louis de la parte florida mental health institute integrated data systems and program evaluation...

Louis de la Parte Florida

Mental Health Institute

Integrated Data Systems and Program Evaluation

University of South FloridaDiane Haynes



PSRDC stands for Policy and Services Research Data Center

PSRDC is a technical section within the Department of Mental Health Law & Policy, which is a part of the Louis de la Parte Florida Mental Health Institute at the University of South Florida, Tampa FL



Data Sources (secondary and primary)

Secondary

Houses data for Pinellas Data Collaborative (County), Criminal Justice Mental Health & Substance Abuse Technical Assistance Centers (Statewide)

Statewide Agency Administrative data (AHCA Medicaid Claims, DCF SAMHIS & SMH, Baker Act Initiations, DCF Child Welfare)

Primary

Faculty obtained external funded projects (survey’s, evaluations)



Various Type of Administrative Data

Criminal Justice

♦ Florida Dept. of Corrections

♦ Florida Dept. of Law Enforcement

♦ Florida Dept. of Juvenile Justice

Behavioral Health

♦ Substance Abuse

♦ Mental Health

Physical Health

Pharmacy



Other Types of Administrative Data

♦ County EMS

♦ County HHS

♦ County CJIS

♦ County JWB

♦ County Mental Health Court

♦ County Drug Court

Types of Studies/Analysis

• Mental health, substance abuse, criminal justice

• Adults, Youths, Children



Subpopulation of those in the Criminal Justice System (Jail/Prison)

They cycle in and out of the criminal justice system

More likely to use costly crisis behavioral health services rather than lower cost outpatient services

More likely to end up homeless

Substance Abuse

Criminal Justice

Mental Health



Mental Health Courts

Focus on diversion of this sub-population from the normal criminal justice system path

Through coordination by case management allows access to appropriate, comprehensive, targeted, integrated services

Is voluntary option

Create an integrated collaboration of community providers to provide services



Integrated Access to Services

Other Community Support

Mental Health

Services

Social Services

Substance Abuse

Services

Jails, Court

s

Access to Appropriate

Services



Sharing of Administrative Data

Allowing access to administrative data through MOUs, & Data Agreements

♦ Mental Health

♦ Substance Abuse

♦ Criminal Justice

♦ Health & Human Services

♦ Homeless Coalition



Program Evaluations

Using administrative secondary data

Initial Baseline

Formative or process (Also Uses Primary Survey Data)

Outcome

Cost Benefit Analysis



Initial Baseline Results

Estimated number of individuals who are incarcerated and would meet the criteria to enter the mental health court program (MHCP) was found to be 3% or 423 of the individuals being arrested (14,072)

Of those 423, 152 are also dealing with a substance abuse problem

Re-arrest rate after being released from jail was 33.9% within 6 months and 44.3% within 12 months after released.



Informative or Process Evaluation Results

Implementation was as planned, with strong commitment on the part of key stakeholders, management, and staff.

Part of the satisfaction is the ability of the program to be flexible to meeting each individual client’s needs.

There is an increased need of awareness of the program, especially for private attorneys was identified

The number of clients surpassed the estimations, to the point of the case manager / client ratio has passed what was set in the manual which was 20 clients per case manager.



Outcome Evaluation Results

The re-arrest rate for 6 months after the program for those who completed the program was 17% compared to the baseline of 33.9%, and the rate for 12 months after the program was 22% compared to 44.3%.

The average number of days to re-arrest for those in the study group who were re-arrested was 96 days, while for the comparison group the average number of days to re-arrest was 52 days.



Cost Analysis Evaluation Results

The average cost per individual who was in the program and graduated was $792.38.

The cost of incarceration for the study group in the prior year was $61,932.40 compared to this year was $19,919.00

Even if you include the cost of the MHC program ($32,020.76), there is still a cost savings of $9,992.64 for 40 individuals



Cost Table Example 1

Per Client Per Year

Contact Type

Average Number Per Ind.

AverageTotal Cost

Numberof Clients Cost Per Year

Court Hearing 10 $397.24 60 $17,528.79

Group After Court 1 $15.80 2 $31.60

In Person 3 $75.19 45 $2,823.59

Placement Review 1 $31.60 1 $31.60

Survey Answer 1 $3.95 1 $3.95

Telephone 16 $260.70 59 $11,593.33

Caretaker/Guardian 1 $7.90 1 $7.90

Total Average Cost $792.38 $32,020.76



Cost Table Example 2Type of Service Received

Number of Individuals and Costs

1 Year Before Program (N = 22) 1 Year After Starting Program ( N = 38)

Average Cost & Days of Svc Per

ClientNbr Ind. & Total Per

Year

Average Cost & Days of Svc Per

ClientNbr. Ind. & Total Per

Year

Non Crisis Services 61 $2,537.04 14 $35,518.60 20 $3,104.62 35 $108,661.70

Crisis Services 3 $921.14 18 $15,769.59 14 $5,209.62 24 $124,595.83

MH outpatient 8 $230.72 5 $1,153.58 4 $878.61 22 $19,329.37MH Inpatient 1 $538.90 8 $4,311.20 0 $0.00 0 $0.00

MH Emergency 2 $461.25 1 $461.25 5 $2,532.27 21 $53,177.65

MH Case Management 25 $1,609.04 3 $4,827.12 18 $2,656.39 31 $82,348.14SA Outpatient 12 $202.97 5 $1,014.86 4 $282.14 3 $846.34SA Inpatient 2 $538.02 1 $538.02 1 $52,808.91 1 $52,808.91SA Emergency 0 $0.00 0 $0.00 0 $0.00 0 $0.00SA Case Management 0 $0.00 0 $0.00 12 $903.81 5 $4,519.05

PH Outpatient 52 $2,194.08 13 $28,523.04 6 $809.40 2 $1,618.80PH Inpatient 6 $3,511.70 2 $7,023.40 1 $17,573.00 1 $17,573.00PH Emergency 3 $531.63 9 $4,784.64 2 $490.42 3 1,417,24PH Case Management 0 $0.00 0 $0.00 0 $0.00 0 $0.00



Conclusion

Access to Administrative data from multiple sources can bring added benefit to evaluations

Administrative data is already collected

Across multiple sources can give a more complete picture of individuals in the program and the program itself.



Any Questions?



Contact

Diane Haynes. MA, MPA

Statistical Data Analyst

13301 Bruce B. Downs Blvd., MHC 2621

Florida Mental Health Institute (FMHI)

Department of Mental Health Law & Policy

College of Behavioral and Community Sciences

University of South Florida

Tampa, FL 33612

Voice: 813 974-2056

Fax: 813 974-6411

[email protected]

louis de la parte florida mental health institute integrated data systems and program evaluation...

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