Found 36 resources.
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The 2021 National Academies of Science, Engineering, and Medicine (NASEM) report, Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care defined a need for coordinated primary care leadership at the federal level. n a new Milbank Memorial Fund report, the Center for Professionalism and Value in Health Care’s Robert L. Phillips, Jr., Milbank Memorial Fund’s Christopher F. Koller, and Covered California’s Alice Hm Chen expand on NASEM recommendations and call for congressional support to establish an Office of Primary Care at the federal level to coordinate existing...
Topics: COVID-19, Health, Low-income, Mental health, Substance abuse, Workforce development, Youth

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In 2019, CLPHA collaborated with Johns Hopkins University on a member survey to better understand how public housing authorities (PHAs) are serving residents affected by addiction and what policies or resources PHAs continue to need. The intent of CLPHA’s participation in the survey was to identify best practices for most effectively serving residents affected by addiction and inform CLPHA’s advocacy efforts on addiction issues. During this panel, the JHU researchers will review results of the survey and panelists will hear from the PHA perspective about what practices have been most...
Topics: Health, Substance abuse

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About half of the student body at one Ohio elementary school has witnessed drug use at home. Educators spend time every day teaching the children how to cope.
Topics: Child welfare, Early childhood, Education, Health, Substance abuse, Youth

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Stable housing plays a vital role in people’s recovery from substance use disorders (SUDs). An inability to pay rent and the threat of losing housing can lead to stress that triggers substance misuse and relapse. People experiencing homelessness who also have SUDs typically find it difficult to address their substance use without a safe place to live, because they often use alcohol or drugs to cope with the dangers of life on the streets. In 2018, Congress passed the SUPPORT for Patients and Communities Act (known as the SUPPORT Act), which provided a variety of new programs and funding...
Topics: Homelessness, Housing, Legislation & Policy, Low-income, Mental health, Research, Substance abuse

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The county’s preliminary results look promising: more than 78% of Vital clients were booked into jail less often once enrolled in the program for at least six months. On average, Vital participants went to jail about a third less often per year compared to the three years before their enrollment. A typical client had at least two fewer bookings into a King County Jail compared to the three years before entering the program.
Topics: Criminal justice, Health, Homelessness, Housing, Mental health, Partnerships, Substance abuse

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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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The North Coast Health Improvement and Information Network (NCHIIN) was funded by DASH CIC-START to add new partners, sectors, mental health client summary data, and facility alerts to ACT.md, the care coordination and alerts notification system in Humboldt County, CA. As part of their CIC-START project, NCHIIN developed this document, which provides a methodology for onboarding new organizations, data streams, and sectors into the ACT.md platform.
Topics: Criminal justice, Data sharing, Health, Mental health, Partnerships, Substance abuse
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The Board of Supervisors on Tuesday gave the green light for San Diego County to apply for up to $125 million in state funding to help people get off the streets and receive mental health treatment.
Topics: Funding, Homelessness, Housing, Legislation & Policy, Low-income, Mental health, Stability, Substance abuse, West Coast
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The purpose of this paper is to examine barriers to the integration of clinical health care and mental health services, and to identify policy options for consideration in advancing integration of services.
Topics: Health, Mental health, Preventative care, Research, Substance abuse
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Officials celebrated clearing the encampments, one of the top goals of the Philadelphia Resilience Project, the city’s emergency plan for Kensington. But, they said, it’s only the beginning of the larger effort to help people in addiction and heal a neighborhood ravaged by opioids.
Topics: Homelessness, Housing, Legislation & Policy, Low-income, Substance abuse
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The firearm, obesity, and opioid epidemics are among the most important public health crises of our time. Each epidemic has a complex etiology that challenges efforts at mitigation. From this, a central question arises for researchers, clinicians, and policymakers: How can we identify what matters most within a broad range of causal factors in these epidemics, and can we draw cross-epidemic inferences that will help inform our thinking?
Topics: Food insecurity, Health, Low-income, Nutrition, Obesity, Partnerships, Safety, Substance abuse
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The State of Arizona’s Medicaid agency (AHCCCS) recognizes the vital importance of safe, decent and affordable housing to health. With a portfolio of over 3,000 units of affordable housing for Medicaid members with a determination of serious mental illness (SMI) and/or substance use disorder, housing is a major component of how the State of Arizona assists those trying to recover and stabilize.
Topics: Cost effectiveness, Health, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Substance abuse

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Treating opioid use disorder among homeless families can reduce hepatitis C transmission, infant drug withdrawal, and overdose, which is the leading cause of death among people experiencing homelessness. Although office-based treatment is effective for homeless patients, homelessness (especially among families) creates barriers to office-based opioid treatment, such as stigma, child care needs, or distance from an office site. To reduce barriers to treatment, the Family Team at the Boston Health Care for the Homeless Program added a shelter-based opioid treatment program to its outreach...
Topics: Health, Homelessness, Housing, Place-based, Preventative care, Safety, Stability, Substance abuse
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People with mental health disabilities are vastly overrepresented in the population of people who experience homelessness. Of the more than 550,000 people in America who experienced homelessness on a given night in 2017, 1 in 5 had a mental illness. The proportion of people experiencing chronic homelessness with mental health disabilities was even higher—nearly 1 in 3. Despite this fact, the reality is that most people with mental illness fortunately do not experience homelessness: While about 20 percent of all adults in the United States have a mental illness, less than two-tenths of 1...
Topics: Depression, Disabilities, Homelessness, Housing, Legislation & Policy, Low-income, Mental health, Partnerships, Preventative care, Stability, Substance abuse, Supportive housing
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The new opioid legislation—the Substance Use-Disorder Prevention That Promotes Opioid Recovery and Treatment for Patients and Communities Act (the SUPPORT Act)—signed into law on October 24 includes targeted expansions in treatment, including provisions that provide funding or flexibility to states to expand access to treatment for substance use disorders (SUD), including opioid use disorder (OUD), and health care more generally in Medicaid and Medicare.
Topics: Affordable Care Act, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Safety, Substance abuse
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On Wednesday, October 24, President Trump signed into law bipartisan legislation, H.R. 6, the SUPPORT for Patients and Communities Act. This sweeping legislation contains many provisions that could help children, youth, and families experiencing homelessness who are impacted by the opioid crisis, as well as provisions to help all children and youth who experience trauma.
Topics: Child welfare, Dual-generation, Early childhood, Family engagement, Housing, Legislation & Policy, Low-income, Substance abuse, Supportive housing
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In January, mothers with substance-abuse disorders will have a long-term resource to help break the cycle of their addiction. That’s when Tucson Medical Center and CODAC Health, Recovery and Wellness, in partnership with the Connie Hillman Family Foundation, open their new transitional housing program in midtown Tucson for mothers who are battling drug or alcohol addiction.
Topics: Homelessness, Housing, Low-income, Partnerships, Safety, Stability, Substance abuse
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CLPHA’s Housing Is Initiative is engaged in a number of cross-sector activities focused on developing partnerships, facilitating a community of practice, resource development, promoting best practices, online collaboration, policy and advocacy, and training and education. Read about recent activities in this Fall Update.
Topics: Child welfare, CLPHA, Community development, Cost effectiveness, Data sharing, Early childhood, Education, Family engagement, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Place-based, Post-secondary, Research, Stability, Substance abuse, Workforce development, Youth
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The Roundtable brought together over 70 experts from federal, state, and local government, the private sector, nonprofit organizations, and academia. The objective of the Roundtable was to “explore possibilities and limits of data sharing, and identify successes and proposed solutions for using data to address the opioid crisis.”
Topics: Data sharing, Health, Partnerships, Substance abuse
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As the devastating effects of the opioid crisis continue, a growing body of research supports the efficacy and safety of this sort of medication-assisted treatment (also called MAT) for drug recovery, when combined with psychotherapy. But the use of any of these medicines — a list that includes methadone and naltrexone, as well as Suboxone — remains frowned upon by most operators of sober living houses.
Topics: Health, Housing, Substance abuse
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Social determinants of health are the economic and social conditions that affect health outcomes and are the underlying, contributing factors of health inequities. Examples include housing, educational attainment, employment and the environment.
Topics: Affordable Care Act, Disabilities, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Place-based, Substance abuse, Supportive housing

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Anthem’s affiliated health plans and other managed care organizations (MCOs) increasingly are helping Medicaid members who are diagnosed with mental health conditions and substance use disorders (MH/SUD) find stable housing, secure meaningful employment, and address a range of financial and daily life challenges.
Topics: Affordable Care Act, Cost effectiveness, Depression, Funding, Health, Housing, Medicaid / Medicare, Mental health, Nutrition, Substance abuse, Supportive housing, Workforce development

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On January 1, 2014, in states that have chosen to expand Medicaid eligibility under the Affordable Care Act, nearly all chronically homeless people who lacked health insurance became eligible for Medicaid. This Primer offers state Medicaid officials and other interested parties strategies for using Medicaid to meet the needs of this very vulnerable population--some strategies that have succeeded in the past and some that are emerging under provisions of the Affordable Care Act.
Topics: Affordable Care Act, Criminal justice, Disabilities, Dual-eligibles, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Stability, Substance abuse, Supportive housing

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Supportive housing programs are proposed as a way of increasing housing access and stability for the chronically homeless, improving access to needed services, and decreasing vulnerability to HIV and other diseases. Little is known about residents’ understandings of and experiences with different models of supportive housing and how they fit within residents’ broader strategies to maintain housing. We conducted semi-structured interviews with 23 residents and 10 service providers from nine different supportive housing programs in Hartford, Connecticut. Data analysis explored residents’...
Topics: East Coast, Homelessness, Housing, Mental health, Place-based, Research, Substance abuse, Supportive housing
