The Relationship Between Housing Status and Behavioral Health Outcomes Among Youth Experiencing Homelessness With a Foster Care History

Qi Wu, Siobhan M. Lawler, Elizabeth Hatch, Kalah M. Villagrana, Kristin M. Ferguson

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: Stable housing is vital for improving behavioral health outcomes among youth experiencing homelessness (YEH). However, few studies have focused on YEH with foster care history and the relationship between housing status and behavioral health. This study examined whether housing status (i.e., literally homeless vs. unstably housed) was significantly associated with posttraumatic stress disorder (PTSD), major depressive episode, and substance use disorder (SUD). Literal homelessness was defined as living on the street or in a temporary shelter; unstably housed re-ferred to living with parents, family, or foster parents but seeking services at a YEH drop-in center. Method: Data were from YEH ages 14–23 at YEH-serving agencies in three U.S. cities (N = 175): Los Angeles, CA; Denver, CO; and Austin, TX. We used propensity score weighting to balance the two comparison groups (i.e., literally homeless vs. unsta-bly housed). Results: YEH who were unstably housed were significantly less likely than those who were literally homeless to meet thecriteriaforPTSDbutweremorelikelyto meet SUD criteria. Conclusions: Increased attention should be paid to the behavioral health outcomes of YEH with a foster care history. Social workers should strengthen outreach efforts to provide them with behavioral health services and housing options that are integrated with social support-building and trauma-informed approaches.

Original languageEnglish (US)
Pages (from-to)269-290
Number of pages22
JournalJournal of the Society for Social Work and Research
Volume14
Issue number2
DOIs
StatePublished - Jun 1 2023

Keywords

  • behavioral health
  • foster care
  • housing status
  • propensity score weighting
  • youth experiencing homelessness

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Sociology and Political Science

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