DELAWARE HEALTH AND SOCIAL SERVICES Division of Substance Abuse and Mental Health Community Support Program (CSP) Consumer Status Survey – FY02 Summary Statistical Report Prepared by Jonathan Dunkle October 2002 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 Additional Survey Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 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 590 (47.5%) employable CSP consumers (not disabled, retired, students, or homemakers) were employed either part-time or full-time. Hospitalization Status. Most CSP consumers (2,346 or 97.6%) were NOT hospitalized. Residential Arrangements. The majority of CSP consumers (1,937 or 80.6%) live in private, unsupervised residences. Housing Subsidies. A total of 684 or 28.5% 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 FY02 survey process, as well as some comparison data from previous years. FY02 Survey Responses. DSAMH's community mental health system caseload includes a total CSP census of 2,442 consumers as of June 30, 2002. CSP Consumer Status Survey forms were received for 2,404 (or 98.4%) of the CSP consumer caseload. Consumer Employment. A total of 590 (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 872 36.3 Unemployed / Not Looking for Work 364 15.1 Part Time < 37.5 Hours 347 14.4 Full Time >= 37.5 Hours 243 10.1 Retired 223 9.3 Unemployed / Looking for Work 201 8.4 Homemaker 47 2.0 Unknown 30 1.2 Volunteer 25 1.0 Student 20 0.8 Inmate / Resident of Institution 19 0.8 Other 12 0.5 Military / Armed Forces 1 0.0 Total 2,404 100.0 CSP CONSUMER EMPLOYMENT STATUS Psychiatric Hospitalization. Most CSP consumers (2,360 or 98.2%) were NOT treated at a psychiatric hospital as of June 30, 2002. Psychiatric Hospitalization Frequency Percent None 2,346 97.6 Psychiatric Hospital 37 1.5 Psychiatric Ward / General Hospital 7 0.3 Unknown 14 0.6 Total 2,404 100.0 CSP CONSUMER HOSPITALIZATION STATUS Residential Arrangements. The majority of CSP consumers (1,937 or 80.6%) live in private, unsupervised residences. Residential Arrangement Frequency Percent Private Residence / Unsupervised 1,937 80.6 Private Residence / Supervised 143 5.9 Group Home Setting / Supervised 111 4.6 Licensed Adult Foster Care 71 3.0 Group Home Setting / Unsupervised 27 1.1 Unknown 27 1.1 Other 16 0.7 Transitional Housing >= 30 Days 13 0.5 Corrections Facility / Jail 10 0.4 Emergency Housing, Shelter < 30 days 9 0.4 Boarding Home 9 0.4 Psychiatric Hospital > 180 Days 8 0.3 Other Institution 7 0.3 Unlicensed Adult Foster Care 6 0.3 Nursing Home, ICF / SNF 6 0.3 No Domicile / Homeless 3 0.1 Psychiatric Ward / General Hospital > 180 Days 1 0.0 Total 2,404 100.0 CSP CONSUMER RESIDENTIAL STATUS Consumer Housing Subsidy. A total of 684 or 28.5% of CSP consumers received state or federal housing subsidies (including Client Assistance Funds used for housing) as of June 30, 2002. Housing Subsidy Frequency Percent No Rental Subsidy 1,692 70.4 State / Federal Subsidized Housing 632 26.3 Subsidized Client Assistance Funds 52 2.2 Unknown 28 1.2 Total 2,404 100.0 CSP CONSUMER HOUSING SUBSIDY STATUS Additional FY02 Survey Information Living Arrangement 2,347 of the surveys (97.6%) 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 2,117 88.1% 2 207 8.6% 3 37 1.5% 4 4 0.2% 5 3 0.1% 6 2 0.1% 7 0 0.0% 8 0 0.0% >=9 1 0.0% Unknown 33 1.4% 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 2,374 12 18 98.8% Room where consumer can go to be alone 2,341 46 17 97.4% Range/Cooking Stove 2,346 41 17 97.6% Refrigerator 2,358 28 18 98.1% Telephone 2,308 79 17 96.0% Washer/Dryer 2,130 247 17 88.6% Neighborhood Safety 2,128 surveys (88.5%) reported that the consumer's neighborhood was safe from crime. Level of Safety Count Percentage Very Safe 897 37.3% Safe if Careful 1,231 51.2% Not Safe 202 8.4% Very Unsafe 45 1.9% Unknown 29 1.2% 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 2,324 64 16 96.7% Clothing 2,206 181 17 91.8% Rent 2,285 102 17 95.0% Necessary Travel 2,179 207 18 90.6% Medical Care 1,907 478 19 79.3% Traveling to Visit Friends 1,918 468 18 79.8% Social Activities 1,793 592 17 74.6% 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 1,579 65.7% <=20 260 10.8% <=30 109 4.5% <=40 239 9.9% >40 16 0.7% Unknown 201 8.4% 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% 1,812 75.4% >=90% 360 15.0% <90% 232 9.7% 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 DSAMH 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 – 6/30/02. FY02 CSP Consumer Status Survey Page 11 of 11 12/12/02 C:\projects\Consumer Status Survey - FY02\CSP Final Report FY02 Public Release.doc