behavioral health data book a quarterly reference to community mental health and substance abuse...

Behavioral Health

DATA BOOKA quarterly reference to community mental health and substance abuse services

Fiscal Year 2011 Quarter 4 October 10, 2011

DSHS Behavioral Health DATA BOOK FY2011 Quarter 4 October 10, 2011 2

PREFACE

The purpose of the Texas Department of State Health Services (DSHS) Behavioral Health Data Book is to present, in a quarterly document series, statewide data trends for community mental health and substance abuse services for policy and practice decision making. It is not intended as a comprehensive guide, but as a quick reference for DSHS staff in response to frequently-asked, general questions from behavioral health stakeholders. Therefore, data presented here should not be taken out of this context.

For further information, contact the Mental Health & Substance Abuse Decision Support Unit.

IN THIS ISSUE:

Measures in the Substance Abuse Services section are presented yearly beginning with FY2011, when the Clinical Management for Behavioral Health Services (CMBHS) was first used statewide by DSHS-funded providers of substance abuse services to enter data. These measures are presented for prior fiscal years (apart from FY2011) in previous issues of the DSHS Behavioral Health Data Book, when the Behavioral Health Integrated Provider System (BHIPS) was used by providers to enter data.


COMMUNITY MENTAL HEALTH SERVICES

Section 1 Adults Page

Figure 1.1. Average monthly number of adults receiving community mental health services 5Figure 1.2. Average monthly cost per adult receiving community mental health services 6Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized 7Figure 1.4. Average monthly percentage of adults in community mental health services receiving minimum number of recommended service hours 8Figure 1.5. Percentage of adults in community mental health services receiving first service encounter within 14 days of assessment 9Figure 1.6. Percentage of adults in community mental health services avoiding crisis 10Figure 1.7. Percentage of adults in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital 11Figure 1.8. Percentage of adults in community mental health services with improved or acceptable functioning per year 12Figure 1.9. Percentage of adults in community mental health services with improved or acceptable employment per year 13Figure 1.10. Percentage of adults in community mental health services with improved or acceptable housing per year 14Figure 1.11. Percentage of adults in community mental health services with improved criminal justice involvement per year 15Figure 1.12. Percentage of adults in community mental health services with improved or acceptable co-occurring substance use per year 16Figure 1.13. Number of persons assigned to Supported Employment 17Figure 1.14. Number of persons assigned to Supported Housing 18

Section 2 Children

Figure 2.1. Average monthly number of children receiving community mental health services 19Figure 2.2. Average monthly cost per child receiving community mental health services 20Figure 2.3. Average monthly percentage of children in community mental health services appropriately-authorized 21Figure 2.4. Average monthly percentage of children in community mental health services receiving minimum number of recommended service hours 22Figure 2.5. Percentage of children in community mental health services receiving first service encounter within 14 days of assessment 23Figure 2.6. Percentage of children in community mental health services avoiding crisis 24Figure 2.7. Percentage of children in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital 25Figure 2.8. Percentage of children in community mental health services with improved or acceptable functioning per year 26Figure 2.9. Percentage of children in community mental health services with improved or acceptable problem severity per year 27Figure 2.10. Percentage of children in community mental health services with improved school behavior per year 28Figure 2.11. Percentage of children in community mental health services avoiding re-arrest per year 29Figure 2.12. Percentage of children in community mental health services with improved or acceptable co-occurring substance use per year 30


COMMUNITY MENTAL HEALTH SERVICES (continued)

Section 3 Front Door Crisis Page

Figure 3.1. Average monthly number of persons receiving community mental health front-door crisis services 31

Figure 3.2. Average monthly cost per person receiving community mental health front-door crisis services 32

Section 4 New Generation Medication

Figure 4.1. Average monthly number of persons receiving new generation medication 33

Figure 4.2. Average monthly cost per person receiving new generation medication 34

Section 5 Waiting List

Figure 5.1. Number of persons on waiting list for community mental health services with percentage waiting for all services 35

Section 6 Pay for Performance

Figure 6.1. Average monthly estimated percentage of DSHS General Revenue earned by community mental health centers 36


Figure 1.1. Average monthly number of adults receiving community mental health services

0

20,000

40,000

60,000

80,000

100,000

120,000

COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults

Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.


Figure 1.2. Average monthly cost per adult receiving community mental health services

$347 $337 $344 $327 $326 $307 $320 $330 $322 $324 $334 $327 $323$345 $360 $360 $347 $338

$380 $372

$0

$100

$200

$300

$400

$500

$600

$700

$800


Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST).


Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized

96%96%95%

91%92%92%92%92%93% 93% 93%94%96%

94% 94% 93% 94%93% 93% 93%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.


Figure 1.4. Average monthly percentage of adults in community mental health services receiving minimum number of recommended service hours

89% 90% 89% 88%

81% 83% 83% 82% 82% 81% 82% 83%87% 87% 87%

89%87%

84%81%

84%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2007

Quarte

r 1

FY2007

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r 2

FY2007

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r 3

FY2007

Quarte

r 4

FY2008

Quarte

r 1

FY2008

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r 2

FY2008

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r 3

FY2008

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r 4

FY2009

Quarte

r 1

FY2009

Quarte

r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2

FY2010

Quarte

r 3

FY2010

Quarte

r 4

FY2011

Quarte

r 1

FY2011

Quarte

r 2

FY2011

Quarte

r 3

FY2011

Quarte

r 4


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.

(80%)FY2011

PerformanceContractTarget


Figure 1.5. Percentage of adults in community mental health services receiving first service encounter within 14 days of assessment

84% 82% 82% 81% 82% 84% 85%

79% 80% 82% 80%

74%77% 78% 78% 77%

79% 80% 81% 79%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2007

Quarte

r 1

FY2007

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r 2

FY2007

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r 3

FY2007

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r 4

FY2008

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r 1

FY2008

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FY2008

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FY2008

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r 1

FY2009

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r 2

FY2009

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r 3

FY2009

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r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2

FY2010

Quarte

r 3

FY2010

Quarte

r 4

FY2011

Quarte

r 1

FY2011

Quarte

r 2

FY2011

Quarte

r 3

FY2011

Quarte

r 4


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.

(77%)FY2011



Figure 1.6. Percentage of adults in community mental health services avoiding crisis

98% 98% 98% 98% 98% 98% 97% 98% 98% 98% 98% 97% 98% 98% 97% 97% 98% 98% 98% 98%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY20

07 Q

uarte

r 1

FY20

07 Q

uarte

r 2

FY20

07 Q

uarte

r 3

FY20

07 Q

uarte

r 4

FY20

08 Q

uarte

r 1

FY20

08 Q

uarte

r 2

FY20

08 Q

uarte

r 3

FY20

08 Q

uarte

r 4

FY20

09 Q

uarte

r 1

FY20

09 Q

uarte

r 2

FY20

09 Q

uarte

r 3

FY20

09 Q

uarte

r 4

FY20

10 Q

uarte

r 1

FY20

10 Q

uarte

r 2

FY20

10 Q

uarte

r3

FY20

10 Q

uarte

r 4

FY20

11 Q

uarte

r 1

FY20

11 Q

uarte

r 2

FY20

11 Q

uarte

r 3

FY20

11 Q

uarte

r 4


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.

(97.7%)FY2011



Figure 1.7. Percentage of adults in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital

0.44% 0.40% 0.36% 0.36% 0.35% 0.32% 0.26% 0.29% 0.27% 0.25% 0.25% 0.26% 0.22% 0.20% 0.21% 0.19% 0.33% 0.35% 0.36% 0.37%

0%

2%

4%

6%

8%

10%

FY2007

Quarte

r 1

FY2007

Quarte

r 2

FY2007

Quarte

r 3

FY2007

Quarte

r 4

FY2008

Quarte

r 1

FY2008

Quarte

r 2

FY2008

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r 3

FY2008

Quarte

r 4

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Quarte

r 1

FY2009

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r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2

FY2010

Quarte

r 3

FY2010

Quarte

r 4

FY2011

Quarte

r 1

FY2011

Quarte

r 2

FY2011

Quarte

r 3

FY2011

Quarte

r 4


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), DATA BOOK - Percentage of Adults and Children in Full RDM Packages Admitted 3 or More Times in 180 Days to a State or Community Psychiatric Hospital. For methodology, see report query.


36%39% 38%

34% 35%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Figure 1.8. Percentage of adults in community mental health services with improved or acceptable functioning per year


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.

(35% Improved or Acceptable )

FY2011Performance

ContractTarget


Figure 1.9. Percentage of adults in community mental health services with improved or acceptable employment per year

81% 83%85% 84% 86%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(83% Improved or Acceptable)

FY2011Performance

ContractTarget


Figure 1.10. Percentage of adults in community mental health services with improved or acceptable housing per year

71%68%68%

69%67%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




FY2011Performance

ContractTarget


Figure 1.11. Percentage of adults in community mental health services with improved criminal justice involvement per year

44%42%

53%

43%44%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(41% Improved)FY2011



Figure 1.12. Percentage of adults in community mental health services with improved or acceptable co-occurring substance use per year

73%

83% 85% 84% 85%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




FY2011Performance

ContractTarget


Figure 1.13. Number of persons assigned to Supported Employment


1,265 1,303 1,3011,116

1,038882 872 860

723 793 833 819 777656

792 830745 784 830

682

0

500

1,000

1,500

2,000

2,500

3,000

Source: DSHS Client Assignment Registration (CARE) system.


Figure 1.14. Number of persons assigned to Supported Housing


0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000



0

5,000

10,000

15,000

20,000

25,000

Figure 2.1. Average monthly number of children receiving community mental health services

COMMUNITY MENTAL HEALTH SERVICES Section 2 Children

Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.


$0

$100

$200

$300

$400

$500

$600

$700

$800

Figure 2.2. Average monthly cost per child receiving community mental health services




Figure 2.3. Average monthly percentage of children in community mental health services appropriately authorized

93% 94% 94% 94% 94% 93% 93% 92% 91% 92%94% 94% 93%93%92%93% 92%93%94% 93%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2007

Quarte

r 1

FY2007

Quarte

r2

FY2007

Quarte

r 3

FY2007

Quarte

r 4

FY2008

Quarte

r 1

FY2008

Quarte

r 2

FY2008

Quarte

r 3

FY2008

Quarte

r 4

FY2009

Quarte

r 1

FY2009

Quarte

r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2

FY2010

Quarte

r 3

FY2010

Quarte

r 4

FY2011

Quarte

r 1

FY2011

Quarte

r 2

FY2011

Quarte

r 3

FY2011

Quarte

r 4


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.


Figure 2.4. Average monthly percentage of children in community mental health services receiving minimum number of recommended service hours

87% 87% 88% 87% 86% 87% 86% 85% 84%87% 86% 85%

88% 87% 88% 89%

83%87%87%

84%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2007

Quarte

r 1

FY2007

Quarte

r 2

FY2007

Quarte

r 3

FY2007

Quarte

r 4

FY2008

Quarte

r 1

FY2008

Quarte

r 2

FY2008

Quarte

r 3

FY2008

Quarte

r 4

FY2009

Quarte

r 1

FY2009

Quarte

r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2

FY2010

Quarte

r 3

FY2010

Quarte

r 4

FY2011

Quarte

r 1

FY2011

Quarte

r 2

FY2011

Quarte

r 3

FY2011

Quarte

r 4


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.

(80%)FY2011



Figure 2.5. Percentage of children in community mental health services receiving first service encounter within 14 days of assessment

84% 84% 86%82% 84% 82%

85%

78%76%

80% 78% 78% 79%76%

73% 73% 75% 77% 77% 77%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.

(65%)FY2011



Figure 2.6. Percentage of children in community mental health services avoiding crisis

99% 99% 99% 99% 99% 99%95%

99% 99% 99% 98% 99% 98% 98% 98% 98% 98% 98% 98% 99%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.

(98.3%)FY2011



Figure 2.7. Percentage of children in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital

0.12% 0.11% 0.11% 0.08% 0.10% 0.07% 0.06% 0.04% 0.04% 0.07% 0.08% 0.04% 0.05% 0.03% 0.02% 0.01% 0.02% 0.04% 0.07% 0.02%

0%

2%

4%

6%

8%

10%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), DATA BOOK - Percentage of Adults and Children in Full RDM Packages Admitted 3 or More Times in 180 Days to a State or Community Psychiatric Hospital. For methodology, see report query.


Figure 2.8. Percentage of children in community mental health services with improved or acceptable functioning per year


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.

37% 38% 37% 38% 37%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


FY2011Performance

ContractTarget


Figure 2.9. Percentage of children in community mental health services with improved or acceptable problem severity per year

40% 41% 41%42%41%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




FY2011Performance

ContractTarget


Figure 2.10. Percentage of children in community mental health services with improved school behavior per year

65%68% 68%69%68%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(68% Improved)FY2011



Figure 2.11. Percentage of children in community mental health services avoiding re-arrest per year

93% 92%90% 90% 91%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(91%)FY2011



Figure 2.12. Percentage of children in community mental health services with improved or acceptable co-occurring substance use per year

81%79%

84%79%

81%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2007

FY2008

FY2009

FY2010

FY2011



FY2011 Performance

Contract Target



2,433 2,381

2,8852,609 2,692

2,859

3,985 4,0474,305 4,399

5,2175,384 5,265

5,056

5,689

5,192

5,8785,5295,688

5,851

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

Figure 3.1. Average monthly number of persons receiving MH crisis services

COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis



$385 $378$340

$282

$161 $170$194 $195 $207

$230 $238 $250 $244

$410 $406 $400 $382 $363$392 $401

$0

$100

$200

$300

$400

$500

$600

$700

$800

Figure 3.2. Average monthly cost per person receiving MH crisis services

COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis


Notes: Starting in FY2008 Q3, the number of persons receiving free new generation medication and those partially paid for by Medicare Part D were included in this computation. The expenditures remained the same, thereby decreasing the average monthly cost of new generation medication per person. This performance reflects the efforts to efficiently provide new generation medication. Beginning in FY2010 Q2, rate adjustments to the Cost Accounting Methodology (CAM) data resulted in a substantial increase in the average monthly cost per person receiving MH crisis services.


0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Figure 4.1. Average monthly number of persons receiving new generation medication

COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication



$430

$349$382

$514

$392

$340

$147

$215

$139 $138 $142 $134 $127 $129 $129$147

$128 $134 $150$132

$0

$100

$200

$300

$400

$500

$600

$700

$800

Figure 4.2. Average monthly cost per person receiving new generation medication

COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication


Note: Starting in FY2008 Q3, the number of persons receiving free new generation medication and those partially paid for by Medicare Part D were included in this computation. The expenditures remained the same, thereby decreasing the average monthly cost of new generation medication per person. This performance reflects the efforts to efficiently provide new generation medication.


2,638 2,470 2,735 2,681

3,9494,360

4,842 5,0745,595 5,689

6,1576,754

8,0758,661

10,0469,6679,7819,91710,354

9,528

72%77%

81%78%

55% 55%59%

65% 64% 64% 65% 67%72% 72% 76%

74%72%70%71% 69%

0

2,000

4,000

6,000

8,000

10,000

12,000

FY20

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11/3

0/06

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5/31

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2/29

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11/3

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2/28

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5/31

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8/31

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11/3

0/09

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f Qua

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on

2/28

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5/31

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8/31

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11 E

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f Qua

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11/3

0/10

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11 E

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2/28

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5/31

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11 E

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8/31

/201

1

0%

20%

40%

60%

80%

100%

Number of Persons Waiting Percentage Waiting for All Services

Figure 5.1. Number of persons on waiting list for community mental health services with percentage waiting for all services

COMMUNITY MENTAL HEALTH SERVICES Section 5 Waiting List



Figure 6.1. Estimated percentage of DSHS General Revenue earned by community mental health centers

66%63%

67%62% 62% 63%

67% 68%

54% 55%

61% 63%60% 60%

65% 63% 61%58%

63%60%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

COMMUNITY MENTAL HEALTH SERVICES Section 6 Pay for Performance

Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), FIN GR Earned. For methodology, see Method and Notes in FIN GR Earned.


SUBSTANCE ABUSE SERVICES

Section 1 Prevention Page

Figure 1.1. Number of adults served in substance abuse prevention programs per year 39Figure 1.2. Cost per adult for substance abuse prevention programs per year 40Figure 1.3. Number of youth served in substance abuse prevention programs per year 41Figure 1.4. Cost per youth for substance abuse prevention programs per year 42

Section 2 Intervention

Figure 2.1. Number of adults served in substance abuse intervention programs per year 43 Figure 2.2. Cost per adult for substance abuse intervention programs per year 44Figure 2.3. Number of youth served in substance abuse Intervention programs per year 45Figure 2.4. Cost per youth for substance abuse intervention programs per year 46

Section 3 Treatment

Figure 3.1. Number of adults served in substance abuse treatment programs per year 47 Figure 3.2. Cost per adult completing substance abuse treatment programs per year 48Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year 49Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year 50Figure 3.5. Percentage of adults completing substance abuse treatment programs per year 51Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year 52Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment per year 53Figure 3.8. Percentage of adults completing substance abuse treatment programs not re-arrested per year 54Figure 3.9. Number of youth served in substance abuse treatment programs per year 55Figure 3.10. Cost per youth completing substance abuse treatment programs per year 56Figure 3.11. Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year 57Figure 3.12. Number of youth admissions to substance abuse treatment programs by primary substance per year 58Figure 3.13. Number of youth by criminal justice status admitted to substance abuse treatment programs per year 59Figure 3.14. Percentage of youth completing substance abuse treatment programs per year 60Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at follow-up per year 51Figure 3.16. Percentage of youth completing substance abuse treatment programs with positive school status at follow-up per year 62Figure 3.17. Percentage of youth completing substance abuse treatment programs not re-arrested per year 63


SUBSTANCE ABUSE SERVICES (continued)

Section 4 Co-Occurring Psychiatric and Substance Use Disorders (COPSD) Page

Figure 4.1. Number of COPSD clients served in substance abuse programs per year 64

Section 5 Specialized Female Programs

Figure 5.1. Number of females served in substance abuse specialized female programs per year 65

Figure 5.2. Cost per female served in substance abuse specialized female programs per year 66

Figure 5.3. Cost per female completing substance abuse specialized female programs per year 67

Figure 5.4. Percentage of females completing substance abuse specialized female programs per year 68

Section 6 Waiting List

Figure 6.1. Number of adults entered on waiting list by substance abuse program per year 69

Figure 6.2. Number of youth entered on waiting list by substance abuse program per year 70


468,054

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

FY2011 FY2012 FY2013 FY2014

Figure 1.1. Number of adults served in substance abuse prevention programs per year

SUBSTANCE ABUSE SERVICES Section 1 Prevention

Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).


$16

$0

$10

$20

$30

FY2011 FY2012 FY2013 FY2014

Figure 1.2. Cost per adult for substance abuse prevention programs per year




1,843,263

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

FY2011 FY2012 FY2013 FY2014

Figure 1.3. Number of youth served in substance abuse prevention programs per year




$14

$0

$10

$20

$30

FY2011 FY2012 FY2013 FY2014

Figure 1.4. Cost per youth for substance abuse prevention programs per year




Figure 2.1. Number of adults served in substance abuse intervention programs per year

SUBSTANCE ABUSE SERVICES Section 2 Intervention


123,914

0

50,000

100,000

150,000

200,000

250,000

300,000

FY2011 FY2012 FY2013 FY2014


$89

$0

$25

$50

$75

$100

$125

$150

FY2011 FY2012 FY2013 FY2014

Figure 2.2. Cost per adult for substance abuse intervention programs per year




26,519

0

10,000

20,000

30,000

40,000

50,000

60,000

FY2011 FY2012 FY2013 FY2014

Figure 2.3. Number of youth served in substance abuse intervention programs per year




$127

$0

$50

$100

$150

$200

FY2011 FY2012 FY2013 FY2014

Figure 2.4. Cost per youth for substance abuse intervention programs per year




31,627

0

10,000

20,000

30,000

40,000

50,000

60,000

FY2011 FY2012 FY2013 FY2014

Figure 3.1. Number of adults served in substance abuse treatment programs per year

SUBSTANCE ABUSE SERVICES Section 3 Treatment



$1,617

$0

$1,000

$2,000

$3,000

$4,000

FY2011 FY2012 FY2013 FY2014

Figure 3.2. Cost per adult completing substance abuse treatment programs per year




15,281

10,107

0

10,000

20,000

30,000

40,000

FY2011 FY2012 FY2013 FY2014

Outpatient

Residential

Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year


Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).


Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year

11

,68

0

5,9

21

5,4

28

2,5

10 3,5

82

8,7

09

0

5,000

10,000

15,000

20,000

FY2011 FY2012 FY2013 FY2014

Alcohol Cocaine Marijuana Methamphetamine Opioid Other




Figure 3.5. Percentage of adults completing substance abuse treatment programs per year

56%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014




89.47%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014


Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year


(86%)FY2011Target


51.92%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014


Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment at follow-up per year


(63%)FY2011Target


100%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014


Figure 3.8. Percentage of adults completing substance abuse treatment programs not re-arrested per year


(98%)FY2011Target


5,418

0

2,000

4,000

6,000

8,000

10,000

FY2011 FY2012 FY2013 FY2014

Figure 3.9. Number of youth served in substance abuse treatment programs per year




$3,713

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

FY2011 FY2012 FY2013 FY2014

Figure 3.10. Cost per youth completing substance abuse treatment programs per year




3,779

1,850

0

2,000

4,000

6,000

8,000

Outpatient

Residential

Figure 3.11. Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year




Figure 3.12. Number of youth admissions to substance abuse treatment programs by primary substance per year

24

6

11

8

4,9

25

40

35

35

0

0

2,000

4,000

6,000

8,000

FY2011 FY2012 FY2013 FY2014

Alcohol Cocaine Marijuana Methamphetamine Opioid Other




1,244 1,005 1,053 1,113 949

4,927 4,305 4,470 4,905 4,803

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2007 FY2008 FY2009 FY2010 FY2011

No Criminal Justice Criminal Justice

Figure 3.13. Number of youth by criminal justice status admitted to substance abuse treatment programs per year


Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).


Figure 3.14. Percentage of youth completing substance abuse treatment programs per year

54%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014




89%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011


Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at follow-up per year


(85%)FY2011Target


83%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014


Figure 3.16. Percentage of youth completing substance abuse treatment programs with positive school status at follow-up per year


(93%)FY2011Target


99%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014


Figure 3.17. Percentage of youth completing substance abuse treatment programs not re-arrested per year


(96%)FY2011Target


6,757

0

2,000

4,000

6,000

8,000

10,000

FY2011 FY2012 FY2013 FY2014

Figure 4.1. Number of COPSD clients served in substance abuse programs per year

SUBSTANCE ABUSE SERVICES Section 4 Co-Occurring Psychiatric and Substance Use Disorders (COPSD)



6,246

0

2,000

4,000

6,000

8,000

10,000

FY2011 FY2012 FY2013 FY2014

Figure 5.1. Number of females served in substance abuse specialized female programs per year

SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs



$4,474

$0

$2,000

$4,000

$6,000

$8,000

$10,000

FY2011 FY2012 FY2013 FY2014

Figure 5.2. Cost per female served in substance abuse specialized female programs per year




$5,940

$0

$2,000

$4,000

$6,000

$8,000

$10,000

FY2011 FY2012 FY2013 FY2014

Figure 5.3. Cost per female completing substance abuse specialized female programs per year




Figure 5.4. Percentage of females completing substance abuse specialized female programs per year

50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014




0

83

8

34

1

46

1

6,5

53

0

2,000

4,000

6,000

8,000

10,000

FY2011 FY2012 FY2013 FY2014

COPSD Detox Methadone Outpatient Residential

Figure 6.1. Number of adults entered on waiting list by substance abuse program per year

SUBSTANCE ABUSE SERVICES Section 6 Waiting List



0 0

68

7

66

0

200

400

600

800

FY2011 FY2012 FY2013 FY2014

COPSD Detox Residential Outpatient Methadone

Figure 6.2. Number of youth entered on waiting list by substance abuse program per year

SUBSTANCE ABUSE SERVICES Section 6 Waiting List



Section 1 Persons Served Page

Figure 1.1. Quarterly Medicaid vs. indigent persons served 72

Figure 1.2. Quarterly persons served by age group 73

Figure 1.3. Quarter persons served by gender 74

Figure 1.4. Quarterly person served by ethnicity 75

Section 2 Monthly Medicaid Enrollment

Figure 2.1. Average monthly Medicaid enrollment 76

Section 3 Resiliency & Disease Management (RDM)

Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend 77

Figure 3.2. Unduplicated quarterly child authorized Service Package (SP) trend 78

NORTHSTAR


11,0

42

11,2

61

12,0

51

11,7

33

11,7

33

12,4

65

12,7

98

13,2

07

14,2

51

14,9

84

16,3

05

16,1

45

16,4

83

17,2

50

18,9

99

17,9

80

19,8

21

19,5

37

17,1

40

16,8

37

17,7

53

17,5

47

16,8

97

17,6

52

18,0

13

18,9

06

19,0

72

20,5

72

21,8

99

22,5

34

21,8

47

21,1

96

23,1

16

22,4

96

23,4

64

23,4

55

24,0

28

20,7

32

0

5,000

10,000

15,000

20,000

25,000

30,000

Medicaid

Indigent

Source: DSHS NorthSTAR Data Warehouse.Note: NorthSTAR data has 90-day delay due to claims lag.

Figure 1.1. Quarterly Medicaid vs. Indigent persons served

NORTHSTAR Section 1 Persons Served


6,1

64

6,1

82

6,8

83

7,1

46

7,4

70

7,8

56

8,0

49

8,2

26

9,3

33

9,8

32

10,9

12

10,3

61

10,8

95

11,3

92

12,5

76

11,7

26

12,7

89

12,5

34

13,4

78

20,3

01

20,1

74

20,9

77

20,2

49

20,9

97

21,3

46

21,8

38

22,8

84

23,0

00

24,6

15

26,1

20

27,2

59

26,4

04

25,9

36

28,3

46

27,6

29

29,2

96

29,3

11

30,0

99

441

451

441

422

450

410

386

455

449

452

413

463

459

395

379

347

425

413

391

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000Child 0-20 Years Adult 21-64 Years 65+ Years

Figure 1.2. Quarterly persons served by age group




14,3

47

14,1

91

14,9

94

14,8

45

14,3

78

15,0

23

15,4

68

16,0

42

16,4

12

21,3

90

13,3

36

13,4

08

14,2

53

13,9

16

13,7

25

14,5

31

14,8

38

15,4

75

16,2

76

22,5

6520,5

82

20,9

14

19,6

01

20,2

92

18,5

99

18,5

66

18,8

77

18,5

72

17,4

27 2

1,6

44

21,5

362

0,1

06

21,0

20

19,0

66

19,0

63

19,1

15

18,8

50

17,4

18

0

5,000

10,000

15,000

20,000

25,000

30,000Female

Male

Figure 1.3. Quarterly persons served by gender




8,858 8,7959,297 9,268 9,239

9,709 9,99410,619

11,27712,085

13,15413,554 13,365 13,535

15,14214,379

15,651 15,40816,050

4,092 4,2314,786 4,604 4,614 4,895 5,019 4,942

5,7756,162

6,866 6,773 6,867 7,0347,745

7,3368,041 8,035

8,572

768128

701 724 713 667 665 686 685 638 574 644 613 581 559 556

18,77918,22618,179

17,38117,784

16,52516,76216,98316,71815,933

14,96914,35614,57014,520

13,55414,14914,396

13,80413,907

769826

740

0

5,000

10,000

15,000

20,000Black (Not Hispanic)

Hispanic

White and OtherUnknown

Figure 1.4. Quarterly persons served by ethnicity




61

,37

0

61

,93

3

63

,12

8

64

,01

4

63

,47

1

65

,13

5

65

,41

6

66

,82

3

67

,21

8

68

,37

4

69

,68

5

70

,99

8

65

,69

8

73

,20

3

74

,61

7

74

,00

3

76

,73

0

78

,07

6

78

,91

0

28

5,7

26

28

6,6

53

29

2,4

60

29

8,1

88

29

0,2

35

29

4,6

38

28

9,6

17

29

9,0

64

30

0,3

55

30

4,4

63

31

6,8

20

32

7,9

53

29

6,7

02 3

54

,03

6

36

4,8

82

36

0,4

31

38

7,2

43

39

3,0

18

39

6,2

36

0

100,000

200,000

300,000

400,000

500,000Individual SSI Families & Children

Figure 2.1. Average monthly Medicaid enrollment

NORTHSTAR Section 2 Monthly Medicaid Enrollment



Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend13,1

33

14,3

22

15,7

39

15,8

21

16,0

29

15,4

59

15,5

73

15,8

95

16,5

17

16,7

93

16,9

96

17,7

73

18,2

01

17,4

33 19,2

60

18,8

49 20,4

61

20,5

16

20,7

26

1,0

72

753

550

502

627

886

999

1,0

25

1,1

57

1,2

45

1,4

17

1,4

54

1,8

97

2,6

54

3,3

16

2,9

13

3,6

30

3,4

47

3,4

90

4,5

62

4,1

22

3,6

39

3,5

72

3,6

93

4,0

26

4,4

89

4,8

38

5,0

01

5,8

24

6,4

37

6,0

62

6,0

21

6,2

64

7,0

36

6,8

23 8,0

42

8,2

08

8,7

99

555

539

516

499

504

506

520

518

533

565

590

596

600

584

645

620

664

656

686

0

5,000

10,000

15,000

20,000

25,000SP1 SP2 SP3 SP4

NORTHSTAR Section 3 Resiliency & Disease Management (RDM)



Figure 3.2. Unduplicated quarterly child authorized Service Package (SP) Trend1,

812

1,65

5

1,72

4

1,65

0

1,85

4 2,16

1 2,51

3

2,63

0

2,86

6 3,15

2

3,67

3

3,71

1 4,03

6

4,85

9

5,48

8

5,08

9 5,45

7

5,49

1 5,79

1

904

974

1,07

7

1,00

5

1,02

4

1,08

3

1,11

5

1,01

1

1,04

2 1,29

7

1,54

1

1,50

8

1,48

0

1,69

4

1,90

5

1,80

2

1,94

3

2,08

4

2,25

6

1 1 1 1 1 2 3 1 0 1 1 2 1

636

587

619

560

506

440

359

311

291

332

346

355

328

388 51

0

452 56

4

643 74

7

26 28 23 17 23 27 51 56 55 100

112

91 76 97 127

111

132

125

138

85 73 77 75 81 78 91 91 94 100

104

100

83 190 36

6

259 37

4

375

354

1,35

4

1,45

4 1,75

7

1861

1,93

9

1,86

9

1,88

0

1,87

8

2,06

8

2,20

1

2,05

4

1,89

0

1,93

8

1502

1,51

6

1,73

3

1,85

2

1,90

3

1,88

7

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000SP1.1 SP1.2 SP2.1 SP2.2 SP2.3 SP2.4 SP3 SP4

NORTHSTAR Section 3 Resiliency & Disease Management (RDM)


behavioral health data book a quarterly reference to community mental health and substance abuse...

Documents

children figure

behavioral health stakeholders

list figure

adults page figure

door crisis services

community psychiatric

door crisis page figure

average monthly cost