Homelessness: Programs and the People They Serve: Findings of the National Survey of Homeless Assistance Providers and Clients: Summary Report

Burt, Martha R.; Aron, Laudan; Douglas, Toby; Valente, Jesse; Lee, Edgar; Iwen, Britta

doi:10.1037/e726182011-001

Cited by 166 publications

(249 citation statements)

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“…20 It is very similar to the prevalence among homeless individuals in the 1996 National Survey of Homeless Assistance Providers and Clients. 46 Food insufficiency was associated with several markers of vulnerability. Chronic homelessness, a history of physical or sexual assault, and low educational attainment were all more common among food insufficient respondents in comparison to those who reported getting enough to eat.…”

Section: Discussionmentioning

confidence: 99%

Food Insufficiency and Health Services Utilization in a National Sample of Homeless Adults

et al. 2011

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BACKGROUND:Homeless people have high rates of hospitalization and emergency department (ED) use. Obtaining adequate food is a common concern among homeless people and may influence health care utilization. OBJECTIVE: We tested the hypothesis that food insufficiency is related to higher rates of hospitalization and ED use in a national sample of homeless adults. DESIGN: We analyzed data from the 2003 Health Care for the Homeless (HCH) User Survey. PARTICIPANTS: Participants were 966 adults surveyed at 79 HCH clinic sites throughout the US. The study sample was representative of over 436,000 HCH clinic users nationally. MEASURES: We determined the prevalence and characteristics of food insufficiency among respondents. Using multivariable logistic regression, we examined the association between food insufficiency and four past-year acute health services utilization outcomes: (1) hospitalization for any reason, (2) psychiatric hospitalization, (3) any ED use, and (4) high ED use (≥4 visits). RESULTS: Overall, 25% of respondents reported food insufficiency. Among them, 68% went a whole day without eating in the past month. Chronically homeless (p = 0.01) and traumatically victimized (p = 0.001) respondents were more likely to be food insufficient. In multivariable analyses, food insufficiency was associated with significantly greater odds of hospitalization for any reason (AOR 1.59, 95% CI 1.07, 2.36), psychiatric hospitalization (AOR 3.12, 95% CI 1.73, 5.62), and high ED utilization (AOR 2.83, 95% CI 1.32, 6.08). CONCLUSIONS: One-fourth of homeless adults in this national survey were food insufficient, and this was associated with increased odds of acute health services utilization. Addressing the adverse health services utilization patterns of homeless adults will require attention to the social circumstances that may contribute to this issue.KEY WORDS: homelessness; food insufficiency; health services utilization.

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Section: Discussionmentioning

confidence: 99%

Food Insufficiency and Health Services Utilization in a National Sample of Homeless Adults

et al. 2011

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“…Reference to the benefits and services provided by the U.S. Department of Veteran Affairs (VA) reflects the well-known and long-established reality found in a 1996 survey of homeless people in America that indicated that veterans were 33% of the adult male homeless population (Burt et al 1999). Although this represented a small decline from the estimated percentage of homeless veterans in the 1980s, veterans were still at higher risk for homelessness than non-veteran adult males (Gamache et al 2001).…”

Section: Introductionmentioning

confidence: 96%

Closing a Front Door to Homelessness among Veterans

McGuire

2007

J Primary Prevent

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The U.S. Department of Veterans Affairs (VA) has been identified as a mainstream institution to help prevent homelessness among America's veterans. The large numbers of incarcerated veterans with serious mental illnesses and substance abuse disorders who are at risk for homelessness support the need for expanded VA outreach to this population. Since 2002, the VA has contacted almost 6,500 veterans in prison or jail. Its leadership role in affording comprehensive health, mental health, social resources, corrections outreach, and current policy and planning strategies positions the VA to provide system wide service to veterans leaving correctional institutions. As this VA outreach program proceeds, examining the links among program assumptions, veteran needs and outcomes, and existing evaluation processes can help to maintain focus on homelessness prevention strategies.

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“…Minorities, and especially African Americans, are disproportionately represented among the homeless population (Blasi 1994;Burt et al 1999;. This generally higher risk for homelessness is usually regarded as indicative of the higher rates of poverty and reduced familial resources associated with long-term poverty among African Americans (Burt et al 1999;.…”

Section: Discussionmentioning

confidence: 99%

“…Most persons will use a shelter for at least some part of the period they are homeless (Rossi 1989;Dennis 1993;Koegel, Burnam, and Morton 1996;Burt et al 1999). This would be especially so in New York City, which has the most extensive shelter system of any U.S. city and a court-mandated charge to provide shelter to any family or individual adult claiming to be homeless (Culhane, Metraux, and Wachter 1999).…”

Section: Discussionmentioning

confidence: 99%

Public Shelter Admission among Young Adults with Child Welfare Histories by Type of Service and Type of Exit

Park

Metraux

Brodbar

et al. 2004

Social Service Review

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This study examines the prevalence and associated factors of New York City public shelter use among young adults with histories of out-of-home care or nonplacement preventive services as teenagers. The study finds that 19 percent of former child welfare service users entered public shelters within 10 years of exit from child welfare. Persons with out-of-home placement histories are twice as likely to enter public shelters (22 percent) as those who received nonplacement preventive services only (11 percent). Persons exiting child welfare through absconding from child welfare have the highest rate of shelter use, followed by those discharged to independent living. Comments

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Homelessness: Programs and the People They Serve: Findings of the National Survey of Homeless Assistance Providers and Clients: Summary Report

Cited by 166 publications

References 0 publications

Food Insufficiency and Health Services Utilization in a National Sample of Homeless Adults

Food Insufficiency and Health Services Utilization in a National Sample of Homeless Adults

Closing a Front Door to Homelessness among Veterans

Public Shelter Admission among Young Adults with Child Welfare Histories by Type of Service and Type of Exit

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