Evidence map›Paper›PMID 30601718›Full record

ArticleAnnual review of public health2019

Solving Homelessness from a Complex Systems Perspective: Insights for Prevention Responses.

Patrick J Fowler, Peter S Hovmand, Katherine E Marcal, Sanmay Das

Open access · bronzeAbstract read
In one paragraph

Article in Annual review of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
25.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
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  14. Isolation to stabilization: A Housing First approach to address homelessness in Kingston, Ontario.Canadian journal of public health = Revue canadienne de sante publique · 2025
    Article
  15. Health Status of People Who Are and Are Not Experiencing Homelessness: Opportunities for Improvement.International journal of environmental research and public health · 2024
    Article
  16. Article
  17. Article
  18. Community-Based Wound Care Programs for Unhoused Individuals.Journal of epidemiology and global health · 2023
    Review
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Patrick J FowlerThe Brown School, Washington University in St. Louis, St. Louis, Missouri 63130, USA; email: pjfowler@wustl.edu , phovmand@wustl.edu , kemarcal@wustl.edu.
Peter S HovmandThe Brown School, Washington University in St. Louis, St. Louis, Missouri 63130, USA; email: pjfowler@wustl.edu , phovmand@wustl.edu , kemarcal@wustl.edu.
Katherine E MarcalThe Brown School, Washington University in St. Louis, St. Louis, Missouri 63130, USA; email: pjfowler@wustl.edu , phovmand@wustl.edu , kemarcal@wustl.edu.
Sanmay DasDepartment of Computer Science and Engineering, Washington University in St. Louis, St. Louis, Missouri 63130, USA; email: sanmay@wustl.edu.
Washington University in St. Louis · US

Funding

GWB MENTAL HEALTH SERVICE RESEARCH TRAININGT32MH019960 · NIMH · WASHINGTON UNIVERSITY · PI Leopoldo J Cabassa, Byron James Powell · 1995 to 2026
$11.1M
DNA Methylation Markers in Esophageal AdenocarcinomaR01CA001815 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LAIRD, PETER W · 2002 to 2006
$1.8M
Promoting Child Behavioral Health in Homeless Services: A Community-Based System Dynamics ApproachF31MH117882 · NIMH · WASHINGTON UNIVERSITY · PI MARÇAL, KATHERINE ELIZABETH · 2018 to 2018
$30k
NCI NIH HHS R01 CA001815NIMH NIH HHS F31 MH117882NIMH NIH HHS T32 MH019960
6 · The paper itself

Abstract

Homelessness represents an enduring public health threat facing communities across the developed world. Children, families, and marginalized adults face life course implications of housing insecurity, while communities struggle to address the extensive array of needs within heterogeneous homeless populations. Trends in homelessness remain stubbornly high despite policy initiatives to end homelessness. A complex systems perspective provides insights into the dynamics underlying coordinated responses to homelessness. A constant demand for housing assistance strains service delivery, while prevention efforts remain inconsistently implemented in most countries. Feedback processes challenge efficient service delivery. A system dynamics model tests assumptions of policy interventions for ending homelessness. Simulations suggest that prevention provides a leverage point within the system; small efficiencies in keeping people housed yield disproportionately large reductions in homelessness. A need exists for policies that ensure reliable delivery of coordinated prevention efforts. A complex systems approach identifies capacities and constraints for sustainably solving homelessness.

Indexed as

Ill-Housed PersonsPublic HealthSystems IntegrationAdultChildHumansPublic Assistancecomplex systemshomelessnesshomelessness preventionhousing insecurityhousing policysystem dynamics

Identifiers

PMID30601718
PMCPMC6445694
OpenAlexW2907028874

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.