Therapy Works for Homeless

Two-thirds of homeless individuals cite drug or alcohol use, and people who use drugs are seven times more likely than the general population to be homeless. A source of homelessness and a symptom of both is drug addiction. The difficulty of living on the streets may increase the use of drugs or alcohol to cope, to trap people in a vicious cycle, or to become homeless. (Single Homeless Project, 2020). Unresolved mental health concerns or the residual effects of past trauma can lie at the root of their drug use. Others may find it difficult to deal with work pressures or a traumatic life event such as mourning that begins them on the downward path to addiction and ultimately leads to a life crisis (Single Homeless Project, 2020). 'Pathways to Youth Homelessness Findings Review' will also be an interesting document aimed at researching and gaining an insight into the perspectives of young people on their homelessness pathways (Ross et al 2020).

My aim and priorities for my piece of work are therefore: To illustrate what the challenges and facilitators that report suicidal ideation are for effective therapies for homeless substance abusers. To study suicide attempts by considering both opioid and alcohol addiction predictors. To review the production of evidence-based practise recommendations on clinically driven prevention and intervention therapies to combat suicidal ideation and attempts to misuse homeless substances.

First of all, I will look at the hesitation for different reasons that homeless people do not use adequate therapy facilities, since there is a possibility of disengaging from services at times of referral for assistance to new or alternative services (Black et al . , 2018).

I may look deeper at obstacles and homeless facilitators: those barriers include affordability, barriers to primary care, inadequacy of the psychiatric model, insufficient management, lack of trust in health care providers, poor clinical relationships, institutional issues, and accessibility and transport. Service accessibility, outreach to community health care, supportive alliances, and shelter health care management are such facilitators. Knowledge of the direct experiences of vulnerable individuals will help develop creative health strategies and improve clinical care provision (Ramsay et al., 2019).

Secondly, my intention is to identify the link between drug and alcohol dependence in homeless people and suicidal ideation and attempt reports. To do this, I will use Northern Ireland statistics The HSC shares as a Health Knowledge Suicide Brief, which was last updated in Northern Ireland in 2220 with some statistics as follows, the Statistics and Research Agency (NISRA). In 2018, 307 suicide deaths (228 males and 79 females) were recorded. Northern Ireland 's three-year crude suicide rate has remained largely steady over the past decade. I will build research statistics to examine the numbers and causes of suicide by drug abuse within the homeless population (Statistics and Research Agency (NISRA) as a Health Information Suicide Brief, 2020).

The recently updated 'Scope of substance use and misuse in Northern Ireland, which summarises statistics for the PHA Alcohol and Drug Commissioning Directorate and the creation of new 'legal highs' that can impact other drugs or alcohol, has been linked with mental health issues, a rise in antisocial behaviour and aggression in homeless people (Scope of substance use and misuse in Northern Ireland, 2020).

In studying personal statements of those who have experienced suicidal ideation under the influence of substance abuse, I intend to discuss self-harm, suicide, mental health issues from the 'Health and Social Wellbeing Improvement Guide' These publications offer advice for people who want to speak openly about their lived experience of self-harm, suicide or other problems (HSC, 2020).

Finally, how housing policies , strategies and proposals across the United Kingdom can specifically address the needs of people who use drugs and are homeless and how services at the local level needs to be adjusted to address the individual needs of homeless drug users by using evidence-based and reliable harm reduction and drug use recovery methods that take into account educated choices. Evidence-based interventions are used to involve and help homeless people in validated treatments such as opioid replacement therapy, drug use, mental health and homelessness initiatives.

local level need to be tailored to meet the particular needs of homeless drug users by using evidence-based and effective approaches of harm reduction and drug use rehabilitation that take informed choice into account.. In order to engage and sustain homeless people in validated treatments such as opioid replacement therapy, substance use, mental health and homelessness programmes use evidence-based approaches such as extensive and personalised services, outreach, and peer mentors to address training for service providers to raise awareness of the stigma faced by people who are homeless and engaged in drug use treatment. At the heart of the service provision of drug use and homelessness services should be respect, preference, integrity and the individuality of the customer. Substance use advocates and other homeless providers need to have experience working with concerns and ensuring that homeless drug users are cared for (ACMD Report - Drug-related harms in homeless populations and how they can be reduced, 2017).

I expect to use Northern Ireland's suicide prevention policy, policies and action plans, such as the Latest Strategic Direction for Alcohol and Drugs (NSD), which seeks to improve the convergence of work on ties between poor mental wellbeing, self-harm and alcohol and/or substance misuse, and Health and Social Care Commissioning at both strategic and organisational levels focusing on promoting a regional framework for suicide prevention and intervention training to reduce the suicide rate by 10% by 2022. (Healthallianceni, 2018).

The Advisory Council on Drug Abuse (ACMD) suggests that housing authorities, local councils and health care providers work together to create an approach to addressing drug addiction among homeless people in their area. The recommendations come as official statistics suggest that opioid poisoning was linked to 32 percent of all homeless deaths in England in 2017. This compares with 1 percent for the general population (Report into homelessness and drug misuse published, 2019).

In conclusion I aim to find out why and what therapy motivates abusers of homeless drugs to overcome suicidal ideation. I will research and explain how different treatments operate for homeless substance addicts who have suicidal thoughts by looking at data on how many deaths occur due to the same adverse health effects of drug abuse and using evidence-based real-life examples of the negative health effects of drug abuse by using evidence based research to find out what therapies work best for future development for nursing care in the future.