HUD/HHS/VA Collaborative Initiative to Help End Chronic Homelessness: Preliminary Client Outcomes Report. Differences in use of services and outcomes between CICH clients and comparison group subjects

02/26/2007

Table 18.
Differences in use of services and outcomes between CICH clients and comparison group subjects (as of 11/8/06)

(Mixed models:  LS means with group, time and group*time interaction terms;  covariates = bl value of DV + 4 site dummy codes + 14 bl covar's in Table 17)
  CICH clients
(N=296)
Comparison group subjects
(N=118)
group time group* time
Service use bl 3-mo 6-mo 9-mo 12-mo bl 3-mo 6-mo 9-mo 12-mo p p p
Uninsured 21% 13% 12% 14% 13% 24% 20% 23% 28% 21% ** ** ns
Has usual health care provider 41% 46% 48% 52% 46% 46% 52% 46% 35% 40% ns ns *
No. preventive procedures 7.8 8.2 8.3 8.6 8.6 8.0 8.4 8.1 7.9 7.4 ns ns ns
No. health behaviors discussed 3.3 3.5 3.6 3.9 3.9 3.5 3.7 3.4 3.3 3.4 ns ns ns
No. OP medical visits 3.0 3.2 2.3 2.4 2.2 2.7 2.7 2.7 1.4 2.2 ns ns ns
Has primary mh/sa treater 47% 55% 60% 55% 53% 41% 46% 36% 40% 30% *** ns *
No. outpatient mental health visits 2.4 3.4 2.8 2.4 2.6 2.0 2.0 1.9 2.2 1.7 ns ns ns
No. outpatient SA visits 7.3 8.8 7.4 5.7 4.8 7.8 7.6 5.9 6.5 4.6 ns ns ns
Participated in AA/NA 49% 45% 39% 37% 36% 45% 43% 31% 38% 23% ns *** ns
Therapeutic alliance 4.6 4.6 4.3 4.3 4.2 4.4 4.5 4.7 3.8 5.1 ns ns ns
Consumer choice scale 3.9 3.8 3.8 3.8 3.8 3.9 3.8 4.1 4.2 4.2 ns ns ns
Has primary case manager 36% 39% 21% 21% 19% 25% 27% 25% 19% 20% ns ** ns
Visited by case manager in commun. 47% 71% 70% 68% 65% 16% 22% 29% 31% 27% *** *** *
Has money manager 8% 14% 11% 14% 15% 14% 14% 15% 18% 19% ns ns ns
Any contact with landlord 65% 75% 76% 81% 89% 85% 56% 77% 79% 73% ns ns ns
Total no. outpatient health visits 12.7 15.4 12.5 10.3 9.6 12.6 12.4 10.4 10.3 8.7 ns * ns
No. service providers 4.6 5.2 4.4 4.3 3.7 3.9 4.2 3.5 3.3 3.4 * * ns
Coordination of services scale 1.1 1.1 1.1 1.2 1.1 1.0 1.0 1.2 1.1 1.0 ns ns ns
Overall svcs integration 64% 79% 79% 77% 75% 59% 59% 58% 57% 56% *** *** ***
Outcomes
Days housed 14 62 79 80 81 17 28 35 49 50 *** *** ***
Homeless 23% 4% 3% 4% 5% 28% 15% 13% 12% 11% ** *** ns
Housing satisfaction 4.0 4.1 4.0 3.9 3.9 3.4 3.7 3.6 3.8 3.5 ns ns ns
Commun integration 7.1 7.4 7.4 7.4 7.4 6.9 7.7 7.0 6.3 7.1 ns ** *
Knows any neighbors well 39% 67% 76% 78% 70% 61% 31% 75% 52% 49% ns ns ns
Social support 1.5 1.4 1.4 1.4 1.3 1.4 1.4 1.4 1.3 1.3 ns ns ns
Days in jail 1.5 1.3 1.4 1.4 1.0 2.3 0.5 4.0 0.5 2.1 ns ** *
Subjective quality of life 4.3 4.6 4.7 4.5 4.6 4.1 4.6 4.6 4.5 4.2 ns ** ns
Any employment 21% 22% 20% 23% 19% 22% 21% 28% 17% 10% ns ns ns
Employment income $58 $70 $68 $91 $88 $31 $93 $143 $105 $136 ns * ns
Any public support 76% 81% 82% 82% 78% 76% 75% 71% 73% 76% ns ns ns
Public support income $317 $411 $441 $493 $484 $327 $344 $348 $392 $408 * *** ns
Total income $412 $515 $557 $636 $626 $421 $525 $600 $609 $662 ns *** ns
SF-12 mental 38.2 40.0 40.7 40.8 40.2 39.1 40.3 40.4 41.6 41.1 ns ** ns
BSI 1.6 1.4 1.4 1.3 1.3 1.5 1.4 1.4 1.4 1.4 ns ** ns
Observed psychotic behavior 0.26 0.24 0.24 0.27 0.29 0.30 0.26 0.25 0.24 0.31 ns ns ns
Satisfaction with primary treater 5.3 5.1 5.1 5.0 4.9 5.2 5.1 5.2 4.7 5.3 ns ns ns
Days intoxicated 1.5 1.1 1.6 1.6 2.0 2.3 0.9 2.1 0.9 1.5 ns * ns
Any drugs 41% 38% 35% 37% 41% 44% 43% 35% 35% 32% ns ns ns
ASI alcohol 0.11 0.09 0.09 0.10 0.11 0.11 0.09 0.10 0.11 0.10 ns ns ns
ASI drug 0.07 0.05 0.05 0.05 0.06 0.07 0.05 0.05 0.04 0.04 ns ** ns
SF-12 physical 43.5 42.8 42.7 42.9 43.0 42.8 43.0 43.6 44.2 43.1 ns ns ns
Trust in physician 3.7 3.8 3.8 3.6 3.7 3.7 3.8 3.7 3.6 3.7 ns ns ns
Cost of medical/dental treatment $3,148 $2,811 $1,967 $1,698 $2,191 $1,926 $2,082 $2,468 $1,813 $1,788 ns ns ns
Cost of mental health services $1,330 $1,920 $1,706 $634 $912 $1,795 $1,352 $1,291 $1,189 $1,213 ns ns ns
Cost of substance abuse treatment $1,653 $332 $392 $868 $1,110 $764 $1,288 $1,205 $305 $983 ns ns **
Total health care cost $6,156 $5,080 $4,073 $3,202 $4,127 $4,433 $4,717 $4,929 $3,540 $4,036 ns ns ns
Inpatient care cost $5,111 $3,868 $3,127 $2,343 $3,396 $3,464 $3,766 $4,047 $2,960 $3,393 ns ns ns
Outpatient care cost $1,044 $1,206 $938 $841 $725 $979 $950 $885 $570 $649 ns ** ns
* p<.05     ** p<.01     *** p<.001

 

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