title: Homeless mothers and depression: misdirected policy.
abstract: This paper is a critique of recent service-intensive shelter programs for homeless mothers and the policies that underlie these shelters. We first document the process by which mental health problems and family homelessness became so closely but mistakenly linked. We then demonstrate empirically that shelter programs for homeless families nonetheless presume that mental health problems are part of the causal nexus of family homelessness and indiscriminately deliver mental health services to homeless mothers. Simultaneously, shelter programs encourage the isolation of their residents from what they presume to be their "problematic" social networks. We show that, while mental health services had little impact on depression levels among homeless mothers, isolation from social networks did increase depression among homeless mothers. Our findings suggest that policy should put more emphasis on rapid reintegration into the community through providing housing, and it should put less emphasis on providing services.
authors.affiliation: Department of Sociology and Anthropology, Hofstra University, Hempstead, NY 11549, USA. SOCCHB@hofstra.edu
authors.forename: C J
authors.initials: CJ
authors.lastname: Bogard
authors.forename: J J
authors.initials: JJ
authors.lastname: McConnell
authors.forename: N
authors.initials: N
authors.lastname: Gerstel
authors.forename: M
authors.initials: M
authors.lastname: Schwartz
mesh_terms: D000293:Adolescent; D000328:Adult; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006291:Health Policy; D006703:Ill-Housed Persons / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008605:Mental Health Services; D009035:Mothers / Q000523:psychology*; D009518:New York / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D012934:Social Isolation