scholarly journals The Association between Shelter Rules and Psychosocial Outcomes among Homeless Youth Residing in Family Shelters

2017 ◽  
Vol 98 (2) ◽  
pp. 113-120 ◽  
Author(s):  
Nisha Beharie ◽  
Lauren Jessell ◽  
Hadiza Osuji ◽  
Mary M. McKay
Keyword(s):  
New York ◽  
New York City ◽  
Substance Use ◽  
Depressive Symptoms ◽  
York City ◽  
Homeless Youth ◽  
Psychosocial Outcomes ◽  
Well Being ◽  
The Impact ◽  
The Relationship

Despite growing numbers of homeless youth living in shelters with caregivers, little research has explored the impact of the shelter environment on emotional well-being. As such, this study assesses the relationship between shelter rules and two psychosocial outcomes among youth in New York City family shelters. Additionally, the direct effect of trauma and the moderating effect of difficulty following shelter rules on psychosocial outcomes was assessed. Youth with difficulty following shelter rules reported significantly more depressive symptoms, but less substance use. Trauma was found to be associated with increased depression and substance use. Difficulty following shelter rules was found to moderate the association between trauma and substance use. Recommendations for future interventions and the creation of shelter policies are discussed.

scholarly journals The impact of COVID-19 on people who inject drugs in New York City: increased risk and decreased access to services

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Yesenia Aponte-Melendez ◽  
Pedro Mateu-Gelabert ◽  
Chunki Fong ◽  
Benjamin Eckhardt ◽  
Shashi Kapadia ◽  
...  
Keyword(s):  
Mental Health ◽  
New York ◽  
New York City ◽  
Substance Use ◽  
Risk Behaviors ◽  
York City ◽  
People Who Inject Drugs ◽  
Study Group ◽  
Injection Risk ◽  
The Impact

Abstract Background While people who inject drugs (PWID) are vulnerable to the adverse outcomes of events like COVID-19, little is known regarding the impact of the current pandemic on PWID. We examine how COVID-19 has affected PWID in New York City across four domains: substance use, risk behaviors, mental health, and service utilization. Methods As part of a randomized trial to improve access to HCV treatment for PWID, we recruited 165 participants. Eligibility criteria included detectable HCV RNA and recent drug injection. The present cross-sectional analysis is based on a subsample of 106 participants. We compared responses between two separate samples: 60 participants interviewed prior to the pandemic (pre-COVID-19 sample) and 46 participants interviewed during the pandemic (COVID-19 sample). We also assessed differences by study group [accessible care (AC) and usual care (UC)]. Results Compared to the pre-COVID-19 sample, those interviewed during COVID-19 reported higher levels of mental health issues, syringe reuse, and alcohol consumption and greater reductions in syringe-service programs and buprenorphine utilization. In the analysis conducted by study group, the UC group reported significantly higher injection risk behaviors and lower access to buprenorphine treatment during COVID-19, while during the same period, the AC group reported lower levels of substance use and injection risk behaviors. Conclusion The current study provides insight on how COVID-19 has negatively affected PWID. Placing dispensing machines of harm-reduction supplies in communities where PWID live and increasing secondary exchange, mobile services, and mail delivery of supplies may help maintain access to lifesaving supplies during big events, such as COVID-19. Trial registration ClinicalTrials.gov NCT03214679. Registered July 11 2017. https://clinicaltrials.gov/ct2/show/NCT03214679.

On the Front Lines: The Impact of Managerialism on the New York City Addiction Treatment Workforce

2021 ◽  
pp. 104829112110416
Author(s):  
Jocelyn Lewiskin ◽  
Mimi Abramovitz ◽  
Jennifer Zelnick
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Addiction Treatment ◽  
Well Being ◽  
Service Organizations ◽  
Treatment Programs ◽  
Structured Interviews ◽  
Professional Discretion ◽  
The Impact

Since the mid-1970s, neoliberal policies have relied on privatization and other tactics to down-size the state, transforming human service organizations in the process. The impact of this approach, also known as managerialism, has not been examined in addiction treatment, where the opioid epidemic has intensified the need for services. Using qualitative semi-structured interviews, we explore how managerialism has affected the workforce, service delivery, and the quality of care in New York City addiction treatment programs. Front-line and managerial staff identified threats to working conditions, including high caseloads and productivity demands; threats to service quality including standardization of practice, loss of professional discretion and serving only those most likely to succeed; and threats to worker well-being marked by stress, burn-out, and low morale. The contradictions between the goals of managerialism and addiction treatment threaten the ability to meet the needs of people struggling with addiction.

Prevalence of sexual risk behaviour and substance use among runaway and homeless adolescents in San Francisco, Denver and New York City

1997 ◽  
Vol 8 (2) ◽  
pp. 109-117 ◽  
Author(s):  
A H Kral ◽  
B E Molnar ◽  
R E Booth ◽  
J K Watters
Keyword(s):  
New York ◽  
New York City ◽  
Substance Use ◽  
Sexual Risk ◽  
San Francisco ◽  
York City ◽  
Homeless Youth ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Homeless Adolescents

Summary: We aim to assess the prevalence of HIV sexual risk behaviours and substance use among runaway and homeless adolescents in San Francisco, Denver and New York City. Survey data were examined from 775 runaway and homeless adolescents recruited from street settings and youth agencies during 1992/1993. Nearly all (98%) reported having engaged in sexual intercourse, of whom 49% first had intercourse by the age of 13. Condom use during all vaginal intercourse in the previous 3 months was reported by 42%. Among males, 23% indicated that they had exchanged sex for money, as did 14% of the females. Ninety-seven per cent had used alcohol or drugs and 21% had injected drugs. Overall, 75% reported having had sex while under the influence of alcohol or drugs. Systematic epidemiological studies of this population and the development of innovative interventions are essential to reduce the threat of HIV among runaway and homeless youth.

scholarly journals Are Essential Women’s Healthcare Services Fully Covered? A Comparative Analysis of Policy Documents in Shanghai and New York City from 1978–2017

2021 ◽  
Vol 18 (8) ◽  
pp. 4261
Author(s):  
Qingyu Zhou ◽  
Qinwen Yu ◽  
Xin Wang ◽  
Peiwu Shi ◽  
Qunhong Shen ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Women's Health ◽  
York City ◽  
Healthcare Service ◽  
Healthcare Services ◽  
Coverage Rate ◽  
Policy Documents ◽  
Service Coverage ◽  
The Relationship

This study aimed to analyze the changes in the 10 major categories of women’s healthcare services (WHSs) in Shanghai (SH) and New York City (NYC) from 1978 to 2017, and examine the relationship between these changes and maternal mortality ratio (MMR). Content analysis of available public policy documents concerning women’s health was conducted. Two indicators were designed to represent the delivery of WHSs: The essential women’s healthcare service coverage rate (ESCR) and the assessable essential healthcare service coverage rate (AESCR). Spearman correlation was used to analyze the relationship between the two indicators and MMR. In SH, the ESCR increased from 10% to 90%, AESCR increased from 0% to 90%, and MMR decreased from 24.0/100,000 to 1.01/100,000. In NYC, the ESCR increased from 0% to 80%, the AESCR increased from 0% to 60%, and the MMR decreased from 24.7/100,000 to 21.4/100,000. The MMR significantly decreased as both indicators increased (p < 0.01). Major advances have been made in women’s healthcare in both cities, with SH having a better improvement effect. A common shortcoming for both was the lack of menopausal health service provision. The promotion of women’s health still needs to receive continuous attention from governments of SH and NYC. The experiences of the two cities showed that placing WHSs among policy priorities is effective in improving service status.

The Impact of Customer Loyalty and Restaurant Sanitation Grades on Revisit Intention and the Importance of Narrative Information: The Case of New York Restaurant Sanitation Grading System

2017 ◽  
Vol 59 (3) ◽  
pp. 275-284 ◽  
Author(s):  
Min Gyung Kim ◽  
Hyunjoo Yang ◽  
Anna S. Mattila
Keyword(s):  
New York ◽  
New York City ◽  
Customer Loyalty ◽  
York City ◽  
Letter Grades ◽  
The Difference ◽  
Revisit Intentions ◽  
Using Data ◽  
The Impact ◽  
Loyal Customers

New York City launched a restaurant sanitation letter grade system in 2010. We evaluate the impact of customer loyalty on restaurant revisit intentions after exposure to a sanitation grade alone, and after exposure to a sanitation grade plus narrative information about sanitation violations (e.g., presence of rats). We use a 2 (loyalty: high or low) × 4 (sanitation grade: A, B, C, or pending) between-subjects full factorial design to test the hypotheses using data from 547 participants recruited from Amazon MTurk who reside in the New York City area. Our study yields three findings. First, loyal customers exhibit higher intentions to revisit restaurants than non-loyal customers, regardless of sanitation letter grades. Second, the difference in revisit intentions between loyal and non-loyal customers is higher when sanitation grades are poorer. Finally, loyal customers are less sensitive to narrative information about sanitation violations.

scholarly journals The Organizational Trace of an Insurgent Moment

2017 ◽  
Vol 3 ◽  
pp. 237802311770065 ◽  
Author(s):  
Adam D. Reich
Keyword(s):  
New York ◽  
New York City ◽  
Social Movement ◽  
York City ◽  
Social Movement Organizations ◽  
Occupy Wall Street ◽  
Wall Street ◽  
Formal Organizations ◽  
Movement Organizations ◽  
The Relationship

The relationship between social movements and formal organizations has long been a concern to scholars of collective action. Many have argued that social movement organizations (SMOs) provide resources that facilitate movement emergence, while others have highlighted the ways in which SMOs institutionalize or coopt movement goals. Through an examination of the relationship between Occupy Wall Street and the field of SMOs in New York City, this article illustrates a third possibility: that a moment of insurgency becomes a more enduring movement in part through the changes it induces in the relations among the SMOs in its orbit.

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