Approximately 3.5 million youth experience homelessness in the United States. Assisting youth to exit homelessness as quickly as possible through various housing venues aims to prevent adverse health impacts that prolonged homeless experiences may have on youth. Rapid re-housing (RRH) is a recent, short-term, less costly housing option than permanent supportive housing that provides temporary housing supports and services to counter homelessness. Although previous literature indicates that youth are likely to achieve stable homelessness exits via RRH, the duration of wait times for youth and potential disparities in RRH waiting periods remain unclear. We used administrative data from 16 communities across the United States (N = 10,920) to gain a greater understanding about RRH wait times among homeless youth. In addition, we adopted a competing risk survival analysis to investigate potential disparities (i.e., race and ethnicity, gender, rurality, sexual orientation, and previous homelessness condition) in RRH wait times while taking into consideration the presence of other homelessness exit options (e.g., permanent supportive housing). Study results indicate that RRH is a common homelessness exit for homeless youth and is prioritized for youth assessed as mid-vulnerability, per commonly accepted assessment measures of youth vulnerability. However, youth who received RRH waited, on average, 131 days following their housing eligibility assessment. Furthermore, being a minor (i.e., 17 years old or younger), experiencing homelessness in rural communities, and lower engagement in homeless services (e.g., emergency shelters and transitional living programs) were all associated with lower probability of exiting into RRH over time, taking into account the possibility of other competing homelessness exits. Expansion of the short-term housing supports offered through RRH may be a promising strategy to counter homelessness among youth in a timely manner. However, such an expansion should also address the potential disparities underlying youths’ wait time to receive RRH in order to reduce prolonged homelessness experiences within this vulnerable population.
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Allgood, S., & Warren, R. S., Jr. (2003). The duration of homelessness: Evidence from a national survey. Journal of Housing Economics, 12(4), 273–290. https://doi.org/10.1016/j.jhe.2003.09.001.
Brown, M., Klebek, L., Chodzen, G., Scartozzi, S., Cummings, C., & Raskind, A. (2018). Housing status among single adults following homelessness prevention and rapid re-housing program participation in Indianapolis. Evaluation and Program Planning, 69, 92–98. https://doi.org/10.1016/j.evalprogplan.2018.04.015.
Brown, M., Vaclavik, D., Watson, D. P., & Wilka, E. (2017). Predictors of homeless services re- entry within a sample of adults receiving homelessness prevention and rapid re-housing program (HPRP) assistance. Psychological Services, 14(2), 129. https://doi.org/10.1037/ser0000112.
Byrne, T., Treglia, D., Culhane, D. P., Kuhn, J., & Kane, V. (2016). Predictors of homelessness among families and single adults after exit from homelessness prevention and rapid re-housing programs: Evidence from the Department of Veterans Affairs Supportive Services for Veteran Families program. Housing Policy Debate, 26(1), 252–275. https://doi.org/10.1080/10511482.2015.1060249.
Cunningham, M., Gillespie, S., & Anderson, J. (2015). Rapid re-housing: What the research says. Housing and Housing Finance. Retrieved October 15, 2018, from Urban Institute website: https://www.urban.org/sites/default/files/publication/54201/2000265-Rapid-Re-housing-What-the-Research-Says.pdf.
Ensign, J., & Bell, M. (2004). Illness experiences of homeless youth. Qualitative Health Research, 14(9), 1239–1254. https://doi.org/10.1177/1049732304268795.
Fine, J. P., & Gray, R. J. (1999). A proportional hazards model for the subdistribution of a competing risk. Journal of the American Statistical Association, 94(446), 496–509. https://doi.org/10.1080/01621459.1999.10474144.
Finkel, M., Henry, M., Matthews, N., Spellman, B. E., & Culhane, D. P. (2016). Rapid re-housing for homeless families demonstration programs evaluation report, Part II: Demonstration findings—Outcomes evaluation. Retrieved October 10, 2018, from https://www.huduser.gov/portal/sites/default/files/pdf/RRHD-PartII-Outcomes.pdf.
Gubits, D., Shinn, M., Wood, M., Bell, S., Dastrup, S., Solari, C. D., et al. (2016). Family options study: 3-year impacts of housing and services interventions for homeless families. Retrieved October 10, 2018, from https://www.huduser.gov/portal/sites/default/files/pdf/Family-Options-Study-Full-Report.pdf.
Halley, M., & English, A. (2008). Health care for homeless youth: Policy options for improving access. Chapel Hill, NC: Center for Adolescent Health & the Law.
Harris, T., Rice, E., Rhoades, H., Winetrobe, H., & Wenzel, S. (2017). Gender differences in the path from sexual victimization to HIV risk behavior among homeless youth. Journal of Child Sexual Abuse, 26(3), 334–351. https://doi.org/10.1080/10538712.2017.1287146.
Medlow, S., Klineberg, E., & Steinbeck, K. (2014). The health diagnoses of homeless adolescents: A systematic review of the literature. Journal of Adolescence, 37(5), 531–542. https://doi.org/10.1016/j.adolescence.2014.04.003.
Milburn, N. G., Ayala, G., Rice, E., Batterham, P., & Rotheram-Borus, M. J. (2006). Discrimination and exiting homelessness among homeless adolescents. Cultural Diversity and Ethnic Minority Psychology, 12(4), 658. https://doi.org/10.1037/1099-9809.12.4.658.
Morton, M. H., Dworsky, A., Matjasko, J. L., Curry, S. R., Schlueter, D., Chávez, R., et al. (2018). Prevalence and correlates of youth homelessness in the United States. Journal of Adolescent Health, 62(1), 14–21. https://doi.org/10.1016/j.jadohealth.2017.10.006.
Orgcode Consulting. (2015). Transition Age Youth-Vulnerability Index-Service Prioritization Decision Assistance Tool (TAY-VI-SPDAT): Next Step Tool for Homeless Youth. Retrieved October 15, 2018, from http://orgcode.nationbuilder.com/spdat.
Padgett, D. K., Henwood, B., & Tsemberis, S. (2015). Housing first: Ending homelessness, transforming systems, and changing lives. New York, NY: Oxford University Press.
Pearson, C., Montgomery, A. E., & Locke, G. (2009). Housing stability among homeless individuals with serious mental illness participating in housing first programs. Journal of Community Psychology, 37(3), 404–417. https://doi.org/10.1002/jcop.20303.
Perlman, S., Willard, J., Herbers, J. E., Cutuli, J. J., & Eyrich Garg, K. M. (2014). Youth homelessness: Prevalence and mental health correlates. Journal of the Society for Social Work and Research, 5(3), 361–377. https://doi.org/10.1086/677757.
Rattelade, S., Farrell, S., Aubry, T., & Klodawsky, F. (2014). The relationship between victimization and mental health functioning in homeless youth and adults. Journal of Interpersonal Violence, 29(9), 1606–1622. https://doi.org/10.1177/0886260513511529.
Rice, E. (2018). Assessment tools for prioritizing housing resources for youth who are homeless. In S. Kidd, N. Slesnick, T. Frederick, J. Karabanow, & S. Gaetz (Eds.), Mental health & addictions interventions for youth experiencing homelessness: Practical strategies for front-line providers. Toronto: Canadian Observatory on Homelessness Press.
Rice, E., Holguin, M., Hsu, H., Morton, M., Vayanos, P., Tambe, M., et al. (2018). Linking the TAY-VI-SPDAT tool to housing placements and outcomes for youth experiencing homelessness. Cityscape, 20(3), 69–86.
Rodriguez, J. M., & Eidelman, T. A. (2017). Homelessness interventions in Georgia: Rapid re-housing, transitional housing, and the likelihood of returning to shelter. Housing Policy Debate, 27(6), 825–842. https://doi.org/10.1080/10511482.2017.1313292.
Spellman, B., Khadduri, J., Leopold, J., & Sokol, B. (2010). Costs associated with first-time homelessness for families and individuals. Washington, DC: U.S. Department of Housing and Urban Development. Retrieved October 10, 2018, from https://www.huduser.gov/publications/pdf/costs_homeless.pdf.
StataCorp. (2011). Stata Statistical Software: Release 12. College Station, TX: StataCorp LP.
Taylor, J. (2014,). Housing assistance for households experiencing homelessness. Paper presented at National Alliance to End Homelessness National Conference on Ending Family and Youth Homelessness, New Orleans, LA.
Toro, P. A., Dworsky, A., & Fowler, P. J. (2007). Homeless youth in the United States: Recent research findings and intervention approaches. In Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research.
U. S. Housing and Urban Development. (2016). Coordinated entry and youth FAQs. Retrieved October 10, 2018, from www.hudexchange.infro/resources/documents/Coordinated-Entry-and-Youth-FAQs.pdf.
U.S. Department of Housing and Urban Development. (2013). Rapid re-housing: ESG vs CoC. Washington, DC: U.S. Government Printing Office. Retrieved October 12, 2018, from https://www.hudexchange.info/resources/documents/Rapid_Re-Housing_ESG_vs_CoC.pdf.
U.S. Department of Housing and Urban Development. (2015). Coordinated entry policy brief. Retrieved October 12, 2018, from https://hudexchange.infro/resources/documents/Coordinated-Entry-Policy-Brief.pdf.
Wilkins, C., & Burt, M. R. (2012). Public housing agencies and permanent supportive housing for chronically homeless people. Retrieved October 10, 2018, from https://aspe.hhs.gov/system/files/pdf/76441/ChrHomls4.pdf.
Iain De Jong with OrgCode, Inc. provided the data for this research. This work was generously supported by a grant from Schmidt Futures.
This work was generously supported by a grant from Schmidt Futures.
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Hsu, HT., Rice, E., Wilson, J. et al. Understanding Wait Times in Rapid Re-Housing Among Homeless Youth: A Competing Risk Survival Analysis. J Primary Prevent 40, 529–544 (2019). https://doi.org/10.1007/s10935-019-00562-3
- Rapid re-housing
- Homeless youth
- Wait time