| Literature DB >> 23971944 |
Vijay K Mago1, Hilary K Morden, Charles Fritz, Tiankuang Wu, Sara Namazi, Parastoo Geranmayeh, Rakhi Chattopadhyay, Vahid Dabbaghian.
Abstract
BACKGROUND: The forces which affect homelessness are complex and often interactive in nature. Social forces such as addictions, family breakdown, and mental illness are compounded by structural forces such as lack of available low-cost housing, poor economic conditions, and insufficient mental health services. Together these factors impact levels of homelessness through their dynamic relations. Historic models, which are static in nature, have only been marginally successful in capturing these relationships.Entities:
Mesh:
Year: 2013 PMID: 23971944 PMCID: PMC3766254 DOI: 10.1186/1472-6947-13-94
Source DB: PubMed Journal: BMC Med Inform Decis Mak ISSN: 1472-6947 Impact factor: 2.796
Figure 1Homeless count in Metro Vancouver.
Figure 2Example of a simple FCM to assess heart disease.
FCM processing when excercise = 1
| = | (0,0,−1,−1,0,−1) | → | (1,0,−1,−1,0,−1) | = | | ||
| = | (0,0,−1,−1,−1,−3) | → | (1,0,−1,−1,−1,−1) | = | | ||
| = | (0,0,−2,−1,−1,−4) | → | (1,0,−1,−1,−1,−1) | = | ⇔ |
Figure 3Virtual common-sense map of homelessness.
Summary of expected outcome, concepts activated and iteration process for three sample cases
| Case 1: Extremely likely to result in homelessness | Criminal justice system involvement, addictions, mental illness, rental subsidy | Iteration 1: homelessness = 1; all other concepts, stable. |
| Case 2: Extremely unlikely to result in homelessness | Education, mental illness, non-government organization, and income assumed to be high | Iteration 1: homelessness = -1; increase in education; decrease in poverty, unemployment, and government assistance; all other concepts, stable. Iteration 2: homelessness = -1; increase in education and mental illness; decrease in crime; and all other concepts, stable. Iteration 3: homelessness = -1; increase in education, and mental illness; decrease in crime and criminal justice system involvement; all other concepts stable. |
| Case 3: Uncertain likelihood of homelessness | Criminal justice system involvement, addiction, family breakdown, increased income, education, and social systems network. | Iteration 1: homelessness = -1; increase in addiction, criminal justice system involvement, family breakdown, income, counseling, crime, and social isolation; decrease in poverty, unemployment, and government assistance. Iteration 2: homelessness = +1; increase in addiction, criminal justice system involvement, family breakdown, income, counseling, crime, and social isolation; decrease in poverty, unemployment, and government assistance; all other concepts, stable. |
Linguistic terms and the references
| CJS(2) → Homelessness(1) | Positive | [ | Significantly Associated | High |
| | | [ | Appear to increase | Medium |
| | | [ | Much more likely | High |
| CJS(2) → Poverty(3) | Positive | [ | significantly increase | Very high |
| | | [ | Most important | High |
| | | [ | Significantly positive | Very High |
| CJS(2) → Unemployment(4) | Positive | [ | Significantly lower | Very high |
| | | [ | Can diminish but not necessarily | Low |
| | | [ | Relatively low | Medium |
| CJS(2) → Family Breakdown(9) | Positive | [ | Significant correlates | High |
| | | [ | Tremendous strains | Very high |
| | | [ | Important causal factor | High |
| Poverty(3) → Homelessness(1) | Positive | [ | Significantly and independently | High |
| | | [ | Run a great risk | High |
| | | [ | May experience | Low |
| Poverty(3) → Addiction(7) | Positive | [ | Good chance | Low |
| | | [ | Might be more limited | Low |
| | | [ | Likely to | Low |
| Unemployment(4) → Homelessness(1) | Positive | [ | More likely | Medium |
| | | [ | Primary risk factor | Low |
| | | [ | Did not predict | Very low |
| Unemployment(4) → Government Assistance(13) | Positive | [ | Play an important role | High |
| | | [ | Substantial | High |
| | | [ | Substantially | High |
| Education(5) → Homelessness(1) | Negative | [ | Thereby increase | Medium |
| | | [ | Rectricts | Low |
| | | [ | Run a great risk | High |
| Education(5) → Poverty(3) | Negative | [ | Strong positive correlation | High |
| | | [ | Vital | Very high |
| | | [ | Powerful instrument | High |
| Education(5) → Unemployment(4) | Negative | [ | Significantly increases | Very high |
| | | [ | Much higher | High |
| | | [ | Strong determinant | High |
| Education(5) → Income(6) | Positive | [ | Strongly correlated | High |
| | | [ | Strong positive | High |
| | | [ | Thwarted/an important means | High |
| Income(6) → Homelessness(1) | Negative | [ | Significantly and strongly | Very high |
| | | [ | Strong | High |
| | | [ | Most effective | Medium |
| Addiction(7) → Homelessness(1) | Positive | [ | Independently associated | Medium |
| | | [ | Key factor | High |
| | | [ | Statistically significant | Very high |
| Addiction(7) → CJS(2) | Positive | [ | Major contributor | High |
| | | [ | More likely | Medium |
| | | [ | Extensive | Very high |
| Addiction(7) → Mental Illness(10) | Positive | [ | Increased risk | Medium |
| | | [ | Strong evidence | High |
| | | [ | More likely | Medium |
| Addiction(7) → Family Breakdown(9) | Positive | [ | Critical | Very high |
| | | [ | Significant connection | High |
| | | [ | Strong connection | High |
| Social Systems Network(8) → Addiction(7) | Negative | [ | Less likely | Medium |
| | | [ | Benefit | Medium |
| | | [ | Lower levels | Medium |
| Social Systems Network(8) → Family Breakdown(9) | Negative | [ | Small, short lived | Very low |
| | | [ | Effective | Medium |
| | | [ | Effective | Medium |
| Family Breakdown(9) → Homelessness(1) | Positive | [ | More prominently | Very high |
| | | [ | Significant proportion | High |
| | | [ | Increased risk | Medium |
| Family Breakdown(9) → Addiction(7) | Positive | [ | Profound effect | Very high |
| | | [ | Usually | Medium |
| | | [ | Strong connection | High |
| Family Breakdown(9) → Childhood Homelessness(12) | Positive | [ | Highly predictive | High |
| | | [ | Important role | High |
| | | [ | Most common | Medium |
| Mental Illness(10) → Homelessness(1) | Positive | [ | Significantly and independently | High |
| | | [ | Not significant | Low |
| | | [ | A risk factor | Low |
| Mental Illness(10) → CJS(2) | Positive | [ | Significantly more | Very high |
| | | [ | May trigger | Low |
| | | [ | Independently associated | Medium |
| Mental Illness(10) → Addiction(7) | Positive | [ | Significantly more likely | Very high |
| | | [ | Remain problematic | Medium |
| | | [ | Common and of concern | Medium |
| Mental Illness(10) → Family Breakdown(9) | Positive | [ | Significant correlates | High |
| | | [ | Increases chances of | Medium |
| | | [ | Strongly associated | High |
| Non-Government Assistance(11) → Homelessness(1) | Negative | [ | Crucial | High |
| | | [ | Address needs | Low |
| | | [ | Considerable | Medium |
| Childhood Homelessness(12) → Education(5) | Negative | [ | At risk | Medium |
| | | [ | Restricts | Medium |
| | | [ | Strong evidence | High |
| Government Assistance(13) → Homelessness(1) | Negative | [ | Widely used to support | Medium |
| | | [ | Associated | Medium |
| | | [ | Most effective | Very high |
| Cost of Housing(14) → Homelessness(1) | Positive | [ | Positive/negative and significant | High |
| | | [ | Not important | Very low |
| | | [ | Implicated | Medium |
| Poverty(3) → Family Breakdown(9) | Positive | [ | Not uncommon | Medium |
| | | [ | Associated with | Medium |
| [ | The bulk of responsibility | High |
Figure 4Fuzzy Cognitive Map with qualitative weighted edges.
Categorization of linguistic terms extracted from literature
| Did not predict, not important, small and short lived | Might be more limited, likely to, a risk factor, address needs, good chance, can diminish but not necessarily, lack, leads to, disadvantage, to restriction, leads to, likely, may experience, may trigger, might be, not significant, primary risk factor, risk, risk factor | Appear to increase, associated, at risk, benefit, common and of concern, considerable ongoing, cope, effective, implicated, increase risk, increases chances of, independently associated, less likely, lower levels, more difficult, more likely, most common, most effective, not uncommon, relatively, relatively low rates, remain problematic, restricts, thereby increase, usually, widely used to, support, associated with | Crucial, highly predictive, important role, important causal factor, important means, key factor, major contributor, most important, much more likely, much higher, play important role, positive and significant, powerful, powerful instrument, significant correlates, significant, independent significantly associated, significant proportion, statistically significant, strong, strongly associated, strong connection, strong correlation, strong determinant, strong effect, strong evidence, substantial, bulk of, positive/negative and significant, significant connection, strong positive, strong positive correlation, run a great risk, thwarted | Critical evidence indicates, extensive, more prominently, most effective, profound, significant and positive, significantly and strongly, significantly increase, significantly lower, significantly more, significantly more likely, statistically significant, tremendous, very high, vital |
Figure 5Triangular membership function.
Figure 6Impact of addiction on homelessness.
Figure 7Impact of education on homelessness.
Figure 8Fuzzy cognitive map with calculated quantitative weights assigned to edges.
Simulating the result for case 1
| | ||||
|---|---|---|---|---|
| Inital values | 0.65 | 0.57 | 0.46 | 0.61 |
Figure 9Activated concepts at levels most likely to result in homelessness with graphical representation of impact of concepts on levels of homelessness over time.
Simulating the result for case 2
| | |||||
|---|---|---|---|---|---|
| Initial values | 0.30 | 0.61 | 1.0 | 0.30 | 0.72 |
Figure 10Activated concepts at levels least likely to result in homelessness with graphical representation of impact of concepts on levels of homelessness over time.
Simulating the result for case 3
| | |||||
|---|---|---|---|---|---|
| Inital values | 0.20 | 0.11 | 0.94 | 0.51 | 1.0 |
Figure 11Activated concepts at levels most closely representing a typical real-world case with graphical representation of the impact of concepts on levels of homelessness over time.
Figure 12Comparison of the affects of individual concepts on levels of homelessness (a) shows the impact of Addiction, Criminal Justice System, Cost of housing and Social Network on Homelessness (b) highlights the impact of Education, Family Breakdown, Government Assistance and Income on Homelessness and (c) depicts the impact of Mental Illness, NGO, Poverty and Childhood hardships.
Figure 13Boxplot comparison of the affects of individual concepts on levels of homelessness.
Degree centrality and closeness centrality of every concept
| Criminal Justice System Involvement | 3.0485 | 9.9514 |
| Poverty | 2.0451 | 8.3195 |
| Unemployment | 2.3763 | 9.0566 |
| Education | 5.4201 | 11.1514 |
| Income | 1.3978 | 8.3441 |
| Addiction | 3.7027 | 9.9533 |
| Social Support Network | 0.8656 | 9.1302 |
| Family Breakdown | 2.2862 | 9.9533 |
| Mental Illness | 2.2609 | 9.9446 |
| NGO | 0.5000 | 8.3472 |
| Childhood Homelessness | 1.2500 | 8.3445 |
| Government Assistance | 1.3844 | 8.3443 |
| Cost of Housing | 0.4984 | 8.3194 |