Breaking Down the Institutionalized and Noninstitutionalized Populations: A Walkthrough of Disability Among People in Group Quarters
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1 Breaking Down the Institutionalized and Noninstitutionalized Populations: A Walkthrough of Disability Among People in Group Quarters Matthew W Brault U.S. Census Bureau April 23, 2012 Any views expressed are my own and not necessarily those of the U.S. Census Bureau.
2 Outline ACS measures of disability Current estimates of prevalence Data: year ACS dataset Group Quarters (GQ) definitions Disability by GQ types Limitation in GQ data
3 ACS Disability 2008 Present Questions Hearing difficulty Vision difficulty Cognitive difficulty Ambulatory difficulty Self-care difficulty Independent living difficulty
4 ACS Disability Estimates Civilian Noninstitutionalized Population Total Population With a disability Hearing difficulty Vision difficulty Cognitive difficulty Ambulatory difficulty Self-care difficulty Independent living difficulty Δ Source: U.S. Census Bureau, American Community Survey 3-year data
5 Institutional GQs Adult Correctional Facilities Federal prisons, detention centers, and military confinement barracks State prisons Local jails and other municipal facilities Residential correctional facilities Juvenile Facilities Correctional facilities for juveniles Residential treatment centers for juveniles Group homes for juveniles Nursing Homes/Skilled Nursing Facilities Other institutions Psychiatric hospitals and psychiatric units in other hospitals In-patient hospice facilities, military treatment facilities, residential schools for people with disabilities, and hospitals with patients who have no usual home elsewhere
6 Noninstitutional GQs College/University student housing Military barracks and ships Other noninstitutional living arrangements Group homes for adults Residential treatment centers for adults Worker Group Living Quarters and Job Corps Centers Emergency and Transitional Shelters and other noninstitutional group quarters (residual)
7 Adult Correctional Facilities Population 18 years and over Federal Prisons /Detention Facilities State Prisons Local Jails Correctional Residential Facilities With a disability Hearing difficulty Vision difficulty Cognitive difficulty Ambulatory difficulty Self-care difficulty Independent living difficulty Source: U.S. Census Bureau, American Community Survey 3-year data
8 Juvenile Facilities Residential Treatment Centers for Juveniles Group Homes for Juveniles Correctional Facilities for Juveniles With a disability Hearing difficulty Vision difficulty Cognitive difficulty Ambulatory difficulty Self-care difficulty Independent living difficulty Source: U.S. Census Bureau, American Community Survey 3-year data
9 Nursing Facilities All Ages 18 to 64 years 65 years or older With a disability Hearing difficulty Vision difficulty Cognitive difficulty Ambulatory difficulty Self-care difficulty Independent living difficulty Source: U.S. Census Bureau, American Community Survey 3-year data
10 Other Institutions Psychiatric Hospitals (all ages) Other Institutions (all ages) Other Institutions (18-64) With a disability Hearing difficulty Vision difficulty Cognitive difficulty Ambulatory difficulty Self-care difficulty Independent living difficulty Source: U.S. Census Bureau, American Community Survey 3-year data
11 Noninstitutional GQs College /University Student Housing Military Barracks /Ships Worker Group Living Quarters /Job Corps With a disability Hearing difficulty Vision difficulty Cognitive difficulty Ambulatory difficulty Self-care difficulty Independent living difficulty Source: U.S. Census Bureau, American Community Survey 3-year data
12 Noninstitutional GQs (cont.) Group Homes for Adults Residential Treatment Centers for Adults Other Noninstitutional GQs With a disability Hearing difficulty Vision difficulty Cognitive difficulty Ambulatory difficulty Self-care difficulty Independent living difficulty Source: U.S. Census Bureau, American Community Survey 3-year data
13 Comprehensive measurement Disability and functional status often determinants for living situation ACS does not capture all disability types 70% with cognitive difficulty in Psychiatric Hospitals (82% with any disability) 52% with cognitive difficulty in Residential Treatment Centers (67% with any disability) 90 percent with independent living difficulty in Nursing Homes (96% with any disability)
14 Limitations with GQ Data Coverage Improved with Census 2010 updates to the GQ MAF Increases variances May bias estimates Sensitivity Confidentiality issues at small areas
15 Thank you Matthew Brault Health and Disability Statistics Branch U.S. Census Bureau
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