58 research outputs found

    Homeless Shelter Use and Reincarceration Following Prison Release

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

    Where to from Here? A Policy Research Agenda Based on the Analysis of Administrative Data

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    This article outlines a policy research agenda based on the analysis of administrative data. Computerized records of client characteristics and their related shelter utilization patterns offer researchers a rich source of longitudinal data that makes possible a wide range of investigations and can be analyzed by using an array of multivariate statistical tools. Specifically, this article discusses the contributions administrative data can make to (1) enumerating and determining the characteristics of the homeless population, (2) understanding the effect of homelessness on related public systems, (3) gauging the effect of policy interventions on the use of homeless services, (4) evaluating the effectiveness of system-level delivery of homeless services, and (5) measuring the performance of individual homeless service providers. The article concludes by commenting on several issues that policy makers might consider regarding the implementation of automated information systems among homeless service providers

    Recent Incarceration History Among a Sheltered Homeless Population

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

    Rearranging the Deck Chairs or Reallocating the Lifeboats?: Homelessness Assistance and Its Alternatives

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    Problem: At present, homelessness in the United States is primarily addressed by providing emergency and transitional shelter facilities. These programs do not directly address the causes of homelessness, and residents are exposed to victimization and trauma during stays. We need an alternative that is more humane, as well as more efficient and effective at achieving outcomes. Purpose: This article uses research on homelessness to devise alternative forms of emergency assistance that could reduce the prevalence and/or duration of episodes of homelessness and much of the need for emergency shelter. Methods: We review analyses of shelter utilization patterns to identify subgroups of homeless single adults and families with minor children, and propose alternative program models aimed at the particular situations of each of these subgroups. Results and conclusions: We argue that it would be both more efficient and more humane to reallocate resources currently devoted to shelters. We propose the development of community-based programs that instead would focus on helping those with housing emergencies to remain housed or to quickly return to housing, and be served by mainstream social welfare programs. We advocate providing shelter on a limited basis and reserving transitional housing for individuals recently discharged from institutions. Chronic homelessness should be addressed by permanent supportive housing

    Pathways into homelessness among post 9/11 era veterans

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    This article may not exactly replicate the final version published in the APA journal. It is not the copy of record.Despite the scale of veteran homelessness and government–community initiatives to end homelessness among veterans, few studies have featured individual veteran accounts of experiencing homelessness. Here we track veterans’ trajectories from military service to homelessness through qualitative, semistructured interviews with 17 post-9/11-era veterans. Our objective was to examine how veterans become homeless—including the role of military and postmilitary experiences—and how they negotiate and attempt to resolve episodes of homelessness. We identify and report results in 5 key thematic areas: transitioning from military service to civilian life, relationships and employment, mental and behavioral health, lifetime poverty and adverse events, and use of veteran-specific services. We found that veterans predominantly see their homelessness as rooted in nonmilitary, situational factors such as unemployment and the breakup of relationships, despite very tangible ties between homelessness and combat sequelae that manifest themselves in clinical diagnoses such as posttraumatic stress disorder. Furthermore, although assistance provided by the U.S. Department of Veterans Affairs (VA) and community-based organizations offer a powerful means for getting veterans rehoused, veterans also recount numerous difficulties in accessing and obtaining VA services and assistance. Based on this, we offer specific recommendations for more systematic and efficient measures to help engage veterans with VA services that can prevent or attenuate their homelessness

    Young Adult Outcomes of Youth Exiting Dependent or Delinquent Care in Los Angeles County

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    Compares educational, employment, health, mental health, criminal justice, and public welfare outcomes for youth who age out of foster care, those who exit the juvenile probation system, and those who were involved in both systems. Considers implications

    Public Service Reductions Associated with Placement of Homeless Persons with Severe Mental Illness in Supportive Housing

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    This article assesses the impact of public investment in supportive housing for homeless persons with severe mental disabilities. Data on 4,679 people placed in such housing in New York City between 1989 and 1997 were merged with data on the utilization of public shelters, public and private hospitals, and correctional facilities. A series of matched controls who were homeless but not placed in housing were similarly tracked. Regression results reveal that persons placed in supportive housing experience marked reductions in shelter use, hospitalizations, length of stay per hospitalization, and time incarcerated. Before placement, homeless people with severe mental illness used about 40,451perpersonperyearinservices(1999dollars).Placementwasassociatedwithareductioninservicesuseof40,451 per person per year in services (1999 dollars). Placement was associated with a reduction in services use of 16,281 per housing unit per year. Annual unit costs are estimated at 17,277,foranetcostof17,277, for a net cost of 995 per unit per year over the first two years

    The Age Structure of Contemporary Homelessness: Risk Period or Cohort Effect?

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    This paper assesses the age composition of the sheltered homeless population and how the age of this population – both single adults and adults in families – have changed over the past two decades. Data for this study came from administrative records on shelter use in New York City and from the nationwide shelter and general population enumerations in each of the last two decennial census enumerations. Results are presented in a series of figures to illustrate 1) the changes in the age distributions of the homeless population over time; and 2) the age distribution of homeless populations compared to other populations. In the late 1980s, homeless single adults and adults in families were relatively young, with the median age for both being in the late-twenties. Subsequently, however, these household types appear to have diverged, as the birth cohort from which the young single adults had come (born 1954-1965) has continued to be overrepresented in the shelter population, whereas homelessness among adults in families has remained linked to households in the early parenting years (ages 18-23). While the families and the single adults may have experienced some common precipitating factors that led to the emergence of homelessness in the 1980s, the young mothers appear to age out of their risk for homelessness while homelessness among this birth cohort of single adults sustains. Hypotheses are discussed regarding the social and economic factors that may be associated with disproportionate housing instability and homelessness among adults from the latter half of the baby boom cohort. Implications for public policy are considered, including the premature risk of disability, frailty and mortality associated with this cohort

    Behavioral health services use among heads of homeless and housed poor families

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    Objectives. This study compares the use of and cost for behavioral health services among heads of homeless and housed poor families. Methods. Medicaid records for 59,135 heads of families receiving Temporary Assistance to Needy Families benefits were matched with data from Philadelphia’s municipal shelter system. Propensity score matching was used to select a matched control group to those identified as having been homeless between 1997 and 2003. Behavioral health services utilization was then assessed based on Medicaid claims records. Results. Substantially higher levels of behavioral health services use and corresponding costs were found among heads of families with a history of shelter use. Conclusions. Greater use of behavioral health services by heads of homeless families may reflect greater severity of disorders or a greater likelihood to seek treatment relative to what has been suggested by previous research

    The Impact of Welfare Reform on Public Shelter Utilization in Philadelphia: A Time-Series Analysis

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    The use of public shelters in Philadelphia was examined both before and after the implementation of Act 35, Pennsylvania’s response to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Univariate interrupted time-series analyses were conducted to determine if trends in shelter utilization (the number of families admitted, by family size, by race, by age of household head, by income, by disability indicator, and by average length of stay) changed significantly after March 1997, the month in which Act 35 was implemented, or after 3, 6, 9, and 12 months of implementation. Results indicate that family size and household head age increased after the implementation of Temporary Assistance for Needy Families, although not at consistent lags. A small negative effect on self-reported substance abuse and a small positive effect on the proportion of household heads with a disability were found, but at inconsistent lags. As is the case with most evaluations of welfare reform, it is difficult to separate the effects of welfare reform and Philadelphia\u27s economy during the study period. To test the effect of Act 35\u27s implementation while controlling for economic factors, a multivariate regression analysis of family shelter admissions was conducted along with variables for the unemployment rate and for the consumer price index for the cost of rental housing. This analysis revealed a significant positive effect of unemployment and housing costs on public shelter admissions among families and no effect of the implementation of welfare reform
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