Abstract This article assesses the impact of public investment in supportive housing for homeless persons with severe mental disabilities. Data on 4,679 people placed such New York City between 1989 and 1997 were merged data utilization shelters, private hospitals, correctional facilities. A series matched controls who but not similarly tracked. Regression results reveal that experience marked reductions shelter use, hospitalizations, length stay per hospitalization, time incarcerated....

Research on mental illness in relation to social problems such as crime, unemployment, and homelessness often ignores the broader context which is embedded. Policy, research, practice will be improved if greater attention given context. The authors critically analyze approach used much of psychiatric services literature infer links between problems. They compare these studies with that have been more validly conceptualized account for With this perspective, impact appears smaller than...

This study tests a typology of homelessness using administrative data on public shelter use in New York City (1988-1995) and Philadelphia (1991-1995). Cluster analysis is used to produce three groups (transitionally, episodically, chronically homeless) by number days episodes. Results show that the transitionally homeless, who constitute approximately 80% users both cities, are younger, less likely have mental health, substance abuse, or medical problems, overrepresent Whites relative other...

Homelessness has long been recognised as a global phenomenon, affecting poorer populations in both the developed and developing worlds. However, acute housing need often struggled to achieve same level of priority at an international satisfaction other basic needs, such for food, water, healthcare education. In this paper we present broad-based Global Framework means providing ‘frame reference’ cross-national engagement field, but recommend that concerted action focuses on relatively narrow...

Research Summary: This paper examines the incidence of and interrelationships between shelter use reincarceration among a cohort 48,424 persons who were released from New York State prisons to City in 1995–1998. Results show that, within two years release, 11.4% study group entered homeless 32.8% this was again imprisoned. Using survival analysis methods, time since prison release history residential instability most salient risk factors related use, increased subsequent reincarceration....

Abstract This study tests a typology of family homelessness based on patterns public shelter utilization and examines whether characteristics are associated with those patterns. The results indicate that substantial majority homeless families stay in shelters for relatively brief periods, exit, do not return. Approximately 20 percent long periods. A small but noteworthy proportion cycles out repeatedly. In general, stays no more likely than short to have intensive behavioral health treatment...

Amidst concern about the implications of an aging U.S. population, recent evidence suggests that there is a unique trend among homeless population. Building on this, we use data from New York City and last three decennial Census enumerations to assess how age composition population—both single adults in families—has changed over time. Findings show diverging trends patterns for families past 20 years. Among adults, bulk sheltered population comprised persons born during latter part baby boom...

We investigated the possible relationship between being shot in an assault and possession of a gun at time.We enrolled 677 case participants that had been 684 population-based control within Philadelphia, PA, from 2003 to 2006. adjusted odds ratios for confounding variables.After adjustment, individuals were 4.46 (P < .05) times more likely be than those not possession. Among assaults where victim least some chance resist, this ratio increased 5.45 .05).On average, guns did protect who...

Prevention has long been cited as an important part of any strategy to end homelessness. Nonetheless, effective prevention initiatives have proven difficult implement in practice. The lack a prevention-oriented policy framework resulted responses homelessness that focus primarily on assisting those who already lost their housing and, consequently, the institutionalization Recent Federal legislation, however, signals emergent paradigm shift towards prevention-based approaches This paper...

This study examined the unique and combined associations of homelessness school mobility with educational well-being indicators, as well mediating effect absenteeism, for an entire cohort third-grade students in Philadelphia. Using integrated archival administrative data from public district municipal Office Supportive Housing, multilevel linear models were estimated to test these while adjusting nesting within schools. Findings demonstrated that had a association problems classroom...

:Understanding the root causes of homelessness is important for developing effective solutions to problem. This fact has not gone unnoticed by researchers, who have made numerous attempts identify underlying structural determinants modeling inter-community variation in rate as a function community-level variables. Yet, prior studies this area number serious limitations, principally their reliance on methodologically flawed estimates size homeless population. The present study addresses and...

We examined data for all veterans who completed the Veterans Health Administration's national homelessness screening instrument between October 1, 2012, and January 10, 2013. Among were not engaged with US Department of Affairs homeless system presented primary care services, prevalence recent housing instability or was 0.9% risk 1.2%. Future research will refine outreach strategies, targeting prevention resources, development novel interventions.

Abstract Objectives The purposes of this study are to examine (i) what extent job loss and food insecurity accounted for racial disparities in generalized anxiety disorder (GAD) risk among adults the United States during coronavirus disease 2019 (COVID-19) pandemic; (ii) COVID-19 vaccination mitigated such risk, especially older adults. Methods First, we analyzed data from U.S. Household Pulse Survey report on relative prevalence GAD with respect demographic characteristics, economic...

Abstract Previous estimates of the size and composition U.S. homeless population have been based on cross‐sectional survey methodologies. National enumeration efforts yielded point‐prevalence ranging from 0.11 to 0.25 percent population. This study reports data shelter databases in Philadelphia New York City that record identifiers for all persons admitted so make possible unduplicated counts users. Unduplicated users yield annual rates 1992 about 1 both cities near 3 over three years...

This study examined incarceration histories and shelter use patterns of 7,022 persons staying in public shelters New York City. Through matching administrative records with data on releases from State prisons City jails, 23.1% a point-prevalent populationwas identified as having had an within the previous 2-year period. Persons entering following jail episode (17.0%) exhibited different stay than did those exited prison (7.7%), leading to conclusion that dynamics predominate interventionsare...

Problem: At present, homelessness in the United States is primarily addressed by providing emergency and transitional shelter facilities. These programs do not directly address causes of homelessness, residents are exposed to victimization trauma during stays. We need an alternative that more humane, as well cost-efficient effective at achieving outcomes.

We conducted a population-based case-control study to better delineate the relationship between individual alcohol consumption, outlets in surrounding environment, and being assaulted with gun.An incidence density sampled was entire city of Philadelphia from 2003 2006. enrolled 677 cases that had been shot an assault 684 controls. The relationships 2 independent variables interest, consumption outlet availability, outcome gun were analyzed. Conditional logistic regression used adjust for...

This study is the first to examine distribution of service utilization and costs with a population-based sample that experienced chronic homelessness in sheltered unsheltered locations large U.S. city.This used shelter street outreach records from city identify 2,703 persons who met federal criteria for during three-year period. Identifiers these were matched administrative psychiatric care, substance abuse treatment, incarceration.Twenty percent incurred highest services accounted 60% total...

Objectives: People who live in unsheltered situations, such as the streets, often have poorer health, less access to health care, and an increased risk of premature mortality compared with their sheltered counterparts. The objectives this study were (1) compare characteristics people experiencing homelessness sleeping primarily situations those accessing homeless shelters other (2) identify correlates status, (3) assess relationship between status mortality. Methods: Using primary data...

Rapidly placing homeless Veterans with severe mental illness into permanent housing is one important goal of the U.S. Department Housing and Urban Development‐Veterans Affairs Supportive (HUD‐VASH) program; however, no research has tested whether an explicit organizational alignment this revised practices could improve outcomes. A demonstration project initiated in 2010 to reform placement a metropolitan area enabled researchers compare “Housing First” program—offering immediate without...

In recent years, permanent supportive housing (PSH) has emerged as the preferred intervention for addressing chronic homelessness in United States. However, almost all prior studies examining effectiveness of PSH have been conducted at individual level, with only minimal attempts to empirically test relationship between and community level. This study uses longitudinal data collected by US Department Housing Urban Development (HUD) several other sources model measures investment rates...