A National Longitudinal Study of the Impact of COVID-19 on Recovery Residences

关于 COVID-19 对康复住宅影响的全国纵向研究

• 批准号: 10194298
• 负责人: AMY Adale MERICLE
• 金额: $ 14.41万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-15 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10194298
• 关键词: Address; Affect; Alcohol consumption; Alcohol or Other Drugs use; Anxiety; COVID-19; COVID-19 pandemic; Censuses; Centers for Disease Control and Prevention (U.S.); Characteristics; Chronic; Computers; Continuity of Patient Care; Country; Data; Disease; Drug usage; Emotions; Ensure; Federally Qualified Health Center; Financial Hardship; Funding; General Population; Geographic Locations; Guidelines; Health; Health Services Accessibility; Homelessness; Hospitals; Housing; Individual; Infrastructure; Interview; Link; Longitudinal Studies; Longitudinal Surveys; Nature; Personal Satisfaction; Persons; Plant Roots; Play; Policies; Practice Guidelines; Provider; Recommendation; Recording of previous events; Recovery; Reporting; Research; Resources; Risk; Role; Safety; Sampling; Services; Social Distance; Source; Stream; Stress; Structure; Surveys; Technology; Third-Party Payer; Time; Uncertainty; Underemployment; Work; addiction; alcohol and other drug; contextual factors; coronavirus disease; cost; health care service; health disparity; operation; pandemic disease; peer support; physical conditioning; public health relevance; relapse risk; residence; rural area; social model; urban area

PROJECT SUMMARY/ABSTRACT Safe and stable housing is critical to recovery from alcohol and other drug disorders. Among individuals in recovery from these disorders, those living in recovery housing are among the most vulnerable. Recovery housing is rooted in the social model of recovery, which emphasizes peer support in helping residents maintain their recovery. CDC guidance for the general public for managing COVID-19 as well as its guidance for shared or congregate housing providers may present significant challenges for residential recovery residence operators. Because the majority of recovery residences operate with almost no formal third-party payers to reimburse or offset costs of this service, furloughs and work stoppages for residents who are responsible for paying for this service may contribute financial hardship and closure of recovery residences. To better understand how recovery residence are responding to the COVID-19 pandemic and its impact on recovery housing, this applications aims to: (1) Examine the extent to which CDC guidance and other best practice guidelines are being implemented in recovery residences, identify residence and other contextual characteristics related to differential implementation, and describe changes in implementation over time; and (2) Examine how the pandemic has affected the availability and financial viability of recovery housing, identify whether this impact differs by residence and other contextual factors, and describe changes in availability and financial viability over time. To address these aims, the proposed study will add questions to the survey administered to residences (N=800) participating in the National Study of Treatment and Addiction Recovery Residence (NSTARR) project (R01AA027782). These questions will query the extent to which the COVID-19 pandemic has affected sources of revenue for the residence, policies and practices, and programming for residents. An additional 200 randomly sampled residences (stratified by US Census Division) will be asked to complete a COVID-19-specific survey that also collects information on implementation of COVID-19 guidance to ensure resident and staff safety. These residences will be geocoded and linked with US Census data, COVID-19 case rates, and geo-located data for federally qualified health centers (FQHCs) and publicly-funded hospitals. They will also be resurveyed 6 and 12 months later to track changes over time. Finally, operators of residences that are no longer open will be asked to participate in a semi-structured interview about the role that COVID-19 may have played in residence closure.

项目摘要/摘要 安全稳定的住房对于从酒精和其他药物疾病中恢复至关重要。在个人中 从这些疾病中恢复，生活在恢复住房中的人是最脆弱的。恢复 住房植根于恢复的社会模式，该模型强调同伴支持在帮助居民维护 他们的恢复。 CDC公众管理Covid-19的指南及其共享指南 或聚集住房提供商可能会对住宅恢复居住经营者面临重大挑战。 因为大多数恢复住宅几乎没有正式的第三方付款人来偿还或 抵消此服务的费用，休假和工作停工，负责为此付费的居民 服务可能会造成财务困难和恢复住所的关闭。更好地了解如何恢复 居民正在回应19009年的大流行及其对恢复住房的影响，该应用的目的是 到：（1）检查CDC指导和其他最佳实践指南的程度 恢复住宅，识别与差异相关的居住和其他上下文特征 实施，并描述随着时间的推移实施的变化； （2）检查大流行如何 影响了恢复住房的可用性和财务可行性，确定这种影响是否因 居住和其他上下文因素，并描述随着时间的推移可用性和财务生存能力的变化。到 解决这些目的，拟议的研究将为住所的调查增加问题（n = 800） 参加国家治疗和成瘾恢复住所（NSTARR）项目 （R01AA027782）。这些问题将询问COVID-19的大流行影响的程度 居住，政策和惯例的收入以及居民编程的收入。随机的200个 将要求采样住宅（由美国人口普查部门分层）完成COVID-19特定调查 这还收集了有关COVID-19指南实施的信息，以确保居民和员工安全。这些 住宅将与美国人口普查数据，COVID-19案率和地理位置数据进行地理编码和联系。 联邦合格的卫生中心（FQHC）和公共资助的医院。他们还将重新调查6和12 几个月后，跟踪随着时间的变化。最后，将询问不再开放的住宅的经营者 为了参加有关Covid-19可能在居住期间扮演的角色的半结构化访谈。