Social IMPACT Research Center Publications

The Social IMPACT Research Center has an extensive portfolio of needs assessment and evaluation research on issues facing poor and low-income populations. Our user-friendly work equips nonprofits, foundations, and governments to advance real-world solutions to poverty.
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Poverty, Income & Health Insurance Update: Illinois and Chicago Region

September 17, 2020

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.

Healthcare; Poverty

Illinois and Chicago Region: Poverty, Income and Health Insurance (Fact Sheet)

September 13, 2018

Millions of people in Illinois experience poverty or are living on the brink. That societal position keeps opportunities out of reach and nearly guarantees worse outcomes in every quality of life domain—making ALL of us worse off.This fact sheet on poverty, income, and health insurance coverage in Illinois and the Chicago region, was created using the Census Bureau's release of local American Community Survey data.The poverty rate for the United States was 12.3% in 2017. There were 39.7 million people in poverty nationwide. The poverty rate is not significantly different from the pre-recession level of 12.5% in 2007. In 2017, 1.6 million Illinoisans were in poverty ─ a rate of 12.6%. Additionally, 2.0 million Illinoisans are near poor and economically insecure with incomes between 100% and 199% of the federal poverty threshold.


Integrated Care in a Fast- Changing and Slow-Moving Environment: A Mixed-Methods Evaluation of the Health Neighborhood Project

July 23, 2020

Health Neighborhood, a pilot project within Heartland Alliance Health (HAH), intended to create a population-based approach of improving integrated care among people with experiences of homelessness, who were housed in permanent supportive housing (PSH). The program was built on through intensive partnerships between HAH and five Permanent Supportive Housing (PSH) providers: Chicago House, North Side Housing and Supportive Services, Deborah's Place, Housing Opportunities for Women, and Heartland Human Care Services (HHCS). The program was implemented from 2016 – 2019, and served 46 participants.

Healthcare; Poverty; Safety Net & Human Services

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

January 14, 2020

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.

Healthcare; Poverty

Factsheet: Poverty in Illinois

September 18, 2014

This factsheet provides a snapshot of the most recent census data on poverty, extreme poverty, low-income rates, child poverty, health insurance coverage, and median household income for Illinois, Chicago, and the 6-County region with and without Chicago.

Healthcare; Poverty

2011 SNAPSHOT: Income, Poverty, and Health Insurance Coverage

September 13, 2012

Newly released data from the U.S. Census Bureau's Current Population Survey (CPS) present a startling picture of poverty in the nation and the Midwest: millions of individuals and families face persistent challenges in their struggles to gain a foothold on the path to economic recovery. Yet, these near unprecedented poverty levels are not simply the result of the recession and a sluggish recovery. Poverty was on the rise before the recession began as broader shifts in wages, job quality, workforce preparation, inequality, and harmful cuts to the safety net disproportionately impacted people at the lower end of the income spectrum.

Healthcare; Poverty

Summary of the U.S. Census Bureau's Income, Poverty, and Health Insurance in the United States: 2010 Report

September 13, 2011

The year 2010 was the first full calendar year after the end of the Great Recession, which lasted from December 2007 to June 2009. Estimates of poverty, income, and health insurance from the Current Population Survey shine a spotlight on how Americans are fairing post-recession. The findings reveal a nation struggling with prolonged job loss, as evidenced by increasing poverty, declining incomes, and loss of employer-sponsored health insurance.

Healthcare; Poverty

Uninsured by Illinois County, 2005 and 2006

August 4, 2009

Social IMPACT Research Center's analysis of the Small Area Health Insurance Estimates


Building on our Success: Moving from Health Care Coverage to Improved Access and Comprehensive Well-Being for Illinois Children and Youth

September 17, 2007

Building on our Success, a new report released by the Mid-America Institute on Poverty of Heartland Alliance, focuses on children's health in Illinois and documents the barriers in Illinois to achieving a healthy life in the areas of physical, mental and oral health, as well as nutrition issues and insurance coverage, and makes recommendations for improving well-being for children and youth.While Illinois has been a leader in expanding health insurance coverage for children, for many low-income families there is a gap between having insurance and accessing the comprehensive care children need to become and stay healthy. There are significant gaps in Illinois' health care and nutritional systems that leave many children and youth vulnerable to adverse health outcomes.


Opening Doors: Adapting Housing and Substance Abuse Services to Meet the Needs of HIV/AIDS Impacted Persons

May 1, 2000

The presenters and attendees of the Opening Doors conference worked to develop a series of change priorities that can be used by people in their individual leadership roles and also as a platform that will be forwarded to a wide array of policy makers and policy entities to educate them about ways to better serve people who are impacted by HIV/AIDS, people who are homeless and substance users. This forum was used to identify service gaps and barriers as well as illuminate innovative models that are helping attain stability in housing and health.

Healthcare; Housing & Homelessness

Finding the Fit: A Review of Three Intervention Models for Working with HIV/AIDS Impacted Substance Users who are Homeless

February 1, 1999

This report reflects research on three different models of services for people living with Human Immunodeficiency Virus (HIV) or Acquired Immunodeficiency Syndrome (AIDS) who are also low-income, substance users and are homeless or at risk of becoming homeless. This review of intervention modalities is intended to document what is being done in Chicago to serve this population, illuminate what is known about outcomes for those receiving services and suggest areas for further investigation.

Healthcare; Housing & Homelessness

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