Forty Years of Research on Predictors of Homelessness

Giano, Zachary; Williams, Amanda L.; Hankey, Carli; Merrill, Renae A.; Lisnic, Rodica; Herring, Angel

doi:10.1007/s10597-019-00530-5

Cited by 43 publications

(15 citation statements)

References 76 publications

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“…Given the homogeneity of our sample (all families residing in the same emergency shelter) and the narrow study topic (autonomy-supportive parenting), our sample size is consistent with guidelines for qualitative research (Boddy, 2016). It was expected that the majority of participants would be mothers because families experiencing homelessness are more likely to be female-headed (Giano et al, 2020).…”

Section: Methods Participantsmentioning

confidence: 93%

A qualitative analysis of autonomy‐supportive parenting in families experiencing homelessness

2021

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Objective: This exploratory qualitative study examined whether parents of young children residing in emergency housing endorse autonomy-supportive parenting values. Background: Young children experiencing homelessness are at increased risk for self-regulation difficulties, but one possible way to support self-regulation development during a window of plasticity in the preschool period is through autonomy-supportive parenting. Autonomy support has been shown to uniquely predict early self-regulation skills. However, there is also evidence to suggest that autonomy support could be problematic in risky environments. Method: Twenty-one parents of 3-to 6-year-old children participated in a brief interview about parenting and selfregulation development. Guided by self-determination theory, the interviews were subsequently coded for themes related to autonomy support. Results: Parents endorsed ideas consistent with autonomy support, such as recognizing children's capabilities and listening to children's ideas. However, parents also viewed some behaviors, such as offering young children choices, to be less acceptable. Conclusion: Findings suggest that parents experiencing homelessness may provide autonomy support in different ways than parents in more stable living conditions or from higher socioeconomic backgrounds. Implications: Parenting interventions that aim to promote early self-regulation development through autonomysupportive practices might consider tailoring intervention components to align with the socialization priorities of families experiencing homelessness.

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Section: Methods Participantsmentioning

confidence: 93%

A qualitative analysis of autonomy‐supportive parenting in families experiencing homelessness

2021

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“…Two studies assessing homelessness following a psychiatry encounter found that 7.6% experienced homelessness within 90 days and 15% of patients experienced homelessness within 12 months . We used the number of address changes as a proxy for residential instability, a common precursor to homelessness . Our findings provide additional evidence for higher residential instability for patients with BPI, while there were fewer address changes for patients with schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Disruptive Life Events for Individuals Diagnosed With Schizophrenia or Bipolar I Disorder Using Data From a Consumer Credit Reporting Agency

et al. 2023

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ImportanceThere is a dearth of population-level data on major disruptive life events (defined here as arrests by a legal authority, address changes, bankruptcy, lien, and judgment filings) for patients with bipolar I disorder (BPI) or schizophrenia, which has limited studies on mental health and treatment outcomes.ObjectiveTo conduct a population-level study on disruptive life events by using publicly available data on disruptive life events, aggregated by a consumer credit reporting agency in conjunction with electronic health record (EHR) data.Design, Setting, and ParticipantsThis study used EHR data from 2 large, integrated health care systems, Kaiser Permanente Southern California and Henry Ford Health. Cohorts of patients diagnosed from 2007 to 2019 with BPI or schizophrenia were matched 1:1 by age at analysis, age at diagnosis (if applicable), sex, race and ethnicity, and Medicaid status to (1) an active comparison group with diagnoses of major depressive disorder (MDD) and (2) a general health (GH) cohort without diagnoses of BPI, schizophrenia, or MDD. Patients with diagnoses of BPI or schizophrenia and their respective comparison cohorts were matched to public records data aggregated by a consumer credit reporting agency (98% match rate). Analysis took place between November 2020 and December 2022.Main Outcomes and MeasuresThe differences in the occurrence of disruptive life events among patients with BPI or schizophrenia and their comparison groups.ResultsOf 46 167 patients, 30 008 (65%) had BPI (mean [SD] age, 42.6 [14.2] years) and 16 159 (35%) had schizophrenia (mean [SD], 41.4 [15.1] years). The majoriy of patients were White (30 167 [65%]). In addition, 18 500 patients with BPI (62%) and 6552 patients with schizophrenia (41%) were female. Patients with BPI were more likely to change addresses than patients in either comparison cohort (with the incidence ratio being as high as 1.25 [95% CI, 1.23-1.28]) when compared with GH cohort. Patients with BPI were also more likely to experience any of the financial disruptive life events with odds ratio ranging from 1.15 [95% CI, 1.07-1.24] to 1.50 [95% CI, 1.42-1.58]). The largest differences in disruptive life events were seen in arrests of patients with either BPI or schizophrenia compared with GH peers (3.27 [95% CI, 2.84-3.78] and 3.04 [95% CI, 2.57-3.59], respectively). Patients with schizophrenia had fewer address changes and were less likely to experience a financial event than their matched comparison cohorts.Conclusions and RelevanceThis study demonstrated that data aggregated by a consumer credit reporting agency can support population-level studies on disruptive life events among patients with BPI or schizophrenia.

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“…Before reaching the extreme circumstance of homelessness, many individuals will have experienced some alternative form of housing instability, such as difficulty paying rent or staying with relatives, that likely contributes to future homelessness. 34 Thus, identifying and examining the associated health outcomes of the full spectrum of housing instability may be crucial for the design of screening methods or interventions targeted to reduce rates of homelessness and its health sequelae. However, it is important to note that the experience of homeless individuals during pregnancy is likely different than those with less severe forms of housing instability, yet further work is warranted to examine this difference.…”

Section: B Comparison Of Existing Literaturementioning

confidence: 99%