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A Needs Assessment of the Homeless of Birmingham and Jefferson County

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A Needs Assessment of the Homeless of Birmingham and Jefferson County A NEEDS ASSESSMENT OF THE HOMELESS OF BIRMINGHAM AND JEFFERSON COUNTY SUBMITTED TO: CITY OF BIRMINGHAM, OFFICE OF COMMUNITY DEVELOPMENT AND JEFFERSON COUNTY, COMMUNITY DEVELOPMENT DEPARTMENT BY: Mark LaGory, Ph.D., Ferris J. Ritchey, Ph.D., Kevin Fitzpatrick, Ph.D., Jessica Irwin Department of Sociology University of Alabama at Birmingham ACKNOWLEDGEMENTS This research was funded by grants from the Office of Development, City of Birmingham (James Fenstermaker, Director) and Jefferson County’s Office of Planning and Community Development (Dr. Frederick L. Hamilton). We are grateful for this support. A project of this magnitude cannot be accomplished without the assistance of a large group of people. We would like especially to thank the Department of Sociology, its staff, the Ph.D. program in Medical Sociology, and particularly its graduate students for their assistance. We note with special gratitude the contributions of Tim Hale who helped with various aspects of the fieldwork, data entry and management, as well as various editing functions related to the final manuscript. Many other students assisted in various stages of the project including, Colin Ferrell, Cullen Clark, Akila Dulin, Beverly Hogan, and Lonnie Hannon. We especially thank the student’s from Dr. Ritchey’s Statistics class, and Dr. LaGory’s Homeless class for their participation in the point-in-time study. We note with special gratitude the critical contribution of Michelle Farley, director of MBSH. Without her knowledge and assistance the point-in-time study could not have been accomplished. She assisted us in recruiting volunteers, identifying contact persons, and shared her experiences with earlier point-in-time studies. Shelter providers were particularly helpful in this study. We acknowledge the cooperation of all the agencies involved with the study. Without their assistance this research could not have been carried out. We especially thank the following agencies who sent volunteers for the point-in- time study: Fire House Shelter, Birmingham Healthcare, JBS Mental Health Authority, First Light, Pathways, Jimmie Hale Mission, Salvation Army, Jefferson County Housing Authority, along with members from area churches and civic organizations. We acknowledge the skillful interviewing services performed by Susan Barber, Curtis Ballard, Arlene Bulger, Linda Cusimano, Tim Hale, Bridgit Hill, Beverly Hogan, Jessica Irwin, Emma Quarker-Sizemore, Anna Rogers, Ashley Schultz, Anne Wren. i TABLE OF CONTENTS Acknowledgements ...........................................................................................................................i Table of Contents ............................................................................................................................ ii List of Tables...................................................................................................................................iv List of Charts................................................................................................................................ viii Executive Summary ........................................................................................................................ix Chapter 1. Introduction .................................................................................................................1 Developing Reliable Counts of the Homeless Population...........................................3 Chapter 2. Methods and Procedures of the Study.........................................................................5 The Point-in-Time Count and Survey .........................................................................5 Identification of Location and Gaining the Cooperation of Service Providers ...........6 The Intensive Survey...................................................................................................9 Chapter 3. Demographic Profile of Homeless People in the Birmingham-Jefferson Co. Area `12 Count of Homeless Persons.......................................................................................12 Demographic Characteristics of Birmingham MSA Homeless Persons ...................14 Chapter 4. Residential History and Location ..............................................................................28 Homelessness—A National Problem Experienced by Locals...................................28 Movers Versus Non-Movers .....................................................................................28 Current and Recent Habitation: Shelter Versus Street ..............................................32 Duration of Homelessness.........................................................................................35 Chapter 5. The Chronically Homeless ........................................................................................38 Characteristics of the Chronically Homeless ............................................................39 Use of Facilities and Services ...................................................................................41 Well-Being Among the Chronically Homeless.........................................................45 Chapter 6. Causes of Homelessness............................................................................................48 Chapter 7. Stressful Life Events Among the Homeless..............................................................50 Chapter 8. Everyday Life Experiences of the Homeless: Getting by in Birmingham ................53 The Daily Hassles of a Homeless Life ......................................................................53 Getting By: Personal Income ....................................................................................55 Crime and Violence Among the Homeless ...............................................................63 Chapter 9. Social Networks, Social Supports, and Social Capital ..............................................69 Are the Homeless Disaffiliated?................................................................................70 ii Social Supports..........................................................................................................70 The Strength of Social Ties.......................................................................................73 Social Capital............................................................................................................75 Do Social Supports and Social Capital Empower the Homeless?.............................77 Conclusion.................................................................................................................78 Chapter 10. Mental Health Among the Homeless ........................................................................80 Severe Mental Health Problems ................................................................................80 Depression and Suicidal Thoughts ............................................................................84 Chapter 11. Physical Health and Health Service Access Among the Homeless...........................91 Health Status.............................................................................................................91 Medical Care Service Utilization and Access ...........................................................93 Health Risks and Preventive Health Behavior ..........................................................99 Common Controllable Diseases ................................................................................99 Addictive Substances..............................................................................................101 Sexual Behavior......................................................................................................103 Conclusions .............................................................................................................104 Chapter 12. Conclusion...............................................................................................................107 Data Gathering and Analysis...................................................................................107 Motivating Public Engagement in the Problem.......................................................108 Redefining Organizational Success.........................................................................110 Assisting Persons in Restoring and Repairing Social Capital .................................111 Homeless Prevention...............................................................................................111 Risk Prevention Services.........................................................................................112 Better Integration of Services..................................................................................112 Providing Permanent Housing.................................................................................113 Reducing Chronic Homelessness ............................................................................115 Rapid Re-Housing...................................................................................................116 The Need for a Central Coordinating Authority......................................................117 Bibliography.................................................................................................................................118 Appendix A .............................................................................................................................. A - 1 Appendix
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