Evaluating Outcomes in Supportive Housing
Learn about the outcomes of Permanent Supportive Housing (PSH) interventions and the cost-saving benefits. This study discusses the background, study design, data collection tools, data sharing agreements, and institutional review board approval for evaluating the effectiveness of PSH. It also provides an interim report on the progress of participants enrolled in the study.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Evaluating Outcomes in Permanent Supportive Housing The Solution That Saves Presenters: Micheal Cochran; MPH, Dax Martin Weaver, MPH; Sharon T. Wilburn, PhD, LMHC
The Solution That Saves Background There is a large body of evidence that supports the premise that Permanent Supportive Housing (PSH) can provide substantial cost savings to publicly funded systems of care. Introduction Ability Housing was the recipient of a special appropriation of funding through the Florida Housing Finance Corporation to fund one of three pilot sites to demonstrate the effectiveness of providing PSH to high utilizers of crisis services who are experiencing housing instability.
Study Design Single-group pre/post intervention with placement into (PSH) as the intervention. Study participants were selected using the Northeast Florida Continuum of Care Coordinated Entry System VI SPDAT Modification of VI SPDAT for High Utilizers Target of 90 study enrollees (43 single site and 47 scattered site)
Data Collection Tools MINI International Neuropsychiatric Interview (M.I.N.I.) Ferrans and Powers Quality of Life Index (QLI) Demographic data collected via data fields in the Homeless Management and Information System (HMIS) Cost Benefit Data collected through Data Sharing Agreements
Data Sharing Agreements Agency for Health Care Administration Baptist Health Emergency Services & Homeless Coalition of Northeast Florida Gateway Community Services Jacksonville Fire and Rescue Jacksonville Sheriff s Office LSF Health Systems Memorial Health Renaissance Behavioral Health Systems River Region Human Services St. Vincent s Health System Sulzbacher Center FQHC UF Health
Institutional Review Board (IRB) Approval Jacksonville University
Interim Report While ninety-one individuals have been enrolled in the study, only 58 of those have been in PSH for at least 12 months as of October 31, 2016 (the cutoff date for data collection purposes for the interim one-year report).
Demographics Variable Year 1 (n=58) n % Gender Female Male Race African-American/Black Caucasian/White Ethnicity Non-Hispanic/Latino Hispanic/Latino Age 19-39 40-49 50-64 Level of Education Up to 11th Grade High School Diploma GED Some College No information Disability Yes No 31 27 53% 47% 31 27 53% 47% 57 1 98% 2% 13 16 28 22% 28% 48% 13 13 4 2 26 22% 22% 7% 3% 45% 57 1 98% 2%
Ferrans and Powers Quality of Life Mean Score Change Pre to Post QOL Domain Pretest Post-Test Mean Change 11.28 6.82 18.10 Socioeconomic Psychological/Spiritual Health Family Overall 9.97 20.50 10.53 21.41 18.18 -3.23 27.67 19.28 -8.39 9.82 18.87 9.05
Hospital Costs Among the 58 participants, overall hospital costs fell from $4,011,184 before move-in to permanent supportive housing to $1,471,374 after move-in, a 63% reduction in costs. Emergency room costs fell from $822,193 during the year before housing to $264,828 during the first year of housing. In-patient costs fell from $2,596,615 to $1,032,567. Out-patient costs fell from $592,376 to $173,980.
Hospital Utilization 250 202 200 Number of Visits 150 100 72 55 52 46 50 22 0 ER Inpatient OutPatient Pre-Housing Post-Housing Hospital Visits Pre Hospital Visits Pre- - and Post and Post- - Housing Housing
Arrest Costs Pre and Post Housing JSO Cost for Arrest JSO Cost for Jail $90,000 $83,340.18 $80,000 $70,000 $60,000 $50,000 $40,000 $32,708 $30,000 $20,000 $8,718.85 $10,000 $7,072 $0 Pre Housing Post Housing
Contact Information Michael Cochran mcochran@abilityhousing.org Sharon Wilburn swilbur@ju.edu Dax Weaver Health-Tech Consultants, Inc. htci@comcast.net
