Community and ChoiceHousing needs for people with disabilities in Delaware

Governor’s Conference on Housing

October 11, 2012

Housing Needs

Delawareans with Disabilities

•36.4 million in U.S. with disabilities (11.9%)

•Estimated 108,500 Delawareans with disabilities (12.3%)

•Mental health, physical disabilities, intellectual/developmental, sensory, ADLs (“Self-care”), IADLs (“Independent living”)

Type of Disability

Any Disability

Hearing Difficulty

Vision Difficulty

Cognitive Difficulty

Ambulatory Difficulty

Self-Care Difficulty

Independent Living Difficulty

0% 2% 4% 6% 8% 10%12%14%16%

10.9%

1.9%

1.7%

4.6%

5.5%

1.7%

3.2%

Prevalence by Type of Disability, Population 18-64, Delaware, 2010

Source: 2010 American Community Survey

Aging Population

Under 18 18 to 44 Years 45 to 64 Years 65+ years0%

20%

40%

60%

80%

100%

120%

140%

+10.8% +11.2% +6.1%

+116.9%

Projected Change in Population by Age Delaware: 2010 - 2040

Source: 2011 Delaware Population Consortium Population Projection Series

Delawareans over

65

2010: 130,861

2040: 283,887

Poverty

With a Disability With No Disability0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

16.7%10.5%

22.7%

14.4%

Percent of Population In Poverty and Near-Poverty By Disability Status, Del-

aware 2008-2010<100% of Poverty Level 100-200% of Poverty Level

Source: 2008-2010 American Community Survey

39.4%

24.9%

Housing Challenges for all Delawareans

•Approximately 25,000 households on waiting lists for public housing, Housing Choice Vouchers, and privately-owned subsidized housing.

•12,845 severely cost-burdened extremely low income (<30% AMI) renter households in DE.

•Estimated 54% of renters in Delaware cannot afford the 2 BR fair market rent.

Accessibility – Rental Housing

•Data challenges

•Mismatches▫Units are there, but:

Challenge is matching people to them People who rely on SSI/SSDI or are otherwise

extremely low-income can not afford even income-restricted units.

Long waits for tenant-based subsidies and subsidized sites.

Possible size and location mismatch

Increasing Accessibility Needs

Needs assistance with ADLs

•As a resident of the home: 60%

•As a visitor to the home: 91%

•As a resident of the home: 25%

•As a visitor to the home: 53%

Has any physical limitation

Probability that a newly built single family home, over the course of its useful life, will be

used by someone who:

Source: “Aging and Disability: Implications for the Housing Industry and Housing Policy in the United States,” Journal of the American Planning Association, 2008

Supplemental Security Income

(SSI)

Minimum Wage (DE)

2010 1 BR Fair Market Rent

$0 $100 $200 $300 $400 $500 $600 $700 $800 $900

$209

$284

$372

$380

$832

Affordable Rents and 1-BR Fair Market Rent

Rents Out of Reach

Delaware Local Data

Population Need

Substance Abuse/Mental Health

882 - in institutional settings, homeless, or unknown housing situation

Elderly or Adults with Physical Disabilities

300 – diversions & transitions from LTC facilities100 – transitions from DHSS LTC facilities250 – Other DSAAPD referrals

Intellectual/Developmental Disabilities

150 – at risk due to aging caregivers

HIV/AIDS 250 on TBRA waiting list

Total 1,932

Worst Case Housing Needs

U.S. (2009):Delaware (2010, estimate):

• 7.10 million households with worst case needs.

• 987,000 households with at least one nonelderly member with a disability with worst case housing needs.

• 619,000 households with an elderly member with a disability with worst case needs.

• 18,235 households with worst case needs.

• 4,500households with at least one nonelderly member with a disability with worst case housing needs.

• 1,600 households with an elderly member with a disability with worst case needs.

Source: HUD 2009 Worst Case Needs Report to Congress

Imbalance in Community Care

All LTSS ID/DD LTSS Elderly/Adults with Disabilities LTSS

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

44.0%

66.2%

36.1%35.2%

76.2%

12.5%

Percent of Medicaid Funding for Long-term Services and Supports (LTSS) on Non-insti-

tutional Services, U.S. and DE, FY 2009U.S. Delaware

Source: Thomson Reuters, Medicaid Expenditures for Long-term Services and Supports: 2011 Update

Systems: Focus Group Feedback

•Six focus groups with consumers, providers, advocates and others in 2011

•Major themes▫Choices and options

▫Getting the right help the first time

▫Scarcity of resources

▫Successes

Recommendations

Recommendations

Accessibility Affordability

Community Systems

Accessibility

Increase the availability of and access to rental and

homeownership opportunities with accessibility features.

Accessibility Recommendations

•Develop real-time online information on affordable, accessible units

•Reduce fair housing barriers: Education, Source of Income

•Increase prevalence of basic access features in new homes

•Expand and coordinate resources for accessibility modifications

Affordability

Increase the availability of and access to affordable housing for people with disabilities.

Increase availability of LIHTC units for people with disabilities.

UnitsAfford-

ablePeople

Invest in permanent supportive housing.

Permanent supportive

housing is a vital

strategic response to

ending homelessnes

s.

Basic Access & Asset Building

•Explore incentives for basic access and universal design features in affordable homes.

•Improve asset-building opportunities

Community

Build a community-based system of care with a range of housing options for consumers.

Reform systems to prioritize community care.

• Redirect resources to community-based care

• Provide for housing needs to ensure living and receiving care in the community is realistic and sustainable.

• Prevent unnecessary institutionalization and reduce readmissions

Housing options and meaningful choices

Private Rental Housing

Home-ownership

Shared Housing

Group homesSupervised Apartments

Implement discharge planning.

No person should leave a hospital, nursing home, or residential treatment program without: • Permanent or

transitional housing.Housin

g• Entitlement or employment

income to pay for it.Income

• Services to sustain it.Service

s

Community-based care requires a community.

Integration into communities isolated by poverty, transportation and lack of opportunity is not success.

Improve community planning to improve quality of life for all residents.

Walkability, design that encourages interaction with our neighbors and communities; opportunities for work, volunteer and civic engagement, recreation.

Systems

Improve the affordable housing and disabilities services

systems that serve people with disabilities.

Help systems work better.

Work together better. Continue to develop partnerships. Improve cooperation among and with

Delaware’s public housing authorities (PHAs). Improve cross-communication between

housing and disabilities planning processes.

Connect people to the right help the first time. Improve triage assessment of housing needs. Create more accessible, centralized, user-

friendly sources of information.

Ken Smith, Executive DirectorDelaware Housing Coalition

dhc@housingforall.org(302) 678-2286

Marlena Gibson, Planner Delaware State Housing Authority

marlena@destatehousing.com(302) 739-4263