DHS is committed to meeting the human services needs of county residents, particularly the county’s most vulnerable populations, through an extensive range of prevention, early intervention, crises management and after–care services. While system involvement is sometimes inevitable, necessary and highly beneficial to consumers, DHS believes that preventing the need for such system interventions can ultimately result in safer, healthier and more cost–effective alternatives for consumers and for the region at–large.

This report begins by presenting a framework for prevention in the human ser­vices field. It then goes on to classify and catalog all prevention efforts across DHS, including program descriptions and other key pieces of information that are important to understanding the evaluation status and priorities of each program or service.

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DHS examined a cohort of homeless individuals to describe the demographic composition and service utilization of the county’s homeless population, as well as to quantify the costs associated with their care.

Homeless individuals in Allegheny County frequently consume public resources and contribute to a measurable and sizable public expense; the consumption of mental health services by the homeless has the most impact on the overall costs calculated in this study; and there is a small high-end user population that has expenses beyond what would be typically anticipated. These high-end users access more behavioral health services and are incarcerated more frequently than the general homeless population; the number of individuals in this high-end user group (<100) is manageable for targeted services; and the costs associated with their care are sizable enough to offer opportunities for savings.

 

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