Abstract
Homelessness is a chronic public health issue in the U.S. This paper reviews the endurance and evolution of individual, youth, and family homelessness over the past 40-plus years. Thematic findings detail research on predictors of homelessness among adolescents, runaway youth, veterans, older adults, sheltered families, and female-headed families. Results provide a summary of contributors to homelessness, including issues related to family instability, unemployment and poverty, mental illness, substance use, unstable living arrangements, child maltreatment, social support, crime, and violence. Findings highlight key and persistent predictors of homelessness found across decades, as well as more recently identified and nuanced precursors to individual or family displacement. The goal of this work was to summarize what is known about predictors of homelessness to inform targeted research, practice, and policies.
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References
Anderson, D. G., & Rayens, M. K. (2004). Factors influencing homelessness in women. Public Health Nursing,21(1), 12–23. https://doi.org/10.1111/j.1525-1446.2004.21103.x.
Axelson, L., & Dail, P. (1988). The changing character of homelessness in the United States. Family Relations,37(4), 463. https://doi.org/10.2307/584121.
Bassuk, E. L., & Rosenberg, L. (1988). Why does family homelessness occur? A case–control study. American Journal of Public Health,78(7), 783–788.
Bassuk, E. L., Rubin, L., & Lauriat, A. (1984). Is homelessness a mental health problem. American Journal of Psychiatry,141(12), 1546–1550.
Bassuk, E. L., Rubin, L., & Lauriat, A. S. (1986). Characteristics of sheltered homeless families. American Journal of Public Health,76(9), 1097. https://doi.org/10.2105/AJPH.76.9.1097.
Bassuk, E. L., Weinreb, L. F., Buckner, J. C., Browne, A., Salomon, A., & Bassuk, S. S. (1996). The characteristics and needs of sheltered homeless and low-income housed mothers. JAMA,276(8), 640–646.
Bassuk, E. L., Buckner, J. C., Weinreb, L. F., Browne, A., Bassuk, S. S., Dawson, R., et al. (1997). Homelessness in female-headed families: Childhood and adult risk and protective factors. American Journal of Public Health,87(2), 241–248.
Benda, B. B. (1990). Crime, drug abuse and mental illness: A comparison of homeless men and women. Journal of Social Service Research,13(3), 39–60.
Benoit-Bryan, J. (2011). The runaway youth longitudinal study. Chicago, IL: National Runaway Switchboard.
Brakenhoff, B., Jang, B., Slesnick, N., & Snyder, A. (2015). Longitudinal predictors of homelessness: Findings from the National Longitudinal Survey of Youth-97. Journal of Youth Studies,18(8), 1–20. https://doi.org/10.1080/13676261.2015.1020930.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology,3(2), 77–101.
Brown, R., Goodman, L., Guzman, D., Tieu, L., Ponath, C., & Kushel, M. (2016). Pathways to homelessness among older homeless adults: Results from the HOPE HOME study. PLoS ONE,11(5), E0155065. https://doi.org/10.1371/journal.pone.0155065.
Burt, M. R. (1980s). Causes of the growth of homelessness during the 1980s. Housing Policy Debate,2(3), 901–936.
Byrne, T., Montgomery, A., & Fargo, J. (2016). Unsheltered homelessness among veterans: Correlates and profiles. Community Mental Health Journal,52(2), 148–157. https://doi.org/10.1007/s10597-015-9922-0.
Castellanos, H. D. (2015). The role of institutional placement, family conflict, and homosexuality in homelessness pathways among Latino LGBT youth in New York City. Journal of Homosexuality,63(5), 1–32. https://doi.org/10.1080/00918369.2015.1111108.
Caton, C. L., Dominguez, B., Schanzer, B., Hasin, D. S., Felix, A., Hsu, E., … Opler, L. A. (2005). Risk factors for long-term homelessness: Findings from a longitudinal study of first-time homeless single adults. American Journal of Public Health,95(10), 1753–1759. https://doi.org/10.2105/AJPH.2005.063321.
Chamberlain, C., & Johnson, G. (2013). Pathways into adult homelessness. Journal of Sociology,49(1), 60–77. https://doi.org/10.1177/1440783311422458.
Cohen, C. I. (1999). Aging and homelessness. The Gerontologist,39(1), 5. https://doi.org/10.1093/geront/39.1.5.
Coker, T. R., Elliott, M. N., Kanouse, D. E., Grunbaum, J. A., Gilliland, M. J., Tortolero, S. R., … Schuster, M. A. (2009). Prevalence, characteristics, and associated health and health care of family homelessness among fifth-grade students. American Journal of Public Health,99(8), 1446. https://doi.org/10.2105/AJPH.2008.147785.
Crane, M., Byrne, K., Fu, R., Lipmann, B., Mirabelli, F., Rota-Bartelink, A., … Wanes, A. (2005). The causes of homelessness in later life: Findings from a 3-nation study. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 60b(3), S152–S159. https://doi.org/10.1093/geronb/60.3.S152.
Cronley, C. (2010). Unraveling the social construction of homelessness. Journal of Human Behavior in the Social Environment,20(2), 319–333. https://doi.org/10.1080/10911350903269955.
Curtis, M., Corman, H., Noonan, K., & Reichman, N. (2013). Life shocks and homelessness. Demography,50(6), 2227–2253. https://doi.org/10.1007/s13524-013-0230-4.
Cutuli, J. J., Montgomery, A. E., Evans-Chase, M., & Culhane, D. P. (2017). Childhood adversity, adult homelessness and the intergenerational transmission of risk: A population-representative study of individuals in households with children. Child & Family Social Work,22(1), 116–125. https://doi.org/10.1111/cfs.12207.
Dadds, M., Braddock, D., Cuers, S., Elliott, A., & Kelly, A. (1993). Personal and family distress in homeless adolescents. Community Mental Health Journal,29(5), 413–422. https://doi.org/10.1007/BF00754409.
De Venanzi, A. (2008). The institutional dynamics of homelessness. International Journal of Sociology and Social Policy,28(3/4), 129–145. https://doi.org/10.1108/01443330810862197.
Desilver, D. (2014, January 13). Who’s poor in America? 50 years into the “War on Poverty,” a data portrait. Pew Research Center. Retrieved from https://www.pewresearch.org/fact-tank/2014/01/13/whos-poor-in-america-50-years-into-the-war-on-poverty-a-data-portrait/.
Dworsky, A., & Courtney, M. E. (2010). Assessing the impact of extending care beyond age 18 on homelessness: Emerging findings from the Midwest Study. Chicago: Chapin Hall at the University of Chicago.
Dye, L. L., University of Chicago, National Ctr for Assessment of Alternatives to Juvenile Justice Processing, & United States of America. (1981). Programs for Runaway Youths. National Center for the Assessment of Alternatives to Juvenile Justice Processing: The School of Social Service Administration, The University of Chicago.
Edelman, M. W., & Mihaly, L. (1989). Homeless families and the housing crisis in the United States. Children and Youth Services Review,11(1), 91–108. https://doi.org/10.1016/0190-7409(89)90009-1.
Elliott, M., & Krivo, L. J. (1991). Structural determinants of homelessness in the United States. Social Problems, 38(1), 113–131.
Embleton, L., Lee, H., Gunn, J., Ayuku, D., & Braitstein, P. (2016). Causes of child and youth homelessness in developed and developing countries: A systematic review and meta-analysis. JAMA Pediatrics,170(5), 435–444. https://doi.org/10.1001/jamapediatrics.2016.0156.
Embry, L. E., Stoep, A. V., Evens, C., Ryan, K. D., & Pollock, A. (2000). Risk factors for homelessness in adolescents released from psychiatric residential treatment. Journal of the American Academy of Child & Adolescent Psychiatry,39(10), 1293–1299. https://doi.org/10.1097/00004583-200010000-00017.
Evans, G. W., & Cassells, R. C. (2014). Childhood poverty, cumulative risk exposure, and mental health in emerging adults. Clinical Psychological Science,2(3), 287–296.
Fargo, J. D., Munley, E. A., Byrne, T. H., Montgomery, A. E., & Culhane, D. P. (2013). Community-level characteristics associated with variation in rates of homelessness among families and single adults. American Journal of Public Health, 103(Suppl 2), S340. https://doi.org/10.2105/AJPH.2013.301619.
Fertig, A., & Reingold, D. (2008). Homelessness among At-Risk Families with Children in Twenty American Cities. The Social Service Review,82(3), 485.
Fischer, P. J. (1992). Victimization and homelessness: Cause and effect. New England Journal of Public Policy,8(1), 20.
Fowler, P. J., Toro, P. A., & Miles, B. W. (2009). Pathways to and from homelessness and associated psychosocial outcomes among adolescents leaving the foster care system. American Journal of Public Health,99(8), 1453. https://doi.org/10.2105/AJPH.2008.142547.
Goodman, L. A. (1991). The prevalence of abuse among homeless and housed poor mothers. American Journal of Orthopsychiatry,61(4), 489–500. https://doi.org/10.1037/h0079287.
Hamilton, A. B., Poza, I., & Washington, D. L. (2011). "Homelessness and trauma go hand-in-hand": Pathways to homelessness among women veterans. Women's Health Issues,21(4), S203–S209. https://doi.org/10.1016/j.whi.2011.04.005.
Harrison, B., & Bluestone, B. (1988). The Great U-Turn: Corporate restructuring and the polarizing of America. New York, NY: Basic Books Inc.
Heinze, H. J., Hernandez Jozefowicz, D. M., Toro, P. A., & Blue, L. R. (2012). Reasons for homelessness: An empirical typology. Vulnerable Children and Youth Studies,7(1), 88–101.
Henry, M., Watt, R., Rosenthal, L., Shivji, A., Khadduri, J., & Culhane, D. (2016). The 2016 Annual Homeless Assessment Report (AHAR) to Congress: Part 1, Point in Time Estimates (USA, U.S. Department of Housing and Urban Development (HUD)).
Herman, D. B., Susser, E. S., Struening, E. L., & Link, B. L. (1997). Adverse childhood experiences: Are they risk factors for adult homelessness? American Journal of Public Health,87(2), 249. https://doi.org/10.2105/AJPH.87.2.249.
Hyde, J. (2005). From home to street: Understanding young people's transitions into homelessness. Journal of Adolescence,28(2), 171–183. https://doi.org/10.1016/j.adolescence.2005.02.001.
Johnson, T. P., Freels, S. A., Parsons, J. A., & Vangeest, J. B. (1997). Substance abuse and homelessness: Social selection or social adaptation? Addiction,92(4), 437–445. https://doi.org/10.1111/j.1360-0443.1997.tb03375.x.
Kattari, S. K., & Begun, S. (2017). On the margins of marginalized: Transgender homelessness and survival sex. Affilia,32(1), 92–103. https://doi.org/10.1177/0886109916651904.
Keigher, S. M. (1989). Personal Coping Strategies of the Elderly in Housing Emergencies: Clues to Interventions to Prevent Homelessness and Institutionalization. Retrieved from https://files.eric.ed.gov/fulltext/ED312514.pdf.
Kellett, P., & Moore, J. (2003). Routes to home: Homelessness and home-making in contrasting societies. Habitat International,27(1), 123–141. https://doi.org/10.1016/S0197-3975(02)00039-5.
Kingree, J. B., Stephens, T., Braithwaite, R., & Griffin, J. (1999). Predictors of homelessness among participants in a substance abuse treatment program. American Journal of Orthopsychiatry,69(2), 261–266. https://doi.org/10.1037/h0080428.
Koegel, P. (1995). Childhood risk factors for homelessness among homeless adult. American Journal of Public Health,85(12), 1642. https://doi.org/10.2105/AJPH.85.12.1642.
Kruks, G. (1991). Gay and lesbian homeless/street youth: Special issues and concerns. Journal of Adolescent Health,12(7), 515–518.
Lee, B. A., Tyler, K. A., & Wright, J. D. (2010). The new homelessness revisited. Annual Review of Sociology,36(1), 501–521. https://doi.org/10.1146/annurev-soc-070308-115940.
Lewit, E. M., & Baker, L. S. (1996). Homeless families and children. The future of children6(2), 146–158.
Lipschutz, M. R. (1977). Runaways in history. Crime & Delinquency,23(3), 321–332. https://doi.org/10.1177/001112877702300308.
Mago, V., Morden, H., Fritz, C., Wu, T., Namazi, S., Geranmayeh, P., … Dabbaghian, V. (2013). Analyzing the impact of social factors on homelessness: A Fuzzy Cognitive Map approach. BMC Medical Informatics and Decision Making, 13(1). https://doi.org/10.1186/1472-6947-13-94.
Mallett, S., Rosenthal, D., & Keys, D. (2005). Young people, drug use and family conflict: Pathways into homelessness. Journal of Adolescence,28(2), 185–199. https://doi.org/10.1016/j.adolescence.2005.02.002.
Mcchesney, K. Y. (1990). Family homelessness: A systemic problem. Journal of Social Issues,46(4), 191–205. https://doi.org/10.1111/j.1540-4560.1990.tb01806.x.
Mcvicar, D., Moschion, J., & Van Ours, J. C. (2015). From substance use to homelessness or vice versa? Social Science & Medicine,136–137, 89–98. https://doi.org/10.1016/j.socscimed.2015.05.005.
Merrick, M. T., Henly, M., Turner, H. A., David-Ferdon, C., Hamby, S., Kacha-Ochana, A., et al. (2018). Beyond residential mobility: a broader conceptualization of instability and its impact on victimization risk among children. Child Abuse & Neglect,79, 485–494.
Moorhead, M. (2012). HUD secretary says a homeless person costs taxpayers $40,000 a year. The Daily Show.
Moses, A. B. (1978). The runaway youth act: Paradoxes of reform. Social Service Review,52(2), 227–243. https://doi.org/10.1086/643620.
National Alliance to End Homelessness. (2017). Unsheltered homelessness: Trends, causes, and strategies to address—National alliance to end homelessness. Retrieved from https://endhomelessness.org/resource/unsheltered-homelessness-trends-causes-strategies-address/.
National Coalition for The Homeless. (2017). State of the homeless 2017: Rejecting low expectations: Housing is the answer. New York: Coalition for The Homeless.
O'Connell, M., Kasprow, W., & Rosenheck, R. (2008). Rates and risk factors for homelessness after successful housing in a sample of formerly homeless veterans. Psychiatric Services,59(3), 268–275. https://doi.org/10.1176/ps.2008.59.3.268.
Rosenheck, R., & Fontana, A. (1994). A model of homelessness among male veterans of the Vietnam War generation. The American Journal of Psychiatry,151(3), 421–427. https://doi.org/10.1176/ajp.151.3.421.
Rossi, P. H., & Fowler, R. D. (1990). The old homeless and the new homelessness in historical perspective. American Psychologist,45(8), 954–959. https://doi.org/10.1037/0003-066X.45.8.954.
Salit, S. A., Kuhn, E. M., Hartz, A. J., Vu, J. M., & Mosso, A. L. (1998). Hospitalization costs associated with homelessness in New York City. The New England Journal of Medicine,338(24), 1734. https://doi.org/10.1056/NEJM199806113382406.
Schweitzer, R. D., Hier, S. J., & Terry, D. (1994). Parental bonding, family systems, and environmental predictors of adolescent homelessness. Journal of Emotional and Behavioral Disorders,2(1), 39–45. https://doi.org/10.1177/106342669400200105.
Shinn, M., Weitzman, B. C., Stojanovic, D., Knickman, J. R., Jiménez, L., Duchon, L., … Krantz, D. H. (1998). Predictors of homelessness among families in New York City: From shelter request to housing stability. American Journal of Public Health,88(11), 1651. https://doi.org/10.2105/AJPH.88.11.1651.
Slesnick, N., Bartle-Haring, S., Dashora, P., Kang, M. J., & Aukward, E. (2008). Predictors of homelessness among street living youth. Journal of Youth and Adolescence,37(4), 465–474. https://doi.org/10.1007/s10964-007-9188-0.
Song, J., Safaeian, M., Strathdee, S., Vlahov, D., & Celentano, D. (2000). The prevalence of homelessness among injection drug users with and without HIV infection. Journal of Urban Health,77(4), 678–687. https://doi.org/10.1007/BF02344031.
Springer, D. W. (2001). Runaway adolescents: Todays Huckleberry Finn crisis. Brief Treatment and Crisis Intervention,1(2), 131–151. https://doi.org/10.1093/brief-treatment/1.2.131.
Substance Abuse and Mental Health Services Administration. (2018). Key substance use and mental health indicators in the United States: Results from the 2017 National Survey on Drug Use and Health (HHS Publication No. SMA 18–5068, NSDUH Series H-53). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/.
Sullivan, G., Burnam, A., & Koegel, P. (2000). Pathways to homelessness among the mentally ill. Social Psychiatry and Psychiatric Epidemiology,35(10), 444–450. https://doi.org/10.1007/s001270050262.
Sundin, E. C. (2012). P-1171-What are the risk factors for becoming and staying homeless? A mixed-methods study of the experience of homelessness among adult people. European Psychiatry,27, 1.
Susser, E. S., Lin, S. P., Conover, S. A., & Struening, E. L. (1991). Childhood antecedents of homelessness in psychiatric patients. The American Journal of Psychiatry,148(8), 1026–1030. https://doi.org/10.1176/ajp.148.8.1026.
Tessler, R., Rosenheck, R., & Gamache, G. (2001). Gender differences in self-reported reasons for homelessness. Journal of Social Distress and the Homeless,10(3), 243–254. https://doi.org/10.1023/A:1016688707698.
Thompson, S., Safyer, A., & Pollio, D. (2001). Differences and predictors of family reunification among subgroups of runaway youths using shelter services. Social Work Research,25(3), 163–172. https://doi.org/10.1093/swr/25.3.163.
Thompson, S., Zittel-Palamara, K., & Maccio, E. (2004). Runaway youth utilizing crisis shelter services: Predictors of presenting problems. Child and Youth Care Forum,33(6), 387–404. https://doi.org/10.1007/s10566-004-5263-9.
Thompson, R. G., Wall, M. M., Greenstein, E., Grant, B. F., & Hasin, D. S. (2013). Substance-use disorders and poverty as prospective predictors of first-time homelessness in the United States. American Journal of Public Health, 103 Suppl 2(Suppl 2), S282. doi:10.2105/AJPH.2013.301302
Timmer, D. A., & Eitzen, D. S. (1992). The root causes of urban homelessness in the United States. Humanity & Society,16(2), 159–175.
Tsai, J., Hoff, R. A., & Harpaz-Rotem, I. (2017). One-year incidence and predictors of homelessness among 300,000 U.S. Veterans seen in specialty mental health care. Psychological Services, 14(2), 203–207. https://doi.org/10.1037/ser0000083.
Tsai, J., & Rosenheck, R. (2013). Conduct disorder behaviors, childhood family instability, and childhood abuse as predictors of severity of adult homelessness among American veterans. Social Psychiatry and Psychiatric Epidemiology,48(3), 477–486. https://doi.org/10.1007/s00127-012-0551-4.
Tucker, W. (1991). How housing regulations cause homelessness. The Public Interest,102, 78–88.
Tyler, K. A. (2006). A qualitative study of early family histories and transitions of homeless youth. Journal of Interpersonal Violence,21(10), 1385–1393. https://doi.org/10.1177/0886260506291650.
Van Den Bree, M. B., Shelton, K., Bonner, A., Moss, S., Thomas, H., & Taylor, P. J. (2009). A longitudinal population-based study of factors in adolescence predicting homelessness in young adulthood. Journal of Adolescent Health,45(6), 571–578. https://doi.org/10.1016/j.jadohealth.2009.03.027.
Weitzman, B. (1989). Pregnancy and childbirth: Risk factors for homelessness? Family Planning Perspectives,21(4), 175–178. https://doi.org/10.2307/2135809.
Wickrama, K. A., O’Neal, C. W., & Lee, T. K. (2016). Cumulative socioeconomic adversity, developmental pathways, and mental health risks during the early life course. Emerging Adulthood,4(6), 378–390.
Wolch, J. R., & Dear, M. J. (1993). Malign neglect: Homelessness in an American city. San Francisco: Jossey-Bass.
Wood, D., & Valdez, R. B. (1991). Barriers to medical care for homeless families compared with housed poor families. American Journal of Diseases of Children, 145(10), 1109–1115.
Wood, D., Valdez, R. B., Hayashi, T., & Shen, A. (1990). Homeless and housed families in Los Angeles: A study comparing demographic, economic, and family function characteristics. American Journal of Public Health,80(9), 1049–1052. https://doi.org/10.2105/AJPH.80.9.1049.
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Giano, Z., Williams, A., Hankey, C. et al. Forty Years of Research on Predictors of Homelessness. Community Ment Health J 56, 692–709 (2020). https://doi.org/10.1007/s10597-019-00530-5
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DOI: https://doi.org/10.1007/s10597-019-00530-5
Keywords
- Homelessness
- Poverty
- Runaway
- Veterans
- Substance abuse
- Health