Social and Behavioral Sciences Commons^™

Service Use And Costs For Persons Experiencing Chronic Homelessness In Philadelphia: A Population-Based Study, Stephen R. Poulin Ph.D, Marcella Maguire Ph.D, Stephen Metraux Ph.D, Dennis P. Culhane Ph.D

Stephen Metraux

No abstract provided.

Behavioral Health Services Use Among Heads Of Homeless And Housed Poor Families, Jung Ming Park Ph.D, Stephen Metraux Ph.D, Dennis Culhane Ph.D

Stephen Metraux

Abstract: objectives. This study compares the use of and cost for behavioral health ser- vices among heads of homeless and housed poor families. methods. Medicaid records for 59,135 heads of families receiving Temporary Assistance to Needy Families benefits were matched with data from Philadelphia’s municipal shelter system. Propensity score matching was used to select a matched control group to those identified as having been homeless between 1997 and 2003. Behavioral health services utilization was then assessed based on Medicaid claims records. results. Substantially higher levels of behavioral health services use and corresponding costs were found among heads of families with …

The Impact Of Mental Illness Status On The Length Of Jail Detention And The Legal Mechanism Of Jail Release, Jeffrey Draine, Amy Blank Wilson, Stephen Metraux, Trevor Hadley, Arthur C. Evans

Stephen Metraux

Institutional Discharges And Subsequent Shelter Use Among Unaccompanied Adults In New York City, Stephen Metraux Ph.D, Thomas Byrne Ph.D, Dennis P. Culhane Ph.D

Stephen Metraux

This study empirically examines the link between homelessness and discharges from other institutions. An administrative record match was undertaken to determine rates of discharge from institutional care for 9,247 unaccompanied adult shelter users in New York City. Cluster analysis and multinomial logistic regression analysis was then used to assess associations between different types of institutional discharges and the likelihood of persons subsequently experiencing extended shelter stays. Results show that 28% of the cohort was discharged from institutional care within the 90-day period preceding their initial shelter entry, with different types of institutional discharge associated with differences in subsequent patterns of …

Physician Utilization By Insurance Type Among Youth With Type 2 Diabetes, Carrie Macadam-Marx, Robert I. Field, Stephen Metraux, Stephen T. Moelter, Diana Brixner

Stephen Metraux

Objective: To evaluate the relationship between insurance type (Medicaid vs private insurance) and access to physician care for youth with type 2 diabetes mellitus by quantifying whether these youth saw a physician during the year before their first diabetes documentation. Study Design: Retrospective cohort study. Methods: Youth with Medicaid or private insurance aged 5 to 19 years with type 2 diabetes were identified by an electronic medical record review. The first indication of type 2 diabetes defined the index date. Youth with type 1 diabetes and female patients with polycystic ovaries were excluded. Descriptive statistics evaluated differences in office visits …