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Community and ChoiceHousing needs for people with disabilities in Delaware
Governor’s Conference on Housing
October 11, 2012
Housing Needs
Delawareans with Disabilities
•36.4 million in U.S. with disabilities (11.9%)
•Estimated 108,500 Delawareans with disabilities (12.3%)
•Mental health, physical disabilities, intellectual/developmental, sensory, ADLs (“Self-care”), IADLs (“Independent living”)
Type of Disability
Any Disability
Hearing Difficulty
Vision Difficulty
Cognitive Difficulty
Ambulatory Difficulty
Self-Care Difficulty
Independent Living Difficulty
0% 2% 4% 6% 8% 10%12%14%16%
10.9%
1.9%
1.7%
4.6%
5.5%
1.7%
3.2%
Prevalence by Type of Disability, Population 18-64, Delaware, 2010
Source: 2010 American Community Survey
Aging Population
Under 18 18 to 44 Years 45 to 64 Years 65+ years0%
20%
40%
60%
80%
100%
120%
140%
+10.8% +11.2% +6.1%
+116.9%
Projected Change in Population by Age Delaware: 2010 - 2040
Source: 2011 Delaware Population Consortium Population Projection Series
Delawareans over
65
2010: 130,861
2040: 283,887
Poverty
With a Disability With No Disability0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
16.7%10.5%
22.7%
14.4%
Percent of Population In Poverty and Near-Poverty By Disability Status, Del-
aware 2008-2010<100% of Poverty Level 100-200% of Poverty Level
Source: 2008-2010 American Community Survey
39.4%
24.9%
Housing Challenges for all Delawareans
•Approximately 25,000 households on waiting lists for public housing, Housing Choice Vouchers, and privately-owned subsidized housing.
•12,845 severely cost-burdened extremely low income (<30% AMI) renter households in DE.
•Estimated 54% of renters in Delaware cannot afford the 2 BR fair market rent.
Accessibility – Rental Housing
•Data challenges
•Mismatches▫Units are there, but:
Challenge is matching people to them People who rely on SSI/SSDI or are otherwise
extremely low-income can not afford even income-restricted units.
Long waits for tenant-based subsidies and subsidized sites.
Possible size and location mismatch
Increasing Accessibility Needs
Needs assistance with ADLs
•As a resident of the home: 60%
•As a visitor to the home: 91%
•As a resident of the home: 25%
•As a visitor to the home: 53%
Has any physical limitation
Probability that a newly built single family home, over the course of its useful life, will be
used by someone who:
Source: “Aging and Disability: Implications for the Housing Industry and Housing Policy in the United States,” Journal of the American Planning Association, 2008
Supplemental Security Income
(SSI)
Minimum Wage (DE)
2010 1 BR Fair Market Rent
$0 $100 $200 $300 $400 $500 $600 $700 $800 $900
$209
$284
$372
$380
$832
Affordable Rents and 1-BR Fair Market Rent
Rents Out of Reach
Delaware Local Data
Population Need
Substance Abuse/Mental Health
882 - in institutional settings, homeless, or unknown housing situation
Elderly or Adults with Physical Disabilities
300 – diversions & transitions from LTC facilities100 – transitions from DHSS LTC facilities250 – Other DSAAPD referrals
Intellectual/Developmental Disabilities
150 – at risk due to aging caregivers
HIV/AIDS 250 on TBRA waiting list
Total 1,932
Worst Case Housing Needs
U.S. (2009):Delaware (2010, estimate):
• 7.10 million households with worst case needs.
• 987,000 households with at least one nonelderly member with a disability with worst case housing needs.
• 619,000 households with an elderly member with a disability with worst case needs.
• 18,235 households with worst case needs.
• 4,500households with at least one nonelderly member with a disability with worst case housing needs.
• 1,600 households with an elderly member with a disability with worst case needs.
Source: HUD 2009 Worst Case Needs Report to Congress
Imbalance in Community Care
All LTSS ID/DD LTSS Elderly/Adults with Disabilities LTSS
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
44.0%
66.2%
36.1%35.2%
76.2%
12.5%
Percent of Medicaid Funding for Long-term Services and Supports (LTSS) on Non-insti-
tutional Services, U.S. and DE, FY 2009U.S. Delaware
Source: Thomson Reuters, Medicaid Expenditures for Long-term Services and Supports: 2011 Update
Systems: Focus Group Feedback
•Six focus groups with consumers, providers, advocates and others in 2011
•Major themes▫Choices and options
▫Getting the right help the first time
▫Scarcity of resources
▫Successes
Recommendations
Recommendations
Accessibility Affordability
Community Systems
Accessibility
Increase the availability of and access to rental and
homeownership opportunities with accessibility features.
Accessibility Recommendations
•Develop real-time online information on affordable, accessible units
•Reduce fair housing barriers: Education, Source of Income
•Increase prevalence of basic access features in new homes
•Expand and coordinate resources for accessibility modifications
Affordability
Increase the availability of and access to affordable housing for people with disabilities.
Increase availability of LIHTC units for people with disabilities.
UnitsAfford-
ablePeople
Invest in permanent supportive housing.
Permanent supportive
housing is a vital
strategic response to
ending homelessnes
s.
Basic Access & Asset Building
•Explore incentives for basic access and universal design features in affordable homes.
•Improve asset-building opportunities
Community
Build a community-based system of care with a range of housing options for consumers.
Reform systems to prioritize community care.
• Redirect resources to community-based care
• Provide for housing needs to ensure living and receiving care in the community is realistic and sustainable.
• Prevent unnecessary institutionalization and reduce readmissions
Housing options and meaningful choices
Private Rental Housing
Home-ownership
Shared Housing
Group homesSupervised Apartments
Implement discharge planning.
No person should leave a hospital, nursing home, or residential treatment program without: • Permanent or
transitional housing.Housin
g• Entitlement or employment
income to pay for it.Income
• Services to sustain it.Service
s
Community-based care requires a community.
Integration into communities isolated by poverty, transportation and lack of opportunity is not success.
Improve community planning to improve quality of life for all residents.
Walkability, design that encourages interaction with our neighbors and communities; opportunities for work, volunteer and civic engagement, recreation.
Systems
Improve the affordable housing and disabilities services
systems that serve people with disabilities.
Help systems work better.
Work together better. Continue to develop partnerships. Improve cooperation among and with
Delaware’s public housing authorities (PHAs). Improve cross-communication between
housing and disabilities planning processes.
Connect people to the right help the first time. Improve triage assessment of housing needs. Create more accessible, centralized, user-
friendly sources of information.
Ken Smith, Executive DirectorDelaware Housing Coalition
dhc@housingforall.org(302) 678-2286
Marlena Gibson, Planner Delaware State Housing Authority
marlena@destatehousing.com(302) 739-4263
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