of information. According to the report, 67% said they did not have enough information to request financial aid.

Housing policy is another important governmental aspect to helping reduce homelessness. Housing requirements and guaranteed housing for everyone emerge as an even more pressing issue in the face of Covid-19. Without anywhere to go for protection, homeless people who rough sleep became the most vulnerable population in terms of health and safety. On November 6th of 2015, Spain adopted the Comprehensive National Strategy for the Homeless 2015 - 2020 to decrease the homeless population from 23,000 to 18,000 in 2020. Within it are plans to increase social inclusion and reduce homelessnes. The biggest contributions of this plan were the introduction of counseling services, financial support for consumption in a household and rent, and case managers for homeless people. But due to inadequate governmental coordination and integration, the plan has not been hugely successful. According to FEANTSA, as of 2017, the proportion of affordable housing had not changed. Local governments are able to provide subsidies for housing but unfortunately, the average maximum is ten euros per month barely making a dent in necessary housing payments. Then, with the onset of Covid-19, lost jobs and economic hardships, housing policy was more crucial than ever. Individuals, who have experienced homelessness state,

If people who had housing during COVID were denied proper medical treatment, and those suffering chronic pathologies didn’t receive proper continual treatment, image how many homeless people were affected and left unvisited and untreated.
— Amparo Bárcenas, massage therapist
We know that the homeless community lacked access to basic supplies, such as masks and hand sanitisers. I’m not sure if it the same in Spain as in the UK, but many GP surgeries were wrongly turning people away without an address.
Now we have ‘long covid,’ which again will disproportionately have an impact on the poorer side of society.
— Lindsey Holden, Homeless Entrepreneur community member in Manchester, England

Picture captured by Sohini Bhattacharjee of a rough sleeping set up.

According to HogarSí, over 7000 emergency spaces emerged in addition to those already established to house and provide space for homeless individuals and groups. Even this measure taken by the Spanish government was not adequate to give every homeless person space. On top of that, these spaces became spreaders due to the amount of people and lack of space.

In the first waves of the Covid19 pandemic, in Barcelona, ​​where we provide free medical service to vulnerable people, from the NGO Salut Sense Sostre, we are not aware of infections from homeless people. Obviously they are outdoors and without social contact, therefore, they have little chance of contagion.

When the vaccination campaigns began, you had to register via the web, which is unthinkable for vulnerable populations without resources. We finally managed to coordinate with CAP Gòtic (ICS) to vaccinate our patients.

The homeless problem is not Covid. They have other more important health problems, especially mental health, dental health, podiatry, dermatology... Although the public health system is universal, and from Salut Sense Sostre we help them process the health card, many do not travel to health centers More so when it’s urgent. Health services must travel to serve them where they are. Hence the meaning of our association, which provides free medical services to vulnerable people, voluntarily and in addition to public entities.

In the last three waves we have detected some cases, through rapid antigen tests, but fortunately they have been mild and we have not had to transfer to hospitals. There have been 6 in the first trimester and 4 in the second. Only one person had to be confined in the Sant Joan de Déu Serveis Socials residence in Barcelona-Hort de la Vila.
— Eva Lerma, Head of Communication & Quality of Salut Sense Sostre (Homeless Health)

Covid-19 brought to light some of the challenges the homeless population faces but moreover, made clear that homeless individuals are often overlooked by the government. Covid-19 was not the beginning of insufficient government aid to the homeless, but rather, it worsened the already struggling structure within government everywhere. In Spain, financial assistance and housing policies have not been able to curb the existence of homelessness. Covid-19 in addition to these ineffective policies are making homeless individuals even more vulnerable in Spain today.

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No Results Found: “What should I do if I am homeless in Spain?”

Written by Marley Diligent

This is insane and a big issue in the world we are living in today. According to the Borgen Project, there are around 23,000 and 35,000 homeless people living in Spain, which makes up about .07% of the population in total. When conducting research regarding what individuals should do if they are facing inadequate and insecure homelessness, I experienced much difficulty finding helpful resources. According to the World Institute of Global Homelessness, there are a total of 1.6 billion people experiencing homelessness and about 100 million of those people have no housing at all. I had the idea to research a more direct question “How do I survive homelessness?” and I was shocked by the results. If I was one of those 1.6 billion homeless individuals the answers I would be the following: get a rucksack to hold my belongings, hide your sleeping bag in a safe place, have a change of clothes, and keep food in a tin to keep rats and squirrels out. These answers are unacceptable. Resources need to be easily available and straightforward for someone who is actively motivated to escape the cycle of homelesness.

            Andrew Funk, who is the founder of the Homeless Entrepreneur, experienced homelessness himself. I was curious to see if he did any research to find solutions and what initiated positive change in his life. He explained that he never searched for typical resources, for example; a homeless shelter or access to free food. He utilized his network through social media outlets, actively searching for work he could get paid for. Along with that, he began researching, studying and getting to know the people who were in similar situations as him. He stated “people” were the most useful resources because they could give him access to opportunities and later earn well deserved money.

It was all about trust, support, and people believing in me when it was hard to believe in myself.
— Andrew Funk, Founder & President of Homeless Entrepreneur

He was able to network with the right people in order to gain access to a brighter future. He is now running a successful career, has incredible connections, and is married with two children. Hearing about Andrew’s experience of life changing resources reinforces how important having direct access to opportunities for motivated individuals truly is. 

One of Homeless Entrepreneur’s main programs is ¡called Homeless Voices, which is the first step in initiating positive changes for an individual experiencing homelessness. The Homeless Voices Program allows individuals to connect with their community and then leads to the possibility of entering the HELP Program, which provides various housing and employment opportunities. It gives people the chance to grow their income, build assets, and develop a stable job and life.

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An individual named Micheal contacted the Homeless Helpline via WhatsApp from Germany and participated in the Homeless Voices program. Doing so allowed him to gather the support of Homeless Entrepreneur’s community network, which consequently helped him in the process of getting back to Peru. If Michael never became  aware of this program his future could have gone in many other directions or, even worse, none at all. Individuals in similar situations should be able to access this resource without having to search online for months or hear about it from a friend when it could be too late. 

I also got the chance to talk to Larry Adesuyi who is currently in the HELP Program. I asked where he looked for resources when he started experiencing homelessness along with how he learned about Homeless Entrepreneur. He explained he searched for resources everywhere online, but was unsuccessful. He finally found out about Homeless Entrepreneur through a connection he had made on LinkedIn.

Larry was a motivated individual looking everywhere online for support to help improve his quality of life. He exemplifies another reason why direct support has to be easily accessible when someone is actively trying to make a positive change happen in their life.

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The HELP program, which provides a support pathway of independence in a year, is an opportunity for participants in the Homeless Voices program, who apply for it and are accepted in the program. HELP is an empowerment-based program that mainly focuses on professional development, training, health, housing, finance, legal and communication opportunities. It also addresses poverty and may lead to the Launchpad Housing Program, while promoting active citizenship and well-being in a holistic sense. Larry provides a clear example of someone who is actively working hard physically, mentally, and emotionally to improve his life with the resources the Homeless Entrepreneur can provide as well as the ones he finds on his own.

Individuals having access to Homeless Entrepreneur’s programs can create meaningful impacts for a person, but in order to do that a person experiencing homelessness needs to be well known and his or her story needs to be communicated properly. It's unacceptable that nothing appears when searching for “Solutions if I am homeless in Spain.” Every time we communicating online, with our partners, donors, volunteers, and current Homeless Entrepreneurs, we are also hoping to attract more candidates who fit the screening requirements for our programs. We, as a society, need to be proactive about creating positive change to end homelessness, and there is no reason why accessing resources should be difficult and vague for people who truly want a better quality of life.

A donation of just as little as twelve euros can go a long way towards someone entering Homeless Entrepreneur’s programs, which open up opportunities that will leave an impact on those being helped and those helping because everyone learns along the way. If you are currently struggling with homelesness, hear, or know someone struggling, we invite you to apply to become a Homeless Entrepreneur. Do not hesitate to reach out to us and begin the change you want to see in yourself and in the community you live in or want to support.

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Connect with the author, Marley Diligent, via LinkedIn!

Photo by Jose Sanabria.

 
 

Barriers to Healthcare for the Homeless- A Global Perspective

Written by Anika Srinath

Healthcare is a basic necessity that consistently seems just out of reach for those in difficult financial situations. However, there are often a variety of environmental and societal factors apart from economic status that also pose barriers in accessing healthcare. There are about 154 million people worldwide currently living on the street (Brannon, 2019), all of whom are facing insecurity in multiple areas of their lives. Furthermore, living on the streets exposes these individuals to a plethora of dangerous health conditions that they cannot seek treatment for. Yet, it is important to realize that each country operates in very different ways, and people living on the street in the US will face a vastly distinct medical experience from those without homes in Spain. 

One phrase full of truth I heard when I was younger, which didn’t sink in until my state of homelessness, was ‘poverty kills.’
— Andrew Funk, Founder and President of Homeless Entrepreneur

The founder of Homeless Entrepreneur, Andrew Funk, experienced homelessness in Barcelona. His living situation exposed him to specific health conditions that he likely could have avoided had he been in a better economic situation. For instance, since he could not afford public transportation or a car, he would walk every day for hours on end, which led to painful knee problems. When he attempted to seek treatment for his pain, he found that private healthcare unaffordable and public healthcare inefficient. A steep economic barrier both caused and prevented treatment for a severe physical health issue, and this situation is not unique to one person, and in fact is quite common worldwide.

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Ramon Feiner, a man who experienced homelessness for over 15 years in Tarragona, emphasized the importance of the climate on health. After he found himself without a roof to sleep under, he was forced to leave his hometown of over 30 years as it was high above sea level and not realistic to sleep in the street. He decided to move to a town closer to the seaside where the outdoor climate was more comfortable. In general he did not struggle with serious health issues, except for once when he had to go to an urgent care center. Afterwards, he recovered his strength in an evangelist center where he received food, housing, and a daily activity to stay occupied. He stayed in the center for about two to three months before returning to his life on the street.

Homeless Voices interview with Ramon given by Josse Sanabria, HE Photography Director, in Spanish.

Feiner’s story reveals the gaps in the Spanish public healthcare system. Though he was able to receive urgent medical attention, there was no follow-up and he was left to complete his recovery on his own. However, religious organizations were able to fill the gap and provide him with a place to rest and recuperate. Government facilities are not sufficient for providing those in poverty with adequate medical care, and private organizations are needed to support public care. Fortunately, Feiner does not recall any other major health conditions, and even noted that his time on the street boosted his immune system and he is not less susceptible to various illnesses.

I’ve seen that even when homeless individuals enter the system, it can be challenging to provide healthcare without stable housing.
— Madison Rubert, Marketing and Communications Specialist

Madison Rubert, a marketing and communications specialist dedicated to social change, commented on the populations that lack access to healthcare in the United States. She noted that availability of medical services appeared to be related to zip code, with less access to healthcare in the neighborhoods that were mainly composed of minorities that earned below 30% of the annual mean household income per zip code. Furthermore, as mentioned in the above quote, homeless people require stable housing in order to acquire adequate healthcare. For this reason, she states that a vital step is to provide individuals on the street with supportive and permanent housing in order to help them access medical attention. She also provided a sense of the scope of the issue with the grave observation that the middle class continues to shrink, and that many middle class people can no longer afford the costs of high-quality healthcare. This is in heavy contrast with Spain, in which there is a large public sector of healthcare that provides medical services for free, although it may be slower than private care.

The president of the Colorado Coalition for the Homeless, John Parvensky, noted the major issues that lead to the disproportionate rates of health conditions faced by those on the streets in the United States. According to Parvensky, the biggest issue those in poverty face is a lack of affordable housing, thus forcing them to live in the streets in harsh weather conditions that expose them to specific illnesses. This was seen in Funk’s story, in which he mentioned how his life outdoors resulted in severe knee issues that he was unable to seek treatment for. Parvensky then stated that the next most major issues impacting the health of the homeless are ineffective behavioral health services, addiction, and domestic violence. Thus, Parvensky indicates that many people who are homeless likely suffer from mental conditions that they were unable to receive help for, and that life on the streets exposes those in poverty to an increased occurrence of drug addiction and domestic violence.

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In Australia, Street Side Medics noted that common health conditions for those experiencing homelessness are mental illness, substance abuse, and chronic conditions. In terms of barriers homeless people face in accessing healthcare, beyond financial difficulties, homeless people may also not be aware of the services they can access. Furthermore, stigma about their health condition and living situation as well as distrust in the healthcare system block homeless people from seeking medical care. Finally, a significant barrier found in providing healthcare services to those experiencing homelessness is a lack of communication between health and homeless services. Though this article about common illnesses and barriers specifically focused on the homeless population in Australia, it is likely that homeless people around the world face similar illnesses and barriers. Parvensky had also noted that common conditions faced by homeless people in the US are mental health issues and substance abuse. Lack of awareness and sense of shame are common factors that alienate people from the healthcare field. There is rarely proper coordination and funding for welfare programs meant to serve the poor. Around the world, there is still much work to be done before society reaches a point in which all populations can receive equitable medical care, regardless of their income level or living situation.

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Connect with the author, Anika Srinath, via LinkedIn!

Photo by Jose Sanabria.