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