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Report
Medication-assisted Treatment for Opioid Use Disorder in Rhode Island: Who Gets Treatment, and Does Treatment Improve Health Outcomes?
Since the early 2000s Rhode Island has been among the states hardest hit by the opioid crisis. In response, the state has made it a priority to expand access to medication-assisted treatment (MAT) for opioid use disorder (OUD), which refers to the use of the FDA-approved medications methadone, buprenorphine, and/or naltrexone in conjunction with behavioral therapy. MAT is strongly supported by scientific evidence and endorsed by US public health officials and yet fails to reach many OUD patients. Using administrative data covering medical treatments and selected health outcomes for more than ...
Report
Reforming Connecticut’s Education Aid Formula to Achieve Equity and Adequacy across School Districts
Connecticut’s public K–12 education system relies heavily on local funding, resulting in substantial disparities between affluent districts and low-income districts with a large proportion of socioeconomically disadvantaged students whoare more costly to educate. Despite recent improvements, the existing state aid formula has been criticized for failing to provide sufficient funding to districts with the fewest resources and the highest education costs. To help improve state aiddistribution, this report estimates a “cost-capacity gap,” which measures the difference between a ...
Briefing
Impact of the COVID-19 Pandemic on New England Homeowners and Renters
Job losses and likely layoffs related to the COVID-19 pandemic will put many New England residents at risk of not being able to pay their mortgage or rent and needing financial assistance and state-government safeguards to remain in their homes. Economic interventions from Congress, primarily through the federal CARES Act, include direct payments to households and increased unemployment insurance benefits that are expected to provide vital support to many of these households for the next three to four months. Even with these efforts, 2 to 3 percent of New England homeowners and 9 to 13 ...
Briefing
Rental Affordability and COVID-19 in Rural New England
Although a shortage of affordable rental housing is often framed as an urban-area issue, rural communities also suffer from this problem. On average, rural and urban renters spend similar shares of their income on rent and have comparable rates of housing-cost burden. Years of slow income growth and skyrocketing rents, particularly during the 2000–2010 period, have eroded slack in household budgets that may have gone toward other expenses or toward savings. The coronavirus pandemic likely has exacerbated affordability problems by putting many rural residents out of work. The share of jobs ...
Briefing
Aging and declining populations in northern New England: is there a role for immigration?
In hundreds of communities across northern New England, the population is aging rapidly and becoming smaller. The entire country is aging, but northern New England stands out: Among the populations of all US states, those of Maine, New Hampshire, and Vermont have the top-three highest median ages, respectively. The situation is even more extreme in northern New England?s rural counties, where the populations of the smallest towns generally are substantially older than those of the rest of the region. These communities also have seen the slowest, or even negative, population growth over the ...
Briefing
Recent Trends in Residential Segregation in New England
Residential segregation in Boston has drawn considerable attention in recent years, but much less notice has been given to the issue with respect to the rest of New England. This regional brief focuses on residential segregation between all minority groups and non-Hispanic white residents in metro areas throughout the region. New England’s population is predominately non-Hispanic white; however, the region has diversified considerably since 1990, as most of the population growth has occurred among minority groups. Residential segregation by race/ethnicity declined over that same period in ...
Report
The growing shortage of affordable housing for the extremely low income in Massachusetts
This report identifies ways that the state?s policymakers and housing agencies and providers can more efficiently use limited resources to address the affordable housing needs of extremely low-income households. The first is to prioritize rental assistance in areas of the state where rents are low and the inventory of market-supplied housing is high. Doing so will take advantage of local market conditions that are favorable to rental-assistance subsidies while addressing these areas? high rates of rent burden. Tax-credit and other supply-oriented subsidies can be targeted more heavily to ...
Report
Exploring causes of and responses to the opioid epidemic in New England
The opioid epidemic remains rampant in New England, where, from 2015 through 2017, more than 10,000 people died from opioid overdoses. In 2017, each of the six states experienced an overdose-death rate that was greater than the national average. Beyond causing a high number of deaths, the opioid epidemic is costing New England productive workers. People with the most severe problems stemming from opioid-use disorder tend to be in the 25?44 age group, but no one is immune. The epidemic affects people of every type?all ages and all races, men and women, residents of rural areas and of urban ...
Report
Measuring Disparities in Cost and Spending across Connecticut School Districts
Despite multiple court cases and repeated efforts at reform, there are still significant concerns about the equity and the adequacy in Connecticut’s public K–12 education funding. One vital component of any attempt to reform education finance is a methodologically rigorous evaluation of what it would cost school districts across the state to achieve target performance standards given their student characteristics. This report addresses that need, evaluating the equity and the adequacy of school spending in Connecticut based on education costs. Different from actual school expenditure, a ...
Report
The Effects of Weather on Massachusetts Municipal Expenditures: Implications of Climate Change for Local Governments in New England
In New England, municipal governments provide a variety of public services that are vital to residents and businesses, such as public works, police and fire services, and general government administration. However, the region and its local governments face an increasing threat from climate change. As recorded by the National Oceanic and Atmospheric Administration, New England states have become hotter and wetter and have experienced an increased number of extreme precipitation events since 1900. Rising temperatures and more frequent extreme precipitation events are projected for the region ...