{"edition":"houston","organization":"AVDA","organizationId":"org:avda","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-10-06","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":1305493.8987009693,"canonicalPriceUSDPerTenEquivalentYears":13054938.987009693,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":1305493.8987009693,"canonicalPriceUSDPerTenEquivalentYears":13054938.987009693,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"avda-beta-health-income-20261006","costScope":"Whole reviewed FY 2023 AVDA annual cost versus a conditional newer Harris-only survivor support channel; unmatched vintage and partial portfolio, not marginal gift EV.","geographicAttribution":"Rounded 2024 Harris County support reference only; g=1 for this local cohort. Whole recipient cost also covers nonlocal and unmodeled programs.","formula":"Exposed = N × unique. Incremental outcome households = exposed × b. Health = (clinicalN × unique × b × clinicalResponse × q × finite discounted duration − exposed × full union harm discounted at onset) × g. Resources = one signed household log for successful/other exposed households plus full distinct payer/provider incidence with geography once. Price = 10 × annual cost / positive combined health and resources.","counterfactual":"Other legal aid, public protection and benefit systems, affordable private counsel where available, alternative counseling, family support and case outcomes without this provider.","attribution":"b is the share of supported household proxies whose outcomes improve beyond alternative providers; clinicalResponse and resource success are distinct conditional outcomes, not marginal-gift probability. Harms and access costs cover all exposures irrespective of b.","uncertainty":"Rounded supported survivor count is source-based; household mapping, causal response, utility, duration, resource gains, payer incidence and capacity remain judgments. Randomized external advocacy does not identify AVDA causal effects; observational income change does not identify attributable disposable earnings.","nativeOutcomes":"Primary grant-maker describes over 2,500 adult/child Harris survivors supported in 2024; not unique households, completed cases or causal health/resources. BIPP, outreach, other counties and child-specific effects remain unmodeled, not zero-valued.","inputs":[{"name":"C","value":4051637,"unit":"USD annual recognized cost","basis":"observed","rationale":"Reviewed original FY 2023 whole cost retained; newer listed audit not retrieved.","sourceIds":["finance"]},{"name":"N","value":2500,"unit":"supported survivor reference","basis":"judgment","rationale":"2,500 is a rounded lower descriptive reference from the primary 2025 grant entry describing over 2,500 Harris adult/child survivors supported in 2024, not exact unique households.","sourceIds":["grant2025","services"]},{"name":"clinicalN","value":2500,"unit":"supported survivor reference","basis":"judgment","rationale":"Same supported-survivor reference used as opportunities, with household/response judgments; not a separate observed clinical cohort.","sourceIds":["grant2025","services"]},{"name":"clinicalResponse","value":0.25,"unit":"explicit model parameter","basis":"judgment","rationale":"0.25 clinical response conditional on additional case outcome; external advocacy trials do not supply this AVDA rate.","sourceIds":["rct1994","rct1999","services"]},{"name":"unique","value":0.5,"unit":"explicit model parameter","basis":"judgment","rationale":"0.5 household mapping of mixed adults/children is a judgment, not observed deduplication.","sourceIds":["services","finance","cg-cost"]},{"name":"b","value":0.3,"unit":"explicit model parameter","basis":"judgment","rationale":"0.3 incremental case outcome versus alternative aid is a hypothesis, not completion or donor capacity.","sourceIds":["services","finance","cg-cost"]},{"name":"q","value":0.03,"unit":"clinical QALY units","basis":"judgment","rationale":"0.03 physical/trauma symptom utility only; not a measured QALY or duplicated financial-security utility.","sourceIds":["rct1994","rct1999","services"]},{"name":"T","value":2,"unit":"explicit model parameter","basis":"judgment","rationale":"Two finite years retained as uncertain external intensive-advocacy transfer; shorter and null cases tested.","sourceIds":["rct1994","rct1999","services"]},{"name":"g","value":1,"unit":"explicit model parameter","basis":"judgment","rationale":"Harris-only modeled reference is inside Houston MSA, so no population or second geographic multiplier.","sourceIds":["grant2025","services"]},{"name":"delay","value":0.5,"unit":"explicit model parameter","basis":"judgment","rationale":"Retained explicitly uncertain finite initial parameter; not measured recipient causal effect.","sourceIds":["services","finance","cg-cost"]},{"name":"discount","value":0.03,"unit":"explicit model parameter","basis":"judgment","rationale":"Retained explicitly uncertain finite initial parameter; not measured recipient causal effect.","sourceIds":["services","finance","cg-cost"]},{"name":"success","value":0.3,"unit":"explicit model parameter","basis":"judgment","rationale":"Retained explicitly uncertain finite initial parameter; not measured recipient causal effect.","sourceIds":["services","finance","cg-cost"]},{"name":"medicalGain","value":100,"unit":"USD household net resources or costs","basis":"judgment","rationale":"Retained explicitly uncertain finite initial parameter; not measured recipient causal effect.","sourceIds":["services","finance","cg-cost"]},{"name":"workGain","value":1500,"unit":"USD household net resources or costs","basis":"judgment","rationale":"$1,500 disposable work-resource hypothesis after tax, benefit withdrawal and recurring work costs; 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full exposed-household external costs stressed.","sourceIds":["services","finance","cg-cost"]},{"name":"resourceYears","value":1,"unit":"explicit model parameter","basis":"judgment","rationale":"Retained explicitly uncertain finite initial parameter; not measured recipient causal effect.","sourceIds":["services","finance","cg-cost"]}],"scenarios":[{"id":"central","label":"central","overrides":{},"costUSD":4051637,"exposed":1250,"union":375,"clinicalPeople":93.75,"allPopulationQalys":4.230099904740518,"editionQalys":4.230099904740518,"incomePathways":[{"id":"changed-households","people":112.5,"annualIncomeBeforeUSD":25000,"annualIncomeGainUSD":1100,"years":1,"editionShare":1,"delayYears":0.5,"discountRate":0.03,"rationale":"One joint household log; positive components overlap-adjusted, all costs and negative gains full.","counterfactual":"Existing public, charity and family assistance retained; only incremental otherwise-paid costs or net work resources count.","sourceIds":["services","finance","cg-cost"]},{"id":"other-exposed","people":1137.5,"annualIncomeBeforeUSD":25000,"annualIncomeGainUSD":-100,"years":1,"editionShare":1,"delayYears":0.5,"discountRate":0.03,"rationale":"One joint household log; 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