Outcomes for Primary Health Care Programs

Pew Partnership for Civic Change Program Evaluation: Beyond Shelter’s Housing First Program for Homeless Families.

This fact sheet begins with a brief overview of the basic methodology of Beyond Shelter’s Housing First Program for Homeless Families. In 1999, the program was designated one of 19 innovative programs nationwide to be included in a two-year national evaluation initiative. The evaluation is described, and the study’s implications for ending and preventing homelessness among MORE →

Impact of Assertive Community Treatment and Client Characteristics on Criminal Justice Outcomes in Dual Disorder Homeless Individuals.

This study was designed to test the effects of client characteristics on six criminal justice outcomes among homeless (at intake) people with mental illness and substance misuse disorders. The sample was of participants in a randomized controlled trial comparing standard treatment, assertive community treatment (ACT) and integrated treatment (IT). Data were analyzed using hierarchical logistical regression. MORE →

Impact of Providing a Medical Home to the Uninsured: Evaluation of a Statewide Program.

This study examined the impact of a statewide program called the Community Healthcare Access Program (CHAP), which provided a RSOC for uninsured persons in Delaware. This cohort study used survey data to compare health care utilization from baseline to six months after enrollment in CHAP. The 795 eligible enrollees had significant increases in Pap tests, mammograms, MORE →

Measuring the Performance of Programs That Serve Homeless People.

This report examines the Department of Housing and Urban Development (HUD)’s performance measures for the Supportive Housing Program, Shelter Plus Care, Single Room Occupancy Moderate Rehabilitation for the Homeless and Emergency Shelter Grants programs, which are funded by McKinney-Vento Homeless Assistance Grants. The report discusses the weaknesses and strengths of HUD’s current measures and identifies opportunities MORE →

Outcome Evaluation of a Public Health Approach to Suicide Prevention in an American Indian Tribal Nation.

For this study, the authors evaluated the efficacy of fifteen years of a public health oriented suicidal-behavior prevention program among youth living on an America Indian reservation. All suicides, suicide attempts, and suicidal gestures were monitored. Age-specific analyses over time were used to assess outcomes. Data from this community-based approach document a remarkable downward trend – MORE →

Outcomes for Women with Co-Occurring Disorders and Trauma: Program and Person-Level Effects.

In this paper from the Women, Co-Occurring Disorders, and Violence Study (WCDVS), six-month outcomes are evaluated from a nine-site quasi-experimental study of women with mental health and substance use disorders who have experienced physical or sexual abuse who enrolled in either comprehensive, integrated, trauma-informed, and consumer/survivor/recovering person-involved services or usual care. Mental health, post-traumatic stress symptoms, MORE →

Twelve-Month Outcomes of Trauma-Informed Interventions for Women with Co-Occurring Disorders.

This study examined how for women with co-occurring mental health and substance abuse disorders, who frequently have a history of interpersonal violence, past research has suggested that they are not served effectively by the current service system. The goal of the Women, Co-Occurring Disorders, and Violence Study (WCDVS) was to develop and test the effectiveness of MORE →

Transitions Through Homelessness and Factors that Predict Them: Three-Year Treatment Outcomes.

This study’s objectives were to examine transitions in and out of homelessness over 3 years post entry into treatment and to determine the treatment and non-treatment factors that predict achieving and sustaining residential stability. Sixty-one percent of initially homeless participants were stably housed at 36 months. By contrast, only 14% of initially housed participants were homeless MORE →

Developing Outcome Measures to Evaluate Health Care for the Homeless Services.

This report examines difficulties and potential benefits that federally-funded Health Care for the Homeless (HCH) projects can expect as they engage in systematic program evaluation and use that information to improve quality of care and demonstrate the value of their work. This report summarizes recommendations by members of the HCH Outcomes Work Group, convened in 2004-2005 MORE →

Scholarship, Collaboration, Struggle, and Learning in the Women, Co-Occurring Disorders, and Violence Study: Introduction to the Six-Month Outcome Papers.

The four papers in this special section of the Journal of Substance Abuse Treatment describe the design, population, and 6-month outcomes (focused on symptom reduction) from the Women, Co-Occurring Disorders, and Violence Study (WCDVS). As described more fully in all the papers, previous research has demonstrated that interpersonal violence is pervasive in the lives of women MORE →

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