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This study from Psychiatric Services, a Journal of the American Psychiatric Association, is the first to examine the distribution of service utilization and costs with a population-based sample that experienced chronic homelessness in sheltered and unsheltered locations in a large U.S. city.

The study used shelter and street outreach records from a large U.S. city to identify 2,703 persons who met federal criteria for chronic homelessness during a three-year period.  Identifiers for these persons were matched to administrative records for psychiatric care, substance abuse treatment, and incarceration.

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