Efficient targeting of homelessness prevention services for families

M. Shinn, A.L. Greer, J. Bainbridge, J. Kwon and S. Zuiderveen

American Journal of Public Health, 2013, vol. 103, issue S2, S324-S330

Abstract: Objectives. We developed and evaluated a model to target homelessness prevention services to families more efficiently. Methods. We followed 11 105 families who applied for community-based services to prevent homelessness in New York City from October 1, 2004, to June 30, 2008, through administrative records, using Cox regression to predict shelter entry. Results. Over 3 years, 12.8% of applicants entered shelter. Both the complete Cox regression and a short screening model based on 15 risk factors derived from it were superior to worker judgments, with substantially higher hit rates at the same level of false alarms. We found no evidence that some families were too risky to be helped or that specific risk factors were particularly amenable to amelioration. Conclusions. Despite some limitations, an empirical risk model can increase the efficiency of homelessness prevention services. Serving the same proportion of applicants but selecting those at highest risk according to the model would have increased correct targeting of families entering shelter by 26% and reduced misses by almost two thirds. Parallel models could be developed elsewhere.

Keywords: adult; article; family; female; health status; homelessness; housing; human; male; mental health; risk factor; socioeconomics; statistics; time; United States; violence; epidemiology; homelessness; housing; statistics and numerical data; United States, Adult; Family; Female; Health Status; Homeless Persons; Housing; Humans; Male; Mental Health; New York City; Risk Factors; Socioeconomic Factors; Time Factors; Violence, Adult; Family; Female; Health Status; Homeless Persons; Housing; Humans; Male; Mental Health; New York City; Risk Factors; Socioeconomic Factors; Time Factors; Violence (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (5)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301468_7

DOI: 10.2105/AJPH.2013.301468

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