Heath Outcomes Post-Eviction Moratoria (HOPE-M)

项目摘要/摘要 经历驱逐的威胁与精神痛苦有关，黑人、西班牙裔和女性租房者 是受驱逐影响最大的。暂缓驱逐是一种短期的住房干预措施，旨在限制 传播新冠肺炎，维护住房稳定。特拉维斯县(德克萨斯州奥斯汀)居民经历了强烈的 当地暂停(即阻止驱逐进程的所有阶段)至2021年12月。相比之下，哈里斯县 (德克萨斯州休斯敦)居民从未经历过当地的禁令，而是依赖于州禁令， 它于2020年5月结束。自从缓刑结束以来，驱逐和基本需求的成本大幅下降。 增加了。在暂停实施后的时期，问题仍然是，是否事先受到当地强有力的暂停措施的影响 在经济持续中断的情况下，政策减少了暂停后的精神痛苦。荒原 结果驱逐后中止(HOPE-M)研究，建议使用混合方法序贯解释 设计以检查先前暴露于强烈的局部暂停如何影响连接的直接和间接路径 随着时间的推移，驱逐的威胁与暂停后的心理健康有关。要创建示例，2个数据源将 被利用。第一个数据来源将用于识别在州/地方提交驱逐申请的个人 暂停(哈里斯：2020年6月至2023年12月；特拉维斯：2022年1月至2023年12月)。这些数据是 通过驱逐跟踪系统收集的。第二个数据来源将有助于确定 有被驱逐风险但未使用Thomas博士的(co-I)住房早熟风险生成的数据进行归档的个人 型号(HPRM)。州/地方禁令结束后，居住在高驱逐风险社区的租户 将根据受访者的家庭特征与顶层保持一致的匹配标准进行选择 HPRM中的预测变量(例如，种族)以及在先前驱逐研究中发现的主导特征 (例如，性)。参与者[哈里斯县(n=1,000)特拉维斯县(n=1,000)]将接受基线调查，6 几个月，12个月。分析将包括纵向混合效应模型、焦点小组和光激发 采访将被用来对调查结果进行三角测量。目标1.评估先前当地驱逐的缓和影响 关于经历驱逐威胁和暂停驱逐后的心理健康之间联系的政策曝光 时间以及这如何因种族/民族和性别而变化。目标2.检查目标1中的心理健康差距 经济困难和社会心理压力的中介作用。目标3.探索决策-- 制定与经济决策相关的程序和自我评估，以避免驱逐以及如何 这会造成心理上的困扰。每个州都缺乏负担得起的可用租金 这项研究对政策制定者和有能力向住房提供信息的法律援助组织具有重要意义 政策。使用ETS的法院命令驱逐记录(通过自我报告)和使用HPRM包括 具有相似特征和面临被驱逐风险的成年人是改进样本选择的创新方法。 这种方法是对NIMH的战略计划、目标2和目标3的补充，并得到了众多利益攸关方的支持。

PROJECT SUMMARY/ABSTRACT Experiencing the threat of eviction is associated with mental distress, and Black, Hispanic, and female renters are most affected by evictions. Eviction moratoria were short-term housing interventions designed to limit the spread of COVID-19 and maintain housing stability. Travis County (Austin, TX) residents experienced a strong local moratorium (i.e. blocked all stages of eviction process) through December 2021. In contrast, Harris County (Houston, TX) residents never experienced a local moratorium, and were dependent on the state moratorium, which ended in May 2020. Since moratoria have ended, evictions and the cost of basic needs have dramatically increased. In a post-moratoria period, the question remains whether prior exposure to a strong local moratorium policy reduces post-moratorium mental distress in the presence of ongoing economic disruptions. The Heath Outcomes Post-Eviction Moratoria (HOPE-M) Study, proposes to use a mixed methods sequential explanatory design to examine how prior exposure to a strong local moratorium influences the direct and indirect paths linking the threat of eviction with post-moratorium mental health over time. To create the sample 2 sources of data will be used. The first source of data will be used to identify individuals who had eviction filing post state/local moratorium (Harris: June 2020–December 2023; Travis: January 2022–December 2023). This data was collected through the Eviction Tracking System. The second source of data will facilitate identification of individuals at risk for eviction but not filed using data generated by Dr. Thomas' (co-I) Housing Precarity Risk Model (HPRM). Renters living in neighborhoods with high eviction risk after the state/local moratorium ended will be selected on matching criteria based on respondent's household characteristics that align with the top predictive variables in the HPRM (e.g., race) as well as dominate characteristics found in prior eviction research (e.g., sex). Participants [Harris County (n= 1,000) Travis County (n=1,000)] will be surveyed at baseline, 6 months, 12 months. Analyses will include longitudinal mixed effect models and focus groups and photo elicitation interviews will be used to triangulate the findings. Aim 1. Assess the moderating impact of prior local eviction policy exposure on the link between experiencing the threat of eviction and post-moratorium mental health over time and how this varies by race/ethnicity and sex. Aim 2. Examine the mental health disparities in aim 1 as a function of the mediating effects of economic hardship and psychosocial stressors. Aim 3. Explore the decision- making processes and self-assessment associated with making economic decisions to avoid eviction and how this contributes to psychosocial distress. With every state having shortage of affordable and available rental homes, this study is significant to policymakers and legal aid organizations who have the ability to inform housing policies. The use of ETS's court-ordered eviction records (over self-reports) and the use of the HPRM to include adults with similar characteristics and at-risk for eviction is an innovative approach to improving sample selection. This approach complements NIMH's Strategic Plan, Goals 2 and 3 and is supported by numerous stakeholders.