Transcript DSHS Behavioral Health Data Book, FY2013 Q1
Behavioral Health DATA BOOK
A quarterly reference to community mental health and substance abuse services
Fiscal Year 2013
Quarter 1
January 9, 2012 http://www.dshs.state.tx.us/mhsa/databook/
PREFACE
The purpose of the Texas Department of State Health Services (DSHS)
Behavioral Health Data Book
is to present, in a quarterly document series, statewide data trends for community mental health and substance abuse services for policy and practice decision making. It is not intended as a comprehensive guide, but as a quick reference for DSHS staff in response to frequently-asked, general questions from behavioral health stakeholders. Therefore, data presented here should
not
be taken out of this context.
For further information, contact the Mental Health & Substance Abuse
Office of Decision Support
.
IN THIS ISSUE:
There is a new employment outcome measure in the Community Mental Health Services section beginning in FY2012 per the performance contract with DSHS-funded Local Mental Health Authorities (
Figure 1.9
, page 13).
Measures in the Substance Abuse Services section are presented yearly beginning with FY2011, when the Clinical Management for Behavioral Health Services (CMBHS) was first used statewide by DSHS-funded providers of substance abuse services to enter data. These measures are presented for prior fiscal years (apart from FY2011) in previous issues of the
DSHS Behavioral Health Data Book,
when the Behavioral Health Integrated Provider System (BHIPS) was used by providers to enter data.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 2
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Page
Figure 1.1.
Average monthly number of adults receiving community mental health services
Figure 1.2. A
verage monthly cost per adult receiving community mental health services
Figure 1.3. Figure 1.4.
Average monthly percentage of adults in community mental health services appropriately authorized 5 6 7 Average monthly percentage of adults in community mental health services receiving minimum number of recommended service hours 8
Figure 1.5.
Figure 1.6.
Figure 1.7.
Percentage of adults in community mental health services receiving first service encounter within 14 days of assessment 9 Percentage of adults in community mental health services avoiding crisis 10 Percentage of adults in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital 11
Figure 1.8.
Figure 1.9.
Figure 1.10.
Figure 1.11.
Figure 1.12.
Figure 1.13.
Figure 1.14.
Percentage of adults in community mental health services with improved or acceptable functioning per year Percentage of adults in community mental health services with independent/competitive/supported/self-employment per year Percentage of adults in community mental health services with improved or acceptable housing per year Percentage of adults in community mental health services with improved criminal justice involvement per year Percentage of adults in community mental health services with improved or acceptable co-occurring substance use per year Number of persons assigned to Supported Employment Number of persons assigned to Supported Housing 12 13 14 15 16 17 18
Section 2
Children
Figure 2.1.
Figure 2.2.
Figure 2.3.
Figure 2.4.
Figure 2.5.
Figure 2.6.
Figure 2.7.
Average monthly number of children receiving community mental health services Average monthly cost per child receiving community mental health services Average monthly percentage of children in community mental health services appropriately-authorized Percentage of children in community mental health services receiving first service encounter within 14 days of assessment
Figure 2.8.
Percentage of children in community mental health services with improved or acceptable functioning per year
Figure 2.9.
Percentage of children in community mental health services with improved or acceptable problem severity per year
Figure 2.10.
Percentage of children in community mental health services with improved school behavior per year
Figure 2.11.
Percentage of children in community mental health services avoiding re-arrest per year
Figure 2.12.
Percentage of children in community mental health services with improved or acceptable co-occurring substance use per year 19 20 21 Average monthly percentage of children in community mental health services receiving minimum number of recommended service hours 22 23 Percentage of children in community mental health services avoiding crisis 24 Percentage of children in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital 25 26 27 28 29 30 DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 3
COMMUNITY MENTAL HEALTH SERVICES (continued)
Section 3
Front Door Crisis
Figure 3.1.
Figure 3.2.
Average monthly number of persons receiving community mental health front-door crisis services Average monthly cost per person receiving community mental health front-door crisis services
Section 4
New Generation Medication
Figure 4.1.
Figure 4.2.
Average monthly number of persons receiving new generation medication Average monthly cost per person receiving new generation medication
Section 5
Waiting List
Figure 5.1.
Figure 5.2.
Number of adults on waiting list for community mental health services with percentage waiting for all services Number of children on waiting list for community mental health services with percentage waiting for all services
Section 6
Pay for Performance
Figure 6.1.
Average monthly estimated percentage of DSHS General Revenue earned by community mental health centers
Page
31 32 33 34 35 36 37 DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 4
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.1. Average monthly number of adults receiving community mental health services 120,000 100,000 80,000 81 ,5 51 80 ,2 62 81 ,5 92 81 ,4 21 81 ,5 03 80 ,0 20 80 ,0 00 76 ,3 25 78 ,2 45 77 ,0 40 77 ,5 92 77 ,8 73 78 ,5 19 60,000 40,000 20,000 0 FY 20 10 Q ua rte FY r 1 20 10 Q ua rte FY r 2 20 10 Q ua rte FY r 3 20 10 Q ua rte FY r 4 20 11 Q ua rte FY r 1 20 11 Q ua rte FY r 2 20 11 Q ua rte FY r 3 20 11 Q ua rte FY r 4 20 12 Q ua rte FY r 1 20 12 Q ua rte FY r 2 20 12 Q ua rte FY r 3 20 12 Q ua rte FY r 4 20 13 Q ua rte r 1
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
LBB RDM Served
. For methodology, see report query.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 5
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.2. Average monthly cost per adult receiving community mental health services $800 $700 $600 $500 $400 $323 $345 $360 $360 $347 $338 $380 $372 $368 $361 $368 $366 $361 $300 $200 $100 $0 FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 3 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er 4 FY 20 12 Q ua rt er 1 FY 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4 FY 20 13 Q ua rt er 1
Source:
DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79 th and Evaluation System of Texas (ABEST).
Regular Session, Performance Reporting, Automated Budget DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 6
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized 100% 90% 80% 70% 60% 93% 93% 93% 92% 92% 92% 92% 91% 91% 91% 91% 91% 91% 50% 40% 30% 20% 10% 0% FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er 3 FY 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er 4 FY 20 12 Q ua rt er 1 FY 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4 FY 20 13 Q ua rt er 1
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM UM Appropriateness
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 7
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.4. Average monthly percentage of adults in community mental health services receiving minimum number of recommended service hours 100% 90% 80% 81% 82% 83% 87% 87% 87% 89% 87% 86% 86% 87% 86% 85% 70% 60% 50% 40% 30% 20% 10% 0% FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er 3 FY 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er 4 FY 20 12 Q ua rt er 1 FY 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4 FY 20 13 Q ua rt er 1 (80%) FY2013 Performance Contract Target
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Service Package Minimum Hours
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 8
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.5. Percentage of adults in community mental health services receiving first service encounter within 14 days of assessment 100% 90% 80% 70% 60% 77% 78% 78% 77% 79% 80% 81% 79% 82% 83% 83% 81% 82% 50% 40% 30% 20% 10% 0% FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er 3 FY 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er 4 FY 20 12 Q ua rt er 1 FY 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4 FY 20 13 Q ua rt er 1 (77%) FY2013 Performance Contract Target
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Time Between Assessment and First Service Encounter
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 9
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.6. Percentage of adults in community mental health services avoiding crisis 100% 90% 98% 98% 97% 97% 98% 98% 98% 98% 98% 98% 99% 98% 98% (97.7%) FY2013 Performance Contract Target 80% 70% 60% 50% 40% 30% 20% 10% 0% FY2 01 0 Q ua rte r 1 FY2 01 0 Q ua rte r 2 FY2 01 0 Q ua rte r3 FY2 01 0 Q ua rte r 4 FY2 01 1 Q ua rte r 1 FY2 01 1 Q ua rte r 2 FY2 01 1 Q ua rte r 3 FY2 01 1 Q ua rte r 4 FY2 01 2 Q ua rte r 1 FY2 01 2 Q ua rte r 2 FY2 01 2 Q ua rte r 3 FY2 01 2 Q ua rte r 4 FY2 01 3 Q ua rte r 1
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Crisis Avoidance
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 10
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.7. Percentage of adults in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital 1.0% 0.5% 0.34% 0.34% 0.38% 0.35% 0.36% 0.34% 0.36% 0.38% 0.37% 0.35% 0.35% 0.35% 0.39% 0.0% FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er 3 FY 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er 4 FY 20 12 Q ua rt er 1 FY 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4 FY 20 13 Q ua rt er 1
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 11
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.8. Percentage of adults in community mental health services with improved or acceptable functioning per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 34% 35% 37% (38% Improved or Acceptable ) FY2013 Performance Contract Target FY 20 10 FY 20 11
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY 20 12 FY 20 13
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Adult Outcomes
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
12
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.9. Percentage of adults in community mental health services with independent/competitive/supported/self-employment per year 30% 20% 10% 15% (14.7%) FY2013 Performance Contract Target 0% FY 20 12 FY 20 13 FY 20 14
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Adult Employment Outcome
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 13
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.10. Percentage of adults in community mental health services with improved or acceptable housing per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 68% 71% 74% (72% Improved or Acceptable) FY2013 Performance Contract Target FY 20 10 FY 20 11 FY 20 12 FY 20 13
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Adult Outcomes
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 14
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.11. Percentage of adults in community mental health services with improved criminal justice involvement per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 42% 53% 54% (44% Improved) FY2013 Performance Contract Target FY 20 10 FY 20 11 FY 20 12 FY 20 13
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Adult Outcomes
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 15
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.12. Percentage of adults in community mental health services with improved or acceptable co-occurring substance use per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 84% 85% 85% (87% Improved or Acceptable) FY2013 Performance Contract Target FY 20 10 FY 20 11 FY 20 12 FY 20 13
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Adult Outcomes
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 16
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.13. Number of persons assigned to Supported Employment 3,000 2,500 2,000 2,093 1,471 1,397 1,500 1,000 500 777 656 792 830 745 784 830 682 819 1,090 0 FY 20 10 Q ua rt er FY 1 20 10 Q ua rt er FY 2 20 10 Q ua rt er FY 3 20 11 Q ua rt er FY 3 20 11 Q ua rr te FY r 1 20 11 Q ua rt er FY 2 20 11 Q ua rt er FY 3 20 11 Q ua rt er FY 4 20 12 Q ua rt er FY 1 20 12 Q ua rt er FY 2 20 12 Q ua rt er FY 3 20 12 Q ua rt er FY 4 20 13 Q ua rt er 1
Source:
DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 17
COMMUNITY MENTAL HEALTH SERVICES
Section 1
Adults Figure 1.14. Number of persons assigned to Supported Housing 4,000 3,500 3,000 2,500 2,000 1,500 2, 16 6 1, 96 2 1, 98 5 1, 97 7 1, 87 2 1, 81 3 1, 88 4 1, 95 6 2, 07 9 2, 31 7 2, 37 5 2, 63 8 1,000 500 0 FY 20 10 Q ua rt er FY 1 20 10 Q ua rt er FY 2 20 10 Q ua rt er FY 3 20 10 Q ua rt er FY 4 20 11 Q ua rt er FY 1 20 11 Q ua rt er FY 2 20 11 Q ua rt er FY 3 20 11 Q ua rt er FY 4 20 12 Q ua rt er FY 1 20 12 Q ua rt er FY 2 20 12 Q ua rt er FY 3 20 12 Q ua rt er FY 4 20 13 Q ua rt er 1 2, 93 8
Source:
DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 18
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.1. Average monthly number of children receiving community mental health services 25,000 20,000 17 ,3 35 17 ,8 41 18 ,9 51 18 ,3 46 18 ,2 85 18 ,3 28 18 ,7 69 18 ,0 17 17 ,7 84 17 ,8 58 18 ,3 41 17 ,6 28 17 ,7 10 15,000 10,000 5,000 0 FY 20 10 Q ua rte FY r 1 20 10 Q ua rte FY r 2 20 10 Q ua rte FY r 3 20 10 Q ua rte FY r 4 20 11 Q ua rte FY r 1 20 11 Q ua rte FY r 2 20 11 Q ua rte FY r 3 20 11 Q ua rte FY r 4 20 12 Q ua rte FY r 1 20 12 Q ua rte FY r 2 20 12 Q ua rte FY r 3 20 12 Q ua rte FY r 4 20 13 Q ua rte r 1
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
LBB RDM Served
. For methodology, see report query.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 19
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.2. Average monthly cost per child receiving community mental health services $800 $700 $600 $500 $400 $300
$3 61 $3 61 $3 87 $3 97 $3 76 $3 59 $3 57 $3 57 $3 48 $3 41 $3 52 $3 83
$200 $100 $0 FY 20 10 Q ua rte r 1 FY 20 10 Q ua rte r 2 FY 20 10 Q ua rte FY r 3 20 10 Q ua rte r 4 FY 20 11 Q ua rte FY r 1 20 11 Q ua rte r 2 FY 20 11 Q ua rte r 3 FY 20 11 Q ua rte FY r 4 20 12 Q ua rte r 1 FY 20 12 Q ua rte FY r 2 20 12 Q ua rte r 3 FY 20 12 Q ua rte r 4 FY 20 13 Q ua rte r 1
$4 50
Source:
DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79 th and Evaluation System of Texas (ABEST).
Regular Session, Performance Reporting, Automated Budget DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 20
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.3. Average monthly percentage of children in community mental health services appropriately authorized 100% 90% 80% 70% 60% 50% 40% 30% 94% 93% 93% 93% 93% 92% 91% 92% 93% 93% 93% 93% 93% 20% 10% 0% FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er 3 FY 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er 4 FY 20 12 Q ua rt er 1 FY 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4 FY 20 13 Q ua rt er 1
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM UM Appropriateness
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 21
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.4. Average monthly percentage of children in community mental health services receiving minimum number of recommended service hours 100% 90% 80% 70% 60% 50% 40% 30% 87% 86% 85% 88% 87% 88% 89% 83% 88% 88% 88% 87% 88% 20% 10% 0% FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er 3 FY 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er 4 FY 20 12 Q ua rt er 1 FY 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4 FY 20 13 Q ua rt er 1 (80%) FY2013 Performance Contract Target
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Service Package Minimum Hours
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 22
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.5. Percentage of children in community mental health services receiving first service encounter within 14 days of assessment 100% 90% 80% 70% 60% 79% 76% 73% 73% 75% 77% 77% 77% 77% 77% 79% 80% 78% 50% 40% 30% 20% 10% 0% FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er 3 FY 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er 4 FY 20 12 Q ua rt er 1 FY 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4 FY 20 13 Q ua rt er 1 (65%) FY2013 Performance Contract Target
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Time Between Assessment and First Service Encounter
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 23
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.6. Percentage of children in community mental health services avoiding crisis 100% 90% 98% 98% 98% 98% 98% 98% 98% 99% 98% 98% 98% 98% 99% (98.3%) FY2013 Performance Contract Target 80% 70% 60% 50% 40% 30% 20% 10% 0% FY 20 10 Q ua rte FY r 1 20 10 Q ua rte FY r 2 20 10 Q ua rte FY r 3 20 10 Q ua rte FY r 4 20 11 1 Q ua rte FY r 1 20 11 Q ua rte r 2 FY 20 11 Q ua rte FY r 3 20 11 Q ua rte FY r 4 20 12 Q ua rte FY r 1 20 12 Q ua rte FY r 2 20 12 Q ua rte FY r 3 20 12 Q ua rte FY r 4 20 13 Q ua rte r 1
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Crisis Avoidance
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 24
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.7. Percentage of children in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital 1.0% 0.5% 0.06% 0.05% 0.06% 0.04% 0.04% 0.07% 0.06% 0.05% 0.06% 0.08% 0.06% 0.02% 0.02% 0.0% FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er 3 FY 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er 4 FY 20 12 Q ua rt er 1 FY 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4 FY 20 13 Q ua rt er 1
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 25
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.8. Percentage of children in community mental health services with improved or acceptable functioning per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 38% 37% 38% (38% Improved or Acceptable) FY2013 Performance Contract Target FY 20 10 FY 20 11 FY 20 12 FY 20 13
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Child Outcomes
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 26
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.9. Percentage of children in community mental health services with improved or acceptable problem severity per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 41% 41% 41% (42% Improved or Acceptable) FY2013 Performance Contract Target FY 20 10 FY 20 11 FY 20 12 FY 20 13
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Child Outcomes
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 27
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.10. Percentage of children in community mental health services with improved school behavior per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 68% 68% 73% (71% Improved) FY2013 Performance Contract Target FY 20 10 FY 20 11 FY 20 12
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Child Outcomes
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY 20 13
28
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.11. Percentage of children in community mental health services avoiding re-arrest per year 100% 90% 90% 91% 95% (92%) FY2013 Performance Contract Target 80% 70% 60% 50% 40% 30% 20% 10% 0% FY 20 10 FY 20 11 FY 20 12 FY 20 13
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Child Outcomes
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 29
COMMUNITY MENTAL HEALTH SERVICES
Section 2
Children Figure 2.12. Percentage of children in community mental health services with improved or acceptable co-occurring substance use per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 79% 81% 81% (87% Improved or Acceptable) FY2013 Performance Contract Target FY 20 10 FY 20 11 FY 20 12 FY 20 13
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
PM Child Outcomes
. For methodology, see Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 30
COMMUNITY MENTAL HEALTH SERVICES
Section 3
Front Door Crisis Figure 3.1. Average monthly number of persons receiving MH crisis services 8,000 7,000 6,000 5,000 5,265 5,056 5,851 5,689 5,688 5,192 5,878 5,529 5,318 5,396 5,802 5,667 5,000 4,000 3,000 2,000 1,000 0 FY 20 10 Q ua rte FY r 1 20 10 Q ua rte r 2 FY 20 10 Q ua rte r 3 FY 20 10 Q ua rte FY r 4 20 11 Q ua rte r 1 FY 20 11 Q ua rte FY r 2 20 11 Q ua rte FY r 3 20 11 Q ua rte r 4 FY 20 12 Q ua rte FY r 1 20 12 Q ua rte r 2 FY 20 12 Q ua rte FY r 3 20 12 Q ua rte FY r 4 20 13 Q ua rte r 1
Source:
DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79 th and Evaluation System of Texas (ABEST).
Regular Session, Performance Reporting, Automated Budget DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 31
COMMUNITY MENTAL HEALTH SERVICES
Section 3
Front Door Crisis Figure 3.2. Average monthly cost per person receiving MH crisis services $800 $700 $600 $500 $400 $300 $200 $244 $410 $406 $400 $382 $363 $392 $401 $396 $388 $390 $401 $450 $100 $0 F Y 20 10 Q u ar F te Y r 1 20 10 Q u ar F te Y r 2 20 10 Q u ar F te Y r 3 20 10 Q u ar F te Y r 4 20 11 Q u ar F te Y r 20 1 11 Q u ar F te Y r 2 20 11 Q u ar F te Y r 3 20 11 Q u ar F te Y r 4 20 12 Q u ar F te Y r 1 20 12 Q u ar F te Y r 2 20 12 Q u ar F te Y r 3 20 12 Q u ar F te Y r 4 20 13 Q u ar te r 1
Notes:
Beginning in FY2010 Q2, rate adjustments to the Cost Accounting Methodology (CAM) data resulted in a substantial increase in the average monthly cost per person receiving MH crisis services.
Source:
DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79 th and Evaluation System of Texas (ABEST).
Regular Session, Performance Reporting, Automated Budget DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 32
COMMUNITY MENTAL HEALTH SERVICES
Section 4
New Generation Medication Figure 4.1. Average monthly number of persons receiving new generation medication 35,000 30,000 25,000 20,000 21 ,3 51 21 ,5 20 22 ,2 16 22 ,1 45 21 ,4 08 21 ,0 78 20 ,7 29 20 ,1 66 19 ,3 19 18 ,5 33 18 ,0 82 18 ,4 16 21 ,0 00 15,000 10,000 5,000 0 FY2010 Quarter 1 FY2010 Quarter 2 FY2010 Quarter 3 FY2010 Quarter 4 FY2011 Quarter 1 FY2011 Quarter 2 FY2011 Quarter 3 FY2011 Quarter 4 FY2012 Quarter 1 FY2012 Quarter 2 FY2012 Quarter 3 FY2012 Quarter 4 FY2013 Quarter 1
Source:
DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79 th and Evaluation System of Texas (ABEST).
Regular Session, Performance Reporting, Automated Budget DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 33
COMMUNITY MENTAL HEALTH SERVICES
Section 4
New Generation Medication Figure 4.2. Average monthly cost per person receiving new generation medication $800 $700 $600 $500 $400 $300 $200 $127 $129 $129 $147 $128 $134 $150 $132 $140 $159 $164 $168 $140 $100 $0 FY 20 10 Q ua rte FY r 1 20 10 Q ua rte FY r 2 20 10 Q ua rte r 3 FY 20 10 Q ua rte FY r 4 20 11 Q ua rte FY r 1 20 11 Q ua rte r 2 FY 20 11 Q ua rte FY r 3 20 11 Q ua rte FY r 4 20 12 Q ua rte FY r 1 20 12 Q ua rte r 2 FY 20 12 Q ua rte FY r 3 20 12 Q ua rte FY r 4 20 13 Q ua rte r 1
Source:
DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79 th and Evaluation System of Texas (ABEST).
Regular Session, Performance Reporting, Automated Budget DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 34
COMMUNITY MENTAL HEALTH SERVICES
Section 5
Waiting List Figure 5.1. Number of adults on waiting list for community mental health services with percentage waiting for all services
Number of Persons Waiting Percentage Waiting for All Services
15,000 100% 10,000 71% 73% 72% 70% 10,039 8,921 70% 9,525 72% 74% 9,315 9,252 76% 75% 9,664 9,257 8,113 72% 71% 72% 71% 8,569 8,463 8,227 8,042 80% 60% 7,364 40% 5,000 20% 0
FY2 01 0 En d of Q ua rte FY2 r 1 01 o 0 n En 11 d /3 of 0/ Q 09 ua FY2 rte 01 r 2 0 o En n d 2/ of 28 Q /1 0 ua FY2 rte 01 r 3 0 o En n d 5/ of 31 Q /1 0 ua FY2 rte 01 r 4 1 o En n d 8/ of 31 Q /1 ua 0 rte FY2 r 1 01 o 1 n En 11 d /3 of 0/ Q 10 ua FY2 rte 01 r 2 1 o En n d 2/ of 28 Q /1 1 ua FY2 rte 01 r 3 1 o En n d 5/ of 31 Q /1 FY2 1 ua rte 01 r 4 2 o En n d 8/ of 31 Q /1 ua 1 rte FY2 r 1 01 o 2 n En 11 d /3 of 0/ Q 11 ua FY2 rte 01 r 2 2 o En n d 2/ of 29 Q /1 2 ua FY2 rte 01 r 3 2 o En n d 5/ of 31 Q /1 2 ua FY2 rte 01 r 4 3 o En n d 8/ of 31 Q /1 ua 2 rte r 1 o n 11 /3 0/ 12
Source:
DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
0%
35
COMMUNITY MENTAL HEALTH SERVICES
Section 5
Waiting List Figure 5.2. Number of children on waiting list for community mental health services with percentage waiting for all services
Number of Persons Waiting Percentage Waiting for All Services
2,000 100% 86% 84% 80% 76% 74% 73% 75% 73% 80% 71% 1,500 65% 62% 60% 57% 60% 1,000 40% 711 500 607 548 315 400 412 416 281 349 356 347 233 276 0
FY2 01 0 En d of Q ua rte FY2 r 1 01 o 0 n En 11 d /3 of 0/ Q 09 ua FY2 rte 01 r 2 0 o En n d 2/ of 28 Q /1 0 ua FY2 rte 01 r 3 0 o En n d 5/ of 31 Q /1 0 ua FY2 rte 01 r 4 1 o En n d 8/ of 31 Q /1 ua 0 rte FY2 r 1 01 o 1 n En 11 d /3 of 0/ Q 10 ua FY2 rte 01 r 2 1 o En n d 2/ of 28 Q /1 1 ua FY2 rte 01 r 3 1 o En n d 5/ of 31 Q /1 FY2 1 ua rte 01 r 4 2 o En n d 8/ of 31 Q /1 ua 1 rte FY2 r 1 01 o 2 n En 11 d /3 of 0/ Q 11 ua FY2 rte 01 r 2 2 o En n d 2/ of 29 Q /1 2 ua FY2 rte 01 r 3 2 o En n d 5/ of 31 Q /1 2 ua FY2 rte 01 r 4 3 o En n d 8/ of 31 Q /1 ua 2 rte r 1 o n 11 /3 0/ 12
Source:
DSHS Client Assignment Registration (CARE) system.
20% 0%
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 36
COMMUNITY MENTAL HEALTH SERVICES
Section 6
Pay for Performance Figure 6.1. Estimated percentage of DSHS General Revenue earned by community mental health centers 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 60% 60% 65% 63% 61% 58% 63% 60% 58% 57% 58% 57% 57% FY2010 Quarter 1 FY2010 Quarter 2 FY2010 Quarter 3 FY2010 Quarter 4 FY2011 Quarter 1 FY2011 Quarter 2 FY2011 Quarter 3 FY2011 Quarter 4 FY2012 Quarter 1 FY2012 Quarter 2 FY2012 Quarter 3 FY2012 Quarter 4 FY2013 Quarter 1
Source:
DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW),
FIN GR Earned
. For methodology, see Method and Notes in
FIN GR Earned
.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 37
SUBSTANCE ABUSE SERVICES
Section 1
Prevention
Figure 1.1.
Figure 1.2.
Figure 1.3.
Figure 1.4.
Number of adults served in substance abuse prevention programs per year Cost per adult for substance abuse prevention programs per year Number of youth served in substance abuse prevention programs per year Cost per youth for substance abuse prevention programs per year
Section 2
Intervention
Figure 2.1.
Figure 2.2.
Figure 2.3.
Figure 2.4.
Number of adults served in substance abuse intervention programs per year Cost per adult for substance abuse intervention programs per year Number of youth served in substance abuse Intervention programs per year Cost per youth for substance abuse intervention programs per year
Section 3
Treatment
Figure 3.1.
Figure 3.2.
Figure 3.3.
Figure 3.4.
Figure 3.5.
Figure 3.6.
Number of adults served in substance abuse treatment programs per year Cost per adult completing substance abuse treatment programs per year Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year Number of adult admissions to substance abuse treatment programs by primary substance per year Percentage of adults completing substance abuse treatment programs per year Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year
Figure 3.7.
Figure 3.8.
Figure 3.9.
Percentage of unemployed adults completing substance abuse treatment programs gaining employment per year Percentage of adults completing substance abuse treatment programs not re-arrested per year Number of youth served in substance abuse treatment programs per year
Figure 3.10.
Cost per youth completing substance abuse treatment programs per year
Figure 3.11.
Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year
Figure 3.12.
Number of youth admissions to substance abuse treatment programs by primary substance per year
Figure 3.13.
Number of youth by criminal justice status admitted to substance abuse treatment programs per year
Figure 3.14.
Percentage of youth completing substance abuse treatment programs per year
Figure 3.15.
Percentage of youth completing substance abuse treatment programs reporting abstinence at follow-up per year
Figure 3.16.
Percentage of youth completing substance abuse treatment programs with positive school status at follow-up per year
Figure 3.17.
Percentage of youth completing substance abuse treatment programs not re-arrested per year DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
Page
40 41 42 43 44 45 46 47 59 60 61 62 63 64 54 55 56 57 58 48 49 50 51 52 53 38
SUBSTANCE ABUSE SERVICES (continued)
Section 4
Co-Occurring Psychiatric and Substance Use Disorders (COPSD)
Figure 4.1.
Number of COPSD clients served in substance abuse programs per year
Section 5
Specialized Female Programs
Figure 5.1.
Figure 5.2.
Figure 5.3.
Figure 5.4.
Number of females served in substance abuse specialized female programs per year Cost per female served in substance abuse specialized female programs per year Cost per female completing substance abuse specialized female programs per year Percentage of females completing substance abuse specialized female programs per year
Section 6
Waiting List
Figure 6.1.
Figure 6.2.
Number of adults entered on waiting list by substance abuse program per year Number of youth entered on waiting list by substance abuse program per year
Page
65 66 67 68 69 70 71 DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 39
SUBSTANCE ABUSE SERVICES
Section 1
Prevention Figure 1.1. Number of adults served in substance abuse prevention programs per year 700,000 600,000 500,000 400,000 300,000 468,054 468,054 200,000 100,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
40
SUBSTANCE ABUSE SERVICES
Section 1
Prevention Figure 1.2. Cost per adult for substance abuse prevention programs per year $30 $20 $16 $10 $16 $0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
41
SUBSTANCE ABUSE SERVICES
Section 1
Prevention Figure 1.3. Number of youth served in substance abuse prevention programs per year 2,500,000 1,920,024 2,000,000 1,843,263 1,500,000 1,000,000 500,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
42
SUBSTANCE ABUSE SERVICES
Section 1
Prevention Figure 1.4. Cost per youth for substance abuse prevention programs per year $30 $20 $10 $14 $14 $0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
43
SUBSTANCE ABUSE SERVICES
Section 2
Intervention Figure 2.1. Number of adults served in substance abuse intervention programs per year 300,000 250,000 200,000 150,000 100,000 123,914 141,299
Note:
Improvements to reporting in CMBHS, such as the automated calculation of clients served in the HIV Early Intervention (HEI) program, should continue to cause the numbers served to increase.
50,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
44
SUBSTANCE ABUSE SERVICES
Section 2
Intervention Figure 2.2. Cost per adult for substance abuse intervention programs per year $150 $125 $100 $75 $89 $71 $50 $25 $0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
Note:
Improvements to reporting in CMBHS, such as the automated calculation of clients served in the HIV Early Intervention (HEI) program, should continue to cause the numbers served to increase, thereby reducing the cost per client due to economies of scale. 45
SUBSTANCE ABUSE SERVICES
Section 2
Intervention Figure 2.3. Number of youth served in substance abuse intervention programs per year 100,000 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 0 26,519 58,903 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
Note:
Improvements to reporting in CMBHS, such as the automated calculation of clients served in the HIV Early Intervention (HEI) program, should continue to cause the numbers served to increase. 46
SUBSTANCE ABUSE SERVICES
Section 2
Intervention Figure 2.4. Cost per youth for substance abuse intervention programs per year $200 $150 $100 $50 $127 $55
Note:
Improvements to reporting in CMBHS, such as the automated calculation of clients served in the HIV Early Intervention (HEI) program, should continue to cause the numbers served to increase, thereby reducing the cost per client due to economies of scale.
$0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
47
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.1. Number of adults served in substance abuse treatment programs per year 60,000 50,000 40,000 30,000 20,000 10,000 0 31,627 31,206 FY2011 FY2012 FY2013 FY2014
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 48
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.2. Cost per adult completing substance abuse treatment programs per year $4,000 $3,000 $2,000 $1,617 $1,582 $1,000 $0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
49
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year 40,000
Outpatient Residential
30,000 20,000 10,000 15,899 10,574 16,845 10,853 0 FY2011 FY2012 FY2013
Source:
DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2014
50
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year 20,000
Alcohol Cocaine Marijuana Metham phetam ine Opioid Other
15,000 10,000 5,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
51
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.5. Percentage of adults completing substance abuse treatment programs per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 56% 53% FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
FY2013 FY2014
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 52
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 89% 89% FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
FY2013 FY2014 (86%) FY2013 Target
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 53
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment at follow-up per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 52% 56% FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
FY2013 FY2014 (63%) FY2013 Target
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 54
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.8. Percentage of adults completing substance abuse treatment programs not re-arrested per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 100% 100% (98%) FY2013 Target FY2011 FY2012 FY2013 FY2014
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 55
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.9. Number of youth served in substance abuse treatment programs per year 10,000 8,000 6,000 4,000 5,418 4,886 2,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
56
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.10. Cost per youth completing substance abuse treatment programs per year $6,000 $5,000 $4,000 $3,000 $3,713 $3,645 $2,000 $1,000 $0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
57
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.11. Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year 8,000
Outpatient Residential
6,000 3,943 4,000 3,217 2,022 1,945 2,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
58
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.12. Number of youth admissions to substance abuse treatment programs by primary substance per year 8,000
Alcohol Cocaine Marijuana Methamphetamine Opioid Other
6,000 4,000 2,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
59
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.13. Number of youth by criminal justice status admitted to substance abuse treatment programs per year No Criminal Justice Criminal Justice 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 4,305 1,005 4,470 1,053 4,905 1,113 4,803 949 4,873 987 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013
Source:
DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 60
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.14. Percentage of youth completing substance abuse treatment programs per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 54% 52% FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
61
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at follow-up per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 89% 89% FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
FY2013 FY2014 (85%) FY2013 Target
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 62
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.16. Percentage of youth completing substance abuse treatment programs with positive school status at follow-up per year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 83% 77% (93%) FY2013 Target FY2011 FY2012 FY2013 FY2014
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 63
SUBSTANCE ABUSE SERVICES
Section 3
Treatment Figure 3.17. Percentage of youth completing substance abuse treatment programs not re-arrested per year 99% 99% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% (96%) FY2013 Target FY2011 FY2012 FY2013 FY2014
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 64
SUBSTANCE ABUSE SERVICES
Section 4
Co-Occurring Psychiatric and Substance Use Disorders (COPSD) Figure 4.1. Number of COPSD clients served in substance abuse programs per year 10,000 8,000 6,757 6,189 6,000 4,000 2,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
65
SUBSTANCE ABUSE SERVICES
Section 5
Specialized Female Programs Figure 5.1. Number of females served in substance abuse specialized female programs per year 10,000 8,000 6,246 5,778 6,000 4,000 2,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
66
SUBSTANCE ABUSE SERVICES
Section 5
Specialized Female Programs Figure 5.2. Cost per female served in substance abuse specialized female programs per year $10,000 $8,000 $6,000 $4,474 $4,309 $4,000 $2,000 $0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
67
SUBSTANCE ABUSE SERVICES
Section 5
Specialized Female Programs Figure 5.3. Cost per female completing substance abuse specialized female programs per year $10,000 $8,000 $6,000 $5,940 $5,972 $4,000 $2,000 $0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
68
SUBSTANCE ABUSE SERVICES
Section 5
Specialized Female Programs Figure 5.4. Percentage of females completing substance abuse specialized female programs per year 100% 90% 80% 70% 60% 50% 40% 30% 50% 50% 20% 10% 0% FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
FY2013 FY2014
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 69
SUBSTANCE ABUSE SERVICES
Section 6
Waiting List Figure 6.1. Number of adults entered on waiting list by substance abuse program per year 10,000
COPSD Detox Methadone Outpatient Residential
8,000 6,000 4,000 2,000 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
70
SUBSTANCE ABUSE SERVICES
Section 6
Waiting List Figure 6.2. Number of youth entered on waiting list by substance abuse program per year 800
COPSD Detox Residential Outpatient Methadone
600 400 200 0 FY2011 FY2012
Source:
DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY2013 FY2014
71
NORTHSTAR
Section 1
Persons Served
Figure 1.1.
Figure 1.2.
Figure 1.3.
Figure 1.4.
Quarterly Medicaid vs. indigent persons served Quarterly persons served by age group Quarter persons served by gender Quarterly person served by ethnicity
Section 2
Monthly Medicaid Enrollment
Figure 2.1.
Average monthly Medicaid enrollment
Section 3
Resiliency & Disease Management (RDM)
Figure 3.1.
Figure 3.2.
Unduplicated quarterly adult authorized Service Package (SP) trend Unduplicated quarterly child authorized Service Package (SP) trend
Page
72 73 74 75 76 77 78 DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 72
NORTHSTAR
Section 1
Persons Served Figure 1.1. Quarterly Medicaid vs. Indigent persons served 30,000 25,000 20,000 15,000 10,000 5,000
Medicaid Indigent
0 FY 20 10 Q ua rte r 1 FY 20 10 Q ua rte r 2 FY 20 10 Q ua rte r 3 FY 20 10 Q ua rte r 4 FY 20 11 Q ua rte r 1 FY 20 11 Q ua rte r 2 FY 20 11 Q ua rte r 3 FY 20 11 Q ua rte r 4 FY 20 12 Q ua rte r 1 FY 20 12 Q ua rte r 2 FY 20 12 Q ua rte r 3 FY 20 12 Q ua rte r 4
Source:
DSHS NorthSTAR Data Warehouse.
Note:
NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 73
NORTHSTAR
Section 1
Persons Served Figure 1.2. Quarterly persons served by age group 35,000 30,000 25,000 20,000 15,000 10,000 5,000
Child 0-20 Years Adult 21-64 Years 65+ Years
0 FY 20 10 Q ua rte r 1 FY 20 10 Q ua rte r 2 FY 20 10 Q ua rte r 3 FY 20 10 Q ua rte r 4 FY 20 11 Q ua rte r 1 FY 20 11 Q ua rte r 2 FY 20 11 Q ua rte r 3 FY 20 11 Q ua rte r 4 FY 20 12 Q ua rte r 1 FY 20 12 Q ua rte r 2 FY 20 12 Q ua rte r 3 FY 20 12 Q ua rte r 4
Source:
DSHS NorthSTAR Data Warehouse.
Note:
NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 74
NORTHSTAR
Section 1
Persons Served Figure 1.3. Quarterly persons served by gender 30,000
Female Male
25,000 20,000 15,000 10,000 5,000 0 FY 20 10 Q ua rte r 1 FY 20 10 Q ua rte r 2 FY 20 10 Q ua rte r 3 FY 20 10 Q ua rte r 4 FY 20 11 Q ua rte r 1 FY 20 11 Q ua rte r 2 FY 20 11 Q ua rte r 3 FY 20 11 Q ua rte FY r4 20 12 Q ua rte r 1 FY 20 12 Q ua rte r 2 FY 20 12 Q ua rte r 3 FY 20 12 Q ua rte r 4
Source:
DSHS NorthSTAR Data Warehouse.
Note:
NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 75
NORTHSTAR
Section 1
Persons Served Figure 1.4. Quarterly persons served by ethnicity 20,000 18,779 18,179 18,226 17,784 17,381 16,762 16,525 16,050 15,651 15,142 15,408 14,379 15,000 13,365 13,535 18,471 17,666 15,671 15,101 16,849 13,901 18,221 18,044 15,317 15,233 10,000 5,000 6,867 7,034 7,745 7,336 8,041 8,035 8,572 8,203 8,239 7,945 8,726 8,438
Black (Not Hispanic) Hispanic White and Other Unknown
638 574 644 613 581 559 556 551 487 438 475 473 0 FY2 01 0 Q ua rte r 1 FY2 01 0 Q ua rte r 2 FY2 01 0 Q ua rte r 3 FY2 01 0 Q ua rte r 4 FY2 01 1 Q ua rte r 1 FY2 01 1 Q ua rte r 2 FY2 01 1 Q ua rte r 3 FY2 01 1 Q ua rte r4 FY2 01 2 Q ua rte r 1 FY2 01 2 Q ua rte r 2 FY2 01 2 Q ua rte r 3 FY2 01 2 Q ua rte r 4
Source:
DSHS NorthSTAR Data Warehouse.
Note:
NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 76
NORTHSTAR
Section 2
Monthly Medicaid Enrollment Figure 2.1. Average monthly Medicaid enrollment 500,000
Individual SSI Families & Children
400,000 300,000 200,000 100,000 0 FY2 01 0 Q ua rte r 1 FY2 01 0 Q ua rte r 2 FY2 01 0 Q ua rte r 3 FY2 01 0 Q ua rte r 4 FY2 01 1 Q ua rte r 1 FY2 01 1 Q ua rte r 2 FY2 01 1 Q ua rte r 3 FY2 01 1 Q ua rte r4 FY2 01 2 Q ua rte r 1 FY2 01 2 Q ua rte r 2 FY2 01 2 Q ua rte r 3 FY2 01 2 Q ua rte r 4
Source:
DSHS NorthSTAR Data Warehouse.
Note:
NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 77
NORTHSTAR
Section 3
Resiliency & Disease Management (RDM) Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend 25,000
SP1 SP2 SP3 SP4
20,000 15,000 10,000 5,000 0 FY 20 10 Q ua rt er 1 FY 20 10 Q ua rt er 2 FY 20 10 Q ua rt er FY 3 20 10 Q ua rt er 4 FY 20 11 Q ua rt er 1 FY 20 11 Q ua rt er 2 FY 20 11 Q ua rt er 3 FY 20 11 Q ua rt er FY 4 20 12 Q ua rt er FY 1 20 12 Q ua rt er 2 FY 20 12 Q ua rt er 3 FY 20 12 Q ua rt er 4
Source:
DSHS NorthSTAR Data Warehouse.
Note:
NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 78
NORTHSTAR
Section 3
Resiliency & Disease Management (RDM) Figure 3.2. Unduplicated quarterly child authorized Service Package (SP) Trend 7,000
SP1.1
SP1.2
SP2.1
SP2.2
SP2.3
SP2.4
SP3 SP4
6,000 5,000 4,000 3,000 2,000 1,000 0 FY2 01 0 Q u ar te r 1 FY2 01 0 Q u ar te r 2 FY2 01 0 Q u ar te r 3 FY2 01 0 Q u ar te r 4 FY2 01 1 Q u ar te r 1 FY2 01 1 Q u ar te r 2 FY2 01 1 Q u ar te r 3 FY2 01 1 Q u ar te r 4 FY2 01 2 Q u ar te r1 FY2 01 2 Q u ar te r 2 FY2 01 2 Q u ar te r 3 FY2 01 2 Q u ar te r 4
Source:
DSHS NorthSTAR Data Warehouse.
Note:
NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013 79