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Scenario 3: Caring for the HomelessYou are a case manager in a community mental health center. Many of your clients are homeless and have either mental disorders or substance abuse and health problems.

Health problems among the homeless are exacerbated by their homeless status. Exposure to extreme temperatures and a lack of sanitary facilities, nutritious food, restful sleep, and support networks worsen infections and chronic diseases, such as diabetes and heart disease. The homeless are less likely to take medications for their mental and physical diseases. Most homeless people do not seek health care until they are so sick or injured that they have to be transported to the emergency room by ambulance.

Although there is a community health center in the county, it is not financially or geographically accessible to the homeless. After determining the needs of the homeless population in your case load, you meet with

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