Serving Homeless Welfare Clients With ADM Problems

为有 ADM 问题的无家可归者福利客户提供服务

• 批准号: 6874284
• 负责人: Laura A. Schmidt
• 金额: $ 43.03万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6874284
• 关键词: alcoholism /alcohol abuse; behavioral /social science research tag; clinical research; comorbidity; coping; data collection methodology /evaluation; drug abuse; governmental health /scientific organization; health care policy; health care service availability; health care service utilization; health services research tag; homeless; housing; human data; human subject; interview; longitudinal human study; medical rehabilitation related tag; mental disorders; public assistance; social service; social service evaluation; socioeconomics; vocational rehabilitation

DESCRIPTION (provided by applicant): We are submitting this proposal in response to PA-02-150, "Services and Intervention Research with Homeless Persons Having Alcohol, Drug Abuse, or Mental (ADM) Disorders." This project seeks to better understand the barriers to responding to alcohol, drug and mental health (ADM) problems and homelessness within the changing welfare system. Public aid programs represent an important gateway into services for homeless and other indigent adults needing income support, housing, vocational rehabilitation, health care and behavioral health care. Sweeping policy changes under welfare reform are affecting public services for the homeless in ways that are not fully understood. The project utilizes secondary analyses of the NIAAA-funded Welfare Client Longitudinal Study, which includes representative samples of Temporary Aid to Needy Families and local General Assistance recipients. Study participants are being followed and re-interviewed over five years in the aftermath of welfare reform. The project supplements these secondary analyses with new ethnographic data on how service providers cope with the dilemmas of brokering services for the homeless, and on how homeless adults experience barriers to services. Proposed analyses develop profiles of the diverse service needs of homeless adults on public aid, examine how service providers respond to these needs in a real world setting, study the consequences of welfare reform policies for homeless clients over time, and identify barriers to the wider use of public services by homeless aid recipients. The project utilizes event history analysis to study how unstable housing, behavioral health problems and the use of services co-evolve over time in the lives of aid recipients. Data from ethnographic observation and interviewing of service providers offer a broader perspective on the organizational challenges to meeting the needs of homeless people on public aid.

描述（由申请人提供）：我们提交本提案是为了回应PA-02-150，“对患有酒精、药物滥用或精神（ADM）障碍的无家可归者的服务和干预研究”。“这个项目旨在更好地了解在不断变化的福利制度中应对酒精、毒品和心理健康（ADM）问题和无家可归问题的障碍。公共援助方案是向无家可归者和其他需要收入支助、住房、职业康复、保健和行为保健的贫困成年人提供服务的重要途径。福利改革下的全面政策变化正在以人们不完全理解的方式影响为无家可归者提供的公共服务。 该项目利用了NIAAA资助的福利客户纵向研究的二次分析，其中包括对贫困家庭和当地一般援助接受者的临时援助的代表性样本。研究参与者在福利改革后的五年里被跟踪和重新采访。该项目用新的人种学数据补充这些次级分析，这些数据涉及服务提供者如何科普为无家可归者提供中介服务的困境，以及无家可归的成年人如何遇到获得服务的障碍。拟议的分析开发配置文件的不同服务需求的无家可归的成年人对公共援助，研究服务提供者如何应对这些需求在一个真实的世界环境中，随着时间的推移，研究的后果福利改革政策无家可归的客户，并确定障碍，更广泛地使用公共服务的无家可归的援助受助人。该项目利用事件历史分析来研究不稳定的住房、行为健康问题和服务的使用如何随着时间的推移在受援者的生活中共同演变。从人种学观察和采访服务提供者的数据提供了一个更广泛的角度来看，组织的挑战，以满足无家可归的人对公共援助的需求。