NCI - National Core Indicators

Partnership for People with Disabilities

 

VIRGINIA'S NATIONAL
CORE INDICATORS
(NCI) PROJECT
Comparison of Virginia
Data (FY 2020 & 2021) with
National Data (FY 2019)
FEBRUARY 2022
Prepared by:
Partnership for People with Disabilities
Virginia Commonwealth University
Partnership for People with Disabilities
Virginia Department of Behavioral Health & Developmental Services
VCU - VIRGINIA COMMONWEALTH UNIVERSITY
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).
BACKGROUND:

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.

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:

completed by support coordinators, case managers, or social workers

SECTION 1: only the person who uses services can respond

SECTION 2: the person or a proxy can respond

This report includes a comparison of information from Virginia data collected in Fiscal Year 2020 (July 1, 2019 - June 30, 2020), Fiscal Year 2021 (July 1, 2020 -June 30, 2021), and national data collected in Fiscal Year 2019 (July 1, 2018 - June 30, 2019).

The total number of people interviewed in Fiscal Years 2020 and 2021 differ because of the COVID-19 pandemic but the sample size is still statistically representative of the state for both years.

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: www.vcu.edu/partnership/nci

DESCRIPTIVE INFORMATION
VIRGINIA 2020 2021 NATIONAL
2019
Average age 43.5 41.5 43
Male/Female 56/44 59/41 57/43
RACE/Ethinicity:
White 64% 71% 61%
Black/African American 30% 15% 34%
Asian 2% 5% 2%
LatinX 3% 6% 2%
Limited/Full guardianship 45% 49% 42.5%
Behavioral supports 56% 59% 45%
DISABILITY INDICATORS
VIRGINIA 2020 2021 NATIONAL
2019
Intellectual Disability (ID):
Severe & profound levels		 24% 27% 24%
Autism Spectrum Disorder 29% 28% 20%
Seizure disorder/Neurological condition 33% 29% 33%
Mobility:
Always needs assistance		 13% 13% 9%
EXPRESSION:
Uses gestures, signs, other		 27% 21% 21%

N= 512 N=719 N= 22,009

Virginia's National Core Indicators Project | 2021 Comparisons with National Data | Page 2

WORK IN COMMUNITY
VIRGINIA 2020 2021 NATIONAL
2019
Paid community job 12% 19% 8%
Average income in 2 week period $228 $236 $246
Average time worked in 2 week period 27
hours		 26
hours		 25
hours
Makes $7.25 or above 81% 93% 95%
Volunteers 49% 22% 41%

n= 47 n= 63 n= 2740

CHOICE IN WORKING

Of those who would like to work...

VIRGINIA 2020 2021 NATIONAL
2019
Not working, would like to work 53% 54% 63%
Have employment as goal in plan 37% 63% 37%
Have employment supports & services 29% 43% 29%
Participate in employment training 28% 19% 17%
Participate in postsecondary education 0.8% 3% 2.0%

n= 122 n=166

Virginia's National Core Indicators Project | 2021 Comparisons with National Data | Page 3

BEHAVIOR CHALLENGES
VIRGINIA 2020 2021 NATIONAL
2019
People who need behavior support 56% 59% 45%
People who need some or extensive support to manage behavior 12% 6.5% 62%
People who do NOT need behavior support who had paid community jobs? 12% 12% 14%

Behavior support needs in group homes

With 2-3 people 65% 73% 11%
With 4 or more people 64% 65% 61%
SUPPORT COORDINATION
VIRGINIA 2020 2021 NATIONAL
2019
Person met support coordinator 97% 99% 95%
Person knows they have a service plan 90% 97% 95%
Person helped develop plan 69% 87% N/A
Person knows who to call if problem with support coordinator 94% 86% 95%

Virginia's National Core Indicators Project | 2021 Comparisons with National Data | Page 4

WHERE PEOPLE LIVE
VIRGINIA 2020 2021 NATIONAL
2019
Own home/apartment 10% 8% 17%
Group home: 2-3 person 6% 9% 10%
Group home: 4-6 person 32% 31% 18%
Group home: 7-15 person 4% 5% 3%
Host/Sponsored home 15% 18% 8%
Family or relative's home 33% 30% 37%
Specialized/nursing facility 0% 0% 6%

Amount of Staff supervision

24 Hour 64% 66% 51%
Staff supervision - daily on-site 24% 20% 17%
Less than daily 6% 8% 13%

Choice

Chose home 20% 23% 33%
Had some input 45% 34% 44%
Someone else chose 35% 36% 30%

Of Virginia's 2021 group home respondents (n=316), 42% reported living in 4-person homes, compared to 16% in 5-person homes, and 10% in 6-person homes.

In the 2020-2021 sample, 126 people lived in Sponsored Residential settings. Of those people, 38% have a family member who is the sponsored residential provider.

Virginia's National Core Indicators Project | 2021 Comparisons with National Data | Page 5

HEALTH
VIRGINIA 2020 2021 NATIONAL
2019
Excellent/Very good health 64% 68% 67%
Weekly exercise 77% 75% 76%
No health conditions 29% 37% 37%
Mental health diagnosis 54% 50% 48%
Has primary care doctor 99% 99% 98%
Physical exam in last year 82% 73% 87%
Dental visit in last 6 months 32% 28% 52%
Flu vaccine in last year 87% 80% 78%
HEART HEALTH
VIRGINIA 2020 2021 NATIONAL
2019
Overweight/Obese 65% 67% 65%
High blood pressure 21% 22% 23%
High cholesterol 19% 16% 20%
Diabetes 15% 14% 13%

In the 2020-2021 sample, 16% of respondents had a behavior & mental health diagnosis. Of this group,
59% received behavior supports
58% took mental health medication
39% took behavior medication
23% had a behavior plan

Virginia's National Core Indicators Project | 2021 Comparisons with National Data | Page 6

HEALTH RISKS
VIRGINIA 2021
Seizures 34%
Skin Breakdown 16%
Aspiration Pneumonia 15%
Falls 41%
Urinary Tract Infections 11%
Dehydration 11%
Constipation 21%
Bowel Obstruction 7%
Sepsis 7%
UNPLANNED HOSPITALIZATIONS
VIRGINIA 2021
Had an unplanned hospitalization 15%

Of those who had an Unplanned Hospitalization

1 time 69%
2 times 17%
3 times 6%
4 times 4%
5 or more times 4%

n= 108

There is no comparison data for identified health risks and unplanned hospitalizations because these questions were not asked in previous years or nationally.

Virginia's National Core Indicators Project | 2021 Comparisons with National Data | Page 7