Found 98 resources.
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A fact sheet from the National Partnership for Women & Families, “Paid Leave Means A Stronger Nation,” reports that most working people in the United States–73 percent, or 106 million people nationwide–do not have paid family leave through their jobs. Just 14 states have their own paid family and medical leave programs. For working people everywhere else, the lack of paid leave exacerbates other economic and care challenges to public health and our economy including the rising cost of living and a scarcity of reproductive and maternal healthcare. The report highlights that if women...
Topics: Data sharing, Research

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Poor maternal and child health (MCH) outcomes and rates of chronic disease are persistently high in the United States and concentrated in rural and service-deprived areas where local health departments provide most care. In a new Milbank Quarterly study, Taryn A. G. Quinlan, Amelia L. Mitchell, and Glen P. Mays of the Colorado School of Public Health use national survey data from 630 local health departments to understand the relationship between social service collaboration and the provision of direct MCH services, such as the Special Supplemental Nutrition Program for Women, Infants, and...
Topics: dual-generation initiative, Early childhood, Health, Low-income, Partnerships, Research

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The articles below are part of a special collection commemorating 25 years of the Health Care System Research Network’s (HCSRN's) rigorous research to improve health outcomes and health systems’ performance by leveraging electronic health data. This new collection highlights, among other things, advances in personalized cancer care, the optimal use of AI in health care, and the evolution of common data models, featuring work from Kaiser Permanente, Intermountain Healthcare and others.
Topics: Data sharing, Health, Partnerships, Research

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A new report by Chapin Hall at the University of Chicago finds that youth homelessness has its origins in early family experiences, including family homelessness. The findings make painfully clear that housing alone is insufficient to prevent and “end” youth homelessness, and that addressing youth homelessness alone, without explicit connections and fervent attention to family homelessness, will result in continued homelessness for all populations.
Topics: Early childhood, Homelessness, Housing, Legislation & Policy

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Children experiencing homelessness or living in inadequate and unstable housing are exposed to many risks, including a heightened threat of involvement with the child welfare system. Can child welfare agencies play a role in addressing the lack of affordable housing? What if providing housing, plus other supportive services, could prevent out-of-home placements to foster care? What if, for those children already in foster care, it could help them reunify with their parents?
Topics: Child welfare, Research, Stability, Supportive housing

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While homeownership has been linked to positive health outcomes there is limited evidence regarding the conditions under which it may be health protective. We present a conceptual model linking homeownership to health, highlighting key potential pathways. Using the Detroit Metropolitan Area as a case study, and data from the American Community Survey (2009–2013; 5-years estimates) and Michigan Department of Community Health, we tested the following questions: (1) Is neighborhood percentage non-Hispanic Black (NHB) associated with homeownership? (2) Is neighborhood percentage NHB associated...
Topics: Health, Housing, Research

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Early childhood education programs can impact life outcomes in ways that span generations, according to new research from Nobel laureate James Heckman. In a pair of companion papers released this week, the pioneering University of Chicago economist found that the children of those who participated in a landmark 1960s study still saw improvements in education, health and employment. The children saw such benefits without participating in the same preschool program as their parents—suggesting that early education can contribute to lasting upward mobility and help break cycles of poverty
Topics: Child welfare, Dual-generation, Early childhood, Family engagement, Research

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The Youth Risk Behavior Survey (YRBS) was first developed by the Centers for Disease Control and Prevention (CDC) in 1990 to assess the health risk behaviors of youth and adults in the United States. For the first time since the survey has been widely administered, the 2017 YRBS optional question list included two questions pertaining to homelessness. SchoolHouse Connection analyzed demographic and risk factor data from the YRBS in 17 states[1], comparing high school students experiencing homelessness and those not experiencing homelessness. This series shares the striking and heartbreaking...
Topics: Education, Homelessness, Low-income, Research, Youth

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When following the mother–child pair from pregnancy through five years postpartum, the estimated cost is $14.2 billion for births in 2017, or an average of $32,000 for every mother–child pair affected but not treated.
Topics: Dual-generation, Early childhood, Mental health, Pre-natal, Research

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Sweeping changes designed to make the food more nutritious in a federal assistance program for low-income families reduced the risk for obesity for 4-year-olds who had been on the program since birth, according to new research.
Topics: Early childhood, Food insecurity, Low-income, Nutrition, Obesity, Research

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Serious mental illness (SMI) is a disabling condition that develops early in life and imposes substantial economic burden. There is a growing belief that early intervention for SMI has lifelong benefits for patients. However, assessing the cost-effectiveness of early intervention efforts is hampered by a lack of evidence on the long-term benefits. We addressed this by using a dynamic microsimulation model to estimate the lifetime burden of SMI for those diagnosed by age twenty-five.
Topics: Disabilities, Education, Low-income, Mental health, Research

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This report presents a case study of the Chicago Housing Authority’s (CHA’s) work requirement policy, one of a small number of work requirements implemented by housing authorities. The report describes the CHA work requirement, the policy’s implementation and how it has changed, and perceptions of implementation and outcomes from key CHA and service provider staff and residents. The CHA work requirement has been in place for nearly 10 years, allowing us to analyze implementation over time and outcomes.
Topics: Asset building, Legislation & Policy, Low-income, Midwest, Research

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To what extent is there a mix of incomes within the LIHTC complexes? Is it realistic to expect properties without an explicit mixed-income focus to create and sustain mixed-income communities?
Topics: Housing, Low-income, Research

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Federal safety net programs are intended to protect the most vulnerable Americans—such as the elderly, people with severe disabilities and young children. Housing assistance plays a critical role in the safety net, providing decent, safe, and affordable housing for millions of extremely low-income and vulnerable families—though, because it is not an entitlement like other federal safety net programs, the assistance available falls far short of the need. Housing subsidies free families to spend on other essentials like healthy food, education, and health care.
Topics: Asset building, Dual-generation, Education, Housing, Mental health, Mobility, Partnerships, Research, Workforce development

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Launched in 2016, the Denver Supportive Housing SIB aims to support residents struggling with homelessness, substance use, and mental health problems by increasing the number of people getting and staying housed and reducing the number of days they spend in jail. The permanent supportive housing model combines a permanent housing subsidy with wraparound services, such as mental health counseling, to help people improve their stability. In Denver, MHCD and the Colorado Coalition for the Homeless (CCH) were selected to offer these services as part of the SIB.
Topics: Cost effectiveness, Criminal justice, Homelessness, Housing, Low-income, Pacific Northwest, Partnerships, Research, Substance abuse
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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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As of 2015, the Centers for Medicare & Medicaid Services (CMS) pays for chronic care management (CCM) services for Medicare beneficiaries with two or more chronic conditions. CMS requires eligible providers to first obtain patients’ verbal (and, prior to 2017, written) consent, to ensure that patients who participate in CCM services understand their rights and agree to any applicable cost sharing. CCM providers must also enhance patients’ access to continuous and coordinated care, including ongoing care management.
Topics: Health, Low-income, Medicaid / Medicare, Research

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Because mental health conditions can negatively affect employment, people with these conditions make up a large share of federal disability program participants. Federal agencies have tested supported employment (SE) interventions designed to help those with mental health conditions keep or obtain employment and reduce their dependence on public programs. This brief describes the characteristics of adults with mental health conditions who participate in the federal disability programs and reports evidence from three recent studies of longer-term impacts of SE on the employment of people with...
Topics: Asset building, Disabilities, Mental health, Research, Workforce development

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The Supplemental Security Income (SSI) program is an important, means-tested source of income for the families of children with disabilities. Although some research has shown that SSI improves outcomes for these families, policymakers have been concerned about the program’s growth and the poor outcomes that many former child SSI recipients experience in adulthood. In this brief, we summarize research funded by SSA’s Disability Resource Consortium (DRC) on the program’s recent growth and the factors related to receipt of SSI by children. This research reveals dramatic variation in the rate of...
Topics: Child welfare, Disabilities, Health, Low-income, Research

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The employment social enterprise (ESE) model can provide an opportunity to create a financially viable business that helps individuals with employment barriers become integrated into the labor force. This research studied eight ESEs. Findings suggest that by applying private‐sector business principles to a workforce development programs, social enterprises can provide participants with meaningful and valuable work experience, while offsetting program costs. Analysis identified four promising practices that social entrepreneurs should adopt when setting up a new enterprise. Enterprises should...
Topics: Asset building, Low-income, Research, Workforce development

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With persistent concerns about health care expenditures, the health care field has recognized a group of patients known as super utilizers—people with complex health needs and socioeconomic challenges who have very high levels of hospital use. A well-publicized team-based care management model to address the needs of these patients is the hotspotting model pioneered by the Camden Coalition of Healthcare Providers in New Jersey, first brought to national attention by an article in the New Yorker in 2011. So far, interest in programs to help super utilizers has outpaced the available evidence...
Topics: Health, Low-income, Medicaid / Medicare, Research

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Strengthening primary care is critical to promoting health and reducing costs in the United States. Comprehensive Primary Care Plus, or CPC+, is an advanced alternative payment model for primary care that builds on the foundation of the Comprehensive Primary Care initiative, implemented by the Center for Medicare & Medicaid Innovation from 2012 through 2016. The evaluation is assessing whether CPC+ achieves improved quality, reduced expenditures, and better health for Medicare and Medicaid beneficiaries in thousands of primary care practices using a mixed methods study. We are analyzing...
Topics: Health, Medicaid / Medicare, Research

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Findings from a national descriptive study of Early Head Start-Child Care Partnerships reveal new information about how partnerships expand access to high quality, affordable care for infants and toddlers. The study describes characteristics of these partnerships, including how they were formed and operated, as well as strategies for implementing partnerships in both center-based child care and family child care homes. It also describes the wide range of services that partnerships offer to children and families who receive care through Early Head Start-Child Care Partnership grant funds....
Topics: Child welfare, Early childhood, Low-income, Research

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The U.S. has a shortage of seven million rental homes affordable and available to extremely low-income renters, whose household incomes are at or below the poverty guideline or 30% of their area median income. Only 37 affordable and available rental homes exist for every 100 extremely low-income renter households. Extremely low-income renters face a shortage in every state and major metropolitan area, including the District of Columbia. Among states, the supply of affordable and available rental homes ranges from only 19 for every 100 extremely low-income renter households in Nevada to 66 in...
Topics: Homelessness, Housing, Legislation & Policy, Research
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Housing is considered a social determinant of health, with poor housing conditions being associated with poor health. Veterans with disabilities are more likely to experience a housing crisis because of combat experiences and employment instability. We identified facilitators and barriers to finding and maintaining rental housing. We sought to understand the housing needs of Veterans with military-related disabilities using the biopsychoecological model (BEM) as an organizing framework.
Topics: Disabilities, Funding, Health, Homelessness, Housing, Legislation & Policy, Research, Safety, Seniors, Stability
