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 安全和稳定的住房对于从酒精和其他药物障碍中恢复至关重要。在以下个人中 从这些障碍中恢复，那些生活在恢复住房中的人是最脆弱的群体。恢复 住房植根于复苏的社会模式，该模式强调同行支持，帮助居民维持 他们的康复。疾控中心对公众管理新冠肺炎的指导以及对共享的指导 或聚集住房提供商可能会给住宅恢复住宅运营商带来重大挑战。 因为大多数追回住所的运营几乎没有正式的第三方付款人来偿还或 抵消负责支付这一费用的居民的服务、休假和停工费用 服务可能会造成财务困难和收复住所的关闭。为了更好地了解复苏是如何 民宿都在应对新冠肺炎疫情及其对复苏住房的影响，这一应用旨在 要：(1)检查疾控中心指南和其他最佳做法指南在多大程度上得到实施 恢复住宅，识别住宅和其他与差异化相关的上下文特征 执行情况，并描述执行情况随时间的变化；以及(2)审查大流行如何 影响恢复住房的可用性和财务可行性，确定这种影响是否存在以下差异 居住和其他背景因素，并描述可获得性和财务可行性随时间的变化。至 为了达到这些目标，拟议的研究将在对住宅(N=800)进行的调查中增加问题 参与国家戒毒康复住宅研究(NSTARR)项目 (R01AA027782)。这些问题将质疑新冠肺炎大流行对消息来源的影响程度 用于居民居住、政策和实践以及规划的收入。另外200个随机 抽样的住宅(由美国人口普查局分层)将被要求完成一项针对新冠肺炎的调查 这也收集了实施新冠肺炎指导意见的信息，以确保居民和工作人员的安全。这些 住宅将进行地理编码，并与美国人口普查数据、新冠肺炎病例比率和地理位置数据相关联 联邦合格的健康中心(FQHC)和公共资助的医院。他们还将被重新检查6和12 几个月后，以跟踪随时间的变化。最后，将询问不再开放的住宅的运营商 参加一个半结构化的访谈，探讨新冠肺炎在封号中可能起到的作用。