Preventive vs. Remedial Screening Tools The Economic Roundtable has developed five predictive screening tools to identify and prioritize high-need homeless individuals who will have high future public costs because of ongoing crises in their lives that are resolved in expensive institutional settings, including jails and hospitals.
Overview of Data: One-hundred-two files from homeless street counts, demographic surveys of unsheltered individuals, and intake data for shelter residents, along with supporting documentation are available in this data library. These open source, de-identified person records provided by the Los Angeles Homeless Services Authority (LAHSA) are a resource for homeless research.
COVID-driven loss of jobs and employment income will cause the number of homeless workers to increase each year through 2023. Without large-scale, government employment programs the Pandemic Recession is projected to cause twice as much homelessness as the 2008 Great Recession. The Economic Roundtable used data from the 2008 Great Recession to estimate the linkage between job loss and homelessness and forecast the amount and type of pandemic-driven homelessness in Los Angeles, California and the United States.
Households in the Los Angeles metro region paid $7.2 billion for packages from Amazon.com in 2018. Less publicly visible was more than $790 million paid out in public subsidies and uncompensated public costs that supported Amazon’s profitability. It is time for Amazon to come of age and pay its own way. This means paying its full costs to the communities that host it and the workers who create its profits.
In major U.S. metropolitan areas, the number of long-term homeless needing housing far exceeds the available housing supply, making it difficult to move persistently homeless individuals off of the streets. One of the most promising approaches to reducing these numbers lies in early identification and quick, effective intervention to help those most likely to become persistently homeless. Two new screening tools from the Economic Roundtable can help the most vulnerable people get access to the public services they need as soon as they become homeless, or even before they are homeless, and reduce the flow of people into chronic homelessness.
User options for visualizing homeless data include comparing results from 2016 and 2017 for everyone who was homeless or for individuals who were sheltered or unsheltered, and subgroups broken out by gender, ethnicity, age, as well as a menu of detailed population characteristics. Results that can be compared include the size of each population group in 2016 and 2017, as well as the reasons people in each group gave for the cause of their homelessness, and their employment status.
Reliable estimates of time spent homeless during a year are important for an evidence-based intervention framework. Understanding the prevalence of short-term versus persistent episodes of homelessness enables accurate allocation of resources based on differing levels of need. The prevailing approach to homelessness prevention and intervention is “progressive engagement.”
This streamlined triage tool was developed for the Santa Clara County Center for Population Health Improvement (CPHI). It provides an empirical tool for prioritizing patients for permanent supportive housing using close-to-real-time data that is available to CPHI. In addition, an industry-wide switch in medical diagnostic classification systems necessitated a conversion of all diagnostic variables from the ICD-9 classification system to the ICD-10 system.
Within the past year, Los Angeles County and City voters approved $4.75 billion for services and housing to combat homelessness. The Greater Los Angeles Homeless Count is crucial for identifying how this money should be used to help people escape homelessness. The Count is an increasingly comprehensive effort to count and describe Los Angeles’ homeless residents, but it is not yet sufficiently accurate to identify year-to-year changes in homelessness.
Over 54,000 workers employed in Long Beach’s formal economy will be affected by increasing the minimum wage to $15. The annual earnings of workers will increase by about $405 million. The largest share of increased wages—almost $130 million—will go to workers who also live in the City of Long Beach The greatest number of affected workers and the largest payroll increases will be in restaurants, retail trade, education, transportation and warehousing, and health care. The economic stimulus from increased consumption by workers' households will create an estimated 3,186 new jobs and generate $442 million in increased sales in the region.
Street vending is a $504 million industry in Los Angeles. Every year, 50,000 microbusinesses set up shop on the sidewalks of the city, according to the Bureau of Street Services. Three-quarters sell merchandise, such as clothing and cell phone accessories. The other 10,000 sell bacon-wrapped hot dogs, tamales, and ice cream, street food for which Los Angeles is famous.
Communities in Los Angeles County have a new set of tools for land use decisions and development policies that decrease greenhouse gas emissions and improve workers’ wages. A report by the Economic Roundtable, Industry Greenhouse Gas and Wage Sustainability, identifies the climate change effects as well as the wage sustainability of jobs in each industry.
Evaluating the outcomes for 163 hospital patients screened from April 2011 to May 2013 by the 10th Decile Project in Los Angeles, which works with hospitals to identify the 10 percent of homeless patients with the highest public and hospital costs – the 10th decile – and provide immediate services for placing these individuals into permanent supportive housing.
Different conditions of body and mind found among homeless adults provide a basis for predicting who will have very high public costs – in the 10th cost decile. This report presents a triage tool developed specifically for use in hospitals or clinics where there is not access to data from other agencies about the use of non-medical public services.
At the peak of California’s most recent drought in 2009, the Los Angeles economy was in severe recession, with unemployment above 12 percent. These twin crises identified a policy opportunity to tackle both challenges together. Public investments in water use efficiency provide economic and job benefits alongside the environmental benefits from using less water.
The triage tool, or crisis indicator, identifies homeless individuals in hospitals and jails who have continuing crises in their lives that create very high public costs. This redesigned tool is four times more accurate than the earlier screening tool released in 2010. The tool is developed for use in jails, hospitals and clinics where homeless individuals with high levels of need and high public costs are most likely to be found. Discovery of the exceptionally high public costs for people in the 10th cost decile has led to interest in identifying these individuals and giving them high priority for access to permanent supportive housing. This group accounts for well over half of all public costs for homeless adults, and their costs decrease by 86 percent when they live in permanent supportive housing.
Counties bear large hidden costs for individuals with disabilities who are indigent or homeless. This includes costs for health care, jails and probation in addition to readily identifiable county costs for public assistance. A large share of this cost is health related – costs that the federal and state governments would pay through Medi-Cal if the individuals were receiving Supplemental Social Security Income (SSI).
The central question investigated in this study is the public costs for people in supportive housing compared to similar people that are homeless. The typical public cost for residents in supportive housing is $605 a month. The typical public cost for similar homeless persons is $2,897, five-times greater than their counterparts that are housed. This remarkable finding demonstrates that practical, tangible public benefits result from providing supportive housing for vulnerable homeless individuals. The stabilizing effect of housing plus supportive care is demonstrated by a 79 percent reduction in public costs for these residents.
A comprehensive strategy with 25 actions, accountable agencies, timelines, and performance benchmarks to prevent and end homelessness in Los Angeles County. From 2002 through 2004 the Economic Roundtable and the Institute for the Study of Homelessness and Poverty at the Weingart Center carried out research, listened to ideas from community stakeholders, and met with public officials in order to prepare this strategic plan for ending homelessness in Los Angeles County.
There is extensive evidence of a growing informal labor force in Los Angeles City and County, along with stagnant employment in the formal labor market. Between 2000 and 2004, the working age population in the county grew by 4.9 percent, but the number of wage and salary jobs (i.e.,