In 2023, there were about ******* homeless people estimated to be living in the United States, the highest number of homeless people recorded within the provided time period. In comparison, the second-highest number of homeless people living in the U.S. within this time period was in 2007, at *******. How is homelessness calculated? Calculating homelessness is complicated for several different reasons. For one, it is challenging to determine how many people are homeless as there is no direct definition for homelessness. Additionally, it is difficult to try and find every single homeless person that exists. Sometimes they cannot be reached, leaving people unaccounted for. In the United States, the Department of Housing and Urban Development calculates the homeless population by counting the number of people on the streets and the number of people in homeless shelters on one night each year. According to this count, Los Angeles City and New York City are the cities with the most homeless people in the United States. Homelessness in the United States Between 2022 and 2023, New Hampshire saw the highest increase in the number of homeless people. However, California was the state with the highest number of homeless people, followed by New York and Florida. The vast amount of homelessness in California is a result of multiple factors, one of them being the extreme high cost of living, as well as opposition to mandatory mental health counseling and drug addiction. However, the District of Columbia had the highest estimated rate of homelessness per 10,000 people in 2023. This was followed by New York, Vermont, and Oregon.

In 2023, there were an estimated ******* white homeless people in the United States, the most out of any ethnicity. In comparison, there were around ******* Black or African American homeless people in the U.S. How homelessness is counted The actual number of homeless individuals in the U.S. is difficult to measure. The Department of Housing and Urban Development uses point-in-time estimates, where employees and volunteers count both sheltered and unsheltered homeless people during the last 10 days of January. However, it is very likely that the actual number of homeless individuals is much higher than the estimates, which makes it difficult to say just how many homeless there are in the United States. Unsheltered homeless in the United States California is well-known in the U.S. for having a high homeless population, and Los Angeles, San Francisco, and San Diego all have high proportions of unsheltered homeless people. While in many states, the Department of Housing and Urban Development says that there are more sheltered homeless people than unsheltered, this estimate is most likely in relation to the method of estimation.

When analyzing the ratio of homelessness to state population, New York, Vermont, and Oregon had the highest rates in 2023. However, Washington, D.C. had an estimated ** homeless individuals per 10,000 people, which was significantly higher than any of the 50 states. Homeless people by race The U.S. Department of Housing and Urban Development performs homeless counts at the end of January each year, which includes people in both sheltered and unsheltered locations. The estimated number of homeless people increased to ******* in 2023 – the highest level since 2007. However, the true figure is likely to be much higher, as some individuals prefer to stay with family or friends - making it challenging to count the actual number of homeless people living in the country. In 2023, nearly half of the people experiencing homelessness were white, while the number of Black homeless people exceeded *******. How many veterans are homeless in America? The  number of homeless veterans in the United States has halved since 2010. The state of California, which is currently suffering a homeless crisis, accounted for the highest number of homeless veterans in 2022. There are many causes of homelessness among veterans of the U.S. military, including post-traumatic stress disorder (PTSD), substance abuse problems, and a lack of affordable housing.

BackgroundOpioid use disorder (OUD) is a growing public health crisis, with opioids involved in an overwhelming majority of drug overdose deaths in the United States in recent years. While medications for opioid use disorder (MOUD) effectively reduce overdose mortality, only a minority of patients are able to access MOUD; additionally, those with unstable housing receive MOUD at even lower rates.ObjectiveBecause MOUD access is a multifactorial issue, we leverage machine learning techniques to assess and rank the variables most important in predicting whether any individual receives MOUD. We also seek to explain why persons experiencing homelessness have lower MOUD access and identify potential targets for action.MethodsWe utilize a gradient boosted decision tree algorithm (specifically, XGBoost) to train our model on SAMHSA’s Treatment Episode Data Set-Admissions, using anonymized demographic and clinical information for over half a million opioid admissions to treatment facilities across the United States. We use Shapley values to quantify and interpret the predictive power and influencing direction of individual features (i.e., variables).ResultsOur model is effective in predicting access to MOUD with an accuracy of 85.97% and area under the ROC curve of 0.9411. Notably, roughly half of the model’s predictive power emerges from facility type (23.34%) and geographic location (18.71%); other influential factors include referral source (6.74%), history of prior treatment (4.41%), and frequency of opioid use (3.44%). We also find that unhoused patients go to facilities that overall have lower MOUD treatment rates; furthermore, relative to housed (i.e., independent living) patients at these facilities, unhoused patients receive MOUD at even lower rates. However, we hypothesize that if unhoused patients instead went to the facilities that housed patients enter at an equal percent (but still received MOUD at the lower unhoused rates), 89.50% of the disparity in MOUD access would be eliminated.ConclusionThis study demonstrates the utility of a model that predicts MOUD access and both ranks the influencing variables and compares their individual positive or negative contribution to access. Furthermore, we examine the lack of MOUD treatment among persons with unstable housing and consider approaches for improving access.

Number of adults and children experiencing literal homelessness as captured in the annual Point-in-Time count. Literal homelessness is defined as staying in emergency shelter, transitional housing for homeless persons, a place not meant for human habitation, or a motel with a voucher. The count for 2022 is based on preliminary data from Vermont Coalition to End Homelessness and is subject to change.

MOUD treatment rates by service setting and living arrangement.

This dataset consists of survey responses from 40 older adults experiencing homelessness in Phoenix, Arizona (USA), assessing the perceptions of environmental hazards—specifically heat and air pollution—and attitudes toward coping resources and behaviors. The survey includes 51 questions co-created with community members across five categories: demographics and behavior, movement/transportation, climate perceptions, resource availability, and local knowledge mapping. Surveys were conducted indoors at a local service provider over two days in June 2024, when outdoor temperatures reached 42 degrees C and 45 degrees C. The dataset offers insights into potential public service reforms to mitigate heat and air pollution risks among Arizona’s unhoused population. The survey was approved by the Institutional Review Board of Arizona State University (IRB approval number: STUDY00018399).