In completing the case study, students will be addressing the following learning objectives:
Discuss factors that contribute to homelessness in people with mental illness.
Discuss barriers that prevent homeless people with mental illness from receiving care measures to promote access.
• Kevin, a 39-year-old unemployed homeless male who has paranoid schizophrenia, was brought to the psychiatric hospital by the police. Citizens called the police because Kevin was in the street directing pedestrians and traffic in opposition to the traffic lights and verbally abusing everyone who did not follow his directions. Kevin is known to the police since he is often homeless, and states that his family does not want him. Kevin also has a history of poly substance abuse with alcohol, heroin, and crack cocaine, and he has been jailed for public intoxication several times. The nursing assessment reveals that Kevin has not been taking his prescribed psychotropic medications for 3 weeks. Kevin states that he does not have any money, and he does not remember where to go for mental health care (Learning Objectives: 2)
a. What are the major factors that contribute to Kevin’s frequent homelessness?
b. What barriers does Kevin face in the receiving treatment? How can these barriers be addressed?

For all assignments assume that you are the administrator of a fictitious organization of your choice. The organization can be any type of health care organization such as a hospital, nursing home, rehabilitation center, clinic, etc. As the administrator, you are faced with the challenges of declining reimbursements from insurance providers and increasing demands for patient services due to dramatic changes in the external environment. Such changes include those imposed by the Patient Protection and Affordable Care Act.

Your first step in evaluating the position of your organization will be conducting an environmental analysis. The purpose of this is to determine your organization’s ability to continue to provide quality care and remain financially solvent in the face of these challenges.
Write a six to eight (6-8) page paper in which you:

1. Determine two (2) specific forces in the external environment that will have the most impact on your organization. Provide a rationale for your decision.
2. Determine two (2) specific internal factors that the organization’s leaders need to consider in preparing for the future of health care and the future of the organization. Provide a rationale for your decision.
3. Discuss the impact of both the identified internal and external forces on the organization’s ability to develop a competitive strategy.
4. Recommend one (1) strategy that involves the organization’s managers in implementing and maintaining the momentum of the strategic plan.