title: Homeless Caseload is Associated with Behavioral Health and Case Management Staffing in Health Centers.
abstract: Community health centers provide co-located medical, behavioral, and case management services to meet the unique and complex needs of the underserved, including homeless individuals. Multivariate analysis of staffing patterns in health centers serving high homeless caseloads highlights above-average behavioral and case management staffing, regardless of Health Care for the Homeless funding status. Rural health centers and those in the South had lower behavioral health and enabling services staffing. Implications include the need to monitor disparities, link health centers with available technical assistance, and emphasize integrating co-located behavioral health, enabling, and medical services through grant oversight mechanisms.
authors.affiliation: Division of Behavioral Health and Intellectual Disabilities Policy, Office of Disability, Aging, and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, United States Department of Health and Human Services, 200 Independence Ave, SW, Office # 424E.24, Washington, DC, 20201, USA. emilybjones@gmail.com.|Department of Health Policy and Management, The Milken Institute School of Public Health and Health Services, The George Washington University, 2141 K St NW, Washington, DC, 20037, USA. emilybjones@gmail.com.
authors.forename: Emily B
authors.identifier: http://orcid.org/0000-0001-8366-3798
authors.initials: EB
authors.lastname: Jones
authors.affiliation: Department of Health Policy and Management, The Milken Institute School of Public Health and Health Services, The George Washington University, 2141 K St NW, Washington, DC, 20037, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Zur
authors.affiliation: Department of Health Policy and Management, The Milken Institute School of Public Health and Health Services, The George Washington University, 2141 K St NW, Washington, DC, 20037, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Rosenbaum
mesh_terms: D019090:Case Management / Q000458:organization & administration* / Q000706:statistics & numerical data; D003151:Community Health Centers / Q000458:organization & administration / Q000706:statistics & numerical data; D003156:Community Mental Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D006703:Ill-Housed Persons / Q000523:psychology; D006801:Humans; D019035:Rural Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D014481:United States; D000078329:Workforce; D016526:Workload / Q000523:psychology* / Q000706:statistics & numerical data
keywords: Case management; Homeless; Safety net; Workforce