Transcript Behavioral Health DATA BOOK A quarterly reference to community mental health and substance abuse services Fiscal Year 2010  Quarter 4  October 7, 2010

Behavioral Health
DATA BOOK
A quarterly reference to community mental health and substance abuse services
Fiscal Year 2010

Quarter 4

October 7, 2010
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 Decision Support Unit.
BEGINNING THIS QUARTER:
Data in the Substance Abuse Services
section is presented yearly instead of
quarterly/average monthly. Quarterly/
average monthly data is less
meaningful for trending due to school
calendar fluctuations and other
idiosyncrasies related to DSHS-funded
substance abuse services.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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. Average monthly cost per adult receiving community mental health services
Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized
Figure 1.4. Average monthly percentage of adults in community mental health services receiving minimum number of recommended service hours
Figure 1.5. Percentage of adults in community mental health services receiving first service encounter within 14 days of assessment
Figure 1.6. Percentage of adults in community mental health services avoiding crisis
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
Figure 1.8. Percentage of adults in community mental health services with improved or acceptable functioning per year
Figure 1.9. Percentage of adults in community mental health services with improved or acceptable employment per year
Figure 1.10. Percentage of adults in community mental health services with improved or acceptable housing per year
Figure 1.11. Percentage of adults in community mental health services with improved criminal justice involvement per year
Figure 1.12. Percentage of adults in community mental health services with improved or acceptable co-occurring substance use per year
Figure 1.13. Number of persons assigned to Supported Employment
Figure 1.14. Number of persons assigned to Supported Housing
Section 2

5
6
7
8
9
10
11
12
13
14
15
16
17
18
Children
Figure 2.1. Average monthly number of children receiving community mental health services
Figure 2.2. Average monthly cost per child receiving community mental health services
Figure 2.3. Average monthly percentage of children in community mental health services appropriately-authorized
Figure 2.4. Average monthly percentage of children in community mental health services receiving minimum number of recommended service hours
Figure 2.5. Percentage of children in community mental health services receiving first service encounter within 14 days of assessment
Figure 2.6. Percentage of children in community mental health services avoiding crisis
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
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
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
19
20
21
22
23
24
25
26
27
28
29
30
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
Figure 3.2. Average monthly cost per person receiving community mental health front-door crisis services
Section 4

New Generation Medication
Figure 4.1. Average monthly number of persons receiving new generation medication
Figure 4.2. Average monthly cost per person receiving new generation medication
Section 5


33
34
Waiting List
Figure 5.1. Average monthly number of persons on waiting list for all community mental health services
Figure 5.2. Average monthly number of persons removed from waiting list for community mental health services
Figure 5.3. Average monthly cost per person removed from waiting list for community mental health services
Section 6
31
32
35
36
37
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

FY2010

Quarter 4

October 7, 2010
38
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21
COMMUNITY MENTAL HEALTH SERVICES
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010

Section 1

Adults
Figure 1.1. Average monthly number of adults receiving community mental health
services
120,000
100,000
60,000
40,000
20,000
0
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.
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
$357 $359
$379
$354 $347
$337 $344 $327 $326
$360 $360
$330 $322 $324 $334 $327 $323 $345
$320
$307
$300
$200
$100
$0
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Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget
and Evaluation System of Texas (ABEST).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
6
COMMUNITY MENTAL HEALTH SERVICES

Section 1

Adults
Figure 1.3. Average monthly percentage of adults in community mental health
services appropriately authorized
100%
95% 96% 95% 95% 95% 96% 96% 96%
94% 94% 93% 94% 93%
93% 93% 94% 93% 93% 93% 92%
90%
80%
(90%)
FY2010
Performance
Contract
Target
70%
60%
50%
40%
30%
20%
10%
0%
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r1
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20
20
20
20
20
20
20
20
20
20
20
20
20
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Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2010 Performance
Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
85%
90%
80%
90% 89% 89% 90% 89%
88%
83%
81% 83%
82% 81%
84% 84% 82%
83%
81% 82%
87%
75%
70%
(80%)
FY2010
Performance
Contract
Target
60%
50%
40%
30%
20%
10%
0%
r1
r2
r3
r4
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Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2010
Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
81%
84%
83% 84%
82%
82%
81% 82%
84%
85%
80%
79% 80%
82%
80%
74%
77%
78%
78%
77%
70%
60%
(77%)
FY2010
Performance
Contract
Target
50%
40%
30%
20%
10%
0%
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FY
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see
Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
9
COMMUNITY MENTAL HEALTH SERVICES
Section 1

Adults

Figure 1.6. Percentage of adults in community mental health services avoiding
crisis
98% 98% 98% 98% 98% 98% 98% 98% 98% 98% 97% 98% 98% 98% 98% 97% 98% 98% 97% 97%
100%
90%
(97.7%)
FY2010
Performance
Contract
Target
80%
70%
60%
50%
40%
30%
20%
10%
0%
20
FY
06
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08
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2
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FY
08
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FY
4
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2
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FY
3
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Q
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ua
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20
FY
10
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ua
r1
20
FY
10
Q
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ua
r2
20
FY
10
Q
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20
FY
r3
10
Q
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r4
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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
10%
8%
6%
4%
2%
0.43% 0.40% 0.40% 0.42% 0.44% 0.40% 0.36% 0.36% 0.35% 0.32% 0.26% 0.29% 0.27% 0.25% 0.25% 0.26%
0.22% 0.20% 0.21% 0.19%
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20
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20
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FY
20
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ua
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FY
20
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ua
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20
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FY
20
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ua
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FY
20
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FY
20
07
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ua
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20
06
Q
ua
rte
r2
20
06
Q
ua
FY
20
06
FY
FY
20
06
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0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), DATA BOOK - Percentage of Adults and Children in Full RDM Packages Admitted 3
or More Times in 180 Days to a State or Community Psychiatric Hospital. For methodology, see report query.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
37%
40%
39%
36%
38%
34%
30%
20%
(35% Improved
or Acceptable )
FY2010
Performance
Contract
Target
10%
20
10
FY
20
09
FY
20
08
FY
20
07
FY
FY
20
06
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
12
COMMUNITY MENTAL HEALTH SERVICES

Section 1

Adults
Figure 1.9. Percentage of adults in community mental health services with
improved or acceptable employment per year
100%
90%
80%
85%
83%
81%
84%
74%
70%
(85% Improved
or Acceptable)
FY2010
Performance
Contract
Target
60%
50%
40%
30%
20%
10%
20
10
FY
20
09
FY
20
08
FY
20
07
FY
FY
20
06
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
69%
67%
66%
70%
68%
68%
60%
(69% Improved
or Acceptable)
FY2010
Performance
Contract
Target
50%
40%
30%
20%
10%
20
10
FY
20
09
FY
20
08
FY
20
07
FY
FY
20
06
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
44%
44%
43%
43%
42%
40%
30%
(41% Improved)
FY2010
Performance
Contract
Target
20%
10%
20
10
FY
20
09
FY
20
08
FY
20
07
FY
FY
20
06
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
85%
83%
82%
80%
84%
73%
70%
(84% Improved
or Acceptable)
FY2010
Performance
Contract
Target
60%
50%
40%
30%
20%
10%
20
10
FY
20
09
FY
20
08
FY
20
07
FY
FY
20
06
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
16
COMMUNITY MENTAL HEALTH SERVICES

Section 1

Adults
Figure 1.13. Number of persons assigned to Supported Employment
3,000
2,500
2,000
1,449
1,500
1,341 1,320
1,138
1,265 1,303 1,301
1,116 1,038
882
1,000
872
860
723
793
833
819
777
792
656
762
500
Q
ua
20
rte
06
r2
Q
FY
u
ar
20
te
06
r3
Q
FY
ua
20
rte
07
r4
Q
FY
ua
20
rte
07
r1
Q
FY
ua
20
rte
07
r2
Q
FY
u
ar
20
te
07
r3
Q
FY
u
ar
20
te
08
r4
Q
FY
ua
20
rte
08
r1
Q
FY
ua
20
rte
08
r2
Q
FY
ua
20
rte
08
r3
Q
FY
u
ar
20
te
09
r4
Q
FY
u
ar
20
te
09
r1
Q
FY
ua
20
rte
09
r2
Q
FY
ua
20
rte
09
r3
Q
FY
ua
20
rte
10
r4
Q
FY
u
ar
20
te
10
r1
Q
FY
u
ar
20
te
10
r2
Q
FY
ua
20
rte
10
r3
Q
ua
rte
r4
FY
20
06
FY
FY
20
06
Q
ua
rte
r1
0
Source: DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
17
20
06
FY
Q
20 ua r
te
06
r1
Q
FY
u
20
ar
te
06
r2
Q
FY
20 ua r
te
06
r3
Q
FY
u
20
ar
te
07
r4
Q
FY
u
20
ar
te
07
r1
Q
FY
20 ua r
te
07
r2
Q
FY
u
ar
20
te
07
r3
Q
FY
20 ua r
te
08
r4
Q
FY
u
20
ar
te
08
r1
Q
FY
u
20
ar
te
08
r2
Q
FY
20 ua r
te
08
r3
Q
FY
u
20
ar
te
09
r4
Q
FY
20 ua r
te
09
r1
Q
FY
u
20
ar
te
09
r2
Q
FY
u
20
ar
te
09
r3
Q
FY
20 ua r
te
10
r4
Q
FY
u
20
ar
te
10
r1
Q
FY
20 ua r
te
10
r2
Q
FY
u
20
ar
te
10
r
Q
ua 3
rte
r4
FY
2,000
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

2,
40
4
October 7, 2010
2,
18
7
1,
97
7
1,
98
5
1,
96
2
2,
16
6

2,
13
1
Section 1
2,
06
3
2,
13
7

2,
04
2
2,
02
1
2,
71
2
2,
42
1
2,
20
1
1,
94
5
1,
88
9
1,
94
6
1,
83
4
3,000
2,
37
1
2,500
1,
78
5
COMMUNITY MENTAL HEALTH SERVICES
Adults
Figure 1.14. Number of persons assigned to Supported Housing
4,000
3,500
1,500
1,000
500
0
Source: DSHS Client Assignment Registration (CARE) system.
18
20
06
FY
Q
ua
20
06 rte
r
FY Qu 1
a
20
06 rte
r
FY Qu 2
a
20
06 rte
r
FY Qu 3
a
20
07 rte
r
FY Qu 4
a
20
07 rte
r
FY Qu 1
ar
20
te
07
r
FY Qu 2
ar
20
te
07
r
FY Qu 3
ar
20
te
08
r
FY Qu 4
ar
20
te
08
r
1
FY Q
20 ua
r
te
08
r
FY Qu 2
ar
20
te
08
r
FY Qu 3
a
20
09 rte
r
FY Qu 4
a
20
09 rte
r
FY Qu 1
a
20
09 rte
r
FY Qu 2
a
20
09 rte
r
FY Qu 3
a
20
10 rte
r
FY Qu 4
a
20
10 rte
r
FY Qu 1
a
20
10 rte
r
FY Qu 2
a
20
10 rte
r
Q
3
ua
rt
er
4
FY
20,000
15,000
14
,1
11
14
,7
16
15
,5
99
14
,9
10
14
,7
67
15
,0
73
16
,1
66
15
,6
04
15
,5
88
16
,2
73
17
,0
25
16
,2
54
16
,3
25
16
,7
18
17
,5
68
17
,5
68
17
,3
35
17
,8
41
18
,9
51
18
,3
46
COMMUNITY MENTAL HEALTH SERVICES
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010

Section 2

Children
Figure 2.1. Average monthly number of children receiving community mental
health services
25,000
10,000
5,000
0
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.
19
COMMUNITY MENTAL HEALTH SERVICES

Section 2

Children
Figure 2.2. Average monthly cost per child receiving community mental health
services
$800
$700
$3
97
$3
87
$3
61
$3
61
$4
02
$3
83
$3
72
$4
17
$4
08
$3
69
$400
$4
10
$4
23
$4
37
$4
53
$4
29
$4
48
$4
55
$4
46
$4
46
$500
$4
33
$600
$300
$200
$100
FY
FY
20
06
Q
ua
20
06 rte
r
FY Qu 1
ar
20
te
06
r
2
Q
FY
ua
20
06 rte
r
FY Qu 3
a
20
07 rte
r
FY Qu 4
ar
20
te
07
r
FY Qu 1
a
20
07 rte
r
FY Qu 2
a
20
07 rte
r
FY Qu 3
a
20
rt
08
er
4
Q
FY
u
20 a rt
er
08
1
FY
Q
20 ua
rt
08
er
Q
2
FY
ua
20
08 rte
r
FY Qu 3
ar
20
te
09
r
FY Qu 4
a
20
09 rte
r
FY Qu 1
a
20
09 rte
r
FY Qu 2
a
20
rt
09
er
FY Qu 3
a
20
10 rte
r
FY Qu 4
a
20
10 rte
r
FY Qu 1
ar
20
te
10
r
2
Q
FY
ua
20
10 rte
r
Q
3
ua
rt
er
4
$0
Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget
and Evaluation System of Texas (ABEST).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
20
COMMUNITY MENTAL HEALTH SERVICES

Section 2

Children
Figure 2.3. Average monthly percentage of children in community mental health
services appropriately authorized
100%
91%
93% 93% 93% 93% 94%
94% 94% 94% 94% 93%
92% 93% 93% 92%
94% 94% 93% 93%
93%
90%
80%
(90%)
FY2010
Performance
Contract
Target
70%
60%
50%
40%
30%
20%
10%
Q
ua
FY
rte
20
r1
07
Q
FY
ua
20
rte
07
r2
Q
ua
FY
rte
20
07
r3
Q
FY
ua
rte
20
08
r4
Q
FY
ua
rte
20
08
r1
Q
ua
FY
rte
20
08
r2
Q
FY
ua
rte
20
08
r3
Q
FY
ua
rte
20
09
r4
Q
ua
FY
rte
20
09
r1
Q
FY
ua
rte
20
09
r2
Q
FY
ua
rte
20
09
r3
Q
FY
ua
rte
20
10
r4
Q
ua
FY
rte
20
10
r1
Q
FY
ua
rte
20
10
r2
Q
FY
ua
rte
20
10
r3
Q
ua
rte
r4
rte
r4
FY
20
07
Q
ua
rte
r3
FY
20
06
Q
ua
rte
r2
Q
ua
20
06
FY
20
06
FY
FY
20
06
Q
ua
rte
r1
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2010 Performance
Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
88%
90%
80%
83%
85%
87%
87% 88% 87%
86% 87% 86% 85%
84%
87% 87%
84%
87% 86%
85%
88%
71%
70%
(80%)
FY2010
Performance
Contract
Target
60%
50%
40%
30%
20%
10%
0%
r1
te
r
a
r2
te
r
a
r3
te
r
a
r4
te
r
a
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
te
te
te
te
te
te
te
te
te
te
te
te
te
te
te
te
r
r
r
r
r
r
r
r
r
r
r
r
r
r
r
r
u
u
u
u
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
6
6
6
6
7
7
7
7
8
8
8
8
9
9
9
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2010
Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
82% 83%
85% 84% 84% 86%
82%
84%
78%
82%
85%
78%
80%
80%
76%
78% 78% 79%
76%
73% 73%
70%
60%
(65%)
FY2010
Performance
Contract
Target
50%
40%
30%
20%
10%
0%
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
6
6
6
6
7
7
7
7
8
8
8
8
9
9
9
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see
Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
23
COMMUNITY MENTAL HEALTH SERVICES

Section 2

Children
Figure 2.6. Percentage of children in community mental health services avoiding
crisis
100%
98% 98% 98% 99% 99% 99% 99% 99% 99% 99%
95%
99% 99% 99% 98% 99% 98% 98% 98% 98%
90%
(98.3%)
FY2010
Performance
Contract
Target
80%
70%
60%
50%
40%
30%
20%
10%
0%
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
06
06
06
06
07
07
07
07
08
08
08
08
09
09
09
09
10
10
10
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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
10%
8%
6%
4%
2%
0.08% 0.03% 0.03% 0.08% 0.12% 0.11% 0.11% 0.08% 0.10% 0.07% 0.06% 0.04% 0.04% 0.07% 0.08% 0.04% 0.05% 0.03% 0.02% 0.01%
0%
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r1
r2
r3
r4
r1
r2
r3
r4
r4
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
8
6
6
6
6
7
7
7
7
8
8
8
9
9
9
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
0
0
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), DATA BOOK - Percentage of Adults and Children in Full RDM Packages Admitted 3
or More Times in 180 Days to a State or Community Psychiatric Hospital. For methodology, see report query.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
38%
38%
37%
37%
38%
30%
(35% Improved
or Acceptable)
FY2010
Performance
Contract
Target
20%
10%
0%
06
20
Y
F
07
20
Y
F
08
20
Y
F
09
20
Y
F
10
20
Y
F
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
41%
42%
42%
40%
41%
40%
30%
20%
(39% Improved
or Acceptable)
FY2010
Performance
Contract
Target
10%
20
10
FY
20
09
FY
20
08
FY
20
07
FY
FY
20
06
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
69%
70%
68%
65%
64%
68%
60%
(68% Improved)
FY2010
Performance
Contract
Target
50%
40%
30%
20%
10%
20
10
FY
20
09
FY
20
08
FY
20
07
FY
FY
20
06
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
93%
93%
92%
90%
90%
90%
80%
(91%)
FY2010
Performance
Contract
Target
70%
60%
50%
40%
30%
20%
10%
20
10
FY
20
09
FY
20
08
FY
20
07
FY
FY
20
06
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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%
84%
80%
81%
80%
79%
79%
(84% Improved or
Acceptable)
Performance
Contract Target
70%
60%
50%
40%
30%
20%
10%
0%
06
20
Y
F
07
20
Y
F
08
20
Y
F
09
20
Y
F
10
20
Y
F
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2010 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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
5,851
6,000
5,384
5,265
5,217
5,000
5,689
5,056
4,305 4,399
3,985 4,047
4,000
2,885
3,000
2,442 2,548 2,433 2,381
2,609 2,692
2,859
1,997 1,868
2,000
1,000
FY
FY
20
06
Q
ua
20
rt
06
er
1
Q
FY
ua
20
06 rte
r
2
FY Qu
ar
20
te
06
r
3
FY Qu
ar
20
te
07
r
4
FY Qu
ar
20
te
07
r
1
FY Qu
ar
20
te
07
r
2
FY Qu
ar
20
te
07
r
3
FY Qu
a
20
rt
08
er
4
FY Qu
ar
20
te
08
r
Q
1
FY
ua
20
rt
08
er
2
Q
FY
ua
20
08 rte
r
3
FY Qu
ar
20
te
09
r
4
FY Qu
ar
20
te
09
r
1
FY Qu
ar
20
te
09
r
2
FY Qu
ar
20
te
09
r
3
FY Qu
ar
20
te
10
r
4
FY Qu
ar
20
te
10
r
1
FY Qu
ar
20
te
10
r
2
FY Qu
a
20
rt
10
er
3
Q
ua
rt
er
4
0
Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget
and Evaluation System of Texas (ABEST).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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
$503
$450
$436 $434
$410 $406 $400
$385 $378
$340
$400
$282
$300
$161 $170
$200
$194 $195 $207
$250 $244
$230 $238
$100
$0
r 1 er 2 er 3 er 4 er 1 er 2 er 3 er 4 er 1 er 2 er 3 er 4 er 1 er 2 er 3 er 4 er 1 er 2 er 3 er 4
te
r
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
rt
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
6
6
6
6
7
7
7
7
8
8
8
8
9
9
9
9
0
0
0
0
00 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 201 201 201 201
2
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
Notes: Starting in FY2008
Q3, the number of persons
receiving free new
generation medication and
those partially paid for by
Medicare Part D were
included in this
computation. The
expenditures remained the
same, thereby decreasing
the average monthly cost of
new generation medication
per person. This
performance reflects the
efforts to efficiently provide
new generation medication.
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, 79th Regular Session, Performance Reporting, Automated Budget
and Evaluation System of Texas (ABEST).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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
5
0
,85
,21
19
19
17
9
,17
6
18
3
0
,12 20
75 9 ,2
9
3
9
2
0
,
1
9
,
1
8 7,
18
18
10 1
,
16
8
,13
5
3
16
5
,14
51 ,520 2 ,2
7
2 1 ,64 1 ,85
3
2
8
3
,
3
9
2
2
6
6 2
2
21
21
,22 20 ,
,99 20 ,
20
19
15,000
10,000
5,000
0
r2
r1
r2
r3
r4
r1
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
te
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
ar
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
u
Q
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
7
7
8
8
8
8
9
9
9
9
0
0
0
0
07
06
06
06
06
07
0
0
0
0
0
0
0
0
0
0
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget
and Evaluation System of Texas (ABEST).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
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
$514
$500
$430
$401
$392
$382
$400
$349
$340
$277 $268
$300
$233
$215
$200
$147
$139 $138 $142 $134 $127 $129 $129 $147
$100
Note: Starting in
FY2008 Q3, the
number of persons
receiving free new
generation medication
and those partially paid
for by Medicare Part D
were included in this
computation. The
expenditures remained
the same, thereby
decreasing the
average monthly cost
of new generation
medication per person.
This performance
reflects the efforts to
efficiently provide new
generation medication.
4
3
Q
ua
rt
er
2
rt
er
Q
ua
FY
20
10
1
FY
20
10
Q
ua
rt
er
4
rt
er
Q
ua
FY
20
10
3
FY
20
10
Q
ua
rt
er
2
FY
20
09
Q
ua
rt
er
1
rt
er
Q
ua
FY
20
09
4
FY
20
09
Q
ua
rt
er
3
rt
er
Q
ua
FY
20
09
2
FY
20
08
Q
ua
rt
er
1
FY
20
08
Q
ua
rt
er
4
FY
20
08
Q
ua
rt
er
3
rt
er
Q
ua
FY
20
08
2
FY
20
07
Q
ua
rt
er
1
rt
er
Q
ua
FY
20
07
4
FY
20
07
Q
ua
rt
er
3
FY
20
07
Q
ua
rt
er
2
rt
er
FY
20
06
Q
ua
rt
er
20
06
Q
ua
FY
20
06
FY
FY
20
06
Q
ua
rt
er
1
$0
Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget
and Evaluation System of Texas (ABEST).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
34
20
06
20
06
20
06
20
06
E
E
E
nd
nd
nd
of
of
of
Q
ua
Q
ua
rt
er
rt
er
2
1
on
11
/3
0/
Q
on
05
u
E
FY
ar
nd
02
te
20
o
/2
r
07
fQ
3
8/
on
06
E
ua
n
FY
05
rt
d
e
of
20
/3
r
4
1/
Q
07
on
06
u
ar
E
FY
08
nd
te
20
r
/3
of
1
1/
07
on
Q
06
ua
E
FY
1
nd
r
1
t
/3
20
er
of
0/
07
2
Q
06
on
FY
ua
E
n
2/
rt
20
d
er
28
of
08
3
/0
Q
E
o
7
ua
nd
n
FY
5
r
of
te
20
/
31
r
Q
08
4
/0
ua
on
7
E
FY
rt
nd
8/
er
20
3
of
1
1/
08
on
Q
07
ua
E
FY
1
nd
r
1
te
/3
20
of
r
0/
08
2
Q
08
o
FY
ua
E
n
nd
2/
20
rt
er
29
of
09
3
/0
Q
E
on
8
u
n
FY
ar
d
5/
of
te
20
3
r
1/
Q
09
4
08
ua
on
E
FY
rt
nd
8
e
20
r
/3
of
1
1/
09
on
Q
08
ua
E
FY
11
nd
rt
/
20
e
30
of
r
09
2
/0
Q
on
8
FY
ua
E
n
2/
20
rt
d
er
28
of
10
3
/0
Q
E
on
9
ua
nd
FY
5
r
of
te
20
/
3
r
1/
Q
10
4
09
ua
on
E
FY
rt
nd
8/
er
20
31
of
1
10
/0
on
Q
9
u
E
FY
ar
11
nd
t
/3
20
er
of
0/
10
2
Q
09
on
ua
E
nd
2/
rt
er
28
of
3
/1
Q
o
0
ua
n
5/
rt
er
31
4
/1
on
0
8/
31
/1
0
FY
FY
FY
FY
2,000
04
4
28
6
3,
67
2
3,
61
1
3,
97
7
4,
29
6
4,000
DSHS Behavioral Health DATA BOOK

FY2010

2,
05
6
1,
91
4
2,
23
0
2,
10
5
2,
16
5
2,
38
6
2,
60
4
3,
1,
39
4
1,
31
9
1,
35
0
2,
6,000
5,
42
2
6,
8,000
22
4
6,
77
3
6,
84
4
COMMUNITY MENTAL HEALTH SERVICES
Quarter 4

October 7, 2010

Section 5

Waiting List
Figure 5.1. Number of persons on waiting list for all community mental health
services
10,000
0
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Waiting List Summary. For methodology, see Fiscal Year 2010 Performance
Contract with Local Mental Health Authorities, Information Item R.
35
COMMUNITY MENTAL HEALTH SERVICES

Section 5

Waiting List
Figure 5.2. Average monthly number of persons removed from waiting list for
community mental health services.
600
500
449
400
359
291
300
200
132
138
118
147
161
170
166
172
174
180
192
176
195
228
219
230
100
100
0
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
06
06
06
06
07
07
07
07
08
08
08
08
09
09
09
09
10
10
10
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
2
2
2
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Clients Removed from Waiting List. For methodology, see report query.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
36
COMMUNITY MENTAL HEALTH SERVICES

Section 5

Waiting List
Figure 5.3. Average monthly cost per person removed from waiting list for
community mental health services
$900
$800
$700
$619
$577
$600
$500
$553
$533
$474
$472
$467
$463
$426
$457
$419
$487
$484
$516
$493
$451
$467
$460
$414
$368
$400
$300
$200
$100
$0
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
06
06
06
06
07
07
07
07
08
08
08
08
09
09
09
09
10
10
10
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Clients Removed from Waiting List. For methodology, see report query.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
37
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% 69%
70%
63% 64%
66%
67% 68%
67%
63%
62% 62% 63%
61%
63%
65%
60% 60%
63%
54% 55%
60%
50%
40%
30%
20%
10%
0%
r2
r1
r2
r3
r4
r1
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
te
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
rte
ar
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
u
Q
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
Qu
7
7
8
8
8
8
9
9
9
9
0
0
0
0
07
06
06
06
06
07
0
0
0
0
0
0
0
0
0
0
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
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

FY2010

Quarter 4

October 7, 2010
38
SUBSTANCE ABUSE SERVICES
Section 1  Prevention
Figure 1.1.
Figure 1.2.
Figure 1.3.
Figure 1.4.
Page
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
41
42
43
44
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 prevention programs per year
Cost per youth for substance abuse intervention programs per year
45
46
47
48
Section 3  Treatment
Figure 3.1. Number of adults served in substance abuse treatment programs per year
Figure 3.2. Cost per adult completing substance abuse treatment programs per year
Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year
Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year
Figure 3.5. Percentage of adults completing substance abuse treatment programs per year
Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year
Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment per year
Figure 3.8. Percentage of adults completing substance abuse treatment programs not re-arrested per year
Figure 3.9. 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

FY2010

Quarter 4

October 7, 2010
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
39
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

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

Page
66
Specialized Female Programs
67
68
69
70
Waiting List
Figure 6.1. Number of adults entered on waiting list by substance abuse program per year
71
Figure 6.2. Number of youth entered on waiting list by substance abuse program per year
72
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
40
SUBSTANCE ABUSE SERVICES

Section 1

Prevention
Figure 1.1. Number of adults served in substance abuse prevention programs
per year
600,000
500,000
409,585
400,000
370,056
366,810
FY2008
FY2009
344,337
303,986
300,000
200,000
100,000
0
FY2006
FY2007
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
41
SUBSTANCE ABUSE SERVICES

Section 1

Prevention
Figure 1.2. Cost per adult for substance abuse prevention programs per year
$40
$30
$25
$20
$19
$20
$19
$20
$10
$0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
42
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
1,516,959
1,500,000
1,338,831
1,285,233
1,300,834
FY2008
FY2009
1,047,658
1,000,000
500,000
0
FY2006
FY2007
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
43
SUBSTANCE ABUSE SERVICES

Section 1

Prevention
Figure 1.4. Cost per youth for substance abuse prevention programs per year
$40
$30
$30
$26
$23
$21
$20
$18
$10
$0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
44
SUBSTANCE ABUSE SERVICES

Section 2

Intervention
Figure 2.1. Number of adults served in substance abuse intervention programs
per year
300,000
Note: The dip in
250,000
238,320
200,000
180,586
146,759
150,000
129,040
128,281
100,000
50,000
number served in
FY2007 reflects a shift
of intervention programs
since classified as
prevention programs.
The spike in number
served in FY2009 is due
to instruction from
program staff to
providers of DSHSfunded substance
abuse intervention
services to try their best
to provide DSHS with
client counts, which
inadvertently led to
duplication. Then, in
FY2010, program staff
instructed providers to
try their best to provide
unduplicated client
counts, resulting in
another dip.
0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
45
SUBSTANCE ABUSE SERVICES

Section 2

Intervention
Figure 2.2. Cost per adult for substance abuse intervention programs per year
$150
$125
$97
$100
$92
$85
$75
$64
$56
$50
$25
$0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
46
SUBSTANCE ABUSE SERVICES

Section 2

Intervention
Figure 2.3. Number of youth served in substance abuse intervention programs per year
100,000
Note: The dip in
81,878
75,000
70,182
46,868
50,000
40,117
33,962
25,000
number served in
FY2007 reflects a shift
of intervention programs
since classified as
prevention programs.
The spike in number
served in FY2009 is due
to instruction from
program staff to
providers of DSHSfunded substance
abuse intervention
services to try their best
to provide DSHS with
client counts, which
inadvertently led to
duplication. Then, in
FY2010, program staff
instructed providers to
try their best to provide
unduplicated client
counts, resulting in
another dip.
0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
47
SUBSTANCE ABUSE SERVICES

Section 2

Intervention
Figure 2.4. Cost per youth for substance abuse intervention programs per year
$150
$125
$93
$100
$85
$76
$75
$52
$50
$43
$25
$0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
48
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.1. Number of adults served in substance abuse treatment programs per year
80,000
60,000
48,653
43,702
41,462
41,348
42,194
FY2009
FY2010
40,000
20,000
0
FY2006
FY2007
FY2008
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
49
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
$1,645
$1,683
$1,729
FY2006
FY2007
FY2008
$1,827
$1,888
$1,000
$0
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
50
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
21,922
20,269
19,856
19,363
19,479
13,456
12,868
12,468
12,267
FY2007
FY2008
FY2009
20,000
13,866
10,000
0
FY2006
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
51
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
Opioid
7,364
9,083
1,425
1,425
1,396
3,171
4,194
4,382
8,792
8,443
8,640
6,833
1,237
1,093
9,885
10,127
12,651
13,004
7,804
6,126
6,670
8,095
7,237
6,472
10,000
5,000
Other
14,704
Metham phetam ine
14,468
Marijuana
13,111
12,193
12,531
15,000
Cocaine
13,922
Alcohol
0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
52
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.5. Percentage of adults completing substance abuse treatment programs
per year
100%
90%
80%
70%
64%
63%
61%
63%
58%
60%
50%
40%
30%
20%
10%
0%
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
53
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%
85%
87%
86%
86%
85%
FY2007
FY2008
FY2009
FY2010
80%
(86%)
FY2010
Target
70%
60%
50%
40%
30%
20%
10%
0%
FY2006
Source: DSHS, Budget & Forecasting. For methodology, see Outcome Measure Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget and
Evaluation System of Texas (ABEST).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
54
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%
66%
63%
62%
60%
57%
60%
(63%)
FY2010
Target
50%
40%
30%
20%
10%
0%
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
55
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.8. Percentage of adults completing substance abuse treatment programs
not re-arrested per year
100%
98%
98%
97%
98%
98%
FY2006
FY2007
FY2008
FY2009
FY2010
(98%)
FY2010
Target
90%
80%
70%
60%
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

FY2010

Quarter 4

October 7, 2010
56
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.9. Number of youth served in substance abuse treatment programs per year
10,000
8,000
6,711
6,586
6,352
6,302
5,804
6,000
4,000
2,000
0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
57
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
$3,569
$2,910
$2,739
$2,803
FY2006
FY2007
$2,630
$2,000
$1,000
$0
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
58
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
4,653
4,444
4,130
4,150
3,835
4,000
2,195
2,017
1,968
1,724
2,000
1,842
0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
59
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
Methamphetamine
Opioid
Other
4,824
5,151
Marijuana
5,078
5,393
6,000
Cocaine
5,228
Alcohol
4,000
362
124
42
110
324
210
139
54
381
200
212
130
53
316
402
245
180
132
452
472
222
307
95
472
515
2,000
0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
60
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%
5,270
4,927
4,305
4,470
4,905
1,286
1,244
1,005
1,053
1,113
FY2006
FY2007
FY2008
FY2009
FY2010
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

FY2010

Quarter 4

October 7, 2010
61
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.14. Percentage of youth completing substance abuse treatment programs
per year
100%
90%
80%
70%
62%
61%
60%
63%
57%
55%
50%
40%
30%
20%
10%
0%
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget
and Evaluation System of Texas (ABEST).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
62
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%
88%
84%
84%
85%
83%
FY2008
FY2009
FY2010
80%
(85%)
FY2010
Target
70%
60%
50%
40%
30%
20%
10%
0%
FY2006
FY2007
Source: DSHS, Budget & Forecasting. For methodology, see Outcome Measure Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget and
Evaluation System of Texas (ABEST).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
63
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%
94%
95%
FY2006
FY2007
93%
93%
91%
FY2008
FY2009
FY2010
90%
(93%)
FY2010
Target
80%
70%
60%
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

FY2010

Quarter 4

October 7, 2010
64
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.17. Percentage of youth completing substance abuse treatment programs
not re-arrested per year
100%
97%
96%
96%
96%
97%
FY2006
FY2007
FY2008
FY2009
FY2010
90%
(96%)
FY2010
Target
80%
70%
60%
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

FY2010

Quarter 4

October 7, 2010
65
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
8,000
5,638
6,000
5,084
4,555
4,436
4,174
4,000
2,000
0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
66
SUBSTANCE ABUSE SERVICES

Section 5

Specialized Female Programs
Figure 5.1. Number of females served in substance abuse specialized female
programs per year
14,000
12,000
10,000
9,243
8,122
8,000
7,507
7,350
FY2008
FY2009
7,693
6,000
4,000
2,000
0
FY2006
FY2007
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
67
SUBSTANCE ABUSE SERVICES

Section 5

Specialized Female Programs
Figure 5.2. Cost per female served in substance abuse specialized female
programs per year
$4,000
$3,000
$2,462
$2,425
$2,155
$2,150
$2,012
$2,000
$1,000
$0
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
68
SUBSTANCE ABUSE SERVICES

Section 5

Specialized Female Programs
Figure 5.3. Cost per female completing substance abuse specialized female
programs per year
$4,000
$3,000
$2,703
$2,527
$2,395
$2,155
$2,150
FY2006
FY2007
$2,000
$1,000
$0
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
69
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%
65%
67%
65%
66%
57%
60%
50%
40%
30%
20%
10%
0%
FY2006
FY2007
FY2008
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
70
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
Outpatient
Residential
6,797
8,000
7,992
Methadone
7,980
Detox
7,746
COPSD
5,322
6,000
FY2006
FY2008
1,257
830
1
268
421
2
366
6
FY2007
1,531
1,016
1,235
1,497
1,521
11
0
22
351
399
1,164
2,000
1,588
2,246
4,000
FY2009
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
71
SUBSTANCE ABUSE SERVICES

Section 6

Waiting List
Figure 6.2. Number of youth entered on waiting list by substance abuse program
per year
COPSD
Detox
Residential
Outpatient
725
800
Methadone
569
600
221
400
FY2008
FY2009
0
1
0
0
41
2
0
0
33
FY2007
0
1
0
13
FY2006
0
0
0
13
0
0
0
30
83
110
200
FY2010
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS).
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
72
NORTHSTAR
Section 1

Persons Served
Page
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

74
75
76
77
Monthly Medicaid Enrollment
Figure 2.1. Average monthly Medicaid enrollment
Section 3

78
Resiliency & Disease Management (RDM)
Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend
Figure 3.2. Unduplicated quarterly child authorized Service Package (SP) trend
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
79
80
73
NORTHSTAR

Section 1

Persons Served
Figure 1.1. Quarterly Medicaid vs. Indigent persons served
30,000
22,534
21,847
16,145
16,483
18,999 23,116
21,899
16,305
14,984
19,072
14,251
18,906
18,013
12,798
13,207
17,652
12,465
16,897
11,733
17,547
11,733
17,753
12,051
16,837
17,140
11,042
11,261
17,527
10,695
18,007
17,316
10,457
15,000
11,090
17,224
20,000
10,391
25,000
20,572
Indigent
17,250 21,196
Medicaid
10,000
5,000
0
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
r4
r1
r2
r3
te
te
te
te
te
te
te
te
te
te
te
te
te
te
te
te
te
te
te
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
ar
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
u
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
6
6
6
6
7
7
7
7
8
8
8
8
9
9
9
9
0
0
0
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
01
01
01
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
FY
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
74
20
06
FY
Q
ua
20
rt
06
er
FY Qu 1
ar
20
te
06
r
2
Q
FY
ua
20
rt
er
06
FY Qu 3
ar
20
te
07
r
FY Qu 4
ar
20
te
07
r
1
Q
FY
ua
20
rt
er
07
FY Qu 2
ar
20
te
07
r
FY Qu 3
ar
20
te
08
r
4
Q
FY
ua
20
rt
er
08
FY Qu 1
ar
20
te
08
r
FY Qu 2
ar
20
te
08
r
3
Q
FY
ua
20
rt
09
er
4
Q
FY
ua
20
rt
er
09
FY Qu 1
ar
20
te
09
r
FY Qu 2
a
20
rt
09
er
3
Q
FY
ua
20
rt
er
10
FY Qu 4
ar
20
te
10
r
FY Qu 1
a
20
rt
10
er
2
Q
ua
rt
er
3
FY
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4
0

October 7, 2010
450
12,576
11,392
410
10,361
10,895
5,000
386
455
15,000
10,912
9,832
9,333
8,226
65+ Years
28,346
25,936
26,404
27,259
26,120
24,615
23,000
22,884
21,838
30,000
449
452
413
463
8,049
Adult 21-64 Years
459
21,346

7,856
20,997
20,249
Section 1
395
7,470
7,146
20,977
20,174
20,301
20,815
20,982
20,212

379
347
6,883
6,182
6,164
5,673
6,403
6,041
20,086
Child 0-20 Years
425
413
391
378
377
10,000
6,063
25,000
346
275
NORTHSTAR
Persons Served
Figure 1.2. Quarterly persons served by age group
35,000
20,000
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
75
20
06
FY
Q
ua
20
rt
06
er
FY Qu 1
a
20
rt
06
er
FY Qu 2
a
20
rt
er
06
FY Qu 3
a
20
rt
07
er
4
Q
FY
ua
20
rt
er
07
1
Q
FY
ua
20
rt
07
er
FY Qu 2
a
20
rt
07
er
FY Qu 3
a
20
rt
er
08
FY Qu 4
a
20
rt
08
er
1
Q
FY
ua
20
r
08 ter
2
Q
FY
20 ua
rt
08
er
FY Qu 3
a
20
rt
09
er
FY Qu 4
a
20
rt
09
er
FY Qu 1
a
20
rt
er
09
FY Qu 2
a
20
rt
09
er
FY Qu 3
a
20
rt
er
10
FY Qu 4
a
20
rt
10
er
FY Qu 1
a
20
rt
10
er
2
Q
ua
rt
er
3
FY
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
17,427
16,412
25,000
21,020 20,292
19,066 18,599
19,063 18,566
19,115 18,877
18,850 18,572
17,418
16,276
16,042
15,475
20,000
15,468

14,838
14,378
13,725
Section 1
15,023
14,845
13,916

14,531
14,994
14,191
13,408
14,253
14,347
14,570
14,854
13,336
13,134
13,740
14,341
12,989
10,000
14,248
15,000
12,967
NORTHSTAR
Persons Served
Figure 1.3. Quarterly persons served by gender
30,000
Female
Male
5,000
0
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
76
NORTHSTAR

Section 1

Persons Served
Figure 1.4. Quarterly persons served by ethnicity
20,000
Black (Not Hispanic)
Hispanic
White and Other
Unknown
17,784
15,933
14,628
14,166 13,907 13,804
14,066
15,000
16,983 16,762
16,718
14,396
14,520 14,570
14,149
14,356
16,525
15,142
14,969
13,554
13,154
13,554 13,365 13,535
6,866
6,773
6,867
7,034
686
685
638
574
12,085
11,277
10,619
10,000
8,952
8,481
8,858
8,713
9,297
8,795
9,268
9,994
9,709
9,239
7,745
6,162
5,775
4,112
3,889
3,944
4,092
4,231
882
826
769
4,786
4,604
768
740
4,614
4,895
5,019
4,942
701
724
713
128
895
665
644
3
20
10
Q
u
ar
t
er
2
er
1
FY
20
10
Q
u
ar
t
er
4
ar
t
FY
20
10
Q
u
ar
t
er
3
FY
20
09
Q
u
ar
t
er
2
FY
FY
20
09
Q
u
ar
t
er
1
Q
u
FY
20
09
Q
u
ar
t
er
4
er
FY
20
09
Q
u
20
08
FY
20
08
ar
t
ar
t
er
3
2
er
1
ar
t
FY
20
08
Q
u
ar
t
er
4
FY
20
08
Q
u
ar
t
er
3
FY
FY
20
07
Q
u
ar
t
er
2
Q
u
20
07
FY
20
07
Q
u
ar
t
er
1
er
4
FY
FY
20
07
Q
u
ar
t
er
3
ar
t
er
FY
20
06
Q
u
ar
t
er
Q
u
ar
t
20
06
Q
u
FY
20
06
FY
667
903
2
0
Q
u
5,000
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
77
NORTHSTAR

Section 2

Monthly Medicaid Enrollment
Figure 2.1. Average monthly Medicaid enrollment
500,000
Individual SSI
289,617
299,064
300,355
304,463
316,820
327,953
65,416
66,823
67,218
68,374
69,685
70,998
364,882
294,638
65,135
74,617
290,235
63,471
354,036
298,188
64,014
73,203
292,460
286,653
61,933
63,128
285,726
281,181
59,892
61,370
280,930
58,961
285,254
287,414
300,000
57,932
400,000
296,702
Families & Children
65,698
100,000
60,819
200,000
0
r1
r 2 er 3
r 4 er 1
r 2 er 3
r 4 er 1
r 2 ter3
r4
r 1 er 2
r 3 er 4
r 1 er 2
r3
te
te
t
te
t
te
t
te
t
te
te
te
t
te
t
te
t
te
r
r
r
r
r
r
r
r
r
r
r
r
r
r
r
r
r
r
r
a
u
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
ua
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
8
6
6
6
6
7
7
7
7
8
8
8
9
9
9
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
78
06
Q
FY
ua
20
rt
er
06
1
Q
FY
ua
20
rt
er
06
2
Q
FY
ua
20
rt
er
06
3
Q
FY
ua
20
rt
er
07
4
Q
FY
ua
20
rt
er
07
1
Q
FY
ua
20
rt
er
07
2
Q
FY
ua
20
rt
er
07
3
Q
FY
ua
20
rt
er
08
4
Q
FY
ua
20
rt
er
08
1
Q
FY
ua
20
rt
er
08
2
Q
FY
ua
20
rt
er
08
3
Q
FY
ua
20
rt
er
09
4
Q
FY
ua
20
rt
er
09
1
Q
FY
ua
20
rt
er
09
2
Q
FY
ua
20
rt
er
09
3
Q
FY
ua
20
rt
er
10
4
Q
FY
ua
20
rt
er
10
1
Q
FY
ua
20
rt
er
10
2
Q
ua
rt
er
3
FY
20
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
645
584
600
596
3,316
2,654
1,897
1,454
590
7,036
6,264
6,021
6,062
6,437
5,824
5,001
4,838
4,489
4,026
3,693
19,260
17,433
18,201
17,773
16,996
16,793
16,517
15,895
15,573
15,459
16,029
20,000
1,417
565
1,245
533
1,157
518
1,025
520
999
506
886
504
627
15,821
15,739

499
3,572
3,639
Section 3
502
516
550
14,322

539
4,122
13,133
SP3
753
555
5,000
4,562
11,427
15,000
1,072
5,820
SP2
546
1,477
6,271
8,217
6,983
6,116
10,000
558
6,159
5,954
SP1
1,558
572
1,398
614
1,534
NORTHSTAR
Resiliency & Disease Management (RDM)
Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend
25,000
SP4
0
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
79
FY
20
06
Q
FY
ua
20
rt
er
06
1
Q
FY
ua
20
rt
er
06
2
Q
FY
ua
20
rt
er
06
3
Q
FY
ua
20
rt
er
07
4
Q
FY
ua
20
rt
er
07
1
Q
FY
ua
20
rt
er
07
2
Q
FY
ua
20
rt
er
07
3
Q
FY
ua
20
rt
er
08
4
Q
FY
ua
20
rt
er
08
1
Q
FY
ua
20
rt
er
08
2
Q
FY
ua
20
rt
er
08
3
Q
FY
ua
20
rt
er
09
4
Q
FY
ua
20
rt
er
09
1
Q
FY
ua
20
rt
er
09
2
Q
FY
ua
20
rt
er
09
3
Q
FY
ua
20
rt
er
10
4
Q
FY
ua
20
rt
er
10
1
Q
FY
ua
20
rt
er
10
2
Q
ua
rt
er
3
DSHS Behavioral Health DATA BOOK

FY2010

Quarter 4

October 7, 2010
1,516
1,905
4,859
5,488
SP4
510
127366
1502
4,036
3,711
6,000
0
1,938
1,694
1,480
1,890
2,054
3,673
5,000
1
388
97
190
3 328
76
83
2
355
91
100
1,508
3,152
2,866
2,630
2,201
2,068
1,878
1,880
1,541
1,297
1,042
1,011
4,000
1 346
112
104
1 332
100
100
1 291
55
94
1 311
56
91
2,513
3,000
359
51
91
1,869
1,939
2,161
SP3
1,115
1,083
SP2.4
440
27
78
506
1861
1,854

23
81
1,024
1,757
1,650
SP2.3
560
1,005
Section 3
17
75
619
1,454
1,724
SP2.2
1,077

23
77
587
1,812
1,354
1,655
1,263
974
904
636
1,904
SP2.1
1
28
73
1,082
979
711
2,099
2,153
SP1.2
26
85
1
14
87
712
703
721
622
SP1.1
3
22
199
2
33
1 125
0
1,041
1,000
1,956
2,000
420
671
111
143
486
NORTHSTAR
Resiliency & Disease Management (RDM)
Figure 3.2. Unduplicated quarterly child authorized Service Package (SP) Trend
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
80