THE CHARACTERISTICS AND NEEDS OF SHELTERED HOMELESS AND LOW-INCOME HOUSED MOTHERS

Objective.-To compare characteristics of homeless and low-income house d mothers across economic, psychosocial, and physical health domains. Design.-Case-control study. Setting.-Community of worcester, Mass. Par ticipants.-A cross-sectional sample of 220 sheltered homeless mothers and 216 low-income housed (never homeless) mothers receiving welfare. Main outcome Measures.-Income, housing, life events, social support, h istory of abuse and assault, and mental and physical health. Results.- Comparison of homeless and housed mothers revealed some important simi larities and differences. The proportion of homeless mothers with annu al incomes of less than $7000 was 46% vs 17% for housed mothers (P<.01 ). Homeless mothers experienced more residential instability than the housed mothers (3.8 moves vs 1.8 moves; P<.001) and had smaller suppor t networks (P<.001). More homeless mothers reported severe physical an d sexual assault over the lifespan than housed mothers (91.6% vs 81.1% ; P<.003). No significant differences were found between the groups in mental and physical health. However, the lifetime prevalence of major depressive disorder, posttraumatic stress disorder, and substance use disorders was overrepresented compared to the general female populati on. Both groups had lower physical functioning compared to the general population and a higher prevalence of chronic health conditions. Conc lusion.-Sheltered homeless mothers had fewer economic resources and so cial supports and higher cumulative rates of violent abuse and assault over their lifespans than their housed counterparts. However, both gr oups faced extreme adversity that compromised family well-being. Pract itioners and social policymakers need to be cognizant of the multiple economic, psychosocial, and physical health needs of these mothers in providing treatment and developing program interventions.