{"edition":"houston","organization":"Crisis Intervention of Houston","organizationId":"org:crisis-intervention-of-houston","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-10-06","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":null,"canonicalPriceUSDPerTenEquivalentYears":null,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":1537864.171693993,"canonicalPriceUSDPerTenEquivalentYears":15378641.71693993,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"crisis-intervention-of-houston-beta-20261006","costScope":"Whole recognized annual tax recipient expense versus narrow historical hotline channel; unpaid/partner resources unknown","geographicAttribution":"Local Houston reference with .9 judged MSA share; callers and teens not verified local adult households","formula":"Exposed=N*unique; benefit union=exposed*b. Clinical=(clinicalN*unique*b*clinicalResponse*q*discounted finite T − exposed*harm/onset discount)*g. Changed=union*success; one joint household log of overlap-adjusted positive net resources minus full costs; other exposed households retain full negative costs. Payer loss localized once. Current price=10*C/(health+signed income) only when positive. Historical-alpha-central reproduces complete initial health and income.","counterfactual":"988 Suicide and Crisis Lifeline, other hotlines, 911 when appropriate, community mental health and family support retained","attribution":"Annual incremental recipient response is distinct from cohort deduplication and geographic share; no claim of whole annual portfolio or marginal donation causal effect.","uncertainty":"Services and accounting cost source-grounded; N historical contacts, not current unique people. All deduplication, additionality, utility, duration, income response and burden coefficients remain judgments. Primary studies do not identify CIH's causal increment versus 988. Current total nonpositive; omitted portfolio channels and next-gift response unknown.","nativeOutcomes":"Additional short-term stabilization and useful support linkage; contacts not deaths prevented","inputs":[{"name":"C","value":181993,"unit":"USD annual recognized resources","basis":"observed","rationale":"Recognized annual tax expense plus any identified netted expense addbacks; unrecognized volunteers excluded and unknown","sourceIds":["services","finance"]},{"name":"N","value":35812,"unit":"annual reference service opportunities","basis":"judgment","rationale":"Historical FY2022–2023 contact count 35812; distinct adult households and current response judged, not observed","sourceIds":["services","finance"]},{"name":"unique","value":0.2,"unit":"households per patient proxy","basis":"judgment","rationale":"Distinct household mapping prior, not clinical efficacy.","sourceIds":["services","finance"]},{"name":"b","value":0.15,"unit":"incremental annual response share","basis":"judgment","rationale":"Additional annual implementation versus public/insurance/provider alternatives, not an additional marginal-gift haircut.","sourceIds":["services","finance","hotline-2007","asist-2013","hotline-2025"]},{"name":"q","value":0.02,"unit":"QALY per person-year","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance","hotline-2007","asist-2013","hotline-2025"]},{"name":"T","value":0.02,"unit":"finite clinical years","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance","hotline-2007","asist-2013","hotline-2025"]},{"name":"g","value":0.9,"unit":"Houston MSA share","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"delay","value":0.01,"unit":"years","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"discount","value":0.03,"unit":"annual discount rate","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"success","value":0.05,"unit":"additional resource success share","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"medicalGain","value":0,"unit":"USD annual otherwise-paid care avoided","basis":"unknown","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"workGain","value":100,"unit":"USD annual net disposable work resources","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"transferGain","value":0,"unit":"USD one-time net additional household housing resources","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"overlap","value":0.5,"unit":"independent positive benefit share","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"cost","value":2,"unit":"USD one-off incremental burden per distinct household proxy","basis":"judgment","rationale":"Retained $2 time/access hypothesis beyond alternative counseling, applied to all exposed; 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