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Risk factors associated with recurrent homelessness after a first homeless episode
Hunter L McQuistion1, Prakash Gorroochurn, Eustace Hsu
1Division of Outpatient and Community Psychiatry, Department of Psychiatry and Behavioral Health, The St. Luke's and Roosevelt Hospitals, 1090 Amsterdam Avenue, 13th Floor, New York, NY, 10025, USA, hottod@gmail.com.
Community Mental Health Journal
|June 8, 2013
Summary
Substance use disorders are linked to recurrent homelessness, but only when combined with other factors like arrest history. Addressing complex needs requires integrated services to reduce repeated homelessness episodes.
Area of Science:
- Social Sciences
- Public Health
- Mental Health
Background:
- Homelessness is frequently linked to alcohol and drug use.
- Understanding the relationship between substance use and housing outcomes is crucial for effective interventions.
Purpose of the Study:
- To explore the prevalence of drug and alcohol use in relation to successful re-housing among first-time single homeless adults.
- To compare characteristics of recurrent homelessness with chronic homelessness and stable housing.
Main Methods:
- Interviewed 344 first-time single homeless adults at shelter entry.
- Followed subjects for 18 months using standardized social and mental health measures.
- Analyzed baseline data against housing experiences using Chi-square and multinomial logistic regression.
Main Results:
- 81% obtained housing; 23.7% experienced recurrent homelessness.
- Recurrent homelessness was more common with higher education and initial re-housing with family.
- Alcohol and drug use correlated with recurrent homelessness, particularly when combined with arrest history and antisocial personality disorder.
Conclusions:
- Substance use disorders are associated with recurrent homelessness, but often in conjunction with other risk factors.
- Homelessness etiology is complex, necessitating constellations of causal risk factors.
- Interdisciplinary initiatives are needed to address multifaceted service needs and improve outcomes for recurrent homelessness.
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