Longitudinal study of the housing and mental health outcomes of tenants appearing in eviction court

Soc Psychiatry Psychiatr Epidemiol. 2021 Sep;56(9):1679-1686. doi: 10.1007/s00127-020-01953-2. Epub 2020 Sep 14.

Abstract

Purpose: Millions of people are evicted from rental properties in the U.S. annually, but little is known about them and their mental health. This study followed a cohort of eviction court participants over time and assessed their housing and mental health outcomes.

Methods: One hundred and twenty-one tenants were recruited from an eviction court in New Haven, Connecticut, and their housing, mental health, and psychosocial status were assessed at baseline, 1, 3, 6, and 9 months following their encounter with the court. Inverse probability weighting was used for missing data.

Results: At baseline, 42% of participants had appeared in eviction court before, 28% had experienced eviction, and 44% had been previously homeless. In addition, 39% screened positive for generalized anxiety disorder, 37% for posttraumatic stress disorder, 33% for major depressive disorder, and 17% reported suicidal ideation. At follow-up, participants experienced increased days of housing instability and homelessness over time with some persistent mental health symptoms. Less than one-quarter of participants received any mental health treatment during the 9-month follow-up period. About 54% of participants followed reported that they had to change their residence after their court appearance consistent with court records. Participants who had an eviction-related move experienced greater housing instability over time than participants who did not.

Conclusion: Together, these findings suggest that there is a sizable subgroup of adults who present to eviction court with persistent housing and mental health issues who do not receive adequate assistance in addressing these issues.

Keywords: Evictions; Homelessness; Housing; Mental health.

MeSH terms

  • Adult
  • Housing
  • Humans
  • Ill-Housed Persons*
  • Longitudinal Studies
  • Major Depressive Disorder*
  • Outcome Assessment, Health Care