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Motivational Interviewing: HIV-Related Health Outcomes and Social Determinants of Health

Motivational Interviewing: HIV-Related Health Outcomes and Social Determinants of Health

2020-01-14

Heartland Alliance;

For individuals experiencing housing insecurity—and other hardships associated with poverty, such as low rates of health literacy, food insecurity, lack of transportation, and restricted access to quality health care—an HIV diagnosis exacerbates an already burdened quality of life. These larger structural barriers may inhibit HIV+ participants from feeling able to change individual-level behaviors which may complicate their HIV status. One counseling intervention that addresses obstacles to change is Motivational Interviewing (MI). MI is a collaborative, client centered approach that fosters communication between a service provider and their recipient with the goal of identifying and resolving the change goals identified during the counseling session. Studies on healthcare outcomes for chronically ill individuals who received MI interventions indicate that, when followed properly, MI can effect long-term, positive behavior changes. This paper defines MI, explores it's applications among HIV+ participants, describes an MI fidelity monitoring tool, and situates MI relevance while acknowledging the influence of social determinants of health.

What Does "Economically Secure" Children Really Mean? Federal Statistics Monitoring Children’s Economic Security Need an Overhaul

What Does "Economically Secure" Children Really Mean? Federal Statistics Monitoring Children’s Economic Security Need an Overhaul

2020-01-16

Institute for Child, Youth & Family Policy (ICYFP), Heller School For Social Policy & Management at Brandeis University;

Federal agencies monitor child and family wellbeing and consider children living with at least one adult working full time, year round as economically secure. However, an economically secure environment for children depends on much more than the number of hours their parents work. Economic security also requires wages that are high enough for children and families to live healthy lives.A more meaningful definition of economic security for children considers whether full-time working adults earn enough income to meet minimum living standards for children. diversitydatakids.org defines economically secure children as those living with at least one adult working full time, year round only if family incomes are over 200% of the federal poverty level. For example, to be considered economically secure, children living with at least one full-time working adult in a family of four in 2019 need to have a family income over $51,500.

Poverty, Income & Health Insurance Update: Illinois and Chicago Region

Poverty, Income & Health Insurance Update: Illinois and Chicago Region

2020-09-17

Heartland Alliance;

Poverty rates and household incomes improved in Illinois in 2019. However, this data reflects conditions from the last year before a global pandemic and related recession--meaning the picture is likely much worse today. And even before the 2020 recession, millions of Illinoisans--especially people of color--lived in poverty or on the brink.The poverty rate for the United States was 10.5% in 2019, a decline of 1.3 percentage points from 2018 and the lowest on record. There were 34 million people in poverty nationwide. In 2019, 1.4 million Illinoisans were in poverty--a rate of 11.5%. Additionally, 1.9 million Illinoisans are near poor and economically insecure with incomes between 100% and 199% of the federal poverty threshold.The data also revealed that health insurance coverage rates declined in Illinois and throughout the nation in 2019, continuing a disturbing trend of eroding the gains of the Affordable Care Act (ACA), right before a global pandemic and economic recession hit.

Federal Policy Priorities for an Equitable COVID-19 Relief and Recovery

Federal Policy Priorities for an Equitable COVID-19 Relief and Recovery

2020-05-01

PolicyLink;

While Congress has taken some important initial steps, the relief packages so far have not done enough to address the challenges facing the one in three people living in or near poverty in the US. This brief outlines a number of specific policy recommendations for Congress to include in the next relief package to meet the needs of all people while building a bridge to a more equitable and climate-safe future.

The Face of Charities During COVID-19 Worldwide, Volume 5

The Face of Charities During COVID-19 Worldwide, Volume 5

2020-09-01

Charities Aid Foundation (CAF) America;

In the face of unprecedented challenges, charities are demonstrating resilience through agility and determination. This report features stories that take a closer look at individual organizational experiences through the pandemic. Based on interviews with leaders representing nonprofits working across geographies and issue areas, these stories recount the unfolding impact of the crisis and their agile responses.While the contexts and tailored solutions may be unique, the obstacles are commonly felt—challenges such as the shift to remote work, the abrupt loss of volunteers or funders, or the need to pivot programming toward direct relief to address local priorities. As the pandemic draws on, charities continue to innovate and adapt, as evidenced by this latest report.Beyond following the journey of these charities, the report outlines the findings of CAF America's fifth COVID-19 survey. Conducted from August 25 to September 2, the survey polled 424 charitable organizations that represent 156 countries to learn how the coronavirus pandemic continues to impact their work. 

Status of Girls in Illinois: Executive Summary

Status of Girls in Illinois: Executive Summary

2019-01-02

Chicago Girls' Coalition;

CURL formed a partnership with Women and Girls' Collective Action Network and Chicago Girls' Coalition to conduct a secondary data analysis to determine how young women and girls are faring in Illinois. This project aims to provide statistical evidence that will inform on the issues, needs, and solutions required to ensure the healthy development of all young women and girls in Illinois.

1,000 in 1,000: Moving 1,000 People out of Poverty Every 1,000 Days

1,000 in 1,000: Moving 1,000 People out of Poverty Every 1,000 Days

2019-01-14

Family Foundations;

When I was City Council President, I was invited by the Jessie Ball duPont Fund to an Asset Building Conference, where I joined a team of colleagues from Jacksonville. We were challenged to set a bold goal around poverty in our community. We decided that our goal had to be big – we chose 1,000 people – and our goal had to have a time limit – we chose 1,000 days and that is how 1,000 in 1,000 was born.I assumed that this initiative would be like most, where a group comes up with some great ideas, but then we get back home our good intentions wither. But Team Jacksonville was different. We completed research on the latest learnings on poverty, including literature reviews and national site visits. We ran pilots, working with 100 families over 3 years, to determine what specific strategies were the most powerful for building assets.We learned from the families directly. They told us that their top goal was to provide a better life for their children than their own. They wanted a job that paid a living wage and were willing to work for it, but needed child care and reliable transportation to get to job training. They emphasized the need for life management skills, including goal setting, budgeting, parenting andinterpersonal skills. Families were frank that many of them had a past criminal arrest or conviction, but for relatively minor offenses that were still classified as a felony, such as bouncing a check or driving with a suspended license.Poverty is everyone's problem. I am justifiably proud of our community for examining poverty through the magnifying glass of our collective vision. 

How and Why to Integrate Income & Employment-Related Questions Into Coordinated Entry Assessments

How and Why to Integrate Income & Employment-Related Questions Into Coordinated Entry Assessments

2019-02-05

Heartland Alliance National Initiatives on Poverty & Economic Opportunity;

This resource provides a rationale for and guidance on integrating income and employment-related questions into coordinated entry assessments and a set of sample questions communities can use to assess the employment needs and interests of people experiencing homelessness.

Microfinance in the United States: Early Impacts of the Grameen America Program

Microfinance in the United States: Early Impacts of the Grameen America Program

2019-03-12

MDRC;

The study, funded by Robin Hood, is the most rigorous, independent, third-party evaluation of group microfinance in the United States, assessing Grameen America's program, a microfinance model that provides small loans to low-income women entrepreneurs in the United States seeking to launch or expand small businesses.

The Gender Disadvantage: Why Inequity Persists

The Gender Disadvantage: Why Inequity Persists

2019-03-13

Heartland Alliance;

Poverty does not treat everyone equally. Women, children, gender minorities, and people of color are often the hardest hit. And while women in poverty experience the same issues that all people in poverty experience—income inequality, unemployment, poor health, violence, trauma, and more—the odds are often uniquely stacked against them in gendered ways.There are 6.5 million women. and an estimated 50,000 trans people living in Illinois. They are a driving force in our economy and care for our children, sick, and elderly, and yet continue to face discrimination and inequitable opportunities. This year's annual report on poverty in Illinois shows how gender, gender identity, and gender norms shape experiences of poverty for women and gender minorities—and how women who have other marginalized identities experience even more inequity. If we want to dramatically reduce poverty, improving the well-being of women— particularly women of color—would deliver the biggest return.

Big Shoulders, Bold Solutions; Economic Security for Chicagoans

Big Shoulders, Bold Solutions; Economic Security for Chicagoans

2019-02-01

Chicago Resilient Families;

Chicago is in so many ways a thriving global city. But far too many of us face the daily reality of financialinsecurity caused by jobs that don't pay enough to live on, that have unstable hours, and that don't providebenefits that many in the workforce a generation ago enjoyed. Both as a city and as a people, economicresilience in the face of change is critical to create a thriving metropolis, yet strong forces are pushing us awayfrom this, not towards it: deep racial and gender inequity; steadily widening income inequality; the erosion ofthe middle class; the rise in contingent work and looming automation of jobs. The result? Work is unreliableand income is precarious for those living in deep poverty and all the way up into the middle class.In response to these realities, last summer the Chicago City Council passed a resolution to create the ChicagoResilient Families Initiative Task Force to assess and determine the scope of a guaranteed income pilot aswell as solutions to modernize the Earned Income Tax Credit. Since then, at the behest of Mayor Emanuel,the task force has met, learned, dug deep and explored different paths to economic security and resiliencyfor Chicagoans. We sought advice from community residents and national experts who have been engageddeeply in these questions for years

Win-Win: Equipping Housing Providers to Open Doors to Housing for People With Criminal Records

Win-Win: Equipping Housing Providers to Open Doors to Housing for People With Criminal Records

2019-07-12

Heartland Alliance for Human Needs & Human Rights;

In Illinois, nearly 5 million adults, 50% of the population, are estimated to have an arrest or conviction record. Housing is foundational for employment success, family stability, and overall well-being. Unfortunately, criminal history checks are a typical part of the housing application processes, and many people with records are declined housing opportunities they would otherwise be a good fit for, but for the criminal record.  Our goal for Win-Win was to develop user-friendly guidance about the use of criminal records in screening and housing applicants, and to provide recommendations that housing providers can adopt and adapt, in whole or in part, to increase housing opportunities for people with criminal records.  

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