1. The Solution That Saves
2 Years Later:
The Solution That Saves
Presenters: Sharon T. Wilburn, PhD, LMHC, Dax Weaver MPH, Joe Johnson M.S.

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. Village on Wiley Construction After 43 units 11 residential buildings
Clubhouse with
computer lab
Onsite laundry facilities
Onsite support services

5. Final Report Coming Soon
91 participants were enrolled in the study, the evaluation is focused on 68 participants with data evaluation currently being completed encompassing the two years before moving into permanent supportive housing (pre-), and the first two years in housing (post-).
Quality of life and mental wellness were assessed to determine change in stability. Cost benefit analyses were completed to determine change in healthcare and community service costs.

6. 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

7. Data Sources Agency for Health Care Administration Baptist Health
Changing Homelessness, Inc. (HMIS)
Gateway Community Services
Jacksonville Sheriff’s Office
LSF Health Systems
Renaissance Behavioral Health Systems
River Region Human Services
St. Vincent’s Health System
Sulzbacher Center FQHC
UF Health
Memorial Hospital

8. Demographics

9. Demographics
Twenty-four of the original 92 participants are not included in this current study because they could not be contacted in time to meet the deadline for this report.
Three of the 24 were deceased
4 left the program due to incarceration
6 returned to a state of homelessness.
Better outcomes were seen for 6 participants who initially moved in with friends (one which may now possibly be homeless)
4 who moved into non-program rental housing.
No current information was available for one of the initial participants.

10. 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

11. M.I.N.I
Results from the Mini-International Neuropsychiatric Interview (M.I.N.I. 6.0) came from 62 participants on or near date of moving into (pre-assessment) permanent supporting housing, and then again to 57 participants during December 2017 through June 2018 (post-assessment). Initial analysis of the M.I.N.I. data seem to indicate significant self-reported improvement in several categories of mental health and wellness.

12. Hospital Visits Pre- and Post- Housing
Interim Hospital Utilization Costs
Hospital Visits Pre- and Post- Housing

13. The Solution That Saves
The Solution That Saves is part of a statewide pilot to provide Florida-specific data concerning the effectiveness of providing permanent supportive housing for high utilizers of crisis services.

14. Interim Medicaid Costs
Pre-Housing
Service
Post-Housing
$3,881.37
Adult Dental Services
$5,055
(None)
Assistive Care Services
$1,015
$4,271.29
Case Management-CMS
$7,718
$15,024.72
Community Mental Health Services
$14,463
$543.04
Home Health Services
$1,066
$228,248.93
Hospital Inpatient Services
$130,308
$25,217.16
Hospital Insurance Benefits
$3,475
$85,583.47
Hospital Outpatient Services
$41,860
$1,684.91
Hospital Outpatient Crossover
$883
$2,508.50
Lab And X-Ray Crossover
$19,407.34
Other Lab & X-ray
$23,020
$16,049.17
Patient Transportation
$22,143
$145,988.46
Physician Services
$69,807
$6,004.33
Physician Crossover
$3,346
$7,524.68
Prescribed Medicine
Skilled Nursing Care
$39,344
$1,594.93
Transportation Crossover
$259
$3,400.59
Other (Service Under $600)
$3107
$566,932.89
TOTALS
$366,875

15. The Solution That Saves

16. The Solution That Saves
Providing housing with personalized supports helps individuals and families stabilize their lives, improves their health and self-sufficiency, and reduces costs to publicly funded systems

17. Contact Information
Joe Johnson,
Sharon Wilburn,
Dax Weaver,