HUD/HHS/VA Collaborative Initiative to Help End Chronic Homelessness: Preliminary Client Outcomes Report. Changes in service use and client outcomes for all CICH clients participating in the evaluation

02/26/2007

Table 7.
Changes in service use and client outcomes for all CICH clients participating in the evaluation (N=736)

[stats as of Feb. 2006]
(Least square means from mixed regression analyses examining main effect of time, covarying for site and following baseline characteristics:  homeless greater than 1 yr. and/or homeless 4+ episodes prior to entering program;  presence of medical problem, substance abuse problem, mental health problem, and/or dual mental health & substance abuse problems;  age;  minority;  single; veteran;  and, yrs. homeless in lifetime)
  Type III test of fixed effect of time
 

bl

3-mo

6-mo

9-mo

12-mo

Num df

Den df

F

p
Service use
Primary health care
Has usual health care provider 36% 45% 48% 52% 49% 4 2221 12 ***
No. preventive procedures administered during past yr. 7.4 8.0 8.2 8.4 8.4 4 2259 12 ***
No. health behaviors discussed with doctor for those with unhealthy behaviors 3.3 3.5 3.7 3.8 3.9 4 2228 9 ***
No. OP medical visits (past 90) 2.8 3.1 2.8 2.5 2.3 4 2188 1 n.s.
Uninsured 21% 15% 12% 12% 12% 4 2170 13 ***
Mental health/SA treatment
Has primary mh/sa treater 54% 70% 69% 67% 67% 4 2132 20 ***
No. OP mh visits (past 90) 3.5 4.1 3.8 3.2 2.9 4 2195 3 *
No. OP sa visits (past 90) 5.0 4.9 3.7 2.9 3.5 4 2192 3 **
Participated in AA/NA (past 90) 39% 34% 32% 30% 30% 4 2206 5 **
Therapeutic alliance 4.5 4.5 4.5 4.4 4.4 4 1425 1 n.s.
Consumer choice scale 4.1 4.1 4.0 4.0 3.9 4 1240 3 *
Case management
Has primary case mgr 30% 33% 25% 25% 21% 4 2169 7 ***
Visited by case mgr in commun (past 90) 45% 72% 70% 71% 67% 4 2017 68 ***
Has money manager 19% 25% 26% 29% 31% 4 2279 13 ***
Any contact with landlord (past 90) 70% 73% 72% 73% 75% 4 1750 1 n.s.
Total service integration
Total no. OP health visits (all kinds) 11.2 12.1 10.4 8.6 8.8 4 2202 5 **
No. service providers 4.1 4.5 4.1 4.0 4.0 4 2161 3 *
Coordination of services scale 1.1 1.3 1.3 1.3 1.3 4 1678 14 ***
Overall svcs integration 64% 81% 81% 79% 78% 4 2121 105 ***
Client outcomes
Housing
Days housed 18 68 81 82 83 4 2127 913 ***
Housed (own place, else's place or hotel) 38% 91% 94% 94% 95% 4 1934 449 ***
Homeless 16% 2% 1% 1% 2% 4 1669 70 ***
Housing satisfaction (1-5) 4.1 4.1 4.0 4.0 4.0 4 1721 4 **
Community adjustment
Commun integration 6.8 7.1 7.3 7.2 7.3 4 2236 3 **
Knows any neighbors well 38% 67% 76% 77% 77% 4 1697 36 ***
Social support 1.4 1.4 1.4 1.3 1.3 4 2220 1 n.s.
Days in jail 1.5 0.7 0.9 1.2 0.8 4 1811 2 n.s.
QOL 4.3 4.6 4.6 4.6 4.6 4 2171 5 ***
Income/Support
Any employment (past 30) 17% 16% 14% 19% 15% 4 2201 3 *
Employment income $43 $60 $50 $73 $58 4 2225 3 *
Any public support (past 30) 70% 81% 84% 85% 83% 4 2205 20 ***
Public support income $316 $390 $454 $460 $478 4 2270 25 ***
Total income $380 $472 $523 $577 $579 4 2236 30 ***
Mental health
SF-12 mental 38.8 39.9 40.3 40.6 40.3 4 2161 5 ***
BSI 1.53 1.39 1.35 1.31 1.29 4 2267 12 ***
Obs psych behav 0.22 0.20 0.22 0.23 0.23 4 2166 1 n.s.
Satisfaction with primary treater 5.2 5.1 5.2 5.1 5.1 4 1374 1 n.s.
Substance abuse
Days intoxicated 2.1 1.6 1.7 1.8 2.1 4 2188 2 n.s.
Any drugs 38% 35% 34% 35% 38% 4 2241 2 n.s.
ASI alc 0.13 0.11 0.10 0.11 0.12 4 2238 4 **
ASI drug 0.05 0.05 0.04 0.05 0.05 4 2234 1 n.s.
Physical health
SF-12 physical 45.2 45.2 44.8 44.5 44.8 4 2224 1 n.s.
Trust in physician (1-5) 3.8 3.9 3.9 3.9 3.9 4 984 3 *
Treatment costs
Cost of medical/dental treatment $3,219 $2,500 $1,961 $1,608 $1,512 4 1977 3 *
Cost of mental health services $2,303 $1,949 $1,525 $1,037 $1,138 4 2154 4 **
Cost of substance abuse treatment $1,310 $526 $388 $576 $734 4 1891 10 ***
Total health care cost $6,832 $4,969 $3,869 $3,214 $3,376 4 2040 8 ***
Inpatient care costs $5,776 $3,904 $2,984 $2,400 $2,677 4 2038 7 ***
Outpatient care costs $1,056 $1,060 $883 $808 $698 4 2221 8 ***
* p<.05   ** p<.01   *** p<.001

View full report

Preview
Download

"report.pdf" (pdf, 1.49Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®