Includes persons under formally authorized, supervised care or custody in institutions at the time of enumeration. Such persons are classified as "patients or inmates" of an institution regardless of the availability of nursing or medical care, the length of stay, or the number of persons in the institution. Generally, institutionalized persons are restricted to the institutional buildings and grounds (or must have passes or escorts to leave) and thus have limited interaction with the surrounding community. Also, they are generally under the care of trained staff who have responsibility for their safekeeping and supervision.

The type of institution was determined as part of census enumeration activities. For institutions which specialize in only one specific type of service, all patients or inmates were given the same classification. For institutions which had multiple types of major services (usually general hospitals and Veterans' Administration hospitals), patients were classified according to selected types of wards. For example, in psychiatric wards of hospitals, patients were classified in "mental (psychiatric) hospitals"; in hospital wards for persons with chronic diseases, patients were classified in "hospitals for the chronically ill." Each patient or inmate was classified in only one type of institution. Institutions include the following types:

Comprises a heterogeneous group of places. The majority of patients are elderly, although persons who require nursing care because of chronic physical conditions may be found in these homes regardless of their age. Included in this category are skilled-nursing facilities, intermediate-care facilities, long-term care rooms in wards or buildings on the grounds of hospitals, or long-term care rooms/nursing wings in congregate housing facilities. Also included are nursing, convalescent, and rest homes, such as soldiers', sailors', veterans', and fraternal or religious homes for the aged, with or without nursing care. In some census products, nursing homes are classified by type of ownership as "Federal," "State," "Private not-for-profit," and "Private for profit."

Includes hospitals or wards for the criminally insane not operated by a prison, and psychiatric wards of general hospitals and veterans' hospitals. Patients receive supervised medical/nursing care from formally-trained staff. In some census products, mental hospitals are classified by type of ownership as "Federal," "State or local," "Private," and "Ownership not known."

Includes hospitals for patients who require long-term care, including those in military hospitals and wards for the chronically ill located on military bases; or other hospitals or wards for the chronically ill, which include tuberculosis hospitals or wards, wards in general and Veterans' Administration hospitals for the chronically ill, neurological wards, hospices, wards for patients with Hansen's Disease (leprosy) and other incurable diseases, and other unspecified wards for the chronically ill. Patients who had no usual home elsewhere were enumerated as part of the institutional population in the wards of general and military hospitals. Most hospital patients are at the hospital temporarily and were enumerated at their usual place of residence. (For more information, see "Wards in General and Military Hospitals for Patients Who Have No Usual Home Elsewhere.")

Includes those institutions such as wards in hospitals for the mentally retarded, and intermediate-care facilities for the mentally retarded that provide supervised medical/nursing care from formally-trained staff. In some census products, this category is classified by type of ownership as "Federal," "State or local," "Private," and "Ownership not known." Schools, Hospitals, or Wards for the Physically Handicapped--Includes three types of institutions: institutions for the blind, those for the deaf, and orthopedic wards and institutions for the physically handicapped. Institutions for persons with speech problems are classified with "institutions for the deaf." The category "orthopedic wards and institutions for the physically handicapped" includes those institutions providing relatively long-term care to accident victims, and to persons with polio, cerebral palsy, and muscular dystrophy. In some census products, this category is classified by type of ownership as "Public," "Private," and "Ownership not known."

Includes hospitals, and hospital wards in psychiatric and general hospitals. These facilities are equipped medically and designed for the diagnosis and treatment of medical or psychiatric illnesses associated with alcohol or drug abuse. Patients receive supervised medical care from formally-trained staff.

Includes maternity, neonatal, pediatric (including wards for boarder babies), military, and surgical wards of hospitals, and wards for persons with infectious diseases.

Includes homes, schools, and other institutions providing care for children (short- or long-term care). Juvenile institutions include the following types:

Includes institutions providing short-term care (usually 30 days or less) primarily for delinquent children pending disposition of their cases by a court. This category also covers diagnostic centers. In practice, such institutions may be caring for both delinquent and neglected children pending court disposition.

Includes persons residing in rooming and boarding houses and living in quarters with 10 or more unrelated persons.

Includes "community-based homes" that provide care and supportive services. Such places include homes for the mentally ill, mentally retarded, and physically handicapped; drug/alcohol halfway houses; communes; and maternity homes for unwed mothers.

Includes community-based homes that provide care primarily for the mentally ill. In some data products, this category is classified by type of ownership as "Federal," "State," "Private," and "Ownership not known." Homes which combine treatment of the physically handicapped with treatment of the mentally ill are counted as homes for the mentally ill.

Includes community-based homes that provide care primarily for the mentally retarded. Homes which combine treatment of the physically handicapped with treatment of the mentally retarded are counted as homes for the mentally retarded. This category is classified by type of ownership in some census products, as "Federal," "State," "Private," or "Ownership not known."

Includes community-based homes for the blind, for the deaf, and other community-based homes for the physically handicapped. Persons with speech problems are classified with homes for the deaf. In some census products, this category is classified by type of ownership as "Public," "Private," or "Ownership not known."

Includes persons with no usual home elsewhere in places that provide community-based care and supportive services to persons suffering from a drug/alcohol addiction and to recovering alcoholics and drug abusers. Places providing community-based care for drug and alcohol abusers include group homes, detoxification centers, quarter-way houses (residential treatment facilities that work closely with accredited hospitals), halfway houses, and recovery homes for ambulatory, mentally competent recovering alcoholics and drug abusers who may be re-entering the work force.

Includes persons with no usual home elsewhere in places that provide domestic care for unwed mothers and their children. These homes may provide social services and post-natal care within the facility, or may make arrangements for women to receive such services in the community. Nursing services are usually available in the facility.

Includes persons with no usual home elsewhere in communes, foster care homes, and job corps centers with 10 or more unrelated persons. These types of places provide communal living quarters, generally for persons who have formed their own community in which they have common interests and often share or own property jointly.

Includes, primarily, group quarters for nuns teaching in parochial schools and for priests living in rectories. It also includes other convents and monasteries, except those associated with a general hospital or an institution.

Includes privately-owned rooming and boarding houses off campus, if the place is reserved exclusively for occupancy by college students and if there are 10 or more unrelated persons. In census products, persons in this category are classified as living in a college dormitory.
Persons residing in certain other types of living arrangements are classified as living in "noninstitutional group quarters" regardless of the number of people sharing the unit. These include persons residing in the following types of group quarters:

Includes street blocks and open public locations designated before March 20, 1990, by city and community officials as places where the homeless congregate at night. All persons found at predesignated street sites from 2 a.m. to 4 a.m. and leaving abandoned or boarded-up buildings from 4 a.m. to 8 a.m. on March 21, 1990, were enumerated during "street" enumeration, except persons in uniform such as police and persons engaged in obvious money-making activities other than begging or panhandling. Enumerators were instructed not to ask if a person was "homeless."

This cannot be considered a complete count of all persons living on the streets because those who were so well hidden that local people did not know where to find them were likely to have been missed as were persons moving about or in places not identified by local officials. It is also possible that persons with homes could have been included in the count of "visible in street locations" if they were present when the enumerator did the enumeration of a particular block.

Predesignated street sites include street corners, parks, bridges, persons emerging from abandoned and boarded-up buildings, noncommercial campsites (tent cities), all-night movie theaters, all-night restaurants, emergency hospital waiting rooms, train stations, airports, bus depots, and subway stations.

Includes community-based homes or shelters that provide domiciliary care for women who have sought shelter from family violence and who may have been physically abused. Most shelters also provide care for children of abused women. These shelters may provide social services, meals, psychiatric treatment, and counseling. In some census products, "shelters for abused women" are included in the category "other noninstitutional group quarters."

Includes group quarters for nurses and other staff members. It excludes patients.

Includes officers, crew members, and passengers of maritime U.S. flag vessels. All ocean-going and Great Lakes ships are included.

Includes staff residing in group quarters on institutional grounds who provide formally-authorized, supervised care or custody for the institutionalized population.

Includes persons with no usual home elsewhere enumerated during transient or "T-Night" enumeration at YMCA's, YWCA's, youth hostels, commercial and government-run campgrounds, campgrounds at racetracks, fairs, and carnivals, and similar transient sites.

Includes living quarters for persons temporarily displaced by natural disasters.

Two types of errors can occur in the classification of "types of group quarters":

For the 1990 census "Shelter-and- Street-Night" operation, persons well hidden, moving about, or in locations enumerators did not visit were likely to be missed. The number of people missed will never be known; thus, the 1990 census cannot be considered to include a definitive count of America's total homeless population. It does, however, give an idea of relative differences among areas of the country. Other components were counted as part of regular census procedures.

The count of persons in shelters and visible on the street could have been affected by many factors. How much the factors affected the count can never be answered definitively, but some elements include:

How well enumerators were trained and how well they followed procedures.

How well the list of shelter and street locations given to the Census Bureau by the local government reflected the actual places that homeless persons stay at night.

Cities were encouraged to open temporary shelters for census night, and many did that and actively encouraged people to enter the shelters. Thus, people who may have been on the street otherwise were in shelters the night of March 20, so that the ratio of shelter-to-street population could be different than usual.

The weather, which was unusually cold in some parts of the country, could affect how likely people were to seek emergency shelter or to be more hidden than usual if they stayed outdoors.

The media occasionally interfered with the ability to do the count.

How homeless people perceived the census and whether they wanted to be counted or feared the census and hid from it.

The Census Bureau conducted two assessments of Shelter and Street Night: (1) the quality of the lists of shelters used for the Shelter-and-Street-Night operation, and (2) how well procedures were followed by census- takers for the street count in parts of five cities (Chicago, Los Angeles, New Orleans, New York, and Phoenix). Information about these two assessments is available from the Chief, Center for Survey Methods Research, Bureau of the Census, Washington, DC 20233.

For the 1990 census, the definition of institutionalized persons was revised so that the definition of "care" only includes persons under organized medical or formally-authorized, supervised care or custody. As a result of this change to the institutional definition, maternity homes are classified as noninstitutional rather than institutional group quarters as in previous censuses. The following types of other group quarters are classified as institutional rather than noninstitutional group quarters: "halfway houses (operated for correctional purposes)" and "wards in general and military hospitals for patients who have no usual home elsewhere," which includes maternity, neonatal, pediatric, military, and surgical wards of hospitals, other-purpose wards of hospitals, and wards for infectious diseases. These changes should not significantly affect the comparability of data with earlier censuses because of the relatively small number of persons involved.

As in 1980, 10 or more unrelated persons living together were classified as living in noninstitutional group quarters. In 1970, the criteria was six or more unrelated persons.

Several changes also have occurred in the identification of specific types of group quarters. For the first time, the 1990 census identifies separately the following types of correctional institutions: persons in halfway houses (operated for correctional purposes), military stockades and jails, and police lockups. In 1990, tuberculosis hospitals or wards are included with hospitals for the chronically ill; in 1980, they were shown separately. For 1990, the noninstitutional group quarters category, "Group homes" is further classified as: group homes for drug/alcohol abuse; maternity homes (for unwed mothers), group homes for the mentally ill, group homes for the mentally retarded, and group homes for the physically handicapped. Persons living in communes, foster-care homes, and job corps centers are classified with "Other group homes" only if 10 or more unrelated persons share the unit; otherwise, they are classified as housing units.

In 1990, workers' dormitories were classified as group quarters regardless of the number of persons sharing the dorm. In 1980, 10 or more unrelated persons had to share the dorm for it to be classified as a group quarters. In 1960, data on persons in military barracks were shown only for men. In subsequent censuses, they include both men and women.

In 1990 census data products, the phrase "inmates of institutions" was changed to "institutionalized persons." Also, persons living in noninstitutional group quarters were referred to as "other persons in group quarters," and the phrase "staff residents" was used for staff living in institutions.

In 1990, there are additional institutional categories and noninstitutional group quarters categories compared with the 1980 census. The institutional categories added include "hospitals and wards for drug/alcohol abuse" and "military hospitals for the chronically ill." The noninstitutional group quarters categories added include emergency shelters for homeless persons; shelters for runaway, neglected, and homeless children; shelters for abused women; and visible-in-street locations. Each of these noninstitutional group quarters categories was enumerated on March 20-21, 1990, during the "Shelter-and-Street-Night" operation. (For more information on the "Shelter-and-Street-Night" operation, see Appendix D, Collection and Processing Procedures.)