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well-being

Health, Family Well-being and Homelessness

Family homelessness is often discussed in terms of housing instability, but its impact reaches far beyond the loss of a home. For parents and children alike, the experience of homelessness can have profound effects on both physical health and overall family well-being.

Without stable housing, families face increased exposure to environmental stressors like extreme temperatures, overcrowding, and limited access to safe, clean spaces. These conditions can contribute to higher rates of chronic illness, respiratory issues, and weakened immune systems, especially for young children whose bodies are still developing. The health effects of homelessness can begin even before birth.

Pregnant people experiencing homelessness face significant barriers to accessing prenatal care — from lack of transportation to gaps in insurance coverage — leaving unborn children at elevated risk from their very first days. Research shows that by the age of three, children without stable housing have higher rates of injuries and nutritional problems, in addition to more frequent respiratory problems and higher rates of illness. Unhoused children are twice as likely as other children to go hungry and four times as likely to experience delayed development.

Children who experience homelessness and other trauma are exposed to “toxic stress,” a kind of prolonged physiological strain that can disrupt the brain and nervous system’s critical early development. Unlike ordinary stress that children bounce back from, toxic stress rewires developing physiological systems in ways that can elevate the risk for asthma, chronic infections, hypertension, and behavioral challenges well into adulthood. For many children in this situation who are toddlers or preschoolers — consistently the largest population of guests FMF serves — these are formative years in which environment profoundly shapes lifelong health and learning. The longer a family remains without stable housing, the more severe these developmental consequences tend to be.

Parents, too, often experience declines in physical health as they navigate the daily strain of meeting basic needs without consistent resources. Studies find that parents experiencing homelessness carry significantly higher rates of depression, anxiety, and chronic stress than the general population. One in three mothers in unhoused families has a chronic health condition, and many have experienced prior trauma — including domestic violence and assault — compounding the physical and emotional weight they carry.

Just as significant are the effects on family well-being. The uncertainty of homelessness can disrupt routines, strain parent-child relationships, and increase levels of stress and anxiety for every member of the household. Children may struggle with sleep, emotional regulation, and school attendance, while parents shoulder the responsibility of both caregiving and crisis management. Families experiencing homelessness are more vulnerable to additional forms of trauma, including exposure to violence. All of this combines to make recovery not just a matter of finding a new apartment — it is a comprehensive physical, emotional, and relational rebuilding that takes time, consistency, and sustained community support.

At Families Moving Forward, we recognize that addressing homelessness means caring for the whole family; not just their housing needs. Our multi-generational approach is designed to support both parents and children with the tools, resources, and stability they need to thrive. We connect families to health, vision, and dental care; mental health support; access to nutritious food; skills education and programming focused on health, self-care, hygiene, and nutrition; resources to strengthen and repair parent-child attachment; and additional ongoing support for transitioning to and maintaining permanent housing.

The result is a community of families who are not just housed, but healthier; children who get to be children, and parents who have the support they need. Because when families have the help they need to heal and rebuild, the benefits ripple outwards — strengthening not only individual households, but the health and well-being of our entire community.

Further Reading:

Bassuk, E. L., & Friedman, S. M. (2005). Facts on Trauma and Homeless Children From the National Child Traumatic Stress Network Homelessness and Extreme Poverty Working Group. https://www.nctsn.org/sites/default/files/resources/facts_on_trauma_and_homeless_children.pdf

Burt, L. (2024, January 30). How Does Homelessness Impact Child Health and Developmental Outcomes? National League of Cities. https://www.nlc.org/article/2024/01/30/how-does-homelessness-impact-child-health-and-developmental-outcomes/

Cutuli, J. J., Ahumada, S. M., Herbers, J. E., Lafavor, T. L., Masten, A. S., & Oberg, C. N. (2016). Adversity and children experiencing family homelessness: implications for health. Journal of Children and Poverty, 23(1), 41–55. https://doi.org/10.1080/10796126.2016.1198753

David, D. H., Gelberg, L., & Suchman, N. E. (2012). Implications of homelessness for parenting young children: A preliminary review from a developmental attachment perspective. Infant Mental Health Journal, 33(1), 1–9. https://doi.org/10.1002/imhj.20333