Assessment of Families Experiencing Homelessness: Analysis of Current Practice

  • Carmela J. DeCandiaEmail author
  • Ellen L. Bassuk
  • Molly Richard
Part of the SpringerBriefs in Psychology book series (BRIEFSPSYCHOL)


Although research indicates that families experiencing homelessness struggle with both structural needs (e.g., housing and income) and psychosocial issues, the assessment process varies considerably among programs serving these families. Historically, the assessment of homeless families has focused narrowly on structural needs; parental functioning, parenting capacity, and child development are often overlooked. In this study, we systematically evaluated the initial intake and assessment process of a convenience sample of 55 emergency shelters, transitional housing, and permanent supportive housing programs serving homeless families. We recruited our sample by randomly selecting 100 geographically diverse agencies from a list of 200 that met criteria for inclusion in this study. Based on the evidence about the characteristics and needs of homeless families, we developed a bivariate (yes/no) rating tool of the intake protocols that had eight domains: demographics, immediate safety needs, housing and homelessness, self-sufficiency, service use, parental functioning, child developmental status, and use of standardized screening instruments. Domains were rated as strong, adequate, or deficient, and then aggregated into a composite score for each program. Study findings indicated that 93% of the programs did not comprehensively assess the needs of family members, and programs failed to adequately assess children’s needs or the full range of parent functioning. The majority of the domains comprising the intakes were rated as deficient. Only one-third of the categories of demographics, housing and homelessness, and self-sufficiency were rated as adequate. Results provide support for culturally competent, family-oriented, and trauma-informed assessment of homeless families. Implications for practice and policy are discussed.


Family homelessness Family intake and assessment Trauma-informed assessment 


  1. Ammerman, R. T., Putnam, F. W., Chard, K. M., Stevens, J., & Van Ginkel, J. B. (2012). PTSD in depressed mothers in home visitation. Psychological Trauma, 4(2), 1–19. doi: 10.1037/a0023062.CrossRefGoogle Scholar
  2. Bassuk, E. L., & Beardslee, W. (2014). Depression in homeless mothers: Addressing an unrecognized public health issue. American Journal of Orthopsychiatry, 84, 73–81. doi: 10.1037/h0098949.CrossRefPubMedGoogle Scholar
  3. Bassuk, E. L., & Geller, S. (2006). The role of housing and services in ending family homelessness. Housing Policy Debate, 17, 781–806. doi: 10.1080/10511482.2006.9521590.CrossRefGoogle Scholar
  4. Bassuk, E. L., DeCandia, C. J., Beach, C. A., & Berman, F. (2014). America’s youngest outcasts: A report card on child homelessness. Waltham, MA: The National Center on Family Homelessness at American Institutes for Research. Retrieved from
  5. Bassuk, E. L., DeCandia, C. J., Tsertsvadze, A., & Richard, M. K. (2014). The effectiveness of housing interventions and housing and service interventions on ending family homelessness: A systematic review. American Journal of Orthopsychiatry, 84, 457–474. doi: 10.1037/ort0000020.CrossRefPubMedGoogle Scholar
  6. Bassuk, E. L., Richard, M., & Tsertsvadze, A. (2015). The prevalence of mental illness in homeless children: A systematic review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 54, 86–96. doi: 10.1016/j.jaac.2014.11.008.CrossRefPubMedGoogle Scholar
  7. Bassuk, E. L., Volk, K., & Olivet, J. (2010). A framework for developing supports and services for families experiencing homelessness. Open Health Services and Policy Journal, 3, 34–40. doi: 10.2174/1874924001003010034.CrossRefGoogle Scholar
  8. Bassuk, E. L., Weinreb, L. F., Dawson, R., Perloff, J. N., & Buckner, J. C. (1997). Determinants of behavior in homeless and low-income housed preschool children. Pediatrics, 100, 92–100. doi: 10.1542/peds.100.1.92.CrossRefPubMedGoogle Scholar
  9. Bassuk, E. L., Weinreb, L., John, C. B., Browne, A., Salomon, A., & Bassuk, S. S. (1996). The characteristics and needs of sheltered homeless and low-income housed mothers. Journal of the American Medical Association, 276, 640–646. doi: 10.1001/jama.1996.03540080062031.CrossRefPubMedGoogle Scholar
  10. Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014). Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience. Health Affairs, 33, 2106–2115. doi: 10.1377/hlthaff.2014.0914.CrossRefPubMedGoogle Scholar
  11. Browne, A. (1993). Family violence and homelessness: The relevance of trauma histories in the lives of homeless women. Special Section: Homeless women: Economic and social issues. American Journal of Orthopsychiatry, 63, 370–384. doi: 10.1037/h0079444.CrossRefPubMedGoogle Scholar
  12. Browne, A., & Bassuk, S. S. (1997). Intimate violence in the lives of homeless and housed women: Prevalence and patterns in an ethnically diverse sample. American Journal of Orthopsychiatry, 67, 261–278. doi: 10.1037/h0080230.CrossRefPubMedGoogle Scholar
  13. Buckner, J. (2008). Understanding the impact of homelessness on children challenges and future research directions. American Behavioral Scientist, 51, 721–736. doi: 10.1177/0002764207311984.CrossRefGoogle Scholar
  14. Buckner, J. C., Beardslee, W. R., & Bassuk, E. L. (2004). Exposure to violence and low-income children’s health: Direct, moderated, and mediated relations. American Journal of Orthopsychiatry, 74, 413–423. doi: 10.1037/0002-9432.74.4.413.CrossRefPubMedGoogle Scholar
  15. Center on the Developing Child at Harvard University. (2007). The science of early childhood development. National Scientific Council on the Developing Child; pp. 1–13. Retrieved from
  16. Center on the Developing Child at Harvard University. (2009). Maternal depression can undermine the development of young children (Working Paper No. 8). Cambridge, MA: Harvard University. Retrieved from
  17. Center on the Developing Child at Harvard University (2010). The foundations of lifelong health are built in early childhood. Cambridge, MA: Harvard University.Google Scholar
  18. Center on the Developing Child at Harvard University (2015). A decade of science informing policy: The story of the National Scientific Council on the Developing Child. Cambridge, MA: Harvard University.Google Scholar
  19. Chase-Lansdale, P. L., & Brooks-Gunn, J. (2014). Two-generation programs in the twenty-first century. The Future of Children, 24(1), 13–39.CrossRefPubMedGoogle Scholar
  20. Kids Count (2014). Creating opportunity for families: A two generation approach. Annie E. Casey Foundation. Retrieved from
  21. DeCandia, C. J. (2015). Assessment of homeless families: A guide for practitioners and policy makers. Boston, MA: Homes for Families.Google Scholar
  22. DeCandia, C. J., & Guarino, K. G. (2015). Trauma-informed care: An ecological response. Journal of Child Care and Youth Work, 25, 7–32.Google Scholar
  23. DeCandia, C. J., Guarino, K., & Clervil, R. (2014). Trauma-informed care and trauma-specific services: A comprehensive approach to trauma intervention. Waltham, MA: American Institutes for Research.Google Scholar
  24. Department of Health & Social Security. (1981). Observation and assessment. Report of a working party. London: Author.Google Scholar
  25. Felitti, V. J., Anda, R. F., Nordenberg, D., Wiliamson, D. F., Spitz, A. M., Edwards, V., … Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of deaths in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. doi: 10.1016/S0749-3797(98)00017-8.
  26. Gewirtz, A., & Taylor, T. (2009). Participation of homeless and abused women in a parent training program: Science and practice converge in a battered women’s shelter. In M. F. Hindsworth, & T. B. Lang (Eds.), Community Participation and Empowerment (pp. 97–114). New York: Nova Science.Google Scholar
  27. Gewirtz, A. H. (2007). Promoting children’s mental health in family supportive housing: A community-university partnership for formerly homeless children and families. Journal of Primary Prevention, 28, 359–374. doi: 10.1007/s10935-007-0102-z.CrossRefPubMedGoogle Scholar
  28. Gewirtz, A. H., DeGarmo, D. S., Plowman, E. J., August, G. G., & Realmuto, G. (2009). Parenting, parental mental health, and child functioning in families residing in supportive housing. American Journal of Orthopsychiatry, 79, 336–347. doi: 10.1037/a0016732.CrossRefPubMedGoogle Scholar
  29. Goodman, S. H. (2007). Depression in mothers. In S. Nolen-Hoeksema, T. D. Cannon, & T. Widiger (Eds.), Annual review of clinical psychology (vol. 3, pp. 107–135). Palo Alto: Annual Reviews.Google Scholar
  30. Goodman, S. H., Rouse, M. H., Connell, A. M., Broth, M. R., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology: A meta-analytic review. Clinical Child and Family Psychology Review, 14, 1–27. doi: 10.1007/s10567-010-0080-1.CrossRefPubMedGoogle Scholar
  31. Guarino, K., & Bassuk, E. (2010). Working with families experiencing homelessness: Understanding trauma and its impact. Zero to Three, 30(3), 11–20.Google Scholar
  32. Haskett, M. E., Armstrong, J., & Tisdale, J. (2015). Developmental status and social-emotional functioning of young children experiencing homelessness. Early Childhood Education Journal, 44, 119–125. doi: 10.1007/s10643-015-0691-8.CrossRefGoogle Scholar
  33. Hayes, M., & DeCandia, C. J. (2012). The SHIFT Study: A cost analysis of housing and services for families. Needham, MA: National Center on Family Homelessness.Google Scholar
  34. Hayes, M., Zonneville, M., & Bassuk, E. (2013). The SHIFT Study final report: Service and housing interventions for families in transition. Newton, MA: The National Center on Family Homelessness.Google Scholar
  35. Herbers, J. E., & Cutuli, J. J. (2014). Programs for homeless children and youth: A critical review of evidence. In M. E. Haskett, S. Perlman, & B. A. Cowan (Eds.), Supporting families experiencing homelessness: Current practices and future directions (pp. 187–207). New York: Springer.CrossRefGoogle Scholar
  36. Herbers, J. E., Cutuli, J. J., Lafavor, T. L., Vrieze, D., & Leibel, C. (2011). Direct and indirect effects of parenting on the academic functioning of young homeless children. Early Education and Development, 22, 77–104. doi: 10.1080/10409280903507261.CrossRefGoogle Scholar
  37. Herbers, J. E., Cutuli, J. J., Monn, A. R., Narayan, A. J., & Masten, A. S. (2014). Trauma, adversity, and parent-child relationships among young children experiencing homelessness. Journal of Abnormal Child Psychology, 42, 1167–1174. doi: 10.1007/s10802-014-9868-7.CrossRefPubMedGoogle Scholar
  38. Hicks-Coolick, A. H., Burnside-Eaton, P., & Peters, A. (2003). Homeless children: Needs & services. Child & Youth Care Forum, 32, 197–210. doi: 10.1023/A:1024112015196.CrossRefGoogle Scholar
  39. Hopper, E. K., Bassuk, E. L., & Olivet, J. (2010). Shelter from the storm: Trauma-informed care in homeless service settings. The Open Health Services and Policy Journal, 3, 80–100. doi: 10.2174/1874924001003010080.CrossRefGoogle Scholar
  40. Hoswarth, J. (2010). The child’s world: The comprehensive guide to assessing children in need. Philadelphia: Jessica Kingsley Publishers.Google Scholar
  41. Kelley, S. D., & Bickman, L. (2009). Beyond outcomes monitoring: Measurement Feedback Systems (MFS) in child and adolescent clinical practice. Current Opinion in Psychiatry, 22, 363–368 s 2001. doi: 10.1176/ Scholar
  42. Kelley, S. D., Bickman, L., & Norwood, E. (2010). Evidence-based treatments and common factors in youth psychotherapy. In B. L. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds.), The heart and soul of change: What works in therapy (2nd ed., pp. 325–355). Washington, DC: American Psychological Association.Google Scholar
  43. Knitzer, J., Theberge, S., & Johnson, K. (2008). Reducing maternal depression and its impact on young children: Toward a responsive early childhood policy framework. New York, NY: National Center for Children in Poverty.Google Scholar
  44. Lindsey, E. W. (1998). The impact of homelessness and shelter life on family relationships. Family Relations, 47, 243–252. doi: 10.2307/584973.CrossRefGoogle Scholar
  45. Masten, A. S., & Coatsworth, J. D. (1998). The development of competence in favorable and unfavorable environments: Lessons from successful children. American Psychologist, 53, 205–220. doi: 10.1037/0003-066X.53.2.205.CrossRefPubMedGoogle Scholar
  46. Masten, A. S., Militois, D., Graham-Berman, S. A., Ramirez, M., & Neeman, J. (1993). Children in homeless families: Risks to mental health and development. Journal of Consulting and Clinical Psychology, 61, 335–343. doi: 10.1037/0022-006X.61.2.335.CrossRefPubMedGoogle Scholar
  47. Moodie, S., Daneri, P., Goldhagen, S., Halle, T., Green, K., & LaMonte, L. (2014). Early childhood developmental screening: A compendium of measures for children ages birth to five (OPRE Report 201411). Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.Google Scholar
  48. Mosle, A., & Patel, N. (2012, January). Two generations, one future: Moving parents and children beyond poverty together. Washington, DC: The Aspen Institute. Retrieved from
  49. Mullen, J., & Leginski, W. (2010). Building the capacity of the homeless service workforce. The Open Health Services and Policy Journal, 3, 101–110.CrossRefGoogle Scholar
  50. National Alliance to End Homelessness [NAEH] (2015). Assessment tools for allocating homelessness assistance: state of the evidence, Prepared for the U.S. Department of Housing and Urban Development [HUD], Office of Policy Development and Research. D.C.: Washington.Google Scholar
  51. National Low Income Housing Coalition (NLIHC) (2013a). Housing spotlight: America’s affordable housing shortage, and how to end it. Washington, DC: Author.Google Scholar
  52. National Low Income Housing Coalition (NLIHC). (2013b). Out of reach 2013. Washington, DC: Author. Retrieved from
  53. National Low Income Housing Coalition (NLIHC). (2013c). Advocates guide. Washington, DC: Author. Retrieved from
  54. National Research Council and Institute of Medicine (NRC & IOM) (2009a). Depression in parents, parenting, and children: Opportunities to improve identification, treatment, and prevention. In M. J. England, & L. J. Sim (Eds.), Committee on depression, parenting practices, and the healthy development of children. Washington, DC: The National Academies Press.Google Scholar
  55. National Research Council and Institutes of Medicine (NRC & IOM) (2009b). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. In M. E. O’Connell, T. Boat, & K. E. Warner (Eds.), Committee on Prevention of Mental Disorders and Substance Abuse Among Children, Youth, and Young Adults: Research Advances and Promising Interventions. Washington, DC: The National Academies Press.Google Scholar
  56. National Scientific Council on the Developing Child. (2015). Supportive relationships and active skill-building strengthen the foundations of resilience. Working paper 13. Retrieved from
  57. OrganCode. (2013). Service Prioritization Decision Assistance Tool for Families (F-SPDAT). Organcode Consulting. Retrieved from:
  58. Perlman, S., Cowan, B., Gewirtz, A., Haskett, M. E., & Stokes, L. (2012). Promoting positive parenting in the context of homelessness. American Journal of Orthopsychiatry, 82, 402–412. doi: 10.1111/j.1939-0025.2012.01158.x.CrossRefPubMedGoogle Scholar
  59. Rog, D. J., & Buckner, J. C. (2007). Homeless families and children. In D. Dennis, G. Locke, & J. Khadduri (Eds.), Toward understanding homelessness: The 2007 National Symposium on Homelessness Research (Section 5.1). Cambridge, MA: Abt Associates.Google Scholar
  60. Rose, W. (2010). The assessment framework. In J. Horwarth (Ed.), The child’s world: The comprehensive guide to assessing children in need. Philadelphia: Jessica Kingsley Publishers.Google Scholar
  61. Samuels, J., Shinn, M., & Buckner, J. C. (2010). Homeless children: Update on research, policy, programs, and opportunities. Washington, DC: Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.Google Scholar
  62. Shipman, K., & Taussig, H. (2009). Mental health treatment of child maltreatment and neglect. Pediatric Clinics of North America, 56, 417–428. doi: 10.1016/j.pcl.2009.02.002.CrossRefPubMedGoogle Scholar
  63. Shonkoff, J. P. (2010). Building a new biodevelopmental framework to guide future early childhood policy. Child Development, 81, 357–367. doi: 10.1111/j.1467-8624.2009.01399.x.CrossRefPubMedGoogle Scholar
  64. Shonkoff, J. P., Garner, A. S., Siegel, B. S., Dobbins, M. I., Earls, M. F., McGuinn, L., … Wood, D. L. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246. doi: 10.1542/peds.2011-2663.
  65. Smyth, K. F., Goodman, L. A., & Glenn, C. (2006). The full-frame approach: A new response to marginalized women left behind by specialized services. American Journal of Orthopsychiatry, 76, 489–502. doi: 10.1037/0002-9432.76.4.489.CrossRefPubMedGoogle Scholar
  66. St. Pierre, R. G., Layzer, J. I., & Barnes, H. V. (1995). Two-generation programs: Design, cost, and short-term effectiveness. The Future of the Children, 5(3), 76–93. doi: 10.2307/1602368.CrossRefGoogle Scholar
  67. Substance Abuse and Mental Health Services Administration (SAMHSA) (2014). Trauma-informed care in behavioral health services: A treatment protocol (TIP) Series 57, HHS Publication No. (SMA) 14–4816. MD: Rockville.Google Scholar
  68. U.S. Conference of Mayors (2011). A status report on hunger and homelessness in America’s cities. Washington, DC: Author.Google Scholar
  69. U.S. Department of Health and Human services and the U.S. Department of Education (2014). Birth to five: Watch me thrive! A housing and shelter provider’s guide to developmental and behavioral screening. Washington, DC: Author.Google Scholar
  70. U.S. Department of Housing & Urban Development [HUD] (2015). Family options study: Short-term impacts of housing and services interventions for homeless families. Washington, DC: Office of Policy Development and Research.Google Scholar
  71. U.S. Department of Housing and Community Development. (2013). CoC’s coordinated assessment system Prezi. Washington, DC: Author. Retrieved from
  72. U.S. Department of Housing and Urban Development (HUD). (2012). The 2012 annual homeless assessment report to congress: Volume 2—estimates of homelessness in the U.S. Washington, DC: Author. Retrieved from
  73. U.S. Department of Housing and Urban Development [HUD] (2009). The 2008 annual homeless assessment report to congress. Washington, DC: Author.Google Scholar
  74. Weinreb, L. F., Buckner, J. C., Williams, V., & Nicholson, J. (2006). A comparison of the health and mental health status of homeless mothers in Worcester, Massachusetts: 1993 and 2003. American Journal of Public Health, 96, 1444–1448. doi: 10.2105/AJPH.2005.069310.CrossRefPubMedPubMedCentralGoogle Scholar
  75. Wood, R. G., & Paulsell, D. (2000). Employment retention for TANF recipients: Lessons from GAPS. Issue Brief, No. 1. Princeton, NJ: Mathematica Policy Research. Retrieved from

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Carmela J. DeCandia
    • 1
    Email author
  • Ellen L. Bassuk
    • 2
  • Molly Richard
    • 2
  1. 1.Licensed Psychologist and Organizational ConsultantNewtonUSA
  2. 2.Center for Social InnovationNeedham HeightsUSA

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