Institutional Healthcare Utilization at CUCS Supportive

Housing Sites5/2008 – 4/2011

Study Sites & Cost Assumptions

• Sites: Times Square, Prince George, Christopher, Schermerhorn, 575 5th Avenue, Lee

• Per diem cost assumptions Medical inpatient: $4000 Psychiatric inpatient: $2000 Medical detoxification: $1500 Medical ER (non-admit): $800 Medical rehabilitation: $750 Substance use rehabilitation: $500 Psychiatric ER (non-admit): $400 Nursing home: $385

Annual Utilization: SPMI Tenants in Housing for the Entire Year

5/2008-4/2009 (N=368)

5/2009-4/2010 (N=411)

5/2010-4/2011 (N=462)

n = 265 n = 300 n = 328

72% = $0 73% = $0 71% = 0

n = 29 n = 29 n = 42

80% = $5,000 80% = $1,5000 80% = $5,000

n = 37 n = 41 n = 46

90% = $43,500 90% = $29,500 90% = $26,500

n = 18 n = 21 n = 23

95% = $79,000 95% = $81,000 95% = $56,000

n = 15 n = 16 n = 18

99% = $253,000 99% = $288,000 99% = $192,500

n = 4 n = 4 n = 5

Top = $805,500 Top = $1,351,500 Top = $1,460,000

Annual Costs by Treatment Type

•Average cost per tenant by treatment type, 5/2010-4/2011 (134 tenants)

Medical inpatient & ER: $30,700 Psychiatric inpatient & ER: $9,100 Medical rehabilitation (HRF): $1,900 Medical detoxification: $1,400 Substance use rehabilitation: $1,400 Nursing home: $1,300

•Tenant overlap across three-year period Tenants in housing 5/2008-4/2011: 321 Tenants with $0 institutional tx utilization: 178 (55%)