Analysis of Client-Level Data from the National Survey of Homeless Assistance Providers and Clients

The purpose of this study is to analyze the characteristics and health service use patterns of homeless people with special needs, and how the homeless population with alcohol, drug, and mental health problems compares to the general population. Issues to be addressed include: a) comparison of the rates of alcohol, drug, and mental health problems, and related treatment patterns with the general or low-income population; b) development of severity indexes on domains such as health, mental health, substance abuse, employability, and receipt of benefits; c) variation of service utilization patterns and their association with other significant variables (e.g., effect of Medicaid or other type of insurance on type and frequency of treatment); d) the relationship between severity indexes, service use patterns, and the history or nature of homelessness (e.g., relationship between treatment history and homelessness); and e) the factors associated with reported service needs and problems (e.g., reports of difficulty accessing primary/dental care). Core data (available in August 1999) will be drawn from the National Survey of Homeless Assistance Providers and Clients (NSHAPC), the first national-level and comprehensive survey of homeless clients since 1987. The NSHAPC has data on providers in 76 U.S. geographic regions, 52 urban and 24 small/rural cities, and a nationally representative sample of clients served by these providers. It was conducted by the Census Bureau on behalf of 12 Federal sponsoring agencies.

AGENCY SPONSOR: Office of the Administrator

FEDERAL CONTACT: Araki, Lynette
301-443-6204

PIC ID: 7250

PERFORMER: Westat, Inc.
Rockville, MD

EXPECTED DATE OF COMPLETION: 09/30/2000

Development of an Inventory of Health Indicators Comparing Large U.S. Cities

The purpose of this study is to develop a fourth edition of Big Cities Inventory, an inventory comparing mortality, natality, and morbidity data for the nation's large cities. Local health departments require comparative data to determine the relative progress in their population's health. Although county data are available, large city health departments often cannot distinguish their own performance from surrounding counties that may have very different socio-demographic and resource characteristics. Data needs will be identified in consultation with members of the National Association of County and City Health Officials (NACCHO), who are from big cities, and the previous three editions of the Big Cities Inventory (Chicago Department of Public Health). Issues and barriers encountered in collecting and analyzing comparable data from national and local data sources will be documented. A plan for automating future editions of the Big Cities Inventory will be prepared, including approaches for using Web-based technology to disseminate the report.

AGENCY SPONSOR: Office of the Administrator

FEDERAL CONTACT: Millman, Michael
301-443-0368

PIC ID: 7241

PERFORMER: Chicago Center for Health Systems Development
Chicago, IL

EXPECTED DATE OF COMPLETION: 09/30/2000

Health Needs of Gay, Lesbian, Bisexual, and Transgender Communities

The purpose of this study is to develop a white paper that articulates and defines barriers to access to quality preventive and primary care health services for Gay, Lesbian, Bisexual, and Transgender (GLBT) populations. The information paper will provide a comprehensive review of the existing literature on health care and sexual orientation and will consist of two parts. The first part will be a rationale for studying health and sexual orientation by focusing on the epidemiological evidence of differential disease occurrence in GLBT populations, the hypothesized risk and protective factors related to these differences, and possible differences in response and access to therapies. The second part will explore methods to study the health of GLBT populations, including reviewing existing data sources, obtaining probability samples, measuring the dimensions of sexual orientation appropriate to particular health questions, and asking questions in sensitive and answerable ways.

AGENCY SPONSOR: Office of the Administrator

FEDERAL CONTACT: Clarke, Melissa
301-443-5277

PIC ID: 6813

PERFORMER: Gay and Lesbian Medical Association
San Francisco, CA

EXPECTED DATE OF COMPLETION: 09/30/2000

Historically Black Medical Colleges' Participation in HRSA-Supported Health Professions Training Programs

The purpose of this study is to conduct a comprehensive assessment of the level of participation of Historically Black Medical Colleges (HBMCs) in HRSA-supported health professions training programs. These institutions are Meharry Medical College, Morehouse School of Medicine, Howard University, and Charles R. Drew University of Medicine and Science. Since 1995, HBMCs have received HRSA funding in several areas, mainly through health professions programs. However, HBMC funding declined during FY 1995-FY 1997, although appropriations for health professions training did not decline. HBMC Annual Performance Reports and documents relating to the HRSA peer review process will be reviewed. Interviews will be conducted with HRSA officials to gain perspective on grant processes and the role of HBMCs in HRSA programs, and to determine the type of technical assistance provided to applicants under the 16 programs for which HBMCs are eligible. HBMC staff also will be interviewed. The findings of this study will assist in determining whether changes in policies or processes are needed to increase the participation of HBMCs in HRSA-supported health professions training programs.

AGENCY SPONSOR: Office of the Administrator

FEDERAL CONTACT: Clark, Gwendolyn B.
301-443-5619

PIC ID: 7121

PERFORMER: Health Resources and Services Administration
Rockville MD

EXPECTED DATE OF COMPLETION: 09/30/2000

State-Level Assessment of Current Access and Utilization of Dental Services and Dental Services Infrastructure

The purpose of this study is to establish and assess baseline data concerning the public health infrastructure and dental services utilization in the West Central Region VIII. In many States, there is limited capacity to collect and analyze data to evaluate oral health programs with respect to access to dental services for the underserved and disparities in oral health. This project will involve three States (North Dakota, South Dakota, and Colorado) in the collection of oral health data and Geographic Information System (GIS) Mapping. Analysis will focus on the location of HRSA-funded and non-HRSA oral health programs; a related dental workforce of dentists and dental hygienists by county; the current use of dental services by age and county; the types of dental services provided by State, regional, and local-based public systems of care; the proportion of Medicaid, private, or other dental insurance coverage by county; and State demographic characteristics. Products will include a directory of existing HRSA-funded dental programs, mapping of utilization by area, and baseline data used to evaluate progress in HRSA's Oral Health Initiative.

AGENCY SPONSOR: Office of the Administrator

FEDERAL CONTACT: Sutherland, James N.
303-844-3204

PIC ID: 7242

PERFORMER: Quality Resource Systems, Inc.
Fairfax, VA

EXPECTED DATE OF COMPLETION: 09/30/2000