Stephen W. Hwang

Contact via St. Michael's Hospital

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Projets de recherche récents

Improving Mental Health Care for High Risk and Disadvantaged Populations: Evidence to Inform Policy and Practice

2015/16-2020/21 • $1,283,311 • PI,Other
The public health impact of mental health and addictions (MHA) problems is profound. In Ontario alone, the burden of MHA, measured in health-adjusted life years, is 1.5 times higher than all cancers combined, with less than a third of people experiencing MHA problems accessing appropriate...

CLEAN Meds RCT: Carefully seLected and Easily Accessible at No charge Medications

2016/17-2019/20 • $1,065,001 • PI,CO,Other
Canada is the only developed country where people access healthcare services care by doctors for free but more than half of medications are paid for out-of-pocket. We are measuring the effects of providing adult family practice patients with free and convenient access to a carefully selected set...

Betting on housing: women, problem gambling and homelessness

2016/17-2019/20 • $190,406 • PI,CO
Women are at greater risk for economic disadvantage making them vulnerable to homelessness[1-4] while precarious social and financial situations propagate their marginalization and vulnerability to problem gambling[5]. Researchers[6-8] have identified a relationship between problem gambling,...

Women, Victimization, and Homelessness: Towards a conceptual model to advance trauma- and violence-informed research, policy and practice

2018/19-2019/20 • $68,850 • PI,CO
Despite several decades of research documenting the scope and impacts of violence against women in the general population and internationally, the victimization of women who are homeless has received comparatively less attention. This is important given women are one of the fastest growing...

A Randomized Controlled Trial of Housing First for Homeless People with Mental Illness: Long-term Outcomes

2013/14-2018/19 • $1,984,383 • PI,CO
Homeless people with mental illness suffer from very poor health and many unmet health care needs. The Housing First model is an intervention that addresses the needs of this population by providing immediate access to subsidized housing in conjunction with supports. Although several studies of...

Does receiving subsidized housing improve adult mental health? GTA West Housing and Health Study Renewal

2014/15-2018/19 • $995,877 • PI,CO
Over 200,000 low socio-economic households live in subsidized housing in the western part of Greater Toronto Area, comprising the Regions of Peel and Halton and the Cities of Hamilton and Toronto. Given that subsidized housing (modestly) increases the disposable income of these households and...

Our Health Counts Toronto: Developing a Population Based Urban Aboriginal Cohort to Assess and Enhance Individual, Family, and Community Health and Wellbeing

2013/14-2017/18 • $1,116,206 • PI,CO,Other
Over half of the Aboriginal people in Canada now live in cities. The number of Aboriginal people living in cities is growing rapidly. We don't have good systems in place to understand the specific health needs of Aboriginal people living in cities. This is a big problem for planners and health...

Examining the interplay between victimization, justice involvement and housing among homeless mentally ill men and women: A longitudinal study

2014/15-2015/16 • $193,870 • PI,CO
Approximately 30,000 Canadians are homeless every night in Canada, costing the economy ~$7 billion annually. It is also estimated that as many as 67% of homeless adults in Canada have a mental illness. Homeless mentally ill adults are more likely to come into contact with the criminal justice...

Mortality of people incarcerated in provincial facilities in Ontario: A 15 year retrospective cohort study

2013/14-2015/16 • $165,000 • Scholarship/Fellowship,Other
Internationally, people who are incarcerated tend to have poorer health than the general population, however, little is known about the health status of this population in Canada. Knowledge of the burden of disease of this population would make it possible to prioritize areas for intervention...

CIHR Team in Traumatic Brain Injury and Violence

2010/11-2014/15 • $1,887,348 • PI,CO
Traumatic Brain Injury (TBI) accounts for 50% or more of all trauma deaths, and an estimated 2% of the population live with lifelong disabilities resulting from TBI. There appears to be a direct link between TBI and violence, which itself is a major issue for Canadians. The goal of the research...

The CIHR ACHIEVE Research Partnership: Action for Health Equity Interventions

2010/11-2014/15 • $1,675,000 • PI,CO
The ACHIEVE Research Partnership will be Canada's first praxis-oriented, engaged research immersion program aimed to advance use of research evidence for effective and sustainable inner city health interventions. ACHIEVE will mentor highly-trained health researchers to collaborate across...

The effectiveness of a brief intervention on improving health outcomes for homeless people with unmet health needs.

2012/13-2014/15 • $343,130 • PI,CO,Other
Homelessness rates in Canada have increased dramatically over the last 20 years. Homeless people have high rates of mental and physical illness, substance use and a higher mortality rate than those who have housing. In the absence of appropriate community-based services, homeless people rely on...

Increasing Access to Mental Health Services for Street-Involved Youth: The Effectiveness of a Theory-based Multi-component Resilience and Motivational Intervention

2012/13-2014/15 • $217,140 • PI,CO,Other
Street-involved or homeless youth are subject to dramatic health inequities; specifically they are at increased risk for suicide attempts, substance abuse, injection drug use, survival sex, as well as a wide range of health concerns compared to housed youth of a similar age. Despite this...

Effects of the Regent Park Housing Redevelopment on Mental Health: Medium-Term Effects of a Population Health Intervention

2014/15 • $148,878 • PI,CO
Built over 50 years ago, Regent Park is one of the oldest and largest public housing developments in Canada. It has come to be known for its deteriorating buildings, poorly planned public spaces and its concentration of poverty, violence, drug use, and poor health and educational outcomes. Since...

Understanding the Landscape of Mental Health: Engaging Youth in an Interactive World Café

2014/15 • $12,500 • PI,CO
The purpose of this project is to engage youth to collaboratively determine priorities for future research focused on improving mental health in youth who experience housing instability. To do this, we will conduct an environmental scan of services for youth experiencing housing instability and...

Defining Gender-Specific Health Research Priorities for Youth Facing Homelessness.

2014/15 • $10,000 • PI,CO
The purpose of this project is to identify gender informed research priorities for homeless youth, emerging issues, social and health needs, and gaps for youth facing homelessness and other concomitant social and health issues (e.g., criminal behavior, mental illness, addiction). This...

Advancing the Health and Housing in Transition (HHiT) Study: An extended four-year follow-up of the health of homeless and vulnerably housed adults in three Canadian cities

2012/13-2013/14 • $1,111,929 • PI,CO
This prospective cohort study builds upon our ambitious ongoing research study entitled The Health and Housing in Transition (HHiT) study, which received a four-year CIHR Operating Grant in 2008. The HHiT study is a prospective cohort study that is tracking the health and housing status of a...

Picturing foster care: A photo voice evaluation of three different fostering models and their implications for perinatal care provision

2011/12-2013/14 • $257,496 • PI,CO
This study focuses on the health and social service needs of some of the most vulnerable members of Canadian society: young parents living in extreme poverty (either homeless or marginally housed) and their children. The delivery of perinatal care to such young parents is complex, with many...

Defining priorities and creating a network for prisoner health research in Canada

2013/14 • $24,890 • PI,CO
We plan to use this funding to define the state of prisoner health research in Canada, identify priorities for prisoner health research in Canada, and assemble research teams to develop initial programs of research in three priority areas. Outcomes will be syntheses of what is known about...

Effects of social housing on adult and child mental health: A prospective study in the GTA west

2010/11-2012/13 • $653,301 • PI,CO
This study seeks to investigate the effects of moving into rent-geared-to-income (RGI) social housing on the mental health of adults (aged 18-64) and children (aged 3-10) in the Regions of Peel and Halton and the City of Hamilton. Those receiving social housing are low-income households paying a...

The Health and Housing in Transition (HHiT) Study: A Longitudinal Study of the Health of Homeless and Vulnerably Housed Adults in Vancouver, Toronto, and Ottawa

2010/11-2011/12 • $806,910 • PI,CO
Housing is a key social determinant of health that contributes to the well-documented relationship between socioeconomic status and health. Because housing is a dynamic state over time, disadvantaged individuals move back and forth along the spectrum from homelessness to vulnerable housing. The...

Enhancement of Transitional Housing Programmes for Street-involved Youth through the Application of Dialectical Behaviour Therapy to Strengthen Resilience

2010/11-2011/12 • $202,301 • PI,CO,Other
The profound level of mental health problems, such as depression, anxiety, self-harm and suicidality among street-involved youth has been well-documented in previous studies.The rate of suicide for street youth is at least 10.3 times the national average among Canadian youth. Yet, despite the...

Population Health Interventions to End Homelessness

2011/12 • $200,000 • PI,CO
Homelessness is an ongoing crisis in our society. Homelessness and the lack of adequate, affordable housing worsen pre-existing physical and mental health problems and contribute to the onset of new illnesses. Research on homelessness has tended to focus on interventions to house and improve the...

Positive Spaces, Healthy Places - Phase IV: Monitoring and Evaluation to Understand the Health Effects of Housing Status in HIV/AIDS

2010/11-2011/12 • $200,000 • PI,CO
The knowledge gained from recent HIV, housing and health research initiatives has the potential to change the housing landscape for people living with HIV and AIDS (and communities at risk), and improve their health and reduce the risk of HIV transmission. Positive Spaces, Healthy Places, funded...

Effects of the Regent Park Housing Redevelopment on Mental Health and Healthy Child Development

2010/11-2011/12 • $149,858 • PI,CO
Built 50 years ago, Regent Park is one of the oldest and largest concentrated public housing communities in Canada. Currently, a portion of the community is being demolished and re-built, and tenants are living in temporary housing. The redevelopment will replace about 70% of the existing aging...

Clarifying the link between traumatic brain injury and homelessness: a planning workshop

2011/12 • $24,837 • PI,CO
Homelessness and poverty are among the most important social problems in Canada today. Recent studies have shown that over half of homeless people have had a traumatic brain injury during their lifetime. Experiencing a traumatic brain injury can leave a person with long-term physical, emotional...

A Resilience-based Intervention to Promote Engagement and Reduce Risk in Street-involved Youth

2011/12 • $24,800 • PI,CO,Other
Challenges associated with entering and exiting life on the street are inextricably linked to mental health. By far the largest barrier to improving the circumstances of street-involved youth is the profound difficulty of engaging these youth in helping relationships and services. Our objective...

Interdisciplinary capacity enhancement grant in homelessness, housing, and health

2010/11 • $219,874 • PI,CO
Housing is a basic human need and an important determinant of population health. Although much of the literature on the relationship between housing and health has viewed the home as a potential site of harmful physical exposures, an emerging stream of research has begun to highlight the...

Responding to H1N1 in the context of homelessness in Canada

2010/11 • $99,975 • PI,CO
Our research addresses the key responses to the H1N1 pandemic in the context of the homelessness crisis in Canada. This project will build upon our current CIHR funded research on pandemic planning and homelessness through enabling us to conduct an intensive case study of pandemic responses in...

Understanding Pandemic Preparedness in the Context of the Canadian Homelessness Crisis

2010/11 • $33,333 • PI,CO
As homelessness in Canada continues, it is essential to ask what impact an influenza pandemic might have on the homeless population and urban communities across the country. More than 250,000 individuals use homeless shelters annually across Canada. In the event of a pandemic, it is not clear...

"Knowledge for Urban Intersectoral Action for Health": A Population Health Interventions Research Program to Advance Health Equity in Cities

2010/11 • $15,000 • PI,CO
Many of the worst health inequities in Canada are experienced by people living in inner cities. This Research Program will increase our knowledge about the best ways to coordinate services and policies from outside of the health care system in order to address inner city health inequities....

Population Health Interventions to Reduce Homelessness and Improve Health: Policies, Programs, and Knowledge Translation

2010/11 • $15,000 • PI,CO
Over the course of one year, an estimated 150,000 to 300,000 people experience homelessness across Canada. Homeless people are among the most marginalized groups in society, and they suffer from many serious threats to their health. The objective of this Programmatic Research Grant is to conduct...

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