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 …
