APPENDIX A: NSHAPC's PRIMARY SAMPLING AREAS





A.1: SAMPLING AREAS ARRAYED ALPHABETICALLY WITHIN TYPES

APPENDIX A.1:

NSHAPC's PRIMARY SAMPLING AREAS

ARRAYED ALPHABETICALLY WITHIN TYPES



28 Largest Metropolitan Areas

24 Smaller Metropolitan Areas



24 Rural Areas (Non-Metropolitan Areas)















APPENDIX B: NSHAPC PROGRAM DEFINITIONS

Definitions of NSHAPC Programs


A program was defined for NSHAPC as a set of services offered to the same group of people at a single location. To be considered a program, a provider had to offer services or assistance that were: (1) managed or administered by the agency (i.e., the agency provides the staff and funding); (2) designed to accomplish a particular mission or goal; (3) offered on an ongoing basis; (4) focused on homeless persons as an intended population (although not always the only population); and (5) not limited to referrals or administrative functions.

This definition of "program" was used in metropolitan areas. However, because rural areas often lack homeless-specific services, the definition was expanded in rural areas to include agencies serving some homeless people even if this was not a focus of the agency. About one-fourth of the rural programs in NSHAPC were included as a result of this expanded definition.

NSHAPC covered 16 types of homeless assistance programs, defined as follows:

Emergency shelter programs provide short-term housing on a first-come first-served basis where people must leave in the morning and have no guaranteed bed for the next night OR provide beds for a specified period of time, regardless of whether or not people leave the building. Facilities which provide temporary shelter during extremely cold weather (such as churches) and emergency shelters or host homes for runaway or neglected children and youth, and victims of domestic violence were also included.

Transitional housing programs have a maximum stay for clients of two years and offer support services to promote self-sufficiency and to help them obtain permanent housing. They may target any homeless subpopulation such as persons with mental illnesses, persons with AIDS, runaway youths, victims of domestic violence, homeless veterans, etc.

Permanent housing programs for homeless people provide long-term housing assistance with support services for which homelessness is a primary requirement for program eligibility. Examples include the Shelter Plus Care Program, the Section 8 Moderate Rehabilitation Program for Single-Room Occupancy (SRO) Dwellings, and the Permanent Housing for the Handicapped Homeless Program administered by the Department of Housing and Urban Development (HUD). These programs also include specific set-asides of assisted housing units or housing vouchers for homeless persons by public housing agencies or others as a matter of policy, or in connection with a specific program (e.g., the HUD-VA Supported Housing Program, "HUD-VASH"). A permanent housing program for homeless people does NOT include public housing, Section 8, or federal, state, or local housing assistance programs for low-income persons that do not include a specific set-aside for homeless persons, or for which homelessness is not a basic eligibility requirement.

Voucher distribution programs provide homeless persons with a voucher, certificate, or coupon that can be redeemed to pay for a specific amount of time in a hotel, motel, or other similar facility.

Programs that accept vouchers for temporary accommodation provide homeless persons with accommodation, usually in a hotel, motel, board and care, or other for-profit facility, in exchange for a voucher, certificate, or coupon offered by a homeless assistance program.

Food pantry programs are programs which distribute uncooked food in boxes or bags directly to low income people, including homeless people.

Soup kitchen programs include soup kitchens, food lines, and programs distributing prepared breakfasts, lunches, or dinners. These programs may be organized as food service lines, bag or box lunches, or tables where people are seated, then served by program personnel. These programs may or may not have a place to sit and eat the meal.

Mobile food programs are programs which visit designated street locations for the primary purpose of providing food to homeless people.

Physical health care programs provide health care to homeless persons, including health screenings, immunizations, treatment for acute health problems, and other services that address physical health issues. Services are often provided in shelters, soup kitchens, or other programs frequented by homeless people.

Mental health care programs provide services for homeless persons to improve their mental or psychological health or their ability to function well on a day-to-day basis. Specific services may include case management, assertive community treatment, intervention or hospitalization during a moment of crisis, counseling, psychotherapy, psychiatric services, and psychiatric medication monitoring.

Alcohol/drug programs provide services to assist a homeless individual to reduce his/her level of alcohol or other drug addiction, or to prevent substance abuse among homeless persons. This may include services such as detoxification services, sobering facilities, rehabilitation programs, counseling, treatment, and prevention and education services.

HIV/AIDS programs provide services for homeless persons where the services provided specifically respond to the fact that clients have HIV/AIDS, or are at risk of getting HIV/AIDS. Services may include health assessment, adult day care, nutritional services, medications, intensive medical care when required, health, mental health, and substance abuse services, referral to other benefits and services, and HIV/AIDS prevention and education services.

Drop-in center programs provide daytime services primarily for homeless persons such as television, laundry facilities, showers, support groups, and service referrals, but do not provide overnight accommodations.

Outreach programs contact homeless persons in settings such as on the streets, in subways, under bridges, and in parks to offer food, blankets, or other necessities; to assess needs and attempt to engage them in services; to offer medical, mental health, and/or substance abuse services; and/or to offer other assistance on a regular basis (at least once a week) for the purpose of improving their health, mental health, or social functioning, or increasing their use of human services and resources. Services may be provided during the day or at night.

Migrant housing is housing that is seasonally occupied by migrating farm workers. During off-season periods it may be vacant and available for use by homeless persons.

Other programs: providers could describe other programs they offered, as long as the programs met the basic NSHAPC definition of a homeless assistance program. Types of programs actually identified through the survey include housing/financial assistance (e.g., from Community Action, county welfare, or housing agencies); Emergency Food and Shelter Program agencies; job training for the homeless, clothing distribution, and other programs.



















APPENDIX C


National Survey of Homeless Assistance Providers and Clients:

Data Collection Methods


Steven Tourkin and Dave Hubble







National Survey of Homeless Assistance Providers and Clients:

Data Collection Methods



1997







Authors:

Steven Tourkin

Dave Hubble



















This paper reports the results of research and analysis undertaken by Census Bureau staff. It has undergone a more limited review than offical Census Bureau publications. This report is released to inform interested parties of research and to encourage discussion.

Table of Contents




Page

I. Background and Objectives................................................................................... C-4

A. Background................................................................................................... C-4

B. Objectives of this Paper................................................................................. C-5

II. Provider Phase....................................................................................................... C-6

A. PSU Design.................................................................................................... C-7

B. List Building................................................................................................... C-8

C. Provider Data.................................................................................................. C-14

III. Client Phase............................................................................................................... C-17

A. Provider-Program Selection Phase................................................................. C-18

B. Provider Arrangements: MOU/APV Phase................................................... C-19

C. Sampling Procedures...................................................................................... C-20

D. Data Collection............................................................................................... C-25

I. BACKGROUND AND OBJECTIVES

A. Background

The 1996 National Survey of Homeless Assistance Providers and Clients (hereinafter "survey") was designed to provide information about the providers of homeless assistance and the characteristics of homeless persons who use services based on a statistical sample of 76 metropolitan and nonmetropolitan areas. Data for the survey were collected by the Census Bureau between October 1995 and November 1996. Analysis of the data is underway. The survey is being sponsored by 12 Federal agencies(1) under the auspices of the Interagency Council on the Homeless, a working group of the White House Domestic Policy Council. These agencies worked extensively to develop the information requirements and definitions for the surveys, and to provide the Census Bureau guidance in designing the questionnaires and survey procedures.

The survey is important because no national studies have been conducted to produce information on the characteristics of persons participating in homeless assistance programs since a 1987 study by the Urban Institute. The 1996 survey used a methodology that was similar to the 1987 study. However, it used a larger sample, included nonmetropolitan areas, and collected more comprehensive information. The 1996 survey also included a wider variety of locations than the 1987 study in order to more accurately and fully reflect the characteristics of homeless people who use services nationwide. The 76 geographic areas that were included in the national sample in 1996 were comprised of the 28 largest metropolitan areas, 24 randomly selected medium and small metropolitan areas, and another 24 randomly selected nonmetropolitan areas (small cities and rural areas).

The survey will not provide a count of the number of people who are homeless. The survey will provide information about the providers of homeless assistance, the characteristics of the homeless population who use services, and how this population has changed in metropolitan areas since the 1987 study. This information is critical for developing effective public policy responses needed to break the cycle of homelessness.

For example, the survey will:

1. Provide information on the types of programs and services (e.g., housing, food assistance, health care) available to homeless persons in both metropolitan and nonmetropolitan areas, including population groups primarily served (e.g., veterans, people with mental illness); days of operation; occupancy levels; and sources of funding.

2. Provide a comprehensive profile of the homeless population who use services and allow comparisons of the characteristics of this population with the findings of the 1987 study.

3. Collect additional information related to prevalence of drug use, mental illness, HIV/AIDS, tuberculosis, and previous episodes of homelessness.

4. Provide information on issues not addressed by the last national study in 1987 such as: What are the triggering events that precipitate homelessness? Where were homeless people living before they became homeless?

Methodology

The national survey involved two phases. The first phase--the "provider survey"--was conducted from October 1995 through October 1996. It involved telephone interviews and a mail survey of assistance providers in the 76 geographic areas. Included were providers administering 16 categories of programs, including those that are specifically targeted to homeless people (e.g., shelters, soup kitchens, and outreach programs), as well as certain "mainstream" assistance programs which offer programs targeted to homeless persons. The purpose of this survey of service providers is to identify the types of programs and services available to homeless persons in metropolitan and nonmetropolitan areas and assess emerging continuum of care.

The second phase--the "client survey"--was conducted over a four-week period in late October and early November 1996. It included interviews with a sample of approximately 4,000 persons who were using services in emergency shelters, soup kitchens, outreach programs, and other locations where assistance is provided. In addition to providing data on characteristics of the portion of the homeless population who use services, this phase of the survey will identify population subgroups and help determine their use of various types of assistance programs. It will also provide limited comparative data on housed persons with very low incomes who also rely on soup kitchens and other emergency assistance.

The client survey will produce data on client characteristics at the national level and for metropolitan versus nonmetropolitan populations. The sample size is not large enough to produce estimates of client characteristics at the regional or local levels, nor was it designed to produce a count or other estimates of the number of homeless people.

B. Objectives of This Paper

This paper provides a description of the methods and procedures that the Census Bureau developed and used to conduct Phase 1 and Phase 2 of the survey. Under the direction of the sponsoring agencies, Census staff was responsible for:

1. 1The 12 Federal agency sponsors include the Departments of Housing and Urban Development, Health and Human Services, Veterans Affairs, Agriculture, Commerce, Education, Energy, Justice, Labor, and Transportation as well as the Social Security Administration and the Federal Emergency Management Agency.

2. 2CAAs are public agencies administering services to the community. They are knowledgeable about service options for the homeless and often offer those services themselves. Typically, a CAA covers a multi-county "catchment" area or jurisdiction.

3. 1 CAAs are public agencies administering services to the community. They are knowledgeable about service options for the homeless and often offer those services themselves. Typically, a CAA covers a multi-county "catchment" area or jurisdiction.

4. Several scenarios account for this possibility. In some cases, service providers had received a message from the Census Bureau (prior to the government shutdown) asking them to call back and they did (after the government shutdown); in some cases, an interview may have been initiated prior to the government shutdown but completed afterwards; and finally, as explained later, some CATI respondents reported information for more than one service location in a single CATI interview. In these cases, if one of the "sibling" cases was selected for follow-up, the other siblings were classified as self-responders.

5. One way of handling these cases would have been simply to ignore them and treat them as if no data had been collected because the Census Bureau did not actively pursue them. This option was rejected and the data from these cases are included in the NSHAPC database.

6. Note that the CATI file is constructed in such a way that there is a CATI case record for each distinct service location even though the data for two or more service locations may be combined within a single "parent" record. Thus, tabulations of numbers of service locations and numbers of services of various types are unbiased but data on the number of unique service locations and specific combinations of services at single locations may be affected by these parent-child situations.

7. These self-responding cases could have been dropped. This option was rejected, however, and the data preserved by including this factor of the mail survey weight.

8. Only in-scope CATI cases were included in this calculation.

9. There are several reasons why the final client weight reflects a seven-day period rather than a single day. First, as the next section on unduplicating the weights makes clear, it takes advantage of the program use data collected from clients as part of the NSHAPC interview. Doing so assures that no single day of idiosyncratic program use exercises an undue influence on the weight. Second, it recognizes and compensates for the fact that some people who are homeless on a given day might not be represented if they did not use a program on that day, but are more likely to be represented if a longer time frame is used. One does not therefore underrepresent homeless clients who use services infrequently. Finally, the construction of a seven-day weight parallels the approach taken in the 1987 Urban Institute study of national homelessness (Burt and Cohen 1989).

10. This could be done because respondents were asked about the exact number of service units they used during the preceding seven days for each type of service used in the client frames (breakfast, lunch, and dinner meals at soup kitchens were treated as distinct services).

11. Under this option, one does not assume that the volume of service delivery is equal across all locations (such an assumption would grossly overestimate the number of service users). Geographic (and other) differences in the number of service units delivered are reflected in the original Census Base Weights. In other words, if users of soup kitchens in central cities have many more opportunities to use soup kitchens compared to their counterparts in rural areas, then the Census Base Weight attached to a respondent found in a central city soup kitchen will be larger than the weight attached to a respondent found in a rural soup kitchen.