Impact of a supported housing prioritization system using vulnerability and high service utilization

For people experiencing chronic homelessness, supportive housing with intensive social, health, and behavioral health services reduces the likelihood of re-entering homelessness and the public costs of associated acute medical care, shelter use, and incarceration. Due to a limited supply of supportive housing, it must be allocated to those most in need. This paper examines findings from a unique, region-wide method for prioritizing individuals for supportive housing based on utilization of high-cost public services and vulnerability if left on the street. A sample of 196 individuals were prioritized for housing based on this method, while a comparison group of 102 were housed not using the method. Results showed that those housed under the prioritization method achieved greater reductions in utilization of high-cost public services, but were also less likely to have positive dispositions when exiting the housing programs, suggesting the need for a greater intensity of supports and/or multiple “doses” of supportive housing before stability can be expected. The method described in the paper can provide a starting point for developing regional, comprehensive systems of coordinated, prioritized entry into supportive housing, such as those now required by US Department of Housing and Urban Development.     

Methodology and analysis for comparing discrete linear l1 approximation codes

This is the first of a projected series of papers dealing with computational experimentation in mathematical programming. This paper provides early results of a test case using four discrete linear L₁ approximation codes. Variables influencing code behavior are identified and measures of performance are specified. More importantly, an experimental design is developed for assessing code performance and is illustrated using the variable “problem size”.     

Exploring College Students’ Use of General and Alcohol-Related Social Media and Their Associations With Alcohol-Related Behaviors

Abstract

Objective: Alcohol marketers have increasingly moved their advertising efforts into digital and social media venues. As a result, the purpose of this study is to investigate associations between students’ use of social media, their exposure to alcohol marketing messages through social media, and their alcohol-related beliefs and behaviors. Participants: Public and private university students (N = 637) participated November and December 2011 and April 2012. Methods: College students completed online surveys to measure their exposure to social and online media generally, as well as their alcohol-related digital media use and alcohol use. Results: Use of social media related to alcohol marketing predicted alcohol consumption and engaging in risky behaviors, whereas the use of social media more generally did not. Conclusions: Students’ use of alcohol-related social media–marketing content associates with their problem drinking. Results have implications for alcohol abuse reduction efforts targeted at college students and suggest the importance of considering social, cultural, and cognitive factors in campaign planning and design.     

A Co-Evolutionary Framework for Systemic Family Therapy*

This piece presents a metaphoric scaffold, a Time Cable from which to build an invisible building. The scaffold is temporary, to be torn down when the building is finished, but it can be recreated when a new building is contemplated. As with all such geo-spatial constructs, it is merely a diagram to hold in one's mind while mastering the systemic approach to family therapy pioneered by the Milan Associates. Since this is their own model, they do not need a scaffold. For me, trying to teach their model, it has proved useful as a working tool.     

Family-of-origin frames in couples therapy

Six types of family-of-origin frames—coping, modeling, role, definition, reversal, and loyalty frames—are utilized in understanding three common couple interactional situations: pursuing/distancing, overfunctioning/underfunctioning, and blaming/placating. Clinical examples are used to illustrate the process of constructing family-of-origin frames in couples therapy.