Homeless Families With Children

Homelessness is a devastating experience for families. It disrupts virtually every aspect of family life, damaging the physical and emotional health of family mem interfering with children's education and development, and frequently resulting in the separation of family memThe dimensions, causes, and consequences of family homelessness are discussed below. An overview of policy issues and a list of resources for further study are also provided.

DIMENSIONS
One of the fastest growing segments of the homeless population is families with children. Families with children constitute approximately 40% of people who become homeless (Shinn and Weitzman, 1996). A survey of 30 U.S. cities found that in 1998, children accounted for 25% of the homeless population (U.S. Conference of Mayors, 1998). These proportions are likely to be higher in rural areas; research indicates that families, single mothers, and children make up the largest group of people who are homeless in rural areas (Vissing, 1996).

Recent evidence confirms that homelessness among families is increasing. Requests for emergency shelter by families with children in 30 U.S. cities increased by an average of 15% between 1997-1998 (U.S. Conference of Mayors, 1998). The same study found that 32% of requests for shelter by homeless families were denied in 1998 due to lack of resources. Moreover, 88% of the cities surveyed expected an increase in the number of requests for emergency shelter by families with children in 1999.

CAUSES
Poverty and the lack of affordable housing are the principal causes of family homelessness. The number of poor people increased 41% between 1979 and 1990; families and children under 18 accounted for more than half of that increase (U.S. House of Representatives, 1992). Today, 40% of persons living in poverty are children; in fact, the 1997 poverty rate of 19.9% for children is almost twice as high as the poverty rate for any other age group (U.S. Bureau of the Census, 1998).

Stagnating wages and changes in welfare programs account for increasing poverty among families. In the median state, a minimum-wage worker would have to work 87 hours each week to afford a two-bedroom apartment at 30% of his or her income, which is the federal definition of affordable housing (National Low Income Housing Coalition, 1998). Until its repeal in August 1996, the largest cash assistance program for poor families with children was the Aid to Families with Dependent Children (AFDC) program. Between 1970 and 1994, the typical state's AFDC benefits for a family of three fell 47%, after adjusting for inflation (Greenberg and Baumohl, 1996). The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (the federal welfare reform law) repealed the AFDC program and replaced it with a block grant program called Temporary Assistance to Needy Families (TANF). Current TANF benefits and Food Stamps combined are below the poverty level in every state; in fact, the median TANF benefit for a family of three is approximately one-third of the poverty level. Thus, contrary to popular opinion, welfare does not provide relief from poverty.

Welfare caseloads have dropped sharply since the passage and implementation of welfare reform legislation. However, declining welfare rolls simply mean that fewer people are receiving benefits -- not that they are employed or doing better financially. Early findings suggest that although more families are moving from welfare to work, many of them are faring poorly due to low wages and inadequate work supports. Only a small fraction of welfare recipients' new jobs pay above-poverty wages; most of the new jobs pay far below the poverty line (Children's Defense Fund and the National Coalition for the Homeless, 1998). Moreover, extreme poverty is growing more common for children, especially those in female-headed and working families. This increase can be traced directly to the declining number of children lifted above one-half of the poverty line by government cash assistance for the poor.

As a result of loss of benefits, low wages, and unstable employment, many families leaving welfare struggle to get medical care, food, and housing. Many lose health insurance, despite continued Medicaid eligibility: a recent study found that 675,000 people lost health insurance in 1997 as a result of the federal welfare reform legislation, including 400,000 children (Families USA, 1999). In addition, housing is rarely affordable for families leaving welfare for low wages, yet subsidized housing is so limited that fewer than one in four TANF families nationwide lives in public housing or receives a housing voucher to help them rent a private unit. For most families leaving the rolls, housing subsidies are not an option. In some communities, former welfare families appear to be experiencing homelessness in increasing numbers (Children's Defense Fund and the National Coalition for the Homeless, 1998).

The shrinking supply of affordable housing is another factor underlying the growth in family homelessness. The gap between the number of affordable housing units and the number of people needing them is currently the largest on record, estimated at 4.4 million units (Daskal, 1998). The affordable housing crisis has had a particularly severe impact on poor families with children. Families with children represent 40% of households with "worst case housing needs" -- those renters with incomes below 50% of the area median income who are involuntarily displaced, pay more than half of their income for rent and utilities, or live in substandard housing (U.S. Department of Housing and Urban Development, 1998). With less income available for food and other necessities, these families are only an accident, illness, or paycheck away from becoming homeless.

More recently, the strong economy has caused rents to soar, putting housing out of reach for the poorest Americans. Between 1995 and 1997, rents increased faster than income for the 20% of American households with the lowest incomes (U.S. Department of Housing and Urban Development, 1999). As a result, more families are in need of housing assistance. From 1996-1998, the time families spent on waiting lists for HUD housing assistance grew dramatically. For the largest public housing authorities, a family's average time on a waiting list rose from 22 to 33 months from 1996 to 1998 - a 50% increase. The average waiting period for a Section 8 rental assistance voucher rose from 26 months to 28 months between 1996 and 1998. Excessive waiting lists for public housing mean that families must remain in shelters or inadequate housing arrangements longer. Consequently, there is less shelter space available for other homeless families, who must find shelter elsewhere or live on the streets.

Domestic violence also contributes to homelessness among families. When a woman leaves an abusive relationship, she often has nowhere to go. This is particularly true of women with few resources. Lack of affordable housing and long waiting lists for assisted housing mean that many women are forced to choose between abuse and the streets. In a study of 777 homeless parents (the majority of whom were mothers) in ten U.S. cities, 22% said they had left their last place of residence because of domestic violence (Homes for the Homeless, 1998). In addition, 46% of cities surveyed by the U.S. Conference of Mayors identified domestic violence as a primary cause of homelessness (U.S. Conference of Mayors, 1998).

CONSEQUENCES
Homelessness severely impacts the health and well-being of all family memCompared with housed poor children, homeless children experience worse health; more developmental delays; more anxiety, depression and behavioral problems; and lower educational achievement (Shinn and Weitzman, 1996). A recent study of the health status of homeless children in New York City found that 61% of homeless children had not received their proper immunizations (compared to 23% of all New York City two-year-olds); 38% of homeless children in the City's shelter system have asthma (an asthma rate four times that for all New York City children and the highest prevalence rate of any child population in the United States); and that homeless children suffer from middle ear infections at a rate that is 50% greater than the national average (Redlener and Johnson, 1999). These illnesses have potentially devastating consequences if not treated early.

Deep poverty and housing instability are especially harmful during the earliest years of childhood; alarmingly, it is estimated that almost half of children in shelter are under the age of five (Homes for the Homeless, 1998). School-age homeless children face barriers to enrolling and attending school, including transportation problems, residency requirements, inability to obtain previous school records, and lack of clothing and school supplies.

Parents also suffer the ill effects of homelessness and poverty. One study of homeless and low-income housed families found that both groups experienced higher rates of depressive disorders than the overall female population, and that one-third of homeless mothers (compared to one-fourth of poor housed mothers) had made at least one suicide attempt (Bassuk et al., 1996). In both groups, over one-third of the sample had a chronic health condition.

Homelessness frequently breaks up families. Families may be separated as a result of shelter policies which deny access to older boys or fathers. Separations may also be caused by placement of children into foster care when their parents become homeless. In addition, parents may leave their children with relatives and friends in order to save them from the ordeal of homelessness or to permit them to continue attending their regular school. The break-up of families is a well-documented phenomenon: in New York City, 60% of residents in shelters for single adults had children who were not with them; in Maryland, only 43% of parents living in shelters had children with them; and in Chicago, 54% of a combined street and shelter homeless sample were parents, but 91% did not have children with them (Shinn and Weitzman, 1996).

POLICY ISSUES
Policies to end homelessness must include jobs that pay livable wages. In order to work, families with children need access to quality child care that they can afford, and adequate transportation. Education and training are also essential elements in preparing parents for better paying jobs to support their families.

But jobs, child care, and transportation are not enough. Without affordable, decent housing, people cannot keep their jobs and they cannot remain healthy. A recent longitudinal study of poor and homeless families in New York City found that regardless of social disorders, 80% of formerly homeless families who received subsidized housing stayed stably housed, i.e. lived in their own residence for the previous 12 months (Shinn and Weitzman, 1998). In contrast, only 18% of the families who did not receive subsidized housing were stable at the end of the study. As this study and others demonstrate, affordable housing is a key component to resolving family homelessness. Preventing poverty and homelessness also requires access to affordable health care, so that illness and accidents no longer threaten to throw individuals and families into the streets.

Only concerted efforts to meet all of these needs will end the tragedy of homelessness for America's families and children.

REFERENCES
Bassuk et al. "The Characteristics and Needs of Sheltered Homeless and Low-Income Housed Mothers," in Journal of the American Medical Association 276 (August 28, 1996) 8:640-646. Available from Dr. Ellen Bassuk, The Better Homes Fund, 181 Wells Ave., 3rd Floor, Newton, MA 02159-3320, 617/964-3834.

Children's Defense Fund and National Coalition for the Homeless. Welfare to What: Early Findings on Family Hardship and Well-being, 1998. Available for $11.50 from the National Coalition for the Homeless, 1012 14th Street, NW, Suite 600, Washington, DC 20005; 202/737-6444.

Daskal, Jennifer. In Search of Shelter: The Growing Shortage of Affordable Rental Housing , 1998. Available from the Center on Budget and Policy Priorities, 820 First Street, NE, Suite 510, Washington, DC 20002; 202/408-1080, center@center.cbpp.org.

Families USA. Losing Health Insurance: The Unintended Consequences of Welfare Reform, 1999. Available from Families USA, 1334 G Street, NW, Washington, DC 20005; 202/628-3030.

Greenberg, Mark, and Jim Baumohl. "Income Maintenance: Little Help Now, Less on the Way," in Homelessness in America, 1996, Oryx Press. Available for $43.50 from the National Coalition for the Homeless, 1012 14th Street, NW, Suite 600, Washington, DC 20005; 202/737-6444.

Homes for the Homeless. Ten Cities 1997-1998: A Snapshot of Family Homelessness Across America. Available from Homes for the Homeless & the Institute for Children and Poverty, 36 Cooper Square, 6th Floor, New York, NY 10003; 212/529-5252.

National Low Income Housing Coalition. Out of Reach: Rental Housing at What Cost?, 1998. Available from the National Low Income Housing Coalition at 1012 14th Street, Suite 610, Washington, DC 20005; 202/662-1530.

Redlener, Irwin, MD and Dennis Johnson. Still in Crisis: The Health Status of New YorkÕs Homeless Children, 1999. Available from The Children's Health Fund, 317 East 64th Street, New York, NY 10021; 212/535-9400.

Shinn, Marybeth and Beth Weitzman. "Homeless Families Are Different," in Homelessness in America, 1996. Available for $43.50 from the National Coalition for the Homeless, 1012 14th Street, NW, Suite 600, Washington, DC 20005; 202/737-6444; email: nch@ari.net.

Shinn, Marybeth and Beth Weitzman. "Predictors of Homelessness Among Families in New York City: From Shelter Request to Housing Stability" in American Journal of Public Health, 1998;88: 1651-1657. Available from Beth Weitzman, Ph.D., Wagner Graduate School of Public Service, New York University, 40 W 4th St., New York, NY 10003, email: weitzman@is2.nyu.edu

U.S. Bureau of the Census. Poverty in the United States: 1997. Current Population Reports, Series P60-201, 1998. Available, free, from U.S. Bureau of the Census, Income Statistics Branch, Washington, DC, 20233-0001; 301/763-8576, or at http://www.census.gov/hhes/ww w/poverty.html.

U.S. Conference of Mayors. A Status Report on Hunger and Homelessness in America's Cities: 1998. Available for $15.00 from the U.S. Conference of Mayors, 1620 Eye St., NW, 4th Floor, Washington, DC, 20006-4005, 202/293-7330.

U.S. Department of Housing and Urban Development, Office of Policy Development and Research. Rental Housing Assistance -- The Crisis Continues: 1997 Report to Congress on Worst Case Housing Needs, 1998. Available for $5.00 from HUD User, P.O. Box 6091, Rockville, MD, 20850, 800/245-2691.

U.S. Department of Housing and Urban Development, Office of Policy Development and Research. Waiting In Vain: An Update On America's Housing Crisis, 1999. Available for $5.00 from HUD User, P.O. Box 6091, Rockville, MD 20849-6091, 800/245-2691, or free from the HUD User web site at www.huduser.org

U.S. House of Representatives Committee on Ways and Means. Overview of Entitlement Programs: 1992 Green Book. Washington, DC: U.S. Government Printing Office. Out of Print.

Vissing, Yvonne. Out of Sight, Out of Mind: Homeless Children and Families in Small Town America, 1996. Available for $16.95 (paperback) from The University Press of Kentucky, 663 S. Limestone St., Lexington, KY 40508-4008, 800/839-6855.

Last updated - June 1999 - National Coalition for the Homeless


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