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Mental Health Performance Measures. Vermont Mental Health Block Grant Planning Council November 5, 2012. Mental Health Performance Measures. Access to Care Practice Patterns Treatment Outcomes. Access to Care. Elder Care Service Utilization. Per 100,000 Residents. 600. 500. 400. 300. - PowerPoint PPT Presentation

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Page 1: Mental Health  Performance Measures
Page 2: Mental Health  Performance Measures

Mental Health Performance

Measures

Vermont Mental Health Block Grant Planning Council

November 5, 2012

Page 3: Mental Health  Performance Measures

Mental Health Performance

Measures

Access to CarePractice Patterns

Treatment Outcomes

Page 4: Mental Health  Performance Measures
Page 5: Mental Health  Performance Measures

Access to Care

Elder Care Service Utilization

Page 6: Mental Health  Performance Measures
Page 7: Mental Health  Performance Measures

0

100

200

300

400

500

600

Total Female Male

Per 100,000 Residents

Eldercare Service RecipientsFY2003 - FY2012

FY2003 FY2006 FY2009 FY2012

Page 8: Mental Health  Performance Measures
Page 9: Mental Health  Performance Measures

0

20

40

60

80

100

120

WCMH HC HCRS RMHS CSAC NCSS NKHS UCS

To

tal N

um

ber

Ser

ved

Elder Care Service Recipients by Designated AgencyFY2003 - FY2012

FY2003 FY2006 FY2009 FY2012

Page 10: Mental Health  Performance Measures
Page 11: Mental Health  Performance Measures

Access to Care

Treatment of Psychoses

Page 12: Mental Health  Performance Measures
Page 13: Mental Health  Performance Measures

0

5,000

10,000

15,000

20,000

25,000

30,000

Total Male Female 18-34 35-49 50+

Individuals Treated for PsychosesVermont CY2011

Per 100,000 ResidentsUnduplicated Number Served

0

5,000

10,000

15,000

20,000

25,000

30,000

Total Male Female 18-34 35-49 50+

Page 14: Mental Health  Performance Measures
Page 15: Mental Health  Performance Measures

Access to Care

Designated Agency Services to Veterans

Page 16: Mental Health  Performance Measures
Page 17: Mental Health  Performance Measures

0

100

200

300

400

500

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

0%

2%

4%

6%

8%

10%

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

Number of Veterans Percent of Caseload

AOP SA AOP SA

Veterans ServedFY2000 - FY2012

Page 18: Mental Health  Performance Measures
Page 19: Mental Health  Performance Measures

Comments, Questions,Suggestions

for Further Analysis

Regarding

Access to Care

?

Page 20: Mental Health  Performance Measures
Page 21: Mental Health  Performance Measures

Practice Patterns

Community Integration

Children with SED

Page 22: Mental Health  Performance Measures
Page 23: Mental Health  Performance Measures

Children with SEDFY2011

OverallPercent of Caseload

0%

10%

20%

30%

40%

50%

60%

70%

SED Not SED0%

10%

20%

30%

40%

In-home Services Family Support Services

Percent Receiving Services

SED Not SED

Page 24: Mental Health  Performance Measures
Page 25: Mental Health  Performance Measures

Practice Patterns

CRT Inpatient Utilizationbefore and after Irene

CRT Follow Up ServicesAfter Hospitalization

Page 26: Mental Health  Performance Measures
Page 27: Mental Health  Performance Measures

0

10

20

30

40

50

60

Jan-11 Apr-11 Jul-11 Oct-11 Jan-12 Apr-12

Av

era

ge

Da

ily

Ce

ns

us

CRT Inpatient Psychiatric UtilizationAverage Daily Census by Hospital

January 2011 to April 2012

Total

VSH

Other Hospital

IRENE

Page 28: Mental Health  Performance Measures
Page 29: Mental Health  Performance Measures

0%

20%

40%

60%

80%

100%

NCSS CSAC LCMH CMC NKHS UCS HCRS WCMH HC RMHS Total

% w

/ S

am

e D

ay

Se

rvic

es

CRT Inpatient Discharges withSame Day Follow Up Services by Designated Agency

July 2011 - March 2012

86%

80%78% 77% 77% 76%

73%70%

59% 57%

70%

Page 30: Mental Health  Performance Measures
Page 31: Mental Health  Performance Measures

Practice Patterns

Elder Care Service Events

Volume and Type

Page 32: Mental Health  Performance Measures
Page 33: Mental Health  Performance Measures

Elder Care Service EventsFY2003 - FY2012

N = 457

0

500

1,000

1,500

2,000

2,500

3,000

3,500

Individual/FamilyTherapy

CommunitySupports

ClinicalAssessment

Planning &Coordination

MedChecks0 100 200 300 400

Individual/Family Therapy

CommunitySupports

Clinical Assessment

Planning &Coordination

MedChecks

Service EventsNumber Served

303

246

109

67

35 3,040 3,052

113 142 151

Page 34: Mental Health  Performance Measures
Page 35: Mental Health  Performance Measures

Practice Patterns

Severe Functional Impairment*

Designated by VT Department of Corrections

Page 36: Mental Health  Performance Measures
Page 37: Mental Health  Performance Measures

SFI Inmates Jul-Aug 2012With prior DA services FY2002 - FY2011

92 (69%) served out of 134 inmatesDA Program Assignment

0

10

20

30

40

50

60

ADULT SUBS EMERG CRT CHILD NONE DS

Nu

mb

er

Last Clinic of Service

0

5

10

15

20

25

HC HCRS NKHS RMHS UCS WCMH CMC NCSS LCC CSAC UVS

Nu

mb

er

Page 38: Mental Health  Performance Measures
Page 39: Mental Health  Performance Measures

Vermont Inmates FY2012SFI or CRT Status

NotSFI or CRT

95%

SFI or CRT5%

Page 40: Mental Health  Performance Measures
Page 41: Mental Health  Performance Measures

SFI

6,351 prisoners in FY2012

286 (5%) SFI or CRT

222 (3%) SFI 90 (1%) CRT 26 (0.5%) SFI and CRT

Page 42: Mental Health  Performance Measures
Page 43: Mental Health  Performance Measures

Comments, Questions,Suggestions

for Further Analysis

Regarding

Practice Patterns

?

Page 44: Mental Health  Performance Measures
Page 45: Mental Health  Performance Measures

Treatment Outcomes

CRT Employment

CRT IncarcerationsDCF/DMH/DOC Caseload Overlap

Vermont Resident Suicides

Page 46: Mental Health  Performance Measures
Page 47: Mental Health  Performance Measures

0%

7%

14%

21%

28%

35%

'00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

'00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12

CRT Employment

FY2000 – FY2012

Percent Employed Average Earnings

Page 48: Mental Health  Performance Measures
Page 49: Mental Health  Performance Measures

CRT Incarcerations

FY2011 & FY2012Quarterly Incarceration Rate:

28 incarcerated(1%) of CRT enrollees

(1%) of incarcerated population

Page 50: Mental Health  Performance Measures
Page 51: Mental Health  Performance Measures

0%

5%

10%

15%

20%

25%

30%

Total Male Female

Per

cen

t In

carc

erat

edVermont Youth Served: FY2006-2008 Incarcerated as Young Adults: FY2009-2011

3%

5%

1%

5%

8%

3%

17%

22%

10%

21%

27%

11%

General PopulationOnly DMHOnly DCFBoth DCF and DMH

Page 52: Mental Health  Performance Measures
Page 53: Mental Health  Performance Measures

0

2

4

6

8

10

12

14

16

18S

ep

Oct

No

v

De

c

Jan

Fe

b

Ma

r

Ap

r

Ma

y

Jun

Jul

Au

g

Se

p

Oct

No

v

De

c

Jan

Fe

b

Ma

r

Ap

r

Ma

y

Jun

Jul

Au

g

# V

erm

on

t R

esid

ent

Su

icid

es

Pre-Irene

102

Post-Irene

105

IRENE

VT Resident Suicides by MonthSeptember 2010 – August 2012

Page 54: Mental Health  Performance Measures
Page 55: Mental Health  Performance Measures

Comments, Questions,Suggestions

for Further Analysis

Regarding

Treatment Outcomes

?

Page 56: Mental Health  Performance Measures
Page 57: Mental Health  Performance Measures

Department of Mental HealthDepartment of Mental HealthAgency of Human ServicesAgency of Human Services

Mental Health Research and Statistics Unit

John Pandiani, MH Statistics Chief

Data Analysis:Sheila Leno

Emma Harrigan

Cindy Chornyak

Slideshow:Emma Harrigan

Page 58: Mental Health  Performance Measures
Page 59: Mental Health  Performance Measures

SAVE THE

DATA

Page 60: Mental Health  Performance Measures

USE THE

DATA

Page 61: Mental Health  Performance Measures

SHARE

THEDATA

Page 62: Mental Health  Performance Measures