Latinx Homelessness In Philadelphia: Rates Of Services Use, Perceived Barriers And Assets, And Potential Opportunities For Leveraging City Reform Efforts To Address Service Gaps, Dennis P. Culhane, Stephen Metraux, Dan Treglia, Kim Lowman, Angel Ortiz-Siberon
Oct 2019
Latinx Homelessness In Philadelphia: Rates Of Services Use, Perceived Barriers And Assets, And Potential Opportunities For Leveraging City Reform Efforts To Address Service Gaps, Dennis P. Culhane, Stephen Metraux, Dan Treglia, Kim Lowman, Angel Ortiz-Siberon
Dennis P. Culhane
In this report we examine the differential use of homeless services by the Latinx populationcompared to other racial and ethnic groups in the City of Philadelphia from several perspectives. First, we undertake a systematic, empirical examination to confirm the existence of such a “Latinx paradox” among Philadelphia homeless services. In doing so, we analyze service utilization data to document the extent to which race and ethnic groups, stratified by age and sex, are served by emergency shelter, transitional housing and street outreach programs, after adjusting for poverty status. Second, we seek to better understand possible dynamics that might contribute to …
When Crises Converge: Hospital Visits Before And After Shelter Use Among Homeless New Yorkers, Dan Treglia, Eileen L. Johns, Maryanne Schretzman, Jacob Berman, Dennis P. Culhane, David C. Lee, Kelly M. Doran
Aug 2019
When Crises Converge: Hospital Visits Before And After Shelter Use Among Homeless New Yorkers, Dan Treglia, Eileen L. Johns, Maryanne Schretzman, Jacob Berman, Dennis P. Culhane, David C. Lee, Kelly M. Doran
Dennis P. Culhane
People who are homeless use more hospital-based care than average, yet little is known about how hospital and shelter use are interrelated. We examined the timing of emergency department (ED) visits and hospitalizations relative to entry into and exit from New York City homeless shelters, using an analysis of linked health care and shelter administrative databases. In the year before shelter entry and the year following shelter exit, 39.3 percent and 43.3 percent, respectively, of firsttime adult shelter users had an ED visit or hospitalization. Hospital visits—particularly ED visits—began to increase several months before shelter entry and declined over several …
Suicidality And The Onset Of Homelessness: Evidence For A Temporal Association From Vha Treatment Records, Dennis P. Culhane, Dorota Szymkowiak, John A. Schinka
Jul 2019
Suicidality And The Onset Of Homelessness: Evidence For A Temporal Association From Vha Treatment Records, Dennis P. Culhane, Dorota Szymkowiak, John A. Schinka
Dennis P. Culhane
Objective:
This study examined the temporal sequencing of a first-recorded episode of homelessness and treatment for suicidal ideation or attempt.
Methods:
Data were from the U.S. Department of Veterans Affairs Corporate Data Warehouse and contained medical records of service use dates and associated ICD codes for care provided by the Veterans Health Administration. The analysis examined treatment for suicidality before and after a first record of homelessness (“onset”) among 152,519 veterans. The second analysis examined the rate of treatment for suicidality among 156,288 veterans with any indication of homelessness. The third analysis examined the rate of homelessness among 145,770 veterans …
An Evaluation Of The City Of Philadelphia's Kensington Encampment Resolution Pilot, Stephen Metraux, Meagan Cusack, Fritz Graham, David S. Metzger, Dennis P. Culhane
Mar 2019
An Evaluation Of The City Of Philadelphia's Kensington Encampment Resolution Pilot, Stephen Metraux, Meagan Cusack, Fritz Graham, David S. Metzger, Dennis P. Culhane
Dennis P. Culhane
This evaluation is an independent examination of the City of Philadelphia’s Encampment Resolution Pilot (ERP), an initiative to shut down two homeless encampments located in the Kensington section of Philadelphia. The closure process involved an extended period of active outreach that facilitated access to housing, substance use treatment, and other services to people who stayed in the encampments and faced displacement. We examined two primary outcomes: first, whether the encampments were closed as scheduled and remained closed; and, second, the extent to which the people who were sleeping in the encampments (i.e., the target population) received needed services.
The evaluation …
Final Report: A Review Of Year Two Of Los Angeles County's Homeless Initiative, Halil Toros, Stephen Metraux, Dennis P. Culhane
Feb 2019
Final Report: A Review Of Year Two Of Los Angeles County's Homeless Initiative, Halil Toros, Stephen Metraux, Dennis P. Culhane
Dennis P. Culhane
In February 2016, the LA County Board of Supervisors formally approved a comprehensive set of strategies, administered under the County’s Chief Executive Office (CEO), that provide the framework for LA County’s Homeless Initiative (HI). The HI strategies are the product of a collaborative planning process that involved the participation of multiple County departments, cities and community organizations.
The core of the initiative is 51 strategies that create or expand a range of client-centered services and are structured to produce measurable outcomes. These strategies are grouped into six focus areas seeking to do the following:
➢ Prevent Homelessness;
➢ Subsidize Housing; …
A Professional Service For Housing Stabilisation, Dennis P. Culhane
Jan 2019
A Professional Service For Housing Stabilisation, Dennis P. Culhane
Dennis P. Culhane
As countries with advanced economies have come to reconcile with an indefinite future of housing affordability shortages, the need for a formallyorganised sector of social work practice in housing stabilization has been recognised as necessary for addressing an expected and periodic rate of housing emergencies and homelessness.
A Data-Based Re-Design Of Housing Supports And Services For Aging Adults Who Experience Homelessness In Los Angeles, Dennis P. Culhane, Stephen Metraux, Randall Kuhn
Jan 2019
A Data-Based Re-Design Of Housing Supports And Services For Aging Adults Who Experience Homelessness In Los Angeles, Dennis P. Culhane, Stephen Metraux, Randall Kuhn
Dennis P. Culhane
This report examines health services use and population dynamics among the aging homeless population in Los Angeles. Evidence suggests that adverse health outcomes lead to homelessness, and the conditions related to homelessness lead to or exacerbate a range of health problems (Hwang, 2001). In addition, the barriers to accessing preventative and primary care while homeless lead to receipt of healthcare only when morbidities are more acute, (Reid, Vittinghoff, & Kushel, 2008; Kushel, Gupta, Gee, & Haas, 2006; Lim, Andersen, Leake, Cunningham, & Gelberg, 2002) meaning that there is a disproportionate use of inpatient hospitalization and other costly medical and behavioral …
A Data-Driven Re-Design Of Housing Supports And Services For Aging Adults Who Experience Homelessness In New York City, Dennis P. Culhane, Dan Treglia, Randall Kuhn, Kelly Doran, Eileen Johns, Maryanne Schretzman
Jan 2019
A Data-Driven Re-Design Of Housing Supports And Services For Aging Adults Who Experience Homelessness In New York City, Dennis P. Culhane, Dan Treglia, Randall Kuhn, Kelly Doran, Eileen Johns, Maryanne Schretzman
Dennis P. Culhane
This report examines health services use and population dynamics among the aging homeless population in New York City. Evidence suggests that adverse health outcomes lead to homelessness, and the conditions related to homelessness lead to or exacerbate a range of health problems (Hwang, 2001). In addition, the barriers to accessing preventative and primary care while homeless lead to receipt of healthcare only when morbidities are more acute, (Reid, Vittinghoff, & Kushel, 2008; Kushel, Gupta, Gee, & Haas, 2006; Lim, Andersen, Leake, Cunningham, & Gelberg, 2002) meaning that there is a disproportionate use of inpatient hospitalization and other costly medical and …
Inflection Points In Community-Level Homeless Rates, Chris Glynn, Thomas H. Byrne, Dennis P. Culhane
Dec 2018
Inflection Points In Community-Level Homeless Rates, Chris Glynn, Thomas H. Byrne, Dennis P. Culhane
Dennis P. Culhane
Previous studies that quantify the relationship between homeless rates and features of a community typically assume a global linear relationship. This linear model assumption precludes the possibility of inflection points in homeless rates - thresholds in quantifiable metrics of a community which, once breached, are associated with large increases in homelessness. In this paper, we identifying points of structural change in the relationship between homeless rates and community-level measures of housing affordability and extreme poverty. We develop a Dirichlet process mixture model that allows clusters of communities with similar features to exhibit common patterns of variation in homeless rates. A …
The 2018 Annual Homelessness Assessment Report To The Congress, Meghan Henry, Anna Mahathey, Tyler Morrill, Anna Robinson, Azim Shivji, Rian Watt, Jill Khadduri, Dennis P. Culhane
Nov 2018
The 2018 Annual Homelessness Assessment Report To The Congress, Meghan Henry, Anna Mahathey, Tyler Morrill, Anna Robinson, Azim Shivji, Rian Watt, Jill Khadduri, Dennis P. Culhane
Dennis P. Culhane
On a single night in 2018, roughly 553,000 people were experiencing homelessness in the United States. About two-thirds (65%) were staying in sheltered locations—emergency shelters or transitional housing programs—and about one-third (35%) were in unsheltered locations such as on the street, in abandoned buildings, or in other places not suitable for human habitation. Homelessness increased (though modestly) for the second year in a row. The number of homeless people on a single night increased by 0.3 percent between 2017 and 2018. The increase reflects declines in the number of people staying in emergency shelters and transitional housing programs being offset …
The 2017 Annual Homelessness Assessment Report To The Congress: Part 2, Meghan Henry, Korrin Bishop, Tanya De Sousa, Azim Shivji, Rian Watt, Jill Khadduri, Dennis P. Culhane
Sep 2018
The 2017 Annual Homelessness Assessment Report To The Congress: Part 2, Meghan Henry, Korrin Bishop, Tanya De Sousa, Azim Shivji, Rian Watt, Jill Khadduri, Dennis P. Culhane
Dennis P. Culhane
This report is the second part of a two-part series. The first part is called The 2017 Annual Homeless Assessment Report (AHAR) to Congress, Part 1: Point-in-Time Estimates of Homelessness, and was published in December 2017. The Part 1 report provides estimates of homelessness based on PIT count data gathered by communities throughout the country in late January. The estimates are provided at the national-, state-, and CoC-levels. Part 2 of the 2017 AHAR builds on the Part 1 report by adding 1-year estimates of sheltered homelessness based on data from HMIS. The HMIS estimates provide detailed demographic information about …
Employment And Earnings Trajectories During Two Decades Among Adults In New York City Homeless Shelters, Stephen Metraux, Jamison Fargo, Nicholas Eng, Dennis P. Culhane
Jul 2018
Employment And Earnings Trajectories During Two Decades Among Adults In New York City Homeless Shelters, Stephen Metraux, Jamison Fargo, Nicholas Eng, Dennis P. Culhane
Dennis P. Culhane
In this study, we provide one of the most expansive and systematic views to date of the role of employment and earnings in a large, sheltered homeless population consisting of both individual and family households. Using matched and aggregated administrative data from SSA and the New York City (NYC) Department of Homeless Services (DHS), we juxtapose aggregated earnings and shelter-use data for 160,525 sheltered adults during two decades of followup. If employment represents a shock of sufficient magnitude to precipitate homelessness, then these data should show associations between declines in employment and earnings and onset of shelter use. Furthermore, a …
Epidemiology Of Homelessness Among Veterans, Emily Brignone, Jamison Fargo, Dennis P. Culhane
Dec 2017
Epidemiology Of Homelessness Among Veterans, Emily Brignone, Jamison Fargo, Dennis P. Culhane
Dennis P. Culhane
In this chapter, we address the epidemiology of homelessness among US Veterans, including a discussion of the methodological challenges relevant to the enumeration and description of homelessness as well as a presentation of current estimates and trends in homelessness among Veterans. The chapter begins with a brief overview of homelessness among Veterans historically, with the remainder of the chapter focusing on the prevalence and incidence of homelessness among Veterans over the past decade. The methodological considerations discussed in this chapter include issues surrounding conceptual definitions of homelessness, implications related to the time frame used for estimates, a comparison between point …
The 2017 Annual Homeless Assessment Report (Ahar) To Congress: Part 1, Point-In-Time Estimates Of Homelessness, Meghan Henry, Rian Watt, Lily Rosenthal, Azim Shivji, Jill Khadduri, Dennis P. Culhane
Nov 2017
The 2017 Annual Homeless Assessment Report (Ahar) To Congress: Part 1, Point-In-Time Estimates Of Homelessness, Meghan Henry, Rian Watt, Lily Rosenthal, Azim Shivji, Jill Khadduri, Dennis P. Culhane
Dennis P. Culhane
On a single night in 2017, 553,742 people were experiencing homelessness in the United States. For every 10,000 people in the country, 17 were experiencing homelessness. Approximately two thirds (65%) were staying in emergency shelters or transitional housing programs, and about one third (35%) were in unsheltered locations.
Homelessness increased for the first time in seven years. The number of people experiencing homelessness increased by a little less than one percent between 2016 and 2017. This increase reflected a nine percent increase in the number of people experiencing homelessness in unsheltered locations, which was partially offset by a three percent …
The 2016 Annual Homeless Assessment Report (Ahar) To Congress, Part 2, Claudia D. Solari, Azim Shivji, Tanya De Sousa, Rian Watt, Mark Silverbush, Jill Khadduri, Dennis P. Culhane
Oct 2017
The 2016 Annual Homeless Assessment Report (Ahar) To Congress, Part 2, Claudia D. Solari, Azim Shivji, Tanya De Sousa, Rian Watt, Mark Silverbush, Jill Khadduri, Dennis P. Culhane
Dennis P. Culhane
This report is the second part of a two-part series. The first part is called The 2016 Annual Homeless Assessment Report (AHAR) to Congress, Part 1: Point-in-Time Estimates of Homelessness, and was published in November 2016. The Part 1 report provides estimates of homelessness based on PIT count data gathered by communities throughout the country in late January. The estimates are provided at
the national-, state-, and CoC-levels.
Part 2 of the 2016 AHAR builds on the Part 1 report by adding 1-year estimates of sheltered homelessness based on data from HMIS. The HMIS estimates provide detailed demographic information about …
The 2016 Annual Homeless Assessment Report (Ahar) To Congress: Part 1, Point In Time Estimates, Megan Henry, Rian Watt, Lily Rosenthal, Azim Shivji, Jill Khadduri, Dennis P. Culhane
Oct 2016
The 2016 Annual Homeless Assessment Report (Ahar) To Congress: Part 1, Point In Time Estimates, Megan Henry, Rian Watt, Lily Rosenthal, Azim Shivji, Jill Khadduri, Dennis P. Culhane
Dennis P. Culhane
On a single night in 2016, 549,928 people were experiencing homelessness in the United States. A majority (68%) was staying in emergency shelters, transitional housing programs, or safe havens, and 32 percent were in unsheltered locations. Over one-fifth of people experiencing homelessness were children (22%), 69 percent
were over the age of 24, and nine percent were between the ages of 18 and 24. Between 2015 and 2016, the number of people experiencing homelessness declined by three percent. Declines were composed entirely of
people staying in sheltered locations (which declined by 5%). Homelessness increased among people staying in unsheltered locations …
The 2015 Annual Homelessness Assessment Report (Ahar) To Congress, Part 2, Claudia D. Solari, Sean Morris, Azim Shivji, Tanya De Souza, Jill Khadduri, Dennis P. Culhane
Oct 2016
The 2015 Annual Homelessness Assessment Report (Ahar) To Congress, Part 2, Claudia D. Solari, Sean Morris, Azim Shivji, Tanya De Souza, 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 experiencing sheltered homelessness and how many people are experiencing homelessness in unsheltered locations often referred to as “the street.” The AHAR is submitted 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-part series. The first part is called The 2015 Annual …
Homeless Veterans Eligible For Medicaid Under The Affordable Care Act 2015, Jack Tsai, Wesley J. Kasprow, Dennis P. Culhane, Robert Rosenheck
Nov 2015
Homeless Veterans Eligible For Medicaid Under The Affordable Care Act 2015, Jack Tsai, Wesley J. Kasprow, Dennis P. Culhane, Robert Rosenheck
Dennis P. Culhane
Objective: Among homeless veterans and those at risk of homelessness currently enrolled in Veterans Affairs (VA)health care, this study examined the proportion likely to become eligible for Medicaid in 2014 and their health needs.
Methods: A total of 114,497 homeless and at-risk veterans were categorized into three groups: currently covered by Medicaid, likely to become eligible for Medicaid, and not likely.
Results: Seventy-eight percent of the sample was determined to be likely to become eligible for Medicaid in states that expand Medicaid. Compared with veterans not likely to become eligible for Medicaid, those likely to become eligible were less likely …
Brisbane Common Ground Evaluation: Final Report, Cameron Parsell, Maree Petersen, Ornella Moutou, Dennis P. Culhane, Ed Lucio, Alan Dick
Nov 2015
Brisbane Common Ground Evaluation: Final Report, Cameron Parsell, Maree Petersen, Ornella Moutou, Dennis P. Culhane, Ed Lucio, Alan Dick
Dennis P. Culhane
The purpose of the evaluation is to “examine whether the Brisbane Common Ground initiative has been successful in assisting tenants to maintain secure housing and improve health, wellbeing, social and economic outcomes” (Queensland Government 2012: 7). The evaluation was tasked with examining four dimensions of Brisbane Common Ground; these are:
• The implementation of the initiative and to identify key successes and areas for improvement;
• The design and performance of the building is meeting user requirements and supporting the achievement of the service’s objectives;
• The effectiveness of the Brisbane Common Ground supportive housing service in improving long-term tenant …
No Place To Call Home: Late Boomers Face Homelessness, End Of Life Difficulties, Dennis P. Culhane
Oct 2015
No Place To Call Home: Late Boomers Face Homelessness, End Of Life Difficulties, Dennis P. Culhane
Dennis P. Culhane
Among the more troubling aspects of contemporary homelessness is that the problem has been concentrated among people born between 1953 and 1965. This was true in 1990 when the peak age of adults who were homeless was 30, as it is today, with a peak age of 55. Adults who are homeless have a much reduced life expectancy compared to their housed peers, and can expect to live to a mere 64 years. That means that advanced aging-related illnesses and disabilities are confronting this population in increasing numbers, and end-of-life issues will soon come to the forefront of concerns.
The 2014 Homelessness Assessment Report To Congress Part 2: Estimates Of Homelessness In The United States, Claudia D. Solari, Stephanie Althoff, Korrin Bishop, Zachery Epstein, Sean Morris, Azim Shivji, Jill Khadduri, Dennis P. Culhane
Oct 2015
The 2014 Homelessness Assessment Report To Congress Part 2: Estimates Of Homelessness In The United States, Claudia D. Solari, Stephanie Althoff, Korrin Bishop, Zachery Epstein, Sean Morris, Azim Shivji, 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 often referred to as "the street." The AHAR is submitted 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-part series. The first part is called The 2014 …
Screening For Homelessness In The Veterans Health Administration: Monitoring Housing Stability Through Repeat Screening, Thomas Byrne, Jamison D. Fargo, Ann Elizabeth Montgomery, Christopher B. Roberts, Dennis P. Culhane, Vincent Kane
Oct 2015
Screening For Homelessness In The Veterans Health Administration: Monitoring Housing Stability Through Repeat Screening, Thomas Byrne, Jamison D. Fargo, Ann Elizabeth Montgomery, Christopher B. Roberts, Dennis P. Culhane, Vincent Kane
Dennis P. Culhane
Objective. This study examined veterans’ responses to the Veterans Health Administration’s (VHA’s) universal screen for homelessness and risk ofhomelessness (hereinafter referred to as “risk”) during the first 12 months ofimplementation.
Methods. We calculated the baseline annual frequency of homelessness and risk among all veterans who completed an initial screen during the studyperiod. We measured changes in housing status among veterans who initiallyscreened positive and then completed a follow-up screen, assessed factorsassociated with such changes, and identified distinct risk profiles of veteranswho completed a follow-up screen.
Results. More than 4 million veterans completed an initial screen; 1.8% (n77,621) …
Military Misconduct And Homelessness Among Us Veterans Separated From Active Duty, 2001-2012, Adi V. Gundlapalli, Jamison D. Fargo, Stephen Metraux, Marjorie E. Carter, Matthew K. Samore, Vincent Kane, Dennis P. Culhane
Aug 2015
Military Misconduct And Homelessness Among Us Veterans Separated From Active Duty, 2001-2012, Adi V. Gundlapalli, Jamison D. Fargo, Stephen Metraux, Marjorie E. Carter, Matthew K. Samore, Vincent Kane, Dennis P. Culhane
Dennis P. Culhane
Misconduct-related separations from the military are associated with subsequent adverse civilian outcomes that are of substantial public health concern.1 We investigated the association between misconduct-related separations and homelessness among recently returned active-duty military service members.
Childhood Adversity, Adult Homelessness And The Intergenerational Transmission Of Risk: A Population-Representative Study Of Individuals In Households With Children, J J. Cutuli, Ann Elizabeth Montgomer, Michelle Evans-Chase, Dennis P. Culhane
Jan 2015
Childhood Adversity, Adult Homelessness And The Intergenerational Transmission Of Risk: A Population-Representative Study Of Individuals In Households With Children, J J. Cutuli, Ann Elizabeth Montgomer, Michelle Evans-Chase, Dennis P. Culhane
Dennis P. Culhane
This study tested for associations between childhood adversity, adult homelessness and contexts of developmental risk in households with children. Data were drawn from the 2010 Washington State Behavioral Risk Factor Surveillance System, representative of the population of Washington State residents. Considering adults in households with children, those who experienced higher levels of childhood adversity were more likely to have experienced homelessness in adulthood. Meanwhile, a 10-factor index of cumulative developmental risk was independently associated with childhood adversity and with adult homelessness. Adult homelessness appears to represent a circumstance through which past childhood adversities are brought forward and associated with contexts …
The 2013 Annual Homeless Assessment Report (Ahar) To Congress, Part 2, Claudia D. Solari, Alvaro Cortes, Meghan Henry, Natalie Matthews, Sean Morris, Jill Khadduri, Dennis P. Culhane
Sep 2014
The 2013 Annual Homeless Assessment Report (Ahar) To Congress, Part 2, Claudia D. Solari, Alvaro Cortes, Meghan Henry, Natalie Matthews, Sean Morris, Jill Khadduri, Dennis P. Culhane
Dennis P. Culhane
This report is the second part of a two-part series. The first part is called The 2013 Point-in-Time Estimates of Homelessness: Part 1 of the 2013 Annual Homeless Assessment Report (AHAR) to Congress and was published in November 2013. The Part 1 report provides estimates of homelessness based on the Point-in-Time (PIT) count data gathered by communities throughout the country on a single night in January. The estimates are provided at the national-, state-, and CoC-levels. New to the 2013 AHAR is information on unaccompanied homeless children and youth and chronically homeless people in families.
Part 2 of the 2013 …
Development And Validation Of An Instrument To Assess Imminent Risk Of Homelessness Among Veterans, Ann Elizabeth Montgomery, Jamison Fargo, Vincent Kane, Dennis P. Culhane
Aug 2014
Development And Validation Of An Instrument To Assess Imminent Risk Of Homelessness Among Veterans, Ann Elizabeth Montgomery, Jamison Fargo, Vincent Kane, Dennis P. Culhane
Dennis P. Culhane
Objectives. Veterans are overrepresented within the homeless population compared with their non-veteran counterparts, particularly when controlling for poverty. The U.S. Department of Veterans Affairs (VA) aims to prevent new episodes of homelessness by targeting households at greatest risk; however, there are no instruments that systematically assess veterans’ risk of homelessness. We developed and tested a brief screening instrument to identify imminent risk of homelessness among veterans accessing VA health care.
Methods. The study team developed initial assessment items, conducted cognitiveinterviews with veterans experiencing homelessness, refined pilot items based on veterans’ and experts’ feedback and results of psychometric analyses, and assigned …
The Relationship Between Community Investment In Permanent Supportive Housing And Chronic Homelessness, Thomas Byrne, Jamison Fargo, Ann Elizabeth Montgomery, Ellen Munley, Dennis P. Culhane
May 2014
The Relationship Between Community Investment In Permanent Supportive Housing And Chronic Homelessness, Thomas Byrne, Jamison Fargo, Ann Elizabeth Montgomery, Ellen Munley, Dennis P. Culhane
Dennis P. Culhane
In recent years, permanent supportive housing PSH has emerged as the preferred intervention for addressing chronic homelessness in the United States. However, almost all prior studies examining the effectiveness of PSH have been conducted at the individual level, with only minimal attempts to empirically test the relationship between PSH and chronic homelessness at the community level. This study uses longitudinal data collected by the US Department of Housing and Urban Development HUD and several other sources to model the relationship between measures of community investment in PSH and rates of chronic homelessness. The results show modest negative associations between increased …
Impact And Performance Of The Supportive Services For Veteran Families (Ssvf) Program: Results From The Fy 2013 Program Year, Thomas Byrne, John Kuhn, Dennis P. Culhane, Susan Kane, Vincent Kane
Apr 2014
Impact And Performance Of The Supportive Services For Veteran Families (Ssvf) Program: Results From The Fy 2013 Program Year, Thomas Byrne, John Kuhn, Dennis P. Culhane, Susan Kane, Vincent Kane
Dennis P. Culhane
The Supportive Services for Veteran Families (SSVF) program represents a crucial component of the U.S. Department of Veterans Affairs’ (VA) plan to prevent and end homelessness among Veterans. Operationalized in Federal Fiscal Year (FY) 2012, SSVF is the first and only VA program that provides services to Veterans and their families. SSVF is a community-based, competitive grant program that rapidly re-houses homeless Veteran families and prevents homelessness for those at imminent risk due to a housing crisis. The program focuses on achieving housing stability through a short-term, customized intervention using a time limited case management approach. Services include financial assistance …
Estimating Cost Savings Associated With Hud-Vash Placement, Thomas Byrne, Christopher B. Roberts, Dennis P. Culhane, Vincent Kane
Mar 2014
Estimating Cost Savings Associated With Hud-Vash Placement, Thomas Byrne, Christopher B. Roberts, Dennis P. Culhane, Vincent Kane
Dennis P. Culhane
Existing research suggests that Veterans experiencing homelessness make disproportionate and costly use of acute health, mental health and substance abuse treatment services, but that placement in programs like the US Department of Housing and Urban Development-VA Supportive Housing Program (HUD-VASH) can result in substantial reductions in the utilization of these services and associated costs. Several studies have demonstrated that, for certain high need individuals and Veterans, cost savings resulting from the reduction in these acute care services subsequent to placement in permanent supportive housing (PSH) can substantially or completely offset the cost of providing PSH and may even result in …
Validation Of Self-Reported Veteran Status Among Two Sheltered Homeless Populations, Stephen Metraux, Magdi Stino, Dennis P. Culhane
Dec 2013
Validation Of Self-Reported Veteran Status Among Two Sheltered Homeless Populations, Stephen Metraux, Magdi Stino, Dennis P. Culhane
Dennis P. Culhane
Objectives. We assessed the accuracy of self-reported veteran status among sheltered homeless adults to assess the reliability of using self-report to determine the number of veterans in homeless populations and examine whether there are demographic correlates to inaccurate reporting of veteran status.
Methods. Records on 5,860 sheltered adults from Columbus, Ohio, and 16,346 sheltered adults from New York City (NYC) were matched with U.S. Department of Veterans Affairs (VA) records. We analyzed the agreement between veteran self-reporting and official records using descriptive measures, diagnostic tests, and logistic regression.
Results. The degree of concordance was moderate. Using VA …
