DELAWARE HEALTH AND SOCIAL SERVICES Division of Substance Abuse and Mental Health Community Support Program (CSP) Consumer Status Survey – FY01 Summary Statistical Report Prepared by Jonathan Dunkle November 2001 Table of Contents Table of Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 FY01 Survey Responses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Consumer Employment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Psychiatric Hospitalization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Residential Arrangements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Consumer Housing Subsidy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Consumer Status Survey Form Executive Summary The Community Support Program (CSP) Consumer Status Survey is administered annually. Survey forms are distributed to all treatment programs supported by the Division of Substance Abuse and Mental Health (DSAMH) that serve CSP clients. Information is collected regarding each consumer's employment status, hospitalization status, residential arrangements and housing subsidies as of the last day of each fiscal year. Employment Status. A total of 615 (51.8%) employable CSP consumers (not disabled, retired, students, or homemakers) were employed either part-time or full-time. Hospitalization Status. Most CSP consumers (2,204 or 96.9%) were NOT hospitalized. Residential Arrangements. The majority of CSP consumers (1,883 or 82.8%) live in private, unsupervised residences. Housing Subsidies. A total of 676 or 29.7% of CSP consumers received state or federal housing subsidies (including Client Assistance Funds used for housing). Introduction. The Community Support Program (CSP) Consumer Status Survey is administered annually. Survey forms are distributed to all treatment programs supported by the Division of Substance Abuse and Mental Health (DSAMH) that serve CSP clients. DSAMH defines CSP clients as adults, age 18 and older, who have a diagnosed serious mental illness. The diagnostic criteria include: schizophrenia, schizoaffective disorder, delusional (paranoid) disorder, paranoid personality disorder, schizotypal personality disorder, borderline personality disorder, bi-polar disorder and major depression. Case management staff at each facility/program are asked to complete a brief questionnaire for all CSP clients active as of the last day of the state fiscal year. Information is collected regarding each consumer's employment status, hospitalization status, residential arrangements and housing subsidies as of June 30th. A sample survey form has been included in the appendix. This report provides a summary of the information collected during the FY01 survey process, as well as some comparison data from previous years. Detailed information by treatment unit has been included in the appendix for FY97 – 01. FY01 Survey Responses. DSAMH's community mental health system caseload includes a total CSP census of 2,331 consumers as of June 30, 2001. CSP Consumer Status Survey forms were received for 2,276 (or 97.6%) of the CSP consumer caseload. Consumer Employment. A total of 615 (51.8%) employable consumers (not disabled, retired, a student, or homemaker) were employed either part-time or full-time. Employment Status Frequency Percent Disabled/Unable to Work 817 35.9 Part Time < 37.5 Hours 346 15.2 Unemployed / Not Looking for Work 290 12.7 Full Time >= 37.5 Hours 269 11.8 Retired 179 7.9 Unemployed / Looking for Work 173 7.6 Homemaker 71 3.1 Volunteer 33 1.4 Unknown 31 1.4 Other 27 1.2 Student 22 1.0 Inmate / Resident of Institution 18 0.8 Military / Armed Forces 0 0.0 Total 2,276 100.0 CSP CONSUMER EMPLOYMENT STATUS Psychiatric Hospitalization. Most CSP consumers (2,204 or 96.9%) were NOT treated at a psychiatric hospital as of June 30, 2001. Psychiatric Hospitalization Frequency Percent None 2,204 96.9 Psychiatric Hospital 46 2.0 Unknown 19 0.8 Psychiatric Ward / General Hospital 7 0.3 Total 2,276 100.0 CSP CONSUMER HOSPITALIZATION STATUS Residential Arrangements. The majority of CSP consumers (1,883 or 82.8%) live in private, unsupervised residences. Residential Arrangement Frequency Percent Private Residence / Unsupervised 1,883 82.8 Group Home Setting / Supervised 100 4.4 Licensed Adult Foster Care 75 3.3 Private Residence / Supervised 60 2.6 Unknown 32 1.4 Group Home Setting / Unsupervised 31 1.4 Transitional Housing >= 30 Days 20 0.9 Other 13 0.6 Psychiatric Hospital > 180 Days 12 0.5 Corrections Facility / Jail 11 0.5 No Domicile / Homeless 9 0.4 Boarding Home 9 0.4 Other Institution 8 0.4 Unlicensed Adult Foster Care 5 0.2 Nursing Home, ICF / SNF 5 0.2 Emergency Housing, Shelter < 30 days 3 0.1 Psychiatric Ward / General Hospital > 180 Days 0 0.0 Total 2,276 100.0 CSP CONSUMER RESIDENTIAL STATUS Consumer Housing Subsidy. A total of 676 or 29.7% of CSP consumers received state or federal housing subsidies (including Client Assistance Funds used for housing) as of June 30, 2001. Housing Subsidy Frequency Percent No Rental Subsidy 1,565 68.8 State / Federal Subsidized Housing 621 27.3 Subsidized Client Assistance Funds 55 2.4 Unknown 35 1.5 Total 2,276 100.0 CSP CONSUMER HOUSING SUBSIDY STATUS Additional FY01 Survey Information Living Arrangement 2,216 of the surveys (97.4%) indicated that the consumer had a regular place to live at least five nights a week. The number of places a consumer lived in the previous ninety days is provided below. Number of Places Consumer Lived in 90 days Count Percentage 1 2,043 89.8% 2 162 7.1% 3 25 1.1% 4 4 0.2% 5 6 0.3% 6 1 0.0% 7 0 0.0% 8 0 0.0% >=9 1 0.0% Unknown 34 1.5% Facilities The following question was asked regarding the availability and condition of facilities and appliances: "Are the following available in working condition?" The results are tabulated below: Facility/Appliance Yes No Unknown Percentage "Yes" Bathroom Facilities 2,245 10 21 98.6% Room where consumer can go to be alone 2,207 48 21 97.0% Range/Cooking Stove 2,211 43 22 97.1% Refrigerator 2,219 37 20 97.5% Telephone 2,195 64 17 96.4% Washer/Dryer 2,057 182 37 90.4% Neighborhood Safety 2,000 surveys (87.9%) reported that the consumer's neighborhood was safe from crime. Level of Safety Count Percentage Very Safe 837 36.8% Safe if Careful 1,163 51.1% Not Safe 201 8.8% Very Unsafe 43 1.9% Unknown 32 1.4% Financial Condition Respondents were asked whether the consumer had enough money each month to cover a variety of needs and wants. The results are below: Item Yes No Unknown Percentage "Yes" Food 2,185 75 16 96.0% Clothing 2,018 241 17 88.9% Rent 2,156 100 20 94.7% Necessary Travel 2,072 184 20 91.0% Medical Care 1,836 423 17 80.7% Traveling to Visit Friends 1,745 499 32 76.7% Social Activities 1,610 646 20 70.7% Work Week The survey asked "On average, how many hours per week has the consumer been employed during the past 90 days?" Hours Worked Count Percentage 0 1,026 45.1% <=20 290 12.7% <=30 93 4.1% <=40 267 11.7% >40 13 0.6% Unknown 587 25.8% Confidence in Survey Information The survey respondent was asked to indicate the level of confidence in the information entered on the survey. Level of Confidence Count Percentage 100% 1,616 71.0% >=90% 432 19.0% <90% 228 10.0% APPENDIX Consumer Status Survey Form Individuals with diagnoses that are not included in this list may be eligible for community support services at the discretion of DADAMH Community Mental Health Center clinical directors. Frequency/length of hospitalization and degree of disability are considered in determining eligibility for community support services. (FY99 Community Mental Health Services Block Grant Application, September 1, 1998, page 2.9) See Community Mental Health Report – 6/30/01. FY01 CSP Consumer Status Survey Page 11 of 11 01/22/02 C:\projects\Consumer Status Survey - FY01\CSP Final Report FY01 Public Release.doc