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Community Health and Preventive Medicine

Selected Works

2013-2015 Publications

Articles 1 - 7 of 7

Full-Text Articles in Medicine and Health Sciences

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 …