Social and Behavioral Sciences | Open Access Articles

Predictors Of Homelessness Among Families And Single Adults After Exit From Homelessness Prevention And Rapid Rehousing Programs: Evidence From The Department Of Veterans Affairs Supportive Services For Veteran Families Program, Thomas Byrne, Daniel Treglia, Dennis P. Culhane, John Kuhn, Vincent Kane

Dennis P. Culhane

This article assesses the extent and predictors of homelessness among veterans (both veterans in families with children and single adults veterans) exiting the Supportive Services for Veteran Families (SSVF) program, which is a nationwide homelessness prevention and rapid re-housing programgeared primarily toward those experiencing crisis homelessness.Among rapid re-housing participants, 16%and 26%of single adult veterans experienced an episode of homelessness at 1 and 2 years post-SSVF exit; the comparable figures at those follow-up times for veterans in familieswere 9.4%and 15.5%, respectively. Relatively fewer single adult veterans and veterans in families receiving homelessness prevention services experienced an episode of homelessness at 1 …

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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.

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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 …

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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 …

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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 …

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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, …

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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 …

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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.

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Prevalence And Risk Of Homelessness Among Us Veterans, Jamison Fargo, Stephen Metraux, Thomas Byrne, Ellen Munley, Ann Elizabeth Montgomery, Harlan Jones, George Sheldon, Vincent Kane, Dennis P. Culhane

Dennis P. Culhane

Introduction

Understanding the prevalence of and risk for homelessness among veterans is prerequisite to preventing and ending homelessness among this population. Homeless veterans are at higher risk for chronic disease; understanding the dynamics of homelessness among veterans can contribute to our understanding of their health needs.

Methods

We obtained data on demographic characteristics and veteran status for 130,554 homeless people from 7 jurisdictions that provide homelessness services, and for the population living in poverty and the general population from the American Community Survey for those same jurisdictions. We calculated prevalence of veterans in the homeless, poverty, and general populations, and …

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Veteran Homelessness: A Supplemental Report To The 2010 Annual Homelessness Assessment Report To Congress, Dennis P. Culhane, Jill Khadduri, Alvaro Cortes, Meghan Henry, Ann Elizabeth Montgomery, Thomas Byrne, Ellen Munley

Dennis P. Culhane

The Department of Housing and Urban Development (HUD)and the Department of Veterans Affairs (VA) are pleased to present Veteran Homelessness: A Supplemental Report to the 2010 Annual Homeless Assessment Report to Congress. This second annual supplemental report is intended to provide policymakers, practitioners, and the general public with information about the extent and nature of veteran homelessness. The information provided in this report advances the federal effort to end homelessness among veterans in 5 years—as described in the 2010 Federal Strategic Plan to End Homelessness and the VA’s plan to end veteran homelessness—through the collection of timely data on veteran …

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Prevalence And Risk Of Homelessness Among Us Veterans: A Multisite Investigation, Jamison Fargo, Stephen Metraux, Thomas Byrne, Ellen Munley, Ann Elizabeth Montgomery, Harlan Jones, George Sheldon, Dennis P. Culhane

Dennis P. Culhane

This study analyzes HMIS and American Community Survey data from seven jurisdictions to assess the prevalence and relative risk for homelessness among veterans by race, sex, age and poverty status. Results show that among the homeless population, approximately 14% of adult males and 2% of adult females are veterans. For males, this proportion is about 30% greater than the proportion of Veterans in the general population, and twice as large as the proportion of veterans in the population living below the poverty threshold. Similarly among the female homeless population, veterans are overrepresented compared to the general population by a factor …

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Veteran Homelessness: A Supplemental Report To The 2009 Annual Homeless Assessment Report To Congress, Dennis P. Culhane, Jill Khadduri, Alvaro Cortes, Larry Buron, Joshua Leopold, Ann Elizabeth Montgomery, Ellen Munley, Thomas Byrne, John Kuhn

Dennis P. Culhane

The Department of Housing and Urban Development (HUD) and the Department of Veterans Affairs (VA) are pleased to present Veteran Homelessness: A Supplemental Report to the 2009 Annual Homeless Assessment Report to Congress. This report is the result of ongoing collaboration between HUD and the VA to understand the extent and nature of homelessness among veterans in the United States. The information presented in this report is intended to inform public policymakers, local practitioners and the general public about veteran homelessness. It also advances the goals of the nation’s federal strategic plan to prevent and end homelessness (Opening Doors: Federal …

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Dennis P. Culhane

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

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

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

Estimating Cost Savings Associated With Hud-Vash Placement, Thomas Byrne, Christopher B. Roberts, Dennis P. Culhane, Vincent Kane

Dennis P. Culhane

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

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

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

Prevalence And Risk Of Homelessness Among Us Veterans, Jamison Fargo, Stephen Metraux, Thomas Byrne, Ellen Munley, Ann Elizabeth Montgomery, Harlan Jones, George Sheldon, Vincent Kane, Dennis P. Culhane

Dennis P. Culhane

Veteran Homelessness: A Supplemental Report To The 2010 Annual Homelessness Assessment Report To Congress, Dennis P. Culhane, Jill Khadduri, Alvaro Cortes, Meghan Henry, Ann Elizabeth Montgomery, Thomas Byrne, Ellen Munley

Dennis P. Culhane

Prevalence And Risk Of Homelessness Among Us Veterans: A Multisite Investigation, Jamison Fargo, Stephen Metraux, Thomas Byrne, Ellen Munley, Ann Elizabeth Montgomery, Harlan Jones, George Sheldon, Dennis P. Culhane

Dennis P. Culhane

Veteran Homelessness: A Supplemental Report To The 2009 Annual Homeless Assessment Report To Congress, Dennis P. Culhane, Jill Khadduri, Alvaro Cortes, Larry Buron, Joshua Leopold, Ann Elizabeth Montgomery, Ellen Munley, Thomas Byrne, John Kuhn

Dennis P. Culhane