The Solution That Saves 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 31 53% Male 27   n % Gender Female 31 53% Male 27 47% Race African-American/Black Caucasian/White Ethnicity Non-Hispanic/Latino 57 98% Hispanic/Latino 1 2% Age 19-39 13 22% 40-49 16 28% 50-64 28 48% Level of Education Up to 11th Grade High School Diploma GED 4 7% Some College 2 3% No information 26 45% Disability Yes No

Ferrans and Powers Quality of Life Mean Score Change Pre to Post QOL Domain Pretest Post-Test Mean Change Socioeconomic 6.82 18.10 11.28 Psychological/Spiritual 9.97 20.50 10.53 Health 21.41 18.18 -3.23 Family 27.67 19.28 -8.39 Overall 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 Visits Pre- and Post- Housing Hospital Utilization Hospital Visits Pre- and Post- Housing

Arrest Costs Pre and Post Housing

Contact Information Michael Cochran mcochran@abilityhousing.org Sharon Wilburn swilbur@ju.edu Dax Weaver Health-Tech Consultants, Inc. htci@comcast.net