Section 202 Supportive Housing for the Elderly: Program ...

Section 202 Supportive Housing for the Elderly: Program Status and Performance Measurement

U.S. Department of Housing and Urban Development Office of Policy Development and Research

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Section 202 Supportive Housing for the Elderly:

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Program Status and Performance Measurement

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Barbara A. Haley and Robert W. Gray With: Lydia B. Taghavi, Dianne T. Thompson,

Deborah Devine, Abdollah H. Haghighi, and Seth R. Marcus

U.S. Department of Housing and Urban Development Office of Policy Development and Research June, 2008

TABLE OF CONTENTS

Executive Summary

Description of Section 202 Supportive Housing Unique aspects of Section 202 Supportive Housing Program costs of Section 202 versus Housing Choice Vouchers

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Development processing delays Development cost limits Methods used to allocate program funds Alternative to institutionalization Achieving cost savings Estimating cost savings attributable to Section 202 Proposed program reforms Measuring program performance Conclusion

Chapter One: Program Overview

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Organization of the study Methodology and data sources Description of the Section 202 program Historical phases of the program Persons eligible to participate Numbers of properties and units in the Section 202 program

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Providing assistance to frail elderly persons

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Demand for Section 202 housing

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Chapter Two: Housing Quality and Quality of Life

Traditional measures of housing quality Quality of supportive housing features Neighborhood characteristics Quality of life

Chapter Three: Improving Program Efficiency

Costs and benefits of Housing Choice Vouchers and Section 202 housing Subsidy costs for Section 202 and other programs Section 202 development cost limits Time for development of Section 202 housing HUD practices on establishing allocation areas Conclusions and recommendations

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TABLE OF CONTENTS (Continued)

Chapter Four: Cost of Institutionalization

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Federal assistance to programs offering community-based services

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Future demand for long-term care

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Risks of institutionalization Alternatives to nursing home care

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Reduction of institutionalization

Comparison of the Costs of Institutionalization and the Costs of Providing Section

202 Housing with Supportive Services

Conclusions and recommendations

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Chapter Five: Measuring Performance in the Section 202 Program

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Overview

Output measures for the Section 202 program

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Outcome measures on quality of housing and services

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Efficiency measures: time and cost

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Conclusion

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Appendix A: NAHB Research Center Findings

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Appendix B: Performance Measurement

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Appendix C: Fiscal Year 2009 Annual Performance Plan

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