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 Pinellas Data Collaborative

A Resource to Inform Programs and Policy Makers

 

Paul Stiles, J.D., Ph.D.Vijaya Sampath, M.A., M.S.

Policy and Services Research Data Center

Department of Mental Health Law & PolicyLouis de la Parte Florida Mental Health Inst.

University of South Florida

Tim Burns

Dept of Justice and Consumer Services

Pinellas County

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Pinellas County Data Collaborative

• Established in the fall of 1999 as a result of Chapter 163.6 of the Florida Statutes, which allowed governmental and certain private agencies to share information.

• Mission:– To enhance the delivery of mental health and

substance abuse programs to Pinellas County residents by encouraging communication and collaboration among all related community providers, organizations, interested government agencies, and educational institutions.

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Pinellas County Data CollaborativePrimary Membership

• Pinellas County Board of County Commissioners

• Pinellas Clerk of Circuit Court

• Pinellas Office of County Attorney

• Pinellas County Sheriff Office

• Sixth Judicial Circuit Court of Florida

• Pinellas Department of Human Services

• Juvenile Welfare Board of Pinellas County

• Florida Dept of Children & Families Suncoast Region

• Louis de la Parte Florida Mental Health Institute

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Pinellas County Data CollaborativeTypes of Data

• Criminal Justice (courts, sheriff)• Dept of Human Services• Emergency Medical Services• Juvenile Welfare Board Providers• State Mental Health Authority Demog & Events• Medicaid Claims and Eligibility• Civil Commitment• Others by request: Child Welfare, Dept of Juvenile

Justice, Corrections• Possibly in future: School Data, 211 Data

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Pinellas County Data CollaborativeStudy Examples

• G. Pierce Woods State Mental Hospital Closing: Impact to Pinellas County

• Incarceration and The Impact of Medicaid Eligibility Status for Those with a Seriously Mental Illness

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GPW Closure Impact on Pinellas County

• Study Questions– What is the impact of the closure of GPW on Pinellas

county?– What is the net gain (or loss) of individuals leaving

GPW and settling in Pinellas county?

• Method– State Hospital data was integrated with Medicaid and

state MH/SA authority community service data to determine how many individuals were admitted from Pinellas and how many moved to Pinellas after discharge.

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• Findings:

GPW Closure Impact on Pinellas County

Year of Discharge by Discharge Group

24188153Total

2202002

3611252001

4612342000

419321999

229131998

3319141997

3112191996

3014161995

TotalAdmitted from Pinellas

Discharged Out of Pinellas

Admitted from Outside

Discharged Into Pinellas

Year

Group

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GPW Closure Impact on Pinellas County

• Other Findings– The persons admitted from outside Pinellas who moved

to Pinellas after discharge tended to be younger adults.– The “net gains” to Pinellas came from both civil wards

of GPW and forensic wards.

• Implications– Pinellas may have sufficient evidence to request a

greater proportion of state funds to assist this disproportionate distribution of GPW dischargees.

– The county may want to take into account this migration pattern as it plans for future service provision.

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Incarceration and Medicaid Status

• Study Questions– What is the extent of Medicaid disenrollment when an

individual is admitted to Pinellas County Jail?– Does Medicaid enrollment improve access and receipt

of community based services for SMI persons released from jail?

• Method– Medicaid, State MH/SA data, and Criminal Justice

data (county CJIS system) were linked to examine enrollment and service use within 90 days of release from jail.

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Incarceration and Medicaid Status• Findings

– Persons released from jail who are enrolled in Medicaid have higher access and more timely services following the release, however once there (receiving services), they receive the same intensity of services.

• Implications– Medicaid is important for SMI persons leaving jail –

Pinellas may want to make sure that SMI releasees from county jail are enrolled as soon as feasible into Medicaid.

• Future– Does Medicaid enrollment decrease jail recidivism (and

thus reduce jail costs).

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Pinellas County Data CollaborativeOther Study/Question Examples

• How many children in Pinellas County are cared for through the Baker Act (civil commitment) system?

• How many people used services in 3 or more Pinellas County service systems?

• What is the impact of seasonal residents (“snowbirds”) on EMS utilization?

• How do persons with substance abuse problems interact with the Pinellas County social service, emergency medical and criminal justice systems?

• What are the characteristics of children in Juvenile Welfare Board programs who interact with either the child protective services and/or mental health systems?

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Pinellas County Data Collaborative

• Process:– Proposed analyses are sent out to all member

representatives via e-mail.• FMHI staff will help clarify the questions and may suggest minor

modifications based on their experience with the data sets.

– If no objections within 10 days, FMHI may proceed with analyses.

– Upon completion of the analyses, a report outlining the findings is sent to all member representatives via e-mail.

• Depending upon the questions, the report may be fairly informal or it may be in a more formal format.

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Next step -- contact one of the following people:

Bruce Stegner Ph.D.Department of Mental Health Law & PolicyLouis de la Parte Florida Mental Health InstituteUniversity of South Florida13301 Bruce B Downs Blvd.Tampa, FL 33612Voice: 813-974-6981Fax: 813-974-6411E-mail: bstegner@fmhi.usf.edu

Diane Haynes, M.A.Department of Mental Health Law & PolicyLouis de la Parte Florida Mental Health InstituteUniversity of South Florida13301 Bruce B Downs Blvd.Tampa, FL 33612Voice: 813-974-2056Fax: 813-974-6411E-mail: dhaynes@fmhi.usf.edu

Tim BurnsDept of Justice and Consumer Services15251 Roosevelt Blvd, Suite 209Clearwater, FL 33760Voice: 727-453-7441Fax: 727-453-7433E-mail: tburns@co.pinellas.fl.us

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