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Homelessness during pregnancy poses significant health risks for mothers and infants. As health care providers increase their emphasis on social determinants of health, it is important to understand how unstable housing contributes to complications during pregnancy. We linked data about emergency shelter enrollees with Massachusetts Medicaid claims for the period January 1, 2008–June 30, 2015 to compare health care use and pregnancy complications for 9,124 women who used emergency shelter with those for 8,757 similar women who did not. Rates of mental illness and substance use disorders were...
Topics: Child welfare, Depression, Early childhood, Homelessness, Housing, Low-income, Mental health, Pre-natal, Research, Substance abuse

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For a very young child, the relationship with a primary caregiver, most often though not exclusively a mother, lays an important psychological foundation for later flourishing. Successful attachment and bonding in the first two years of life predicts healthy later development on a range of fronts, from mental health to educational skills. When bonding and attachment prove difficult, child development is affected. Recent advances in brain science allow this impact to be shown more clearly and more definitively.
Topics: Child welfare, Depression, Dual-generation, Early childhood, Health, Low-income, Mental health, Mobility
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Homelessness among children is correlated with developmental delays, fair or poor health, and high healthcare utilization. Associations of homelessness specifically among infants younger than 12 months, however, are unknown. This study evaluates homelessness during infancy as a risk for adverse infant and maternal health and hardship.
Topics: Child welfare, Depression, Disabilities, Dual-generation, Early childhood, Education, Family engagement, Food insecurity, Grade-level proficiency, Health, Homelessness, Housing, Low-income, Metrics, Partnerships, Pre-natal, Research, School-readiness, Youth
