Factors contributing to eviction from permanent supportive housing: Lessons from HUD-VASH |
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| Institution: | 1. U.S. Department of Veterans Affairs, National Center on Homelessness Among Veterans, Philadelphia, PA, USA;2. Birmingham VA Medical Center, Health Services Research, Birmingham, AL, USA;3. University of Alabama at Birmingham, School of Public Health, Birmingham, AL, USA;4. Utah State University, College of Education & Human Services, Logan, UT, USA;5. Brown University, Alpert Medical School, Providence, RI, USA;1. University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX75390-9066, USA;2. Harold C. Simmons Comprehensive Cancer Center, 2201 Inwood Road, Dallas, TX 75390, USA;3. Moncrief Cancer Institute, 400?W. Magnolia Ave, Fort Worth, TX 76104, USA;1. Department of Philosophy, Sociology, Education and Applied Psychology, University of Padova, Via Venezia 8, Padova, Italy;2. Social Service Melzo and Liscate,Via Vittorio Emanuele, Melzo (Mi), 20066, Italy;1. Research, M&E Associates (REMA), Unit House, Victoria Avenue, P.O. Box 1792, Blantyre, Malawi;2. The School of Management Studies, 4th Floor, Leslie Commerce Building, Engineering Mall Upper Campus, University of Cape Town, Rondebosch, 7708, South Africa;1. School of Human Kinetics, University of Ottawa, 125 University Private, Ottawa, Ontario, K1N 6N5, Canada;2. School of Kinesiology and Health Science, York University, 4700 Keele Street, Toronto, Ontario, M3J 1P3, Canada;1. Fort Smith Public Schools, Fort Smith, AR, United States;2. Adult and Lifelong Learning Program, University of Arkansas, United States;3. Department of Technology and Workforce Learning, United States;4. Career and Technical Education, Pittsburg State University, United States |
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| Abstract: | IntroductionEviction 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.MethodsUsing 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.ResultsVeterans 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 30 days of exit.DiscussionPSH 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. |
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| Keywords: | Eviction Permanent supportive housing Substance use disorder Acute care Veterans |
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