The primary purpose of this Mental Health and Substance Use System Needs Assessment, which was conducted by TAC on behalf of the California Department of Health Care Services (DHCS), was to review the needs and service utilization of current Medicaid recipients and identify opportunities to ready Medi-Cal, California’s Medicaid program, for the expansion of enrollees and the increased demand for services resulting from health reform. The full report can be found on DHCS' website. (2012)
The long-awaited activation of the National Housing Trust Fund (NHTF) program, which will primarily be targeted to rental housing for extremely low-income (ELI) households, represents an important new opportunity for states to begin shaping the future of our nation’s ELI housing policies, including a robust expansion of integrated permanent supportive housing (PSH) units for the most vulnerable ELI populations. Over the past decade, in response to the enormous and growing demand for PSH, a number of state housing agencies – including Pennsylvania, North Carolina, and Illinois – have successfully pioneered new ELI financing approaches to increase the supply of integrated PSH units. This report documents innovative ELI financing strategies developed by these three states which could be adapted for NHTF capital and operating subsidy funding to begin closing the enormous gap in ELI and PSH supply.
This report developed by TAC and the Consortium for Citizens with Disabilities (CCD) Housing Task Force assesses and documents barriers which have constrained the disability community’s efforts to expand housing opportunities, as well as best practices in communities to expand both homeownership and rental housing options for people with disabilities. (2000)
This report outlines a study that used data about households with severe rent burdens from the 2005 American Community Survey (ACS) to develop more accurate estimates of ‘worst case' housing needs among households containing non-elderly adult renters with disabilities. Worst case needs, a concept intended to measure renters with acute needs for housing assistance, are unassisted renters with incomes below half of their area’s median income who pay more than half of their income for housing or live in severely substandard housing. The study found that an estimated 2.1 - 2.4 million of the 6 million households in the U.S. with worst case housing needs are non-elderly disabled households. (2008)
One of the issues that Public Housing Authorities (PHAs) often face when assisting people with disabilities through the Housing Choice Voucher Program is that of live-in aides. This Fact Sheet provides information on live-in aides including U.S. Department of Housing and Urban Development (HUD) regulatory requirements and key definitions as well as ideas for PHAs to consider in setting local standards for review and approval of live-in aides. (2003)
This report outlines a comprehensive assessment conducted by TAC of behavioral needs and gaps in New Mexico stemming from legislative and executive branch direction and funded by multiple state agencies and managed care organizations. (2002)
Priced Out is a biennial report published by TAC and the Consortium for Citizens with Disabilities (CCD) Housing Task Force. It examines the severe housing affordability crisis facing people with disabilities, and compares the federal Supplemental Security Income (SSI) payments of people with significant and long-term disabilities to U.S. Department of Housing and Urban Development (HUD) Fair Market Rents for modestly priced rental units in every community across the nation. (2013) Search to find your community & see how it compares!
Many states have established state funded programs to address the affordable housing crisis among people with disabilities or people who are homeless or at-risk of homelessness. This report presents findings of a review conducted by TAC of state funded rental assistance and homelessness prevention programs across the U.S. for people with mental illness or other disabilities. The report identifies several characteristics of programs that can be useful as a resource for states considering the development or modification of existing state funded programs. Some of the challenges associated with developing and administering state funded programs are highlighted as well. Profiles of state programs are also included. (2014)
The Assistant Secretary for Planning and Evaluation (ASPE) within the U.S. Department of Health and Human Services (HHS), in conjunction with the Federal Employment Workgroup on Disability, commissioned a review of the federal financing mechanisms used by state agencies to implement the evidence-based employment models known as Individual Placement and Support (IPS) and Customized Employment (CE). This report identifies strategies for improved access to federal financing of IPS and CE services for persons with mental illness through case studies of current state and local practices. Through a subcontract with Westat, TAC staff contributed to this report by detailing how Medicaid resources can be used to finance supported employment. (2011)