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 2013 Quarter 1 January 9, 2012

http://www.dshs.state.tx.us/mhsa/databook/

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 Office of Decision Support.

IN THIS ISSUE:

There is a new employment outcome measure in the Community Mental Health Services section beginning in FY2012 per the performance contract with DSHS-funded Local Mental Health Authorities (Figure 1.9, page 13).

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.

2 DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013

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 independent/competitive/supported/self-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 adults on waiting list for community mental health services with percentage waiting for all services 35

Figure 5.2. Number of children on waiting list for community mental health services with percentage waiting for all services 36

Section 6 Pay for Performance

Figure 6.1. Average monthly estimated percentage of DSHS General Revenue earned by community mental health centers 37


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

$323$345 $360 $360 $347 $338

$380 $372 $368 $361 $368 $366 $361

$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

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

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 2012 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

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

89%87% 86% 85%87%86% 86%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

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

FY2012

Quarte

r 1

FY2012

Quarte

r 2

FY2012

Quarte

r 3

FY2012

Quarte

r 4

FY2013

Quarte

r 1


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.

(80%)FY2013

PerformanceContractTarget


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

77% 78% 78% 77%79% 80% 81% 79%

82% 83% 83% 81% 82%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

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

FY2012

Quarte

r 1

FY2012

Quarte

r 2

FY2012

Quarte

r 3

FY2012

Quarte

r 4

FY2013

Quarte

r 1


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.

(77%)FY2013



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

98% 98% 97% 97% 98% 98% 98% 98% 98% 98% 99% 98% 98%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

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

FY20

12 Q

uarte

r 1

FY20

12 Q

uarte

r 2

FY20

12 Q

uarte

r 3

FY20

12 Q

uarte

r 4

FY20

13 Q

uarte

r 1


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.

(97.7%)FY2013



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

0.34% 0.34%0.38%

0.35% 0.36% 0.34% 0.36%0.38% 0.37%

0.35% 0.35% 0.35%0.39%

0.0%

0.5%

1.0%

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

FY2012

Quarte

r 1

FY2012

Quarte

r 2

FY2012

Quarte

r 3

FY2012

Quarte

r 4

FY2013

Quarte

r 1


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW).


34% 35% 37%

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 2012 Performance Contract with Local Mental Health Authorities, Information Item C.

(38% Improved or Acceptable )

FY2013Performance

ContractTarget


Figure 1.9. Percentage of adults in community mental health services with independent/competitive/supported/self-employment per year

15%

0%

10%

20%

30%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Employment Outcome. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.

(14.7%)FY2013



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

74%71%

68%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(72% Improved or Acceptable)

FY2013Performance

ContractTarget


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

42%

54%53%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(44% Improved)FY2013



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

84% 85% 85%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




FY2013Performance

ContractTarget


Figure 1.13. Number of persons assigned to Supported Employment


777656

792 830745 784 830

682819

1,090

1,3971,471

2,093

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



DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 20

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

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

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

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

FY2012

Quarte

r 1

FY2012

Quarte

r 2

FY2012

Quarte

r 3

FY2012

Quarte

r 4

FY2013

Quarte

r 1


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2012 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% 86% 85%88% 87% 88% 89%

83%87% 88%88%88%88%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

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

FY2012

Quarte

r 1

FY2012

Quarte

r 2

FY2012

Quarte

r 3

FY2012

Quarte

r 4

FY2013

Quarte

r 1


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.

(80%)FY2013



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

79%76%

73% 73% 75% 77% 77% 77% 77% 77%79% 80% 78%

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 2012 Performance Contract with Local Mental Health Authorities, Information Item C.

(65%)FY2013



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

98% 98% 98% 98% 98% 98% 98% 99% 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 2012 Performance Contract with Local Mental Health Authorities, Information Item C.

(98.3%)FY2013



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

0.06% 0.05% 0.06%0.04%

0.02%0.04%

0.07%

0.02%0.06% 0.05% 0.06%

0.08%0.06%

0.0%

0.5%

1.0%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW).


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 2012 Performance Contract with Local Mental Health Authorities, Information Item C.

38% 37% 38%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


FY2013Performance

ContractTarget


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

41%41%41%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




FY2013Performance

ContractTarget


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

68%

73%

68%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(71% Improved)FY2013



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

90%95%

91%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(92%)FY2013



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

81%81%79%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2010

FY2011

FY2012

FY2013



FY2013 Performance

Contract Target



5,2655,056

5,8515,689 5,688

5,192

5,8785,529

5,318 5,396

5,802 5,667

5,000

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



$244

$410 $406 $400 $382 $363$392 $401 $396 $388 $390 $401

$450

$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: 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

FY2010Quarter

1

FY2010Quarter

2

FY2010Quarter

3

FY2010Quarter

4

FY2011Quarter

1

FY2011Quarter

2

FY2011Quarter

3

FY2011Quarter

4

FY2012Quarter

1

FY2012Quarter

2

FY2012Quarter

3

FY2012Quarter

4

FY2013Quarter

1

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

COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication



$127 $129 $129$147

$128 $134 $150$132 $140

$159 $164 $168$140

$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



7,3648,113

8,921

10,0399,525 9,315 9,252

9,6649,257

8,569 8,463 8,227 8,042

71% 73% 72%70% 70%

72% 74% 76% 75%72% 71% 72% 71%

0

5,000

10,000

15,000

FY20

10 E

nd o

f Qua

rter 1

on

11/3

0/09

FY20

10 E

nd o

f Qua

rter 2

on

2/28

/10

FY20

10 E

nd o

f Qua

rter 3

on

5/31

/10

FY20

10 E

nd o

f Qua

rter 4

on

8/31

/10

FY20

11 E

nd o

f Qua

rter 1

on

11/3

0/10

FY20

11 E

nd o

f Qua

rter 2

on

2/28

/11

FY20

11 E

nd o

f Qua

rter 3

on

5/31

/11

FY20

11 E

nd o

f Qua

rter 4

on

8/31

/11

FY20

12 E

nd o

f Qua

rter 1

on

11/3

0/11

FY20

12 E

nd o

f Qua

rter 2

on

2/29

/12

FY20

12 E

nd o

f Qua

rter 3

on

5/31

/12

FY20

12 E

nd o

f Qua

rter 4

on

8/31

/12

FY20

13 E

nd o

f Qua

rter 1

on

11/3

0/12

0%

20%

40%

60%

80%

100%

Number of Persons Waiting Percentage Waiting for All Services

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

COMMUNITY MENTAL HEALTH SERVICES Section 5 Waiting List



711

548607

315400 412 416

281349 356 347

233 276

74%

60% 62%65%

57%

71% 73%

86% 84%80%

75% 73% 76%

0

500

1,000

1,500

2,000

FY20

10 E

nd o

f Qua

rter 1

on

11/3

0/09

FY20

10 E

nd o

f Qua

rter 2

on

2/28

/10

FY20

10 E

nd o

f Qua

rter 3

on

5/31

/10

FY20

10 E

nd o

f Qua

rter 4

on

8/31

/10

FY20

11 E

nd o

f Qua

rter 1

on

11/3

0/10

FY20

11 E

nd o

f Qua

rter 2

on

2/28

/11

FY20

11 E

nd o

f Qua

rter 3

on

5/31

/11

FY20

11 E

nd o

f Qua

rter 4

on

8/31

/11

FY20

12 E

nd o

f Qua

rter 1

on

11/3

0/11

FY20

12 E

nd o

f Qua

rter 2

on

2/29

/12

FY20

12 E

nd o

f Qua

rter 3

on

5/31

/12

FY20

12 E

nd o

f Qua

rter 4

on

8/31

/12

FY20

13 E

nd o

f Qua

rter 1

on

11/3

0/12

0%

20%

40%

60%

80%

100%

Number of Persons Waiting Percentage Waiting for All Services

Figure 5.2. Number of children 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

60% 60%

65%63%

61%58%

63%60%

58% 57% 58% 57% 57%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2010Quarter

1

FY2010Quarter

2

FY2010Quarter

3

FY2010Quarter

4

FY2011Quarter

1

FY2011Quarter

2

FY2011Quarter

3

FY2011Quarter

4

FY2012Quarter

1

FY2012Quarter

2

FY2012Quarter

3

FY2012Quarter

4

FY2013Quarter

1

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 40Figure 1.2. Cost per adult for substance abuse prevention programs per year 41Figure 1.3. Number of youth served in substance abuse prevention programs per year 42Figure 1.4. Cost per youth for substance abuse prevention programs per year 43

Section 2 Intervention

Figure 2.1. Number of adults served in substance abuse intervention programs per year 44 Figure 2.2. Cost per adult for substance abuse intervention programs per year 45Figure 2.3. Number of youth served in substance abuse Intervention programs per year 46Figure 2.4. Cost per youth for substance abuse intervention programs per year 47

Section 3 Treatment

Figure 3.1. Number of adults served in substance abuse treatment programs per year 48 Figure 3.2. Cost per adult completing substance abuse treatment programs per year 49Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year 50Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year 51Figure 3.5. Percentage of adults completing substance abuse treatment programs per year 52Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year 53Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment per year 54Figure 3.8. Percentage of adults completing substance abuse treatment programs not re-arrested per year 55Figure 3.9. Number of youth served in substance abuse treatment programs per year 56Figure 3.10. Cost per youth completing substance abuse treatment programs per year 57Figure 3.11. Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year 58Figure 3.12. Number of youth admissions to substance abuse treatment programs by primary substance per year 59Figure 3.13. Number of youth by criminal justice status admitted to substance abuse treatment programs per year 60Figure 3.14. Percentage of youth completing substance abuse treatment programs per year 61Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at follow-up per year 62Figure 3.16. Percentage of youth completing substance abuse treatment programs with positive school status at follow-up per year 63Figure 3.17. Percentage of youth completing substance abuse treatment programs not re-arrested per year 64


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 65

Section 5 Specialized Female Programs

Figure 5.1. Number of females served in substance abuse specialized female programs per year 66

Figure 5.2. Cost per female served in substance abuse specialized female programs per year 67

Figure 5.3. Cost per female completing substance abuse specialized female programs per year 68

Figure 5.4. Percentage of females completing substance abuse specialized female programs per year 69

Section 6 Waiting List

Figure 6.1. Number of adults entered on waiting list by substance abuse program per year 70

Figure 6.2. Number of youth entered on waiting list by substance abuse program per year 71


468,054 468,054

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 $16

$0

$10

$20

$30

FY2011 FY2012 FY2013 FY2014

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




1,843,2631,920,024

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 $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

141,299

0

50,000

100,000

150,000

200,000

250,000

300,000

FY2011 FY2012 FY2013 FY2014

44

Note: Improvements to reporting in CMBHS, such as the automated calculation of clients served in the HIV Early Intervention (HEI) program, should continue to cause the numbers served to increase.

DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013

$89

$71

$0

$25

$50

$75

$100

$125

$150

FY2011 FY2012 FY2013 FY2014

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



45

Note: Improvements to reporting in CMBHS, such as the automated calculation of clients served in the HIV Early Intervention (HEI) program, should continue to cause the numbers served to increase, thereby reducing the cost per client due to economies of scale.


26,519

58,903

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

FY2011 FY2012 FY2013 FY2014

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



46

Note: Improvements to reporting in CMBHS, such as the automated calculation of clients served in the HIV Early Intervention (HEI) program, should continue to cause the numbers served to increase.


$127

$55

$0

$50

$100

$150

$200

FY2011 FY2012 FY2013 FY2014

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



47

Note: Improvements to reporting in CMBHS, such as the automated calculation of clients served in the HIV Early Intervention (HEI) program, should continue to cause the numbers served to increase, thereby reducing the cost per client due to economies of scale.


31,627 31,206

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 $1,582

$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




15,89916,845

10,574 10,853

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

12

,18

4

12

,92

5

6,1

25

6,0

22

5,5

54

5,4

00

2,6

28

3,0

94

3,8

40

3,7

97

9,2

13

9,1

17

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%53%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014




89% 89%

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%)FY2013Target


56%52%

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%)FY2013Target


100%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%)FY2013Target


5,418

4,886

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 $3,645

$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




3,943

3,217

1,945 2,022

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

25

2

24

5

12

3

13

2

5,1

19

4,5

34

41

48

37

41

41

0

34

4

0

2,000

4,000

6,000

8,000

FY2011 FY2012 FY2013 FY2014

Alcohol Cocaine Marijuana Methamphetamine Opioid Other




1,005 1,053 1,113 949 987

4,305 4,470 4,905 4,803 4,873

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2008 FY2009 FY2010 FY2011 FY2012 FY2013

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% 52%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014




89% 89%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014


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


(85%)FY2013Target


83%77%

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%)FY2013Target


99% 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%)FY2013Target


6,757

6,189

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

5,778

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 $4,309

$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 $5,972

$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% 50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2011 FY2012 FY2013 FY2014




0 68

83

8

1,7

57

34

1

30

4

46

1

63

4

6,5

53

6,2

71

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 20 0

68

7

41

2

66

0

98

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


16,4

83

17,2

50

18,9

99

17,9

80

19,8

21

19,5

37

20,7

32

20,0

09

20,9

64

21,8

47

21,1

96

23,1

16

22,4

96

23,4

64

23,4

55

24,0

28

23,6

91

22,1

54

20,2

27

22,2

51

21,9

63

20,1

78

19,4

36

21,1

53

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


10,8

95

11,3

92

12,5

76

11,7

26

12,7

89

12,5

34

13,4

78

12,7

88

12,9

65

12,7

36

13,6

02

13,1

98

26,4

04

25,9

36

28,3

46

27,6

29

29,2

96

29,3

11

30,0

99

29,7

36

28,1

41

26,0

58

28,7

44

28,6

07

450

459

393

458

443

441

451

441

422

450

410

386

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Child 0-20 Years Adult 21-64 Years 65+ Years

Figure 1.2. Quarterly persons served by age group




18,5

66

18,5

99

20,2

92

19,6

01

20,9

14

20,5

82

21,3

90

21,0

18

20,2

88

19,0

63

19,0

66

21,0

20

20,1

06

21,5

36

21,6

44

22,5

65

21,8

76

21,2

03 2

0,6

02

20,7

82

18,9

55

21,5

84

21,9

55

20,1

76

0

5,000

10,000

15,000

20,000

25,000

30,000Female

Male

Figure 1.3. Quarterly persons served by gender




13,365 13,535

15,14214,379

15,651 15,40816,050

15,67115,101

13,901

15,317 15,233

6,867 7,0347,745

7,3368,041 8,035

8,5728,203 8,239 7,945

8,726 8,438

644 581 559 556 551 487 438 475 473

18,04418,221

16,84917,666

18,47118,77918,22618,179

17,38117,784

16,52516,762

574638 613

0

5,000

10,000

15,000

20,000

Black (Not Hispanic)

Hispanic

White and OtherUnknown

Figure 1.4. Quarterly persons served by ethnicity




65

,69

8

73

,20

3

74

,61

7

74

,00

3

76

,73

0

78

,07

6

78

,91

0

78

,50

8

80

,23

3

81

,90

7

82

,04

9

82

,30

2

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

39

4,9

01

41

5,5

45

42

3,3

65

42

0,5

54

42

3,0

17

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) trend18,2

01

17,4

33 19,2

60

18,8

49 20,4

61

20,5

16

20,7

26

20,5

99

20,4

67

20,1

71

20,0

50

20,1

27

1,8

97

2,6

54

3,3

16

2,9

13

3,6

30

3,4

47

3,4

90

3,5

83

4,0

55

3,8

54

3,5

77

3,7

65

6,0

21

6,2

64

7,0

36

6,8

23 8,0

42

8,2

08

8,7

99

8,4

50

8,6

92

8,5

33

8,3

94

8,5

58

600

584

645

620

664

656

686

676

708

734

729

727

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) Trend4,

036

4,85

9

5,48

8

5,08

9 5,45

7

5,49

1 5,79

1

5,60

5 5,87

2

3,10

4

6,19

4

6,08

2

1,48

0

1,69

4

1,90

5

1,80

2

1,94

3

2,08

4

2,25

6

2,16

4 2,46

2

2,57

9

2,64

1

2,57

5

3 1 0 1 1 2 1 1 4 2 1 3

328

388 51

0

452 56

4

643 74

7

664 78

3

841

812

811

76 97 127

111

132

125

138

140

172

165

173

170

83 190 36

6

259 37

4

375

354

366

386

393

354

356

1,93

8

1502

1,51

6

1,73

3

1,85

2

1,90

3

1,88

7

1,87

9

1,78

1

1,64

7

1,56

9

1,65

1

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...

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