Homeless, addicted, mentally ill: The death of Betty Ann Scott

mh_reformBetty Ann Scott stayed at our church’s women’s emergency shelter for a while this winter. She had medical problems, mental illness and an addiction disorder. Shelter staff and volunteers reached out for help for Betty Ann. At a special dinner marking the close of the winter shelter this past week, residents paused to remember Betty Ann, who died shortly after leaving Grace’s shelter and being placed in a community-based residential program for the homeless mentally ill. The News & Record’s Lorraine Ahearn writes about mental health reform, Betty Ann’s death, and the system that failed to protect her:

“Mentally ill, addicted to pain pills, homeless at 53, Betty Ann Scott went through jail, hospitals, rehab, every place but where she wound up the afternoon of Feb. 15.

For once, her hospital stay would be long — 15 days. But there is no treatment here, and the room temperature is 42 degrees in this part of Moses Cone Hospital: the county morgue, where Scott was dead on arrival after a suspected drug overdose…”

>> Continue reading “Mental health reform is ailing,” online at News-Record.com
>> Download PDF of article

Greensboro homeless violence: Two people assaulted in separate incidents outside shelter

homelessviolenceFrom a friend to me, on Facebook:

“I have 2 stories for you tonight. one. A man got beat up last night at Urban Ministries by three kids who live down in Saint James.(he didnt know what hit him or who did it cause he was intoxicated.) The second thing that happened happened three and a half hours later. A guy got stabbed over an altercation at about 11:15pm last night-At Urban Ministries. More details in my status. i was there when both things happened. i know all parties involved in both altercations.”

On her wall, she wrote:

“I was there catching the bus-there was also another person involved a mexican man who resides at urban ministries-There was another person involved, whose identidy shall remain undisclosed-

Lately i have been in the most oddest places, at the most dumbest times-i hate to see ppl fight over territory, and i hate to see blood,or ppl fighting…”

Re: “A man got beat up…”

The incident report lists the victim of the first assault as a homeless, white male, aged 50:  “Assault, Simple Physical,” “Minor Injuries – Apparent.”  Drug/alcohol use for the victim is checked “yes.”  The location is the parking lot area of 305 W. Lee Street, the location of the Greensboro Urban Ministry homeless shelter.  The incident was reported at 9:00 p.m. on Monday night.  The status is “Active/open.”   According to GPD Watch Operations, EMS responded, but the report doesn’t indicate that the victim was transported to the hospital.

Re: “A guy got stabbed…”

No report on P2C yet.  From GPD, Watch Operations: Victim had superficial injury and refused treatment. Victim was uncooperative with officers and provided no information.  No arrest made at the time of police response.  The location was 305 W. Lee Street.  It’s unclear from the police report whether the incident occurred inside the shelter or in the parking lot.  From my friend’s report, sounds like this was actually out on the sidewalk.

It’s not unusual for homeless people to medical refuse treatment or to not want to talk to police. It’s a different world. But most of the time, when someone gets hurt, it doesn’t take long for everybody to find out what happened, although the story may mutate a bit depending upon how far it gets from the source. Word travels fast on the street. Actually, we count on that when we’re doing an impromptu meal or other event. Tell a couple of people on the block and a couple of people at the library and you get a crowd pretty quickly.

What is affordable housing?

Housing is considered “affordable” if the occupant is paying no more than 30% of his/her gross income for housing costs, including utilities.

Fair market rent (FMR) is the maximum monthly rent that HUD allows for properties participating in its programs, such as Section 8.

Final FY 2007 FMRs By Unit Bedrooms
Efficiency One-Bedroom Two-Bedroom Three-Bedroom Four-Bedroom
Final FY 2007 FMR $554 $632 $705 $893 $955

(table source: HUD)

So, based on FMR for Greensboro, a single person would have to earn $10.67 an hour in order to “afford” an efficiency apartment (without utilities added, which means they’d have to earn more than that to cover utilities and make it really affordable), or $12.40 an hour to afford a 1-bedroom apartment (again, without utilities factored in, so up that hourly wage, too.)

For professional folks, that may not sound like a lot of money, but what if you make minimum wage? At $6.15 an hour, even the efficiency apartment is well out of reach. And what if you make minimum wage and you’re the sole breadwinner for a family with children? What if you’re on SSI? The current maximum monthly benefit is $637. Unless you’re able to get some kind of housing assistance, you’re likely going to spend much more than 30% of your income on housing.

HUD programs, like public housing communities and the Section 8 program, help make housing affordable for low-income individuals and families, but many who are eligible are not able to get into these programs because there isn’t enough housing for everyone — waiting lists are long.  HUD is the largest provider of affordable housing in Greensboro, but there are several other government and non-profit programs that provide affordable housing here, as well. However, there is a definite gap between the supply of affordable housing and the demand for it. People who can’t get affordable housing have to choose between paying rent and paying other bills, like food or medical bills; or they have to “double up” and live with family or friends; or they become homeless.

HealthServe comes to the Winter Series

HealthServe at the Winter Series

Armed with stethoscopes and blood pressure cuffs, medical staffers from the HealthServe Community Clinic paid a visit to this week’s Winter Series at the downtown library. While diners enjoyed the vegan meal prepared by members of Food Not Bombs, they also had the chance to talk with a nurse and have their vital signs checked. Brochures on the tables described the clinic’s services for uninsured and underinsured Greensboro residents.

Many of the guests at the Winter Series are homeless, and HealthServe is their primary source of health care. One of the guys sitting by me at dinner was skeptical that the clinic would really provide services for people with no money. (Yes, they really will.) But after he agreed to have his blood pressure checked and he got a good report from the nurse, we did manage to get a smile out of him. :)

» HealthServe brochure

County continues Commissioner-led dialogue with the homeless

Last night, Guilford County Commissioner Paul Gibson brought a group of County service providers to meet with about 100 homeless Greensboro residents at Grace Community Church. This was a follow-up to a meeting Gibson arranged last week between County staff and a smaller group of homeless folks as part of the Winter Series, co-sponsored by Food Not Bombs and the public library. Representatives from Public Health, Mental Health, DSS, Veterans Services and Moses Cone were at the meeting to hear concerns and answer questions.

The idea behind the series of the meetings is to allow homeless people to speak out and advocate for themselves, and to let those with the power to make changes to the system know what’s working and what’s not working in the system from the perspective of those who are accessing services. The first meeting produced tangible results within days — changes are being made to the way that unsheltered homeless people access care at HealthServe.

Last night’s first question was about programs for unemployed single men who don’t have substance abuse or mental health issues — who are just unemployed. The perception is that there are more programs for women. (I’m not sure that’s true, though.) This was more a question for the homeless coalition than the County folks, though, so I offered to ask them and get back to him.

One homeless woman is new to Greensboro from out of state. She is a nurse and needs to get her license transferred here so that she can work, but she doesn’t have the money. She said that she’s not looking for a handout, just a “hand up.” She said that if someone would help her she is willing to “pass on the blessing,” and that she is willing to volunteer.

She also asked about transportation, which was covered in the previous meeting at the library. One gentleman spoke up and and gave the phone number for the county’s transportation service and mentioned that the list has been posted at the Weaver House shelter as well.

One man spoke about the need to “to get the monkey off your back” — referring to addiction — before you can work or get housing. He talked about his own struggle with crack cocaine, about spending seven months in rehab to get clean, and said that he was offered a job by the state of Georgia, where he was then living, because no one else would hire him. That job obviously made a big difference in his life, and his story emphasized the need for substance abuse treatment and for employers who will give second chances to people with criminal histories.

I asked how many people knew about Bridgeway, the new county treatment center that’s just opened. Few people raised their hands. Bridgeway will eventually offer medical detox, intensive outpatient treatment, and residential rehabilitation services. Joe Fortin from Guilford Center explained how to access services at Bridgeway by calling Guilford Center’s toll-free 24-hour phone number: 1-800-853-5163.

A woman asked about the needs of homeless youth and said, “They don’t need to be with older people.” She talked about their need for education, employment, health care and help dealing with sexual abuse that happens after they become homeless. She talked about homeless teens turning to prostitution. She stressed the need for a specific shelter and specific services for homeless youth — which we do not have now. As the woman spoke, a very recently homeless young lady was kneeling beside me, listening intently. A Christian ministry just moved her off the street, where she had been on and off since her early teens. After hearing the older woman speak passionately about the needs of homeless youth, the young lady looked up at me and said, “Well, I guess she covered it all. I’m going to go.” She seemed relieved.

The subject of a day center for homeless people came up again, and there does appear to be momentum on this issue, although Gibson said that it wouldn’t happen overnight. A formerly homeless gentleman asked, “How long? Three years, a lot of them be dead.” Another man spoke up and said that if money was the issue holding up the creation of the day center, then homeless people themselves could get involved in fundraising: “Bake sale, chicken, fish fry!” The group applauded in agreement. Liz Seymour of Food Not Bombs then invited the group to an upcoming meeting about a day center at the HIVE. It will be “for homeless people and by homeless people.”

After about an hour of dialogue, the group moved next door for Grace’s weekly community dinner, where the conversation continued during the meal. Stay tuned… :)