Risk Factors For Becoming Homeless Among A Cohort Of Veterans Who Served In The Era Of The Iraq And Afghanistan Conflicts, Stephen Metraux, Limin X. Clegg, John D. Daigh, Dennis P. Culhane, Vincent R. Kane
Nov 2013
Risk Factors For Becoming Homeless Among A Cohort Of Veterans Who Served In The Era Of The Iraq And Afghanistan Conflicts, Stephen Metraux, Limin X. Clegg, John D. Daigh, Dennis P. Culhane, Vincent R. Kane
Dennis P. Culhane
Objectives. In this population-based cohort study, we assessed baseline risk factors for homelessness, including the role of service in the Iraq or Afghanistan conflicts, among a large cohort of recent veterans.
Methods. Data for this study came from administrative records for 310 685 veterans who separated from active military duty from July 1, 2005, to September 30, 2006. We used survival analysis methods to determine incidence rates and risk factors for homelessness, based on baseline data for military factors, demographic characteristics, and diagnoses of behavioral health disorders and traumatic brain injury.
Results. Service in Iraq or Afghanistan and, more specifically, …
Community-Level Characteristics Associated With Variations In Rates Of Homelessness Among Families And Single Adults, Jamison D. Fargo, Ellen A. Munley, Thomas H. Byrne, Ann Elizabeth Montgomery, Dennis P. Culhane
Nov 2013
Community-Level Characteristics Associated With Variations In Rates Of Homelessness Among Families And Single Adults, Jamison D. Fargo, Ellen A. Munley, Thomas H. Byrne, Ann Elizabeth Montgomery, Dennis P. Culhane
Dennis P. Culhane
Objectives. We modeled rates of family and single-adult homelessness in the United States in metropolitan and nonmetropolitan regions and as a function of community-level demographic, behavioral, health, economic, and safety net characteristics.
Methods. We entered community-level characteristics and US Department of Housing and Urban Development point-in-time counts for a single night in January 2009 into separate mixed-effects statistical analyses that modeled homelessness rates for 4 subpopulations: families and single adults inmetropolitan and nonmetropolitan regions.
Results. Community-level factors accounted for 25% to 50% of the variance in homelessness rates across models. In metropolitan regions, alcohol consumption, social support, and several economic …
Relationship Among Adverse Childhood Experiences, History Of Active Military Service, And Adult Outcomes: Homelessness, Mental Health And Physical Health, Ann Elizabeth Montgomery, J J. Cutuli, Michelle Evans-Chase, Dan Treglia, Dennis P. Culhane
Nov 2013
Relationship Among Adverse Childhood Experiences, History Of Active Military Service, And Adult Outcomes: Homelessness, Mental Health And Physical Health, Ann Elizabeth Montgomery, J J. Cutuli, Michelle Evans-Chase, Dan Treglia, Dennis P. Culhane
Dennis P. Culhane
Objectives. We determined whether a report of adverse childhood experiences predicts adult outcomes related to homelessness, mental health, and physical health and whether participation in active military service influences the relationship between childhood and adult adversity.
Methods. Using data from the 2010 Washington State Behavioral Risk Factor Surveillance System, we tested by means of logistic regression the relationship between adverse childhood experiences and 3 adult outcomes—homelessness, mental health, and physical health—as well as differences among those with a history of active military service.
Results. Adverse childhood experiences separately predicted increased odds of experiencing homelessness as an adult and mental health …
Homelessness Research: Shaping Policy And Practice, Now And Into The Future, Dennis P. Culhane, Vince R. Kane, Mark Johnston
Nov 2013
Homelessness Research: Shaping Policy And Practice, Now And Into The Future, Dennis P. Culhane, Vince R. Kane, Mark Johnston
Dennis P. Culhane
As this special issue of the journal well reflects, much progress has been made in homelessness research. That progress has been matched with advances in homelessness policy and programming, nearly all of it informed by the contributions of the research community. While the imperatives of policy-making have required decisions to be made with imperfect knowledge, a substantial enough convergence of theory and evidence has enabled policymakers to shift homelessness policy and practice in important ways. Those shifts have also prefigured some of policymakers’ needs from the research community in the future.
Universal Screening For Homelessness And Risk For Homelessness In The Veterans Health Administration, Ann Elizabeth Montgomery, Jamison D. Fargo, Thomas H. Byrne, Vincent R. Kane, Dennis P. Culhane
Nov 2013
Universal Screening For Homelessness And Risk For Homelessness In The Veterans Health Administration, Ann Elizabeth Montgomery, Jamison D. Fargo, Thomas H. Byrne, Vincent R. Kane, Dennis P. Culhane
Dennis P. Culhane
We examined data for all veteranswho completed the Veterans Health Administration’s national homelessness screening instrument between October 1, 2012, and January 10, 2013. Among veterans who were not engaged with the US Department of Veterans Affairs homeless system and presented for primary care services, the prevalence of recent housing instability or homelessness was 0.9% and homelessness risk was 1.2%. Future research will refine outreach strategies, targeting of prevention resources, and development of novel interventions.
The 2013 Annual Homelessness Assessment Report (Ahar) To Congress: Part 1, Point-In-Time Estimates Of Homelessness, Meghan Henry, Alvaro Cortes, Sean Morris, Jill Khadduri, Dennis P. Culhane
Oct 2013
The 2013 Annual Homelessness Assessment Report (Ahar) To Congress: Part 1, Point-In-Time Estimates Of Homelessness, Meghan Henry, Alvaro Cortes, Sean Morris, Jill Khadduri, Dennis P. Culhane
Dennis P. Culhane
On a single night in January 2013, there were 610,042 people experiencing homelessness in the United States, including 394,698 people who were homeless in sheltered locations and 215,344 people who were living in unsheltered locations.
The 2012 Annual Homelessness Assessment Report (Ahar) To Congress: Volume 2, Estimates Of Homelessness In The United States, Claudia Solari, Alvaro Cortes, Scott Brown, Jill Khadduri, Dennis P. Culhane
Aug 2013
The 2012 Annual Homelessness Assessment Report (Ahar) To Congress: Volume 2, Estimates Of Homelessness In The United States, Claudia Solari, Alvaro Cortes, Scott Brown, Jill Khadduri, Dennis P. Culhane
Dennis P. Culhane
Since 2007, the U.S. Department of Housing and Urban Development has released an annual report on the extent of homelessness in the United States—the Annual Homeless Assessment Report (AHAR). The report documents how many people are using shelter programs for homeless people, and how many people are in unsheltered locations that are often called “the street.” The AHAR is delivered each year to the U.S. Congress, and its contents are used to inform Federal, State, and local policies to prevent and end homelessness. This report is the second part of a two-volume series. The first part is called The 2012 …
Housing Chronically Homeless Veterans: Evaluating The Efficacy Of A Housing First Approach To Hud-Vash, Ann Elizabeth Montgomery, Lindsay L. Hill, Vincent Kane, Dennis P. Culhane
Feb 2013
Housing Chronically Homeless Veterans: Evaluating The Efficacy Of A Housing First Approach To Hud-Vash, Ann Elizabeth Montgomery, Lindsay L. Hill, Vincent Kane, Dennis P. Culhane
Dennis P. Culhane
Rapidly placing homeless Veterans with severe mental illness into permanent housing is one important goal of the U.S. Department of Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program; however, no research has tested whether an explicit organizational alignment of this goal with revised practices could improve outcomes. A demonstration project initiated in 2010 to reform housing placement practices in a metropolitan area enabled researchers to compare an explicit “Housing First” program—offering immediate permanent housing without requiring treatment compliance, abstinence, or “housing readiness”—with a treatment-first program for 177 homeless Veterans. The Housing First initiative successfully reduced time to housing placement, …
The Age Structure Of Contemporary Homelessness: Evidence And Implications For Public Policy, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Steno, Jay Bainbridge
Jan 2013
The Age Structure Of Contemporary Homelessness: Evidence And Implications For Public Policy, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Steno, Jay Bainbridge
Dennis P. Culhane
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 adults and adults in families over the past 20 years. Among single adults, the bulk of the sheltered population is comprised of persons born during the latter part of the …
The Aging Of Contemporary Homelessness, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Stino, Jay Bainbridge
Dec 2012
The Aging Of Contemporary Homelessness, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Stino, Jay Bainbridge
Dennis P. Culhane
Homelessness is currently at a demographic crossroad. This presents a unique opportunity for hastening its demise. In the thirty years since homelessness first manifested itself in American cities in its contemporary form, it has ascended to one of the most prominent American social problems. Despite the current push by advocacy organizations to end homelessness, many expect it will always be with us. In its longevity, however, lies the potential for its decline, provided we do not repeat this cycle with a new generation of homeless.
Rethinking Homelessness Prevention Among Persons With Serious Mental Illness, Ann Elizabeth Montgomery, Stephen Metraux, Dennis P. Culhane
Dec 2012
Rethinking Homelessness Prevention Among Persons With Serious Mental Illness, Ann Elizabeth Montgomery, Stephen Metraux, Dennis P. Culhane
Dennis P. Culhane
During recent years, the need to consider effective and innovative ways to prevent and end homelessness among individuals with serious mental illness has been abetted by an increased and more sophisticated understanding of the composition of the homeless population, the emergence of evidence-based practicess to address homelessness, and the passage of the Patient Protection and Affordable Care Act. This article summarizes the evolving understanding of the role that serious mental illness plays in homelessness, as well as the interventions that are effective at preventing and ending homelessness among persons with serious mental illness. This summary contextualizes a discussion of the …
The Age Structure Of Contemporary Homelessness: Evidence And Implications For Public Policy, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Stino, Jay Bainbridge
Dec 2012
The Age Structure Of Contemporary Homelessness: Evidence And Implications For Public Policy, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Stino, Jay Bainbridge
Dennis P. Culhane
No abstract provided.