This report examines the characteristics of 123,240 individuals booked into local Washington State jails in 2013 who were recent or former clients of the Washington State Department of Social and Health Services (DSHS) or the Health Care Authority (HCA). We find substantial overlap between the DSHS client population and those entering jail. The majority (86 percent) of individuals booked into jail in 2013 were recent or former DSHS/HCA clients. Medicaid recipients entering jail have high rates of behavioral health treatment needs. Based on administrative data, over half (58 percent) of Medicaid enrollees booked into jail have mental health treatments needs, 61 percent have substance use disorder treatment needs and 41 percent have indicators of co-occurring behavioral health disorders.
This project summarizes the characteristics and experiences of “Opportunity Youth,” defined as young people ages 16-24 who are not engaged in work or school. We summarize the experiences of Opportunity Youth with DSHS service histories who attended school in the Road Map region of south King County. We find that many face immediate barriers that may prevent them from engaging in work or school, including parenting responsibilities, incarceration, disabilities, and homelessness. Opportunity Youth have interacted with multiple systems, including criminal justice, behavioral health, child welfare, and public assistance. There are opportunities to better connect these systems to education and the workforce so that at-risk students are supported and those who do become Opportunity Youth are provided pathways to reengagement. For more information: 1. Main Report 2. Infographic 3. Slide presentation
Overdose deaths have risen over the past two decades, primarily driven by increased use of opioid analgesic prescription drugs. This policy brief reviews the incidence and scope of drug overdose deaths in Washington State from 2006 to 2012, and identifies the Medicaid populations at greatest risk of overdose. Findings from this study provide useful context for assessing recent overdose prevention efforts and provide a framework for behavioral health system quality measures focused on reducing overdoses.
Between October 2014 and April 2015, DSHS surveyed 1,187 clients who received services between April 2013 and March 2014. These clients were asked about their satisfaction with social and health services and recommendations for change. As in previous years, the great majority of clients expressed satisfaction with services and their interactions with staff. Substantial improvements in satisfaction and access were noted for Community Service Offices, and there are indications that coordination of services may be improving. Fewer clients reported that information is easy to access in 2015. Clients of Apple Health (Medicaid) services were less satisfied with the ease of getting information and services and information, ease of getting to a provider’s office, and overall helpfulness. These changes were probably due to a substantial influx of newly eligible adult Apple Health (Medicaid) clients in 2015. This major change in the social and health services client population may also make comparisons to previous survey years difficult to interpret in other program areas, such as Division of Child Support.
Statewide data on clients served by Washington State Public Housing Authorities (PHA) were linked with the social service and other data in the Department of Social and Health Services Integrated Client Database. This report examines three questions about housing assistance recipients served by PHAs across the state: 1) To what extent do DSHS and PHAs serve the same individuals? 2) What are the characteristics and service use profiles of jointly served PHA-DSHS clients? And 3) to what extent do PHA clients differ from other DSHS clients? We find that almost all (97 percent) of PHA clients in Calendar Year 2013 were DSHS clients at some point, and 91 percent received a DSHS service that same year. Medical coverage and Basic Food were the most common DSHS services received by PHA recipients. PHA recipients were more likely to be older, female and African American, receive Temporary Assistance for Needy Families and Basic Food, and have physical or behavioral health challenges, particularly among working age adults. The report was funded by the United States Department of Housing and Urban Development and also supported by the Bill & Melinda Gates Foundation.
This report identifies key risk and protective factors associated with the start of a new homeless spell among parents receiving Temporary Assistance for Needy Families (TANF). Three key findings emerged: 1) recent homelessness puts families at increased risk while receipt of public housing serves as a strong protective factor, 2) criminal justice, behavioral health, and family violence issues increase the risk of future homelessness, and 3) income from work earnings or public assistance can buffer parents from homelessness, while being sanctioned for non-compliance with TANF requirements can place them at increased risk.