Housing, Homelessness, and Drug Abuse

住房、无家可归和药物滥用

• 批准号: 7046592
• 负责人: DAVID E POLLIO
• 金额: $ 7.63万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-01 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7046592
• 关键词: clinical research; drug abuse; homeless; housing

DESCRIPTION (provided by applicant): Although the literature on homeless individuals coping with drug abuse and other mental illnesses has given some attention to lack of resources as a risk factor for homelessness, the argument made essentially 1 directional--that costs and availability of affordable housing are beyond the means of the individual, leading directly to becoming homeless. This argument generally treats housing affordability and availability as static constructs. However, housing also goes through changes over time---value and availability vary as the unit ages and the neighborhood changes. The purpose of this grant is to test 2 competing constructs of the role that these "future-homeless" tenants play in housing over time, specifically examining the role played by drug abuse/ dependence and other risk factors in housing stock. The first construct is that future-homeless persons represent tenants of last resort. As housing becomes less desirable, any tenant becomes preferable to none, thus individuals at high risk become acceptable. A corollary of this is that pile-ups of risk factors, such as current addiction, increases the likelihood they inhabit this role. The second explanation is that homeless individuals represent the tenants of choice, occupying housing developed specifically for low-income occupants. Methodolgically, testing these theories requires longitudinal data on housing value and occupancy, as well as complete data on last stable housing and individual-level characteristics for a representative homeless sample. Using a unique data set, Service Use, Needs, Costs, and Consequences of Drug Abuse on homelessness (SUNCODA: R01-DA 10713), we propose to combine the last stable addresses for 400 randomly-sampled homeless with publicly available (but unfortunately low technology) housing stock information, controlling for census-level data for the relevant zip code, in order to test the study hypotheses. The 2 proposed theories have strong implications for current service use models and development of primary prevention efforts. Because current services focus on housing as a primary outcome, finding that multiple risk factors lead to housing that is likely to become unstable represents critical new information for improving current services. Thus, this proposal is responsive to the PA-02-150, Services and Intervention Research with Homeless Persons having Alcohol, Drug Abuse, or Mental Disorders.

描述（由申请人提供）：尽管有关应对毒品滥用和其他精神疾病的无家可归者的文献已经对缺乏资源作为无家可归的危险因素有所关注，但该论点本质上是1个方向的 - 成本和负担得起的住房的可用性超出了个人的手段，直接导致无家可归。该论点通常将住房负担能力和可用性视为静态结构。但是，住房也会随着时间的推移而经历变化 - 价值和可用性随着单位年龄和邻居的变化而有所不同。这笔赠款的目的是测试这些“未来”租户在住房中扮演的角色的2个竞争构造，特别是研究了药物滥用/依赖性和其他风险因素在住房库存中所扮演的角色。第一个结构是，未来无人的人代表了最后的租户。随着住房的理想程度降低，任何租户都会比无租户更可取，因此，处于高风险的个人可以接受。必然的是，诸如当前成瘾之类的危险因素的堆积增加了它们居住在这一角色中的可能性。第二个解释是，无家可归的人代表着选择的租户，占领专门为低收入居民开发的住房。方法论上，测试这些理论需要有关住房价值和占用率的纵向数据，以及有关代表性无家可归者样本的最后一个稳定住房和个人级别特征的完整数据。使用毒品滥用对无家可归者的独特数据集，服务的使用，需求，成本和后果（Suncoda：R01-DA 10713），我们建议将400个随机采样无家可归的无家可归者（但不幸的是低技术）的库存信息结合到相关ZIP代码，以对相关ZIP测试，以供您调查。提出的两种理论对当前服务使用模型和主要预防工作的发展具有很大的影响。由于当前的服务专注于住房作为主要结果，因此发现多个风险因素导致住房可能变得不稳定代表着改善当前服务的关键新信息。因此，该提案对PA-02-150的响应，即对有酒精，吸毒或精神障碍的无家可归者的服务和干预研究。