265 research outputs found
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FUSE 10Yr Follow-Up Report Initial Findings
The Frequent User Service Enhancement (FUSE) demonstration project brought together Corrections and other NYC public agencies, the Corporation for Supportive Housing, reentry advocates, and local housing providers to address complex needs of individuals with multiple experiences of incarceration and homelessness. Evaluation by Columbia researchers (Aidala et al. 2013) found that supportive housing significantly improved participants’ lives, reducing their (re)admissions and time spent in jail and homeless shelters, and use of crisis health services. Service use reductions resulted in significantly lower costs for government and for society as a whole. Results have inspired multiple jurisdictions throughout the US to launch similar efforts.
This is the initial report of findings from the FUSE 10YR Follow-Up Study which presents a unique opportunity to examine the role of stable housing as a critical component of successful community reentry, not simply in the short term but considering impacts over the life course. A mixed methods approach has analyzed longitudinal trajectories among multiple life domains –incarceration, housing, and health – analyzing inter-dependencies and policy and institutional contexts. This initial report presents results based on analysis of matched jail and administrative data sets using sequence analysis statistical techniques. Phase two will conduct in-person interviews with FUSE participants to better understand the role of stable housing to improve life outcomes among individuals narrowed by criminal justice involvement, and mechanisms by which housing makes a difference
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Report on Effects of Frequent Users Service Enhancement (FUSE) on Homelessness
The Corporation for Supportive Housing’s FUSE program provides housing and services to homeless people with a history of frequently using NYC shelters and of frequently being jailed. In so doing, it seeks to improve the physical and mental health of these people, as well as other aspects of their lives, and to reduce the their use of shelters, jails, and crisis care operations (e.g., ambulance rides, emergency room visits, and the like). This evaluation uses a prospective, quasi-experimental design as well as propensity score matching to measure the effects of the program over two years. It interviews and collects data at six month intervals on 72 program participants and a similarly sized comparison group. It finds strong effects on permanent housing and shelter use, milder but positive effects on incarceration and jails, and varyingly sized but generally positive effects on individual’s health as well as on crisis care operations. In addition, it finds, among other cost effects, that an almost $16,000 reduction per person in avoidable public costs offsets over 60% of the total public cost for the FUSE program
Medical, Mental Health, and Social Service Linkage Predicts Better HIV Outcomes: A Network Analytic Approach
An Ecological View of Internet Health Information Seeking Behavior Predictors: Findings from the CHAIN Study
HIV-Positive Men Sexually Active with Women: Sexual Behaviors and Sexual Risks
This study examines patterns of sexual behavior, sexual relating, and sexual risk among HIV-positive men sexually active with women. A total of 278 HIV-positive men were interviewed every 6–12 months between 1994 and 2002 and reported considerable variability in sexual behaviors over time. Many were not sexually active at all for months at a time; many continued to have multiple female and at times male partners. Over one-third of the cohort had one or more periods when they had engaged in unprotected sex with a female partner who was HIV-negative or status unknown (unsafe sex). Periods of unsafe sex alternated with periods of safer sex. Contextual factors such as partner relations, housing status, active drug use, and recently exchanging sex showed the strongest association with increased odds of unsafe sex. A number of predictors of unsafe sex among African American men were not significant among the Latino sub-population, suggesting race/ethnic differences in factors contributing to heterosexual transmission. Implications for prevention interventions are discussed
Housing Status, Medical Care, and Health Outcomes Among People Living With HIV/AIDS: A Systematic Review
Not Just “A Roof over Your Head”: The Meaning of Healthy Housing for People Living with HIV
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