Housing Stability
Having safe, quality, affordable housing and the support to keep it is one of the most important factors affecting a person’s health.
For individuals and families dealing with extreme poverty, trauma, violence, mental illness, addiction, or other chronic issues, stable housing can shape their entire health journey.[1]
Here’s what you’ll learn:
How Economic Stability Impacts Olivia
Meet Beth—an 18-year-old barista working part-time while dreaming of a better future. Formerly unhoused, she now lives with her aunt. Despite her aunt’s encouragement to save 30% of her income, Olivia can’t afford living on her own. She hopes a career in welding will bring a stable income and independence.
Get to Know OliviaHow Economic Stability Impacts The Jackson Family
Meet Marcus—a devoted husband and father who loves playing basketball and watching cooking shows. Injured on the job, he hasn’t been able to work for months. With one child heading to college and a baby on the way, he is deeply concerned about his family’s financial future.
Get to Know The Jackson FamilyHow Economic Stability Impacts The Garcia Family
Meet Elena—a young mom and veteran juggling work, child care, and debt after the death of her partner. Elena is working with a VA case manager to find resources, affordable housing, and child care in her rural community.
Get to Know The Garcia FamilyHow Economic Stability Impacts Chris
Meet Chris—an underemployed substitute teacher and choir coach who dreams of becoming a full-time tenured professor. To make ends meet, he offers private piano lessons and relies on food pantries, all while carefully managing the public benefits he receives due to his visual disability.
Get to Know ChrisTerms to Know
The process where a landlord takes back their property from a tenant.[1] A landlord may evict a tenant for a number of reasons, including nonpayment.
After a landlord warns a tenant about possible eviction, the tenant has the opportunity to fix the issue, like paying overdue rent or fixing a lease violation. If the tenant doesn’t resolve the issue, the landlord can file for an eviction in court to continue the legal process.[1]
When a person, family, or community doesn’t have a stable, safe, or permanent place to live and can’t easily get one, they are considered homeless.[1]
[1] Substance Abuse and Mental Health Services Administration (SAMHSA)
When a household spends more than 30% of its income on housing, including rent or mortgage, utilities, insurance, and taxes, they are considered cost-burdened. If they spend over 50%, they are severely cost-burdened. This leaves little money for other essentials like nutritious food, clothing, and health care.[1] Renters pay rent and utilities, while housing costs for owners can include mortgage payments, insurance, property taxes, mortgage insurance, maintenance, and utilities.[2]
Housing stability refers to the percentage of people living in the same housing as they were one year ago. People might move frequently if they have trouble paying rent, if their housing costs are too high, or if there is overcrowding at home.[1]
Supportive housing is permanent, affordable housing paired with services to help people live stable lives. It’s designed for people with low incomes who often face long-term homelessness, disabilities, or chronic health conditions. Combining housing with support helps individuals and families maintain stability and access necessary services.[1]
Key
Facts
- 76% of extremely low-income renter households in Indiana experience severe housing-cost burden
- 46% of Indiana renters were cost-burdened in 2022. Over 60% of senior and single-parent households were cost-burdened
- Renters of color are more likely to be housing cost-burdened: 56% of Black renters in Indiana are cost-burdened; 1 in 5 renters who are behind on rent and likely to face eviction are Black women
- Indiana has 37 affordable and available rental homes for every 100 Hoosier households with extremely low income
Housing Stability
Stable housing means having a secure place to live without constant worry about losing it and having control over deciding whether to move.
In contrast, housing instability involves challenges like struggling to pay rent, living in overcrowded conditions, frequent moves, or spending a large portion of income on housing. This instability can lead to stress, anxiety, and a sense of disconnection, making it difficult to establish routines or build connections within the community.
People without stable housing are more likely to experience homelessness, unemployment, violence, food insecurity, substance use, and physical and mental health challenges. Low-income individuals might rent unsafe housing with risks like mold, rodents, and lead paint. Living in unsafe areas increases the risk of harm from community violence, bullying, crime, or abuse.
Moving three or more times in a year, known as “multiple moves,” can harm children’s health. Children who move frequently are more likely to develop chronic conditions, have poor physical health, and may have less consistent health insurance coverage.[1]
Children who have housing instability often struggle more in school compared to those in stable homes. Those living in poor conditions are also more likely to face physical and emotional challenges.[2] Further, housing insecurity in early childhood has been linked to increased interactions with child welfare and criminal justice systems later in life, as well as higher rates of depression and psychological distress.[3]
Housing Costs
A household is cost-burdened if it spends more than 30% of its income on housing, and severely cost-burdened if it spends over 50%.[4] This leaves little money for essentials like nutritious food, clothing, utilities, and health care. Black and Hispanic households are nearly twice as likely as white households to face this burden.
When households spend too much on rent, they face higher eviction rates, financial instability, and a greater reliance on social safety net programs. As more families depend on renting for long-term housing, the rising cost of rent has become a major burden. Over the past decade, increasing demand for rentals has driven vacancy rates to historic lows, pushing rent prices higher than many incomes can afford.[5]
Since the 2007-09 recession, renters have found it harder to transition to owning a home. Many struggle to save for a down payment or meet credit requirements. Even with assistance, some renters can’t afford monthly payments and maintenance on homes.
Homeownership
Homeownership is often seen as the key to the American dream and the way to build wealth and financial stability across generations. Paying off a mortgage and gaining home equity—the difference between a home’s value and the mortgage owed— is the most significant asset for many homeowners.[6]
Historical and ongoing segregation and lending discrimination have diminished the financial benefits of homeownership for people of color. Homeownership is less attainable for Black Americans, with a homeownership rate of 46% compared to 76% for white families.[7]
Homes in predominantly Black neighborhoods are valued at $48,000 less on average than those in white neighborhoods. Since wealth impacts education, health, employment, and overall quality of life, strategies to increase home ownership and home value in Black communities are essential.
[1] U.S Department of Health and Human Services
[3] Rocky Mountain Health Plans
Key
Facts
- Indiana has a 9% eviction filing rate
- 7% of Indiana households were threatened with eviction in the past year
- Indianapolis has one of the highest eviction rates in the U.S.
Eviction
Eviction is a cause of poverty, not just a condition of it. Losing a home forces families into crisis—children switch schools, possessions are lost, and communities are disrupted, causing long-term stress.
If a job loss didn’t lead to an eviction, the stress of eviction can lead to job loss and negatively impact mental health. Evictions can be traumatizing due to the short notice of relocation and can increase stress and rates of suicide.[1]
The health consequences of eviction have a disproportionate impact on low-income women, people of color, and children.[2] People who are evicted have a greater risk of experiencing homelessness and are likely to remain in homeless shelters longer. Black and female tenants who are evicted are more likely to experience adversity in future housing and employment situations.[3]
An eviction record makes it harder to rent again, pushing evictees into poorer, high-crime neighborhoods. Eviction also damages credit, making it more difficult to find safe housing in the future. People who are evicted often lose their possessions or must pay a fee to reclaim them from storage.[4]
[1] U.S Department of Health and Human Services
Key
Facts
- 6,285 Hoosiers were experiencing some form of homelessness in 2024
- 53% of individuals experiencing homelessness in Marion County were Black
- 60% of Americans experiencing homelessness lack health insurance
- People experiencing homelessness have higher rates of illness; they die on average 12 years sooner than the U.S. population
- 31% of the homeless population reported having a serious mental illness on a given night in 2023, with 24% having conditions related to chronic substance abuse
Homelessness
Homelessness is a form of poverty marked by a lack of personal relationships and financial resources.
People experiencing homelessness often have no one to turn to for shelter or support. Four main categories of homelessness include:[1]
- Literal homelessness
- Imminent risk of homelessness
- Homeless under other federal statutes
- Fleeing or attempting to flee domestic violence
Homelessness is tied to factors like the cost of housing, job opportunities, mental health, access to health care, and social stigma.[2] Stigma happens when negative stereotypes about homelessness lead to unfair treatment and discrimination.
Being without a home is a serious health risk.[3] People experiencing homelessness face dangers like diseases, violence, poor nutrition, and being exposed to extreme weather.
Many people experiencing homelessness deal with a mix of physical and mental health issues, substance use, and social challenges. These can lead to frequent emergency room visits and hospital stays. Mental health issues can worsen, and injuries take longer to heal when people don’t have a safe place to rest, bathe, or clean their wounds.
Without a safe place to live, managing chronic health issues like high blood pressure, diabetes, or asthma becomes nearly impossible. People experiencing homelessness might lack a safe place to store medication and access to nutritious foods.
[2] Substance Abuse and Mental Health Services Administration (SAMHSA)
[3] National Health Care for the Homeless Council
Key
Takeaways
- Without stable housing, people face higher rates of poor health, homelessness, and social disconnection. Children experience significant setbacks in health and education from frequent moves.
- Eviction disrupts lives. It is linked to job loss, mental health issues, and homelessness. Due to damaged credit, eviction records make it harder to find future safe housing.
- Homelessness has severe health risks, including higher rates of illness, difficulty managing chronic conditions, and a lack of access to health care. The social stigma compounds these challenges.
Other
Economic Stability
Topics
Childcare
High-quality child care nurtures development, reduces stress, and fosters growth, providing a stable, supportive environment when parents are at work.
Employment & Income
Safe, affordable housing is a foundation for health. Stability in housing impacts well-being, especially for those facing trauma, poverty, or chronic challenges.
Child care: When home-based child care providers experience housing issues, it affects many families who depend on them. With rising home prices, high interest rates, and increasing rent, about 1 in 4 child care providers struggle to afford their housing and their place of business.[1]
Housing and economic mobility: Metropolitan areas where Black neighborhoods are undervalued have higher segregation and fewer opportunities for upward mobility.[2]
Employment: Black women are more vulnerable to eviction and housing insecurity than they were before the pandemic due to facing higher rates of job loss during the pandemic.[3]
[1] International Society for Technology in Education (ISTE)
[2] The Brookings Institution
[3] The Center for American Progress
Attainment: Youth who don’t have a high school diploma or GED have a 346% greater risk of experiencing homelessness.[1]
Children outcomes: Children in families that have experienced an eviction are more likely to face food insecurity and have worse educational outcomes compared to other low-income children in rental housing. Many of these children have had to change schools after eviction.[2]
[1] State of California Affordable Housing and Sustainable Communities (AHSC) Program
[2] Health Affairs
Behavioral health: People experiencing homelessness have suicide rates ten times higher than the general population, according to a 2012 study. Over half of those experiencing homelessness have had thoughts of suicide or have attempted suicide.[1]
Hospitalization: People are more likely to go to the emergency room or need hospitalization for mental health issues in the two years after an eviction. Evictions are more common for low-income renters and disproportionately impact renters who are Black, Indigenous, and people of color.[2]
[1] National Health Care for the Homeless Council
[2] National League of Cities
Neighborhood: Housing instability and frequent moves can make it hard for people to form strong, lasting connections in their neighborhoods.[1]
Quality housing: People who have been evicted are more likely to face more subsequent moves and move into lower-quality homes with hazards like exposed wires, inadequate heating, and broken appliances.[2]
Redlining: Due to historical and ongoing discriminatory practices such as redlining, Black people are more likely to experience housing instability and are less likely to be homeowners. People of color are more likely to experience eviction and housing cost-burden.[3]
[1] U.S Department of Health and Human Services
[2] Health Affairs
[3] Urban Institute
Aging: People with fixed incomes, such as many older adults, might struggle to afford rent, particularly for accessible homes.[1]
Criminal justice involvement: People who have been incarcerated might be discriminated against by potential landlords. Having a criminal history makes it harder for people to pass background checks on housing applications. They also might lose eligibility for public housing or struggle to maintain housing.[2]
Trauma and domestic violence: Domestic violence can lead to homelessness.[3]
LGBTQ+: LGBTQ+ youth are at greater risk of experiencing homelessness because of discrimination. About 40% of youth experiencing homelessness identify as LGBTQ+.[4]
[1] Joint Center for Housing Studies of Harvard University (JCHS)
[2] U.S Department of Health and Human Services
[3] National Library of Medicine
[4] Substance Abuse and Mental Health Services Administration (SAMHSA)