Annual Outcomes Report FY 2006-2007 Topher Hansen, JD, Executive Director Rick Thomas, PhD, Clinical Director Christine McCollister, Director MIS 1

The mission of CenterPointe is to help people with substance use and mental health disorders lead healthier, more productive Lives

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Gender of Persons Served

Outpatient 230 176 Residential 165 130 0% 20% Males 40% 60% 80% Females 100%

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Race and Ethnicity of Persons Served

Day Rehab Community Support Outpatient Tx 34 217 156 1 6 4 3 37 21 4 9 1 9 4 All Residential 246 5 17 15 12 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Euro-American Latino/Hispanic African-American Native-American Multi or Bi-Ethnicity

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Co-Occurring Diagnoses of Persons Served

Mental Health Diagnoses

 30% with Schizophrenia or related thought disorders   40% Depressive Disorders 20% PTSD and Anxiety Disorders  10% Other Mental Health Disorders

Substance Diagnoses

   40-50% Alcohol Dependence 25% Methamphetamine 20% Cocaine, Marijuana and other substances including Rx Drugs 5

CenterPointe Outcomes Management

Report Outcomes

Consumers, Staff Community

Plan and Deliver Services

•Goals for person’s served

Establish Improvement Plans Measure and Compare Performance

•Effectiveness •Efficiency •Satisfaction •Access to services 6

Goals for Persons Served

 To reduce or eliminate substance use  To improve management of the symptoms of mental illness  To live in the community as independently as possible  To engage in a long term program of recovery 7

In Their Own Words….

             Self supporting Not needing CenterPointe services as much Go back to school Alive Mental health being stable More pleasure out of daily life Energetic Everyday life, get back on track, daily focus Give back Improved mental health ** Drug free Live like other people Have a job 8

Indicators of Effectiveness: Consumer Outcomes        Amount, types and frequency of drugs or alcohol used Medications taken as prescribed “most of the time” Reduced utilization of crisis centers, detox units, hospitals and jails Engages in services that support long term recovery Brief Symptom Inventory global functioning score Legal Involvement after services Housing, as appropriate for the individual 9

Living Situations

Appropriate

 A rented home or apartment in the community    In transitional/supportive housing At supervised living facilities like nursing homes, boarding facilities or OUR Home With family and friends on a permanent basis

Not Appropriate

 Facing Eviction  Regional Center, Hospitals or Crisis Centers     Treatment Centers Jail With family and friends on a

temporary

basis Homeless shelter or on the street 10

Community Support Consumers: Living Situation

Baseline At Admission 79 24 At Discharge 45 14 0% 20% Appropriate 40% 60% 80% Not Appropriate 100%

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Outpatient Consumers: Detoxification Level of Care

Day Rehabilitation n=43 39 4 Community Support n=240 224 16 0% 20% Not Admitted to Detox 40% 60% 80% Detox 100%

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Outpatient Treatment: Higher Levels of Care [ HLOC ]

HLOC Rates 204 36 63 24 0% No HLOC 20% Hospital 40% Crisis Center 60% 80% Regional Ctr 100% Jail

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Outpatient Substance Use During Services

At Admission 52% 12% 36% During Services 58% 28% 14% At Discharge No Use 0% 60% 20% 40% 1-3X Month 20% 20% 60% 80% More Use 100%

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Outpatient Consumers: Taking Medications as Prescribed

Community Support Day Rehabilitation 176 38 66 5 Outpatient Treatment 59 20 0% 20% Taking Rx as prescribed 40% 60% 80% 100% Not Taking Rx as prescribed

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Residential Consumers: Substance Use Past 4 Wks 3 Months Post Discharge

Touchstone 105 45 Adult Residential 14 8 Youth Residential 0% 20% No Use Past 4 weeks 40% 20 1 60% 80% Relapsing 100%

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Residential Consumers: Engaged in Services Post Discharge

Touchstone 112 38 Adult Residential 11 11 Youth Residential 0% Engaged 20% 18 40% 3 60% 80% Not Engaged 100%

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Residential Completion Rates

Touchstone 134 52 Adult Residential 21 14 7 Youth Residential 0% 20% Completed/Transferred 32 40% AWOL 60% 16 6 80% Other 100%

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Residential Utilization

Youth Residential 101% 12 Beds Adult Residential 96% 15 Beds 4380 5267 42 208 Touchstone 16 Beds 122% 5840 1289 0 Days Utilized 1000 2000 3000 4000 5000 6000 7000 8000 Days Over Capacity Days Under Capacity

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Outpatient Utilization

Community Support Group Therapy Individual Outpatient Counseling 0% 1404 2179 468 221 20% 2236 40% Units 60% 80% 104 100%

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Cost of Services by Unit

$450.00

$400.00

$350.00

$300.00

$250.00

$200.00

$150.00

$100.00

$50.00

$0.00

1 Unit = 1 Month 1 Unit = 5 hr day 1 Unit =15 Mins 1 Unit = 1 Hour 1 Unit = 1 Day 1 Unit = 1 Hour

CS SA 06 CS SA 07 CS MH 06 CS MH 07 DR MH 06 DR MH 07 MM MH 06 MM MH 07 OP MH 06 OP MH 07 OP SA 06 OP SA 07 AR 06 AR 07 YR 06 YR 07 Y OP SA 06 Y OP SA 07 Reimbursement Un Reimbursed

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Outpatient Average Units Provided

•

Community Support:

7.9 of months of contact per consumer average (2179 Monthly Units / 274 People) •

Outpatient Treatment:

14 individual sessions per consumer average ( 2236 Sessions / 158 People ) 10.9 group sessions provided per consumer average (1404 Group Sessions / 128 People) 22

Outpatient Consumer Satisfaction

n=113

I am committed to my goals for treatment I am satisfied with treatment services 107 105 6 6 I recommend CenterPointe 108 3 I am treated with dignity and respect Agree 108 4 Unsure 0% 20% 40% Disagree 60% 80% 100% No Ans

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In Their Own Words….

•

“I’m just glad that there is a place that people with not that much money can go, or come for help.”

•

“Over the years, its been extremely beneficial and helpful in providing services for my recovery.”

•

“Without CenterPointe, I would be dead.”

•

“I really appreciate all the help CenterPointe has always given me. I am very grateful.”

•

“ All staff I have met at CenterPointe are very pleasant and courteous with a special thank you to R.W. and A.C.”

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Residential Consumer Satisfaction

I recommend this program I am committed to my goals for treatment I am satisfied with my counselor My Counselor has a good Understanding of my needs I am Making Good Progress Agree 45 52 52 49 49 n=59 9 5 3 4 4 1 1 8 0 1 10 0 0% Unsure 20% 40% Disagree 60% 80% 100% No Ans

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In Their Own Words….

     “

CenterPointe services have turned my life completely around for the better, CenterPointe is excellent. Thank you.” “I truly believe CenterPointe helped me and probably helped saving my life. Because before I came to CenterPointe I did not have a life and did not care if I lived or not.” “In the 4 days I have been here I have made more progress than 9 months in the Halfway House.” “This program has helped me so much. Everyone seems to be really understanding.” I think this is a good program and it not only helps me with my addiction, but my mental health issues I haven't addressed before.

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Access to Services *PIER Program not included

Referral Outcomes – Persons Referred

Admitted Deceased Incarcerated Ineligible Can Not Locate No Show Declined Admit Other Referred Elsewhere Other CP program Treatment Elsewhere

TOTAL REFERRED

04-05 371

1 28 66 232 32

98

7 7 14 102

958 05-06 500

0 30 63 226 26

115

7 9 13 123

1,112 06-07 474

0 34 35 230 25

136

6 5 8 136

1,091

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Access to Services

 Overall Referrals are -21 from previous year  Recording and data anomalies may account for these  Admits -26 from previous year   Outpatient Treatment (-18) accounts for majority Other programs stable or increased admissions 28

Access to Services

Program Outpatient Treatment Community Support Admissions 04-05

11.4 weeks 7.8 weeks

Admissions 05-06

8.1 weeks 5.6 weeks

Day Rehabilitation PIER – ACT Youth Residential Adult Residential Touchstone

5.3 weeks NA 1.8 weeks 19.3 weeks 5.4 weeks 5.8 weeks 7.7 weeks 2.3 weeks 17.6 weeks 4.3 weeks

Admissions 06-07

14.0 weeks 5.9 weeks 21.5 weeks 7.4 weeks 1.8 weeks 18.8 weeks 5.1 weeks 29

Thank you for your support of CenterPointe!

Please feel welcome to contact us at 475-8717 for more information. 30