title: Factors contributing to eviction from permanent supportive housing: Lessons from HUD-VASH.
abstract: Eviction from housing is associated with several negative outcomes, further exacerbated among high-need populations requiring financial and supportive services to maintain housing stability. This study investigated risk and protective factors-both characteristics and precipitating events of tenant eviction-informing permanent supportive housing (PSH) programs' efforts to identify tenants at risk and intervene.
  
  
  
  Using administrative data for a cohort of 20,146 Veterans participating in PSH, this study assessed differences in Veterans who exited the program due to eviction and Veterans who exited because they accomplished their goals. A series of logistic regressions identified patterns of health services use that may signal imminent eviction.
  
  
  
  Veterans with a drug use disorder and those who received inpatient, emergency, or outpatient care related to mental/behavioral health and substance use conditions proximal to program exit had greater risk for eviction. Receipt of outpatient primary medical care and supportive services was generally protective against eviction. The likelihood of eviction was greatest for Veterans with acute care use within 30days of exit.
  
  
  
  PSH providers may use these correlates of eviction to identify Veterans in need of an intervention to prevent eviction. Future work should focus on operationalizing these findings and identifying appropriate interventions.
authors.affiliation: U.S. Department of Veterans Affairs, National Center on Homelessness Among Veterans, Philadelphia, PA, USA; Birmingham VA Medical Center, Health Services Research, Birmingham, AL, USA; University of Alabama at Birmingham, School of Public Health, Birmingham, AL, USA. Electronic address: ann.montgomery2@va.gov.
authors.forename: Ann Elizabeth
authors.initials: AE
authors.lastname: Montgomery
authors.affiliation: U.S. Department of Veterans Affairs, National Center on Homelessness Among Veterans, Philadelphia, PA, USA. Electronic address: meagan.cusack@va.gov.
authors.forename: Meagan
authors.initials: M
authors.lastname: Cusack
authors.affiliation: U.S. Department of Veterans Affairs, National Center on Homelessness Among Veterans, Philadelphia, PA, USA. Electronic address: dorota.szymkowiak@va.gov.
authors.forename: Dorota
authors.initials: D
authors.lastname: Szymkowiak
authors.affiliation: U.S. Department of Veterans Affairs, National Center on Homelessness Among Veterans, Philadelphia, PA, USA; Utah State University, College of Education & Human Services, Logan, UT, USA. Electronic address: jamison.fargo@usu.edu.
authors.forename: Jamison
authors.initials: J
authors.lastname: Fargo
authors.affiliation: U.S. Department of Veterans Affairs, National Center on Homelessness Among Veterans, Philadelphia, PA, USA; Brown University, Alpert Medical School, Providence, RI, USA. Electronic address: thomas.o'toole@va.gov.
authors.forename: Thomas
authors.initials: T
authors.lastname: O'Toole
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006703:Ill-Housed Persons / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D015397:Program Evaluation; D011638:Public Housing / Q000706:statistics & numerical data*; D012307:Risk Factors; D012947:Social Work / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014483:United States Dept. of Health and Human Services; D014728:Veterans / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Acute care; Eviction; Permanent supportive housing; Substance use disorder; Veterans