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Organization: University of Pennsylvania, University of California, Boston University
Publication Date: 2020
This study models potential scenarios of COVID-19 severity, hospitalization and fatality among homeless populations, and estimates additional homeless system capacity required to manage the acute impact of the COVID-19 pandemic on the existing homeless population.
Publication Date: 2017
Background
Homeless veterans often have multiple health care and psychosocial needs, including assistance with access to housing and health care, as well as support for ongoing treatment engagement. The Department of Veterans Affairs (VA) developed specialized Homeless Patient Alignment Care Teams (HPACT) with the goal of offering an integrated, “one-stop program” to address housing and health care needs of homeless veterans. However, while 70% o...
Publication Date: 2017
Housing instability is associated with costly patterns of health and behavioral health service use. However, little prior research has examined patterns of service use associated with higher costs among those experiencing ongoing housing instability. To address this gap, we compared inpatient and outpatient medical and behavioral health service utilization and costs between veterans experiencing brief and ongoing episodes of housing instability....
Publication Date: 2016
Housing First (HF), which is recognized as an evidence-based practice by the Substance Abuse and Mental Health Services Administration,1 addresses homelessness by offering immediate access to housing while providing ongoing community-based services.2 An important marker of its success has been increased housing stability and retention rates. Randomized controlled trials have found housing stability and retention for HF participants to be between...
Publication Date: 2016
Abstract
Introduction. Unsheltered homelessness is an important phenomenon yet difficult to study due to lack of data. The Veterans Health Administration administers a universal homelessness screener, which identifies housing status for Veterans screening positive for homelessness. Methods. This study compared unsheltered and sheltered Veterans, assessed differences in rates of ongoing homelessness, and estimated a mixed- effect logistic regressi...
Examining mortality among formerly homeless adults enrolled in Housing First: An observational study
Publication Date: 2015
Background
Adults who experience prolonged homelessness have mortality rates 3 to 4 times that of the general population. Housing First (HF) is an evidence-based practice that effectively ends chronic homelessness, yet there has been virtually no research on premature mortality among HF enrollees. In the United States, this gap in the literature exists despite research that has suggested chronically homeless adults constitute an aging cohort, wit...
Publication Date: 2015
This article assesses the extent and predictors of homelessness among veterans (both veterans in families with children and single adults veterans) exiting the Supportive Services for Veteran Families (SSVF) program, which is a nationwide homelessness prevention and rapid re-housing program geared primarily toward those experiencing crisis homelessness. Among rapid re-housing participants, 16% and 26% of single adult veterans experienced an episo...
Organization: American Academy of Social Work and Social Welfare
Publication Date: 2015
The notion that homelessness in the United States can be ended, rather than managed, represents a fundamental shift in expectations that has occurred over the past three decades. Many U.S. cities now have plans to end homelessness. Yet homelessness and housing instability are substantial problems that afflict a diverse group of subpopulations such as families, youth, veterans, and chronically homeless single adults. Ending homelessness for each o...
Publication Date: 2013
Longitudinal data suggests that the single adult homeless population is going through a demographic transition, where the overall population is aging but there are indications that a younger cohort may be emerging. Scholars Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Stino, and Jay Bainbridge argue that interventions at both ends of this transition: housing the aging and increasingly infirm elements of this population while diverting...
Publication Date: 2013
Amidst concern about the implications of an aging U.S. population, recent evidence suggests that there is a unique aging trend among the homeless population. Building on this, we use data from New York City and from the last three decennial Census enumerations to assess how the age composition of the homeless population—both single adults and adults in families—has changed over time. Findings show diverging trends in aging patterns for single adu...
Publication Date: 2012
Understanding the prevalence of and risk for homelessness among veterans is prerequisite to preventing and ending homelessness among this population. Homeless veterans are at higher risk for chronic disease; understanding the dynamics of homelessness among veterans can contribute to our understanding of their health needs.
Methods We obtained data on demographic characteristics and veteran status for 130,554 homeless people from 7 jurisdictions t...
Publication Date: 2011
This report investigates the young adult outcomes of youth who age-out of or otherwise exit Los Angeles County’s child welfare supervised foster care system and/or juvenile probation system. Two cohorts of young adults from both systems were selected for analysis. Within the two cohorts, this study focuses on three groups of youth exiters: (i) The child welfare (CW) group is comprised of youth who exited from a child welfare out-of-home placement...
Publication Date: 2011
A number of international human rights instruments and national constitutions establish a right to housing. In addition, a few countries, most notably England and France, have enacted legislation guaranteeing a legally enforceable right to housing. In this paper we provide an overview of the concept of a “right to housing,” and discuss its implications for efforts intended to reduce and end homelessness both in the European and American contexts....
Publication Date: 2010
Prevention, or shutting the “front door” to homelessness, has been often hailed as a necessary component of any strategy to end homelessness (National Alliance to End Homelessness 2000). However, the difficulties inherent to implementing effective prevention initiatives (Shinn, Baumohl & Hopper 2001) has meant that responses to homelessness instead have retained an emphasis on tending to and accommodating those who have already lost their...