Found 857 resources.
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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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To equip municipalities with the skills and tools to address these challenges, New York State created the $12 million Cities for Responsible Investment and Strategic Enforcement (Cities RISE) program, which provides leadership, management, and technical support to help 16 municipalities address deteriorating homes, vacant properties, and neighborhood decline through strategic code enforcement. Cities RISE uses code enforcement strategies to advance broader community development goals, and, in doing so, helps municipalities align programs aimed at improving residents’ quality of life.
Topics: Community development, Data sharing, Homelessness, Housing, Legislation & Policy, Partnerships

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As the population ages, one of the greatest challenges facing state officials is how to organize and pay for long-term services and supports (LTSS) for low-income elderly and disabled adults—the most complex, expensive, and fastest-growing group covered by Medicaid. To help address this challenge, a toolkit for state leaders published in 2017 has been updated.
Topics: Disabilities, Health, Low-income, Medicaid / Medicare, Partnerships, Seniors

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HOME, CDBG, Housing Trust Fund, and other key housing programs are proposed to be cut.
Topics: Funding, Homelessness, Housing, Legislation & Policy

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Use of the $35 billion in federal Community Development Block Grant Disaster Recovery funds for the 2017 hurricanes has been slow. Over a year after the first funds were appropriated, much of the money remains unspent because grantees in Florida, Puerto Rico, Texas, and the U.S. Virgin Islands are still in planning phases. Also, the Department of Housing and Urban Development doesn't have the review guidance and monitoring plans it needs for good grantee oversight. We recommended ways to improve the oversight of disaster funding and better meet disaster recovery needs.
Topics: Community development, Funding, Housing, Legislation & Policy, Research, Safety, U.S. Territories

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With different drivers but a shared set of goals, public health, health care, social services, and other sectors can come together to work upstream and develop creative solutions to solve the complex problems facing communities today. To that end, with funding from the Robert Wood Johnson, the Public Health National Center for Innovations and the Center for Sharing Public Health Services partnered to launch the Cross-sector Innovation Initiative (CSII). The goal of the CSII is to support, promote and disseminate learning about the role of governmental public health departments in aligning...
Topics: Data sharing, Health, Partnerships, Research

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After working with 37 communities across the country over the last three years to drive sustainable improvements in community health we’ve we’ve seen how when specific approaches are implemented, namely Bold, Upstream, Integrated, Local, and Data-Driven approaches, meaningful change affecting the health of a community can happen. We’ve done our best to document the processes, the successes, and the failures along the way, and from those real-world experiences we’ve created a set of preliminary tools that can inform and guide those interested in learning about the unique BUILD approach.
Topics: Community development, Data sharing, Health, Partnerships

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This episode features two guests from the University of Chicago—Dr. Julia Koschinsky, the Executive Director for the Center for Spatial Data Science, and Dr. Nicole Marwell, an Associate Professor in the School of Social Service Administration. They are leading a project, funded by the Public Health National Center for Innovations (PHNCI), which is analyzing data on geographic access to health and human services to help government officials address gaps and maximize the impact of existing resources. The project will offer a replicable framework and tool for analyzing and improving...
Topics: Data sharing, Health, Midwest, Research

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Asset-based community development (ABCD) is a large and growing movement that considers local assets as the primary building blocks of community development, social capital, and health and well-being. Ron Dwyer-Voss, MA, the Owner of Pacific Community Solutions, who also happens to be a long-time friend of podcast host Peter Eckart, joined the show to discuss how ABCD draws on existing strengths of local residents, associations, and institutions to build stronger, healthier, and more sustainable communities. He shared strategies, tools, and examples of how ABCD can be used to engage community...
Topics: Asset building, Community development, Health, Partnerships

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Universal meals allow schools to build the program into their overall curriculum, "creating a learning lab for healthy eating and a mealtime experience where every kid is equal and enjoys their meals together," according to Hunger Free Vermont, which says nearly a quarter of schools in the state offer them and studies show that the programs "increase participation, leading to better student health and learning, and a strong school meals business. When participation is up, school meal programs have more resources to invest in even higher quality food, including many local foods...
Topics: Child welfare, Education, Food insecurity, Funding, Health, Nutrition

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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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This brief presents a new approach to support the development of early math skills in young children. The approach synthesizes the influence of parents, home environment, and children’s health care providers. The brief draws on research to explain (1) why it is important to support early math development, (2) what early math is (and isn’t), (3) how early math and literacy development intertwine, and (4) the important role parents play in their child’s development. The brief ends with a description of a promising approach to support early childhood math development that leverages communication...
Topics: Child welfare, Early childhood, Education, Health, Literacy, Partnerships

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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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Although such a complex problem such as lack of affordable housing demands numerous solutions, modular construction looks promising, barreling toward a tipping point with a new generation of startups bringing a manufacturing mindset to multifamily construction.
Topics: Community development, Cost effectiveness, Housing, Low-income

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The venture is a small yet innovative player in a growing number of nonprofits developing new models for work force training. Their overarching goal is upward mobility for low-income Americans and the two-thirds of workers without four-year college degrees.
Topics: Asset building, Broadband, Low-income, Workforce development

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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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The proposed bill follows an NBC News investigation that found at least 11 public housing residents had died of carbon monoxide poisoning since 2003.
Topics: Funding, Health, Housing, Legislation & Policy, Safety
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The Trump administration released its budget proposal today for fiscal year 2020, and like its previous budget requests for 2017, 2018, and 2019, the administration is proposing steep cuts to both the Department of Housing and Urban Development (HUD) and the Department of Transportation (DoT).
Topics: Funding, Homelessness, Housing, Legislation & Policy, Transportation
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Kaiser is investing $200 million in low-interest loans for affordable housing nationwide. This may be part of a growing national trend of health maintenance organizations investing in housing to improve community health. In Phoenix, United Healthcare lent money to a community development corporation, Chicanos Por La Causa, to purchase apartment complexes for Medicaid recipients. In Chicago, the University of Illinois Hospital helps to find permanent housing for homeless people who regularly present at its emergency department.
Topics: Affordable Care Act, Community development, Health, Homelessness, Housing, Low-income, Partnerships, West Coast
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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
