virginia 2019 mental health national outcome measures ......medications management 19,932 31.9%...

Virginia 2019 Mental Health National Outcome Measures (NOMS): SAMHSA Uniform Reporting System

Utilization Rates/Number of Consumers Served U.S. State U.S. Rate StatesPenetration Rate per 1,000 population 8,131,606 14.80 24.81 58

Community Utilization per 1,000 population 7,826,684 14.50 23.88 58

State Hospital Utilization per 1,000 population 132,710 0.91 0.41 54

Other Psychiatric Inpatient Utilization per 1,000 population 409,098 2.08 1.45 39

Adult Employment Status U.S. State U.S. Rate StatesEmployed (Percent in Labor Force)* 764,240 51.8% 46.7% 57

Employed (percent with Employment Data)** 764,240 22.0% 21.7% 57

Adult Consumer Survey Measures State U.S. Rate StatesPositive About Outcome 68.6% 75.4% 52

Child/Family Consumer Survey Measures State U.S. Rate StatesPositive About Outcome 61.1% 71.9% 46

Readmission Rates:(Civil "non-Forensic" clients) U.S. State U.S. Rate StatesState Hospital Readmissions: 30 Days 6,218 9.6% 7.8% 50

State Hospital Readmissions: 180 Days 14,246 21.3% 17.8% 53

State Hospital Readmissions: 30 Days: Adults 5,733 8.7% 8.0% 49

State Hospital Readmissions: 180 Days: Adults 13,057 20.5% 18.1% 53

State Hospital Readmissions: 30 Days: Children 485 14.3% 6.0% 18

State Hospital Readmissions: 180 Days: Children 1,187 25.6% 14.7% 19

Living Situation U.S. State U.S. Rate StatesPrivate Residence 4,133,022 86.6% 83.7% 56

Homeless/Shelter 222,985 3.3% 4.5% 51

Jail/Correctional Facility 113,677 2.6% 2.3% 51

Adult EBP Services U.S. State U.S. Rate StatesSupported Housing 97,515 2.3% 3.1% 32

Supported Employment 72,250 1.8% 2.0% 42

Assertive Community Treatment 72,957 3.6% 1.9% 43

Family Psychoeducation 39,074 0.4% 2.5% 16

Dual Diagnosis Treatment 234,329 12.7% 10.4% 26

Illness Self Management 317,463 6.6% 18.9% 20

Medications Management 547,936 31.9% 31.3% 20

Child/Adolescent EBP Services U.S. State U.S. Rate StatesTherapeutic Foster Care 5,390 0.0% 0.7% 22

Multisystemic Therapy 33,517 0.6% 4.2% 19

Functional Family Therapy 35,054 0.2% 5.9% 15

Change in Social Connectedness State U.S. Rate StatesAdult Improved Social Connectedness 69.7% 75.8% 51

Child/Family Improved Social Connectedness 78.1% 87.6% 45

*Denominator is the sum of consumers employed and unemployed.**Denominator is the sum of consumers employed, unemployed, and not in labor force.

2019 SAMHSA Uniform Reporting System (URS) Output Tables of 56

SAMHSA Uniform Reporting System - 2019 State Mental Health Measures

VirginiaUtilization State Number State Rate U.S. U.S. Rate StatesPenetration Rate per 1,000 population 126,089 14.80 8,131,606 24.81 58Community Utilization per 1,000 population 123,482 14.50 7,826,684 23.88 58State Hospital Utilization per 1,000 population 7,723 0.91 132,710 0.41 54Medicaid Funding Status 91,086 74% 5,617,695 73% 57Employment Status (percent employed) 18,463 22% 764,240 22% 57State Hospital Adult Admissions 7,028 1.02 98,852 0.80 52Community Adult Admissions 38,104 0.44 12,372,322 2.44 53Percent Adults with SMI and Children with SED 90,634 72% 5,638,887 69% 58

Outcome State Number State Rate U.S. U.S. Rate StatesAdult Criminal Justice Contacts - - 36,939 3.1% 35

Juvenile Justice Contacts - - 6,188 1.4% 37

School Attendance (Improved ) - - 11,600 30.7% 22

Adult Consumer Survey Measures State Rate U.S. Rate StatesAccess to Services 80.7% 86.8% 52Quality/Appropriateness of Services 82.6% 89.5% 52Outcome from Services 68.6% 75.4% 52Participation in Treatment Planning 71.4% 84.6% 52General Satisfaction with Care 77.9% 89.5% 52

Child/Family Consumer Survey Measures State Rate U.S. Rate StatesAccess to Services 84.6% 87.1% 46General Satisfaction with Care 80.8% 88.3% 47Outcome from Services 61.1% 71.9% 46Participation in Treatment Planning 81.4% 88.5% 47Cultural Sensitivity of Providers 86.5% 93.8% 45

Utilization State Rate U.S. Rate StatesState Hospital LOS Discharged Adult patients (Median) 15 Days 89 Days 50State Hospital LOS for Adult Resident patients in facility <1 year (Median) 38 Days 85 Days 49Percent of Client who meet Federal SMI definition 72% 71% 56Adults with Co-occurring MH/SA Disorders 45% 28% 56Children with Co-occurring MH/SA Disorders 5% 8% 50

Consumer Living Situations State Number State Rate U.S. U.S. Rate StatesPrivate Residence 101,221 86.6% 4,133,022 83.7% 56Jail/Correctional Facility 3,090 2.6% 113,677 2.3% 51Homeless or Shelter 3,839 3.3% 222,985 4.5% 51

Hospital Readmissions State Number State Rate U.S. U.S. Rate StatesState Hospital Readmissions: 30 Days 592 9.6% 6,218 7.8% 50State Hospital Readmissions: 180 Days 1,316 21.3% 14,246 17.8% 53Readmission to any psychiatric hospital: 30 Days - - 27,057 12.7% 21

State Mental Health Finance (2019) State Number State Rate U.S. U.S. Rate States

SMHA Expenditures for Community Mental Health* $475,607,711 52.6% $27,064,008,068 66.8% 58

State Expenditures from State Sources $618,090,548 68.3% $17,205,668,205 42.5% 55

Total SMHA Expenditures $904,587,821 - $40,530,173,022 - 58

Adult Evidence-Based Practices State Number State Rate U.S. U.S. Rate StatesAssertive Community Treatment 2,260 3.6% 72,957 1.9% 43Supported Housing 1,414 2.3% 97,515 3.1% 32Supported Employment 1,131 1.8% 72,250 2.0% 42Family Psychoeducation 228 0.4% 39,074 2.5% 16Integrated Dual Diagnosis Treatment 7,916 12.7% 234,329 10.4% 26Illness Self-Management and Recovery 4,096 6.6% 317,463 18.9% 20Medications Management 19,932 31.9% 547,936 31.3% 20

Child Evidence Based Practices State Number State Rate U.S. U.S. Rate StatesTherapeutic Foster Care 3 0.0% 5,390 0.7% 22Multisystemic Therapy 141 0.6% 33,517 4.2% 19Functional Family Therapy 54 0.2% 35,054 5.9% 15

* Includes primary prevention, evidence-based practices for early serious mental illness, and Other 24-Hour Care


Age Percent0 to 12 15.0%13 to 17 14.0%18 to 20 4.6%21 to 24 5.2%25 to 44 30.1%45 to 64 25.5%65 to 74 4.3%75 and over 1.2%Not Available 0.0%

Living Situation (with Known Status) PercentPrivate Residence 86.6%Foster Home 0.9%Residential Care 5.2%Crisis Residence -Residential Treatment Center -Institutional Setting 1.3%Jail (Correctional Facility) 2.6%Homeless (Shelter) 3.3%Other -

Consumer Perception of Care: (Children/Adolescents) PercentAccess to Services 84.6%Overall Satisfaction with Care 80.8%Outcome from Services 61.1%Participation in Treatment Planning 81.4%Cultural Sensitivity of Providers 86.5%

Outcome Measures Developmental PercentAdults Arrested this Year -Youth Arrested this Year -Improved School Attendance -

Hospital Readmissions (Civil Status Patients) PercentState Hospital Readmissions: 30 Days 9.6%State Hospital Readmissions: 180 Days 21.3%Readmission to any psychiatric hospital: 30 Days -

Gender PercentFemale 49.7%Male 50.3%Not Available 0.1%

Race/Ethnicity PercentAmerican Indian or Alaska Native 0.2%Asian 1.2%Black or African American 27.5%Native Hawaiian or Other Pacific Islander 0.1%White 60.2%Hispanic or Latino 7.2%More Than One Race 4.5%Not Available 6.3%

Employment With Known Status (Adults) PercentEmployed 22.0%Unemployed 20.4%Not In Labor Force 57.6%

Medicaid Funding Status of Consumers PercentMedicaid Only 31.5%Non-Medicaid 26.2%Both Medicaid and Other Funds 42.3%

Consumer Perception of Care: (Adults) PercentAccess to Services 80.7%Quality/Appropriateness of Services 82.6%Outcome from Services 68.6%Participation in Treatment Planning 71.4%Overall Satisfaction with Care 77.9%

Implementation of Evidence-Based Practices PercentAssertive Community Treatment 3.6%Supported Housing 2.3%Supported Employment 1.8%Family Psychoeducation 0.4%Integrated Dual Diagnosis Treatment 12.7%Illness Self-Management and Recovery 6.6%Medications Management 31.9%Therapeutic Foster Care 0.0%Multisystemic Therapy 0.6%Functional Family Therapy 0.2%

State URS Contact Person

Benjamin Marks

Department of Behavioral Health & Developmental Services PO Box 1797 Richmond, VA 23218-1797

804 ?663-7291

[email protected]

State Revenue Expenditure Data AmountFY 2019 Mental Health Block Grant Expenditures $12,448,208FY 2019 SMHA Community MH Expenditures $475,607,711FY 2019 Per Capita Community MH Expenditures $56.61FY 2019 Community Percent of Total SMHA Spending 51.97%FY 2019 Total SMHA Mental Health Expenditure $904,587,821FY 2019 Per Capita Total SMHA Mental Health Expenditures $107.67

Mental Health Community Services Block Grant: 2019 State Summary Report

* Based on 2019 URS data provided by US States and Territories per annual reporting guidelines.

Virginia

Statewide Mental Health Agency Data*

Measure Number of Clients Utilization Rate Per 1,000 PopulationTotal Clients Served by SMHA System 126,089 14.8Clients Served in Community Settings 123,482 14.5Clients Served in State Hospitals 7,723 0.9

The Community Mental Health Block Grant is administered by the Center for Mental Health Services within the Substance Abuse and Mental Health Services Administration of the US Department of Health and Human Services


STATE MENTAL HEALTH INDICATORS BY REGION: SAMHSA Uniform Reporting System: URS Year 18 Indicators

Basic Measures North South Midwest West South West US Rate States Reporting

Penetration Rate per 1,000 population 35.62 18.18 23.82 21.19 26.34 24.81 58Community Utilization per 1,000 population 33.68 17.65 24.95 20.74 24.82 23.88 58State Hospital Utilization per 1,000 population 0.33 0.47 0.44 0.33 0.44 0.41 54Medicaid Funding Status 73% 57% 84% 82% 70% 73% 57Employment Status (percent employed) 23% 23% 25% 16% 20% 22% 56State Hospital Adult Admissions 0.52 0.96 0.84 0.52 0.91 0.80 52Community Adult Admissions 0.42 1.95 0.33 11.29 0.69 2.44 52State Hospital LOS Discharged Adult patients (Median) 81.00 46.00 21.00 93.00 69.00 89.00 50State Hospital LOS Resident Adult patients (Median) 94.00 66.00 82.00 90.00 99.00 85.00 49Percent of Client who meets SMI definition 61% 76% 61% 87% 61% 67% 44Adults with Co-occurring MH/SA Disorders 31% 26% 26% 28% 21% 28% 56Children with Co-occurring MH/SA Disorders 4% 6% 3% 11% 3% 8% 50

Basic Measures: Adult Consumer Survey Measures North South Midwest West South West US Rate States Reporting

Access to Services 88% 89% 88% 85% 84% 88% 52Quality/Appropriateness of Services 90% 92% 91% 89% 87% 90% 52Outcome from Services 76% 84% 76% 69% 66% 75% 52Participation in Treatment Planning 88% 89% 85% 80% 82% 86% 52Overall Satisfaction with Care 89% 91% 91% 89% 88% 90% 52

Basic Measures: Child/Family Consumer Survey Measures North South Midwest West South West US Rate States Reporting

Access to Services 91% 91% 84% 86% 85% 88% 46Overall Satisfaction with Care 88% 93% 84% 88% 86% 89% 47Outcome from Services 75% 84% 70% 68% 69% 72% 46Participation in Treatment Planning 92% 92% 86% 88% 90% 89% 47Cultural Sensitivity of Providers 96% 92% 93% 95% 94% 94% 45

Basic Measures: Consumer Living Situations North South Midwest West South West US Rate States Reporting

Private Residence 83% 88% 86% 73% 86% 84% 56Jail/Correctional Facility 4% 1% 1% 2% 1% 2% 51Homeless or Shelter 5% 4% 2% 8% 4% 5% 51

Basic Measures: Hospital Readmissions North South Midwest West South West US Rate States Reporting

State Hospital Readmissions: 30 Days 6% 7% 9% 3% 8% 8% 50State Hospital Readmissions: 180 Days 14% 18% 19% 14% 19% 18% 53Readmission to any psychiatric hospital: 30 Days 15% 14% 10% 7% 13% 13% 21

Basic Measures: State Mental Health Finance North South Midwest West South West US Rate States Reporting

SMHA Expenditures for Community MH 68% 63% 64% 70% 65% 67% 58

SMHA Expenditures From State Sources 37% 56% 46% 32% 63% 42% 55


Access Domain: Demographic Characteristics of Persons Served by the State Mental Health Authority, FY 2019

Virginia

Total Served Penetration Rates

State US (per 1,000 population)States

Demographics n % n % State South US ReportingTotal 126,089 100.0% 8,131,606 100.0% 14.8 18.2 24.8 58

0-12 18,949 15.0% 1,298,555 16.0% 14.1 16.9 25.0 58

13-17 17,624 14.0% 991,267 12.2% 33.5 34.6 48.0 58

18-20 5,842 4.6% 383,867 4.7% 17.2 23.2 30.2 57

21-24 6,578 5.2% 460,555 5.7% 14.2 20.1 26.4 58

25-44 37,982 30.1% 2,555,127 31.4% 16.5 23.7 29.6 58

45-64 32,177 25.5% 1,995,749 24.5% 14.4 17.7 24.0 58

65-74 5,412 4.3% 304,601 3.7% 6.9 5.4 10.1 58

75 and over 1,519 1.2% 131,834 1.6% 2.8 2.1 6.1 55

Age Not Available 6 0.0% 10,051 0.1% - - - 26

Female 62,655 49.7% 4,186,941 51.5% 14.5 18.7 25.2 58

Male 63,369 50.3% 3,890,789 47.8% 15.1 17.6 24.1 58

Gender Not Available 65 0.1% 53,876 0.7% - - - 32

American Indian/Alaskan Native 280 0.2% 153,033 1.9% 6.0 9.4 37.0 52

Asian 1,539 1.2% 114,183 1.4% 2.6 2.9 5.9 55

Black/African American 34,671 27.5% 1,505,755 18.5% 20.5 21.7 34.5 53

Native Hawaiian/Pacific Islander 101 0.1% 22,105 0.3% 10.1 13.5 28.2 54

White 75,911 60.2% 4,764,687 58.6% 12.8 15.0 19.3 56

Hispanic or Latino Race * * 71,361 0.9% * - 3.1 11

Multi-Racial 5,666 4.5% 213,843 2.6% 21.6 22.3 26.1 48

Race Not Available 7,921 6.3% 1,286,639 15.8% - - - 51

Hispanic or Latino Ethnicity 9,056 7.2% 1,138,243 15.6% 11.0 7.6 20.0 51

Not Hispanic or Latino Ethnicity 113,002 89.6% 5,682,965 77.6% 14.7 15.2 22.5 55

Ethnicity Not Available 4,031 3.2% 498,292 6.8% - - - 46

Note:

This table uses data from URS Table 2a, Table 2b and from the US Census Bureau. All denominators use US Census data from 2018

State Notes:

US totals are calculated uniquely for each data element based on only those states who reported clients served.

* Reported under Hispanic Origin.

Table 2aAge Age calculated at midpoint of reporting periodGender NoneRace Race not available includes 'some other race alone' (N = 6,246)Overall Populated by NRI using Virginia's 2019 MH CLD-BCI datasetTable 2bAge Age calculated at midpoint of reporting periodGender NoneRace NoneOverall Populated by NRI using Virginia's 2019 MH CLD-BCI dataset

Are Client Counts Unduplicated? Unduplicated Number of States with Unduplicated Counts 43

Regional groupings are based on SAMHSA's Block Grant Regions.

Reporting Period: 7/1/2018 To: 6/30/2019



Virginia

Demographics TotalAmerican Indian/Alaskan Native Asian

Black/African American

Native Hawaiian/Pacific Islander White

Hispanic (reported by ethnicity) Multi-Racial

Race Not Available

Total 0 to 12 18,949 25 80 4,795 8 10,283 1,890 1,893 1,8650 to 12 Female 6,924 10 32 1,593 2 3,883 734 664 7400 to 12 Male 12,011 15 48 3,202 6 6,395 1,156 1,229 1,1160 to 12 Gender NA 14 - - - - 5 - - 9

Total 126,089 280 1,539 34,671 101 75,911 9,056 5,666 7,921Total Female 62,655 145 738 16,108 56 38,903 4,545 2,777 3,928Total Male 63,369 135 801 18,561 45 36,976 4,510 2,886 3,965Total Gender NA 65 - - 2 - 32 1 3 28

Total 13 to 17 17,624 39 230 4,332 10 9,595 2,361 1,363 2,05513 to 17 Female 8,691 22 130 1,914 7 4,872 1,241 686 1,06013 to 17 Male 8,904 17 100 2,418 3 4,713 1,119 675 97813 to 17 Gender NA 29 - - - - 10 1 2 17

Total 18 to 20 5,842 12 107 1,456 13 3,379 640 379 49618 to 20 Female 2,977 6 52 680 6 1,736 330 230 26718 to 20 Male 2,861 6 55 775 7 1,640 310 149 22918 to 20 Gender NA 4 - - 1 - 3 - - -

Total 65 to 74 5,412 11 69 1,504 5 3,629 196 52 14265 to 74 Female 3,300 6 47 895 4 2,217 133 37 9465 to 74 Male 2,112 5 22 609 1 1,412 63 15 4865 to 74 Gender NA - - - - - - - - -

Total 75 and over 1,519 2 32 359 2 1,049 73 13 6275 and over Female 1,026 2 21 252 2 699 51 10 4075 and over Male 493 - 11 107 - 350 22 3 2275 and over Gender NA - - - - - - - - -

Total Age Not Available 6 - - 1 - 3 1 - 2Age Not Available Female 2 - - 1 - 1 - - -Age Not Available Male 3 - - - - 1 1 - 2Age Not Available Gender NA 1 - - - - 1 - - -

Total 21 to 24 6,578 18 101 1,884 7 3,823 540 337 40821 to 24 Female 3,175 7 42 812 3 1,963 237 175 17321 to 24 Male 3,402 11 59 1,072 4 1,859 303 162 23521 to 24 Gender NA 1 - - - - 1 - - -

Total 45 to 64 32,177 88 401 9,469 18 20,626 1,180 527 1,04845 to 64 Female 17,546 40 212 5,039 13 11,301 734 304 63745 to 64 Male 14,623 48 189 4,430 5 9,319 446 223 40945 to 64 Gender NA 8 - - - - 6 - - 2

Total 25 to 44 37,982 85 519 10,871 38 23,524 2,175 1,102 1,84325 to 44 Female 19,014 52 202 4,922 19 12,231 1,085 671 91725 to 44 Male 18,960 33 317 5,948 19 11,287 1,090 430 92625 to 44 Gender NA 8 - - 1 - 6 - 1 -

Reporting Period: 7/1/2018 To: 6/30/2019Total Clients Served



Percent ServedVirginia

Note: For each age group, the top line provides the percentage that age group represents of the total number served for each race. For each gender, the percentage is of the total of that gender for that race.

Demographics TotalAmerican Indian/Alaskan

Native AsianBlack/African

AmericanNative Hawaiian/Pacific

Islander WhiteHispanic (reported by

ethnicity)Multi-Racial

Race Not Available

Total 0 to 12 15.0% 8.9% 5.2% 13.8% 7.9% 13.5% 20.9% 33.4% 23.5%0 to 12 Female 11.1% 6.9% 4.3% 9.9% 3.6% 10.0% 16.1% 23.9% 18.8%0 to 12 Male 19.0% 11.1% 6.0% 17.3% 13.3% 17.3% 25.6% 42.6% 28.1%0 to 12 Gender NA 21.5% - - - - 15.6% - - 32.1%

Total 13 to 17 14.0% 13.9% 14.9% 12.5% 9.9% 12.6% 26.1% 24.1% 25.9%13 to 17 Female 13.9% 15.2% 17.6% 11.9% 12.5% 12.5% 27.3% 24.7% 27.0%13 to 17 Male 14.1% 12.6% 12.5% 13.0% 6.7% 12.7% 24.8% 23.4% 24.7%13 to 17 Gender NA 44.6% - - - - 31.3% 100.0% 66.7% 60.7%

Total 18 to 20 4.6% 4.3% 7.0% 4.2% 12.9% 4.5% 7.1% 6.7% 6.3%18 to 20 Female 4.8% 4.1% 7.0% 4.2% 10.7% 4.5% 7.3% 8.3% 6.8%18 to 20 Male 4.5% 4.4% 6.9% 4.2% 15.6% 4.4% 6.9% 5.2% 5.8%18 to 20 Gender NA 6.2% - - 50.0% - 9.4% - - -

Total 65 to 74 4.3% 3.9% 4.5% 4.3% 5.0% 4.8% 2.2% 0.9% 1.8%65 to 74 Female 5.3% 4.1% 6.4% 5.6% 7.1% 5.7% 2.9% 1.3% 2.4%65 to 74 Male 3.3% 3.7% 2.7% 3.3% 2.2% 3.8% 1.4% 0.5% 1.2%65 to 74 Gender NA - - - - - - - - -

Total 75 and over 1.2% 0.7% 2.1% 1.0% 2.0% 1.4% 0.8% 0.2% 0.8%75 and over Female 1.6% 1.4% 2.8% 1.6% 3.6% 1.8% 1.1% 0.4% 1.0%75 and over Male 0.8% - 1.4% 0.6% - 0.9% 0.5% 0.1% 0.6%75 and over Gender NA - - - - - - - - -

Total Age Not Available 0.0% - - 0.0% - 0.0% 0.0% - 0.0%Age Not Available Female 0.0% - - 0.0% - 0.0% - - -Age Not Available Male 0.0% - - - - 0.0% 0.0% - 0.1%Age Not Available Gender NA 1.5% - - - - 3.1% - - -

Total 100.0% 0.2% 1.2% 27.5% 0.1% 60.2% 7.2% 4.5% 6.3%Total Female 49.7% 51.8% 48.0% 46.5% 55.4% 51.2% 50.2% 49.0% 49.6%Total Male 50.3% 48.2% 52.0% 53.5% 44.6% 48.7% 49.8% 50.9% 50.1%Total Gender NA 0.1% - - 0.0% - 0.0% 0.0% 0.1% 0.4%

Total 45 to 64 25.5% 31.4% 26.1% 27.3% 17.8% 27.2% 13.0% 9.3% 13.2%45 to 64 Female 28.0% 27.6% 28.7% 31.3% 23.2% 29.0% 16.1% 10.9% 16.2%45 to 64 Male 23.1% 35.6% 23.6% 23.9% 11.1% 25.2% 9.9% 7.7% 10.3%45 to 64 Gender NA 12.3% - - - - 18.8% - - 7.1%

Total 25 to 44 30.1% 30.4% 33.7% 31.4% 37.6% 31.0% 24.0% 19.4% 23.3%25 to 44 Female 30.3% 35.9% 27.4% 30.6% 33.9% 31.4% 23.9% 24.2% 23.3%25 to 44 Male 29.9% 24.4% 39.6% 32.0% 42.2% 30.5% 24.2% 14.9% 23.4%15 to 44 Gender NA 12.3% - - 50.0% - 18.8% - 33.3% -

Total 21 to 24 5.2% 6.4% 6.6% 5.4% 6.9% 5.0% 6.0% 5.9% 5.2%21 to 24 Female 5.1% 4.8% 5.7% 5.0% 5.4% 5.0% 5.2% 6.3% 4.4%21 to 24 Male 5.4% 8.1% 7.4% 5.8% 8.9% 5.0% 6.7% 5.6% 5.9%21 to 24 Gender NA 1.5% - - - - 3.1% - - -




Rate per 1,000 PopulationVirginia

Race, Gender and Age Not Available are not reported on this table because U.S. Census data does not include these categories, thus no rates can be calculated.

Demographics TotalAmerican Indian/Alaskan

Native AsianBlack/African

AmericanNative Hawaiian/Pacific

Islander WhiteHispanic (reported by

ethnicity)Multi-Racial

Race Not Available

Total 0 to 12 14.10 3.39 0.88 16.87 3.97 11.88 9.43 20.37 -0 to 12 Female 10.56 2.76 0.72 11.39 1.99 9.22 7.55 14.66 -0 to 12 Male 17.47 4.01 1.03 22.20 5.96 14.40 11.21 25.79 -

Total 14.80 6.03 2.61 20.50 10.10 12.83 11.03 21.60 -Total Female 14.48 6.54 2.38 18.34 11.44 13.06 11.43 20.97 -Total Male 15.12 5.57 2.87 22.84 8.82 12.58 10.66 22.23 -Total Gender NA - - - - - - - - -




Total 75 and over 2.83 1.16 1.34 4.55 7.84 2.45 5.27 3.16 -75 and over Female 3.25 2.17 1.53 5.03 11.70 2.82 5.99 4.25 -75 and over Male 2.23 - 1.08 3.72 - 1.95 4.12 1.70 -

Total 21 to 24 14.15 - 3.26 18.56 11.80 12.36 10.08 17.44 -21 to 24 Female 14.21 - 2.75 16.40 11.28 13.31 9.20 18.62 -21 to 24 Male 14.10 - 3.76 20.62 12.23 11.50 10.90 16.33 -





Access Domain: Persons Served in Community Mental Health Programs by Age and Gender, FY 2019

Virginia

Served in Community Penetration RatesState US (rate per 1,000 population) States

Demographic n % n % State US ReportingAge 0-17 36,292 29.4% 2,227,574 28.5% 19.4 30.7 58

Age 18-20 5,693 4.6% 369,016 4.7% 16.7 29.0 57

Age 21-64 74,892 60.7% 4,806,673 61.4% 15.0 25.7 58

Age 65+ 6,599 5.3% 413,844 5.3% 5.0 7.4 57

Age Not Available 6 0.0% 9,577 0.1% - - 24

Age Total 123,482 100.0% 7,826,684 100.0% 14.5 23.9 58

Note:

US totals are based on states reporting.

State Notes:

Age Age calculated at midpoint of reporting period

Gender None

Overall Residential data is not available to DBHDS. Populated by NRI using Virginia's 2019 MH CLD-BCI dataset.

Female 61,756 50.0% 4,072,266 52.0% 14.3 24.5 58

Male 61,661 49.9% 3,701,181 47.3% 14.7 22.9 58

Gender Not Available 65 0.1% 53,237 0.7% - - 32

Total 123,482 100.0% 7,826,684 100.0% 14.5 23.9 58

US penetration rates are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

This table uses data from URS Table 3.



Access Domain: Persons Served in State Psychiatric Hospitals by Age and Gender, FY 2019

Virginia

Served in State Psychiatric Hospitals Penetration RatesState US (rate per 1,000 population) States

Demographic n % n % State US ReportingAge 0-17 824 10.7% 8,692 6.5% 0.4 0.2 37

Age 18-20 399 5.2% 5,626 4.2% 1.2 0.4 53

Age 21-64 5,744 74.4% 110,508 83.3% 1.2 0.6 54

Age 65+ 756 9.8% 7,877 5.9% 0.6 0.2 52

Age Not Available - - 7 0.0% - - 3

Age Total 7,723 100.0% 132,710 100.0% 0.9 0.4 54


State Notes:


Gender None

Overall Residential data is not available to DBHDS. Populated by NRI using Virginia's 2019 MH CLD-BCI dataset.

Female 2,722 35.2% 42,306 31.9% 0.6 0.3 54

Male 5,001 64.8% 90,311 68.1% 1.2 0.6 54

Gender Not Available - - 93 0.1% - - 13

Total 7,723 100.0% 132,710 100.0% 0.9 0.4 54



Notes:



ACCESS DOMAIN: Persons Served by SMHA System through Medicaid and Other Funding Sources by Race, Gender, and Ethnicity, FY 2019

STATE: Virginia

State US AveragesNumber Served % Served Number Served % Served

DemographicMedicaid

Only

Non-Medicaid

Only

Both Medicaid &

Other

Total Served with Known Funding

StatusMedicaid

Only

Non-Medicaid

Only

Both Medicaid &

OtherMedicaid

Only

Non-Medicaid

Only

Both Medicaid &

Other

Total Served with Known Funding

Status Medicaid OnlyNon-Medicaid

OnlyBoth Medicaid

& OtherStates

Reporting

Female 19,946 15,685 26,107 61,738 32% 25% 42% 2,414,225 1,047,328 534,874 3,996,427 60% 26% 13% 56

Male 18,933 16,607 26,092 61,632 31% 27% 42% 2,112,220 1,061,161 520,226 3,693,607 57% 29% 14% 56

Gender Not Available 7 57 1 65 11% 88% 2% 34,871 12,378 1,279 48,528 72% 26% 3% 31

Total 38,886 32,349 52,200 123,435 32% 26% 42% 4,561,316 2,120,867 1,056,379 7,738,562 59% 27% 14% 56

American Indian or Alaska Native 88 75 117 280 31% 27% 42% 103,345 23,076 23,365 149,786 69% 15% 16% 51

Asian 387 589 523 1,499 26% 39% 35% 67,017 28,177 14,105 109,299 61% 26% 13% 53

Black or African American 10,415 6,033 17,221 33,669 31% 18% 51% 849,317 378,205 199,677 1,427,199 60% 26% 14% 52

Native Hawaiian or Other Pacific Islander

21 47 33 101 21% 47% 33% 10,276 6,312 4,629 21,217 48% 30% 22% 52

White 22,725 21,490 30,202 74,417 31% 29% 41% 2,570,449 1,359,706 600,306 4,530,461 57% 30% 13% 54

Hispanic or Latino * * * * * * * 32,779 23,863 5,395 62,037 53% 38% 9% 9

More Than One Race 2,455 1,240 1,971 5,666 43% 22% 35% 112,455 60,565 36,635 209,655 54% 29% 17% 46

Race Not Available 2,795 2,875 2,133 7,803 36% 37% 27% 815,678 240,963 172,267 1,228,908 66% 20% 14% 49

Total 38,886 32,349 52,200 123,435 32% 26% 42% 4,561,316 2,120,867 1,056,379 7,738,562 59% 27% 14% 56

Hispanic or Latino 3,015 2,980 2,973 8,968 34% 33% 33% 632,810 284,748 187,919 1,105,477 57% 26% 17% 50

Not Hispanic or Latino 34,390 27,625 48,452 110,467 31% 25% 44% 3,034,828 1,639,094 703,213 5,377,135 56% 30% 13% 54

Ethnicity Not Available 1,481 1,744 775 4,000 37% 44% 19% 254,385 122,130 68,260 444,775 57% 27% 15% 43

Total 38,886 32,349 52,200 123,435 32% 26% 42% 3,922,023 2,045,972 959,392 6,927,387 57% 30% 14% 54

Note:

This table uses data from URS tables 5a and 5b.

Type of Medicaid Data Reported

Data based on Medicaid Eligibility, not Medicaid Paid Services.

State Notes

5a Age None

5a Gender None

5a Overall None

5b Overall None

* Reported under Hispanic Ethnicity.



Access Domain: Demographic Characteristics of Adults with SMI and Children with SED Served by the State Mental Health Authority, FY 2019Virginia

Note:This table uses data from URS Table 14a, Table 14b and from the US Census Bureau. All denominators use US Census data from 2018

State Notes:



Table 14aAge Age calculated at midpoint of reporting periodGender NoneRace Race not available includes 'some other race alone' (N = 4,035).Overall Populated by NRI using Virginia's 2019 MH CLD-BCI datasetTable 14bAge Age calculated at midpoint of reporting periodGender NoneRace NoneOverall Populated by NRI using Virginia's 2019 MH CLD-BCI dataset

Total Served Penetration Rates

State US (per 1,000 population)States

Demographics n % n % State South US ReportingTotal 90,634 100.0% 5,638,887 100.0% 10.6 13.5 17.0 58

0-12 12,186 13.4% 903,601 16.0% 9.1 12.4 17.2 56

13-17 13,669 15.1% 728,885 12.9% 26.0 25.9 35.0 58

18-20 2,924 3.2% 248,214 4.4% 8.6 16.2 19.3 56

21-24 4,327 4.8% 301,271 5.3% 9.3 14.2 17.1 58

25-44 26,803 29.6% 1,725,126 30.6% 11.7 17.4 18.9 58

45-64 25,305 27.9% 1,448,787 25.7% 11.3 13.8 17.3 58

65-74 4,247 4.7% 206,496 3.7% 5.5 4.2 6.8 56

75 and over 1,171 1.3% 72,574 1.3% 2.2 1.5 3.7 53

Age Not Available 2 0.0% 3,933 0.1% - - - 19

Female 45,437 50.1% 2,942,952 52.2% 10.5 14.2 17.5 58

Male 45,181 49.8% 2,684,933 47.6% 10.8 12.9 16.5 58

Gender Not Available 16 0.0% 11,002 0.2% - - - 31

American Indian/Alaskan Native 186 0.2% 86,235 1.5% 4.0 6.9 20.8 52

Asian 1,061 1.2% 86,075 1.5% 1.8 2.3 4.5 54

Black/African American 26,008 28.7% 1,102,541 19.6% 15.4 16.4 25.2 53

Native Hawaiian/Pacific Islander 59 0.1% 17,263 0.3% 5.9 10.0 21.6 53

White 54,804 60.5% 3,264,793 57.9% 9.3 11.0 13.1 54

Hispanic or Latino Race * * 30,283 0.5% * - 0.5 10

Multi-Racial 3,753 4.1% 174,352 3.1% 14.3 18.3 19.5 48

Race Not Available 4,763 5.3% 877,345 15.6% - - - 50

Hispanic or Latino Ethnicity 5,697 6.3% 953,108 18.0% 6.9 6.5 15.9 51

Not Hispanic or Latino Ethnicity 83,031 91.6% 3,998,297 75.7% 10.8 11.1 15.0 55

Ethnicity Not Available 1,906 2.1% 332,168 6.3% - - - 46

Regional groupings are based on SAMHSA's Block Grant Regions.



Access Domain: Adults with Serious Mental Illness and Children with Serious Emotional Disturbances as a Percent of Population Served by Age, Gender, Race, and Ethnicity, FY 2019Virginia

State US StatesDemographics SMI/SED Total Served % SMI/SED Total Served % ReportingAge 0-12 12,186 18,949 64.3% 903,601 1,298,555 69.6% 56

Age 13-17 13,669 17,624 77.6% 728,885 991,267 73.5% 58

Age 18-20 2,924 5,842 50.1% 248,214 383,867 64.7% 56

Age 21-24 4,327 6,578 65.8% 301,271 460,555 65.4% 58

Age 25-44 26,803 37,982 70.6% 1,725,126 2,555,127 67.5% 58

Age 45-64 25,305 32,177 78.6% 1,448,787 1,995,749 72.6% 58

Age 65-74 4,247 5,412 78.5% 206,496 304,601 67.8% 56

Age 75 and over 1,171 1,519 77.1% 72,574 131,834 55.0% 53

Age Age Not Available 2 6 33.3% 3,933 10,051 39.1% 19

Age Total 90,634 126,089 71.9% 5,638,887 8,131,606 69.3% 58

Note:

This table uses data from URS Tables 2a, 2b, 14a, and 14b.

State Notes:

* Reported under Hispanic ethnicity.

Table 14aAge Age calculated at midpoint of reporting period

Gender None

Race Race not available includes 'some other race alone' (N = 4,035).

Overall Populated by NRI using Virginia's 2019 MH CLD-BCI dataset

Table 14bAge Age calculated at midpoint of reporting period

Gender None

Race None


Female 45,437 62,655 72.5% 2,942,952 4,186,941 70.3% 58

Male 45,181 63,369 71.3% 2,684,933 3,890,789 69.0% 58

Gender Not Available 16 65 24.6% 11,002 53,876 20.4% 31

Gender Total 90,634 126,089 71.9% 5,638,887 8,131,606 69.3% 58

American Indian/Alaskan Native 186 280 66% 86,235 153,033 56.4% 52

Asian 1,061 1,539 69% 86,075 114,183 75.4% 54

Black/African American 26,008 34,671 75% 1,102,541 1,505,755 73.2% 53

Native Hawaiian/Pacific Islander 59 101 58% 17,263 22,105 78.1% 53

White 54,804 75,911 72% 3,264,793 4,764,687 68.5% 54

Hispanic or Latino Race * * * 30,283 71,361 42.4% 10

Multi-Racial 3,753 5,666 66% 174,352 213,843 81.5% 48

Race Not Available 4,763 7,921 60% 877,345 1,286,639 68.2% 50

Race Total 90,634 126,089 71.9% 5,638,887 8,131,606 69.3% 54

Hispanic or Latino Ethnicity 5,697 9,056 62.9% 953,108 1,138,243 83.7% 51

Not Hispanic or Latino Ethnicity 83,031 113,002 73.5% 3,998,297 5,682,965 70.4% 55

Ethnicity Not Available 1,906 4,031 47.3% 332,168 498,292 66.7% 46

Ethnicity Total 90,634 126,089 71.9% 5,283,573 7,319,500 72.2% 55

State used Federal SMI Definition? NoPlease see attached document for definition of SMI and associated diagnoses from our Core Services Taxonomy

Diagnoses included in State SMI definition -State used Federal SED Definition? No

Please see attached document for definition of SED and associated diagnoses from our Core Services Taxonomy

Diagnoses included in State SED definition -

US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.



Access Domain: Adults with SMI and Children with SED Served in Community Mental Health Programs by Age and Gender, FY 2019

Virginia

Served in Community Penetration RatesState US (rate per 1,000 population) States

Demographic n % n % State US ReportingAge 0-17 25,574 29.1% 1,587,678 29.3% 13.7 21.9 57

Age 18-20 2,775 3.2% 238,524 4.4% 8.2 18.8 55

Age 21-64 54,590 62.0% 3,323,906 61.3% 10.9 17.8 57

Age 65+ 5,086 5.8% 264,434 4.9% 3.9 4.8 55

Age Not Available 2 0.0% 3,493 0.1% - - 17

Age Total 88,027 100.0% 5,418,035 100.0% 10.3 16.6 57

Note:


State Notes:


Gender None

Overall Residential data is not available to DBHDS. Populated by NRI using Virginia's 2019 MH CLD-BCI dataset

Female 44,538 50.6% 2,854,070 52.7% 10.3 17.2 57

Male 43,473 49.4% 2,553,311 47.1% 10.4 15.9 57

Gender Not Available 16 0.0% 10,654 0.2% - - 30

Total 88,027 100.0% 5,418,035 100.0% 10.3 16.6 57


This table uses data from URS Table 15a.



Access Domain: Adults with SMI and Children with SED Served in State Psychiatric Hospitals by Age and Gender, FY 2019

Virginia

Served in State Psychiatric Hospitals Penetration RatesState US (rate per 1,000 population) States

Demographic n % n % State US ReportingAge 0-17 793 10.3% 9,192 7.5% 0.4 0.2 28

Age 18-20 387 5.0% 5,466 4.5% 1.1 0.5 47

Age 21-64 5,741 74.8% 102,161 83.3% 1.1 0.6 50

Age 65+ 756 9.8% 5,783 4.7% 0.6 0.1 47

Age Not Available - - 8 0.0% - - 3

Age Total 7,677 100.0% 122,610 100.0% 0.9 0.4 50


State Notes:


Gender None

Overall Residential data is not available to DBHDS. Populated by NRI using Virginia's 2019 MH CLD-BCI dataset

Female 2,704 35.2% 41,683 34.0% 0.6 0.3 49

Male 4,973 64.8% 80,866 66.0% 1.2 0.5 50

Gender Not Available - - 61 0.0% - - 9

Total 7,677 100.0% 122,610 100.0% 0.9 0.4 50



Notes:



Table 6 State Notes:Hospital NoneOther Inpatient Residential data is not available to DBHDS.Residential NoneCommunity NoneOverall None

Table 3 State Notes:Age Age calculated at midpoint of reporting periodOverall Residential data is not available to DBHDS. Populated by NRI using Virginia's 2019 MH CLD-BCI dataset.Gender None

This table uses data from URS Table 3 and 6.

Admission Rate= number of admissions divided by total served during the year

US Admissions During Year uses data from states reporting data only. States are only included in "US Total Served" if they also reported data on admissions.

US Total Served During Year is calculated using data in URS Table 3.

Note:

APPROPRIATENESS DOMAIN: NUMBER OF ADMISSIONS DURING THE YEAR TO STATE HOSPITAL INPATIENT AND COMMUNITY-BASED PROGRAMS, FY 2019

STATE: Virginia

State US Admission Rate

Setting Demographic Admissions During Year

Total Served At Start of Year

Total Served During Year

Admissions During Year

Total Served At Start of Year

Total Served During Year

State US States Reporting

Total 8,089 3,237 7,723 107,452 42,304 132,650 1.05 0.81 52State Psychiatric Hospitals Children 1,061 310 824 8,590 1,543 8,672 1.29 0.99 31

Adults 7,028 2,927 6,899 98,852 40,761 123,952 1.02 0.80 52Age NA - - - 10 - 3 - 3.33 2

Total 26,096 523 17,683 446,526 51,283 402,666 1.48 1.11 38Other Inpatient Children 3,567 35 1,726 65,031 4,526 54,814 2.07 1.19 30

Adults 22,529 488 15,957 381,381 46,586 346,062 1.41 1.10 36Age NA - - - 114 171 73 - 1.56 3

Total - - - 38,174 15,916 46,949 - 0.81 33Residential Treatment Centers Children - - - 12,528 5,815 13,308 - 0.94 32

Adults - - - 25,569 10,098 32,142 - 0.80 25Age NA - - - 77 3 52 - 1.48 1

Total 56,157 74,630 123,482 22,512,448 3,870,862 7,163,856 0.45 3.14 53Community Programs Children 18,047 20,252 36,292 10,113,081 1,044,166 2,039,769 0.50 4.96 53

Adults 38,104 54,378 87,184 12,372,322 2,822,270 5,074,426 0.44 2.44 52Age NA 6 - 6 27,045 4,426 9,454 1.00 2.86 15



Table 6 State Notes:

Hospital None

Other Inpatient Residential data is not available to DBHDS.

Residential None

Community None

Overall None

APPROPRIATENESS DOMAIN: Length of Stays in State Psychiatric Hospitals, Other Psychiatric Inpatient and Residential Treatment Centers for Children Settings, FY 2019

STATE: Virginia

Note:

Resident clients are clients who were receiving services in inpatient settings at the end of the reporting period.


State US

Length of Stay (Days) Length of Stay (Days)

Setting Demographic Discharged Clients

Resident Clients in Facility 1 year

or less

Resident Clients in Facility more

than 1 year

Discharged Clients

Resident Clients in Facility 1 year

or less

Resident Clients in Facility more

than 1 year States

Average Median Average Median Average Median Average Median Average Median Average Median Reporting

All 64 13 65 32 1,417 810 166 50 91 63 1,584 986 12

State Hospitals Children 13 8 16 8 - - 94 79 85 75 683 526 28

Adults 71 15 72 38 1,417 810 235 89 109 85 1,755 1,037 50

Age NA - - - - - - 16 11 13 9 - - 2

All - - - - - - 66 50 61 43 795 723 8

Other Inpatient Children 8 7 - - - - 37 30 37 29 709 627 23

Adults 7 6 - - - - 55 37 45 33 772 695 29

Age NA - - - - - - 10 4 29 29 - - 3

All - - - - - - 229 163 144 146 658 524 4

Residential Treatment Centers Children - - - - - - 185 159 121 122 640 584 28

Adults - - - - - - 398 339 121 121 1,001 737 21

Age NA - - - - - - 10 10 3 3 669 669 1



Appropriateness Domain: Percent of Adults and Children Served Who Meet the Federal Definition for SMI/SED and Percent of Adults and Children Served Who Have Co-Occurring MH/AOD Disorders, FY 2019

Virginia

Adults and Children who meet the Federal Definition of SMI/SED State US Average US MedianStates

ReportingPercent of Adults served through the SMHA who meet the Federal definition for SMI 72.4% 71.4% 73.0% 56

Percent of Children served through the SMHA who meet the Federal definition for SED 70.7% 70.8% 75.0% 55

Co-occurring MH and Substance Abuse Consumers State US Average US MedianStates

ReportingPercent of Adults served through the SMHA who had a co-occurring MH and AOD disorder 45.1% 27.6% 25.5% 56

Percent of Children served through the SMHA who had a co-occurring MH and AOD disorder 5.3% 7.2% 3.0% 54

Percent of Adults served through the SMHA who met the Federal definitions of SMI who also have a substance abuse diagnosis 48.0% 27.9% 25.0% 55

Percent of Children served through the SMHA who met the Federal definitions of SED who also have a substance abuse diagnosis 5.8% 8.6% 4.0% 53

Note

State NotesNone


How are the number of clients with co-occurring disorders counted and calculated?

Total number of individuals diagnosed with both Mental Health and Substance Use disorders



APPROPRIATENESS DOMAIN: Living Situation of Consumers Served by State Mental Health Agency Systems, FY 2019

State US

SettingsLiving

Situation

Percent in Living

Situation

Percent with Known Living

SituationLiving

SituationPercent in

Living Situation


SituationStates

ReportingPrivate Residence 101,221 80.3% 86.6% 4,133,022 56.3% 83.7% 56

Foster Home 1,074 0.9% 0.9% 60,565 0.8% 1.2% 47

Residential Care 6,071 4.8% 5.2% 180,140 2.5% 3.6% 52

Crisis Residence - - - 7,867 0.1% 0.2% 30

Residential Treatment Center - - - 10,329 0.1% 0.2% 32

Institutional Setting 1,542 1.2% 1.3% 66,291 0.9% 1.3% 52

Jail (Correctional Facility) 3,090 2.5% 2.6% 113,677 1.5% 2.3% 51

Homeless (Shelter) 3,839 3.0% 3.3% 222,985 3.0% 4.5% 51

Other - - - 144,626 2.0% 2.9% 42

Not Available 9,252 7.3% - 2,403,479 32.7% - 49

Total 126,089 100.0% 100.0% 7,342,981 100.0% 100.0% 56

Note:

US totals based on states reporting.

State Notes:

Age calculated at midpoint of reporting period. Data indicates 307 individuals between the age of 18-64 and 42 individuals age 65+ reside in foster home placement. This data was entered in error at the client level. Race not available includes 'some other race alone' (N = 6,246).


When is Living Situation Measured: At Admission At Discharge Updated Monthly Updated quarterly Other Time Period

VA Yes Yes - - Annually

U.S. 40 28 2 7 30

Virginia Reporting Period: 7/1/2018 To: 6/30/2019


APPROPRIATENESS DOMAIN: Living Situation of Consumers Served by State Mental Health Agency Systems, FY 2019

STATE: Virginia


State US

Age Group SettingLiving

Situation

Percent in Living

Situation


SituationLiving

SituationPercent in

Living Situation


SituationStates

ReportingPrivate Residence 101,221 80.3% 86.6% 4,133,022 56.3% 83.7% 56

Foster Home 1,074 0.9% 0.9% 60,565 0.8% 1.2% 47



Residential Treatment Center

- - - 10,329 0.1% 0.2% 32

All Persons Served Institutional Setting 1,542 1.2% 1.3% 66,291 0.9% 1.3% 52



Other - - - 144,626 2.0% 2.9% 42

Not Available 9,252 7.3% - 2,403,479 32.7% - 49

Total 126,089 100.0% 100.0% 7,342,981 100.0% 100.0% 56

Private Residence 31,369 85.8% 94.2% 1,185,490 58.5% 91.6% 55

Foster Home 725 2.0% 2.2% 45,000 2.2% 3.5% 47

Residential Care 326 0.9% 1.0% 14,711 0.7% 1.1% 44



- - - 7,360 0.4% 0.6% 29

Children under age 18 Institutional Setting 132 0.4% 0.4% 4,365 0.2% 0.3% 44

Jail (Correctional Facility) 572 1.6% 1.7% 7,056 0.3% 0.5% 45

Homeless (Shelter) 161 0.4% 0.5% 6,523 0.3% 0.5% 49

Other - - - 23,184 1.1% 1.8% 39

Not Available 3,288 9.0% - 732,404 36.1% - 47

Total 36,573 100.0% 100.0% 2,027,276 100.0% 100.0% 56

Private Residence 69,851 78.0% 83.6% 2,937,209 55.4% 80.9% 55

Foster Home 349 0.4% 0.4% 15,528 0.3% 0.4% 42




- - - 2,969 0.1% 0.1% 21

Adults over age 18 Institutional Setting 1,410 1.6% 1.7% 61,538 1.2% 1.7% 51



Other - - - 121,178 2.3% 3.3% 42

Not Available 5,962 6.7% - 1,665,326 31.4% - 49

Total 89,510 100.0% 100.0% 5,298,040 100.0% 100.0% 55

State Notes:




APPROPRIATENESS DOMAIN: Persons Who were Homeless by Age, Gender, Race, and Ethnicity, FY 2019

STATE: Virginia

Note:


State Notes:




Homeless or Living in Shelters Percent of Total with Known Living Situation

State US State US States

Demographic N % N % % % Reporting

Age 0 to 17 161 4.2% 6,523 2.9% 0.5% 0.5% 49

Age 18 to 64 3,597 93.7% 209,978 94.2% 4.7% 6.3% 50

Age 65+ 79 2.1% 6,216 2.8% 1.2% 2.2% 49

Age Not Available 2 0.1% 268 0.1% 50.0% 2.2% 10

Age Total 3,839 100.0% 222,985 100.0% 3.3% 4.5% 51

Female 1,659 43.2% 88,121 39.5% 2.8% 3.5% 51

Male 2,179 56.8% 134,512 60.3% 3.7% 5.6% 51

Gender Not Available 1 0.0% 352 0.2% 7.1% 2.8% 22

Gender Total 3,839 100.0% 222,985 100.0% 3.3% 4.5% 51

American Indian or Alaska Native 24 0.6% 5,070 2.3% 8.8% 5.8% 47

Asian 17 0.4% 1,997 0.9% 1.2% 2.8% 43

Black or African American 1,623 42.3% 67,644 30.3% 4.9% 6.9% 50

Native Hawaiian or Other Pacific Islander 3 0.1% 586 0.3% 3.0% 4.7% 40

White 1,897 49.4% 113,100 50.7% 2.7% 3.8% 50

Hispanic or Latino * * 1,937 0.9% * 3.4% 8

More Than One Race 147 3.8% 7,436 3.3% 2.7% 3.9% 45

Race Not Available 128 3.3% 25,215 11.3% 1.9% 4.5% 45

Race Total 3,839 100.0% 222,985 100.0% 3.3% 4.5% 51

Hispanic or Latino 170 4.4% 38,199 17.1% 2.0% 3.8% 49

Not Hispanic or Latino 3,597 93.7% 171,693 77.0% 3.4% 4.8% 49

Not Available 72 1.9% 13,093 5.9% 2.5% 4.0% 45

Ethnicity Total 3,839 100.0% 222,985 100.0% 3.3% 4.5% 51




Appropriateness Domain: Persons Living in Private Residence by Age, Gender, Race and Ethnicity, FY 2019

Virginia

Living in Private Residence Percent of Total Consumers ServedState US Living in Private Residences States

Demographics n % n % State US ReportingAge 0-17 31,369 31.0% 1,185,490 28.7% 94.2% 91.6% 55

Age 18-64 65,016 64.2% 2,721,386 65.8% 84.3% 81.2% 55

Age 65+ 4,835 4.8% 215,823 5.2% 74.8% 76.8% 54

Age Not Available 1 0.0% 10,323 0.2% 25.0% 86.6% 19

Age Total 101,221 100.0% 4,133,022 100.0% 86.6% 83.7% 55

Note:

US Totals are based on states reporting.

State Notes:

Female 52,336 51.7% 2,215,748 53.6% 89.5% 87.1% 56

Male 48,875 48.3% 1,906,381 46.1% 83.8% 80.0% 56

Gender Not Available 10 0.0% 10,893 0.3% 71.4% 87.6% 31

Gender Total 101,221 100.0% 4,133,022 100.0% 86.6% 83.7% 56

American Indian/Alaskan Native 216 0.2% 69,160 1.7% 78.8% 79.3% 51

Asian 1,241 1.2% 62,376 1.5% 88.3% 86.4% 54

Black/African American 27,511 27.2% 777,484 18.8% 83.3% 79.4% 50

Native Hawaiian/Pacific Islander 96 0.1% 9,512 0.2% 95.0% 76.8% 53

White 60,854 60.1% 2,529,855 61.2% 87.3% 85.0% 53

Hispanic or Latino Race * * 50,466 1.2% * 88.0% 10

Multi-Racial 4,990 4.9% 160,779 3.9% 92.0% 84.0% 47

Race Not Available 6,313 6.2% 473,390 11.5% 91.6% 83.9% 47Race Total 101,221 100.0% 4,133,022 100.0% 86.6% 83.7% 54

Hispanic or Latino Ethnicity 7,735 7.6% 867,195 21.0% 89.7% 85.8% 49

Not Hispanic or Latino Ethnicity 90,791 89.7% 2,991,095 72.4% 86.2% 83.0% 54

Ethnicity Not Available 2,695 2.7% 274,732 6.6% 92.0% 84.1% 46

Ethnicity Total 101,221 100.0% 4,133,022 100.0% 86.6% 83.7% 54







Appropriateness Domain: Persons Who Were in Jails or Correctional Settings by Age, Gender, Race and Ethnicity, FY 2019

Virginia

Note:

US Totals are based on states reporting.

State Notes:Age calculated at midpoint of reporting period. Data indicates 307 individuals between the age of 18-64 and 42 individuals age 65+ reside in foster home placement. This data was entered in error at the client level. Race not available includes 'some other race alone' (N = 6,246).




Living in Jails and other Correctional Settings Percent of Total Consumers Served

State USLiving in Jails and other Correctional

Settings StatesDemographics n % n % State US ReportingAge 0-17 572 18.5% 7,056 6.2% 1.7% 0.5% 45

Age 18-64 2,477 80.2% 104,718 92.1% 3.2% 3.1% 50

Age 65+ 40 1.3% 1,633 1.4% 0.6% 0.6% 38

Age Not Available 1 0.0% 270 0.2% 25.0% 2.3% 3

Age Total 3,090 100.0% 113,677 100.0% 2.6% 2.3% 50

Female 852 27.6% 21,354 18.8% 1.5% 0.8% 49

Male 2,235 72.3% 92,109 81.0% 3.8% 3.9% 51

Gender Not Available 3 0.1% 214 0.2% 21.4% 1.7% 15

Gender Total 3,090 100.0% 113,677 100.0% 2.6% 2.3% 51

American Indian/Alaskan Native 4 0.1% 2,217 2.0% 1.5% 2.5% 41

Asian 26 0.8% 616 0.5% 1.8% 0.9% 34

Black/African American 1,131 36.6% 37,485 33.0% 3.4% 3.8% 49

Native Hawaiian/Pacific Islander 1 0.0% 216 0.2% 1.0% 1.7% 30

White 1,701 55.1% 54,550 48.0% 2.4% 1.8% 49

Hispanic or Latino Race * * 159 0.1% * 0.3% 3

Multi-Racial 82 2.7% 1,853 1.6% 1.5% 1.0% 39

Race Not Available 145 4.7% 16,581 14.6% 2.1% 2.9% 44Race Total 3,090 100.0% 113,677 100.0% 2.6% 2.3% 49

Hispanic or Latino Ethnicity 190 6.1% 22,021 19.4% 2.2% 2.2% 45

Not Hispanic or Latino Ethnicity 2,849 92.2% 84,383 74.2% 2.7% 2.3% 49

Ethnicity Not Available 51 1.7% 7,273 6.4% 1.7% 2.2% 40

Ethnicity Total 3,090 100.0% 113,677 100.0% 2.6% 2.3% 49



Appropriateness Domain: Evidence-Based Practices Reported by SMHAs, FY 2019

Virginia

State US Penetration Rate: % of Consumers Receiving EBP/Estimated SMI

Measuring Fidelity

Adult EBP Services EBP N SMI N EBP N SMI N State US Average State USStates

ReportingSupported Housing 1,414 62,453 97,515 3,843,815 2.3% 3.1% Yes 8 32Supported Employment 1,131 62,453 72,250 3,843,815 1.8% 2.0% No 23 42Assertive Community Treatment 2,260 62,453 72,957 3,843,815 3.6% 1.9% Yes 28 43Family Psychoeducation 228 62,453 39,074 3,843,815 0.4% 2.5% No 5 16Dual Diagnosis Treatment 7,916 62,453 234,329 3,843,815 12.7% 10.4% No 8 26Illness Self Management 4,096 62,453 317,463 3,843,815 6.6% 18.9% No 5 20Medication Management 19,932 62,453 547,936 3,843,815 31.9% 31.3% No 1 20

Note:

This table uses data from URS Tables 16 and 17.

US averages are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:

Table 16: Age calculated at midpoint of reporting periodTable 17: Age calculated at midpoint of reporting period

State US Penetration Rate: % of Consumers Receiving EBP/Estimated SED

Measuring Fidelity

Child/Adolescent EBP Services EBP N SED N EBP N SED N State US Average State US

States Reporting

Therapeutic Foster Care 3 25,574 5,390 1,372,820 0.0% 0.7% No 4 22Multi-Systemic Therapy 141 25,574 33,517 1,372,820 0.6% 4.2% No 8 19Family Functional Therapy 54 25,574 35,054 1,372,820 0.2% 5.9% No 6 15




Appropriateness Domain: Assertive Community Treatment, By Age, Gender, Race and Ethnicity FY 2019

Virginia

Note:

US totals are based on states reporting.This table uses data from URS Table 16.

State Notes:

Assertive Community Treatment Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States

Demographics n % n % State US State US ReportingTotal 2,260 100.0% 72,957 100.0% 62,453 3,843,815 3.6% 1.9% 43

1. Do you monitor fidelity for EBP? Yes States Measuring Fidelity= 282. IF YES what fidelity measure is used? Tool for Measurement of Assertive Community Treatment

(TMACT)

3. Who conducts fidelity measure? State Mental Health Authority (DBHDS) ACT Coordinator, one TMACT-trained VA ACT team leader, and staff from the University of North Carolina Center for Excellence in Community Mental Health's Institute for Best Practices, including TMACT co-author Dr. Lorna Moser

4. How often is fidelity measured? Every 2 years 5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation? Yes SAMHSA Toolkit Used= 186. Have staff been specifically trained to implement the EBP? Yes EBP Training= 24

American Indian or Alaska Native 8 0.4% 732 1.0% 146 43,903 5.5% 1.7% 32Asian 32 1.4% 1,281 1.8% 849 65,186 3.8% 2.0% 34Black or African American 1,000 44.2% 20,719 28.4% 18,511 715,753 5.4% 2.9% 36Native Hawaiian or Other Pacific Islander

2 0.1% 634 0.9% 46 9,832 4.3% 6.4% 23

White 1,145 50.7% 35,863 49.2% 38,939 2,095,695 2.9% 1.7% 37Hispanic or Latino Race - - 65 0.1% - 6,970 - 0.9% 5More Than One Race 22 1.0% 2,271 3.1% 1,508 99,559 1.5% 2.3% 31Race Not Available 51 2.3% 11,392 15.6% 2,454 806,917 2.1% 1.4% 37

Hispanic or Latino Ethnicity 39 1.7% 10,603 14.5% 2,899 585,070 1.3% 1.8% 36Not Hispanic or Latino Ethnicity 2,207 97.7% 53,655 73.5% 58,738 2,624,042 3.8% 2.0% 38Ethnicity Not Available 14 0.6% 8,699 11.9% 816 634,703 1.7% 1.4% 30

US percentages are calculated uniquely for each data element based on only those states who reported numerator (clients served) data and denominator (total SMI data)

Age 18 to 20 16 0.7% 2,144 2.9% 2,775 201,030 0.6% 1.1% 36Age 21 to 64 2,044 90.4% 61,217 83.9% 54,590 3,049,807 3.7% 2.0% 39Age 65 to 74 176 7.8% 3,620 5.0% 4,059 181,015 4.3% 2.0% 37Age 75 and over 24 1.1% 426 0.6% 1,027 55,060 2.3% 0.8% 34Age Not Available - - 5,550 7.6% 2 356,903 - 1.6% 8

Female 838 37.1% 27,829 38.1% 33,532 1,883,276 2.5% 1.5% 39Male 1,422 62.9% 39,708 54.4% 28,916 1,594,105 4.9% 2.5% 39Gender Not Avaiable - - 5,420 7.4% 5 366,434 - 1.5% 10

Measures Fidelity 2,260 52,585 72.1% 62,453 2,346,210 3.6% 2.2% 28

Does Not Measure Fidelity - 20,372 27.9% - 1,407,900 - 1.4% 15

Age calculated at midpoint of reporting period



Appropriateness Domain: Supported Employment, by Age, Gender, Race and Ethnicity FY 2019

Virginia

Note:


State Notes:The VA Dept for Aging & Rehabilitative Svcs requires that we are Commission on Accreditation of Rehabilitation Facilities accredited which has best practice requirements- but there is not an outside entity that currently does fidelity monitoring.

Supported Employment Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States


1. Do you monitor fidelity for EBP? No States Measuring Fidelity= 232. IF YES what fidelity measure is used? - 3. Who conducts fidelity measure? - 4. How often is fidelity measured? - 5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation? No SAMHSA Toolkit Used= 166. Have staff been specifically trained to implement the EBP? No EBP Training= 20

American Indian or Alaska Native 3 0.3% 771 1.1% 146 43,903 2.1% 1.8% 30Asian 63 5.6% 729 1.0% 849 65,186 7.4% 1.1% 29Black or African American 391 34.6% 14,069 19.5% 18,511 715,753 2.1% 2.0% 34Native Hawaiian or Other Pacific Islander

3 0.3% 83 0.1% 46 9,832 6.5% 0.8% 21

White 513 45.4% 39,077 54.1% 38,939 2,095,695 1.3% 1.9% 35Hispanic or Latino Race - - 613 0.8% - 6,970 - 8.8% 4More Than One Race 38 3.4% 1,619 2.2% 1,508 99,559 2.5% 1.6% 28Race Not Available 120 10.6% 15,289 21.2% 2,454 806,917 4.9% 1.9% 37




Age 18 to 20 57 5.0% 2,365 3.3% 2,775 201,030 2.1% 1.2% 33Age 21 to 64 1,044 92.3% 60,132 83.2% 54,590 3,049,807 1.9% 2.0% 37Age 65 to 74 30 2.7% 2,052 2.8% 4,059 181,015 0.7% 1.1% 31Age 75 and over - - 172 0.2% 1,027 55,060 - 0.3% 18Age Not Available - - 7,529 10.4% 2 356,903 - 2.1% 9

Female 504 44.6% 31,267 43.3% 33,532 1,883,276 1.5% 1.7% 36Male 627 55.4% 33,378 46.2% 28,916 1,594,105 2.2% 2.1% 37Gender Not Avaiable - - 7,605 10.5% 5 366,434 - 2.1% 15

Measures Fidelity - 60,071 83.1% - 1,577,948 - 3.8% 23

Does Not Measure Fidelity 1,131 12,179 16.9% 62,453 2,005,837 1.8% 0.6% 19



Appropriateness Domain: Supported Housing, by Age, Gender, Race and Ethnicity FY 2019

Virginia

Note:


State Notes:Age calculated at midpoint of reporting period

Supported Housing Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States


1. Do you monitor fidelity for EBP? Yes States Measuring Fidelity= 82. IF YES what fidelity measure is used? SAMHSA Fidelity Tool/CSH Fidelity 3. Who conducts fidelity measure? State Office and providers via self-assessment 4. How often is fidelity measured? Yearly 5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation? Yes SAMHSA Toolkit Used= 96. Have staff been specifically trained to implement the EBP? Yes EBP Training= 9

American Indian or Alaska Native 7 0.5% 740 0.8% 146 43,903 4.8% 1.7% 24Asian 19 1.3% 1,105 1.1% 849 65,186 2.2% 1.7% 23Black or African American 642 45.4% 36,774 37.7% 18,511 715,753 3.5% 5.1% 28Native Hawaiian or Other Pacific Islander

3 0.2% 182 0.2% 46 9,832 6.5% 1.9% 18





Age 18 to 20 8 0.6% 1,982 2.0% 2,775 201,030 0.3% 1.0% 26Age 21 to 64 1,344 95.0% 81,861 83.9% 54,590 3,049,807 2.5% 2.7% 29Age 65 to 74 56 4.0% 5,464 5.6% 4,059 181,015 1.4% 3.0% 29Age 75 and over 4 0.3% 654 0.7% 1,027 55,060 0.4% 1.2% 25Age Not Available 2 0.1% 7,554 7.7% 2 356,903 100.0% 2.1% 9

Female 573 40.5% 44,972 46.1% 33,532 1,883,276 1.7% 2.4% 29Male 840 59.4% 44,971 46.1% 28,916 1,594,105 2.9% 2.8% 29Gender Not Avaiable 1 0.1% 7,572 7.8% 5 366,434 20.0% 2.1% 10

Measures Fidelity 1,414 19,523 20.0% 62,453 656,410 2.3% 3.0% 8

Does Not Measure Fidelity - 77,992 80.0% - 2,499,057 - 3.1% 24



Appropriateness Domain: Therapeutic Foster Care, by Age, Gender, Race and Ethnicity FY 2019

Virginia

Note:


State Notes:

Some providers currently conduct their own fidelity monitoring but this is not yet systematically collected by the state.

Therapeutic Foster Care Children with SED in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SED States

Demographics n % n % State US State US ReportingTotal 3 100.0% 5,390 100.0% 25,574 1,372,820 0.0% 0.4% 22

American Indian or Alaska Native - - 37 0.7% 40 23,397 - 0.2% 10Asian - - 26 0.5% 173 14,325 - 0.2% 5Black or African American - - 808 15.0% 6,507 212,434 - 0.4% 16Native Hawaiian or Other Pacific Islander

- - 22 0.4% 13 4,008 - 0.5% 3

White 3 100.0% 2,110 39.1% 14,397 604,733 0.0% 0.3% 18Hispanic or Latino Race - - 15 0.3% - 3,185 - 0.5% 2More Than One Race - - 347 6.4% 2,245 64,700 - 0.5% 13Race Not Available - - 2,025 37.6% 2,199 446,038 - 0.5% 17

Hispanic or Latino Ethnicity - - 689 12.8% 2,717 295,018 - 0.2% 12Not Hispanic or Latino Ethnicity 3 100.0% 2,319 43.0% 21,790 765,470 0.0% 0.3% 17Ethnicity Not Available - - 2,382 44.2% 1,067 312,332 - 0.8% 12



Age 0 to 12 3 100.0% 2,064 43.3% 12,109 620,714 0.0% 0.3% 16Age 13 to 17 - - 1,715 35.9% 13,465 515,764 - 0.3% 17Age 18 to 20 - - 324 6.8% - 76,303 - 0.4% 10Age Not Available - - 1,287 14.0% - 160,039 - 0.8% 5

Female 1 33.3% 1,891 35.1% 11,006 547,303 0.0% 0.3% 18Male 2 66.7% 2,213 41.1% 14,557 665,136 0.0% 0.3% 17Gender Not Available - - 1,286 23.8% 11 160,381 - 0.8% 4

1. Do you monitor fidelity for EBP? No States Measuring Fidelity= 4

2. IF YES what fidelity measure is used? -

3. Who conducts fidelity measure? -

4. How often is fidelity measured? -

5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation? No SAMHSA Toolkit Used= 4

6. Have staff been specifically trained to implement the EBP? No EBP Training= 7

Notes:



Appropriateness Domain: Multi-Systemic Therapy by Age, Gender, Race and Ethnicity FY 2019

Virginia

Note:


Multisystemic Therapy (MST) Children with SED in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SED States

Demographics n % n % State US State US ReportingTotal 141 100% 33,517 100.0% 25,574 1,372,820 0.6% 2.4% 19







American Indian or Alaska Native - - 71 0.2% 40 23,397 - 0.3% 10Asian 1 0.7% 233 0.7% 173 14,325 0.6% 1.6% 11Black or African American 77 54.6% 7,195 21.5% 6,507 212,434 1.2% 3.4% 16Native Hawaiian or Other Pacific Islander

- - 89 0.3% 13 4,008 - 2.2% 6

White 38 27.0% 19,411 57.9% 14,397 604,733 0.3% 3.2% 16Hispanic or Latino Race - - 292 0.9% - 3,185 - 9.2% 4More Than One Race 25 17.7% 3,351 10.0% 2,245 64,700 1.1% 5.2% 12Race Not Available - - 2,875 8.6% 2,199 446,038 - 0.6% 16

Hispanic or Latino Ethnicity 53 38% 7,347 21.9% 2,717 295,018 2.0% 2.5% 16Not Hispanic or Latino Ethnicity 79 56% 25,482 76.0% 21,790 765,470 0.4% 3.3% 17Ethnicity Not Available 9 6% 688 2.1% 1,067 312,332 0.8% 0.2% 12



Age 0 to 12 11 8% 13,203 39.4% 12,109 620,714 0.1% 2.1% 16Age 13 to 17 130 92% 13,928 41.6% 13,465 515,764 1.0% 2.7% 17Age 18 to 20 - - 5,545 16.5% - 76,303 - 7.3% 8Age Not Available - - 841 2.5% - 160,039 - 0.5% 2

Female 31 22% 15,503 46.3% 11,006 547,303 0.3% 2.8% 18Male 110 78% 17,729 52.9% 14,557 665,136 0.8% 2.7% 18Not Available - - 285 0.9% 11 160,381 - 0.2% 3

State Notes:

All of the providers currently measure fidelity for MST at their individual CSBs; however we currently do not require them to report this systematically to the state. We are looking at making this a requirement in the near future.



Appropriateness Domain: Family Functional Therapy by Age, Gender Race and Ethnicity FY 2019

Virginia

Note:


State Notes:

Family Functional Therapy Children with SED in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SED States








American Indian or Alaska Native - - 89 0.3% 40 23,397 - 0.4% 8Asian 1 1.9% 276 0.8% 173 14,325 0.6% 1.9% 9Black or African American 25 46.3% 7,296 20.8% 6,507 212,434 0.4% 3.4% 13Native Hawaiian or Other Pacific Islander

- - 75 0.2% 13 4,008 - 1.9% 6

White 26 48.1% 20,798 59.3% 14,397 604,733 0.2% 3.4% 11Hispanic or Latino Race - - 3 0.0% - 3,185 - 0.1% 3More Than One Race 2 3.7% 3,294 9.4% 2,245 64,700 0.1% 5.1% 10Race Not Available - - 3,223 9.2% 2,199 446,038 - 0.7% 12

Hispanic or Latino Ethnicity 2 3.7% 8,134 23.2% 2,717 295,018 0.1% 2.8% 13Not Hispanic or Latino Ethnicity 32 59.3% 26,225 74.8% 21,790 765,470 0.1% 3.4% 13Ethnicity Not Available 20 37.0% 695 2.0% 1,067 312,332 1.9% 0.2% 9



Age 0 to 12 13 24.1% 14,730 42.0% 12,109 620,714 0.1% 2.4% 12Age 13 to 17 41 75.9% 14,446 41.2% 13,465 515,764 0.3% 2.8% 14Age 18 to 20 - - 5,446 15.5% - 76,303 - 7.1% 7Age Not Available - - 432 1.2% - 160,039 - 0.3% 2

Female 20 37.0% 16,452 46.9% 11,006 547,303 0.2% 3.0% 14Male 34 63.0% 18,170 51.8% 14,557 665,136 0.2% 2.7% 12Gender Not Avaiable - - 432 1.2% 11 160,381 - 0.3% 2


All of the providers currently measure fidelity for FFT at their individual CSBs; however we currently do not require them to report this systematically to the state. We are looking at making this a requirement in the near future.



Appropriateness Domain: Family Psychoeducation by Age, Gender, Race and Ethnicity FY 2019

Virginia

Note:


Family Psychoeducation Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States








American Indian or Alaska Native 1 0.4% 133 0.3% 146 43,903 0.7% 0.3% 8Asian 6 2.6% 282 0.7% 849 65,186 0.7% 0.4% 9Black or African American 62 27.2% 8,361 21.4% 18,511 715,753 0.3% 1.2% 12Native Hawaiian or Other Pacific Islander

- - 125 0.3% 46 9,832 - 1.3% 8


Hispanic or Latino Ethnicity 24 10.5% 7,853 20.1% 2,899 585,070 0.8% 1.3% 12Not Hispanic or Latino Ethnicity 170 74.6% 26,170 67.0% 58,738 2,624,042 0.3% 1.0% 12Ethnicity Not Available 34 14.9% 5,051 12.9% 816 634,703 4.2% 0.8% 12



Age 18 to 20 30 13.2% 2,530 6.5% 2,775 201,030 1.1% 1.3% 12Age 21 to 64 185 81.1% 32,141 82.3% 54,590 3,049,807 0.3% 1.1% 14Age 65 to 74 12 5.3% 1,394 3.6% 4,059 181,015 0.3% 0.8% 11Age 75 and over 1 0.4% 330 0.8% 1,027 55,060 0.1% 0.6% 7Age Not Available - - 2,679 6.9% 2 356,903 - 0.8% 3

Female 114 50.0% 20,174 51.6% 33,532 1,883,276 0.3% 1.1% 14Male 114 50.0% 16,224 41.5% 28,916 1,594,105 0.4% 1.0% 14Gender Not Avaiable - - 2,676 6.8% 5 366,434 - 0.7% 4

State Notes:




Appropriateness Domain: Integrated Treatment for Dual Diagnosis by Age, Gender, Race and Ethnicity FY 2019

Virginia

Note:


Integrated Treatment for Dual Diagnosis Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States








American Indian or Alaska Native 33 0.4% 2,339 1.0% 146 43,903 22.6% 5.3% 22Asian 39 0.5% 4,576 2.0% 849 65,186 4.6% 7.0% 20Black or African American 2,018 25.5% 33,865 14.5% 18,511 715,753 10.9% 4.7% 23Native Hawaiian or Other Pacific Islander

8 0.1% 856 0.4% 46 9,832 17.4% 8.7% 16



US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.This table uses data from URS Tables 16 and 17.

Age 18 to 20 225 2.8% 11,137 4.8% 2,775 201,030 8.1% 5.5% 21Age 21 to 64 7,416 93.7% 213,232 91.0% 54,590 3,049,807 13.6% 7.0% 24Age 65 to 74 247 3.1% 6,323 2.7% 4,059 181,015 6.1% 3.5% 23Age 75 and over 28 0.4% 866 0.4% 1,027 55,060 2.7% 1.6% 17Age Not Available - - 2,771 1.2% 2 356,903 - 0.8% 3

Female 3,971 50.2% 101,501 43.3% 33,532 1,883,276 11.8% 5.4% 24Male 3,940 49.8% 129,798 55.4% 28,916 1,594,105 13.6% 8.1% 24Gender Not Avaiable 5 0.1% 3,030 1.3% 5 366,434 100.0% 0.8% 8

State Notes:




Appropriateness Domain: Illness Self-Management by Age, Gender, Race and Ethnicity FY 2019

Virginia

Note:


Illness Self-Management Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SED States









5 0.1% 296 0.1% 46 9,832 10.9% 3.0% 13





Age 18 to 20 130 3.2% 16,731 5.3% 2,775 201,030 4.7% 8.3% 16Age 21 to 64 3,627 88.5% 277,535 87.4% 54,590 3,049,807 6.6% 9.1% 18Age 65 to 74 291 7.1% 12,084 3.8% 4,059 181,015 7.2% 6.7% 16Age 75 and over 46 1.1% 2,882 0.9% 1,027 55,060 4.5% 5.2% 15Age Not Available 2 0.0% 8,231 2.6% 2 356,903 100.0% 2.3% 7

Female 2,129 52.0% 162,643 51.2% 33,532 1,883,276 6.3% 8.6% 18Male 1,967 48.0% 147,074 46.3% 28,916 1,594,105 6.8% 9.2% 18Gender Not Avaiable - - 7,746 2.4% 5 366,434 - 2.1% 8

State Notes:




Appropriateness Domain: Medication Management by Age, Gender, Race and Ethnicity FY 2019

Virginia

Note:


Medication Management Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States









22 0.1% 1,041 0.2% 46 9,832 47.8% 10.6% 16





Age 18 to 20 1,040 5.2% 25,448 4.6% 2,775 201,030 37.5% 12.7% 18Age 21 to 64 17,016 85.4% 491,598 89.7% 54,590 3,049,807 31.2% 16.1% 19Age 65 to 74 1,526 7.7% 25,898 4.7% 4,059 181,015 37.6% 14.3% 18Age 75 and over 350 1.8% 4,960 0.9% 1,027 55,060 34.1% 9.0% 16Age Not Available - - 32 0.0% 2 356,903 - 0.0% 3

Female 11,055 55.5% 310,421 56.7% 33,532 1,883,276 33.0% 16.5% 19Male 8,872 44.5% 237,404 43.3% 28,916 1,594,105 30.7% 14.9% 19Gender Not Avaiable 5 0.0% 111 0.0% 5 366,434 100.0% 0.0% 8

State Notes:




Appropriateness Domain: Adults with SMI and Children with SED Receiving Evidence-Based Services for First Episode Psychosis (FEP), 2019

Virginia

State US

N % N % States Reporting

Adult CSC-FEP Admissions 125 82.2% 17,594 65.1% 46

Children/Adolescent CSC-FEP Admissions 27 17.8% 9,421 34.9% 43

Total CSC-FEP Admissions 152 100.0% 27,015 100.0% 47

Total Programs Reporting Number of Admissions 8 100.0% 237 91.9% 48

Average Admissions per Program 19.0 - 104.7 - 47

Note: This table use data from URS Table 16a.

Admissions to Coordinated Specialty Care (CSC)-FEP Service During the Year

State US


Adults Receiving CSC-FEP Services 195 88.2% 19,481 87.6% 46

Children/Adolescents Receiving CSC-FEP Services 26 11.8% 2,769 12.4% 43

Total Receiving CSC-FEP Services 221 100.0% 22,250 100.0% 47

Total Programs Reporting Number of Clients Receiving Services 8 100.0% 238 92.2% 48

Average Number of Clients Services per Program 27.6 - 86.2 - 47

Clients Currently Receiving CSC-FEP Services

State US


Number of Programs Measuring Fidelity 8 100.0% 190 73.6% 47

Number of Programs with Staff Training Specifically in CSC EBP 8 100.0% 221 85.7% 44

CSC-FEP Fidelity and Training

State US

Number of Programs

Clients Served

Average Number of Clients Served

Per Program

Number of Programs

Clients Served

Average Number of Clients Served

Per Program

States Reporting

Programs with Fidelity 8 221 27.63 190 7,787 40.98 36

Programs without Fidelity - - - 68 14,463 212.69 16

Clients Served by Programs With and Without CSC-FEP Fidelity

Number of coordinated specialty care programs: 8



Outcomes Domain: Employment Status of Adult Mental Health Consumers Served in the Community by Age and Gender, FY 2019

Virginia

StateEmployed as Percent of those in Labor

ForceEmployed as Percent of Known

Employment Status

Demographics Employed Unemployed In Labor Force*With Known

Employment Status** State US State USStates

ReportingAge 18 to 20 1,307 942 2,249 5,457 58% 50% 24.0% 19.7% 56Age 21 to 64 16,788 15,944 32,732 72,151 51% 47% 23.3% 23.0% 57Age 65 and over 368 298 666 6,428 55% 40% 5.7% 10.0% 56Age Not Available - - - - - 68% - 28.5% 8Age TOTAL 18,463 17,184 35,647 84,036 52% 47% 22.0% 21.7% 57

Note:

State Notes:


Gender None


Female 9,976 8,821 18,797 44,660 53% 49% 22.3% 22.6% 57Male 8,485 8,361 16,846 39,364 50% 44% 21.6% 20.7% 57Gender Not Available 2 2 4 12 50% 37% 16.7% 22.0% 30Gender TOTAL 18,463 17,184 35,647 84,036 52% 47% 22.0% 21.7% 57

When is Employment Status Measured? At Admission At Discharge Monthly Quarterly OtherVA Yes Yes - - Annually

US 43 30 3 7 26

What populations are reported? All Clients Number of States Reporting All Clients: 46 Number of States Reporting Some Clients: 10

*In Labor Force is the sum of consumers employed and unemployed.

**With Known Employment Status is the sum of consumer employed, unemployed and not in labor force.

Consumers employed as a % of those in labor force uses adults employed and unemployed as the denominator.

Consumers employed as % of known employment status uses the sum of persons employed, unemployed and not in labor force as the denominator.




Outcomes Domain: Employment Status of Adult Mental Health Consumers Served in the Community by Diagnosis, FY 2019

Virginia

State Employed as a % of Labor Force

Employed as % of Known Employment Status

% of Consumers with Dx

Diagnosis Employed Unemployed In Labor Force*With Known Employment

Status**State US State US State US States

Reporting

Schizophrenia and Related Disorders 1,528 1,912 3,440 12,844 44.4% 30.1% 11.9% 9.2% 15.3% 13.5% 50

Bipolar and Mood Disorders 8,408 7,801 16,209 34,120 51.9% 46.3% 24.6% 22.3% 40.6% 42.0% 50

Other Psychoses 470 646 1,116 3,095 42.1% 30.3% 15.2% 11.9% 3.7% 2.2% 48

All other Diagnoses 6,993 6,040 13,033 29,176 53.7% 53.6% 24.0% 25.8% 34.7% 35.3% 50

No Diagnosis and Deferred Diagnosis 1,064 785 1,849 4,801 57.5% 47.9% 22.2% 26.4% 5.7% 6.9% 40

TOTAL 18,463 17,184 35,647 84,036 51.8% 47.4% 22.0% 21.8% 100.0% 100.0% 50

Note:

*In Labor Force is the sum of consumers employed and unemployed.

State Notes:

**With Known Employment Status is the sum of consumer employed, unemployed and not in labor force.

This table uses data for URS Table 4a.

Consumers employed as a % of those in labor force uses adults employed and unemployed as the denominator.

Consumers employed as % of known employment status uses the sum of persons employed, unemployed and not in labor force as the denominator.

Populated by NRI using Virginia's 2019 MH CLD-BCI dataset



OUTCOMES DOMAIN: Consumer Survey Results, FY 2019

Virginia

Indicators Children: State Children: U.S. Average

States Reporting

Adults: State Adults: U.S. Average

States Reporting

Reporting Positively About Access 84.6% 87.1% 46 80.7% 86.8% 52

Reporting Positively About Quality and Appropriateness

82.6% 89.5% 52

Reporting Positively About Outcomes 61.1% 71.9% 46 68.6% 75.4% 52

Reporting on Participation in Treatment Planning

81.4% 88.5% 47 71.4% 84.6% 52

Family Members Reporting High Cultural Sensitivity of Staff

86.5% 93.8% 45

Reporting positively about General Satisfaction with Services

80.8% 88.3% 47 77.9% 89.5% 52

Note: U.S. Average Children & Adult rates are calculated only for states that used a version of the MHSIP Consumer Survey

This table uses data from URS Table 11.Children/Family State U.S.

Type of Survey Used YSS-F YSS-F=40

Type of Adult Consumer Survey Used 28-Item MHSIP Other MHSIP Other SurveyState Yes - -

U.S. 31 18 3

Sample Size & Response Rate Children: State Children: U.S. States Reporting

Adults: State Adults: U.S. Average

States Reporting

Response Rate 15.1% 36.8% 42 19.1% 43.2% 43

Number of Surveys Attempted (send out) 2,467 197,030 42 2,400 282,117 43

Number of Surveys Contacts Made 2,275 133,797 38 2,159 195,887 40

Complete Surveys 344 109,922 45 413 186,863 48

Populations covered in survey Children: State Children: U.S. Adults: State Adults: U.S.

All Consumers - 9 - 6

Sample Yes 39 Yes 45

Sample Approach Children: State Children: U.S. Adults: State Adults: U.S.

Random Sample - 10 - 10

Stratified Sample Yes 12 Yes 14

Convenience Sample - 16 - 19

Other Sample - 1 - 2

Who is Sampled? Children: State Children: U.S. Adults: State Adults: U.S.

Current Clients Yes 46 Yes 52

Former Clients Yes 17 Yes 17

Populations included in sample: (e.g., all adults, only adults with SMI, etc.)

Children: State Children: U.S. Adults: State Adults: U.S.

All Children or Adults Served Yes 28 Yes 31

SMI Adults or SED Children - 20 - 21

Persons Covered by Medicaid - 13 - 11

Other - 6 - 7

State Notes:None

CONSUMER SURVEY RESULTS, FY 2019



OUTCOMES DOMAIN: Consumer Survey Results, by Race/Ethnicity FY 2019STATE: Virginia

Family of Children Survey Indicators: Reporting Positively About...

AccessGeneral Satisfaction with

Services Outcomes Participation In Tx PlanningCultural Sensitivity of

Staff Social Connectedness Improved FunctioningRace/Ethnicity State US Average State US Average State US Average State US Average State US Average State US Average State US Average States

Total - 88% - 89% - 71% - 90% - 95% - 87% - 69% 38

American Indian or Alaska Native - 57% - 59% - 46% - 59% - 62% - 58% - 45% 29

Asian - 85% - 89% - 71% - 90% - 95% - 84% - 70% 29

Black or African American - 90% - 91% - 74% - 92% - 95% - 87% - 67% 33Native Hawaiian or Other Pacific Islander - 90% - 91% - 76% - 89% - 96% - 90% - 78% 22

White - 87% - 88% - 71% - 91% - 95% - 88% - 69% 34

Hispanic or Latino - 89% - 90% - 71% - 89% - 95% - 88% - 71% 29

More Than One Race - 88% - 88% - 69% - 90% - 95% - 85% - 65% 25

Not Available - 87% - 89% - 72% - 88% - 94% - 87% - 72% 35

Adult Consumer Survey Indicators: Reporting Positively About...

Access Quality & Appropriateness Outcomes Participation In Tx Planning General Satisfaction Social Connectedness Improved FunctioningRace/Ethnicity State US Average State US Average State US Average State US Average State US Average State US Average State US Average States

Total - 87% - 91% - 74% - 85% - 90% - 71% - 72% 45

American Indian or Alaska Native - 85% - 88% - 71% - 82% - 89% - 72% - 72% 35

Asian - 88% - 90% - 72% - 84% - 91% - 72% - 72% 38

Black or African American - 89% - 92% - 80% - 88% - 91% - 73% - 74% 39Native Hawaiian or Other Pacific Islander - 89% - 91% - 80% - 84% - 91% - 76% - 80% 31

White - 87% - 91% - 74% - 86% - 90% - 70% - 71% 40

Hispanic or Latino - 88% - 91% - 74% - 84% - 92% - 74% - 74% 32

More Than One Race - 84% - 88% - 71% - 80% - 88% - 68% - 71% 32

Not Available - 86% - 89% - 69% - 83% - 89% - 73% - 72% 41


State Notes:

None

Notes:

Reporting Period: To:


OUTCOMES DOMAIN: CRIMINAL JUSTICE: ARRESTS OVER THE LAST 2 YEARS BY GENDER, FY 2019

STATE: Virginia

State US AverageArrested During T1 (more than 1 year ago) Arrested During T2 (This year) Arrested During T1 (more than 1 year ago) Arrested During T2 (This year)

Arrested Not Arrested Percent Arrested



Arrested Not Arrested Percent Arrested States Reporting

All Consumers (New and Continuing Clients Combined)Total - - - - - - 53,177 1,485,197 3% 43,127 1,606,761 3% 39Children - - - - - - 5,993 412,477 1% 6,188 448,650 1% 37 Female - - - - - - 2,052 197,362 1% 2,104 211,971 1% 35 Male - - - - - - 3,813 212,818 2% 3,667 234,138 2% 35 Not Available - - - - - - 128 2,297 5% 417 2,541 14% 20Adult - - - - - - 47,184 1,072,720 4% 36,939 1,158,111 3% 35 Female - - - - - - 16,278 581,821 3% 12,363 624,123 2% 34 Male - - - - - - 30,731 489,657 6% 24,384 532,094 4% 35 Not Available - - - - - - 175 1,242 12% 192 1,894 9% 16For Consumers in Service At Least 12 MonthsTotal - - - - - - 30,549 883,580 3% 23,328 928,675 2% 37Children - - - - - - 2,319 199,810 1% 2,386 207,977 1% 35 Female - - - - - - 825 92,841 1% 821 95,819 1% 34 Male - - - - - - 1,461 106,207 1% 1,503 111,338 1% 34 Not Available - - - - - - 33 762 4% 62 820 7% 16Adult - - - - - - 28,230 683,770 4% 20,942 720,698 3% 34 Female - - - - - - 9,702 370,205 3% 6,929 388,220 2% 33 Male - - - - - - 18,450 312,860 6% 13,917 331,375 4% 34 Not Available - - - - - - 78 705 10% 96 1,103 8% 16For Consumers Who Started Services This YearTotal - - - - - - 22,628 601,617 4% 19,799 678,086 3% 37Children - - - - - - 3,674 212,667 2% 3,802 240,673 2% 35 Female - - - - - - 1,227 104,521 1% 1,283 116,152 1% 33 Male - - - - - - 2,352 106,611 2% 2,164 122,800 2% 33 Not Available - - - - - - 95 1,535 6% 355 1,721 17% 15Adult - - - - - - 18,954 388,950 5% 15,997 437,413 4% 33 Female - - - - - - 6,576 211,616 3% 5,434 235,903 2% 32 Male - - - - - - 12,281 176,797 6% 10,467 200,719 5% 33 Not Available - - - - - - 97 537 15% 96 791 11% 13

This table uses data from URS/DIG Table 19a.

State Notes:

VA has elected to report school attendance status through MH-CLD reporting

Notes:


US totals are calculated uniquely for each data element based on only those states who reported numerator (clients Served) data.

Source of Data Recommended Survey Item Other Consumer Survey Mental Health MIS State Criminal Justice Agency Other

VA US VA US VA US VA US VA US

Adult - 16 - - 8 - 5 - 6

Children - 19 - - 9 - 4 - 5

Measure Arrest Other

Adult - 30 - 4

Children - 34 - 4

MH Programs Covered Adults with SMI only Other Adult All Adults Children With SED only Other Children All Children

- 9 - 2 - 16 - 12 - 2 - 17

Data Report Region The Whole State Parts of the State

Adult - 28 - 3

Children - 33 - 3

Reporting Period: 7/1/2018-6/30/2019


OUTCOMES DOMAIN: CRIMINAL JUSTICE: ARRESTS OVER THE LAST 2 YEARS By GENDER, FY 2019

STATE: Virginia


State Notes:


Notes:



State US Average

Arrested During T1 (more than 1 year ago) Persons Not Arrested In T1 Arrested During T1 (more than 1 year ago) Persons Not Arrested In T1

Arrested T1 # with Rearrest in

T2

Percent Rearrested

Percent W/No

Rearrest

Not Arrested T1

# with Arrest in T2

Percent Arrested

Percent W/No

Rearrest

Arrested T1 # with Rearrest in

T2

Percent Rearrested

Percent W/No

Rearrest

Not Arrested T1

# with Arrest in T2

Percent Arrested

Percent W/No

Rearrest

States Reporting

All Consumers (New and Continuing Clients Combined)

Total - - - - - - - - 53,177 15,468 30% 70% 1,485,197 20,436 1% 99% 32Children - - - - - - - - 5,993 1,674 30% 70% 412,477 2,040 1% 99% 31 Female - - - - - - - - 2,052 579 30% 70% 197,362 751 0% 100% 30 Male - - - - - - - - 3,813 1,025 29% 71% 212,818 1,215 1% 99% 30 Not Available - - - - - - - - 128 70 57% 43% 2,297 74 3% 97% 16Adult - - - - - - - - 47,184 13,794 30% 70% 1,072,720 18,396 2% 98% 29 Female - - - - - - - - 16,278 4,098 26% 74% 581,821 6,217 1% 99% 29 Male - - - - - - - - 30,731 9,607 32% 68% 489,657 12,117 3% 97% 29 Not Available - - - - - - - - 175 89 53% 47% 1,242 62 5% 95% 13For Consumers in Service At Least 12 Months

Total - - - - - - - - 30,549 8,527 28% 72% 883,580 12,040 1% 99% 32Children - - - - - - - - 2,319 688 30% 70% 199,810 936 0% 100% 31 Female - - - - - - - - 825 241 30% 70% 92,841 330 0% 100% 30 Male - - - - - - - - 1,461 422 29% 71% 106,207 571 1% 99% 30 Not Available - - - - - - - - 33 25 76% 24% 762 35 5% 95% 14Adult - - - - - - - - 28,230 7,839 28% 72% 683,770 11,104 2% 98% 28 Female - - - - - - - - 9,702 2,206 23% 77% 370,205 3,740 1% 99% 28 Male - - - - - - - - 18,450 5,584 31% 69% 312,860 7,338 2% 98% 28 Not Available - - - - - - - - 78 49 66% 34% 705 26 4% 96% 13For Consumers Who Started Services This Year

Total - - - - - - - - 22,628 6,941 32% 68% 601,617 8,396 1% 99% 28Children - - - - - - - - 3,674 986 30% 70% 212,667 1,104 1% 99% 27 Female - - - - - - - - 1,227 338 30% 70% 104,521 421 0% 100% 26 Male - - - - - - - - 2,352 603 29% 71% 106,611 644 1% 99% 26 Not Available - - - - - - - - 95 45 51% 49% 1,535 39 3% 97% 11Adult - - - - - - - - 18,954 5,955 33% 67% 388,950 7,292 2% 98% 25 Female - - - - - - - - 6,576 1,892 30% 70% 211,616 2,477 1% 99% 25 Male - - - - - - - - 12,281 4,023 34% 66% 176,797 4,779 3% 97% 25 Not Available - - - - - - - - 97 40 43% 57% 537 36 7% 93% 10



Outcome Domain: Consumer/Family Assessment of the Impact of Mental Health Services on Criminal Justice Contacts, FY 2019

Virginia

State US

Demographics Over the Past 12 Months of Services (or Since Beginning Services) My Involvement with the Police Has. . .

Reduced Encounters

Stayed the Same Increased % Improved

% Stayed the Same

% Got Worse

Reduced Encounters

Stayed the Same Increased % Improved

% Stayed the Same

% Got Worse

States Reportin

g

All Consumers (New and Continuing)Total - - - - - - 15,842 90,348 3,510 14.4% 82.4% 3.2% 23Children - - - - - - 4,373 36,591 1,465 10.3% 86.2% 3.5% 23Children: Female - - - - - - 1,870 15,290 607 10.5% 86.1% 3.4% 22Children: Male - - - - - - 2,281 21,150 770 9.4% 87.4% 3.2% 22Adult - - - - - - 11,469 53,757 2,045 17.0% 79.9% 3.0% 21Adult: Female - - - - - - 4,859 29,909 878 13.6% 83.9% 2.5% 21Adult: Male - - - - - - 6,395 23,707 1,115 20.5% 75.9% 3.6% 21

Note:

US totals are based on states reporting.This table uses data from URS Table 19a.US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:

For Consumers In Service At least 12 Months

Total - - - - - - 7,526 70,829 1,911 9.4% 88.2% 2.4% 23Children - - - - - - 1,548 28,082 700 5.1% 92.6% 2.3% 23Children: Female - - - - - - 684 11,361 281 5.5% 92.2% 2.3% 22Children: Male - - - - - - 793 16,673 377 4.4% 93.4% 2.1% 22Adult - - - - - - 5,978 42,747 1,211 12.0% 85.6% 2.4% 20Adult: Female - - - - - - 2,575 23,990 525 9.5% 88.6% 1.9% 20Adult: Male - - - - - - 3,302 18,677 660 14.6% 82.5% 2.9% 20

For Consumers Who Started Services This Year

Total - - - - - - 8,316 19,519 1,599 28.3% 66.3% 5.4% 21Children - - - - - - 2,825 8,509 765 23.3% 70.3% 6.3% 21Children: Female - - - - - - 1,186 3,929 326 21.8% 72.2% 6.0% 20Children: Male - - - - - - 1,488 4,477 393 23.4% 70.4% 6.2% 20Adult - - - - - - 5,491 11,010 834 31.7% 63.5% 4.8% 19Adult: Female - - - - - - 2,284 5,919 353 26.7% 69.2% 4.1% 19Adult: Male - - - - - - 3,093 5,030 455 36.1% 58.6% 5.3% 19




OUTCOMES DOMAIN: SCHOOL ATTENDANCE OVER THE LAST 2 YEARS By GENDER, FY 2019

STATE: Virginia

This table uses data from URS Table 19b.

State Notes:


Notes:



Source of Data Recommended Survey Item Other Consumer Survey Mental Health MIS Other

VA US VA US VA US VA US VA US

Children - 18 - - 5 - 1 - 5

Measure School Attendance Other

Children - 26 - 3

MH Programs CoveredChildren With SED only Both Other Children

- 10 - 15 - 1

Data Report Region The Whole State: Parts of the State:

Children - 27 - 3

State US Average

Suspended During T1 (more than 1 year ago) Suspended During T2 (This year) Suspended During T1 (more than 1 year ago) Suspended During T2 (This year)

Suspended Not Suspended Percent Suspended

Suspended Not Suspended

Percent Suspended

Suspended Not Suspended Percent Suspended

Suspended Not Suspended

Percent Suspended

States Reporting


Female - - - - - - 4,829 59,891 7% 4,081 64,874 6% 30

Male - - - - - - 10,137 63,356 14% 8,264 72,930 10% 30

Not Available - - - - - - 277 1,825 13% 293 2,102 12% 18

Total - - - - - - 15,243 125,072 11% 12,638 139,906 8% 31For Consumers in Service At Least 12 Months

Female - - - - - - 1,542 19,954 7% 1,734 23,906 7% 28

Male - - - - - - 3,613 23,904 13% 3,826 30,712 11% 28

Not Available - - - - - - 91 602 13% 127 703 15% 14

Total - - - - - - 5,246 44,460 11% 5,687 55,321 9% 29For Consumers Who Started Services This Year

Female - - - - - - 3,287 39,937 8% 2,347 40,968 5% 28

Male - - - - - - 6,524 39,452 14% 4,438 42,218 10% 28

Not Available - - - - - - 186 1,223 13% 166 1,399 11% 14

Total - - - - - - 9,997 80,612 11% 6,951 84,585 8% 29

7/1/2018-6/30/2019Reporting Period:


OUTCOMES DOMAIN: SCHOOL ATTENDANCE OVER THE LAST 2 YEARS By GENDER, FY 2019

STATE: Virginia

This table uses data from URS Table 19b.

State Notes:


Notes:

US totals are based on states reporting.US totals are calculated uniquely for each data element based on only those states who reported numerator (clients Served) data.

State US Average

Suspended During T1 (more than 1 year ago) Persons Not Suspended In T1 Suspended During T1 (more than 1 year ago) Persons Not Suspended In T1

Suspended T1

# with Suspension

in T2

Percent Suspended

Percent W/No

Suspension

Not Suspended

T1

# with Suspension

in T2

Percent Suspended

Percent W/No

Suspension

Suspended T1

# with Suspension

in T2

Percent Suspended

Percent W/No

Suspension

Not Suspended

T1

# with Suspension

in T2

Percent Suspended

Percent W/No

Suspension

States Reporting


Female - - - - - - - - 4,829 1,698 40% 60% 59,891 1,605 3% 97% 23

Male - - - - - - - - 10,137 3,746 42% 58% 63,356 2,582 4% 96% 24

Not Available - - - - - - - - 277 160 59% 41% 1,825 111 6% 94% 13

Total - - - - - - - - 15,243 5,604 41% 59% 125,072 4,298 4% 96% 24

For Consumers in Service At Least 12 Months

Female - - - - - - - - 1,542 659 44% 56% 19,954 667 3% 97% 23

Male - - - - - - - - 3,613 1,615 46% 54% 23,904 1,062 5% 95% 24

Not Available - - - - - - - - 91 70 78% 22% 602 46 8% 92% 10

Total - - - - - - - - 5,246 2,344 46% 54% 44,460 1,775 4% 96% 24


Female - - - - - - - - 3,287 1,039 38% 62% 39,937 938 3% 97% 21

Male - - - - - - - - 6,524 2,131 39% 61% 39,452 1,520 4% 96% 21

Not Available - - - - - - - - 186 90 50% 50% 1,223 65 5% 95% 9

Total - - - - - - - - 9,997 3,260 39% 61% 80,612 2,523 3% 97% 21



Outcome Domain: Consumer/Family Assessment of the Impact of Mental Health Services on School Attendance, FY 2019

Virginia

Note:

US totals are based on states reporting.This table uses data from URS Table 19b.US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:


State US

Demographics Over the Past 12 Months of Services (or Since Beginning Services) My Child's School Attendance Has. . .

ImprovedStayed the

Same(got worse) Fewer Days % Improved

% Stayed the Same

% Got Worse Improved

Stayed the Same

(got worse) Fewer Days % Improved

% Stayed the Same

% Got Worse

States Reporting

All Consumers (New and Continuing)

Total - - - - - - 11,600 22,336 3,865 30.7% 59.1% 10.2% 23Female - - - - - - 5,259 10,320 1,841 30.2% 59.2% 10.6% 21Male - - - - - - 5,840 11,223 1,820 30.9% 59.4% 9.6% 22Not Available - - - - - - 501 793 204 33.4% 52.9% 13.6% 15

For Consumers In Service At least 12 Months

Total - - - - - - 4,729 8,424 1,783 31.7% 56.4% 11.9% 22

Female - - - - - - 2,043 3,575 840 31.6% 55.4% 13.0% 20

Male - - - - - - 2,488 4,582 863 31.4% 57.8% 10.9% 21

Not Available - - - - - - 198 267 80 36.3% 49.0% 14.7% 13


Total - - - - - - 6,871 13,912 2,082 30.1% 60.8% 9.1% 21

Female - - - - - - 3,216 6,745 1,001 29.3% 61.5% 9.1% 20

Male - - - - - - 3,352 6,641 957 30.6% 60.6% 8.7% 20

Not Available - - - - - - 303 526 124 31.8% 55.2% 13.0% 12



Outcomes Domain: Change in Social Connectedness and Functioning, FY 2019

Virginia

Children Adults

Indicators State US Average US MedianStates

Reporting State US Average US MedianStates

ReportingPercent Reporting Improved Social Connectedness from Services 78.1% 87.6% 84.4% 45 69.7% 75.8% 72.8% 51

Percent Reporting Improved Functioning from Services 57.0% 72.4% 66.8% 44 67.0% 76.0% 73.1% 51

Note:


State Notes:

None

US State Averages and Medians are calculated only with states which used the recommended Social Connectedness and Functioning questions.

Children/Family Social Connectedness and Functioning Measures State USDid you use the recommended new Social Connectedness Questions? Yes 46

Did you use the recommended new Functioning Domain Questions? Yes 45

Did you collect these as part of your YSS-F Survey? Yes 44

Adult Social Connectedness and Functioning Measures State USDid you use the recommended new Social Connectedness Questions? Yes 49

Did you use the recommended new Functioning Domain Questions? Yes 49

Did you collect these as part of your MHSIP Adult Consumer Survey? Yes 47



STATE: Virginia

OUTCOMES DOMAIN: Civil (Non Forensic) & Forensic Patients Readmission within 30 Days by Age, Gender, and Race, FY 2019

State Notes:


Forensics included in "non forensic" data? No

US totals are based on states reporting.This table uses data from URS Tables 20a and 20b.

Readmissions within 30 days to state psychiatric hospitals: "Civil" (Non-Forensic) Patients

Readmissions within 30 days to state psychiatric hospitals: Forensic Patients

State US State US

Demographic Readmissions N

Discharges N

% Readmissions N

Discharges N

% States Reporting

Readmissions N

Discharges N

% Readmissions N

Discharges N

% States Reporting

Age 0 to 12 23 266 8.6% 112 1,983 5.6% 11 0 1 0.0% 2 39 5.1% 2

Age 13 to 17 118 723 16.3% 373 6,119 6.1% 18 15 49 30.6% 28 479 5.8% 7

Age 18 to 20 33 363 9.1% 360 4,616 7.8% 28 20 86 23.3% 37 884 4.2% 11

Age 21 to 64 396 4,359 9.1% 5,176 63,993 8.1% 48 228 1,580 14.4% 863 26,543 3.3% 39

Age 65 to 74 19 281 6.8% 176 2,629 6.7% 28 4 54 7.4% 33 904 3.7% 16

Age 75 and over 3 184 1.6% 21 742 2.8% 10 1 14 7.1% 9 178 5.1% 5

Age Not Available 0 0 - - 3 - 0 0 0 - - - - 0

Age Total 592 6,176 9.6% 6,218 80,085 7.8% 50 268 1,784 15.0% 972 29,027 3.3% 40

Female 227 2,381 9.5% 2,336 32,273 7.2% 45 54 398 13.6% 182 6,004 3.0% 28

Male 365 3,795 9.6% 3,882 47,797 8.1% 47 214 1,386 15.4% 790 23,014 3.4% 39

Gender Not Available 0 0 - - 15 - 0 0 0 - - 9 - 0

Gender Total 592 6,176 9.6% 6,218 80,085 7.8% 50 268 1,784 15.0% 972 29,027 3.3% 40

American Indian or Alaska Native 0 5 0.0% 123 1,399 8.8% 17 0 2 0.0% 11 309 3.6% 4

Asian 16 122 13.1% 180 1,257 14.3% 17 4 20 20.0% 10 573 1.7% 7

Black or African American 228 2,076 11.0% 1,483 18,274 8.1% 35 145 965 15.0% 411 10,824 3.8% 31

Native Hawaiian or Other Pacific Islander 0 0 - 216 333 64.9% 4 0 0 - 1 91 1.1% 1

White 317 3,651 8.7% 3,820 52,119 7.3% 44 107 723 14.8% 460 13,667 3.4% 37

Hispanic or Latino * * * 23 624 3.7% 5 * * * 8 1,350 0.6% 2

More Than One Race 0 1 0.0% 133 2,340 5.7% 17 0 0 - 20 565 3.5% 9

Race Not Available 31 321 9.7% 240 3,739 6.4% 23 12 74 16.2% 51 1,648 3.1% 16

Race Total 592 6,176 9.6% 6,218 80,085 7.8% 50 268 1,784 15.0% 972 29,027 3.3% 40

Hispanic or Latino 25 245 10.2% 708 9,395 7.5% 30 7 57 12.3% 102 5,187 2.0% 22

Not Hispanic or Latino 567 5,915 9.6% 5,256 66,939 7.9% 45 261 1,723 15.1% 837 22,174 3.8% 37

Not Available 0 16 0.0% 254 3,751 6.8% 22 0 4 0.0% 33 1,666 2.0% 10

Ethnicity Total 592 6,176 9.6% 6,218 80,085 7.8% 50 268 1,784 15.0% 972 29,027 3.3% 40

Note:




OUTCOMES DOMAIN: Civil (Non Forensic) & Forensic Patients Readmission within 180 Days by Age, Gender, and Race, FY 2019

STATE: Virginia

State Notes:


Forensics included in "non forensic" data? No

US totals are based on states reporting.This table uses data from URS Tables 20a and 20b.

Readmissions within 180 days to state psychiatric hospitals: "Civil" (Non-Forensic) Patients

Readmissions within 180 days to state psychiatric hospitals: Forensic Patients

State US State US


Discharges N

% Readmissions N

Discharges N

% States Reporting

Readmissions N

Discharges N

% Readmissions N

Discharges N

% States Reporting

Age 0 to 12 46 266 17.3% 262 1,983 13.2% 11 0 1 - 4 39 10.3% 3

Age 13 to 17 207 723 28.6% 925 6,119 15.1% 19 18 49 36.7% 46 479 9.6% 8

Age 18 to 20 73 363 20.1% 722 4,616 15.6% 34 28 86 32.6% 82 884 9.3% 25

Age 21 to 64 943 4,359 21.6% 11,934 63,993 18.6% 51 474 1,580 30.0% 2,900 26,543 10.9% 48

Age 65 to 74 38 281 13.5% 357 2,629 13.6% 34 11 54 20.4% 95 904 10.5% 30

Age 75 and over 9 184 4.9% 44 742 5.9% 14 4 14 28.6% 16 178 9.0% 9

Age Not Available 0 0 - 2 3 66.7% 1 0 0 - - - -

Age Total 1,316 6,176 21.3% 14,246 80,085 17.8% 53 535 1,784 30.0% 3,143 29,027 10.8% 50

Female 484 2,381 20.3% 5,426 32,273 16.8% 51 117 398 29.4% 665 6,004 11.1% 43

Male 832 3,795 21.9% 8,819 47,797 18.5% 52 418 1,386 30.2% 2,477 23,014 10.8% 48

Gender Not Available 0 0 - 1 15 6.7% 1 0 0 - 1 9 11.1% 1

Gender Total 1,316 6,176 21.3% 14,246 80,085 17.8% 53 535 1,784 30.0% 3,143 29,027 10.8% 50

American Indian or Alaska Native 1 5 20.0% 298 1,399 21.3% 24 0 2 - 29 309 9.4% 12

Asian 33 122 27.0% 219 1,257 17.4% 24 5 20 25.0% 54 573 9.4% 16

Black or African American 535 2,076 25.8% 3,534 18,274 19.3% 43 309 965 32.0% 1,310 10,824 12.1% 37

Native Hawaiian or Other Pacific Islander 0 0 - 32 333 9.6% 7 0 0 - 8 91 8.8% 4

White 683 3,651 18.7% 9,240 52,119 17.7% 49 201 723 27.8% 1,420 13,667 10.4% 48

Hispanic or Latino * * * 57 624 9.1% 6 * * * 83 1,350 6.1% 3

More Than One Race 0 1 0.0% 300 2,340 12.8% 22 0 0 - 63 565 11.2% 12

Race Not Available 64 321 19.9% 566 3,739 15.1% 32 20 74 27.0% 176 1,648 10.7% 23

Race Total 1,316 6,176 21.3% 14,246 80,085 17.8% 53 535 1,784 30.0% 3,143 29,027 10.8% 50

Hispanic or Latino 54 245 22.0% 1,617 9,395 17.2% 35 10 57 17.5% 441 5,187 8.5% 30

Not Hispanic or Latino 1,262 5,915 21.3% 12,202 66,939 18.2% 50 525 1,723 30.5% 2,569 22,174 11.6% 46

Not Available 0 16 0.0% 427 3,751 11.4% 26 0 4 - 133 1,666 8.0% 18

Ethnicity Total 1,316 6,176 21.3% 14,246 80,085 17.8% 53 535 1,784 30.0% 3,143 29,027 10.8% 50

Note:




OUTCOMES DOMAIN: READMISSION WITHIN 30 and 180 DAYS TO ANY PSYCHIATRIC INPATIENT BED IN THE SMHA SYSTEM BY AGE, GENDER AND RACE, FY 2019

STATE: Virginia

Readmissions within 30 days to any psychiatric inpatient bed Readmissions within 180 days to any psychiatric inpatient bed

State US States State US States


Discharges N

% Readmissions N

Discharges N

% Reporting Readmissions N

Discharges N

% Readmissions N

Discharges N

% Reporting

Age 0 to 12 - - - 905 9,785 9.2% 15 - - - 2,109 9,785 21.6% 14

Age 13 to 17 - - - 2,316 24,984 9.3% 15 - - - 5,737 24,984 23.0% 14

Age 18 to 20 - - - 1,512 12,747 11.9% 17 - - - 3,213 12,747 25.2% 17

Age 21 to 64 - - - 21,499 155,643 13.8% 19 - - - 46,918 155,643 30.1% 21

Age 65 to 74 - - - 641 7,383 8.7% 18 - - - 1,458 7,383 19.7% 17

Age 75 and over - - - 105 1,752 6.0% 12 - - - 259 1,752 14.8% 17

Age Not Available - - - 79 902 8.8% 2 - - - 135 902 15.0% 3

Age Total - - - 27,057 213,196 12.7% 21 - - - 59,829 213,196 28.1% 23

Female - - - 11,428 99,535 11.5% 21 - - - 25,866 99,535 26.0% 21

Male - - - 15,549 112,743 13.8% 21 - - - 33,827 112,743 30.0% 23

Gender Not Available - - - 80 918 8.7% 3 - - - 136 918 14.8% 4

Gender Total - - - 27,057 213,196 12.7% 21 - - - 59,829 213,196 28.1% 23

American Indian or Alaska Native - - - 472 4,361 10.8% 17 - - - 1,076 4,361 24.7% 17

Asian - - - 632 4,542 13.9% 15 - - - 1,179 4,542 26.0% 16

Black or African American - - - 7,135 45,863 15.6% 20 - - - 16,153 45,863 35.2% 21

Native Hawaiian or Other Pacific Islander - - - 238 560 42.5% 12 - - - 84 560 15.0% 12

White - - - 12,658 110,614 11.4% 20 - - - 28,381 110,614 25.7% 21

Hispanic or Latino - - - 907 5,882 15.4% 5 - - - 2,140 5,882 36.4% 5

More Than One Race - - - 238 2,601 9.2% 16 - - - 531 2,601 20.4% 16

Race Not Available - - - 4,777 38,773 12.3% 17 - - - 10,285 38,773 26.5% 19

Race Total - - - 27,057 213,196 12.7% 21 - - - 59,829 213,196 28.1% 23

Hispanic or Latino - - - 480 5,999 8.0% 14 - - - 1,058 5,999 17.6% 14

Not Hispanic or Latino - - - 7,446 75,480 9.9% 17 - - - 15,931 75,480 21.1% 19

Not Available - - - 6,320 48,788 13.0% 18 - - - 13,287 48,788 27.2% 18

Ethnicity Total - - - 14,246 130,267 10.9% 20 - - - 30,276 130,267 23.2% 22

State Notes:

None

US totals are based on states reporting.This table uses data from URS Table 21.

Note:

Forensics included in Table?

State Hospitals included in Table?



Structure Domain: SMHA Expenditure for Early Serious Mental Illness and First Episode Psychosis, 2019

Virginia

Note: This table use data from URS Table 7a.

Reporting Period 7/1/2018 To: 6/30/2019

State US

MHBG Other Funds State Funds Total MHBG Other Funds State Funds Total

Activity $ % $ % $ % $ % $ % $ % $ % $ %

CSC-Evidence-Based Practices for First Episode Psychosis

$1,535,558 27.7% $0 0.0% $4,000,000 72.3% $5,535,558 100% $57,513,340 79.4% $3,011,410 1.0% $11,907,873 16.4% $72,432,623 100%

Training for CSC Practices $0 - $0 - $0 - $0 - $3,160,074 89.8% $25,742 0.2% $333,461 9.5% $3,519,277 100%

Plannning for CSC Practices $0 - $0 - $0 - $0 - $492,111 62.3% $5,111 0.2% $292,397 37.0% $789,619 100%

Other Early Serious Mental Illnesses program (other than FEP or partial CSC programs)

$0 - $0 - $0 - $0 - $4,675,422 98.0% $94,520 0.5% $0 0.0% $4,769,942 100%

Training for ESMI $0 - $0 - $0 - $0 - $621,356 100.0% $0 0.0% $0 0.0% $621,356 100%

Planning for ESMI $0 - $0 - $0 - $0 - $620,197 83.2% $125,000 4.2% $0 0.0% $745,197 100%

* Other Funds include Medicaid, Other Federal funds, local funds, and other funds from table 7a.


STRUCTURE DOMAIN: State Mental Health Agency Controlled Expenditures for Mental Health, FY 2019

Virginia

Note:

This table uses data from URS Table 7

7/1/2018 To: 6/30/2019Reporting Period:

Expenditures: State Percent of Total Expenditures: State

Expenditures: U.S. Percent of Total Expenditures: U.S.

States Reporting

State Hospitals-Inpatient $377,929,058 42% $11,400,517,666 28% 53

Other 24-Hour Care $14,920,738 2% $4,608,888,856 11% 46

Ambulatory/Community $455,151,415 50% $22,283,151,769 55% 57

EBPs for Early Serious Mental Illness $5,535,558 1% $84,450,289 0% 58

Primary Prevention - 0% $87,517,154 0% 13

Administration $51,051,052 6% $2,065,647,288 5% 54

Total $904,587,821 100% $40,530,173,022 100% 58


STRUCTURE DOMAIN: State Mental Health Agency Controlled Expenditures by Funding Sources, 2019

Funding SourceAmbulatory/Community State Hospital

StatePercent Total

(State) Percent Total (US) StatePercent Total

(State) Percent Total (US)

Mental Health Block Grant $12,024,613 2.5% 2.1% - - -

Medicaid (Federal, State, and Local) $203,681,900 42.8% 56.4% $50,749,110 13.4% 16.8%

Other Federal Funds (e.g., ACF (TANF), CDC, CMS (Medicare), SAMHSA, etc.)

$4,220,515 0.9% 3.3% $4,526,486 1.2% 2.5%

State Funds $255,680,683 53.8% 28.6% $318,175,599 84.2% 76.7%

Local Funds (excluding local Medicaid) - - 6.9% - - 1.2%

Other - - 2.8% $4,477,863 1.2% 2.8%

Total $475,607,711 100% 100% $377,929,058 100% 100%

This table does not show expenditures for state central office including Research, Training, and Administration expenses.

Note:

Virginia Reporting Period: 7/1/2018 To: 6/30/2019

This table uses data from URS Table 7

Ambulatory/Community includes Primary Prevention, Evidence-Based Practices for Early Serious Mental Illness, and Other 24-Hour Care expenditures


Structure Domain: Federal Mental Health Block Grant Expenditures for Non-Direct Service Activities, FY 2019

Virginia

Note: This table use data from URS Table 8.

State Notes:

None

7/1/2018 To: 6/30/2019Reporting Period:

Service Non-Direct Block Grant Expenditures % Total US % Total

Information Systems $125,000 9.5% 4.7%

Infrastructure Support $294,478 22.4% 23.2%

Partnerships, community outreach, and needs assessment $621,901 47.2% 23.2%

MHA Planning Council Activities $17,558 1.3% 4.0%

Quality assurance and improvement - 0.0% 7.7%

Research and Evaluation $101,042 7.7% 7.9%

Training and Education $156,830 11.9% 29.4%

Total $1,316,809 100.0% 100.0%


Agency Name Address Area Served Total Block Grant Funds

Block Grant for Adults with

SMI

Block Grant for Children with

SED

Set-Aside for FEP

ProgramsAlexandria 720 N Saint Asaph Street, 4th Floor, Alexandria,

VA 22314Sub-state $788,382 $310,044 $258,298 $220,040

Danville-Pittsylvania 245 Hairston Street, Danville, VA 24540 Sub-state $84,716 $24,825 $59,891 $0

Dickenson County Post Office Box 309, Clintwood, VA 24228 Sub-state $63,064 $37,396 $25,668 $0

District 19 20 West Bank Street, Suite 2, Petersburg , VA 23803

Sub-state $97,576 $71,908 $25,668 $0

Eastern Shore Post Office Box 453, Nassawadox, VA 23413 Sub-state $37,755 $12,087 $25,668 $0

Fairfax-Falls Church 12011 Government CNTR Parkway, Suite 836, Fairfax, VA 22035

Sub-state $1,477,484 $989,357 $268,084 $220,043

Goochland Powhatan Post Office Box 189, Powhatan, VA 23063 Sub-state $46,190 $20,522 $25,668 $0

Hampton-Newport News 300 Medical Drive, 2nd Floor, Hampton, VA 23666 Sub-state $637,636 $500,000 $137,636 $0

Hanover County 12300 Washington Highway, Ashland, VA 23005 Sub-state $72,888 $47,220 $25,668 $0

Harrisonburg-Rockingham 1241 North Main Street, Harrisonburg, VA 22802 Sub-state $41,219 $15,551 $25,668 $0

Henrico Area 10299 Woodman Road, Glen Allen, VA 23060 Sub-state $630,530 $389,054 $58,750 $182,726

Alleghany-Highlands 205 E. Hawthorne Street, Covington, VA 24426 Sub-state $37,489 $11,821 $25,668 $0

Highlands 610 Campus Drive, Suite 220, Abingdon, VA 24210

Sub-state $413,420 $121,326 $114,421 $177,673

Horizon 2241 Langhorne Road, Lynchburg, VA 24501 Sub-state $173,017 $13,307 $159,710 $0

Loudoun County 906 Trail View Boulevard SE, Suite C, Leesburg, VA 20175

Sub-state $234,896 $18,419 $25,668 $190,809

Middle Peninsula-Northern Neck Post Office Box 40, Saluda, VA 23149 Sub-state $38,770 $13,102 $25,668 $0

Mount Rogers 770 West Ridge Road, Wytheville, VA 24382 Sub-state $241,228 $216,188 $25,040 $0

New River Valley 700 University City Boulevard , Blacksburg, VA 24060

Sub-state $390,111 $269,530 $120,581 $0

Norfolk 225 West Olney Road, Norfolk, VA 23510 Sub-state $140,792 $44,766 $96,026 $0

Northwestern 209 West Criser Road, Suite 300, Front Royal, VA 22630

Sub-state $71,549 $30,082 $41,467 $0

Piedmont Regional 24 Clay Street, Martinsville, VA 24112 Sub-state $310,316 $284,648 $25,668 $0

Planning District 1 P.O. Box 1130 , Norton, VA 24273 Sub-state $114,885 $69,824 $45,061 $0

Arlington County 1725 North George Mason Drive, Ste. 216, Arlington, VA 22205

Sub-state $614,237 $588,569 $25,668 $0

Portsmouth 1811 King Street, Portsmouth, VA 23704 Sub-state $176,734 $151,066 $25,668 $0

Prince William County 8033 Ashton Avenue, Suite 103, Manassas, VA 20109

Sub-state $274,018 $55,969 $25,668 $192,381

Rappahannock Area 600 Jackson Street, Fredericksburg, VA 22401 Sub-state $68,745 $17,153 $51,592 $0

Rappahannock-Rapidan Post Office Box 1568, Culpeper, VA 22701 Sub-state $488,262 $290,160 $25,668 $172,434

Region Ten 502 Old Lynchburg Road, Charlottesville, VA 22903

Sub-state $253,487 $176,513 $76,974 $0

Total Programs: 51

Total: $11,476,573

Structure Domain: Mental Health Programs Funded By the Federal Mental Health Block Grant, FY 2019

Virginia

Adult Programs: 50 Child Programs: 40

Adult Total: $7,089,053 Child Total: $2,851,962

7/1/2018 To: 6/30/2019

Set-Aside FEP Programs: 8

Set-Aside FEP Total: $1,535,558

Reporting Period:


Agency Name Address Area Served Total Block Grant Funds

Block Grant for Adults with

SMI

Block Grant for Children with

SED

Set-Aside for FEP

ProgramsRichmond 107 South 5th Street, Richmond, VA 23219 Sub-state $480,985 $343,549 $137,436 $0

Rockbridge Area 241 Greenhouse Road, Lexington, VA 24450 Sub-state $56,184 $30,516 $25,668 $0

Southside P.O. Box 1478143 Industrial Parkway, Clarksville, VA 23927

Sub-state $38,240 $12,572 $25,668 $0

Valley 85 Sanger's Lane, Staunton, VA 24401 Sub-state $119,281 $60,502 $58,779 $0

Virginia Beach 3432 Virginia Beach Boulevard, Virginia Beach, VA 23452

Sub-state $241,669 $16,650 $225,019 $0

Blue Ridge 301 Elm Avenue, SW, Roanoke, VA 24016 Sub-state $390,827 $242,525 $148,302 $0

Western Tidewater 5268 Godwin Boulevard, Suffolk, VA 23434 Sub-state $251,162 $12,960 $58,750 $179,452

Peer Run Programs - Depression and Bipolar Support Alliance - Falls Church Chapter

8221 Willow Oaks Corporate Drive, Fairfax, VA 22031

Sub-state $63,248 $63,248 $0 $0

Peer Run Programs - Friends 4 Recovery Whole Health Center

7420 Whitepine Road, Richmond, VA 23237 Sub-state $118,125 $118,125 $0 $0

Peer Run Programs - Laurie Mitchell Empowerment and Career Center

6295 Edsall Road STE 260, Alexandria, VA 22312 Sub-state $76,608 $76,608 $0 $0

Peer Run Programs - Mental Health America of Virginia

2008 Bremo Road #101, Richmond, VA 23226 Sub-state $209,413 $209,413 $0 $0

Peer Run Programs - National Alliance on Mental Illness - Central Virginia

PO Box 18086, Richmond, VA 23226 Sub-state $178,623 $178,623 $0 $0

Peer Run Programs - On Our Own of Charlottesville 123 4th Street NW, Charlottesville, VA 22903 Sub-state $85,066 $85,066 $0 $0

Peer Run Programs - On Our Own of Roanoke Valley 429 Elm Avenue SW, Roanoke, VA 24016 Sub-state $113,093 $113,093 $0 $0

Peer Run Programs - VOCAL Inc. 1904 Byrd Avenue Suite 111, Richmond, VA 23230 Sub-state $342,282 $342,282 $0 $0

Peer Run Programs - Middle Penninsula-Northern Neck CSB

Post Office Box 40, Saluda, VA 23149 Sub-state $168,237 $168,237 $0 $0

Chesapeake 224 Great Bridge Blvd, Chesapeake, VA 23320 Sub-state $135,980 $19,050 $116,930 $0

Children's System of Care - National Alliance on Mental Illness - Central Virginia1

PO Box 18086, Richmond, VA 23226 Sub-state $0 $0 $0 $0

Peer Run Programs - Own Your Own Middle Penninsula-Northern Neck CSB

13794 Tidewater Trail, Saluda, VA 23149 Sub-state $34,189 $34,189 $0 $0

Chesterfield Post Office Box 92, Chesterfield, VA 23832 Sub-state $108,684 $14,569 $94,115 $0

Colonial 473 McLaws Circle, Williamsburg, VA 23185 Sub-state $50,135 $13,059 $37,076 $0

Crossroads Post Office Drawer 248, Farmville, VA 23901 Sub-state $90,899 $65,231 $25,668 $0

Cumberland Mountain Post Office Box 810, Cedar Bluff, VA 24609 Sub-state $104,247 $78,579 $25,668 $0


URS Table Number General Notes

5AExpansion of Medicaid in the Commonwealth of Virginia began in January 2019. The latest data indicates that there were 375,000 new enrollees due to the expansion. This has a direct correlation with the increased number of consumers utilizing Medicaid to pay for services.

7

Total Other Expenditures: State facilities had new projects in FY2019 to meet capital needs that differed from the previous year where they had one-time expenditures, thus causing a significant shift in spending. Total Administration Expenditures: Large IT projects such as Electronic Health Records (One Mind Project) had larger expenditures in FY2019 compared to FY2018. Additionally, we had an overall state pay raise of 5% that took effect June 25, 2019, as well as DBHDS had approximately 20 additional FTE in FY2019 compared to FY2018. These are all contributors to the increase in spending from FY2018 to FY2019.

16

Total Number of Consumers Receiving Supported Housing Services: New staff evaluated ways Virginia collected data on EBPs for the MHBG and it was determined that past efforts resulted in over-reporting Supported Housing. The more accurate collection method appears as a reduction in this EBP; however, it actually represents a stable trend in this EBP.

16A

This year, all eight (8) of Virginia's CSC programs were selected to participate in Phase II of the Center for Social Innovation's CSC OnDemand study. Of the eight teams selected, all but one participated in the study. Two teams attended in-person training sessions while the other five participated via the CSC OnDemand online learning platform. Additionally, each CSC program received extensive training and technical assistance at the inception of their programming.

17

Total Number of Consumers Receiving Self-Management Services: The reduction for this EBP is a result of 3 out of 40 CSBs drastically decreasing their reported numbers from FY18 to FY19. Those three CSBs comprised 59% of the total reported in FY18 and only 11% of the total for FY19. All three CSBs reported that the reduction is a function of having more thorough instructions for reporting these totals in FY19 and determining that what they included in previous years did not meet the full definition for Self-Management Services. Total Number of Consumers Receiving Medication Management Services: SAMHSA STR and SOR funds enabled Virginia to expand this EBP to more consumers. Additionally, the Virginia Medicaid expansion beginning January 2019 allowed consumers to have greater access to medication that could be reimbursed through Medicaid.

General Notes FY 2019

Virginia


virginia 2019 mental health national outcome measures ......medications management 19,932 31.9%...

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