Vulnerability Index: Prioritizing Outreach & Housing Placement by Mortality Risk.
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Transcript of Vulnerability Index: Prioritizing Outreach & Housing Placement by Mortality Risk.
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Vulnerability Index:Prioritizing Outreach &
Housing Placement by Mortality Risk
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Why?
• Homelessness is lethal• Scarce resources + lethality
compels– hard data to justify more resources– renewed sense of urgency from
policymakers – prioritization of outreach and housing
placement in the meantime
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Vulnerability Index
• Based on Dr. Jim O’Connell’s research
• Presence of a risk factor indicates a 40% mortality rate over 7 years
• Most Vulnerable = individuals with the most co-occurring risk factors who have been homeless the longest
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Vulnerability Index
• More than 6 months homeless AND at least one of the following:
• End Stage Renal Disease • History of Cold Weather Injuries• Liver Disease or Cirrhosis• HIV+/AIDS• Over 60 years old • Three of more emergency room visits in prior three
months• Three or more ER or hospitalizations in prior year• Tri-morbid (mentally ill+ abusing substances+ medical
problem)
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Vulnerability Guides Outreach & Housing
Placement
• Every person encountered during outreach is offered survey – most agree
• Create on-going name and photo registry
• Prioritize by mortality risk and length of homelessness
• Direct outreach workers efforts on a weekly basis
• Next vacancy offered to next most vulnerable person
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Basic Steps to Implement VI:
1. Convene community stakeholders2. Identify an area of focus3. Train surveyors4. Conduct baseline count5. Administer surveys 6. Analyze data7. Brief community on findings8. Develop housing action plan based on
results
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Vulnerability in Action
Santa Monica: 260
Skid Row: 350
New Orleans: 150
NYC: 500
Washington, DC: 1,100
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Project 50
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Reframing & Rapid Transformation
• 35/50 most vulnerable from Skid Row• Realignment and new resources for
Santa Monica • Humanitarian closure of encampment in
New Orleans • NYC and Washington, DC using
techniques city-wide – will house 800 most vulnerable by September 2009
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Prevalence of Risk Indicators
Risk indicator Average
Sample Size 2422
Tri-morbid 22%
3x hospital last year 12%
> 60 years old 12%
Liver Disease 9%
3x ER last 3 months 8%
Frostbite/Cold Weather 8%
Kidney Disease 4%
HIV+/AIDS 2%
% vulnerable 42%
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Mental Health & Substance Abuse
69
124
164
0
20
40
60
80
100
120
140
160
180
Mental IllnessONLY
Addiction ONLY Dually-Diagnosed
400 Most Vulnerable
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% Veterans
18%
21%
10%
12%
14%
16%
18%
20%
22%
% veterans
DC Total
400 Most Vulnerable
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Insurance
Medical, 26%
Medicare, 12%None, 54%
VA, 2%
Private, 2%
Medical
Medicare
None
VA
Private
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Health Care Services
0%
5%
10%
15%
20%
25%
30%
35%
40%
2% 0.60% 2% 25% 5% 15% 12%
50 Most Vulnerable
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Hospitalizations
86%
47%
14%
53%
0%10%20%30%40%50%60%70%80%90%
100%
% population % hospitalizations
Non-Vulnerable 50 Most Vulnerable
50 Most Vulnerable Report 124 hospitalizations over past year
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For more information on CG Vulnerability Index
Becky Kanis Director of InnovationsCommon [email protected](917) 957-7104