Housing Resources Research Articles

Improving access to housing and supportive services for runaway and homeless youth: Reducing vulnerability to human trafficking in New York City

Recent estimates indicate that there are over a million runaway and homeless youth and young adults (RHY) in the United States (US). Exposure to trauma, violence, and substance abuse, coupled with a lack of community support services, puts homeless youth at high risk of being exploited and trafficked. Although access to safe housing and supportive services such as physical and mental healthcare is an effective response to the vulnerability of RHY towards being trafficked, the number of youth experiencing homelessness exceeds the capacity of available housing resources in most US communities. We undertake a RHY-informed, systematic, and data-driven approach to project the collective capacity required by service providers to adequately meet the needs of RHY in New York City, including those most at risk of being trafficked. Our approach involves an integer linear programming model that extends the multiple multidimensional knapsack problem and is informed by partnerships with key stakeholders. The mathematical model allows for time-dependent allocation and capacity expansion, while incorporating stochastic youth arrivals and length of stays, services provided in a periodic fashion, and service delivery time windows. Our RHY and service provider-centered approach is an important step toward meeting the actual, rather than presumed, survival needs of vulnerable youth.

Housing Infrastructure as a Determinant of Quality of Life in Selected Polish Smart Cities

In the concept of the Smart City, the issue of quality of life of residents is strongly emphasized. In theory and practice, the quality of urban life is determined by a wide variety of factors. This article focuses on housing infrastructure as a determinant of the quality of life in selected Polish Smart Cities and seeks answers to the question: What is the level of variation in the availability and quality of housing infrastructure in the studied cities and against the provinces in which they are located? In solving the research problem formulated in this way, the following were used: (1) Indicators determining the quality and accessibility of housing infrastructure at the level of the studied cities and provinces; (2) a multiple case study (for eight cities from different regions of Poland); and (3) a comparative analysis conducted at the level of the cities and provinces in which they operate. The resulting analyses indicate that there are differences in the availability and quality of housing infrastructure at the level of smart cities and provinces representing the regional average. The analyzed cities—in all the criteria studied (except the area of the apartment)—dominate over the provinces, which means that they have larger and better housing resources than the rest of the region.

Meeting housing needs of child welfare-involved families: Policy insights from simulation modeling

BackgroundInadequate housing contributes to the risk of family separation in nearly one-quarter of child maltreatment investigations. Child welfare struggles to identify and address the demand for housing assistance. A range of housing interventions shows promise for stabilizing families. Still, aid remains difficult to access, and little evidence exists for prioritizing households to interventions. Inefficient decisions about who to serve with scarce housing resources threaten to diminish resources and unintentionally place children at greater risk. ObjectiveThe present study leverages computational modeling to simulate the complex dynamics of coordinated child welfare response to inadequate housing. Simulations address the lack of microdata on current service delivery to inform policy-making that protects children from family insecurity. Participants and settingsA series of simulated policy experiments test strategies for maximizing access to appropriate housing assistance and minimizing system-wide family separations using US estimates of housing insecurity and child welfare involvement. Models incorporate the feedback loops involved in seeking and waiting for needed services, using information on national rates of housing insecurity among child welfare-involved families. ResultsResults demonstrate population-level improvements in family stability from enhanced targeting of housing assistance to families most likely to benefit, plus expanded access to housing interventions. Neither improved screening procedures nor more housing supports alone improve child welfare outcomes. ConclusionsFindings emphasize the importance of data-driven upstream policies for protecting inadequately housed children at risk of maltreatment.

Role of Empathy in Engineering Education and Practice in North America

Does engineering design education in North America prepare students to address the major issues of our time? In today’s political and social climate, engineers are part of multi-disciplinary teams tasked with finding solutions to complex issues like poverty, climate change, the housing affordability crisis, resource depletion, and water shortages. By definition, these problems are “wicked”. If engineers are to play a role in addressing issues that exist at the intersection of technology and society, they must have a deep understanding of both technical competencies and of human factors. They must have the ability to empathize. In consideration of today’s social, political, and environmental challenges, it has never been more important to instill social competencies into engineering education and practice, particularly around engineering design. This paper analyzes the previous literature on empathy in engineering education in North America and synthesizes the data to present the conceptualization that engineers have of empathy in education and practice.

Delivering Services to Older Persons Experiencing Homelessness: Providers’ Perspectives of What Does and Does Not Work

ABSTRACT Older people with experiences of homelessness (OPEH) tend to experience more complex health, social, and psychological issues than people experiencing homelessness at younger ages. Simultaneously, many housing resources (e.g., shelters, temporary housing) are often ill equipped to meet the needs of OPEH. As such, OPEH are often unable to age in the right place (AIRP) – that is, in a place that supports unique needs and vulnerabilities. However, several promising practices exist that deliver housing and services tailored to OPEH. To investigate the aspects of housing and shelter that both promote and impede AIRP for OPEH, this study examines the delivery of services in three such promising practices from the perspective of service providers. Findings from fifteen qualitative interviews revealed three overarching themes: 1) barriers to providing individualized support (e.g., staff turnover); 2) shifting contexts and structures (e.g., housing market changes); and 3) mechanisms of success (e.g., facilitating smooth transitions into permanent housing). These findings provide evidence to support the refinement of service delivery to promote AIRP for OPEH. In doing so, these insights can help to elevate promising practices to the level of best practice.

Соціальний капітал вінничан у формуванні приватного житлового фонду Вінниці доби непу

Мета роботи. На основі загальної характеристики приватного житлового фонду Вінниці доби непу дати відповідь на питання: «Що відбувалося із соціальним капіталом вінницької громади в нових радянських суспільно-політичних умовах?». Методологія. Теоретичною основою статті є погляди Дж. Коулмена на соціальний капітал як результат вільної та раціональної діяльності індивідів для досягнення власної вигоди. Наукова новизна. Охарактеризовано приватний житловий фонд Вінниці доби непу, що складався з денаціоналізованої та новозбудованої частин. Розглянуто ступінь оприявнення соціального капіталу вінницької громади на прикладі формування приватного житлового фонду міста. Висновки. За доби непу вінницькі практики вирішення житлової кризи підтвердили активність соціального капіталу міської громади, попри зміни суспільно-політичного ладу. Необхідність вирішувати життєво важливу проблему всіх пересічних вінничан привела до консенсусу між владою та громадою. У місті досить швидко та раціонально пройшла денаціоналізація житлового фонду, влада виділила значну кількість земельних ділянок для приватного будівництва, а забудовники емпірично визначили критично можливу межу розмірів індивідуальної забудови, щоб уникнути 10 % натурального житлового податку. Приблизно 80 % міських житлових приміщень доби непу можна прив’язати до приватних ініціатив (разом із приблизно десятком кооперативних будинків). На відміну від лівобережних та південних промислових міст України, де розвивалося активне державне та відомче будівництво, вінничани могли розраховувати лише на себе. Вони продовжували підтримувати міцні горизонтальні соціальні зв’язки, що підтверджується числом успішних рішень про денаціоналізацію житла, практиками виживання «колишніх» і «позбавленців», які ніби розчинялися в приватному секторі від пильності влади, а також будівництвом за допомогою толоки.

Total systems failure: police officers’ perspectives on the impacts of the justice, health, and social service systems on people who use drugs

BackgroundPolice in Canada have become main responders to behavioural health concerns in the community—a role that disproportionately harms people who use drugs (PWUD). Recent calls to defund the police emphasize the need to shift responsibility for non-criminal health issues from police to health and social services. This study explores the role of police interactions in responding to PWUD within the broader institutional and structural contexts in which they operate.MethodsWe conducted a qualitative thematic analysis of interviews with sixteen police officers across nine jurisdictions in British Columbia, Canada. We examined police officers’ everyday policing experiences interacting with PWUD, enforcing drug laws, and working alongside other service sectors.ResultsOfficers explained that the criminal justice system is one component of a wider network of systems that collectively fail to meet the needs of PWUD. They recognized that PWUD who interact with police often experienced intersecting structural vulnerabilities such as poverty, homelessness, and intergenerational trauma. Harmful drug laws in conjunction with inadequate treatment and housing resources contributed to a funnelling of PWUD into interactions with police. They provided several recommendations for reform including specialized health and justice roles, formalized intersectoral collaboration, and poverty reduction.ConclusionsOverall, this study provides unique insights into the positioning and role of police officers within a “total systems failure” that negatively impact PWUD. Police have become responders-by-default for issues that are fundamentally related to people’s health conditions and socioeconomic circumstances. Addressing failures across the health, social, and justice systems to meet the needs of PWUD will require an examination of the shortcomings across these systems, as well as substantial funding and system reforms.

“Housing is such a major part of someone’s life”: mental health social work practice in the context of a housing affordability crisis

ABSTRACT It is well-known that people with psychiatric diagnoses experience disproportionate rates of homelessness. However, few studies have explored the perspectives and practices of mental health social workers in responding to clients experiencing homelessness. This article reports on findings from three focus groups with inpatient mental health social workers in Sydney, Australia. Three themes were identified: stuck in a crisis; reliance on sub-standard housing conditions; and pressures to discharge. The study reveals the challenges experienced by social workers in navigating scarce housing resources, and the limitations of a biomedical paradigm in failing to address the social determinants of mental distress.

Tenure-Based Housing Spatial Patterns and Residential Segregation in Guangzhou under the Background of Housing Market Reform

China’s urban housing distribution system has been transformed from a redistribution system to a market-oriented distribution system, which has profoundly affected the ways and opportunities for urban residents to obtain housing resources and has triggered a large-scale reconstruction of urban residential social space. Based on the national 5th and 6th census data of Guangzhou, this paper analyzes the spatial patterns of housing tenure and tenure-based residential segregation in 2000 and 2010 with the research aim of analyzing the internal logic of urban housing distribution and residential segregation in urban China using Guangzhou as an example. The study finds that the home ownership rate in Guangzhou dropped from 62.31% in 2000 to 49.72% in 2010, with the percentage of social housing particularly low. The index of evenness and concentration is used to analyze tenure-based residential segregation. The results show that the tenure-based residential segregation index in 2000 and 2010 is between 0.4 and 0.6, which implies that residential segregation is basically moderate and that social housing is more segregated than open market housing. On the whole, market mechanisms have gradually played a fundamental role in tenure-based residential restructuring and segregation since 2000, and governmental and institutional factors also significantly influence such elements.

768 The Significant Impact of Having a Dedicated Ambulatory Clinical Social Worker in the Burn Clinic

IntroductionA licensed clinical social worker (LCSW) has been recognized as an essential role within the Burn Center inpatient multidisciplinary team. However, for ambulatory patients facing acute crisis, resources can be scarce; relying on clinic nursing staff or an inpatient LCSW to problem solve psychosocial concerns can leave large gaps of patient care unaddressed. An Ambulatory LCSW (ALCSW) assists transition of care working to prevent unnecessary Emergency Room visits and readmissions. We sought to examine our experience utilizing an ALCSW in the Burn Center.MethodsA full-time burn ALCSW position was approved in fall of 2020 at our ABA verified Burn Center. The role includes extensive assessments of mental health, substance use, domestic violence, and safety concerns, connecting clinic patients to resources for transportation, benefits, insurance coverage, employment, food, and housing. The ALCSW also conducts short term patient centered, family & group therapy sessions. A retrospective review was performed on duties of the ALCSW comparing 9 months (December-August) pre and post hire. Data collected included visit types, hours of patient care, and interventions performed.ResultsDuring the first 9 months, the ALCSW completed 1,008 patient encounters (approximately 25 hours of direct patient care per week) and 510 psychosocial assessments. In the first three months alone 258 substance use screens, 166 mental health assessments, 44 ASD/PTSD therapy sessions, 205 Homeless Shelter referrals and 128 community resource encounters were performed that would have otherwise been left unaddressed or added to the workload of our Burn Clinic RN or provider.The ALCSW was able to see up to 89.39% more patients per month (n=89) compared to the inpatient LCSW who only responding to clinic patients with emergent needs (n=13). The increase of ALCSW encounters showed a 35.37% increase of completed visits without IP admission (n=pre 665 vs post 1029), 39.73% decrease of IP admissions after clinic visit (n=pre 73 vs post 44), and 17.82% increase of patients without inpatient admissions entirely (n=pre 572 vs post 696). In addition, the added effort of an ambulatory LCSW, has increased SOAR support group participation by 60.13% in calendar year 2021 compared to calendar year 2020 (n= pre 63 vs post 158).ConclusionsHiring a dedicated Burn ALCSW can substantially increase the resources available to outpatients, fill voids of patient care, limit unnecessary hospital resources, and prevent admissions.

Effects of Cohousing Mice and Rats on Stress Levels, and the Attractiveness of Dyadic Social Interaction in C57BL/6J and CD1 Mice as Well as Sprague Dawley Rats.

Simple SummaryRats may kill mice. Therefore it is standard practice in many research animal housing facilities—despite often very limited space-to separate mice from rats (i.e., the predators) to minimize stress for the mice. We tested the effect of cohousing on the stress levels of mice from either the C57BL/6J (BL6) or the CD1 strain and Sprague Dawley rats by quantifying their fecal corticosterone and metabolites (FCM) concentration and investigated how cohousing impacts a behavioral assay, i.e., conditioned place preference for mouse-mouse or rat-rat social interaction. Mice from the BL6 strain (but not CD1 mice) that were cohoused with rats had significantly increased FCM concentrations, indicative of higher stress levels. In contrast to their elevated stress levels, the attractiveness for contextual cues associated with mouse-mouse social interaction even increased in rat-cohoused mice, albeit nonsignificantly. Thus, cohousing BL6 mice and rats did not impair a behavior of BL6 mice that had proved to be sensitive to social factors, especially handling by humans, in our laboratory. Our findings suggest that the effect of cohousing rats and mice on their stress levels and behavior might be less clearcut than generally assumed and might be overriden by conditions that cannot be controlled, i.e., different deliveries. Our findings can help to use research animal housing resources more efficiently.Rats, including those of the Sprague Dawley strain, may kill mice. Because of this muricidal behavior, it is standard practice in many research animal housing facilities to separate mice from rats (i.e., the predators) to minimize stress for the mice. We tested the effect of cohousing on the stress levels of mice from either the C57BL/6J (BL6) or the CD1 strain and Sprague Dawley rats (SD rat) by quantifying their fecal corticosterone and metabolites (FCM) concentration. We also investigated cohousing impacts a behavioral assay, i.e., conditioned place preference for intragenus (i.e., mouse–mouse or rat–rat) dyadic social interaction (DSI CPP) that was shown be sensitive to social factors, especially to handling by humans. We found that the two delivery batches of BL6 mice or SD rats, respectively, had different stress levels at delivery that were statistically significant for the BL6 mice. Even so, the BL6 mice cohoused with rats had significantly increased FCM concentrations, indicative of higher stress levels, as compared to (1) BL6 mice housed alone or (2) BL6 mice at delivery. In contrast to their elevated stress levels, the attractiveness of contextual cues associated with mouse–mouse social interaction (DSI CPP) even increased in rat-cohoused BL6 mice, albeit non-significantly. Thus, cohousing BL6 mice and rats did not impair a behavioral assay in BL6 mice that was proven to be sensitive to handling stress by humans in our laboratory. SD rats cohoused with BL6- or CD1 mice, and CD1 mice cohoused with SD rats, showed DSI CPP that was not different from our previously published data on SD rats and BL6 mice of the Jackson- or NIH substrain obtained in the absence of cohousing. CD1 mice cohoused with rats did not show an increased FCM concentration compared to delivery. Our findings suggest that the effect of cohousing rats and mice under the conditions described above on their stress levels as opposed to their behavior might be less clearcut than generally assumed and might be overriden by conditions that cannot be controlled, i.e., different deliveries. Our findings can help to use research animal housing resources, which are usually limited, more efficiently.

Sharing Economies’ Initiatives in Municipal Authorities’ Perspective: Research Evidence from Poland in the Context of Smart Cities’ Development

The emergence and dynamic development of the sharing economy as a socio-economic phenomenon was triggered by the subprime crisis of 2007–2009 and the consequent need to rationalize the use of resources. Cities (especially those generally recognized as a Smart City) have become a natural environment for the sharing economy, due to the spatial accumulation of both potential users and available goods and services. Adopting the point of view that urban conditions are advantageous for the development of the SE, the authors of the article assess the scope of implementation of solutions typical for the sharing economy and the scale of support of municipal authorities for their implementation in 287 Polish cities. For this purpose, they use representative surveys carried out in January 2020. When analyzing the results, they consider the following aspects of a sharing economy: carpooling, coworking, co-housing, room sharing, couch surfing clothes swap/toy swap and crowdfunding. In their research, they also identify relationships between the degree of development of the sharing economy in Polish cities and their size (expressed as the number of inhabitants) and wealth (expressed as the level of budget revenues per capita), trying to answer the question asked in the title: how do cities use and support sharing economy initiatives? The research results indicate a low level of SE development in Polish cities and a low involvement of municipal authorities in supporting this development. Individual forms of SE function best in large cities that have successfully aspired to be smart for many years. In other administrative units, the obstacle to the development of the SE is probably the low availability and quality of free housing resources and the reluctance to share, resulting from reluctance in a centrally planned economy related to the non-market allocation of goods and services and the associated strong attachment to private property.

Abstract PO-032: Cancer supportive care needs and resource use among Asian American cancer patients: Preliminary findings from a pilot patient navigation intervention, “Patient COUNTS”

Abstract Background: Cancer is the leading cause of death for Asian Americans. Patient navigation has shown benefits in enhancing cancer treatment outcomes and quality of life. Navigational needs in accessing cancer supportive care among Asian American cancer patients and how to address such needs, however, remain understudied. Asian Americans face unique language and cultural barriers in cancer care. We designed a culturally and linguistically-tailored pilot patient navigation intervention, Patient COUNTS, to better understand and address the needs of Asian American cancer patients. Objective: To examine cancer supportive care needs and resource use among patients, who participated in a pilot study that aimed to provide culturally and linguistically-tailored navigation for Asian American cancer patients. Methods: We recruited Asian American adults diagnosed with stage I-III colorectal, liver, or lung cancer from the Greater Bay Area Cancer Registry and San Francisco hospitals. Participants spoke English, Chinese, or Vietnamese and had not completed treatment. Participants were assigned a language-concordant patient navigator, who provided support for six months. This study describes participants' cancer supportive care needs and resource use from telephone and self-administered surveys collected at baseline, three, and six months. Participants included 24 Asian Americans with cancer who completed the baseline survey, with 18 (75%) who completed at least one of the follow-up surveys. Results: Of the study sample (n=24), 63% were men, 55% were 65 years or older, and 42% did not complete high school. A majority (75%) spoke limited English; participants' preferred language included Cantonese/Mandarin (61%), Vietnamese (26%) and English (13%). Most participants had stage I (54%) or III (42%) cancer of the lung (42%), colon (37%), or liver (21%). Across the three surveys, the most frequently reported types of needs by the 24 participants were: cancer information (83%), language translation (54%), basic resources such as financial, transportation, legal, housing, and food access resources (50%), access to healthcare (42%), and mental health (33%). Among the 18 participants who completed the three- or six-month surveys, 90% reported using one or more resources that navigators directed them to. Specifically, of the 18 patients, the most frequently used resources included healthcare (77%), basic needs (67%), language translation (56%), and mental health (28%). Conclusions: The Asian American cancer patients enrolled in Patient COUNTS, a pilot patient navigation program, had a variety of cancer supportive care needs. Findings provided preliminary support of Patient COUNTS as a promising approach to assess cancer supportive care needs and assist navigation of resources among Asian American cancer patients. These findings will inform future interventions to improve the care that Asian American cancer patients receive. Citation Format: Katarina Wang, Janice Tsoh, Carmen Ma, Ching Wong, Hoan Bui, Corina Liew, Junlin Chen, Salma Shariff-Marco, Janet N. Chu, Laura Allen, Mei-Chin Kuo, Debora L. Oh, Scarlett L Gomez, Tung T. Nguyen. Cancer supportive care needs and resource use among Asian American cancer patients: Preliminary findings from a pilot patient navigation intervention, “Patient COUNTS” [abstract]. In: Proceedings of the AACR Virtual Conference: 14th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2021 Oct 6-8. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr PO-032.

Community Health Worker Intervention to Address Social Determinants of Health for Children Hospitalized With Asthma.

Social determinants of health (SDOH) contribute to racial disparities in asthma outcomes. Community health worker (CHW) programs represent a promising way to screen for SDOH and connect patients to resources, but the impact of CHW programs in the inpatient pediatric setting has been examined in few studies. In this study, we aimed to evaluate a CHW program for children hospitalized with asthma in a predominantly Hispanic community by examining rates of SDOH and social resource navigation. This pilot study involved a CHW intervention to improve pediatric asthma care. Patients were included if they were hospitalized with asthma over an 18-month period and enrolled in the CHW program during their hospitalization. In an intake interview, CHWs screened caregivers for SDOH and provided tailored social resource navigation. Descriptive statistics were used to assess rates of social risk factors and social resource navigation. Eighty patients underwent SDOH screening. The majority of patients were Hispanic (81.3%, n = 65). Half of caregivers reported food or housing insecurity over the past 12 months (50.0%, n = 40), and most reported inadequate housing conditions (63.8%, n = 51). CHWs coordinated social resources for the majority of families (98.8%, n = 79), with the most common being food resources (42.5%, n = 34), housing resources (82.5%, n = 66), and appointment navigation (41.3%, n = 33). CHWs identified a high burden of unmet social needs and provided associated social resource navigation in a largely Hispanic pediatric population hospitalized for asthma. CHW programs have potential to improve asthma outcomes by linking high-risk patients with social resources.

How right now? Supporting mental health and resilience amid COVID-19.

The How Right Now communication initiative (HRN) was developed to facilitate resilience amid the COVID-19 pandemic in the United States. HRN was designed as a conduit for promoting mental health and addressing feelings of grief, worry, and stress experienced during this time. This article provides an overview of the rapid, mixed-method, culturally responsive formative research process undertaken to inform the development of HRN. Specifically, it describes how HRN's disproportionately affected audiences (adults aged 65 and older and their caregivers, adults with preexisting physical and mental health conditions, adults experiencing violence, and adults experiencing economic distress) describe and discuss emotional resilience, what they need to be resilient, and what factors contribute to the perceptions of their ability to "bounce back" from the conditions caused by the COVID-19 pandemic. Data collection methods included an environmental scan (n ≥ 700 publications), social listening (n ≥ 1 million social media posts), partner needs-assessment calls (n = 16), partner-convened listening sessions with community members (n = 29), online focus groups (n = 58), and a national probability survey (n = 731), all in English and Spanish. Results revealed that HRN's audiences have diverse perceptions of what constitutes resilience. However, common factors were identified across populations to support resilience amid the COVID-19 pandemic, including informal and formal social support and access to services to meet basic needs, including food and housing resources. Stress, anxiety, depression, and experience with stigma and discrimination were also linked to resilience. Understanding the perspectives and experiences of disproportionately affected populations is vital to identifying supports and services, including the engagement of community stakeholders.

The Role of Housing in Facilitating Middle-Class Family Practices in China: A Case Study of Tianjin

This paper, drawn from a wider doctoral study that investigates how middle-class Chinese families manage and balance their resources to negotiate family duties across generations, focuses on the role of home ownership and property. The research considers intergenerational equity, which is a key part of social sustainability, and uses this to explore the shifting care expectations between generations and the inherent tensions between socioeconomic opportunities that have changed the shape of families and the belief in the importance of the family unit as a vehicle to deliver care. The research draws on the narratives of whole families in a ten-family study undertaken in the Chinese city of Tianjin. The findings reveal the critical role of housing resources in presenting alternative solutions to the performance of care. Firstly, the opportunity to make new choices in the face of shifting priorities across the life course is facilitated by property ownership. Secondly, it facilitates the possibility of living close by, but not together, maintaining the privacy of the nuclear family, but fulfilling care roles. Thirdly, housing resources promote variations on the traditional co-residence pattern for supporting frail elders and, finally, new forms of co-residences where care flows to the young family and their children.

Legal and Financial Aspects of Housing Resources Management by Local Governments

<p>The article attempts to indicate the operational principles of local government units in connection with a public task related to housing resources. The assumption of the analysis was to narrow down the issues to only two aspects: legal and financial. First, issues related to the legal grounds of the so-called housing management at the local government level were discussed, and then, the methods of financing tasks in this field by local government units. It should be emphasized that, despite an attempt to refer to local government units operating at various levels, a special place for the discussion was given to the municipality, for which the legislator has reserved the greatest number of housing management tasks. In connection with the functioning of this local government level, the principles of financing the housing management were discussed, taking into account organizational and legal forms and their relationship with municipal budget funds as well as the possibilities of obtaining extra-budgetary funds.</p>

Connect 2 Care, a Novel Community Outreach Program for Vulnerably Housed Patients With High Acute Care Use: A Mixed-Methods Study Protocol.

Introduction: Vulnerably housed individuals, especially those experiencing homelessness, have higher acute care use compared with the general population. Despite available primary care and social services, many face significant challenges accessing needed services. Connect 2 Care (C2C) is a novel transitional case management program that includes registered nurses and health navigators with complementary expertise in chronic disease management, mental health and addictions, social programs, community health, and housing, financial, transportation and legal resources. C2C bridges acute care and community services to improve care coordination.Methods and Analysis: We will perform a mixed-methods evaluation of the C2C program according to the Donabedian framework of structure, process and outcome, to understand how program structure and process, coupled with contextual factors, influence outcomes in a novel intervention. Eligible patients are homeless or unstably housed adults with complex health conditions and high acute care use. Change in emergency department visit rate 12-months after program enrolment is the primary outcome. Secondary outcomes include 12-month post-enrolment hospital admissions, cumulative hospital days, health-related quality of life, housing status, primary care attachment and substance use. Qualitative methods will explore experiences with the C2C program from multiple perspectives and an economic evaluation will assess cost-effectiveness.Discussion: Academic researchers partnered with community service providers to evaluate a novel transitional case management intervention for vulnerably housed patients with high acute-care use. The study uses mixed-methods to evaluate the Connect 2 Care program according to the Donabedian framework of structure, process and outcome, including an assessment of contextual factors that influence program success. Insights gained through this comprehensive evaluation will help refine the C2C program and inform decisions about sustainability and transferability to other settings in Canada.

The issue of claims for compensation under Article 18(1) of the Act of 21 June 2001 on the Protection of Tenants’ Rights, Commune Housing Resources and Amendments to the Civil Code

The paper briefly outlines some selected issues regarding claims for compensation against a person occupying residential premises without a legal title under Article 18(1) of the Act of 21 June 2001 on the Protection of Tenants’ Rights, Commune Housing Resources and Amendments to the Civil Code. The nature of the compensation and the obligation to pay the same, the nature of liability for damage on the part of the person occupying residential premises without a legal title as well the right of action to pursue claims under Article 18(1) of the above-mentioned Act have been discussed.

Design and Implementation of Craweper Based on Scrapy

With the development of the Internet, network data covers various fields, but with the increasing amount of network data and diversified data formats, it becomes more and more difficult for users to obtain valuable data from massive data. At present, data collection technology has been studied at home and abroad, and has found that network resources can be automatically obtained through network crawler technology. This article takes the information of second-hand housing in Chongqing as an example, designs a crawler program based on Scrapy framework, captures and stores the housing information in some central and western regions, and finally uses Excel data analysis to analyze the second-hand housing resources in Chongqing according to the region and house type. The results show that this program can automatically collect housing information from Anju customers, improve the speed and quality of user obtaining information, and provide a data source for user data analysis.