OTSurveyDisability and health journal2023

Housing insecurity of medicaid beneficiaries with cognitive disabilities during the COVID-19 pandemic.

Carli Friedman

PMID 36156273

WHAT IT FOUND

Among Medicaid beneficiaries with cognitive disabilities who rented or had a mortgage, 26.3% were behind on payments, compared with 16.6% of other people with disabilities and 9.1% of nondisabled people; 20.6% were not at all confident about their next payment.

Key findings

01Medicaid beneficiaries with cognitive disabilities who rented or had a mortgage were more likely to be behind on rent/mortgage payments (26.3%) than all other people with disabilities (16.6%) and nondisabled people (9.1%).

02Among Medicaid beneficiaries with cognitive disabilities who were behind on payments, 52.0% said eviction or foreclosure within two months was somewhat or very likely.

03Medicaid beneficiaries with cognitive disabilities questioned their ability to pay the next rent/mortgage payment on time: 69.5% did so, and 20.6% were not at all confident.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

This was a secondary analysis of survey data, so the researchers could not add variables or ask follow-up questions. The paper did not report what types of cognitive disability people had, so results cannot be separated by diagnosis or support need. It did not include information about disability-specific residential settings such as group homes and institutions. Housing payment questions were asked only of people who rented or owned with a mortgage/loan, so other living arrangements were not covered. The dataset did not include housing status before the pandemic, so it cannot show change from before to during the pandemic. The disability questions were only available from April 2021, so early pandemic housing experiences were missing. The researchers did not explore interactions between variables, so they could not test combined effects such as disability type plus income loss. It is unclear whether the Census survey was accessible to people with cognitive disabilities, which could bias results or exclude people with higher support needs. The findings are self-reported survey associations from one period, not proof of cause or treatment effect.

The easy way to misread this

Do not read this as proof that a therapy or housing programme caused or fixed housing insecurity. The study is a weighted survey of self-reported rent, mortgage, eviction worry and payment confidence; it did not test an intervention or show cause.

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