Non-Elderly Disabled Category 2 Housing Choice Voucher Program: An Implementation and Impact Analysis
Several implementation procedures were associated with a quicker distribution of vouchers, including strong communication between PHAs and health staff, involvement of a housing specialist, and relaxed portability rules for vouchers.
Voucher use was most common among people who were male, unmarried, had relatively few functional limitations, and lived in an institution for more than one year.
In a pooled sample of three of the five sites, NED-2 vouchers were found to increase community transition rates by 8.7 percentage points, an impact that was not significantly different from the maximum potential impact of 10.6 percentage points. The estimated impact is large relative to the 19.0 percent transition rate among a similar group of people in the treatment areas during the period before voucher availability.
Using semi-structured interviews with staff at PHAs and health agency partners in the 13 sites that received at least 35 NED-2 vouchers, we examined the processes used to implement the major components of the NED-2 Housing Choice Voucher Program. We used a difference-in-differences method to assess the vouchers’ impact on transitions from nursing facilities to the community among the five treatment PHAs that issued and leased the most vouchers in 2011. This enabled us to estimate how likely nursing home residents eligible for NED-2 vouchers were to move to the community before and during the period of voucher availability, compared with similar people who did not have access to vouchers.