title: A geographic analysis of chronically homeless adults before and after enrollment in a multi-site supported housing initiative: community characteristics and migration.
abstract: The current study examined the community characteristics and migration of chronically homeless adults before and after entry into a multi-site supported housing initiative. A total of 394 participants were geocoded at baseline and 12-month follow up. Data from geographic information systems indicate that the median distance participants traveled from their last residence to their residence 1 year after program entry was 4.6 miles and 12% of participants traveled more than 100 miles. Participants moved into communities with higher population densities, larger proportions of Whites, and smaller proportions of Blacks following their entry into supported housing, but continued to live in communities with higher crime rates, lower education levels, and lower income levels then the state average. At 12 months, Black participants residing in communities with higher population densities and larger Black populations reported higher social support and lower subjective distress. This underscores the importance of considering client preferences in housing. Together, these findings suggest that supported housing programs may be successful in finding housing for homeless clients, but are not placing them in improved communities. Special attention may also be needed for some clients who travel long distances between residences.
authors.affiliation: Department of Psychiatry, Yale University, New Haven, CT, USA. Jack.Tsai@yale.edu
authors.forename: Jack
authors.initials: J
authors.lastname: Tsai
authors.forename: Alvin S
authors.initials: AS
authors.lastname: Mares
authors.forename: Robert A
authors.initials: RA
authors.lastname: Rosenheck
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D040362:Geographic Information Systems; D006703:Ill-Housed Persons; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D011157:Population Dynamics; D011204:Poverty Areas; D015397:Program Evaluation; D011638:Public Housing; D011788:Quality of Life; D012111:Residence Characteristics; D012944:Social Support; D014481:United States