Sleep Loss a Pervasive and Underrated Problem

It’s easy enough to glance at the news headlines and find examples of savage treatment, although, fortunately, the number of individuals who have been beaten or set on fire is relatively small. There is another cruelty, less extreme than physical assault, but it is suffered by nearly all people experiencing homelessness. Whether they sleep rough or find room in a shelter, it’s very difficult to get uninterrupted, restful, and sufficient sleep.
This aspect of homelessness was investigated by Richard R. Troxell and Hugh Simonich by conducting a survey during the 10th Annual House the Homeless Thermal Underwear Drive hosted by House the Homeless, Inc. in Austin, Texas. The annual January event proves to be an excellent place to collect information because many of the local people experiencing homelessness are gathered together in one place.
This year, 204 people answered the survey questions, 88% of them male and 12% female. For the purposes of this survey, only those who had slept or were currently sleeping in shelters were interviewed. Locally, the two main places of refuge are ARCH (Austin Resource Center for the Homeless) and the Salvation Army.
The individual need for sleep varies greatly, from between five to 10 hours a night. Insufficient sleep is no joke. It has serious physical and psychological consequences that are often ignored. Interrogators in every country know that total sleep deprivation is a form of torture, which victims have described as even worse than hunger or thirst. Even when there are no pre-existing mental problems, chronic sleep insufficiency can make a person crazy all by itself.
The simulated driving test is a good way to measure mental impairment. Provided that a person knows how to drive in the first place, the before-and-after results for an individual can be evaluated by how they do on a test like this. Troxell and Simonich quote Professor Mack Mahowald on the grave result of even one night of missed sleep:
One complete night of sleep deprivation is as impairing in simulated driving tests as a legally intoxicating blood-alcohol level.
Some of the results of sleep deficit include aching muscles, confusion, depression, tremors, headache, irritability, and hallucinations. Sleep deprivation can have bad medical consequences. This information comes from Dr. Eve Van Cauter, of the University of Chicago’s School of Medicine:
Dr. Cauter’s research indicates that, ‘Chronic sleep loss may not only hasten the onset but also increase the severity of age-related ailments such as diabetes, hypertension, obesity, and memory loss. Also, it is believed that people, especially men, who fail to get good quality sleep, often are more likely to experience depression.’
The shelter sleepers who have responded to the survey reported having only a little over five hours of sleep per night. More than 90% said they needed more sleep, and 70% said that, at times, the lack of sufficient sleep left them so tired they felt unable to function normally during the day. Housed citizens, take note: A street person who is scorned for acting weird might not even be drunk or drugged, or mentally impaired, only sleep-deprived.
Snoring seems to be a big problem, and since it’s connected with cigarette smoking, one of the recommendations is for people to quit smoking, which is a good idea in any case. Other noises that keep shelter residents from falling asleep, or wake them up in the night, include loud talking, slamming doors, ringing phones, and trash removal, all of which are under the control of the shelter personnel.
Twenty-seven percent of the respondents also said that fear of being hurt kept them from sleeping, a fear which unfortunately can be just as rational in some shelters as outdoors.
Last month, in St. Louis, Missouri, a lawsuit was filed against the New Life Evangelistic Center. The complainants are the parents of a young man who was fatally stabbed three years ago. Jeremy Dunlap’s killer was sentenced to 30 years in prison, and the homeless shelter is accused of not having good security regulations, and of being lax in observing the rules that were in place.
This excerpt from an article titled “Why Many Homeless People Choose Streets Over Shelters” by Josie Raymond looks at some of the reasons why shelters are shunned even if available. Aside from the risks of violence and theft, there is the contagion factor. Transmissible diseases like tuberculosis, that we thought were ancient history, are reemerging in a big way. Keeping a bunch of people together in a small space is a great way to spread illness. Raymond quotes an authority we have also quoted:
Becky Blanton, a writer who was homeless from March 2006 to August 2007, says she had a lot of reasons not to enter shelters when she lost her housing. ‘Disease, violence, mental illness and addiction,’ she said simply, before going on to explain that in her experience, staying in many emergency shelters lead to scabies, lice, bed bugs, the transmission of hepatitis and tuberculosis, athlete’s foot from the showers, the common cold and lots of other things that are no big deal if you can stay home in bed, but can kill you if you’re homeless.’
According to the Centers for Disease Control and Prevention, America needs national public health programs “specific to homeless populations.” Let’s hope that sufficient sleep is recognized as one of the conditions necessary for health.
Reactions?
Source: “2011 Health Sleep Study,” House The Homeless, 02/12/11
Source: “Parents sue over fatal stabbing at homeless center,” NECN, 02/15/11
Source: “Why Many Homeless People Choose Streets Over Shelters,” Tonic.com, 12/02/10
Image “Effects of Sleep Deprivation” by Mikael Häggström, via Wikimedia Commons.
More Stuff About Stuff
During this materialistic holiday season, there is more to say about belongings. Coats, for instance. Viking Moving and Storage in New York has a long-standing tradition that helps people experiencing homelessness. It sponsors an annual Coat Drive, and this is one of the interesting facts the company shares with the public:
90% of homeless adults need a new, warm coat each winter because they have no place to keep one over the summer months.
Where do all the old coats go? Are they all so worn and soiled that they can’t be refurbished? Doesn’t anybody sort them out and dry-clean the salvageable ones and save them till next year? What a waste, if they are all just thrown away.
And what about the “Element S(urvival)” coat that converts into a sleeping bag? Whether this remains a handcrafted item made by the inhabitants of homeless shelters, or somehow goes into mass production, the intention is to distribute these coats as widely as possible to people experiencing homelessness. What happens at the end of winter? Will they all just be thrown away? Do we want all that Tyvek insulation in the landfill? Are these coats recyclable? Or will there be a place for each person to store the coat until next winter?
Slight digression on the subject of clothing: In Austin, Texas, the Thermal Underwear Drive is still in progress. Please consider donating to it, or an equivalent program in your area.
A solid citizen who needs four pieces of luggage for a weekend vacation will get all upset about a person experiencing homelessness, whose total possessions fit into a jumbo-sized trash bag. Whether stuff is worth having is not for somebody else to judge. People should be able to have the stuff they need, or think they need. (Within certain limits. No dead animals, for instance. But housed people are not supposed to have those either.)
What happens when you suddenly (or slowly and painfully) become a family experiencing homelessness? What happens to all your special things? The knickknacks that relatives gave you, the beautiful objects from friends and lovers, family photo albums, the kids’ school projects. With any luck, you can talk a friend or relative into keeping a few boxes in their garage, where your stuff may or may not be stolen or watersoaked, or eaten by rats.
If a family loses its housing in warm weather, the cold will eventually come again. You really need to keep the kids’ winter clothes. Surely some day you will have a kitchen again, and need your pots and pans. If you’re lucky enough to have a computer or a decent stereo system, trying to hang onto those should not be an unreasonable desire. Of course, many people facing homelessness sell everything. If they don’t, critical people think they should. Even if it means settling for 10 cents on the dollar, for things that will be an expensive hassle to replace.
To maintain any kind of hygiene, social acceptability, and personal pride, there is a certain irreducible amount of possessions a person needs. To maintain any kind of civilized existence, you just plain need stuff, and a place to keep it, either short-term, long-term, or both. Families need stuff, single people need stuff, and even if you can’t use it right now, someday you might once more have a living space to use it in. How can you let that stuff go? You can’t carry it around. Sometimes, if there is any money at all coming in, you can rent storage. Do you buy storage or food? There are a million Sophie’s Choices to make, a million stories out there. The homeless are not an amorphous mass.
There used to be lockers in bus stations and train stations, but no more. Another casualty of the drug war, no doubt. Horrified by the idea that somebody might keep a stash in a locker, the people in charge would naturally want to remove any opportunity for anyone to leave anything, no matter how innocent, in a locker. Between that and the 9/11 paranoia, lockers are disappearing from the public scene, if they haven’t already.
A few days ago we talked about former basketball star Ray Williams, who now has a job and an apartment after a long spell of homelessness. One of his misfortunes was that a storage facility auctioned off his furniture and other belongings — though it apparently gave him a nine-month grace period to pay back rent, which is unprecedented generosity.
Back in July, it was reported that, aside from the found wreck that Williams slept in, he actually owned a roadworthy Chevy Tahoe. Unfortunately, his working vehicle was being held by a repair shop that needed its $550 bill paid. In October, when Williams was about to leave Florida for Mt. Vernon, Tim Povtak published a followup story. By the time this story appeared, the repair shop bill had escalated to $2,900. That’s how it is to be destitute. Even when you don’t buy anything, stuff costs you money. Even when you don’t have access to your stuff, it costs money to hold onto it.
This comes (with permission to share) from Sam Crespi of Women Who Dare, a note about when she lived in Los Angeles:
There was a young man who’d worked for the Peace Corps. He rented an abandoned gas station downtown, across the street from the homeless theater… I can’t quite remember what he called it, but I think it was Planet Earth. He realized that there were homeless men who could pick up jobs unloading trucks in the neighborhood, and that what kept them from doing it was they’d likely lose their belongings, which they’d to try to hide somewhere, usually unsuccessfully.
So he found a bunch of school type lockers on the cheap and installed them around the station and that solved that problem. Someone gave him some furniture (chairs and some sofas, small tables), someone else game boards (chess, checkers, etc). We brought an old oil drum so they could have a fire at night. Sometimes we brought hot food. A small boy from Salvador with his mother, both of whom were living in a cardboard box, came by sometimes. By then there was a TV, and I started renting films for him.
What I remember is how much it meant for these people to be respected — talked with as they were more than someone without a face. They felt nourished by that theater, by the games, the conversation. It gave them a chance for a short time to leave behind all the rest.
Reactions?
Source: “About Us – Newsroom,” A1FirstClass.com, 01/10
Source: “The Nomadic Life of Former Knicks Captain Ray Williams,” Fanhouse.com, 10/11/10
Image by moriza (Mo Riza), used under its Creative Commons license.
Best Holiday Wishes from House the Homeless!

Merry Christmas, or holiday of your choice, and please don’t forget the ongoing Thermal Underwear Drive in Austin, Texas, or similar program in your area to help people experiencing homelessness. Cheers!
Image by gruntzooki (Cory Doctorow), used under its Creative Commons license.
People Experiencing Homelessness Need Underwear and Outerwear
In mid-November, on the California coastline, Mount Carmel Lutheran Church continued its 15-year-long tradition of hosting the San Luis Obispo County Band at an event to raise money for the needs of people experiencing homelessness. As reported by Danielle Lerner, they support the particular requirements of the Maxine Lewis Homeless Shelter, which this year is concentrating on supplying socks, underwear, and bedding.
In Lincoln Park, Illinois, around Thanksgiving time, St. Clement’s church takes up an annual collection of hats, underwear, gloves, and socks. You will have noticed that the first letters of those words conveniently spell the friendly acronym H.U.G.S., so you wind up with the name H.U.G.S. for the Homeless.
In fact, plenty of faith-based groups and community organizations across the country have concentrated their efforts on hats, underwear, gloves, and socks. We have mentioned before the importance of wearing hats in cold weather. The human body throws off a lot of heat from the skull. A hat goes a long way toward keeping a person warm.
The extremities at the other end need warmth too. In Surviving on the Streets, homeless
cartoonist/memoirist/activist/musician Ace Backwords reveals that socks and underwear are the only articles of clothing that he buys. For anything else, used is okay. But even a street person has to draw the line somewhere. (Especially if he’s a cartoonist. You can laugh now.) Actually, Backwords has quite a lot to say about footwear in general. For instance:
If you’ve got a hole in your shoe and your socks get wet, you are very likely going to be walking around in cold, wet socks for the next few days. You might have all the other warm gear you need, but with wet socks you are going to be cold and shivering and miserable and very possibly sick… Keep in mind, you are not a normal person; you will very likely be living with your boots on, sometimes up to 24 hours a day… No point in dying with them on, too, at least not just yet.
Then Backwords goes on to tell some stories that would make your lunch try to get away from you. There is nothing glamorous about street life. There is certainly nothing glamorous about frostbite or even a runny nose. Which brings us back to Texas, which people think of as hot, but parts of it can get pretty cold on occasion.
In Austin, the annual Thermal Underwear Drive is underway. It will culminate in a January 1 blowout when all the collected clothing items will find their new owners. Plans are afoot, and funds need to be raised. Richard R. Troxell says,
This will be the 10th Annual House the Homeless Thermal Underwear Party. I’ve gotten the Rockin’ South Austin Gospel Band to again participate. Joanne will help us gather hams, turkeys, pies etc. Sylvia will run the kitchen.
Richard speaks for sponsoring organization House the Homeless, and many others support the event, including KXAN, Channel 36. News 8 posted a clip featuring reportage by Jenna Hiller and introducing Homey-too, the Thermal Underwear Drive‘s mascot, who wears a set of long johns to set a good example.
Going from underwear to outerwear, there is exciting news from Detroit, Michigan, where a 21-year-old industrial design major named Veronika Scott has invented a coat that converts into a sleeping bag. Free Press staffer Bill Laitner wrote about it, and his story was picked up by the Chicago Tribune.
Depending on who you ask, there are between 18,000 and 32,000 people experiencing homelessness in Detroit, and Scott hopes her idea will keep some of them alive and relatively comfortable throughout the winter. She went broke creating prototype coats, bringing each version closer to the vision. (Industrial trivia: James Dyson has engineered 5,127 vacuum cleaners, each one slightly different, before settling on the production model.)
The “Element S(urvival) coat” is made from Tyvek HomeWrap insulation, lined with synthetic fleece donated by the Carhartt company. Imre Molnar, dean of the College for Creative Studies, endorsed Scott’s project. Journalist Laitner captured a quotation from this patron, who used to work for the outdoor gear company Patagonia. Molnar said,
This is extraordinary. If this garment is successful in Detroit, it’s going to work across the country and around the world for homeless people, to say nothing of the relief industry.
Another ally is Rev. Faith Fowler of Cass Community Social Services, which has the people and the space to start putting coats together. A local company is providing sewing machines. Clients of the Neighborhood Service Organization shelter, who over the past months have gotten to know the “coat lady,” will do the, so to speak, road testing.
Reactions?
Source: “SLO County Band uses music to help the homeless,” KSBY-TV, 11/14/10
Source: “H.U.G.S. for the Homeless,” St. Clement Church, 11/20/10
Source: “Surviving on the Streets,” Amazon.com
Source: “Thermal Underwear Drive,” HouseTheHomeless.com
Source: “College student hopes her coat will save homeless people’s lives,” Freep.com, 11/18/10
Image by mricon, used under its Creative Commons license.
“Dutch” – Another Name for Austin’s Homeless Memorial
It’s over for another year. On Sunday, November 14, at Austin’s Homeless Memorial, amid prayers and songs, the list was read out. On the shore of Lady Bird Lake, we noted the passing of this year’s street casualties, as well as the victims of previous years. The roster of those memorialized was a long one, and our dearest wish is that it would not be added to in the coming months.
The Tree of Remembrance grows where it was planted many years ago, and the plaque beneath it is still in place. The words on the memorial plaque have not changed either:
HOMELESSNESS:
It is the Essence of Depression.
It is Immoral.
It is Socially Corrupt.
It is an Act of Violence.
In Looking Up at the Bottom Line, Richard R. Troxell recalls the 1993 Memorial, when the needless death of Diane Breisch Malloy was on everyone’s minds:
I suppose sixty or more people came. We were too sad to advertise it like some kind of event. It just did not seem right. Therefore, we just spread the news by word of mouth. The ones that did come had been drinking and thinking. They were mad. They were mad about what had happened to Diane. They were mad about what had happened to their friends, and they were afraid. They were afraid that what we were really doing was reading their own eulogies.
Of this year’s Memorial, Richard says,
I was very sad to have read the list…but gathering it is always the worst. This involves too much reflection. These folks were not just my clients but also my friends. I hope it is as powerful to others as it is for me. The human cost is unacceptable. At least there were three City Council members and the City Manager (the first one in 18 years.) The saddest thing was that while there were about 125 people there, more origami birds with names of the deceased were present than there were people to place them in the tree.
Now, we are in the midst of the National Hunger and Homelessness Awareness Week. The issues are recognized as being urgent enough to merit the community’s focused attention for a whole week, not just a day. Austin certainly subscribes to that. Among others, the participating organizations are the Ending Community Homelessness Coalition and the Basic Needs Coalition of Central Texas. The website of the city’s Trinity United Methodist Church keeps people abreast of the various happenings, which included the Homeless Resource Fair on Saturday. It says,
Hunger and Homelessness Awareness Week is the largest annual event that connects policy makers, local business leaders, service providers, faith-based organizations, and community members to engage in implementing active solutions and prevention methods for hunger and homelessness.
Ongoing, from now until the year’s end, is the annual Thermal Underwear Drive. Yes, it gets cold in Texas, and it would be a beautiful thing to make it through the year without any more illnesses exacerbated by winter weather. The drive officially started at the Memorial Service, and House the Homeless will continue to collect donations of warm underclothes, hats, gloves, scarves, and ponchos for the people experiencing homelessness in Austin, who include not only women and men, but children. At the New Year’s Day Party, all this life-saving clothing will be distributed.
The picture on this page, of a previous year’s Memorial, was taken by a House the Homeless member, and appears in Richard’s book. At Sunday’s Memorial, one of the newest names added was that of Edward Forrest Dutcher, who was stabbed to death during a fight on Halloween Night, October 31.
Witnesses pointed out to the police another homeless man, found to be in possession of a knife, who was immediately arrested. It is theorized that the murder was the result of a territorial dispute, with the issue being who has held the privilege of panhandling at the intersection. Dutcher was pronounced dead at the University Medical Center. The victim was 50 years old, his assailant 60.
By sad coincidence, the biography of Edward Forrest Dutcher, or “Dutch,” was briefly outlined in Looking Up at the Bottom Line, whose publication date was Veterans Day this year. Richard described Dutch as tall and boyish-looking, and his situation as typical of so many people whose life is a constant struggle.
When work was available, he put in as many as 60 hours a week, which was eaten up by the high motel rent. He was never able to get ahead enough to save up the amount needed to move into an apartment, which in most cases means paying the first and last month’s rent, plus a security deposit. That’s a significant amount of money to scrape together, and the fact that anybody can work so many hours without being able to afford decent housing is a good argument for the Universal Living Wage. This is the condition known as economic homelessness.
What Dutch really wanted was to somehow buy a used van and start his own moving business. As Richard says, “He was just a regular person trying to survive.”
Reactions?
Source: “Austin’s 2010 Hunger & Homelessness Awareness Week,” Trinity United Methodist Church Blog, 11/04/10
Source: “Police release more details on fatal stabbing Sunday,” The Statesman, 11/02/10
Image of Memorial Service from Looking Up at the Bottom Line, used under Fair Use: Reporting.


Full Disclosure: Richard R. Troxell is President of
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