behavioral health data book a quarterly reference to community mental health and substance abuse...
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Behavioral Health
DATA BOOKA quarterly reference to community mental health and substance abuse services
Fiscal Year 2011 Quarter 3 July 11, 2011
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 2
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 FISCAL YEAR 2010, QUARTER 4:
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 FY2011 Quarter 3 July 11, 2011 3
COMMUNITY MENTAL HEALTH SERVICES
Section 1 Adults Page
Figure 1.1. Average monthly number of adults receiving community mental health services 5Figure 1.2. Average monthly cost per adult receiving community mental health services 6Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized 7Figure 1.4. Average monthly percentage of adults in community mental health services receiving minimum number of recommended service hours 8Figure 1.5. Percentage of adults in community mental health services receiving first service encounter within 14 days of assessment 9Figure 1.6. Percentage of adults in community mental health services avoiding crisis 10Figure 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 11Figure 1.8. Percentage of adults in community mental health services with improved or acceptable functioning per year 12Figure 1.9. Percentage of adults in community mental health services with improved or acceptable employment per year 13Figure 1.10. Percentage of adults in community mental health services with improved or acceptable housing per year 14Figure 1.11. Percentage of adults in community mental health services with improved criminal justice involvement per year 15Figure 1.12. Percentage of adults in community mental health services with improved or acceptable co-occurring substance use per year 16Figure 1.13. Number of persons assigned to Supported Employment 17Figure 1.14. Number of persons assigned to Supported Housing 18
Section 2 Children
Figure 2.1. Average monthly number of children receiving community mental health services 19Figure 2.2. Average monthly cost per child receiving community mental health services 20Figure 2.3. Average monthly percentage of children in community mental health services appropriately-authorized 21Figure 2.4. Average monthly percentage of children in community mental health services receiving minimum number of recommended service hours 22Figure 2.5. Percentage of children in community mental health services receiving first service encounter within 14 days of assessment 23Figure 2.6. Percentage of children in community mental health services avoiding crisis 24Figure 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 25Figure 2.8. Percentage of children in community mental health services with improved or acceptable functioning per year 26Figure 2.9. Percentage of children in community mental health services with improved or acceptable problem severity per year 27Figure 2.10. Percentage of children in community mental health services with improved school behavior per year 28Figure 2.11. Percentage of children in community mental health services avoiding re-arrest per year 29Figure 2.12. Percentage of children in community mental health services with improved or acceptable co-occurring substance use per year 30
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 4
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 31
Figure 3.2. Average monthly cost per person receiving community mental health front-door crisis services 32
Section 4 New Generation Medication
Figure 4.1. Average monthly number of persons receiving new generation medication 33
Figure 4.2. Average monthly cost per person receiving new generation medication 34
Section 5 Waiting List
Figure 5.1. Number of persons on waiting list for community mental health services with percentage waiting for all services 35
Section 6 Pay for Performance
Figure 6.1. Average monthly estimated percentage of DSHS General Revenue earned by community mental health centers 36
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 5
Figure 1.1. Average monthly number of adults receiving community mental health services
0
20000
40000
60000
80000
100000
120000
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 6
Figure 1.2. Average monthly cost per adult receiving community mental health services
$347 $337 $344 $327 $326 $307 $320 $330 $322 $324 $334 $327 $323$345 $360 $360 $347 $338
$380
$0
$100
$200
$300
$400
$500
$600
$700
$800
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
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 FY2011 Quarter 3 July 11, 2011 7
Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized
96%96%95%
92%92%92%92%93% 93% 93%94%96%
94% 94% 93% 94%93% 93% 93%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 8
Figure 1.4. Average monthly percentage of adults in community mental health services receiving minimum number of recommended service hours
89% 90% 89% 88%
81% 83% 83% 82% 82% 81% 82% 83%87% 87% 87%
89%
84%81%
84%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
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COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(80%)FY2011
PerformanceContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 9
Figure 1.5. Percentage of adults in community mental health services receiving first service encounter within 14 days of assessment
84% 82% 82% 81% 82% 84% 85%
79% 80% 82% 80%
74%77% 78% 78% 77%
79% 80% 81%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
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COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(77%)FY2011
PerformanceContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 10
Figure 1.6. Percentage of adults in community mental health services avoiding crisis
98% 98% 98% 98% 98% 98% 97% 98% 98% 98% 98% 97% 98% 98% 97% 97% 98% 98% 98%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY20
07 Q
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11 Q
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11 Q
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11 Q
uarte
r 3
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(97.7%)FY2011
PerformanceContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 11
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
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% 0.33% 0.35% 0.36%
0%
2%
4%
6%
8%
10%
FY2007
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COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
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 FY2011 Quarter 3 July 11, 2011 12
36%39% 38%
34%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Figure 1.8. Percentage of adults in community mental health services with improved or acceptable functioning per year
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(35% Improved or Acceptable )
FY2011Performance
ContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 13
Figure 1.9. Percentage of adults in community mental health services with improved or acceptable employment per year
81% 83%85% 84%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(83% Improved or Acceptable)
FY2011Performance
ContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 14
Figure 1.10. Percentage of adults in community mental health services with improved or acceptable housing per year
68%68%69%67%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(69% Improved or Acceptable)
FY2011Performance
ContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 15
Figure 1.11. Percentage of adults in community mental health services with improved criminal justice involvement per year
44%42%
43%44%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(41% Improved)FY2011
PerformanceContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 16
Figure 1.12. Percentage of adults in community mental health services with improved or acceptable co-occurring substance use per year
73%
83% 85% 84%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(84% Improved or Acceptable)
FY2011Performance
ContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 17
Figure 1.13. Number of persons assigned to Supported Employment
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
1,265 1,303 1,3011,116
1,038882 872 860
723 793 833 819 777656
792 830745 784 830
0
500
1,000
1,500
2,000
2,500
3,000
Source: DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 18
Figure 1.14. Number of persons assigned to Supported Housing
COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
Source: DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 19
0
5,000
10,000
15,000
20,000
25,000
Figure 2.1. Average monthly number of children receiving community mental health services
COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 20
$0
$100
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Figure 2.2. Average monthly cost per child receiving community mental health services
COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
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 FY2011 Quarter 3 July 11, 2011 21
Figure 2.3. Average monthly percentage of children in community mental health services appropriately authorized
93% 94% 94% 94% 94% 93% 93% 92% 91%94% 94% 93%93%92%93% 92%93%94% 93%
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COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 22
Figure 2.4. Average monthly percentage of children in community mental health services receiving minimum number of recommended service hours
87% 87% 88% 87% 86% 87% 86% 85% 84%87% 86% 85%
88% 87% 88% 89%87%87%
84%
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COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(80%)FY2011
PerformanceContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 23
Figure 2.5. Percentage of children in community mental health services receiving first service encounter within 14 days of assessment
84% 84% 86%82% 84% 82%
85%
78%76%
80% 78% 78% 79%76%
73% 73% 75% 77% 77%
0%
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COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(65%)FY2011
PerformanceContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 24
Figure 2.6. Percentage of children in community mental health services avoiding crisis
99% 99% 99% 99% 99% 99%95%
99% 99% 99% 98% 99% 98% 98% 98% 98% 98% 98% 98%
0%
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COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(98.3%)FY2011
PerformanceContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 25
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
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% 0.02% 0.04% 0.02%
0%
2%
4%
6%
8%
10%
COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
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 FY2011 Quarter 3 July 11, 2011 26
Figure 2.8. Percentage of children in community mental health services with improved or acceptable functioning per year
COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
37% 38% 37% 38%
0%
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20%
30%
40%
50%
60%
70%
80%
90%
100%
(35% Improved or Acceptable)
FY2011Performance
ContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 27
Figure 2.9. Percentage of children in community mental health services with improved or acceptable problem severity per year
40% 41%42%41%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(39% Improved or Acceptable)
FY2011Performance
ContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 28
Figure 2.10. Percentage of children in community mental health services with improved school behavior per year
65%68%69%68%
0%
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40%
50%
60%
70%
80%
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100%
COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(68% Improved)FY2011
PerformanceContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 29
Figure 2.11. Percentage of children in community mental health services avoiding re-arrest per year
93% 92%90% 90%
0%
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50%
60%
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80%
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100%
COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
(91%)FY2011
PerformanceContractTarget
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 30
Figure 2.12. Percentage of children in community mental health services with improved or acceptable co-occurring substance use per year
79%84%
79%81%
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COMMUNITY MENTAL HEALTH SERVICES Section 2 Children
(84% Improved or Acceptable)
FY2011 Performance
Contract Target
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2011 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 31
2,433 2,381
2,8852,609 2,692
2,859
3,985 4,0474,305 4,399
5,2175,384 5,265
5,056
5,689
5,192
5,878
5,6885,851
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
Figure 3.1. Average monthly number of persons receiving MH crisis services
COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis
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 FY2011 Quarter 3 July 11, 2011 32
$385 $378$340
$282
$161 $170$194 $195 $207
$230 $238 $250 $244
$410 $406 $400 $382 $363$392
$0
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$500
$600
$700
$800
Figure 3.2. Average monthly cost per person receiving MH crisis services
COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis
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).
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.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 33
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
Figure 4.1. Average monthly number of persons receiving new generation medication
COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication
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 FY2011 Quarter 3 July 11, 2011 34
$430
$349$382
$514
$392
$340
$147
$215
$139 $138 $142 $134 $127 $129 $129$147
$128 $134 $150
$0
$100
$200
$300
$400
$500
$600
$700
$800
Figure 4.2. Average monthly cost per person receiving new generation medication
COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication
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).
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.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 35
2,638 2,470 2,735 2,681
3,9494,360
4,842 5,0745,595 5,689
6,1576,754
8,0758,661
9,6679,7819,91710,354
9,528
72%77%
81%78%
55% 55%59%
65% 64% 64% 65%67%
72% 72% 74%72%70%71% 69%
0
2,000
4,000
6,000
8,000
10,000
12,000
FY20
07 E
nd o
f Qua
rter 1
on
11/3
0/06
FY20
07 E
nd o
f Qua
rter 2
on
2/28
/07
FY20
07 E
nd o
f Qua
rter 3
on
5/31
/07
FY20
07 E
nd o
f Qua
rter 4
on
8/31
/07
FY20
08 E
nd o
f Qua
rter 1
on
11/3
0/08
FY20
08 E
nd o
f Qua
rter 2
on
2/29
/08
FY20
08 E
nd o
f Qua
rter 3
on
5/31
/08
FY20
08 E
nd o
f Qua
rter 4
on
8/31
/08
FY20
09 E
nd o
f Qua
rter 1
on
11/3
0/08
FY20
09 E
nd o
f Qua
rter 2
on
2/28
/09
FY20
09 E
nd o
f Qua
rter 3
on
5/31
/09
FY20
09 E
nd o
f Qua
rter 4
on
8/31
/09
FY20
10 E
nd o
f Qua
rter 1
on
11/3
0/09
FY20
10 E
nd o
f Qua
rter 2
on
2/28
/10
FY20
10 E
nd o
f Qua
rter 3
on
5/31
/10
FY20
10 E
nd o
f Qua
rter 4
on
8/31
/10
FY20
11 E
nd o
f Qua
rter 1
on
11/3
0/10
FY20
11 E
nd o
f Qua
rter 2
on
2/28
/11
FY20
11 E
nd o
f Qua
rter 3
on
5/31
/11
0%
20%
40%
60%
80%
100%
Number of Persons Waiting Percentage Waiting for All Services
Figure 5.1. Number of persons on waiting list for community mental health services with percentage waiting for all services
COMMUNITY MENTAL HEALTH SERVICES Section 5 Waiting List
Source: DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 36
Figure 6.1. Estimated percentage of DSHS General Revenue earned by community mental health centers
66%63%
67%62% 62% 63%
67% 68%
54% 55%
61% 63%60% 60%
65% 63% 61%58%
63%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
COMMUNITY MENTAL HEALTH SERVICES Section 6 Pay for Performance
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 FY2011 Quarter 3 July 11, 2011 37
SUBSTANCE ABUSE SERVICES
Section 1 Prevention Page
Figure 1.1. Number of adults served in substance abuse prevention programs per year 39Figure 1.2. Cost per adult for substance abuse prevention programs per year 40Figure 1.3. Number of youth served in substance abuse prevention programs per year 41Figure 1.4. Cost per youth for substance abuse prevention programs per year 42
Section 2 Intervention
Figure 2.1. Number of adults served in substance abuse intervention programs per year 43 Figure 2.2. Cost per adult for substance abuse intervention programs per year 44Figure 2.3. Number of youth served in substance abuse prevention programs per year 45Figure 2.4. Cost per youth for substance abuse intervention programs per year 46
Section 3 Treatment
Figure 3.1. Number of adults served in substance abuse treatment programs per year 47 Figure 3.2. Cost per adult completing substance abuse treatment programs per year 48Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year 49Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year 50Figure 3.5. Percentage of adults completing substance abuse treatment programs per year 51Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year 52Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment per year 53Figure 3.8. Percentage of adults completing substance abuse treatment programs not re-arrested per year 54Figure 3.9. Number of youth served in substance abuse treatment programs per year 55Figure 3.10. Cost per youth completing substance abuse treatment programs per year 56Figure 3.11. Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year 57Figure 3.12. Number of youth admissions to substance abuse treatment programs by primary substance per year 58Figure 3.13. Number of youth by criminal justice status admitted to substance abuse treatment programs per year 59Figure 3.14. Percentage of youth completing substance abuse treatment programs per year 60Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at follow-up per year 51Figure 3.16. Percentage of youth completing substance abuse treatment programs with positive school status at follow-up per year 62Figure 3.17. Percentage of youth completing substance abuse treatment programs not re-arrested per year 63
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 38
SUBSTANCE ABUSE SERVICES (continued)
Section 4 Co-Occurring Psychiatric and Substance Use Disorders (COPSD) Page
Figure 4.1. Number of COPSD clients served in substance abuse programs per year 64
Section 5 Specialized Female Programs
Figure 5.1. Number of females served in substance abuse specialized female programs per year 65
Figure 5.2. Cost per female served in substance abuse specialized female programs per year 66
Figure 5.3. Cost per female completing substance abuse specialized female programs per year 67
Figure 5.4. Percentage of females completing substance abuse specialized female programs per year 68
Section 6 Waiting List
Figure 6.1. Number of adults entered on waiting list by substance abuse program per year 69
Figure 6.2. Number of youth entered on waiting list by substance abuse program per year 70
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 39
303,986
370,056 366,810
409,585
0
100,000
200,000
300,000
400,000
500,000
600,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 1.1. Number of adults served in substance abuse prevention programs per year
SUBSTANCE ABUSE SERVICES Section 1 Prevention
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 40
$25
$19$20
$19
$0
$10
$20
$30
$40
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 1.2. Cost per adult for substance abuse prevention programs per year
SUBSTANCE ABUSE SERVICES Section 1 Prevention
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 41
1,047,658
1,285,233 1,300,834
1,516,959
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 1.3. Number of youth served in substance abuse prevention programs per year
SUBSTANCE ABUSE SERVICES Section 1 Prevention
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 42
$30
$23
$21
$18
$0
$10
$20
$30
$40
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 1.4. Cost per youth for substance abuse prevention programs per year
SUBSTANCE ABUSE SERVICES Section 1 Prevention
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 43
Figure 2.1. Number of adults served in substance abuse intervention programs per year
SUBSTANCE ABUSE SERVICES Section 2 Intervention
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
Note: The dip in 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 DSHS-funded 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.
146,759
129,040
180,586
128,281
0
50,000
100,000
150,000
200,000
250,000
300,000
FY2007 FY2008 FY2009 FY2010 FY2011
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 44
$85
$92
$64
$97
$0
$25
$50
$75
$100
$125
$150
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 2.2. Cost per adult for substance abuse intervention programs per year
SUBSTANCE ABUSE SERVICES Section 2 Intervention
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 45
46,868
40,117
81,878
33,962
0
25,000
50,000
75,000
100,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 2.3. Number of youth served in substance abuse intervention programs per year
SUBSTANCE ABUSE SERVICES Section 2 Intervention
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
Note: The dip in 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 DSHS-funded 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.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 46
$76
$85
$43
$93
$0
$25
$50
$75
$100
$125
$150
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 2.4. Cost per youth for substance abuse intervention programs per year
SUBSTANCE ABUSE SERVICES Section 2 Intervention
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 47
48,653
43,70241,348 42,194
0
20,000
40,000
60,000
80,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 3.1. Number of adults served in substance abuse treatment programs per year
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 48
$1,683 $1,729$1,827 $1,888
$0
$1,000
$2,000
$3,000
$4,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 3.2. Cost per adult completing substance abuse treatment programs per year
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 49
19,856 19,363 19,479
21,922
12,868 12,468 12,26713,866
0
10,000
20,000
30,000
40,000
FY2007 FY2008 FY2009 FY2010 FY2011
Outpatient
Residential
Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 50
Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year
12,1
93
13,0
04 14,4
68
14,7
04
13,1
11
12,6
51
10,1
27
8,4
43
6,6
70
6,8
33
7,3
64 8
,792
6,1
26
4,1
94
4,3
82
3,1
71
7,8
04
8,6
40 9
,885
9,0
83
1,2
37
1,3
96
1,4
25
1,4
25
0
5,000
10,000
15,000
20,000
FY2007 FY2008 FY2009 FY2010 FY2011
Alcohol Cocaine Marijuana Methamphetamine Opioid Other
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 51
Figure 3.5. Percentage of adults completing substance abuse treatment programs per year
63% 64% 63%
58%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2007 FY2008 FY2009 FY2010 FY2011
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 52
87% 86% 86% 85%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2007 FY2008 FY2009 FY2010 FY2011
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year
Source: DSHS, Budget & Forecasting. For methodology, see Outcome Measure Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST).
(86%)FY2011Target
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 53
66%63% 62%
57%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2007 FY2008 FY2009 FY2010 FY2011
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
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
(63%)FY2011Target
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 54
98%98%97%98%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2007 FY2008 FY2009 FY2010 FY2011
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Figure 3.8. Percentage of adults completing substance abuse treatment programs not re-arrested per year
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
(98%)FY2011Target
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 55
6,7116,352 6,302
5,804
0
2,000
4,000
6,000
8,000
10,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 3.9. Number of youth served in substance abuse treatment programs per year
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 56
$2,803$2,630
$2,910
$3,569
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 3.10. Cost per youth completing substance abuse treatment programs per year
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 57
4,444
4,130 4,150
3,835
2,017
1,7241,968
1,842
0
2,000
4,000
6,000
8,000
Outpatient
Residential
Figure 3.11. Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 58
Figure 3.12. Number of youth admissions to substance abuse treatment programs by primary substance per year
47
2
40
2
38
1
32
4
45
2
31
6
20
0
11
0
5,0
78
4,8
24
5,2
28
5,1
51
18
0
53
54
4213
2
13
0
13
9
12
4
24
5
21
2
21
0
36
2
0
2,000
4,000
6,000
8,000
FY2007 FY2008 FY2009 FY2010 FY2011
Alcohol Cocaine Marijuana Methamphetamine Opioid Other
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 59
1,244 1,005 1,053 1,113
4,927 4,305 4,470 4,905
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2007 FY2008 FY2009 FY2010 FY2011
No Criminal Justice Criminal Justice
Figure 3.13. Number of youth by criminal justice status admitted to substance abuse treatment programs per year
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 60
Figure 3.14. Percentage of youth completing substance abuse treatment programs per year
61% 62% 63%
55%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2007 FY2008 FY2009 FY2010 FY2011
SUBSTANCE ABUSE SERVICES Section 3 Treatment
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 FY2011 Quarter 3 July 11, 2011 61
83%85%88%
84%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2007 FY2008 FY2009 FY2010 FY2011
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at follow-up per year
Source: DSHS, Budget & Forecasting. For methodology, see Outcome Measure Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST).
(85%)FY2011Target
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 62
94% 95% 93% 93% 91%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011
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
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
(93%)FY2011Target
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 63
97% 96% 96% 96% 97%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2006 FY2007 FY2008 FY2009 FY2010 FY2011
SUBSTANCE ABUSE SERVICES Section 3 Treatment
Figure 3.17. Percentage of youth completing substance abuse treatment programs not re-arrested per year
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
(96%)FY2011Target
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 64
4,174
5,638
5,084
4,555
0
2,000
4,000
6,000
8,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 4.1. Number of COPSD clients served in substance abuse programs per year
SUBSTANCE ABUSE SERVICES Section 4 Co-Occurring Psychiatric and Substance Use Disorders (COPSD)
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 65
9,243
7,507 7,3507,693
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 5.1. Number of females served in substance abuse specialized female programs per year
SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 66
$2,012
$2,462 $2,425
$2,150
$0
$1,000
$2,000
$3,000
$4,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 5.2. Cost per female served in substance abuse specialized female programs per year
SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 67
$2,150
$2,395$2,527
$2,703
$0
$1,000
$2,000
$3,000
$4,000
FY2007 FY2008 FY2009 FY2010 FY2011
Figure 5.3. Cost per female completing substance abuse specialized female programs per year
SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 68
Figure 5.4. Percentage of females completing substance abuse specialized female programs per year
65%67% 66%
57%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY2007 FY2008 FY2009 FY2010 FY2011
SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 69
11
6 2 1
1,5
88
1,4
97
1,0
16
830
399
366
421
268
1,5
21
1,2
35
1,5
31
1,2
57
6,7
97
7,7
46
7,9
80
7,9
92
0
2,000
4,000
6,000
8,000
10,000
FY2007 FY2008 FY2009 FY2010 FY2011
COPSD Detox Methadone Outpatient Residential
Figure 6.1. Number of adults entered on waiting list by substance abuse program per year
SUBSTANCE ABUSE SERVICES Section 6 Waiting List
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 70
0 1 0 00 0 2 1
110
221
569
725
13
41
83
0 0 0 0
33
0
200
400
600
800
FY2007 FY2008 FY2009 FY2010 FY2011
COPSD Detox Residential Outpatient Methadone
Figure 6.2. Number of youth entered on waiting list by substance abuse program per year
SUBSTANCE ABUSE SERVICES Section 6 Waiting List
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS).
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 71
Section 1 Persons Served Page
Figure 1.1. Quarterly Medicaid vs. indigent persons served 72
Figure 1.2. Quarterly persons served by age group 73
Figure 1.3. Quarter persons served by gender 74
Figure 1.4. Quarterly person served by ethnicity 75
Section 2 Monthly Medicaid Enrollment
Figure 2.1. Average monthly Medicaid enrollment 76
Section 3 Resiliency & Disease Management (RDM)
Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend 77
Figure 3.2. Unduplicated quarterly child authorized Service Package (SP) trend 78
NORTHSTAR
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 72
11,0
42
11,2
61
12,0
51
11,7
33
11,7
33
12,4
65
12,7
98
13,2
07
14,2
51
14,9
84
16,3
05
16,1
45
16,4
83
17,2
50
18,9
99
17,9
80
19,8
21
19,5
37
17,1
40
16,8
37
17,7
53
17,5
47
16,8
97
17,6
52
18,0
13
18,9
06
19,0
72
20,5
72
21,8
99
22,5
34
21,8
47
21,1
96
23,1
16
22,4
96
23,4
64
23,4
55
0
5,000
10,000
15,000
20,000
25,000
30,000
Medicaid
Indigent
Source: DSHS NorthSTAR Data Warehouse.Note: NorthSTAR data has 90-day delay due to claims lag.
Figure 1.1. Quarterly Medicaid vs. Indigent persons served
NORTHSTAR Section 1 Persons Served
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 73
6,1
64
6,1
82
6,8
83
7,1
46
7,4
70
7,8
56
8,0
49
8,2
26
9,3
33
9,8
32
10,9
12
10,3
61
10,8
95
11,3
92
12,5
76
11,7
26
12,7
89
12,5
34
20,3
01
20,1
74
20,9
77
20,2
49
20,9
97
21,3
46
21,8
38
22,8
84
23,0
00
24,6
15
26,1
20
27,2
59
26,4
04
25,9
36
28,3
46
27,6
29
29,2
96
29,3
11
451
441
422
450
410
386
455
449
452
413
463
459
395
379
347
425
413
391
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000Child 0-20 Years Adult 21-64 Years 65+ Years
Figure 1.2. Quarterly persons served by age group
Source: DSHS NorthSTAR Data Warehouse.Note: NorthSTAR data has 90-day delay due to claims lag.
NORTHSTAR Section 1 Persons Served
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 74
14,3
47
14,1
91
14,9
94
14,8
45
14,3
78
15,0
23
15,4
68
16,0
42
16,4
12
13,3
36
13,4
08
14,2
53
13,9
16
13,7
25
14,5
31
14,8
38
15,4
75
16,2
76
20,5
82
20,9
14
19,6
01
20,2
92
18,5
99
18,5
66
18,8
77
18,5
72
17,4
27 2
1,6
44
21,5
362
0,1
06
21,0
20
19,0
66
19,0
63
19,1
15
18,8
50
17,4
18
0
5,000
10,000
15,000
20,000
25,000
30,000Female
Male
Figure 1.3. Quarterly persons served by gender
NORTHSTAR Section 1 Persons Served
Source: DSHS NorthSTAR Data Warehouse.Note: NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 75
8,858 8,7959,297 9,268 9,239
9,709 9,99410,619
11,27712,085
13,15413,554 13,365 13,535
15,14214,379
15,651 15,408
4,092 4,2314,786 4,604 4,614 4,895 5,019 4,942
5,7756,162
6,866 6,773 6,867 7,0347,745
7,3368,041 8,035
768128
701 724 713 667 665 686 685 638 574 644 613 581 559
18,22618,17917,38117,784
16,52516,76216,98316,71815,933
14,96914,35614,57014,520
13,55414,14914,396
13,80413,907
769826
740
0
5,000
10,000
15,000
20,000Black (Not Hispanic)
Hispanic
White and OtherUnknown
Figure 1.4. Quarterly persons served by ethnicity
Source: DSHS NorthSTAR Data Warehouse.Note: NorthSTAR data has 90-day delay due to claims lag.
NORTHSTAR Section 1 Persons Served
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 76
61
,37
0
61
,93
3
63
,12
8
64
,01
4
63
,47
1
65
,13
5
65
,41
6
66
,82
3
67
,21
8
68
,37
4
69
,68
5
70
,99
8
65
,69
8
73
,20
3
74
,61
7
74
,00
3
76
,73
0
78
,07
6
28
5,7
26
28
6,6
53
29
2,4
60
29
8,1
88
29
0,2
35
29
4,6
38
28
9,6
17
29
9,0
64
30
0,3
55
30
4,4
63
31
6,8
20
32
7,9
53
29
6,7
02 3
54
,03
6
36
4,8
82
36
0,4
31
38
7,2
43
39
3,0
18
0
100,000
200,000
300,000
400,000
500,000Individual SSI Families & Children
Figure 2.1. Average monthly Medicaid enrollment
NORTHSTAR Section 2 Monthly Medicaid Enrollment
Source: DSHS NorthSTAR Data Warehouse.Note: NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 77
Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend13,1
33
14,3
22
15,7
39
15,8
21
16,0
29
15,4
59
15,5
73
15,8
95
16,5
17
16,7
93
16,9
96
17,7
73
18,2
01
17,4
33 19,2
60
18,8
49 20,4
61
20,5
16
1,0
72
753
550
502
627
886
999
1,0
25
1,1
57
1,2
45
1,4
17
1,4
54
1,8
97
2,6
54
3,3
16
2,9
13
3,6
30
3,4
47
4,5
62
4,1
22
3,6
39
3,5
72
3,6
93
4,0
26
4,4
89
4,8
38
5,0
01
5,8
24
6,4
37
6,0
62
6,0
21
6,2
64
7,0
36
6,8
23 8,0
42
8,2
08
555
539
516
499
504
506
520
518
533
565
590
596
600
584
645
620
664
656
0
5,000
10,000
15,000
20,000
25,000SP1 SP2 SP3 SP4
NORTHSTAR Section 3 Resiliency & Disease Management (RDM)
Source: DSHS NorthSTAR Data Warehouse.Note: NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK FY2011 Quarter 3 July 11, 2011 78
Figure 3.2. Unduplicated quarterly child authorized Service Package (SP) Trend1,
812
1,65
5
1,72
4
1,65
0
1,85
4 2,16
1 2,51
3
2,63
0 2,86
6 3,15
2
3,67
3
3,71
1 4,03
6
4,85
9
5,48
8
5,08
9 5,45
7
5,49
1
904
974 1,07
7
1,00
5
1,02
4
1,08
3
1,11
5
1,01
1
1,04
2 1,29
7 1,54
1
1,50
8
1,48
0
1,69
4
1,90
5
1,80
2
1,94
3
2,08
4
1 1 1 1 1 2 3 1 0 1 1 2
636
587
619
560
506
440
359
311
291
332
346
355
328
388 51
0
452 56
4
643
26 28 23 17 23 27 51 56 55 100
112
91 76 97 127
111
132
125
85 73 77 75 81 78 91 91 94 100
104
100
83
190 36
6
259 37
4
375
1,35
4
1,45
4 1,75
7
1861
1,93
9
1,86
9
1,88
0
1,87
8
2,06
8
2,20
1
2,05
4
1,89
0
1,93
8
1502
1,51
6
1,73
3
1,85
2
1,90
3
0
1,000
2,000
3,000
4,000
5,000
6,000SP1.1 SP1.2 SP2.1 SP2.2 SP2.3 SP2.4 SP3 SP4
NORTHSTAR Section 3 Resiliency & Disease Management (RDM)
Source: DSHS NorthSTAR Data Warehouse.Note: NorthSTAR data has 90-day delay due to claims lag.