Behavioral Health DATA BOOK A quarterly reference to community mental health and substance abuse services Fiscal Year 2015 Quarter 1 March 10, 2015 http://www.dshs.state.tx.us/mhsa/databook/
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Behavioral Health DATA BOOK A quarterly reference to community mental health and substance abuse services Fiscal Year 2015 Quarter 1 March 10, 2015 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. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 2 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Page Figure 1.1. Average monthly number of adults receiving community mental health services 5 Figure 1.2. Average monthly cost per adult receiving community mental health services 6 Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized 7 Figure 1.4. Average monthly percentage of adults in community mental health services receiving average number of recommended service hours 8 Figure 1.5. Percentage of adults in community mental health services with effective crisis response 9 Figure 1.6. Percentage of adults in community mental health services had frequent admissions in 180 days to a state or community psychiatric hospital 10 Figure 1.7. Percentage of adults in community mental health services with improved employment per year 11 Figure 1.8. Percentage of adults in community mental health services with improved housing per year 12 Figure 1.9. Percentage of adults in community mental health services with improved community tenure per year 13 Figure 1.10. Percentage of adults in community mental health services with improved reliable improvement in at least one domain 14 Figure 1.11. Percentage of adults in community mental health services with at least one Mental Health (MH) Hourly Services se per month 15 Figure 1.12. Number of persons assigned to Supported Employment 16 Figure 1.13. Number of persons assigned to Supported Housing 17 Section 2 Page Children Figure 2.1. Average monthly number of children receiving community mental health services 18 Figure 2.2. Average monthly cost per child receiving community mental health services 19 Figure 2.3. Average monthly percentage of children in community mental health services appropriately-authorized 20 Figure 2.4. Average monthly percentage of children in community mental health services receiving average number of recommended service hours 21 Figure 2.5. Percentage of children in community mental health services avoiding re-arrest per year 22 Figure 2.6. Percentage of children in community mental health services with improved community tenure 23 Figure 2.7. Percentage of children in community mental health services meeting or exceeding the Reliable Change Index (RCI) in one or more domains 24 Figure 2.8. Percentage of children in community mental health services with at least one Mental Health (MH) Hourly Services se per month 25 DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 3 COMMUNITY MENTAL HEALTH SERVICES (continued) Section 3 Front Door Crisis Page Figure 3.1. Average monthly number of persons receiving community mental health front-door crisis services 26 Figure 3.2. Average monthly cost per person receiving community mental health front-door crisis services 27 Section 4 Page New Generation Medication Figure 4.1. Average monthly number of persons receiving new generation medication 28 Figure 4.2. Average monthly cost per person receiving new generation medication 29 Section 5 Page Waiting List Figure 5.1. Number of adults on waiting list for community mental health services with percentage waiting for all services 30 Figure 5.2. Number of children on waiting list for community mental health services with percentage waiting for all services 31 Section 6 Page Pay for Performance Figure 6.1. Average monthly estimated percentage of DSHS General Revenue earned by community mental health centers DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 4 32 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 78,245 77,040 77,592 77,873 78,519 77,913 78,884 79,611 FY12 Q1 Q2 Q3 Q4 FY13 Q1 Q2 Q3 Q4 82,862 86,434 88,734 90,658 92,578 Q3 Q4 FY15 Q1 60,000 40,000 20,000 0 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 5 FY14 Q1 Q2 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 $368 $361 $368 $366 $359 $351 $361 $352 FY12 Q1 Q2 Q3 Q4 FY13 Q1 Q2 Q3 Q4 $391 $405 FY14 Q1 Q2 $424 $422 $427 Q3 Q4 FY15 Q1 $300 $200 $100 $0 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 6 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized 100% 91% 91% 91% 91% 91% 91% 91% 90% 90% 85% 85% 86% 87% 87% 80% 70% (≥ 𝟗𝟓%) FY2015 Performance Contract Target 60% 50% 40% 30% 20% 10% 0% FY12 Q1 Q2 Q3 Q4 FY13 Q1 Q2 Q3 Q4 FY14 Q1 Q2 Q3 Q4 FY15 Q1 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 7 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.4. Average monthly percentage of adults in community mental health services receiving average number of recommended service hours 14 12 10.2 10.1 10 Standard 1S (1.3) 8 2 (3.25) 3 (5.87) 6 5.2 5.1 4 (10) 4 2.6 2.5 2 1.3 1.2 0 FY14 Q1/Q2 Q3/Q4 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Average Hours. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 8 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.5. Percentage of adults in community mental health services effective crisis response 100% 90% 85.9% 84.1% 87.4% 86.5% 87.3% 80% (≥75.1%) FY2015 Performance Contract Target 70% 60% 50% 40% 30% 20% 10% 0% FY14 Q1 Q2 Q3 Q4 FY15 Q1 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Effective Crisis Response. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 9 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.6. 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% 0.8% (≤0.3%) FY2015 Performance Contract Target 0.6% 0.4% 0.2% 0.15% 0.12% 0.07% 0.09% 0.09% Q4 FY15 Q1 0.0% FY14 Q1 Q2 Q3 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW). PM Frequent Admission. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 10 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.7. Percentage of adults in community mental health services with improved employment per year 30% 20% 16.6% 17.4% 17.7% 18.2% 15.3% (≥9.8%) FY2015 Performance Contract Target 10% 0% FY14 Q1 Q4 Q2 Q3 FY15 Q1 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Employment. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 11 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.8. Percentage of adults in community mental health services with improved housing per year 100% 90% 96.0% 96.3% 96.6% 96.6% FY14 Q1 Q2 Q3 Q4 96.5% 80% (≥96.6%) FY2015 Performance Contract Target 70% 60% 50% 40% 30% 20% 10% 0% FY15 Q1 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Housing. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 12 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.9. Percentage of adults in community mental health services with improved community tenure per year 100% 99.1% 99.6% 99.1% 99.1% 99.3% 90% 80% (≥96.4%) 70% FY2015 Performance Contract 60% Target 50% 40% 30% 20% 10% 0% FY14 Q1 Q2 Q3 Q4 FY15 Q1 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Community Tenure. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 13 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.10. Percentage of adults in community mental health services with reliable improvement in at least one domain per year 100% 90% 80% 70% 60% 50% 47.9% 46.0% 40% 30% (≥20.0%) FY2015 Performance Contract Target 20% 10% 0% FY14 Q1/Q2 Q3/Q4 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM AMH Improvement. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 14 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.11. Percentage of adults in community mental health services with at least one mental health hourly services per month 100% 90% 80% 70% 60% 58.4% 61.0% 60.7% 59.2% 56.9% 50% 40% (54.1%) FY2015 Performance Contract Target 30% 20% 10% 0% FY14 Q1 Q2 Q3 Q4 FY15 Q1 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Engagement Measure. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 15 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.12. Percentage of adults assigned to supported employment 30% 20% 10% 1.8% 1.9% 2.5% 2.6% 2.7% FY14 Q1 Q2 Q3 Q4 FY15 Q1 (3.0%) FY2015 Performance Contract Target 0% Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM AMH Supported Employment Target. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 16 COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Figure 1.13. Percentage of adults assigned to supported housing 30% 20% 10% 2.7% 2.9% FY14 Q1 Q2 3.9% 4.0% 4.1% Q3 Q4 FY15 Q1 (3.0%) FY2015 Performance Contract Target 0% Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM AMH Supported Housing Target. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 17 COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Figure 2.1. Average monthly number of children receiving community mental health services 25,000 20,000 17,784 17,858 FY12 Q1 Q2 18,341 17,628 17,710 17,978 Q4 FY13 Q1 Q2 17,878 18,280 18,684 17,546 Q3 Q4 FY14 Q1 Q2 20,115 20,240 Q3 Q4 21,043 15,000 10,000 5,000 0 Q3 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 18 FY15 Q1 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 $437 $348 $341 $352 FY12 Q1 Q2 Q3 $383 $379 Q4 FY13 Q1 $364 $378 $383 Q2 Q3 Q4 $420 $441 $441 $442 Q3 Q4 FY15 Q1 $300 $200 $100 $0 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 19 FY14 Q1 Q2 COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Figure 2.3. Average monthly percentage of children in community mental health services appropriately authorized 100% 93% 92% 91% 92% 93% 93% 93% 93% 93% 93% 92% 92% 92% Q4 FY14 Q1 93% 92% 94% 87% 90% 80% (≥ 𝟗𝟓%) FY2015 Performance Contract Target 70% 60% 50% 40% 30% 20% 10% 0% FY11 Q1 Q2 Q3 Q4 FY12 Q1 Q2 Q3 Q4 FY13 Q1 Q2 Q3 Q2 Q3 Q4 FY15 Q1 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 20 COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Figure 2.4. Average monthly percentage of children in community mental health services receiving average number of recommended service hours 10 8 Standard 6.1 6 1 (0.5) 6 2 (3.0) 3 (5.0) 4 2.9 2.8 4 (7.5) 3.5 3.4 2.6 2.5 YC (3.5) 2 0.9 0.8 0 FY14 Q1/Q2 Q3/Q4 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Average Hours. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 21 COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Figure 2.5. Percentage of children in community mental health services with avoiding re-arrest 100% 99% 99% 90% 80% (95.0%) FY2015 Performance Contract Target 70% 60% 50% 40% 30% 20% 10% 0% FY14 Q1/Q2 Q3/Q4 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM CMH Juvenile Justice Avoidance. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 22 COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Figure 2.6. Percentage of children in community mental health services with improved community tenure per year 100% 99.5% 99.7% 99% 100% 100% FY14 Q1 FY14 Q2 FY14 Q3 FY14 Q4 FY15 Q1 90% 80% (≥98.1%) FY2015 Performance Contract Target 70% 60% 50% 40% 30% 20% 10% 0% Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Community Tenure. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 23 COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Figure 2.7. Percentage of children in community mental health services with meeting or exceeding the Reliable Change Index in one or more domains 100% 90% 80% 70% 60% 65.8% 59.4% 50% 40% 30% (25.0%) FY2015 Performance Contract Target 20% 10% 0% FY14 Q1/Q2 FY14 Q3/Q4 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM CMH Improvement. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 24 COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Figure 2.8. Percentage of children in community mental health services with at least one mental health hourly services per month 100% 90% 85.0% 83.0% 85.0% 82.8% 83.7% FY14 Q4 FY15 Q1 (≥65%) FY2015 Performance Contract Target 80% 70% 60% 50% 40% 30% 20% 10% 0% FY14 Q1 FY14 Q2 FY14 Q3 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Engagement Measure. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 25 COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis Figure 3.1. Average monthly number of persons receiving mental health crisis services 8,000 7,000 6,000 6,722 5,878 5,688 5,802 5,529 5,192 5,318 5,667 5,743 5,500 5,396 5,000 5,255 5,039 4,882 4,712 4,602 FY14 Q1 Q2 5,209 4,000 3,000 2,000 1,000 0 FY11 Q1 Q2 Q3 Q4 FY12 Q1 Q2 Q3 Q4 FY13 Q1 Q2 Q3 Q4 Q3 Q4 FY15 Q1 Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 83th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 26 COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis Figure 3.2. Average monthly cost per person receiving mental health crisis services $800 $668 $700 $669 $604 $567 $600 $514 $500 $400 $382 $392 $401 $396 $388 $390 $401 $391 Q3 Q4 FY12 Q1 Q2 Q3 Q4 FY13 Q1 $363 $459 $470 $459 Q2 Q3 Q4 $300 $200 $100 $0 FY11 Q1 Q2 FY14 Q1 Q2 Q3 Q4 FY15 Q1 Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 83th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 27 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 21,408 21,078 20,729 20,166 20,000 19,319 20,417 20,165 19,173 18,533 18,082 18,416 18,723 18,466 18,631 18,405 16,904 15,000 10,000 5,000 2,817 0 FY11 Q1 Q2 Q3 Q4 FY12 Q1 Q2 Q3 Q4 FY13 Q1 Q2 Q3 Q4 FY14 Q1 Q2 Q3 Q4 FY15 Q1 Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 83th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST). Note: For FY14 Q2, the transfer of data from CARE to CMBHS was incomplete for persons who had authorizations under RDM. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 28 COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication Figure 4.2. Average monthly cost per person receiving new generation medication $1,200 $1,100 $1,014 $1,000 $900 $800 $700 $600 $500 $400 $288 $300 $200 $134 $150 $132 $140 $159 $164 $168 $128 $154 $146 FY11 Q1 Q2 Q3 Q4 FY12 Q1 Q2 Q3 Q4 FY13 Q1 Q2 $172 $160 $171 Q3 Q4 FY14 Q1 $146 $152 Q4 FY15 Q1 $100 $0 Q2 Q3 Note: For FY14 Q2, the transfer of data from CARE to CMBHS was incomplete for persons who had authorizations under RDM. Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 83th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 29 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 adults on waiting list for community mental health services Percent of adults waiting for all community mental health services 10,000 8,000 100% 72% 71% 71% 70% 80% 68% 69% 67% 68% 68% 68% 65% 62% 61% 61% 60% 6,000 60% 54% 5,893 5,825 5,745 5,618 5,401 5,264 4,838 4,873 4,000 5,161 5,156 4,991 46% 44% 4,751 42% 37% 37% 40% 32% 4,196 27% 3,620 29% 24% 24% 24% 2,901 2,000 20% 1,931 1,132 777 438 306 285 274 332 360 406 440 510 0 0% FY13 09 10 11 12 1 2 3 4 5 6 7 8 FY14 10 09 11 12 1 2 3 4 5 6 7 8 FY15 10 09 11 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Clients Removed from Waiting List Including Discharges. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 30 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 children on waiting list for community mental health services Percent of children waiting for all community mental health services 600 100% 74% 74% 76% 78% 77% 80% 74% 71% 67% 400 69% 65% 63% 63% 63% 60% 49% 40% 200 224 212 215 206 183 191 190 201 202 196 23% 169 17% 150 12% 115 8% 82 42 31 16 0 FY13 09 10 11 12 1 2 3 4 5 6 7 8 FY14 09 10 11 12 1 6% 6% 11 9 2 3 5% 6 4 1% 1 5 2% 2 6 6% 6% 6 5 7 8 4% 3 8 20% 9% 5 0% FY15 09 10 11 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Clients Removed from Waiting List Including Discharges. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 31 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% 58% 57% 58% 57% 57% FY12 Q1 Q2 Q3 Q4 FY13 Q1 55% 58% 56% 57% Q4 FY14 Q1 67% 65% 65% Q3 Q4 FY15 Q1 59% 50% 40% 30% 20% 10% 0% Q2 Q3 Q2 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 ■ FY2015 ■ Quarter 1 ■ March 11, 2015 32 SUBSTANCE ABUSE SERVICES Section 1 Prevention Page Figure 1.1. Number of adults served in substance abuse prevention programs per year 35 Figure 1.2. Cost per adult for substance abuse prevention programs per year 36 Figure 1.3. Number of youth served in substance abuse prevention programs per year 37 Figure 1.4. Cost per youth for substance abuse prevention programs per year 38 Section 2 Intervention Page Figure 2.1. Number of adults served in substance abuse intervention programs per year 39 Figure 2.2. Cost per adult for substance abuse intervention programs per year 40 Figure 2.3. Number of youth served in substance abuse Intervention programs per year 41 Figure 2.4. Cost per youth for substance abuse intervention programs per year 42 Section 3 Treatment Page Figure 3.1. Number of adults served in substance abuse treatment programs per year 43 Figure 3.2. Cost per adult completing substance abuse treatment programs per year 44 Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year 45 Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year 46 Figure 3.5. Percentage of adults completing substance abuse treatment programs per year 47 Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at discharge per year 48 Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment per year 49 Figure 3.8. Percentage of adults completing substance abuse treatment programs not arrested per year 50 Figure 3.9. Number of youth served in substance abuse treatment programs per year 51 Figure 3.10. Cost per youth completing substance abuse treatment programs per year 52 DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 33 SUBSTANCE ABUSE SERVICES (continued) Section 3 Treatment Page Figure 3.11. Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year 53 Figure 3.12. Number of youth admissions to substance abuse treatment programs by primary substance per year 54 Figure 3.13. Number of youth by criminal justice status admitted to substance abuse treatment programs per year 55 Figure 3.14. Percentage of youth completing substance abuse treatment programs per year 56 Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at discharge 57 Figure 3.16. Percentage of youth completing substance abuse treatment programs attending school or vocational training 58 Figure 3.17. Percentage of youth completing substance abuse treatment programs not arrested per year 59 Section 4 Page Co-Occurring Psychiatric and Substance Use Disorders (COPSD) Figure 4.1. Number of COPSD clients served in substance abuse programs per year 60 Section 5 Specialized Female Programs Page Figure 5.1. Number of females served in substance abuse specialized female programs per year 61 Figure 5.2. Cost per female served in substance abuse specialized female programs per year 62 Figure 5.3. Percentage of females completing substance abuse specialized female programs per year 63 Figure 5.4. Cost per females completing substance abuse specialized female programs per year 64 Section 6 Page Waiting List Figure 6.1. Number of adults entered on waiting list by substance abuse program per year 65 Figure 6.2. Number of youth entered on waiting list by substance abuse program per year 66 DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 34 SUBSTANCE ABUSE SERVICES Section 1 Prevention Figure 1.1. Number of adults served in substance abuse prevention programs per year 800,000 Note: New performance 784,257 measures were developed in FY2014 to capture data not reported in previous years, e.g. number of adults attending *AOD prevention presentations and number of adults receiving *ATOD information. 700,000 600,000 492,957 500,000 468,054 468,054 FY11 FY12 400,000 300,000 200,000 100,000 0 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). *AOD: Alcohol and Other Drugs *ATOD: Alcohol,tobacco and other drugs DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 35 FY14 SUBSTANCE ABUSE SERVICES Section 1 Prevention Figure 1.2. Cost per adult for substance abuse prevention programs per year $30 $20 $16 $16 $15 $13 $10 $0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 36 FY14 SUBSTANCE ABUSE SERVICES Section 1 Prevention Figure 1.3. Number of youth served in substance abuse prevention programs per year 2,500,000 2,000,000 1,920,024 1,939,809 FY12 FY13 1,843,263 1,875,143 1,500,000 1,000,000 500,000 0 FY11 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 37 FY14 SUBSTANCE ABUSE SERVICES Section 1 Prevention Figure 1.4. Cost per youth for substance abuse prevention programs per year $30 $20 $14 $14 $13 $13 $10 $0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 38 FY14 SUBSTANCE ABUSE SERVICES Section 2 Intervention Figure 2.1. Number of adults served in substance abuse intervention programs per year 300,000 250,000 Note: In FY2014 only the number of individuals at HIGH risk for HIV vs individuals at risk in FY2013, were included. These changes impacted the counts and caused a decrease in the number of adults served in substance abuse intervention programs. 200,000 167,032 141,299 150,000 123,914 95,896 100,000 50,000 0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 39 FY14 SUBSTANCE ABUSE SERVICES Section 2 Intervention Figure 2.2. Cost per adult for substance abuse intervention programs per year $150 $125 $100 $116 Note: The cost per adult increased as a result of a decrease in the number of adults served in substance abuse intervention programs. $89 $71 $75 $60 $50 $25 $0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 40 FY14 SUBSTANCE ABUSE SERVICES Section 2 Intervention Figure 2.3. Number of youth served in substance abuse intervention programs per year 100,000 Note: Youth were removed from the count of HEI and HIV to keep with program definitions regarding proper primary target groups. These changes resulted in a decrease of youth being served in substance abuse intervention programs. 90,000 80,000 68,977 70,000 58,903 60,000 50,000 40,000 30,000 26,519 16,519 20,000 10,000 0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 41 FY14 SUBSTANCE ABUSE SERVICES Section 2 Intervention Figure 2.4. Cost per youth for substance abuse intervention programs per year $200 $150 $127 $98 $100 $55 $44 $50 $0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 42 FY14 Note: The cost per youth increased as a result of a decrease in the number of youth served in substance abuse intervention programs. 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 31,627 31,206 31,303 FY11 FY12 FY13 32,816 30,000 20,000 10,000 0 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 43 FY14 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 $1,764 $1,617 $1,582 $1,617 FY11 FY12 FY13 $1,000 $0 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 44 FY14 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 15,899 16,845 10,574 10,853 FY11 FY12 16,040 11,562 16,964 12,624 10,000 0 FY13 Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 45 FY14 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 Methamphetamine Opioid Other 15,000 12,925 12,184 12,496 12,015 10,000 9,213 6,125 5,554 5,000 6,022 5,400 3,840 2,628 3,797 3,094 9,738 9,264 9,117 5,614 4,884 4,383 3,531 6,052 5,663 4,755 3,210 0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 46 FY14 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.5. Percentage of adults completing substance abuse treatment programs per year 100% 90% 80% ≥ (42%) 70% 60% SFY 2014 Target 56% 53% 52% 49% 50% 40% 30% 20% 10% 0% FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 47 FY14 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at discharge per year 100% 90% 89% 91% 90% 89% ≥ (45%) FY2014 New Target 80% 70% 60% 50% New Target 40% 30% 20% 10% 0% FY2011 FY2012 FY2013 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 48 FY2014 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment at discharge per year 100% 90% 80% 70% New Target 59% 60% 52% 56% 58% 50% 40% 30% 20% 10% 0% FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 49 FY14 (60%) FY2014 Target SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.8. Percentage of adults completing substance abuse treatment programs not arrested per year 100% 100% 100% 100% 100% New Target 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 50 FY14 ≥ (90%) FY2014 Target 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 5,418 4,886 4,848 4,941 FY12 FY13 FY14 4,000 2,000 0 FY11 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 51 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 $3,713 $3,693 $3,645 $3,246 $3,000 $2,000 $1,000 $0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 52 FY14 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 3,636 3,217 1,945 2,090 2,022 2,000 0 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 53 3,427 2,055 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 5,119 5,035 4,775 4,534 4,000 2,000 252 410 123 41 37 344 245 132 48 41 188 98 383 82 30 476 185 98 88 0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 54 FY14 22 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% 4,305 4,470 4,905 4,803 4,873 4,606 4,300 1,005 1,053 1,113 949 987 1,091 1,170 FY08 FY09 FY10 FY11 FY12 FY13 FY14 50% 40% 30% 20% 10% 0% Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 55 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.14. Percentage of youth completing substance abuse treatment programs per year 100% 90% 80% 70% 60% 54% 52% ≥ (42%) FY2014 Target 52% 50% 44% 40% 30% 20% 10% 0% FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 56 FY14 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at discharge per year 100% 90% 89% 90% 89% 89% 80% 70% 60% New Target 50% 40% 30% 20% 10% 0% FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 57 FY14 ≥ (55%) FY2013 Target SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.16. Percentage of youth completing substance abuse treatment programs attending school or vocational training 100% (35%) FY2014 Target 90% 83% 77% 80% 75% 75% 70% 60% 50% 40% New Target 30% 20% 10% 0% FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 58 FY14 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.17. Percentage of youth completing substance abuse treatment programs not arrested per year 100% 99% 99% 99% 99% 90% New Target 80% 70% 60% 50% 40% 30% 20% 10% 0% FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 59 FY14 ≥ (80%) FY2014 Target 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 6,000 4,241 4,241 4,143 3,919 4,000 2,000 0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 60 FY14 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 6,128 5,778 6,000 5,694 4,000 2,000 0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 61 FY14 SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs Figure 5.2. Cost per female served in substance abuse specialized female programs per year Note: Provider access to Medicaid funds have resulted in a decrease in cost per female served in 2014 $10,000 $8,000 $6,000 $4,474 $4,309 $4,245 $4,000 $2,966 $2,000 $0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 62 FY14 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 6,128 5,778 6,000 5,694 4,000 2,000 0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 63 FY14 SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs Figure 5.3. Percentage of females completing substance abuse specialized female programs per year 100% 90% 80% ≥ (52%) FY2014 Target 70% 60% 50% 50% FY11 FY12 50% 48% 47% FY13 FY14 40% 30% 20% 10% 0% Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 64 SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs Figure 5.4. Cost per female completing substance abuse specialized female programs per year $10,000 $8,000 $5,940 $5,972 $5,866 $6,000 $4,000 $3,099 $2,000 $0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 65 FY14 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 6,553 6,305 6,271 6,000 5,391 4,000 2,635 1,984 1,757 2,000 1,435 1,410 838 341 461 0 710 634 68 304 107 564 94 0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 66 FY14 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 687 Detox Residential Outpatient Methadone 600 412 395 389 400 200 98 66 0 49 2 0 0 0 0 40 0 0 FY11 FY12 FY13 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 67 FY14 NORTHSTAR Section 1 Persons Served Page Figure 1.1. Quarterly Medicaid vs. indigent persons served 68 Figure 1.2. Quarterly persons served by age group 69 Figure 1.3. Quarter persons served by gender 70 Figure 1.4. Quarterly person served by ethnicity 71 Section 2 Page Monthly Medicaid Enrollment Figure 2.1. Average monthly Medicaid enrollment DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 72 68 NORTHSTAR Section 1 Persons Served Figure 1.1. Quarterly Medicaid vs. Indigent persons served 30,000 25,000 23,464 23,455 24,028 23,691 22,251 22,154 23,143 21,963 21,429 21,870 22,012 22,486 20,227 20,000 19,821 20,732 19,537 21,153 20,009 20,178 22,750 22,512 21,213 21,387 19,983 23,964 22,419 20,964 23,026 21,707 21,998 22,651 19,436 15,000 10,000 5,000 Medicaid Indigent 0 FY11 Q1 Q2 Q3 Q4 FY12 Q1 Q2 Q3 Q4 Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 69 FY13 Q1 Q2 Q3 Q4 FY14 Q1 FY14 Q2 FY14 Q3 FY14 Q4 NORTHSTAR Section 1 Persons Served Figure 1.2. Quarterly persons served by age group 35,000 29,737 29,762 30,972 30,496 30,540 30,179 29,203 29,057 28,849 28,599 30,000 29,012 28,788 28,922 28,645 27,999 26,451 25,000 20,000 15,540 15,000 12,789 12,534 13,478 13,602 13,198 12,788 12,965 12,736 14,078 13,952 13,338 14,901 14,306 15,113 15,024 10,000 5,000 Child 0-20 Years Adult 21+ 0 FY11 Q1 Q2 Q3 Q4 FY12 Q1 Q2 Q3 Q4 Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 70 FY13 Q1 Q2 Q3 Q4 FY14 Q1 FY14 Q2 FY14 Q3 FY14 Q4 NORTHSTAR Section 1 Persons Served Figure 1.3. Quarterly persons served by gender 30,000 25,000 21,536 21,644 20,000 22,565 21,876 21,203 21,955 21,584 21,997 20,782 20,602 20,858 22,639 23,843 21,390 20,582 21,018 22,561 22,066 22,813 21,505 20,176 22,593 20,914 22,644 20,288 21,154 21,728 21,278 20,608 21,112 20,748 18,955 15,000 10,000 5,000 Female Male 0 FY11 Q1 Q2 Q3 Q4 FY12 Q1 Q2 Q3 Q4 Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 71 FY13 Q1 Q2 Q3 Q4 FY14 Q1 FY14 Q2 FY14 Q3 FY14 Q4 NORTHSTAR Section 1 Persons Served Figure 1.4. Quarterly persons served by ethnicity 20,000 18,179 18,226 18,779 18,471 18,044 17,967 18,221 17,666 16,050 15,408 15,671 15,000 16,341 15,317 15,101 18,929 17,328 16,849 15,651 18,114 15,233 17,737 18,339 16,416 16,127 15,607 17,838 15,619 18,116 17,762 16,060 15,289 13,901 9,709 10,000 8,041 8,035 8,572 8,203 8,239 8,726 8,438 7,945 8,839 8,885 9,176 9,373 9,217 9,749 9,202 Black (Not Hispanic) Hispanic White and Other Unknown 5,000 581 559 556 551 487 438 475 473 444 455 474 450 409 379 396 363 FY11 Q1 Q2 Q3 Q4 FY12 Q1 Q2 Q3 Q4 FY13 Q1 Q2 Q3 Q4 FY14 Q1 FY14 Q2 FY14 Q3 FY14 Q4 0 Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 72 NORTHSTAR Section 2 Monthly Medicaid Enrollment Figure 2.1. Average monthly Medicaid enrollment 500,000 Individual SSI Families & Children 425,046 422,856 421,674 425,804 415,545 423,365 420,554 423,017 415,439 400,000 396,236 394,901 387,243 393,018 402,174 390,735 397,571 300,000 200,000 100,000 76,730 78,076 78,910 78,508 80,233 81,907 82,049 82,302 84,195 84,957 85,988 86,886 86,842 86,581 84,836 85,145 FY11 Q1 Q2 Q3 Q4 FY12 Q1 Q2 Q3 Q4 FY13 Q1 Q2 Q3 Q4 FY14 Q1 FY14 Q2 FY14 Q3 FY14 Q4 0 Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 73