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Abstract

Objectives:

Housing insecurity and homelessness contribute to risk of maltreatment among one in five of the nearly 3.5 million children annually investigated for maltreatment in the United States. The Family Unification Program (FUP)—a federal initiative—connects inadequately housed families involved in child welfare with long-term rental subsidies to avoid foster placement. However, FUP remains understudied and underutilized with funding levels that serve only a fraction of eligible households. The present study uses system dynamics modeling to inform decision-making by testing policies for scaling FUP.

Method:

Simulations model delivery of FUP within child welfare from a feedback perspective. Calibrated on national data, models replicate trends in child welfare involvement from 2013 through 2016, and analyses forecast rates through 2019. Experiments test policies that enhance FUP. Outcomes track system-wide rates of family separation and returns on investment of expanded housing interventions.

Results:

Dramatic expansions of FUP benefit more families and improve marginal return on investment. Yet, scale-up fails to reduce system-wide rates of family separation or generates substantial cost-savings.

Conclusions:

Simulations demonstrate structural challenges for scaling FUP. Constant demand for affordable housing constrains sustainable improvements in child protection. Child welfare responses to homelessness require innovations that reduce demand for housing services through prevention and earlier intervention.

Keywords

homelessness child welfare housing subsidies scale-up return on investment system dynamics

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References

Breierova

Choudhari

. (2001). An introduction to sensitivity analysis. Massachusetts Institute of Technology. Retrieved from https://ocw.mit.edu/courses/sloan-school-of-management/15-988-system-dynamics-self-study-fall-1998-spring-1999/readings/sensitivityanalysis.pdf

Congressional Budget Office. (2017). Changes in federal housing assistance for low-income households. Retrieved from https://www.cbo.gov/system/files?file=115th-congress-2017-2018/presentation/52889-presentation.pdf

Corporation for Supportive Housing. (2012). Is supportive housing a cost-effective means of preserving families and increasing child safety? Cost analysis of CSH’s keeping families together pilot. Retrieved from https://www.csh.org/wp-content/uploads/2011/12/Report_KFTCostAnalysisWriteUp.pdf

Courtney

M. E.

McCurty

S. L.

Zinn

(2004). Housing problems experienced by recipients of child welfare services. Child Welfare, 83, 393–421.

Cunningham

Pergamit

Baum

Luna

(2015). Helping families involved in the child welfare system achieve housing stability: Implementation of the Family Unification Program in eight sites. Washington, DC. Retrieved from https://www.urban.org/sites/default/files/publication/41621/2000105-Helping-Families-Involved-in-the-Child-Welfare-System-Achieve-Housing-Stability.pdf

Dowd

Dolan

Smith

Day

Keeney

Wheeless

Biemer

(2014). National survey of child and adolescent well-being II: Combined waves 1-3 data file user’s manual. Ithaca, NY: Cornell University.

Farrell

A. F.

Dibble

K. E.

Randall

K. G.

Britner

P. A.

(2017). Screening for housing instability and homelessness among families undergoing child maltreatment investigation. American Journal of Community Psychology, 42, 39–50.

Fowler

P. J.

Brown

Schoeny

Chung

(2018). Homelessness in the child welfare system: A randomized controlled trial to assess the impact of housing subsidies on foster care placements and costs. Child Abuse and Neglect, 14, 52–61. doi:10.1016/j.chiabu.2018.07.014

Fowler

P. J.

Farrell

A. F.

Marcal

K. E.

Chung

Hovmand

P. S.

(2017). Housing and child welfare: Emerging evidence and implications for scaling up services. American Journal of Community Psychology, 60, doi:10.1002/ajcp.12155

10.

Fowler

P. J.

Henry

D. B.

Schoeny

Landsverk

Chavira

Taylor

J. J.

(2013). Inadequate housing among families under investigation for child abuse and neglect: Prevalence from a national probability sample. American Journal of Community Psychology, 52, 106–114. doi:10.1007/s10464-013-9580-8

11.

Fowler

P. J.

Hovmand

P. S.

Marcal

K. E.

Das

(2019). Solving homelessness from a complex systems perspective: Insights for prevention responses. Annual Review of Public Health, 40, 465–486.

12.

Fowler

P. J.

Schoeny

(2017). Permanent housing for child welfare-involved families: Impact on child maltreatment. American Journal of Community Psychology, 60, 91–102. doi:10.1002/ajcp.12146

13.

Fowler

P. J.

Taylor

J. J.

Rufa

(2011). Evaluation of housing support in child welfare: The impact on family preservation. Child Welfare, 90, 107–126.

14.

Ghaffarzadegan

Lyneis

Richardson

G. P.

(2011). How small system dynamics models can help the public policy process. System Dynamics Review, 27, 22–44. doi:10.1002/sdr.442

15.

Gubits

Shinn

Wood

Bell

Dastrup

Solari

C. D.

… Katte

. (2016). Family options study: 3-Year impacts of housing and services interventions for homeless families. Washington, DC. Retrieved from https://www.huduser.gov/portal/sites/default/files/pdf/Family-Options-Study-Full-Report.pdf

16.

Harburger

D. S.

White

R. A.

(2004). Reunifying families, cutting costs: Housing-child welfare partnerships for permanent supportive housing. Child Welfare, 83, 493–508.

17.

Hovmand

P. S.

(2014). Community-based system dynamics. New York, NY: Springer.

18.

Kim

Wildeman

Jonson-Reid

Drake

(2017). Lifetime prevalence of investigating child maltreatment among U.S. children. American Journal of Public Health, 107, 274–280. doi:10.2105/AJPH.2016.303545

19.

Lei

Nahum-Shani

Lynch

Oslin

Murphy

(2012). A “SMART” design for building individualized treatment sequences. Annual Review of Clinical Psychology, 8, 21–48. doi:10.1146/annurev-clinpsy-032511-143152

20.

Levin

Roberts

E. G.

(1976). The dynamics of human service delivery. New York, NY: Harper Collins.

21.

National Center for Housing and Child Welfare. (2012). The Family Unification Program. Retrieved from http://www.nchcw.org/family-unification-program.html

22.

One Roof Campaign. (2018). Retrieved from https://1rooffamilies.org/

23.

Pergamit

Cunningham

Hanson

(2017). The impact of family unification housing vouchers on child welfare outcomes. American Journal of Community Psychology, 60, 103–113. doi:10.1002/ajcp.12136

24.

Rog

D. J.

Gilbert-Mongelli

Lundy

(1998). The Family Unification Program: Final evaluation report. Washington, DC: CWLA Press.

25.

Rog

D. J.

Henderson

K. A.

Lunn

L. M.

Greer

A. L.

Ellis

M. L.

(2017). The interplay between housing stability and child separation: Implications for practice and policy. American Journal of Community Psychology, 60, 114–124. doi:10.1002/ajcp.12148

26.

Rog

D. J.

Marshall

Dougherty

R. H.

George

Daniels

A. S.

Ghose

S. S.

Delphin-Rittmon

M. E.

(2014). Permanent supportive housing: Assessing the evidence. Psychiatric Services, 65, 287–294. doi:10.1176/appi.ps.201300261

27.

Shinn

Brown

S. R.

Gubits

(2016). Can housing and service interventions reduce family separations for families who experience homelessness? American Journal of Community Psychology, 60, 79–90. doi:10.1002/ajcp.12111

28.

Shinn

Samuels

Fischer

S. N.

Thompkins

Fowler

P. J.

(2015). Longitudinal impact of a family critical time intervention on children in high-risk families experiencing homelessness: A randomized trial. American Journal of Community Psychology, 56, 205–216. doi:10.1007/s10464-015-9742-y

29.

Sterman

(2000). Business dynamics: Systems thinking and modeling for a complex world. St. Louis, MO: McGraw-Hill.

30.

Sterman

(2002). All models are wrong: Reflections on becoming a systems scientist. System Dynamics Review, 18, 501–531. doi:10.1002/sdr.261

31.

Sterman

(2006). Learning from evidence in a complex problem. American Journal of Public Health, 96, 505–514. doi:10.2105/AJPH.2005.066043

32.

U.S. Department of Health and Human Services, Administration for Children and Families. (2012). Partnerships to demonstrate the effectiveness of supportive housing for families in the child welfare system. Washington, DC. Retrieved from https://ami.grantsolutions.gov/files/HHS-2012-ACF-ACYF-CA-0538_0.htm.

33.

U.S. Department of Health and Human Services, Administration for Children and Families. (2016). Child Maltreatment 2016. Retrieved from https://www.acf.hhs.gov/sites/default/files/cb/cm2017.pdf

34.

U.S. Department of Health and Human Services, Administration for Children and Families. (2017). Efforts by child welfare agencies, local communities, and federal agencies to end family and youth homelessness. Retrieved from https://www.acf.hhs.gov/sites/default/files/cb/im1703.pdf

35.

U.S. Department of Health and Human Services, Children’s Bureau. (2018). Housing’s critical connection to child welfare Parts 1 and 2. Retrieved from https://www.acf.hhs.gov/cb/resource/child-welfare-podcast-housings-part1

36.

U.S. Department of Housing and Urban Development (HUD). (2014). FUP PHAs. Retrieved from https://www.hud.gov/sites/documents/FUPBASELINES011314.PDF

37.

U.S. Department of Housing and Urban Development (HUD). (2017). Fact Sheet: Housing Choice Voucher Program, The Family Unification Program. Retrieved from https://www.hud.gov/sites/documents/FUP_FACT_SHEET.PDF

38.

U.S. Department of Housing and Urban Development (HUD). (2018). Family Unification Program notice of funding availability for fiscal years 2017 and 2018. Retrieved from https://www.hud.gov/sites/dfiles/CFO/images/FR-6100-N-41%20Family%20Unification%20Program%20Notice%20of%20Funding%20Availability%20for%20Fiscal%20Years%202017%20and%202018.pdf

39.

U.S. Interagency Council on Homelessness. (2011). Opening doors: Federal strategic plan to prevent and end homelessness. Retrieved from https://www.usich.gov/resources/uploads/asset_library/USICH_OpeningDoors_Amendment2015_FINAL.pdf

40.

White

(2011). HUD provides $15 million in rental assistance to help nearly 2,000 families stay together. Retrieved from https://archives.hud.gov/news/2011/pr11-109.cfm

41.

Wildeman

Emanuel

Leventhal

N. M.

Putnam-Hornstein

Waldfogel

Lee

(2014). Lifetime prevalence of investigating child maltreatment among U.S. children. The Journal of the American Medical Association, 168, 706–713. doi:10.1001/jamapediatrics.2014.410

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Scaling Up Housing Services Within the Child Welfare System: Policy Insights From Simulation Modeling

Abstract

Objectives:

Method:

Results:

Conclusions:

Keywords

Get full access to this article

References

Supplementary Material