Potential Analyses with Homelessness Data: Ideas for Policymakers and Researchers Report to the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and Health Resources and Services Administration (HRSA) U.S. Department of Health and Human Services (HHS) Winter 2009 Prepared by: Michelle Wood and Jill Khadduri Abt A
Housing Status Assessment Guide for State TANF and Medicaid Programs Report to the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and Health Resources and Services Administration (HRSA) U.S. Department of Health and Human Services (HHS) Winter 2009 Prepared by: Tom Albanese, Michelle Wood, and Brooke Spellman A
Homelessness Data in Health and Human Services Mainstream Programs Final Report Winter 2009 Prepared for: Office of Human Services Policy Office of the Assistant Secretary for Planning and Evaluation Health Resources and Services Administration U.S. Department of Health and Human Services Prepared by: Michelle Wood, Lauren Dunton,
Adler, Michele, Robert Clark, Theresa DeMaio, Louisa Miller, and Arlene Saluter. Collecting Information on Disability in the 2000 Census: An Example of Interagency Cooperation. Social Security Bulletin, vol. 62, no. 4, 1999, pp. 21-30.
Assessing the Need for a National Disability Survey: Final Report. C. Limitations of Existing Data on Disability
Although extensive information pertaining to disability is collected through national surveys and program administrative data, the existing sources of data on disability have a number of shortcomings that limit their usefulness. Gaps and limitations of available disability-related data were identified by the staff of the state and federal agencies
This is the final report of a project that assesses the need for developing and fielding another national disability survey data collection effort. It presents the findings from three principal project activities designed to assess whether existing data are sufficient to answer key disability-related research questions identified by the staffs of
Baumohl, J., J.A. Swartz, and R.D. Muck (eds.). 2003. The multi-site study of the termination of Supplemental Security Income benefits for drug addicts and alcoholics. Contemporary Drug Problems , 30(1-2): 1-537.
SSI is extremely important for chronically homeless people now and will continue to be so even after the vast majority of chronically and other homeless people become eligible for Medicaid in 2014. SSI provides income that lets people contribute to rent, thereby greatly increasing the odds that they will become stably housed.
It sometimes takes a lawyer to move a chronically homeless persons SSI application through to approval. Advocacy organizations such as Health and Disability Advocates (HDA) in Chicago take on the more complicated SSI application cases, often involving appeals and hearings. Even organizations that routinely help clients with their initial applica
Establishing Eligibility for SSI for Chronically Homeless People. 3.1. Case Worker Training and Specialization
Staff of homeless assistance agencies who work with chronically homeless people are often expected to help them apply for SSI. Without special training, such staff may be only slightly more successful than homeless people themselves in completing an application that SSA will approve on initial submission. Case workers need to know precisely wha
Homeless people have two compelling reasons to seek enrollment in Supplemental Security Income (SSI): (1) obtaining a reliable income source that will help them afford housing; and (2) increasing their access to appropriate health care through "categorical" eligibility for Medicaid for people who participate in SSI. 1 Housing and health care pr
Establishing Eligibility for SSI for Chronically Homeless People. The Study's First Phase: Literature Synthesis, Environmental Scan, and Site Visits
The chronically homeless people on whom this study focuses have multiple, complex, and interacting physical and behavioral health conditions. Achieving the best results for these clients and the public institutions and systems from which they get care requires effective engagement, service delivery, and care coordination. To understand how this ca
In 2014, most homeless people will become Medicaid-eligible under the Affordable Care Act (ACA) of 2010 based on their low incomes. Many homeless people have complex physical and behavioral health conditions for which they seek care through frequent use of emergency rooms and inpatient hospitalization, at considerable cost in public resources.
This Issue Paper describes innovative approaches to establishing SSI eligibility. [33 PDF pages]
Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. Notes
Some homeless persons with a qualifying mental illness may not be enrolled in Medicaid but they are likely to be eligible for Medicaid enrollment. Providers of services in PSH can usually assist these people to establish eligibility for Medicaid benefits, so our description of these three groups assumes that these people will be included in G
Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. References
Buchanan, D.R., K. Romina, L.S. Sadowski, and D. Garcia. 2009. The health impact of supportive housing for HIV positive homeless patients: A randomized controlled trial. American Journal of Public Health , 99:6. Burt, M.R. 2009. Widening Effects of the Corporation for Supportive Housings System-Change Efforts in Los Angeles, 2005-2008: Hilt
Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. 7. Segue to the Remaining Papers
This paper provides an overview of the types of chronically homeless people who may benefit from PSH and the types of care they are likely to need and receive while PSH tenants. It has not delved deeply into the details of Medicaid reimbursement for covered services, nor has it focused at all on the strategies that have been developed to facilitat
Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. 6.2. Service Structures and Agencies Uniquely Focused on People in Group 3
Frequent reference has been made throughout this paper to specialized mental health services. These may include a variety of service structures that serve or focus on chronically homeless people with SMI, including assertive community treatment (ACT) teams, structures in which a mental health agency is in the lead, and structures that integrat
Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. 6. Group 3: Eligible for Specialized MENTAL/BEHAVIORAL Health Services Under Medicaid
The condition known as serious mental illness differentiates Group 3 from Groups 1 and 2. SMI usually involves a diagnosis of psychosis or major affective disorder and duration of at least a year, either already experienced or anticipated. Along with these two elements, the condition must create substantial disability , meaning that it si
Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. 5.2. What Agencies Are Most Likely to Serve People in Group 2?
The agencies that provide PSH for the chronically homeless people in Group 2 usually are not themselves qualified as Medicaid providers. Rather, their tenants in Group 2 are most likely to receive Medicaid-reimbursed services through a FQHC--an HCH program or CHC--that partners with a housing provider. FQHC providers receive Medicaid reimbursement