Efficient Targeting of Homelessness Prevention Services for Families

Efficient Targeting of Homelessness Prevention Services for Families

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.

JOURNAL: American Journal of Public Health
VOLUME: 103
ISSUE: Supplement 2
PAGES: 324–330
PUBLICATION DATE: 2013