Post on 16-Jul-2020
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Non-chronic Adult Homelessness: Background and
Opportunities
Dennis P. Culhane University of Pennsylvania
National Center on Homelessness among Veterans
Non-chronic Homeless Adults:
Scope: PIT: 278,713 Annual: 754,400
34.5
13.1
52.4
Annual Number of Persons
Homelessin Family
ChronicHomeless
Non-chronic
Homeless
Adults
Adults
14.2
17.2
68.6
Annual Number of Households
FamilyHouseholds
ChronicHomeless
Non-chronicHomeless
Adults
Adults
Aging Trend of Adult Homeless in NYC: Bimodal
Source: Culhane et al. (2013)/ New York City Department of Homeless Services Shelter Utilization Data
*
Changing Age Distribution: Case Study in NYC
50% of the increase in single adult homeless (2005-2010), was from young adults (18-30).
35% of homeless in their 50s, in 2010, were homeless for the 1st time since 1988.
AHAR: Single Adult % by Age
4.8
20.3
51.9
18.9
1.8
24
43.9
25
0
10
20
30
40
50
60
Under age18
18-30 31-50 51-61% S
helt
ered
In
div
idu
als
(2
00
7-2
01
3)
Age
2007
2013
18%
15%
32%
Characteristics by Cluster: Dated Data (Philadelphia, 1998)
Nearly all chronically homeless people have a disability:
Clusters by Characteristics
78.3 71.5 74.6 73.8
11.2 10.8 14.1
11.1 10.5 17.7
11.3 15.1
0%10%20%30%40%50%60%70%80%90%
100%
Percen
tag
e o
f P
op
ula
tio
n
Background Characteristics by Cluster
Transitional
Episodic
Chronic
Most homeless people with a disability are Transitionally Homeless.
Dynamics: Pattern of Homeless Service Use among
Sheltered Individuals: Length of Stay (AHAR)
37.5%
28.9% 33.5%
0
10
20
30
40
7 days orless
8 to 30 days 31 to 180days
Percen
tag
e o
f u
sers
Length of Stay
(Only stays less than 180 days)
Where do they Come From?
24.4%
22.1% 14.3%
13.4%
25.8%
Institution
Friends
Ownhouse/Apt.
Other
Family
28.9
40
15
13.4
2.7
Institutions
S.A Tx
Jail
Hospital
PsychiatricFacility
FosterCare
Intervention Opportunities
Income ◦ Younger: Jobs and Job Training
◦ Older: SSI
Services ◦ Younger: Behavioral Health Supports
◦ Older: Chronic Disease Management
Housing ◦ Younger & Older: Rapid Rehousing
Rapid Rehousing
Critical Time Intervention (CTI)- Potential Medicaid reimbursement
SSVF- Veteran exemplar, approximately 30,000 non-chronic adults served in 2013.
SSVF Rapid Rehousing: Returns
to Homelessness (Families Vs. Singles)
0.80.820.840.860.880.9
0.920.940.960.98
1
1
21
41
61
81
101
121
141
161
181
201
221
241
261
281
301
321
341
361
Su
rviv
al
Pro
po
rti
on
Days Since SSVF
Singles
Families
1 Year Singles: 15.7% Families: 10.1%
SSVF Rapid Rehousing Vs. GPD: Rates of Homelessness
0.5
0.55
0.6
0.65
0.7
0.75
0.8
0.85
0.9
0.95
11
20
39
58
77
96
115
134
153
172
191
210
229
248
267
286
305
324
343
362
Su
rviv
al
Pro
po
rti
on
Days Since Program Exit
SSVF
GPD
1 Year SSVF: 11.0% GPD: 35.4%
Non-chronic Recap
Most homeless households are non-chronic singles (68.6%)
Bimodal age growth (20s and 50s)
24.4% come out of institutions.
Most disabled adults are non-chronically homeless
SSVF proves rapid rehousing works
Medicaid could pay for CTI