3173.0: Monday, November 13, 2000 - 4:30 PM

Abstract #5569

Substance abuse and homelessness: Direct or indirect effects?

Jonathan B. VanGeest, PhD, Institute for Ethics, American Medical Association, 515 N. State Street, Chicago, IL 60610, 312-464-5437, jonathan_vangeest@ama-assn.org and Timothy P. Johnson, PhD, Survey Research Laboratory, University of Illinois at Chicago, 412 S. Peoria, Suite 615, Chicago, IL 60607.

Some of the more popular and pervasive explanations for homelessness often attribute the condition to the abuse of alcohol and/or other drugs. Although substance abuse has for many years been documented as a problem among the homeless, there is little agreement on the nature of the relationship between substance misuse and homelessness. We evaluate whether substance abuse is a direct factor in transitions from at-risk situations to literal homelessness or whether such abuse operates only indirectly by placing individuals at greater risk of literal homelessness. This study uses data from a random probability sample of homeless people and people at-risk of homelessness in Cook County, Illinois, to assess the effects of substance abuse on transitions from at-risk situations to literal homelessness. Using covariance structure models for the analysis, we conclude that substance abuse only places an individual at greater risk of literal homelessness, but is not a direct factor in its explanation. In addition, findings suggest that substance misuse influences transitions to literal homelessness primarily through its impact on social and institutional affiliations. This is consistent with a history of research linking the misuse of alcohol and other drugs to disruptions in familial and institutional relationships. Finally, the data suggest that substance misuse does not influence transitions to literal homelessness indirectly through impacts on human capital. This latter finding is surprising given that research has consistently documented a negative relationship between substance abuse and education/work histories.

Learning Objectives: At the conclusion of this session, the participant in this session will be able to: 1) articulate the relationship between substance abuse and individual transitions from at-risk situations to literal homelessness; 2) appreciate the complexity of transitions to literal homelessness; and 3) relate the proximate causes of homelessness (e.g., substance abuse) to the structural factors contributing to loss of domicile

Keywords: Homelessness, Substance Abuse

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA