Homelessness: 2nd annual media blitz

A year ago, more than 30 Seattle media outlets joined a coordinated media response to the region’s homelessness crisis.  Despite sincere and sometimes successful efforts by city and county governments, local businesses and philanthropies, and community-based organizations, homelessness in King County still qualifies as a crisis.

In January, the one-night count of sheltered plus unsheltered homeless in King County was 11,643, generating the local headline, “A city the size of Woodinville is sleeping in our streets.”  But the annual count used a new method in 2017, so that number can’t validly be compared to previous results.

We have another source of data, though. School districts in Washington are required to “track their homeless students and report that data annually to OSPI” (Office of the Superintendent of Public Instruction), which in turn reports to the state legislature.  Communities Count has compiled these data for King County school districts going back to the 2007-2008 school year.  By 2015-2016, student homelessness statewide had ballooned to 39,671 – a 52% increase in just 5 years. Over the same period, student homelessness in King County almost doubled — from 4,423 in 2010-11 to 8,411 in 2015-2016 (see chart). Of the 19 school districts in King County, the number of homeless students declined in only 2 (see school district trends).  Washington schools use the U.S. Department of Education’s definition of student homelessness, explained in detail here.

Options for monitoring national and local media coverage of homelessness on June 28th include a national conversation curated by CityLab, Crosscut’s social media pages (Facebook and Twitter), and hashtag #500kHomeless.

 

Pediatricians urged to tackle poverty head-on

For the first time ever, The American Academy of Pediatrics (AAP) has issued a policy statement on poverty.  As affirmed by AAP President Benard P. Dreyer, “research shows that living in deep and persistent poverty can have detrimental health consequences that are severe and lifelong.”  Acknowledging that “almost half of young children in the United States live in poverty or near poverty,” the AAP has emerged as a strong advocate for programs and policies that improve health and quality of life for children and families living in poverty.

Pediatricians are being asked to do more than increase their awareness of poverty.  In the context of a family-centered medical home that coordinates strategies to address social determinants of health (poverty, for example), physicians are urged to:

  • Assess family financial stability (perhaps by asking if the family has trouble making ends meet at the end of the month).
  • Screen for risks for adversity (food insecurity, maternal depression, family instability, unemployment, frequent moves).
  • Identify family strengths that protect against adversity (secure attachment to caretakers; strong family and social connections; responsive, nurturing, and consistent parenting).
  • Coordinate care with community partners (such as those providing legal aid and job training, and addressing issues like food, energy, and housing insecurity).
  • Participate in programs that integrate behavioral health into primary care (Incredible Years and Triple P) and promote literacy (Reach Out and Read and the Video Interaction Project [VIP]).
  • Link families to community resources that support and assist families in need.
  • Advocate for programs/policies that buffer children against adverse effects of poverty. Examples include:
    • Earned Income Tax Credit (EITC)
    • Temporary Assistance for Needy Families (TANF)
    • Raising the minimum wage
    • Supports for quality child care and early childhood education
    • Access to comprehensive health care
    • Nutrition support such as WIC (the Supplemental Nutrition Program for Women, Infants, and Children), SNAP (formerly “food stamps”), and the National School Lunch Program
    • Home visiting programs such as the Nurse-Family Partnership

Does this go “above and beyond” what should be expected of a pediatrician?  The AAP affirms that it’s all in the line of duty:  prevention of childhood diseases – an accepted pediatric mandate – depends in part on “early detection and management of poverty-related disorders.”

Of course pediatricians cannot tackle poverty on their own. In King County, they can expect support from a wide assortment of community-based organizations and effective programs already in place. They should also be able to tap into the expertise and community networks that continue to evolve around regional efforts such as Communities of Opportunity and Best Starts for Kids, which are already aligned with the goals of the AAP’s war against child poverty.

For data on poverty-related indicators, see Communities Count updates on food, housing, income, qualification for free/reduced-price school meals, and the relationship between adult health outcomes and adverse childhood experiences.  Communities Count has recently added several years of data on student homelessness, making it easier to look at trends (by school district) from 2007-08 through 2014-15 school years.  For data on child, maternal, and adult health, see King County’s Community Health Indicators.

Anyone could be homeless

Starting March 1st, eight short videos about homelessness in our region became available on The Moth’s YouTube site.   Last year, National Public Radio’s StoryCorps team and Seattle University’s Project on Family Homelessness invited local residents to talk about their experiences with homelessness. The resulting stories briefly convey (< 10 minutes each) the broad spectrum of circumstances that can leave families without a home.  They remind us that, despite the best-laid plans, anyone could be homeless.

This message is echoed in Communities Count’s new student homelessness update.  In the 2014-15 school year, homelessness among King County public school students has increased again – to an all-time high of 7,260.  In the Tukwila district, 1 in 9 students was homeless last year.  Almost half of homeless students (3,478) were in pre-K or elementary school; more than half “doubled-up” with friends or relatives because their own family was unable to provide stable housing.

For the first time, Communities Count provides downloadable student homelessness data for the past 8 school years. Updates on housing affordability can be found in the Housing section of Communities Count.  For additional information on homelessness in King County, go to AllHome.

StoryCorps™ focuses on family homelessness in Puget Sound region.

National Public Radio’s StoryCorps™ came to Western Washington this summer to record stories of homelessness among families in King, Pierce, and Snohomish Counties. The project, “Finding Our Way,” was conducted in partnership with the Bill and Melinda Gates Foundation, Seattle University, and homeless services providers. The first local story aired on NPR’s “Morning Edition” on August 22nd. According to the most recent data posted on Communities Count, close to 6,200 public school students in King County were homeless in the 2012-2013 school year.