Definition
Housing instability — unaffordability, forced moves, homelessness — is one of the most consequential environmental variables shaping health.
Why it matters
Framing housing as health is not activism; it is epidemiology.
The Science
Housing instability is associated with worse mental health, chronic disease outcomes, developmental outcomes in children, and mortality. Housing First interventions show significant benefit.
The NSI Perspective
NSI treats housing security as biological necessity.
Clinical Implications
Screening for housing instability is standard in trauma-informed and equity-informed care.
Practical Application
If your housing is unstable, your struggles are not personal failing. Systemic care includes housing.
References
- 1.Tsemberis S, Gulcur L, Nakae M. Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. Am J Public Health. 2004;94(4):651–656.