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The Unique And Combined Effects Of Homelessness And School Mobility On The Educational Outcomes Of Young Children, John W. Fantuzzo, Whitney A. Leboeuf, Chin-Chih Chen, Heather Rouse, Dennis P. Culhane
The Unique And Combined Effects Of Homelessness And School Mobility On The Educational Outcomes Of Young Children, John W. Fantuzzo, Whitney A. Leboeuf, Chin-Chih Chen, Heather Rouse, Dennis P. Culhane
Dennis P. Culhane
This study examined the unique and combined associations of homelessness and school mobility with educational well-being indicators, as well as the mediating effect of absenteeism, for an entire cohort of third-grade students in Philadelphia. Using integrated archival administrative data from the public school district and the municipal Office of Supportive Housing, multilevel linear models were estimated to test these associations while adjusting for nesting of students within schools. Findings demonstrated that homelessness had a unique association with problems in classroom engagement, school mobility was uniquely related to both academic achievement and problems in classroom engagement, and experiencing both homelessness and …
Homelessness And Children's Use Of Mental Health Services: A Population-Based Study, Jung Min Park, Stephen Metraux, Dennis P. Culhane, David Mandell
Homelessness And Children's Use Of Mental Health Services: A Population-Based Study, Jung Min Park, Stephen Metraux, Dennis P. Culhane, David Mandell
Dennis P. Culhane
This study examined whether children who become homeless differ from other low-income children in their mental health service use before and after their first homeless episode, and to what extent homelessness is associated with an increased likelihood of mental health service use. Differences between children with and without new onset of sheltered homelessness in the use of mental health services emerged following homelessness and widened over time. Sheltered homelessness and foster care placement history were associated with increased odds of receiving inpatient and ambulatory mental health services. Findings underscore the importance of collaborations between homeless assistance, foster care, and mental …
The Impact Of Shelter Use And Housing Placement On Mortality Hazard For Unaccompanied Adults And Adults In Family Households Entering New York City Shelters: 1990-2002, Stephen Metraux, Nicholas Eng, Jay Bainbridge, Dennis P. Culhane
The Impact Of Shelter Use And Housing Placement On Mortality Hazard For Unaccompanied Adults And Adults In Family Households Entering New York City Shelters: 1990-2002, Stephen Metraux, Nicholas Eng, Jay Bainbridge, Dennis P. Culhane
Dennis P. Culhane
This study examines mortality among New York City (NYC) homeless shelter users, assessing the relationships between mortality hazard and time in shelter, patterns of homelessness, and subsequent housing exits for both adults in families and single adults. Administrative records from the NYC shelter system were matched with death records from the Social Security Administration for 160,525 persons. Crude mortality rates and life tables were calculated, and survival analyses were undertaken using these data. Life expectancy was 64.2 and 68.6 years for single adult males and single adult females, respectively, and among adults in families, life expectancy was 67.2 and 70.1 …
The Patterns And Costs Of Services Use Among Homeless Families, Dennis P. Culhane, Jung Min Park, Stephen Metraux
The Patterns And Costs Of Services Use Among Homeless Families, Dennis P. Culhane, Jung Min Park, Stephen Metraux
Dennis P. Culhane
This study examines families’ use of behavioral health hospitalization and foster care placement prior to, during and following shelter use, comparing families based on shelter pattern and type of housing exit. Results show that inpatient and foster care services use drops in the homelessness period, but rebounds following exit, regardless of pattern of shelter use, and type of housing exit. Results suggest that shelters supplant use of services, but not on a sustained basis. Despite declines in concurrent services use, the homelessness period is overall more costly for episodically and long-term shelter users, primarily owing to the high costs of …
Ending Family Homelessness In Massachusetts: A New Approach For The Emergency Assistance Program, Dennis P. Culhane, Thomas Byrne
Ending Family Homelessness In Massachusetts: A New Approach For The Emergency Assistance Program, Dennis P. Culhane, Thomas Byrne
Dennis P. Culhane
This paper explores the current opportunity for policy reform of the Emergency Assistance (EA) system in Massachusetts. Recent initiatives by the state are described that have provided a context for systems change. Some of the challenges posed by the current program are discussed, particularly the lack of cost containment, and the resulting fact that significant public resources are spent supporting long-term stays in shelters and motels, which are not good for families or children. After an exploration of funding and resource issues, the paper concludes by establishing the foundation for changing the current system into one that would be outcome …
Behavioral Health Services Use Among Heads Of Homeless And Housed Poor Families, Jung Min Park, Stephen Metraux, Dennis P. Culhane
Behavioral Health Services Use Among Heads Of Homeless And Housed Poor Families, Jung Min Park, Stephen Metraux, Dennis P. Culhane
Dennis P. Culhane
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 …