1. 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

2. 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.

3. 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)

4. 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

5. 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

6. Institutional Review Board (IRB) Approval
Jacksonville University

7. 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).

8. Demographics Variable Year 1 (n=58) n % Gender Female 31 53% Male 27n %
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

9. 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

10. 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.

11. Hospital Visits Pre- and Post- Housing
Hospital Utilization
Hospital Visits Pre- and Post- Housing

12. Arrest Costs Pre and Post Housing

13. Contact Information
Michael Cochran
Sharon Wilburn
Dax Weaver Health-Tech Consultants, Inc.