Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Treatment of Displaced, Low Income Children with Chronic Conditions

Award Number: R03HD079758
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/01/2014
PERIOD OF PERFORMANCE END DATE: 09/30/2017

Group Awards By:

View Award Description

Treatment of Displaced, Low Income Children with Chronic Conditions - DESCRIPTION (provided by applicant): Over 1.5 million people evacuated the U.S. Gulf Coast following Hurricane Katrina (Groen and Polivka, 2007) and over 250,000 were estimated to have continued to reside in Texas nearly one year later (Texas HHS, 2006). Not only were these evacuees exposed to physical and emotional trauma, but many were from vulnerable populations and of low socio-economic status that further worsened their condition. Roughly 80% of all individuals displaced to Texas following Katrina were African American, while 60% came from households whose income was less than $20,000 per year (Texas HHSC, 2006). Children were especially vulnerable, with many missing health provider visits (Rath et al., 2007) and reporting a new onset of mental health symptoms following Katrina (Roberts, 2010). This goal of this proposal is to analyze the diagnoses and treatment of selected chronic conditions for Displaced Louisiana Children (DLCs) from low socio-economic backgrounds following Hurricane Katrina. The analysis will employ individual-level administrative data to examine the health care utilization of the roughly 30,000 DLCs enrolled in TexKat, the temporary emergency Medicaid waiver program for Katrina evacuees in Texas. The use of these data represents a potential improvement over the vast majority of existing post-disaster studies which typically employ survey data. The investigation will focus on healthcare for three chronic conditions: asthma, mental health, and diabetes. The analysis will focus on encounter rates in outpatient, emergency department, and inpatient settings as well as prescription rates for treatment medications. A difference-in-differences estimation strategy will be employed to identify changes due to displacement. Changes in utilization by DLCs before and after displacement will be compared to changes in utilization by non-displaced children. The analysis is expected to indicate that displacement was very disruptive to DLCs with chronic conditions (Rath et al., 2007). The project will provide critical information to federal, state and local agencies planning care for low-income children following disasters. The analyses of diagnoses and health care use both immediately following displacement and in the following months will provide insight into the health care needs for conditions known to be exacerbated by discontinuous medical care. By determining the services obtained by these children, our findings will assist evacuation destinations to more efficiently prepare for an influx of evacuees. Finally, policymakers may be able to use our findings to improve future Medicaid emergency waivers.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2018 ( Subtotal = -$10,213 )
2018	2015	SAM HOUSTON STATE UNIVERSITY	1806 AVE J	HUNTSVILLE	TX	77341	WALKER	USA	Child Health and Human Development Extramural Research	001	2	2/7/2018	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$8,721
2018	2015	SAM HOUSTON STATE UNIVERSITY	1806 AVE J	HUNTSVILLE	TX	77341	WALKER	USA	Child Health and Human Development Extramural Research	002	2	2/7/2018	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	-$10,213
2018	2014	SAM HOUSTON STATE UNIVERSITY	1806 AVE J	HUNTSVILLE	TX	77341	WALKER	USA	Child Health and Human Development Extramural Research	000	1	2/7/2018	NEW	-$8,721
														Subtotal = -$10,213

Issue Date FY: 2017 ( Subtotal = $0 )
2017	2015	SAM HOUSTON STATE UNIVERSITY	1806 AVE J	HUNTSVILLE	TX	77341	WALKER	USA	Child Health and Human Development Extramural Research	000	2	5/22/2017	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $0

Issue Date FY: 2016 ( Subtotal = $0 )
2016	2015	UNIVERSITY OF SOUTH FLORIDA	4202 E FOWLER AVENUE	TAMPA	FL	33620	HILLSBOROUGH	USA	Child Health and Human Development Extramural Research	000	2	5/16/2016	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	-$85,440
2016	2015	UNIVERSITY OF SOUTH FLORIDA	4202 E FOWLER AVENUE	TAMPA	FL	33620	HILLSBOROUGH	USA	Child Health and Human Development Extramural Research	001	2	5/19/2016	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$85,440
														Subtotal = $0

Issue Date FY: 2015 ( Subtotal = $85,440 )
2015	2015	SAM HOUSTON STATE UNIVERSITY	P.O. BOX 2027	HUNTSVILLE	TX	77341	WALKER	USA	Child Health and Human Development Extramural Research	000	2	9/1/2015	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$85,440
														Subtotal = $85,440

Issue Date FY: 2014 ( Subtotal = $77,577 )
2014	2014	SAM HOUSTON STATE UNIVERSITY	P.O. BOX 2027	HUNTSVILLE	TX	77341	WALKER	USA	Child Health and Human Development Extramural Research	000	1	4/21/2014	NEW	$77,577
														Subtotal = $77,577

Grand Total All Awards = $152,804

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Treatment of Displaced, Low Income Children with Chronic Conditions

Award Number: R03HD079758

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/01/2014

PERIOD OF PERFORMANCE END DATE: 09/30/2017

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer