This report identifies key risk and protective factors associated with homelessness in the year after aging out of foster care. Approximately one-quarter of the 1,213 youth statewide who aged out of foster care in SFY 2011 or 2012 experienced homelessness in the following year. Youth who had experienced housing instability, multiple school changes, or more than one foster care placement were at increased risk of homelessness. Cross-over youth—those involved with both the foster care and juvenile justice system—were also at increased risk. In terms of protective factors, youth who had ever been placed with a relative while in foster care and those with relatively high grade point averages were at decreased risk of homelessness.
This report leverages integrated administrative data to describe the characteristics and needs of homeless and unstably housed K-12 students relative to students in more stable housing situations. Focusing on children and youth who have received services from the Washington State Department of Social and Health Services (DSHS), we provide a comprehensive view of students’ housing status and associated measures of risk and well-being. In AY 2011/12, there were 19,207 students in Washington State who experienced homelessness, narrowly defined. Compared to their peers, homeless students and those staying temporarily with friends or family were at greater risk on a number of measures. Opportunities exist to better connect homeless students and those at risk of homelessness to services that could help them succeed in school and beyond.
This report examines the experiences of persons discharged from a state psychiatric hospital in Washington State, to help identify interventions that might improve post-discharge client outcomes. We found that state psychiatric hospital readmissions are not uncommon—44 percent of those discharged were readmitted to a state or community psychiatric hospital within 540 days. For State psychiatric hospital episodes, timely post-discharge access to outpatient mental health is not associated with lower psychiatric readmission rates, but does appear to improve other client outcomes. Persons with substance use disorders had significantly higher psychiatric readmission rates, and timely post-discharge engagement in substance use disorder treatment is likely to reduce psychiatric readmission rates.
Reviews the experience of Medicaid enrollees with disabilities during the first year of medical managed care implementation. Compares the experience of disabled persons with mental illness and/or substance use disorders, relative to the experience of disabled persons who do not have identified behavioral health disorders. Quality and outcome metrics that are emerging as performance standards for Medicaid delivery systems are used as the lens for assessing clients’ experience under managed care, relative to the prior experience in fee-for-service coverage.
The Washington Court and Recovery Enhancement System (WA-CARES) project addresses the need for improved, cross-system coordination for drug courts and provides recovery support services (RSS) for high-risk clients who access substance use disorder treatment through the drug court system. In this second report about the WA-CARES program, we examine the added impact of RSS on key outcomes, including substance use disorder treatment, employment, arrest and incarceration.