A Longitudinal Study of Predictors of Housing Stability, Housing Quality, and Mental Health Functioning Among Single Homeless Individuals Staying in Emergency Shelters

Am J Community Psychol. 2016 Sep;58(1-2):123-35. doi: 10.1002/ajcp.12067. Epub 2016 Jul 30.

Abstract

The current study examined risk and resilience factors at multiple levels that affect homeless individuals' ability to exit homelessness and achieve housing stability. It also examined the relationship between housing status, housing quality and mental health functioning. The methodology is a longitudinal study of single homeless individuals staying in emergency shelters in a medium-sized Canadian city who were followed for a 2 year period. Data were collected from participants at a baseline interview when they were homeless and at a 2-year follow-up. There were 329 participants interviewed at baseline and 197 (59.9%) participants interviewed at follow-up. Results from a structural equation modelling analysis found that having interpersonal and community resources were predictive of achieving housing stability. Specifically, having a larger social support network, access to subsidized housing, and greater income was related to achieving housing stability. On the other hand, having a substance use problem was a risk factor associated with a failure to achieving housing stability. Being female, feeling personally empowered, having housing that is perceived of being of higher quality were directly predictive of mental health functioning at follow-up. Findings are discussed in the context of previous research and their policy implications.

Keywords: Homelessness; Housing stability; Mental health; Resilience.

MeSH terms

  • Adolescent
  • Adult
  • Alcoholism / diagnosis
  • Alcoholism / epidemiology
  • Alcoholism / psychology
  • Community Integration
  • Cross-Sectional Studies
  • Emergency Shelter*
  • Employment
  • Female
  • Housing*
  • Humans
  • Ill-Housed Persons / psychology*
  • Ill-Housed Persons / statistics & numerical data
  • Income
  • Interview, Psychological
  • Longitudinal Studies
  • Male
  • Mental Disorders / diagnosis*
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology*
  • Middle Aged
  • Ontario
  • Power, Psychological
  • Protective Factors
  • Resilience, Psychological
  • Risk Factors
  • Sex Factors
  • Single Person / psychology*
  • Single Person / statistics & numerical data
  • Social Support
  • Sociological Factors*
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / psychology
  • Young Adult