northern virginia regional projects fiscal year 2020 ......70 tdo admissions, 76.1% of admits 703...

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Northern Virginia Regional Projects Fiscal Year 2020 Ending June 30, 2020 Regional Utilization Group Report for the Regional Management Group Margaret Graham Executive Director Loudoun CSB Carol Layer Executive Director Alexandria CSB Lisa Madron Executive Director Prince William CSB Jean Post Regional Projects Director Daryl Washington Executive Director Fairfax-Falls Church CSB Deborah Warren Executive Director Arlington CSB Amy Smiley Facility Director Northern Virginia Mental Health Institute

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Page 1: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Northern Virginia Regional Projects

Fiscal Year 2020

Ending June 30, 2020

Regional Utilization Group Report for theRegional Management Group

Margaret Graham Executive Director Loudoun CSB Carol Layer Executive Director Alexandria CSB Lisa Madron Executive Director Prince William CSB Jean Post Regional Projects Director

Daryl Washington Executive Director Fairfax-Falls Church CSB Deborah Warren Executive Director Arlington CSB Amy Smiley Facility Director Northern Virginia Mental Health Institute

Page 2: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS Region 2/Northern DS Region:

Utilization Management Review: June 2020

June Data FY 20 YTD Data Notes42 Adult LIPOS Authorized Admissions 476 Adult LIPOS Authorized Admissions0 Youth LIPOS Authorized Admissions 33 Youth LIPOS Authorized Admissions

No CCCA data sense Q1, staffing challenges have

been resolved and data should be available in next

30 days 29 CCCA Admissions as of end of Q1125 NVMHI Admissions 1209 NVMHI Admissions

4 Piedmont Admissions 49 Piedmont Admissions

12 Western State Admissions 208 Western State Admissions

June Data FY 20 YTD Data Notes

June Total Adult Bed Days Used 3,361 269,073 Total Adult Bed Days Used YTDBased on DBHDS Monthly

Report

14% of Actual Adult Bed Days Used YTD

6% of Adult Bed Days Used per 100K of pop YTD

June Total Older Adult Bed Days Used 606 98,002 Total Older Adult Bed Days Used YTDBased on DBHDS Monthly

Report

9% of Actual Older Adult Bed Days Used YTDPage 9, Regional State

Hospital Sum

3% of Older Adult Bed Days Used per 100K of pop YTD

Page 10, Regional State Hosp

Use Graph

Page 11, Adult and Older

Adult Bed Days Used by CSB,

Actual and per 100K

No CCCA data sense Q1, staffing challenges have

been resolved and data should be available in next

30 days

313 Total Children's Bed Days Used as of end of Q1Based on CCCA Monthly

Report Page 24

3. NVMHI

June Data FY 20 YTD Data Notes125 June Admissions 1209 YTD Admissions Page 12, Admissions

115 June Discharges 1208 YTD DischargesPage 13, Admissions by

CSB

111 TDO Admissions, 88.8% of Admits 946 TDO Admissions, 78.2% of AdmitsPage 14, Admissions per

100K12 Involuntary Admissions, 9.6% of Admits 121 Involuntary Admissions, 10% of Admits Page 15, YOY

65% insured admits in June 64% insured admits YTD Page 16, Insured

88% Occupancy Rate 86% Occupancy Rate Page 17, Readmits Sum

76 - 30 day Readmits YTD, 6.1% of Admissions Page 18, Readmits YOY4 Admits had MH/ID dx

14 Diversions to NVMHI from other areas 136 Diversions to NVMHI from other areas YTD

22 on EBL on June 31th Page 1916 of these (73%) are in need of a 24/7 residential

placement

13 EBL discharges in Q4 72 EBL discharges YTD

2.   State Hospital Bed Day Use

NVMHI EBL

Adult Bed Days Used

1. DBHDS Funded Inpatient Placements

Children's Bed Days Used

Older Adult Bed Days Used

Page 7, State Funded

Inpatient bed admission

by CSB YTD

Page 8, State Funded

Inpatient bed Monthly

Admission

2

Page 3: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS Region 2/Northern DS Region:

Utilization Management Review: June 2020

4. Other State Facilities

Western State Piedmont Geriatric Hospital CCCA

55, Average Census 4 Q4 Admits, 49 YTD 29 Q1 Admits, same YTD12 June Admits, 208 YTD 8 Q4 Discharges, 63 YTD 31 Q1 DC, Same YTD

19 June Discharges, 205 YTD 9 RFD313 Bed Days Q1, Same

YTD8 EBL

Page 20 Page 24 - 25

Central Virginia Training Center Southwestern VA Training CenterSoutheastern VA Training

Center0 Census 0 Census 9 Census0 Admissions 0 Admissions 2 Admission

12 Discharges 0 Discharges 0 Discharges

Page 23, Sum

160 Total Approved Plans Total obligation $ 6,701,466

Excludes DAF and management fee and Page 26, Sum44 One Time obligations $479,935 some plans transferred to other regions 88 Ongoing obligations $6,221,531

June Data FY 20 YTD Data Notes361 Total TDOs (all ages) in June 3814 Total TDO's (all ages) YTD Page 27, TDO Summary

27 Minor TDOs 370 Minor TDOsPage 28, TDO Admissions

by CSB

323 Adult TDOs 3266 Adult TDOsPage 29, TDO Admissions

per 100k

11 Older Adult TDOs 178 Older Adult TDOs

Page 30, Total TDO

Admits FY17 - FY20 by

Month

Page 31 - 33, YOY Trends

by Hospital and Age group

Total TDO's trending down by -4% from prior year Page 34, YOY

341 Commitment Hearings in June 2623 Commitment Hearing YTDPage 35, Commitment

Hearings Summary Minors: 18 Signed in Vol & 1 Dismissed Minors: 145 Signed in Vol & 58 Dismissed Page 36, Minors by Hosp

Adults: 127 CMA & 125 INV. Adults: 1247 CMA & 1213 INV. Page 37, Adults by Hosp

Older Adults: 7 Invol. Older Adults: 101 Invol.Page 38, Older Adults by

Hosp

22 MOT ordered at Commitment Hearing (MOT

Only, Inv + MOT and Cross Jurisdictional) in Q4

92 MOT ordered at Commitment Hearing (MOT Only, Inv + MOT

and Cross Jurisdictional) YTD Page 39-40, MOT

0 post-commitment hearing predisposition MOT

hearings in Q4 5 post-commitment hearing predisposition MOT hearings YTD Page 41, YOY

6. TDO/Commitments/MOT

5. DAP

3

Page 4: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS Region 2/Northern DS Region:

Utilization Management Review: June 2020

YTD Data YTD Data Notes

44 NGRI (40 of these in NVMHI) 51% of Adults admitted for restoration to CompetencyPage 42, Adult Forensic

Admit57 On conditional release 37% of Adults admitted as Jail Transfers

295 Adult Forensic Admissions 7% of Adults admitted for Evaluations # based on DBHDS reports

6 Older Adult Forensic Admission 5% of Adults admitted as NGRI/Doc

6 Youth Forensic Admissions

June Data FY 20 YTD Data Notes

42 Authorized Admissions 476 Authorized Admissions Page 43-44, LIPOS Sum

Monthly Average Admissions: 40Page 45, LIPOS

Admissions by CSB

Dominion had the highest number of Authorized

LIPOS Admissions in June, 12 , 28.5%

Dominion had the highest number of Authorized LIPOS

Admissions YTD, 108, 23%

Page 46, LIPOS

Admissions per 100k

21 individuals have stayed 15-17 daysPage 47, LIPOS Monthly

Comparison

4 have stayed 18-20 days Page 48, LIPOS YOY

31 have stayed 21 or more days

76 - 30 day LIPOS Readmits YTD, 8% of admissions Page 17, Readmits Sum

Page 18, Readmits YOY

Admissions are predominately resulting from civil commitment

process: CMA (33.6%) and Involuntary (53.2%)

Average LOS is 8

Adult PHP: 0 Admission 3 Admissions Page 49, Adult PHP YOYYouth LIPOS

0 June Authorized Admissions 33 YTD Authorized Admissions Page 50, Youth LIPOS Sum

63.6% at Dominion Hospital Page 51, Youth LIPOS YOY

Average LOS: 7.5

Youth PHP: 0 Admission 5 Admissions

9. Crisis Stabilization Units

June Data FY 20 YTD Data Notes60 Admissions 873 Admissions Page 52-53, Summary67 Discharges 843 Discharges68.3% of Admissions were for Diversion 66.8% of Admissions were for Diversion Page 54, YOY31.7% of Admissions were for Step-down 32.3% of Admissions were for Step-down0 TDOs 7 TDO at WPCSU, .8% of YTD admits at WPCSU1 Medically Managed Detox 4 Medically Managed Detox5 consumers stayed longer than 15 days 79 consumers stayed longer than 15 days

1 consumer stayed longer than 21 days 13 consumers stayed longer than 21 days

59.8% Occupancy 67.2% occupancy YTD

8.    LIPOS

7. Forensics

4

Page 5: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS Region 2/Northern DS Region:

Utilization Management Review: June 2020

10. Adult REACH

Mobile Response YTD ATH YTD Notes390 Adult Mobile Response Referrals YTD 8 Referrals YTD Page 55, Adult Mobile Sum

126 ID Only 3 Admissions (2 FX and 1 R1) YTD Page 56, Adult ATH Sum182 DD Only Page 57, Adult CTH Sum

66 Both

15 Neither Adult CTH YTD

1 Unknown 11 Planned Admissions and 20 Step Down Admissions YTD

259 Crisis Calls and 1504 non-Crisis/Prevention 8 Emergency Admissions YTD

482 Information Calls YTD 39 total admissions 25 Admission Outcomes YTD, 37% retained placement or secured

new place, 18% admitted to an out of area CTH and 18% required

hospitalization

Page 58, Adult REACH

Admission and Outcome

Graphs259 Crisis Mobile Responses, remained in

setting (52%) and 103 were Psychiatrically

Hospitalized (41%)678 Prevention Mobile Responses, 542 remained

in setting (80%)86% Average Occupancy (excludes bed closings) Page 59, Staff Vacancy

11. Children's DD Crisis Services/ Youth REACH

Mobile Response YTD Children's CTH YTD Notes254 Referrals YTD 2 Planned Admissions and 1 Step Down Admissions YTD 24 ID Only 2 Emergency Admissions YTD Page 60, Summary

183 DD Only 6 total admissions

38 BothPage 61, Youth REACH

Outcomes

9 Neither/unknown Page 62, Youth CTH

146 Crisis Calls and 411 non-Crisis/Prevention

336 Information Calls YTD

143 Mobile Crisis Responses YTD, 82 remained in

setting (57%) and 59 were Psychiatrically

hospitalized (41%)292 Mobile Prevention Responses YTD, 96%

remained in homePage 63, REACH YOY

12. Youth Crisis Services (CR2)

June Data FY 20 YTD Data Notes

22 Mobile In-person responses 488 Mobile In-person responses

1 Crisis de-escalation on phone 24 Crisis de-escalation on phone

6 Connected to 911/Hospitalized 22 Connected to 911/Hospitalized

25 individual focus non-crisis calls 243 individual focus non-crisis calls

87% of individuals who received mobile crisis response were able

to retain placement

12% of individuals who received mobile crisis responses required

hospitalizationPage 64-67, Summary

Response time data is now broken out for 121+ response time by

family request and assessors availability as of mid March.

Between Mid-March and Year End there were 44 - 121+

response times in total. 54.5% of these were due to family

request and 45.4% were due to lack of assessors availability.

0 Denied due to Program at Capacity 0 Denied due to Program at Capacity

Program opended in March and had first admission in Aprial. It

was initially licensed for 2 beds, and now is licensed for 4 beds.

Program capacity is 6 beds.

5

Page 6: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS Region 2/Northern DS Region:

Utilization Management Review: June 2020

13. ID/DD System of Care Trainings

Q4 Data FY 20 YTD Data Notes

Page 68, Summary

3 - 2 Day Julie Brown Skills System Trainings also completed

Q4 Data FY 20 YTD Data Notes10 new admits in Q4 42 new admits YTD Page 69, Summary6 discharges in Q4 45 discharges in YTD

91 census at end of Q4 9 Psychiatric Hospitalizations YTD

15. RAFT

Q4 Data FY 20 YTD Data Notes2 Admissions (2 ALF) 21 Admissions (12 ALF & 9 NF)

Page 20-22, Summary7 Waitlisted for NF0 Waitlisted for ALF

Current Census, 54 (of these 28 ALF and 26 NF) Of Current Census, 37 came from PGH or another State Facility

1 Psychiatric Hospitalizations YTD

14. ID/DD Clinic

REACH has trained 12 individuals in Q4 REACH has trained 1203 individuals YTD

6

Page 7: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

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Page 8: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

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Page 9: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

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Page 10: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

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10

Page 11: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY2

0 D

BH

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11

Page 12: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

NV

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Page 13: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS R2 UM Report

0

2

4

6

8

10

12

14

16

Pe

r 1

00

K

Month

NVMHI Admissions by CSB Per 100KFY 20

Alexandria

Arlington

Fairfax-Falls Church

Loudoun

Prince William

0

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Population data based on Weldon Cooper 2018 Population Estimates by Age13

Page 14: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS R2 UM Report

0

10

20

30

40

50

60

Ad

mis

sio

ns

Month

NVMHI Admissions by CSB FY 20

Alexandria

Arlington

Fairfax-Falls Church

Loudoun

Prince William

Other

0

10

20

30

40

50

60

Ad

mis

sio

ns

Month

NVMHI Admissions by CSB FY 19

Alexandria

Arlington

Fairfax-Falls Church

Loudoun

Prince William

Other

14

Page 15: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY2

0 D

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15

Page 16: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 1

2FY

13

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16

Page 17: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Ho

spit

al R

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17

Page 18: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY20 DBHDS R2 UM Report

3% 3%

7%

6%

9%

8%

6%

4%

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6%

7%

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0%

1%

2%

3%

4%

5%

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7%

8%

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10%

FY14 FY15 FY16 FY17 FY18 FY19 FY20 YTD

30 Day Readmissions as % of all Admissions YOY: NVMHI & LIPOS

NVMHI LIPOS

16

28

70

61

121

79

54

25

1623

52 54

25 22

3238

4339

62

25

14

0

20

40

60

80

100

120

140

FY14 FY15 FY16 FY17 FY18 FY19 FY20 YTD

30 Day Readmissions YOY: NVMHI & LIPOS

NVMHI Readmission LIPOS Mixed

18

Page 19: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

# o

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ICR

T (1

)

19

Page 20: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Old

er

Ad

ult

s FY

20

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20

Page 21: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Older Adults FY20, 4th Quarter (ending 6/30/20)

* Referrals may be carried over from one year to the next

0

2

4

6

8

10

12

FY15 FY16 FY17 FY18 FY19 FY20

RAFT ADMISSIONS YOY

ALX ARL FFX LDN PWC

0

2

4

6

8

10

12

14

FY15 FY16 FY17 FY18 FY19 FY20

RAFT REFERRALS YOY

ALX ARL FFX LDN PWC

21

Page 22: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

DAP Funded RAFT Expansion; FY18 New Grant Award

Q1 Q2 Q3 Q4 FYTD

4 0 0 0 4

6 4 9 0 19

119 287 98 0 504

75 211 245 212 743

5 5 5 5 5

7 7 7 7 7

0 1 0 0 1

12 12 12 12 12

12 12 12 12 12

FY20 RAFT Expansion Data to Increase Community Capacity

Number of Special Community Events (Health Fairs; Conferences; Program/Service

Awareness Events)

MeasuresIndividuals discharged from Piedmont to

RAFT with new DAP/Raft ALF funds, 4

required

Number of Community Trainings

Number of Individuals Trained in

Community

Number of NF RAFT Contract Providers

Number Of ALF RAFT Contract Providers

Consultation Hours with Community

Providers

Number of Individuals Receiving

Supportive Services Funding

Number of Individuals Receiving

Medication & CoPay Funding

Current NF RAFT Contract Providers

Current ALF RAFT Contract Providers

Cherrydale, Regency, Dulles, Envoy of Alexandria, Envoy

of Woodbridge

Atria, Aurora Home, Avalon Homes, The Beverly,

Birmingham Green, Home Eldercare, The Tribute at One

Loudoun, The Tribute at the Glen Woodbridge

22

Page 23: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

No

rth

ern

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S

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by

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23

Page 24: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Commonwealth Center for Children and Adolescents

Hospitalizations for Minors FY20

FY 2020: September, Q1

CSB

Q1 YTD Q1 YTD Q1 YTD

Alexandria 1 1 1 1 6 6

Arlington 2 2 1 1 33 33

Fairfax 12 12 11 11 116 116

Loudoun 6 6 9 9 54 54

Prince William 8 8 9 9 104 104

Total 29 29 31 31 313 313

Admissions Discharges Bed Days

11 10

2417

2116

9

68

21

67

117

69

22

65

1 2

126 8

0

10

20

30

40

50

60

70

80

Alexandria Arlington Fairfax Loudoun Prince William

CCCA YOY Admissions by CSB

FY17

FY18

FY19

FY20 YTD

115 78

345

181 17696 83

893

191

623

83 62

1007

157

675

6 33116

54104

0

200

400

600

800

1000

1200

Alexandria Arlington Fairfax Loudoun Prince William

CCCA YOY Bed Days by CSB

FY17

FY18

FY19

FY20 YTD

24

Page 25: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Co

mm

on

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h C

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25

Page 26: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Civ

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26

Page 27: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

TDO

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27

Page 28: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS R2 UM Report

0

20

40

60

80

100

120

140

160

Nu

mb

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of

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Os

Month

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Fairfax-Falls Church

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28

Page 29: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS R2 UM Report

0

5

10

15

20

25

30

35

40

# o

f H

ea

rin

gs

Month

TDO Admissions by CSB per 100K - FY19

Alex

Arl

FFC

Lou

PW

0

5

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20

25

30

35

40

# o

f H

eari

ng

s

Month

TDO Admissions by CSB per 100K - FY20

Alex

Arl

FFC

Lou

PW

Population data based on Weldon Cooper 2018 Population Estimates by Age

29

Page 30: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

29

6

33

53

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30

Page 31: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

YO

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31

Page 32: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

YO

Y T

DO

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32

Page 33: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

YOY TDO Trends by Age Group and Summary

As of 6/30/2020

565 463 -18% 449 -3%

372 226 -39% 237 5%

270 247 -9% 237 -4%

311 328 5% 399 22%

162 82 -49% 210 156%

225 226 0.50% 228 1%

1181 1,150 -3% 925 -20%

124 106 -15% 95 -10%

1 35 3400% 51 46%

31 22 -29% 31 41%

169 154 -9% 131 -15%

12 17 42% 15 -12%

12 26 117% 15 -42%

23 10 -57% 13 30%

14 17 21% 16 -6%

7 2 -71% 5 150%

27 21 -22% 27 29%

36 52 44% 43 -17%

NVMHI

Northern Virginia Adult TDO Admission Trends

FY 19 TDO

Admissions

FY18 TDO

Admissions

Northern Virginia Children's TDO Admission Trends

Mount Vernon

Novant

Virginia Hospital Center

Projected

% Change

from FY 19

Dominion

Fairfax

Loudoun

Hospital% Change

from FY 18

FY 20 TDO

Admissions

Projected

% Change

from FY 19

Dominion

Fairfax

North Springs

HospitalFY18 TDO

Admissions

FY 19 TDO

Admissions

% Change

from FY 18

FY 20 TDO

Admissions

CCCA

Northern Virginia Older Adult TDO Admission Trends

HospitalFY18 TDO

Admissions

FY 19 TDO

Admissions

% Change

from FY 18

FY 20 TDO

Admissions

Projected

% Change

from FY 19

Piedmont

Dominion

Fairfax

Loudoun

Mount Vernon

Novant

Virginia Hospital Center

33

Page 34: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY2

0 D

BH

DS

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Rep

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21

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34

Page 35: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Commitment Hearing Results - June 2020

FY-20

CSB Month YTD % Month YTD % Month YTD % Month YTD % Month YTD 100K Month YTD 100K

Alexandria 0 0 0.0% 0 1 0.0% 0 0 0.0% 0 0 0.0% 0 1 3.4 4 12 40.8

Arlington 0 1 33.3% 0 2 66.7% 0 0 0.0% 0 0 0.0% 0 3 7.0 1 2 4.7

Fairfax 1 10 12.2% 0 17 20.7% 0 7 8.5% 0 48 58.5% 1 82 29.4 5 74 26.5

Loudoun 0 0 0.0% 0 7 58.3% 0 0 0.0% 1 5 41.7% 1 12 10.4 4 36 31.3

Prince William 0 3 13.0% 1 15 65.2% 0 0 0.0% 0 5 21.7% 1 23 16.2 4 21 14.8

Total 1 14 11.6% 1 42 34.7% 0 7 5.8% 1 58 47.9% 3 121 18 145

CSB Month YTD % Month YTD % Month YTD % Month YTD % Month YTD 100K

Alexandria 7 67 21.4% 18 169 54.0% 0 12 3.8% 10 65 20.8% 35 313 277.9

Arlington 4 67 22.7% 16 155 52.5% 2 8 2.7% 7 65 22.0% 29 295 174.2

Fairfax 80 764 49.6% 50 418 27.2% 3 40 2.6% 33 317 20.6% 166 1539 205.0

Loudoun 8 86 31.0% 11 102 36.8% 1 3 1.1% 9 86 31.0% 29 277 109.0

Prince William 28 263 32.6% 30 369 45.8% 1 21 2.6% 9 153 19.0% 68 806 242.4

Total 127 1247 38.6% 125 1213 37.6% 7 84 2.6% 68 686 21.2% 327 3230

CSB Month YTD % Month YTD % Month YTD % Month YTD % Month YTD 100K

Alexandria 1 2 11.8% 0 13 0.0% 0 0 0.0% 1 2 0.0% 2 17 92.1

Arlington 0 8 24.2% 2 20 60.6% 0 0 0.0% 0 5 15.2% 2 33 130.9

Fairfax 2 13 28.3% 2 28 60.9% 0 1 0.0% 0 4 0.0% 4 46 28.7

Loudoun 0 7 28.0% 1 15 60.0% 0 0 0.0% 0 3 12.0% 1 25 66.1

Prince William 0 5 14.3% 2 25 71.4% 0 0 0.0% 0 5 0.0% 2 35 67.3

Total 3 35 22.4% 7 101 64.7% 0 1 0.6% 1 19 12.2% 11 156

CSB Month YTD % Month YTD % Month YTD % Month YTD % Month YTD 100K Month YTD 100K

Alexandria 8 69 20.8% 18 183 55.3% 0 12 3.6% 11 67 20.2% 37 331 206.2 4 12 40.8

Arlington 4 76 23.0% 18 177 53.5% 2 8 2.4% 7 70 21.1% 31 331 139.4 1 2 0.8

Fairfax 83 787 47.2% 52 463 27.8% 3 48 2.9% 33 369 22.1% 171 1667 140.1 5 74 6.2

Loudoun 8 93 29.6% 12 124 39.5% 1 3 1.0% 10 94 29.9% 31 314 77.2 4 36 8.8

Prince William 28 271 31.4% 33 409 47.3% 1 21 2.4% 9 163 18.9% 71 864 164.0 4 21 4.0

Total 131 1296 37.0% 133 1356 38.7% 7 92 2.6% 70 763 21.8% 341 3507 18 145

% = Committed (or other category) YTD / Total YTD for each CSB

Total

CMA Involuntary MOT Dismissed Total

Signed in Voluntary

Without Hearing (not

included in Total)

Older Adults (65+)

CMA Involuntary MOT Dismissed Total

Adults (18 - 64)

CMA Involuntary MOT Dismissed Total

Minors (0 - 17)

CMA Involuntary MOT Dismissed Total

Signed in Voluntary

Without Hearing (not

included in Total)

Population data based on Weldon Cooper 2018 Population Estimates by Age35

Page 36: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Ho

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36

Page 37: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Ho

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85

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lar

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mm

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spit

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fax

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no

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pla

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n d

ata

based o

n W

eld

on C

ooper

2018 P

opula

tio

n E

stim

ate

s b

y A

ge

37

Page 38: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Ho

spit

al T

DO

s vs

. Co

mm

itm

ents

/ In

sura

nce

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tus

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e 2

02

0 (

FY2

0)

Old

er A

du

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nth

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38

Page 39: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

*o

r le

ss if

per

iod

of

MO

T o

rder

<9

0 d

ays

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sio

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00

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to

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90

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ld

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can

no

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vid

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7/2

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02

0

39

Page 40: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

MO

T o

nly

(37

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17

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A)

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ear

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20

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ear

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4th

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arte

r FY

20

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ear

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e F

Y2

0

*Of

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fir

st a

nd

se

con

d c

olu

mn

s, h

ow

man

y w

ere

cro

ss-j

uri

sdic

tio

nal

. Th

ese

sh

ou

ld n

ot

be

do

ub

le c

ou

nte

d in

th

e t

ota

l.

*Of

the

fir

st a

nd

se

con

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olu

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man

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cro

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uri

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siti

on

s

40

Page 41: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY20 DBHDS R2 UM Report

44

8

37

66

110

135

101

153 152

119

92

0

20

40

60

80

100

120

140

160

180

FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 16 FY 17 FY 18 FY 19 FY 20 YTD

MOTs Ordered at Commitment Hearing YOY(MOT only, Inv/CMA and MOT & Cross Jurisdiction)

41

Page 42: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Ad

ult

Fo

ren

sic

Ad

mis

sio

ns

: F

Y2

0 Q

4

CSB

NV

MH

IW

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1

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01

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248

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42

Page 43: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Jun

e 2

02

0 -

FY

20

AD

ULT

LIP

OS

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1, 2

01

9 -

Ju

ne

30

, 20

20

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01

93

32

1%

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43

Page 44: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Jun

e 2

02

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44

Page 45: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS R2 UM Report

0

5

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Page 46: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY 20 DBHDS R2 UM Report

-1

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Population data based on Weldon Cooper 2018 Population Estimates by Age46

Page 47: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY20 DBHDS R2 UM Report

37

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47

Page 48: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY2

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48

Page 49: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY20 DBHDS R2 UM Report

16

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49

Page 50: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Jun

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02

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50

Page 51: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

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51

Page 52: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

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52

Page 53: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

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53

Page 54: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

FY2

0 D

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54

Page 55: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

REA

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55

Page 56: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

REA

CH

Se

rvic

es

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lt T

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me

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56

Page 57: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

CSB

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ion

57

Page 58: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

REA

CH

Ser

vice

s -

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ult

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mes

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0 -

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58

Page 59: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

REACH Services - Staff Vacancy

FY2020 - 4th Quarter

FY20 REACH Staff Vacancy % Rate

Mobile Crisis Mobile Crisis 86%

Mobile Crisis Contractual % Required 71%

Adult ATH ATH 85%

ATH Contractual % Required 75%

Adult CTH CTH 100%

CTH Contractual % Required 75%

Note: Mobile Crisis is 4 teams of 7 staff and contractual obligation is a minimum of 5 staff members on each team. ATH has a staffing plan of 15 and therefore a minimum of 11 staff are required. Adult CTH has a staffing plan of 15 and therefore a minimum of 11 staff are required.

Children's CTH is not yet fully licences so tracking will begin once they have a license for 6 beds.

86%

71%

85%

75%

100%

75%

0%

20%

40%

60%

80%

100%

120%

Mobile Crisis Mobile CrisisContractual %

Required

ATH ATH Contractual %Required

CTH CTH Contractual %Required

REACH Staff Vacancy - Q4

59

Page 60: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

REA

CH

Se

rvic

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tlin

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60

Page 61: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

REA

CH

Se

rvic

es

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ou

th M

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ion

61

Page 62: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

REA

CH

Se

rvic

es

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ou

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0 -

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62

Page 63: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

REACH Crisis Services

YOY

27052625

3138

2300

2400

2500

2600

2700

2800

2900

3000

3100

3200

FY18 FY19 FY20 YTD

Total Number of Hotline Calls YOY

154

252

354 367390

0

50

100

150

200

250

300

350

400

450

FY16 FY17 FY18 FY19 FY20 YTD

Total Number of REACH Adult Referrals YOY

336

236254

0

50

100

150

200

250

300

350

400

FY18 FY19 FY20 YTD

Total Number of REACH Youth Referrals YOY

63

Page 64: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Mo

bile

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sis

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po

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p

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f

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is in

per

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64

Page 65: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Dem

ogr

aph

ic a

nd

Re

spo

nse

Tim

es

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mal

e

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h

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30

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81

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10

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1

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87

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65

Page 66: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Non-Crisis Calls and Referral Sources

CSBIndividual

focus Non

Crisis Call

General

Info

Individual

focus Non

Crisis Call

General

Info

Individual

focus Non

Crisis Call General Info

Individual

focus Non

Crisis Call

General

Info

Individual

focus Non

Crisis Call

General

Info

Individual

focus Non

Crisis Call General Info

Individual

focus Non

Crisis Call

General

Info

Alexandria 0 0 0 0 0 0 1 0 0 1 2 2 0 0

Arlington 0 0 6 0 2 0 12 0 1 2 2 1 3 2

Fairfax/FC 7 0 7 0 9 0 14 0 3 8 2 1 4 2

Loudoun 3 0 2 0 3 0 11 0 4 3 0 1 1 1

Pr.William 2 0 0 0 8 0 10 1 2 1 1 1 4 2Out of Region/

Not Captured 0 0 0 0 0 0 1 0 1 3 1 1 0 1

Total 12 0 15 0 22 0 49 1 11 18 8 7 12 8

CSBIndividual

focus Non

Crisis Call

General

Info

Individual

focus Non

Crisis Call

General

Info

Individual

focus Non

Crisis Call General Info

Individual

focus Non

Crisis Call

General

Info

Individual

focus Non

Crisis Call

General

Info

Individual

focus Non

Crisis Call General Info

Alexandria 1 0 1 0 1 0 1 1 2 0 9 4

Arlington 2 2 3 0 3 0 7 1 3 1 44 9

Fairfax/FC 9 0 10 0 3 0 10 4 11 3 89 18

Loudoun 2 2 3 1 2 0 4 3 4 0 39 11

Pr.William 6 1 9 1 3 1 8 5 5 0 58 13

Out of Region/

Not Captured 0 0 1 0 0 0 0 2 0 0 4 7

Total 20 5 27 2 12 1 30 16 25 4 243 62

July August Sept Oct Nov Dec Jan Feb Mar Apr May Jun YTD0 0 0 0 0 0 0 0 0 0 0 0 0

5 7 22 25 16 4 4 8 14 2 5 3 115

3 2 1 3 4 6 8 12 3 0 2 1 45

5 6 11 17 10 7 16 12 6 1 3 5 99

0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 11 19 13 5 6 6 7 1 3 1 72

15 14 32 42 36 24 32 27 39 25 58 45 389

5 2 8 12 8 6 6 6 2 1 5 3 64

1 0 2 2 0 21 14 5 1 0 0 0 46

34 31 87 120 87 73 86 76 72 30 76 58 830

February March

November December JanuaryOctober

April May June YTD

Call Center: non-crisis calls

Call Center: non-crisis calls

Total

July August September

Not CollectedOtherClient/FamilySchoolsREACHPhysician or HospitalOther CSB ProviderCSB Emergency ServicesLaw Enforcement

Referral Sources

0%14%

5%

12%

0%

9%47%

8%5%

Referral Sources YTDLaw Enforcement

CSB Emergency Services

Other CSB Provider

Physician or Hospital

REACH

Schools

Client/Family

Other

Not Collected

66

Page 67: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Outcomes at Discharge

July Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun YTD

40 18 13 40 49 39 53 41 35 18 11 12 369

0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 1 0 0 0 1

1 1 0 2 1 0 1 0 0 0 0 0 6

2 5 6 10 5 4 7 4 2 1 2 1 49

0 0 0 0 1 0 0 0 0 0 0 0 1

0 0 0 0 0 0 0 0 0 0 0 0 0

43 24 19 52 56 43 61 45 38 19 13 13 426

CSB July Aug Sept Oct Nov Dec Jan Feb Mar April May June YTD

Alexandria 0 0 0 0 0 0 0 0 0 0 0 0 0

Arlington 0 0 0 0 0 0 0 0 0 0 0 0 0

Fairfax/FC 0 0 0 0 0 0 0 0 0 0 0 0 0

Loudoun 0 0 0 0 0 0 0 0 0 0 0 0 0

Pr.William 0 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 0 0 0 0 0 0 0 0

Foster Home/Care

Retained Placement

Outcomes at Discharge

# Not Admitted due to Program at Capacity *

Total

JDC

Residential Placement

Hospital

Unknown

Other

87%

0%0%

1%12% 0% 0%

Outcomes at DC YTDRetainedPlacement

FosterHome/Care

JDC

ResidentialPlacement

Hospital

Unknown

Other

67

Page 68: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

1st Q FY20 2nd Q FY20 3rd Q FY20 4th Q FY20 Total YTD

Law Enforcement 54 62 40 12 168

CM/SC 95 119 10 0 224

Private Providers 148 117 51 0 316

Emergency Services 53 12 1 0 66

Schools 200 0 103 0 303

MH Providers 23 0 0 0 23

Family 0 66 20 0 86

Hospital 0 15 0 0 15

Other 2 0 0 0 2

Total REACH Trainings 575 391 225 12 1203

REACH Trainings - FY20

REACH Trainings by Groups Trained

168

224

316

66

303

2386 15 2

REACH Trainings

Law Enforcement CM/SC Private Providers

Emergency Services Schools MH Providers

Family Hospital Other

68

Page 69: Northern Virginia Regional Projects Fiscal Year 2020 ......70 TDO Admissions, 76.1% of Admits 703 TDO Admissions, 76.4% of Admits Page 14, Admissions per ... Average LOS: 7.5 Youth

Regional IDD Psychiatry Program

MONTH: 4th Q FY 2020

CSBActive Cases

4/1/20

New Admissions

4th Q

Discharges

4th Q

Census at

end of

4th Q

YOUTH

CASES **

Alexandria 3 0 0 3 0

Arlington 1 0 0 1 0

Fairfax 58 7 4 61 2

Loudoun 14 2 2 14 2Prince William 11 1 0 12 2

TOTAL 87 10 6 91 6

** Youth Cases Included in Census at end of Q

CSB New Admissions Discharges Q Ending Census

1st Quarter 11 6 99

2nd Quarter 14 27 86

3rd Quarter 7 6 87

4th Quarter 10 6 91

Total 42 45 363

*duplicated

count

CSB Crisis PreventionCrisis

Stabilization

Hospital

Diversion

Hospital /

Facility

Capacity

Eval

Alexandria 2 1 0 0 0

Arlington 0 0 0 1 0

Fairfax 12 36 9 5 0

Loudoun 3 10 0 0 0Prince William 2 10 0 0 0

TOTAL 19 57 9 6 0

Case Type Total 1st Q Total 2nd Q Total 3rd Q Total 4th QYTD FY

2020

Psych Eval 7 9 6 10 32

Med. Mgmt 87 114 72 88 361

Psych note 107 237 159 183 686

Consultations 13 18 7 14 52

Nursing/ c note 254 294 409 431 1388

Psychiatric Hosp Q4 YTD

Alexandria 0 0

Arlington 0 0

Fairfax 0 4

Loudoun 0 3

Prince William 0 2

Cumulative for 4th Q

Crisis Prevention: Individuals with history of repeat

hospitalizations entering a stressful situation that is

likely to lead to clinical decompensation.

Crisis Stabilization: Traditional crisis intervention

services to prevent escalation of an existing crisis.

Hospital Diversion: Acute treatment in a situation in

which acute psychiatric hospitalization is imminent.

Hospital: Intervention provided to an individual who

is already hospitalized

Cumulative FY 2020

Active Cases at point in time 6/30/20

Regional Cumulative Totals

69