Risk Factors Associated with Recurrent Homelessness After a First Homeless Episode.

Alcohol and drug use are commonly associated with the experience of homelessness. In order to better understand this, we explored the prevalence of drug and alcohol use as it related to successful re-housing within a sample of first-time single homeless adults at municipal shelters. From within this...

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Publicado en:Community Mental Health Journal Vol. 50; no. 5; pp. 505 - 514
Autores principales: McQuistion, Hunter, Gorroochurn, Prakash, Hsu, Eustace, Caton, Carol
Formato: Artículo
Publicado: Springer Nature Jul2014
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2014
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        10.1007/s10597-013-9608-4
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        atl: Risk Factors Associated with Recurrent Homelessness After a First Homeless Episode.
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        au:
          McQuistion, Hunter
          Gorroochurn, Prakash
          Hsu, Eustace
          Caton, Carol
        affil:
          Department of Biostatistics, Mailman School of Public Health, Columbia University, 722 W. 168th Street New York 10032 USA
          Department of Psychology, University of Southern California, SGM 501, 3620 South McClintock Ave. Los Angeles 90089-1061 USA
      su:
        New York (State)
        Homelessness
        Housing
        Interviewing
        Substance abuse
        Social support
        Chi-squared test
        Statistical correlation
        Fisher exact test
        Longitudinal method
        Research funding
        Mathematical variables
        Logistic regression analysis
        Descriptive statistics
        Odds ratio
      sug:
        subj:
          Homelessness
          Housing
          Interviewing
          Substance abuse
          Social support
          New York (State)
          Other Community Housing Services
          Other Individual and Family Services
          Chi-squared test
          Statistical correlation
          Fisher exact test
          Longitudinal method
          Research funding
          Mathematical variables
          Logistic regression analysis
          Descriptive statistics
          Odds ratio
      keyword:
        Chemical misuse
        Chronic homelessness
        Criminal justice
        First episode homelessness
        Recurrent homelessness
        Chemical misuse
        Chronic homelessness
        Criminal justice
        First episode homelessness
        Recurrent homelessness
      ab: Alcohol and drug use are commonly associated with the experience of homelessness. In order to better understand this, we explored the prevalence of drug and alcohol use as it related to successful re-housing within a sample of first-time single homeless adults at municipal shelters. From within this sample, we compared the features of recurrent homelessness with those of chronic homelessness and of being stably housed. We interviewed 344 subjects upon shelter entry and followed each one every six months for 18 months using standardized social and mental health measures. We analyzed baseline assessments relative to housing experiences during follow-up using Chi square and multinomial logistic regression. Eighty-one percent (N = 278) obtained housing over 18 months, of which 23.7 % (N = 66) experienced homelessness again. Recurrent homelessness was more common among those with a high school education and if initially re-housed with family. Bivariate analysis resulted in the observation of the highest rate of alcohol and other drug use among this recurrent group and multinomial logistic regression supported this only with the coupling of arrest history and diagnosed antisocial personality disorder. With relatively high rates of recurrent homelessness, there were differences between subjects who experienced recurrent homelessness compared to those who were stably housed and with chronic homelessness. That alcohol and other substance use disorders were associated with recurrent homelessness only if they were linked to other risk factors highlights the complexity of causes for homelessness and a resultant need to organize them into constellations of causal risk factors. Consistent with this, there should be initiatives that span bureaucratic boundaries so as to flexibly meet multiple complex service needs, thus improving outcomes concerning episodes of recurrent homelessness.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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