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The effect of incarceration on housing stability among homeless and vulnerably housed individuals in three Canadian cities: A prospective cohort study

Canadian Journal of Public Health volume 107, pages e550–e555 (2016)Cite this article

Abstract

OBJECTIVES: The objective of the study is to characterize the associations between a history of incarceration and subsequent housing stability over a two-year follow-up period among a sample of homeless and vulnerably housed individuals.

METHODS: The study was a prospective cohort study of homeless and vulnerably housed adults in three Canadian cities. Between 2009 and 2012, data were collected using structured, in-person interviews at baseline and two follow-up interviews. Generalized estimating equations were employed to determine the association between reported incarceration within the past 12 months and being housed during the subsequent year over a two-year follow-up period.

RESULTS: Baseline data were available for 1,189 homeless and vulnerably housed adults. Recent incarceration was reported by 337 (29%) individuals at baseline. In adjusted analyses, incarceration in the past 12 months was independently associated with a decreased likelihood of being housed during the subsequent year over the two-year follow-up period (adjusted odds ratio = 0.67, 95% confidence interval: 0.50–0.90).

CONCLUSION: Homeless and vulnerably housed individuals reporting recent incarceration were less likely to be housed over a two-year follow-up period. These findings highlight the importance of assisting individuals experiencing incarceration with securing stable housing during discharge and post-release planning.

Résumé

OBJECTIFS: Caractériser les associations entre les antécédents d’incarcération et la stabilité ultérieure du logement sur une période de suivi de deux ans au sein d’un échantillon de sans-abri et de personnes vulnérables sur le plan du logement.

MÉTHODE: Il s’agissait d’une étude prospective de cohortes d’adultes sans abri ou vulnérables sur le plan du logement dans trois villes canadiennes. Entre 2009 et 2011, nous avons recueilli des données de départ à l’aide d’entretiens directs structurés, puis mené deux entretiens de suivi. Nous avons employé des équations d’estimation généralisées pour déterminer l’association entre la déclaration d’une incarcération au cours des 12 mois antérieurs et le logement durant l’année ultérieure sur une période de suivi de deux ans.

RÉSULTATS: Des données de référence étaient disponibles pour 1 1 89 adultes sans abri ou vulnérables sur le plan du logement. Une incarcération récente a été déclarée par 337 personnes au départ (29 %). Dans nos analyses ajustées, l’incarcération au cours des 12 mois antérieurs était indépendamment associée à une moindre probabilité d’être logé durant l’année ultérieure au cours de la période de suivi de deux ans (rapport de cotes ajusté = 0,67, intervalle de confiance de 95 %: 0,50–0,90).

CONCLUSION: Les personnes sans abri ou vulnérables sur le plan du logement ayant fait état d’une incarcération récente étaient moins susceptibles d’être logées au cours d’une période de suivi de deux ans. Ces constatations soulignent l’importance d’aider les personnes ayant vécu une expérience d’incarcération à obtenir un logement stable durant la planification de leur libération et de la période postlibératoire.

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References

  1. Gaetz S, Donaldson J, Richter T, Gulliver T. The State of Homelessness in Canada. Toronto, ON: Canadian Homelessness Research Network Press, 2013. Available at: http://homelesshub.ca/sites/default/files/SOHC2103.pdf (Accessed March 28, 2016).

    Google Scholar 

  2. Hwang SW. Homelessness and health. CMAJ 2001;164(2):229–33. PMID: 11332321.

    CAS  PubMed  PubMed Central  Google Scholar 

  3. The John Howard Society of Toronto. Homeless and Jailed: Jailed and Homeless. Toronto, ON: The John Howard Society of Toronto, 2010. Available at: http://www.johnhoward.ca/document/JHS-Toronto%20Report%20Homeless%20and%20Jailed.pdf (Accessed March 28, 2016).

    Google Scholar 

  4. Caton CL, Dominguez B, Schanzer B, Hasin DS, Shrout PE, Felix A, et al. Risk factors for long-term homelessness: Findings from a longitudinal study of first-time homeless single adults. Am J Public Health 2005;95(10):1753–59. PMID: 16131638. doi: 10.2105/AJPH.2005.063321.

    Article  Google Scholar 

  5. Williams BA, McGuire J, Lindsay RG, Baillargeon J, Cenzer IS, Lee SJ, et al. Coming home: Health status and homelessness risk of older pre-release prisoners. J Gen Intern Med 2010;25(10):1038–44. PMID: 20532651. doi: 10.1007/S11606-010-1416-8.

    Article  Google Scholar 

  6. Greenberg GA, Rosenheck RA. Jail incarceration, homelessness, and mental health: A national study. Psychiatr Serv 2008;59(2):170–77. PMID: 18245159. doi: 10.1176/ps.2008.59.2.170.

    Article  Google Scholar 

  7. Greenberg GA, Rosenheck RA. Homelessness in the state and federal prison population. Crim Behav Ment Health 2008;18(2):88–103. PMID: 18383201. doi: 10.1002/cbm.685.

    Article  Google Scholar 

  8. van Laere IR, de Wit MA, Klazinga NS. Pathways into homelessness: Recently homeless adults problems and service use before and after becoming homeless in Amsterdam. BMC Public Health 2009;9:3. PMID: 19128448. doi: 10.1186/1471-2458-9-3.

    Article  Google Scholar 

  9. McGuire JF, Rosenheck RA. Criminal history as a prognostic indicator in the treatment of homeless people with severe mental illness. Psychiatr Serv 2004; 55(1):42–48. PMID: 14699199. doi: 10.1176/appi.ps.55.1.42.

    Article  Google Scholar 

  10. Geller A, Curtis MA. A sort of homecoming: Incarceration and the housing security of urban men. Soc Sci Res 2011;40(4):1196–213. PMID: 21927519. doi: 10.1016/j.ssresearch.2011.03.008.

    Article  Google Scholar 

  11. Copeland LA, Miller AL, Welsh DE, McCarthy JF, Zeber JE, Kilbourne AM. Clinical and demographic factors associated with homelessness and incarceration among VA patients with bipolar disorder. Am J Public Health 2009;99(5):871–77. PMID: 19299667. doi: 10.2105/AJPH.2008.149989.

    Article  Google Scholar 

  12. Kouyoumdjian FG, Schuler A, Hwang SW, Matheson FI. Research on the health of people who experience detention or incarceration in Canada: A scoping review. BMC Public Health 2015;15:419. PMID: 25943182. doi: 10.1186/S12889-015-1758-6.

    Article  Google Scholar 

  13. Canada Mortgage and Housing Corporation. Housing Options upon Discharge from Correctional Facilities. Ottawa, ON: CMHC, 2007. Available at: https://www03.cmhc-schl.gc.ca/catalog/productDetail.cfm?cat=126&itm=1&lang=en&fr=1450976072236 (Accessed March 28, 2016).

    Google Scholar 

  14. Hwang SW, Aubry T, Palepu A, Farrell S, Nisenbaum R, Hubley AM, et al. The Health and Housing in Transition Study: A longitudinal study of the health of homeless and vulnerably housed adults in three Canadian cities. Int J Public Health 2011;56(6):609–23. PMID: 21858461. doi: 10.1007/s00038-011-0283-3.

    Article  CAS  Google Scholar 

  15. Ardilly P, Le Blanc D. Sampling and weighting a survey of homeless persons: A French example. Surv Methodol 2001;27:109–18.

    Google Scholar 

  16. BC Housing. SRO Renewal Initiative. Burnaby, BC: BC Housing, 2016. Available at: https://www.bchousing.org/partner-services/major-projects/sro-renewal-initiative (Accessed February 2, 2017).

    Google Scholar 

  17. Housing, Family and Social Statistics Division. Ethnic Diversity Survey Questionnaire. Ottawa, ON: Statistics Canada, 2002. Available at: http://www5.statcan.gc.ca/bsolc/olc-cel/olc-cel?catno=89M0019XCB&lang=eng (Accessed March 28, 2016).

    Google Scholar 

  18. Tsemberis S, McHugo GJ, Williams V, Hanrahan P, Stefancic A. Measuring homelessness and residential stability: The Residential Time-line Follow-back Inventory. J Community Psychol 2007;35(1):29–42. doi: 10.1002/jcop.20132.

    Article  Google Scholar 

  19. Liang KY, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika 1986;73(1):13–22. doi: 10.1093/biomet/73.1.13.

    Article  Google Scholar 

  20. Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics 1986;42(1):121–30. doi: 10.2307/2531248.

    Article  CAS  Google Scholar 

  21. Maldonado G, Greenland S. Simulation study of confounder-selection strategies. Am J Epidemiol 1993;138(11):923–36. PMID: 8256780.

    Article  CAS  Google Scholar 

  22. Salem BE, Nyamathi A, Idemundia F, Slaughter R, Ames M. At a crossroads: Reentry challenges and healthcare needs among homeless female ex-offenders. J Forensic Nurs 2013;9(1):14–22. PMID: 24078800. doi: 10.1097/JFN.0b013e31827a1e9d.

    Article  Google Scholar 

  23. The John Howard Society of Toronto. The Missing Link: Discharge Planning, Incarceration, and Homelessness. Toronto, ON: The John Howard Society of Toronto, 2006. Available at: http://www.johnhoward.on.ca/wp-content/uploads/2014/09/the-missing-link-aug-2007.pdf (Accessed March 28, 2016).

    Google Scholar 

  24. Padgett DK, Gulcur L, Tsemberis S. Housing First services for people who are homeless with co-occurring serious mental illness and substance abuse. Res Social Work Pract 2006;16:74–83.

    Article  Google Scholar 

  25. Kresky-Wolff M, Larson MJ, O’Brien RW, McGraw SA. Supportive housing approaches in the Collaborative Initiative to Help End Chronic Homelessness (CICH). J Behav Health Serv Res 2010;37(2):213–25. PMID: 20195779. doi: 10.1007/sll414-009-9206-y.

    Article  Google Scholar 

  26. Tsemberis S, Gulcur L, Nakae M. Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. Am J Public Health 2004;94(4):651–56. PMID: 15054020. doi: 10.2105/AJPH.94.4.651.

    Article  Google Scholar 

  27. Nelson G, Aubry T, Lafrance A. A review of the literature on the effectiveness of housing and support, assertive community treatment, and intensive case management interventions for persons with mental illness who have been homeless. Am J Orthopsychiatry 2007;77(3):350–61. PMID: 17696663. doi: 10.1037/0002-9432.77.3.350.

    Article  Google Scholar 

  28. Greenwood RM, Schaefer-McDaniel NJ, Winkel G, Tsemberis SJ. Decreasing psychiatric symptoms by increasing choice in services for adults with histories of homelessness. Am J Community Psychol 2005;36(3-4):223–38. PMID: 16389497. doi: 10.1007/sl0464-005-8617-z.

    Article  Google Scholar 

  29. Tsemberis S, Elfenbein C. A perspective on voluntary and involuntary outreach services for the homeless mentally ill. New Dir Ment Health Serv 1999; 1999:9–19. doi: 10.1002/yd.23319998204.

    Article  Google Scholar 

  30. Somers JM, Rezansoff SN, Moniruzzaman A, Palepu A, Patterson M. Housing First reduces re-offending among formerly homeless adults with mental disorders: Results of a randomized controlled trial. PLoS ONE 2013;8(9): e72946. PMID: 24023796. doi: 10.1371/journal.pone.0072946.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Centre for Urban Health Solutions, St. Michael’s Hospital, Toronto, ON, Canada

    Matthew J. To BMSc, Flora I. Matheson PhD, Stephen W. Hwang MD, MPH & Dan Werb PhD

  2. Centre for Health Evaluation and Outcome Sciences, Department of Medicine, University of British Columbia, Vancouver, BC, Canada

    Anita Palepu MD, MPH

  3. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

    Flora I. Matheson PhD

  4. University of Ottawa, Ottawa, ON, Canada

    John Ecker PhD

  5. Royal Ottawa Health Care Croup, Ottawa, ON, Canada

    Susan Farrell PhD

  6. Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada

    Stephen W. Hwang MD, MPH

  7. Division of Global Public Health, University of California San Diego, University of California School of Medicine, 9500 Gilman Drive, La Jolla, CA, 92093-0507, San Diego, USA

    Dan Werb PhD

Authors
  1. Matthew J. To BMSc
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  2. Anita Palepu MD, MPH
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  3. Flora I. Matheson PhD
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  4. John Ecker PhD
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Correspondence to Dan Werb PhD.

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Conflict of Interest: None to declare.

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To, M.J., Palepu, A., Matheson, F.I. et al. The effect of incarceration on housing stability among homeless and vulnerably housed individuals in three Canadian cities: A prospective cohort study. Can J Public Health 107, e550–e555 (2016). https://doi.org/10.17269/CJPH.107.5607

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  • DOI: https://doi.org/10.17269/CJPH.107.5607

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