Abstract
Abstract There is a homelessness crisis in the United States. Many investments have been made to reverse this crisis including building more affordable housing and providing rent subsidies, which create mechanisms to support people who are currently experiencing homelessness. However, less is known about how to invest upstream to prevent homelessness in the first place. In this paper, we explore the pathway to adult homelessness from childhood instability through potentially modifiable adolescent experiences including running away, school dropout, and abuse of drugs or alcohol. We used results from our life course survey of a Medicaid population (N = 2,348) in a large metropolitan area in Oregon to create a structural equation model that measured the relationships between these experiences and adult homelessness. The overall effect of childhood instability on adult homelessness was 0.475 (p
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