NCI - National Core Indicators

Partnership for People with Disabilities

 

Partnership for People with Disabilities and VCU School of Education Logos

VIRGINIA'S NATIONAL CORE INDICATORS (NCI) PROJECT

Comparison of Virginia Data (FY 2022 & 2023) with National Data (FY 2022)

NOVEMBER 2023

Prepared by:

Partnership for People with Disabilities
Virginia Commonwealth University

VCU Partnership for People
School of Education

Virginia Department of Behavioral Health & Developmental Services

The Partnership for People with Disabilities is a university center for excellence in developmental disabilities at Virginia Commonwealth University.

VCU is an equal opportunity/affirmative action university providing access to education and employment without regard to age, race, color, national origin, gender, religion, sexual orientation, veteran's status, political affiliation, or disability.

If alternative formats of this document are needed, please contact the Partnership at (804) 828-3876 or (800) 828-1120 (TTY Relay).

This report includes a comparison of information from Virginia data collected in Fiscal Year 2022 (July 1, 2021 - June 30, 2022), Fiscal Year 2023 (July 1, 2022-June 30, 2023), and national data collected in Fiscal Year 2022 (July 1, 2021 - June 30, 2022).

Information in this report is from a sample of adults with intellectual and developmental disabilities (IDD) who use services from developmental disabilities waivers.

The information is from the Adult In-Person Survey. The survey has three sections:

  • BACKGROUND: completed by support coordinators, case managers, or social workers,
  • SECTION 1: only the person who uses services can respond, and
  • SECTION 2: the person using services or a proxy can respond.

Virginia participates in the National Core Indicators (NCI) project as part of the state's effort to measure the quality of IDD services and systems performance.

Questions about this report should be referred to Parthy Dinora at padinora@vcu.edu.

For more information about NCI in Virginia, visit our website at: https://nci.partnership.vcu.edu/.

DESCRIPTIVE INFORMATION

Demographics Table
Category VIRGINIA 2022
(N=712)		 VIRGINIA 2023
(N=760)		 NATIONAL 2022
(N=13,416)
Average age 40.6 40.6 41.9
Male/Female 61/38 63/37 60/40
Limited/Full guardianship 54% 54% 44%
RACE/ETHNICITY:
Asian 2% 3% 2%
Black/African American 30% 30% 17%
LatinX 2% 3% 5%
White 62% 64% 74%

DISABILITY INDICATORS

Disability Indicators Table
Category VIRGINIA 2022 VIRGINIA 2023 NATIONAL 2022
INTELLECTUAL DISABILITY (ID):
Severe & profound levels 24% 24% 13%
MOBILITY:
Always needs assistance 10% 11% 8%
EXPRESSION:
Uses gestures, signs, other 24% 28% 19%
Autism Spectrum Disorder 32% 35% 25%
Seizure disorder/Neurological condition 30% 24% 24%

Virginia's National Core Indicators Project | 2023 Comparisons with National Data | Page 2

WORK IN COMMUNITY

Work in Community Statistics
Category VIRGINIA 2022
(n=68)		 VIRGINIA 2023
(n=83)		 NATIONAL 2022
Paid community job 10% 11% 15%
Average income in 2 week period $316 $290 $296
Average time worked in 2 week period 26 hours 24 hours 31 hours
Makes $7.25 or above 99% 98% 88%

CHOICE IN WORKING

Choice in Working Statistics
Category VIRGINIA 2022 VIRGINIA 2023 NATIONAL 2022
Not working, would like to work 57% 48% 53%
OF THOSE WHO WOULD LIKE TO WORK...
Sample Size (n) n=161 n=139  
Have employment as goal in plan 31% 44% 34%
Participate in employment training 20% 22% 24%
Participate in postsecondary education 1% 3% 2%
Volunteers 26% 31% N/A

Virginia's National Core Indicators Project | 2023 Comparisons with National Data | Page 3

BEHAVIOR CHALLENGES

Behavior Challenges Statistics
Category VIRGINIA 2022 VIRGINIA 2023 NATIONAL 2022
People who need some or extensive support to manage behavior 55% 59% 42%
BEHAVIOR SUPPORT NEEDS IN GROUP HOMES
With 2-3 people 68% 66% 59%
With 4 or more people 62% 66% 52%
WHO HAD PAID COMMUNITY JOBS?
People who need behavior support 7% 7% 10%
People who do NOT need behavior support 17% 14% 18%

SUPPORT COORDINATION

Support Coordination Statistics
Category VIRGINIA 2022 VIRGINIA 2023 NATIONAL 2022
Person met support coordinator 94% 97% 92%
Person knows they have a service plan 88% 92% 89%
Person helped develop plan 98% 97% 83%
Person knows who to call if problem with support coordinator 84% 64% N/A

Virginia's National Core Indicators Project | 2023 Comparisons with National Data | Page 4

WHERE PEOPLE LIVE

Residence and Supervision Statistics
Category VIRGINIA 2023 VIRGINIA 2022 NATIONAL 2022
Own home/apartment 7% 9% 15%
Group home: 2-3 person 6% 8% 12%
Group home: 4-6 person 29% 26% 19%
Group home: 7-15 person 3% 3% 5%
Host/Sponsored home 18% 16% 7%
Family or relative's home 38% 39% 38%
AMOUNT OF STAFF SUPERVISION
24 Hour 60% 59% 53%
Staff supervision - daily on-site 30% 33% 19%
Less than daily 6% 6% 18%
CHOICE
Chose home 21% 22% 24%
Had some input 51% 39% 35%
Someone else chose 28% 39% 41%
Chart visualization of housing data

Of Virginia's 2023 group home respondents (n=271) 44% reported living in 4-person homes, compared to 16% in 5-person homes, and 12% in 6-person homes.

In the 2022-2023 sample, 124 people lived in Sponsored Residential settings.

Of those people, 39% have a family member who is the sponsored residential provider.

Virginia's National Core Indicators Project | 2023 Comparisons with National Data | Page 5

HEALTH

General Health Statistics
Category VIRGINIA 2022 VIRGINIA 2023 NATIONAL 2022
Excellent/Very good health 55% 48% 48%
Weekly exercise 83% 82% 81%
No health conditions 29% 34% 38%
Mental health diagnosis 48% 47% 46%
Has primary care doctor 97% 99% 96%
Physical exam in last year 75% 78% 85%
Dental visit in last 6 months 31% 29% 42%
Flu vaccine in last year 81% 82% 75%

HEART HEALTH

Heart Health Statistics
Category VIRGINIA 2022 VIRGINIA 2023 NATIONAL 2022
Overweight/Obese 64% 69% 65%
High blood pressure 27% 27% 29%
High cholesterol 20% 20% 23%
Diabetes 18% 17% 17%

In the 2022-2023 sample, 12% of respondents had a behavior & mental health diagnosis. Of this group,

  • 93% received behavior supports
  • 76% took behavior medication
  • 98% took mental health medication
  • 52% had a behavior plan

Virginia's National Core Indicators Project | 2023 Comparisons with National Data | Page 6

HEALTH RISKS

Health Risks in Virginia
Category VIRGINIA 2021 VIRGINIA 2022 VIRGINIA 2023
Skin Breakdown 16% 32% 28%
Aspiration Pneumonia 15% 36% 32%
Falls 41% 67% 54%
Urinary Tract Infections 11% 11% 8%
Dehydration 11% 22% 24%
Constipation 21% 23% 17%
Bowel Obstruction 7% 37% 38%
Sepsis 7% 14% 14%
Seizures 34% 56% 40%

UNPLANNED HOSPITALIZATIONS

Unplanned Hospitalizations in Virginia
Category VIRGINIA 2021 VIRGINIA 2022 VIRGINIA 2023
Had an unplanned hospitalization 15% 12% 12%
OF THOSE WHO HAD AN UNPLANNED HOSPITALIZATION
Sample Size (n) n=108 n=78 n=89
1 time 69% 72% 62%
2 times 17% 11% 24%
3 times 6% 10% 9%
4 times 4% 1% 3%
5 or more times 4% 6% 1%

There is no national comparison data for identified health risks and unplanned hospitalizations because they are Virginia specific questions.

Virginia's National Core Indicators Project | 2023 Comparisons with National Data | Page 7