utilization of section 8 housing by adults with serious mental illness in vermont, connecticut,...

Utilization of Section 8 Housing

By Adults withSerious Mental Illness

In Vermont, Connecticut, Kentucky and Delaware

The Bristol Observatory&

The Vermont Mental Health Performance Indicator Project

Section 8 Housing

Housing Choice Voucher

Low Income, Elderly, Disabled

Federal $$ to Local Organizations

NOMs

National Outcomes Measures

Ten MH/SA Indicators

Including:

“Increased Stability in Housing”

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

Male Female

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

Male Female

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

Male Female

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

VT CT KY DE

Male Female

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

25%

VT CT KY DE

SMI Section 8 Utilization Rates

0%

5%

10%

15%

20%

25%

VT CT KY DE

18-34 35-49 50-64 65+

Data

Mental HealthFull Date of Birth and Gender

State and County CodeSMI Indicator

Section 8Full Date of Birth and Gender

State and County Code

TOTAL 77,271 + 291 36,945 + 47

Vermont 6,036 + 22 3,122 + 10

Connecticut 34,478 + 172 2,896 + 12

Kentucky 32,686 ± 112 27,918 ± 42

Delaware 4,071 + 33 3,010 ± 16

Subjects

SMI

# with# in

Section 8 Housing

PROBABILISTIC

POPULATION

ESTIMATION

Probabilistic Population Estimation

(PPE)

HIPPA Compliant

Limited Data Set

Full Date of Birth and Gender

l

ijj ilP

1 365

365

Probabilistic Population Estimatesfor Specified Numbers of Birth Dates Within a Given Year

Number of People

1.003 .10310.15 .776

117 9290 22632 64

1177 1711603 325

Birth Dates

110100200300350360

Caseload Overlap

( A B ) = A + B - ( A B )

Regional Variation

Section 8 HousingUtilization RatesPercent of SMI

< 10% 10% - 15%

15% - 20% 20%+

DELAWARE

Percent of Adults served by CMHC

in Section 8 Housing

< 1.0%1.0 to 3.0%3.0 to 10.0%10.0 to 20.0%> 20.0%

KENTUCKY

Percent of Adults with SMI

in Section 8 Housing

Madison

Allen

Ballard

Bracken

Caldwell

Carlisle

Carroll

Fleming

Fulton

Gallatin

Henry

Hickman

Lee

Leslie

Lewis

Martin

Mason

Metcalfe

Nicholas

Owen

Owsley

Robertson

Rockcastle

Simpson

Spencer

ToddTrigg

Trimble

Webster

MccrearyMonroe

Letcher

Marshall

MuhlenbergHart

ButlerClay

Knott

Grayson

Garrard

McleanOhio

WayneLogan

Calloway

Marion

Livingston

Lincoln

RowanBath

Casey

WolfeMagoffin

Crittenden

Meade

Johnson

Hopkins

Shelby

Cumberland

Laurel

Grant

Estill

ClintonBell

Menifee

Larue

Hancock

Lyon

HardinUnion

Floyd

Montgomery

Nelson

Perry

Jackson

Powell

Edmonson

LawrenceAnderson

Harlan

Graves

Morgan

Mercer

PikeBreathitt

Adair Pulaski

Mccracken

Harrison

Woodford

Russell

Bullitt

Carter

Boyle

Elliott

Oldham

Pendleton

Barren

WashingtonDaviess

Green

Knox

Warren

Taylor

Breckinridge

Kenton

Greenup

Christian

Boyd

Whitley

Fayette

Jefferson

Scott

Henderson

Clark

Jessamine

Franklin Bourbon

Campbell

Boone

< 1.0%1.0 to 3.0%3.0 to 10.0%10.0 to 20.0%> 20.0%

Adult Mental Health Service Recipients Living in Section 8 Housing

0%

5%

10%

15%

20%

25%

Adult Mental Health Service Recipients Living in Section 8 Housing

0%

5%

10%

15%

20%

25%

Kentucky Vermont Delaware Connecticut

Ending Participation in Section 8

During 12/20/04 through 5/02/05

In Vermont

“Increased Stability

in Housing”

Ending Participation in Section 8Between 12-20-04 and 05-02-05

0%

5%

10%

15%

20%

25%

Total Male Female 18-34 35-49 50-64 65+

Adult General Population Adults With SMI

Ending Participation in Section 8Between 12-20-04 and 05-02-05

0%

5%

10%

15%

20%

25%

Total Male Female 18-34 35-49 50-64 65+

Adult General Population Adults With SMI

Ending Participation in Section 8Between 12-20-04 and 05-02-05

0%

5%

10%

15%

20%

25%

Total Male Female 18-34 35-49 50-64 65+

Adult General Population Adults With SMI

Other Residential Situations

Former State Hospital Patients

In Vermont

Discharged during CY2004

Residence in May 2005

Residential SituationIndividuals Discharged from VSH

0%

25%

50%

75%

Total Male Female M F M F M F

Nursing Home

CMHC Resid.

Inpatient

Incarcerated

Section 8

Gender 18-34 35-49 50+

Residential SituationIndividuals Discharged from VSH

0%

25%

50%

75%

Total Male Female M F M F M F

Nursing Home

CMHC Resid.

Inpatient

Incarcerated

Section 8

Gender 18-34 35-49 50+

Residential SituationIndividuals Discharged from VSH

0%

25%

50%

75%

Total Male Female M F M F M F

Nursing Home

CMHC Resid.

Inpatient

Incarcerated

Section 8

Gender 18-34 35-49 50+

Residential SituationIndividuals Discharged from VSH

0%

25%

50%

75%

Total Male Female M F M F M F

Nursing Home

CMHC Resid.

Inpatient

Incarcerated

Section 8

Gender 18-34 35-49 50+

Next Questions

• Longer-term Follow-up

• Other Regions

• Substance Abuse Clients

• Other Clinical Categories

• Community Characteristics

Discussion

• Administrative Data for NOMs?– Employment– School Participation– Criminal Justice Involvement– Stable Living Situation– Decreased Hospitalization– Access to Services– Cost Effectiveness

The Bristol ObservatorySteven Banks and Karen Danyow

Vermont Mental Health Performance Indicator ProjectJohn Pandiani, Joan Mongeon and Olivia Hunter

Connecticut DMHSAS: Al Bidorini

Delaware DAAMH: Maurice Tippitt

Kentucky DMHMR: Lou Kurtz

Housing and Urban Development: Bob Harmon

Special thanks to the consumers, service providers, and database managers for producing and maintaining the data used in these analyses.

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DATA