Skip to main content
Journal of Urban Health : Bulletin of the New York Academy of Medicine logoLink to Journal of Urban Health : Bulletin of the New York Academy of Medicine
. 1999 Mar;76(1):39–50. doi: 10.1007/BF02344460

The montefiore community children's project: A controlled study of cognitive and emotional problems of homeless mothers and children

Mutya San Agustin 1,, Patricia Cohen 2,3, David Rubin 4, Sean D Cleary 5, Canadace J Erickson 6, Janet K Allen 7
PMCID: PMC3456713  PMID: 10091189

Abstract

Objectives

This study compares the prevalence of emotional, academic, and cognitive impairment in children and mothers living in the community with those living in shelters for the homeless.

Method

In New York City, 82 homeless mothers and their 102 children, aged 6 to 11, recruited from family shelters were compared to 115 nonhomeless mothers with 176 children recruited from classmates of the homeless children. Assessments included standardized tests and interviews.

Results

Mothers in shelters for the homeless showed higher rates of depression and anxiety than did nonhomeless mothers. Boys in homeless shelters showed higher rates of serious emotional and behavioral problems. Both boys and girls in homeless shelters showed more academic problems than did nonhomeless children.

Conclusion

Study findings suggest a need among homeless children for special attention to academic problems that are not attributable to intellectual deficits in either children or their mothers. Although high rates of emotional and behavioral problems characterized poor children living in both settings, boys in shelters for the homeless may be particularly in need of professional attention.

Full Text

The Full Text of this article is available as a PDF (647.8 KB).

References

  • 1.A Status Report on Hunger and Homelessness in American's Cities: A 30 City Survey. Washington, DC: US Conference of Mayors; 1999. [Google Scholar]
  • 2.Bassuk EL, Rubin L. Homeless children: a neglected population. Am J Orthopsychiatry. 1987;57:279–285. doi: 10.1111/j.1939-0025.1987.tb03538.x. [DOI] [PubMed] [Google Scholar]
  • 3.Molnar J, Rath W, Klein T. Constantly compromised: the impact of homelessness on children. J Soc Issues. 1990;46:109–124. [Google Scholar]
  • 4.Rafferty Y, Shinn M. The impact of homelessness on children. Am Psychol. 1991;46:1170–1179. doi: 10.1037/0003-066X.46.11.1170. [DOI] [PubMed] [Google Scholar]
  • 5.San Agustin M. Health effects of housing status on children: a house is not a home. Bull NY Acad Med. 1990;66:500–514. [PMC free article] [PubMed] [Google Scholar]
  • 6.Miller DS, Lin EHB. Children in sheltered homeless families: reported health status and use of health services. Pediatrics. 1988;81:668–673. [PubMed] [Google Scholar]
  • 7.Alperstein G, Arnstein E. Homeless children—a challenge for pediatricians. Pediatr Clin North Am. 1988;35:1413–1425. doi: 10.1016/s0031-3955(16)36592-0. [DOI] [PubMed] [Google Scholar]
  • 8.Alperstein G, Rappaport C, Flanigan J. Health problems of homeless children in New York City. Am J Public Health. 1988;78:1232–1233. doi: 10.2105/ajph.78.9.1232. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Parker RM, Rescorla LA, Finkelstein JA, Barnes N, Holmes JH, Stolley PD. A survey of the health of homeless children in Philadelphia shelters. Am J Dis Child. 1991;145:520–526. doi: 10.1001/archpedi.1991.02160050046011. [DOI] [PubMed] [Google Scholar]
  • 10.Masten AS, Miliotis D, Graham-Bermann SA, Ramirez M, Neeman J. Children in homeless families: risks to mental health and development. J Consult Clin Psychol. 1993;61:335–343. doi: 10.1037//0022-006x.61.2.335. [DOI] [PubMed] [Google Scholar]
  • 11.Rescorla L, Parker R, Stolley P. Ability, achievement, and adjustment in homeless children. Am J Orthopsychiatry. 1991;61:210–220. doi: 10.1037/h0079236. [DOI] [PubMed] [Google Scholar]
  • 12.Graham-Bermann SA, Coupet S, Egler L, Mattis J, Banyard V. Interpersonal relationships and adjustment of children in homeless and economically distressed families. J Clin Child Psychol. 1996;25:250–261. [Google Scholar]
  • 13.Rubin DH, Erickson CJ, San Agustin M, Cleary SD, Allen JK, Cohen P. Cognitive and academic functioning of homeless children compared to housed children. Pediatrics. 1996;97:289–294. [PubMed] [Google Scholar]
  • 14.Zima BT, Wells KB, Freeman HE. Emotional and behavioral problems and severe academic delays among sheltered homeless children in Los Angeles County. Am J Public Health. 1999;84:260–264. doi: 10.2105/ajph.84.2.260. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Bussuk EL, Rubin L, Lauriat AS. Characteristics of sheltered homeless families. Am J Public Health. 1986;76:1097–1101. doi: 10.2105/ajph.76.9.1097. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Shinn M, Knickman JR, Weitzman BC. Social relationships and vulnerability to becoming homeless among poor families. Am Psychol. 1991;46:1180–1187. doi: 10.1037/0003-066X.46.11.1180. [DOI] [PubMed] [Google Scholar]
  • 17.Wood D, Valdez RB, Hayashi T, Shen A. Homeless and housed families in Los Angeles: a study comparing demographic, economic, and family function characteristics. Am J Public Health. 1990;80:1049–1052. doi: 10.2105/ajph.80.9.1049. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18.Bassuk EL. Homeless families: single mothers and their children in Boston shelters. In: Bassuk EL, editor. The Mental Health Needs of Homeless Persons: New Directors for Mental Health Services. San Francisco, Calif: Jossey-Bass; 1986. [DOI] [PubMed] [Google Scholar]
  • 19.McLoyd VCC. The impact of economic hardship on black families and children: psychological distress, parenting, and socioemotional development. Child Dev. 1990;61:311–346. doi: 10.1111/j.1467-8624.1990.tb02781.x. [DOI] [PubMed] [Google Scholar]
  • 20.Schteingart J, Molnar J, Klein T, Lowe C, Hartmann A. Homelessness and child functioning in the context of risk and protective factors moderating child outcomes. J Clin Child Psychol. 1995;24:320–331. doi: 10.1207/s15374424jccp2403_9. [DOI] [Google Scholar]
  • 21.Robertson MJ. Homeless women with children: the role of alcohol and other drug abuse. Am Psychol. 1991;46:1198–1204. doi: 10.1037/0003-066X.46.11.1198. [DOI] [PubMed] [Google Scholar]
  • 22.Zima BT, Wells KB, Benjamin B, Duan N. Mental health problems among homeless mothers. Arch Gen Psychiatry. 1996;53:332–338. doi: 10.1001/archpsyc.1996.01830040068011. [DOI] [PubMed] [Google Scholar]
  • 23.Hausman B, Hammen C. Parenting in homeless families: the double crisis. Am J Orthopsychiatry. 1993;623:358–369. doi: 10.1037/h0079448. [DOI] [PubMed] [Google Scholar]
  • 24.Koblinsky SA, Morgan KM, Anderson EA. African-American homeless and low-income housed mothers: comparison of parenting practices. Am J Orthopsychiatry. 1997;67:37–47. doi: 10.1037/h0080209. [DOI] [PubMed] [Google Scholar]
  • 25.Children in Storage: Families in New York City's Barracks-Style Shelters. New York: Citizens' Committee for Children of New York; 1988.
  • 26.Raven JC, Court JH, Raven J. Manual for Raven's Progressive Matrices and Vocabulary Scales Section 3—Standard Progressive Matrices. London: Lewis; 1983. [Google Scholar]
  • 27.Raven JC, Court JH, Raven J. Manual for Raven's Progressive Matrices and Vocabulary Scales Section 2—Coloured Progressive Matrices. London: Lewis; 1986. [Google Scholar]
  • 28.Raven JC, Summers B. Manual for Raven's Progressive Matrices and Vocabulary Scales—Research Supplement no. 3. London: Lewis; 1986. [Google Scholar]
  • 29.Dunn LM. Peabody Picture Vocabulary Test—Revised. Circle Pines, Minn: American Guidance Service; 1981. [Google Scholar]
  • 30.Taylor JA. A personality scale of manifest anxiety. J Abnorm Soc Psychol. 1953;478:285–290. doi: 10.1037/h0056264. [DOI] [PubMed] [Google Scholar]
  • 31.Beck AT. Depression: Causes and Treatment. Philadelphia, Pa: University of Pennsylvania Press; 1970. [Google Scholar]
  • 32.Achenbach TM, Edelbrook CS. Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, Vt: Thomas A. Achenbach; 1983. [Google Scholar]
  • 33.Jastak S, Wilkinson GS. Wide Range Achievement Test. Wilmington, Del: Guidance Associates; 1999. [Google Scholar]
  • 34.Reynolds CR, Richmond BO. What I think and feel: a revised measure of children's manifest anxiety. J Abnorm Child Psychol. 1978;6:271–280. doi: 10.1007/BF00919131. [DOI] [PubMed] [Google Scholar]
  • 35.Kovacs M. The Children's Depression Inventory (CDI) Psychopharmacol Bull. 1985;21:995–998. [PubMed] [Google Scholar]
  • 36.Finch AJ, Sailor CF, Edwards GL. Children's Depression Inventory. Sex and grade norms for normal children. J Consult Clin Psychol. 1985;54:424–425. doi: 10.1037//0022-006x.53.3.424. [DOI] [PubMed] [Google Scholar]
  • 37.Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561–571. doi: 10.1001/archpsyc.1961.01710120031004. [DOI] [PubMed] [Google Scholar]
  • 38.Hetherington EN, Cox M, Cox R. Effects of divorce on parents and children. In: Lamb ME, editor. Non-Traditional Family; Parenting and Child Development. Hillsdale, NJ: Erlbaum; 1999. pp. 223–288. [Google Scholar]
  • 39.Rafferty Y, Rollins N. The impact of homelessness on children: no time to lose. Presented at: 97th Annual Convention of the American Psychological Association; New Orleans, Louisiana; August 1989.

Articles from Journal of Urban Health : Bulletin of the New York Academy of Medicine are provided here courtesy of New York Academy of Medicine

RESOURCES