DSHS Behavioral Health Data Book, FY2013 Q1

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Behavioral Health
DATA BOOK
A quarterly reference to community mental health and substance abuse services
Fiscal Year 2013

Quarter 1

January 9, 2012
http://www.dshs.state.tx.us/mhsa/databook/
PREFACE
The purpose of the Texas Department of State Health Services (DSHS) Behavioral Health Data Book is to present, in a
quarterly document series, statewide data trends for community mental health and substance abuse services for policy
and practice decision making. It is not intended as a comprehensive guide, but as a quick reference for DSHS staff in
response to frequently-asked, general questions from behavioral health stakeholders. Therefore, data presented here
should not be taken out of this context.
For further information, contact the Mental Health & Substance Abuse Office of Decision Support.
IN THIS ISSUE:
There is a new employment outcome measure in the
Community Mental Health Services section beginning in
FY2012 per the performance contract with DSHS-funded
Local Mental Health Authorities (Figure 1.9, page 13).
Measures in the Substance Abuse Services section are
presented yearly beginning with FY2011, when the
Clinical Management for Behavioral Health Services
(CMBHS) was first used statewide by DSHS-funded
providers of substance abuse services to enter data.
These measures are presented for prior fiscal years
(apart from FY2011) in previous issues of the DSHS
Behavioral Health Data Book, when the Behavioral Health
Integrated Provider System (BHIPS) was used by
providers to enter data.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
2
COMMUNITY MENTAL HEALTH SERVICES
Section 1

Adults
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 independent/competitive/supported/self-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

Page
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
19
20
21
22
23
24
25
26
27
28
29
30
3
COMMUNITY MENTAL HEALTH SERVICES (continued)
Section 3

Front Door Crisis
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



33
34
Waiting List
Figure 5.1. Number of adults on waiting list for community mental health services with percentage waiting for all services
Figure 5.2. Number of children on waiting list for community mental health services with percentage waiting for all services
Section 6
31
32
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
Page
35
36
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
37
4
COMMUNITY MENTAL HEALTH SERVICES
Section 1


Adults
Figure 1.1. Average monthly number of adults receiving community mental health
services
120,000
77
,8
73
78
,5
19
1
77
,5
92
4
80,000
77
,0
40
78
,2
45
76
,3
25
80
,0
00
80
,0
20
81
,5
03
81
,4
21
81
,5
92
80
,2
62
81
,5
51
100,000
60,000
40,000
20,000
rt
er
FY
20
13
Q
ua
rt
er
3
Q
ua
FY
20
12
Q
ua
rt
er
2
FY
20
12
Q
ua
rt
er
1
20
12
FY
FY
20
12
Q
ua
rt
er
4
rt
er
3
FY
20
11
Q
ua
rt
er
2
FY
20
11
Q
ua
rt
er
1
FY
20
11
Q
ua
rt
er
4
FY
20
11
Q
ua
rt
er
3
FY
20
10
Q
ua
rt
er
2
Q
ua
rt
er
FY
20
10
Q
ua
20
10
FY
FY
20
10
Q
ua
rt
er
1
0
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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
$360
$345
$323
$380
$360
$347
$372
$368
$368
$361
$338
$366
$361
$300
$200
$100
1
Q
ua
rt
er
4
FY
20
13
Q
ua
rt
er
3
FY
20
12
Q
ua
rt
er
2
FY
20
12
Q
ua
rt
er
1
FY
20
12
Q
ua
rt
er
4
FY
20
12
Q
ua
rt
er
3
FY
20
11
Q
ua
rt
er
2
FY
20
11
Q
ua
rt
er
1
FY
20
11
Q
ua
rt
er
4
FY
20
11
Q
ua
rt
er
2
20
10
FY
FY
20
10
Q
ua
rt
er
3
rt
er
Q
ua
20
10
FY
FY
20
10
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
6
COMMUNITY MENTAL HEALTH SERVICES

Section 1

Adults
Figure 1.3. Average monthly percentage of adults in community mental health
services appropriately authorized
100%
93%
93%
93%
92%
92%
92%
92%
91%
91%
90%
91%
91%
91%
91%
80%
70%
60%
50%
40%
30%
20%
10%
0%
10
20
Y
F
r1
rte
a
u
Q
10
20
Y
F
r2
rte
a
u
Q
10
20
Y
F
r3
rte
a
u
Q
10
20
Y
F
r4
rte
a
u
Q
11
20
Y
F
r1
rte
a
u
Q
11
20
Y
F
r2
rte
a
u
Q
11
20
Y
F
r3
rte
a
u
Q
11
20
Y
F
r4
rte
a
u
Q
12
20
Y
F
r1
rte
a
u
Q
12
20
Y
F
r2
rte
a
u
Q
12
20
Y
F
r3
rte
a
u
Q
12
20
Y
F
r4
rte
a
u
Q
13
20
Y
F
r1
rte
a
u
Q
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2012 Performance
Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
90%
87%
81%
82%
87%
87%
89%
87%
83%
86%
86%
87%
86%
85%
80%
70%
(80%)
FY2013
Performance
Contract
Target
60%
50%
40%
30%
20%
10%
0%
10
20
Y
F
r1
rte
a
u
Q
10
20
Y
F
r2
rte
a
u
Q
10
20
Y
F
r3
rte
a
u
Q
10
20
Y
F
r4
rte
a
u
Q
11
20
Y
F
r1
rte
a
u
Q
11
20
Y
F
r2
rte
a
u
Q
11
20
Y
F
r3
rte
a
u
Q
11
20
Y
F
r4
rte
a
u
Q
12
20
Y
F
r1
rte
a
u
Q
12
20
Y
F
r2
rte
a
u
Q
12
20
Y
F
r3
rte
a
u
Q
12
20
Y
F
r4
rte
a
u
Q
13
20
Y
F
r1
rte
a
u
Q
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2012
Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
77%
78%
78%
77%
79%
80%
81%
79%
82%
83%
83%
81%
82%
70%
(77%)
FY2013
Performance
Contract
Target
60%
50%
40%
30%
20%
10%
0%
10
20
Y
F
r1
rte
a
u
Q
10
20
Y
F
r2
rte
a
u
Q
10
20
Y
F
r3
rte
a
u
Q
10
20
Y
F
r4
rte
a
u
Q
11
20
Y
F
r1
rte
a
u
Q
11
20
Y
F
r2
rte
a
u
Q
11
20
Y
F
r3
rte
a
u
Q
11
20
Y
F
r4
rte
a
u
Q
12
20
Y
F
r1
rte
a
u
Q
12
20
Y
F
r2
rte
a
u
Q
12
20
Y
F
r3
rte
a
u
Q
12
20
Y
F
r4
rte
a
u
Q
13
20
Y
F
r1
rte
a
u
Q
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see
Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
9
COMMUNITY MENTAL HEALTH SERVICES

Section 1

Adults
Figure 1.6. Percentage of adults in community mental health services avoiding
crisis
98%
100%
98%
97%
98%
98%
97%
98%
98%
98%
99%
98%
98%
98%
90%
(97.7%)
FY2013
Performance
Contract
Target
80%
70%
60%
50%
40%
30%
20%
10%
0%
20
FY
10
Q
rte
ua
r1
20
FY
10
Q
rte
ua
r2
20
FY
10
Q
rte
ua
r3
20
FY
10
Q
rte
ua
r4
20
FY
11
Q
rte
ua
r1
20
FY
11
Q
r
rte
ua
2
20
FY
11
Q
r
rte
ua
3
20
FY
11
Q
rte
ua
r4
20
FY
12
Q
rte
ua
r1
20
FY
12
Q
r
rte
ua
2
20
FY
12
Q
rte
ua
r3
20
FY
12
Q
r
rte
ua
4
20
FY
13
Q
rte
ua
r1
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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
1.0%
0.5%
0.38%
0.34%
0.36%
0.35%
0.34%
0.38%
0.36%
0.34%
0.39%
0.37%
0.35%
0.35%
0.35%
rte
r1
20
13
Q
ua
rte
r4
FY
20
12
Q
ua
rte
r3
FY
FY
20
12
Q
ua
rte
r2
20
12
Q
ua
rte
r1
FY
20
12
Q
ua
rte
r4
FY
20
11
Q
ua
rte
r3
FY
20
11
Q
ua
rte
r2
FY
20
11
Q
ua
rte
r1
FY
20
11
Q
ua
rte
r4
FY
20
10
Q
ua
rte
r3
FY
FY
20
10
Q
ua
rte
r2
Q
ua
20
10
FY
FY
20
10
Q
ua
rte
r1
0.0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
(38% Improved
or Acceptable )
FY2013
Performance
Contract
Target
50%
40%
35%
34%
37%
30%
20%
10%
20
13
FY
20
12
FY
20
11
FY
FY
20
10
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
12
COMMUNITY MENTAL HEALTH SERVICES

Section 1

Adults
Figure 1.9. Percentage of adults in community mental health services with
independent/competitive/supported/self-employment per year
30%
20%
(14.7%)
FY2013
Performance
Contract
Target
15%
10%
20
14
FY
20
13
FY
FY
20
12
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Employment Outcome. For methodology, see Fiscal Year 2012
Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
(72% Improved
or Acceptable)
FY2013
Performance
Contract
Target
80%
74%
71%
70%
68%
60%
50%
40%
30%
20%
10%
20
13
FY
20
12
FY
20
11
FY
FY
20
10
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
53%
54%
(44% Improved)
FY2013
Performance
Contract
Target
50%
42%
40%
30%
20%
10%
20
13
FY
20
12
FY
20
11
FY
FY
20
10
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
85%
84%
(87% Improved
or Acceptable)
FY2013
Performance
Contract
Target
80%
70%
60%
50%
40%
30%
20%
10%
20
13
FY
20
12
FY
20
11
FY
FY
20
10
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
16
COMMUNITY MENTAL HEALTH SERVICES
Section 1


Adults
Figure 1.13. Number of persons assigned to Supported Employment
3,000
2,500
2,093
2,000
1,471
1,397
1,500
1,090
1,000
777
830
792
656
830
784
745
819
682
500
rte
r1
Q
ua
rte
r4
FY
20
13
Q
ua
rte
r3
FY
20
12
Q
ua
rte
r2
FY
20
12
Q
ua
rte
r1
FY
20
12
Q
ua
rte
r4
FY
20
12
Q
ua
rte
r3
FY
20
11
Q
ua
rte
r2
FY
20
11
Q
ua
rr
te
r1
FY
Q
ua
20
11
FY
20
11
rte
r3
Q
ua
rte
r3
FY
20
11
Q
ua
rte
r2
FY
20
10
Q
ua
20
10
FY
FY
20
10
Q
ua
rte
r1
0
Source: DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
17
COMMUNITY MENTAL HEALTH SERVICES
Section 1


Adults
Figure 1.14. Number of persons assigned to Supported Housing
4,000
2,000
2,
63
8
2,
37
5
2,
31
7
2,
07
9
1,
95
6
1,
88
4
1,
81
3
1,
87
2
1,
97
7
1,
98
5
2,500
1,
96
2
2,
16
6
3,000
2,
93
8
3,500
1,500
1,000
500
1
rt
er
4
FY
20
13
Q
ua
rt
er
3
Q
ua
FY
20
12
Q
ua
rt
er
2
FY
20
12
Q
ua
rt
er
1
20
12
FY
FY
20
12
Q
ua
rt
er
4
rt
er
3
FY
20
11
Q
ua
rt
er
2
Q
ua
FY
20
11
Q
ua
rt
er
1
FY
20
11
Q
ua
rt
er
4
20
11
FY
FY
20
10
Q
ua
rt
er
3
rt
er
2
Q
ua
rt
er
FY
20
10
Q
ua
20
10
FY
FY
20
10
Q
ua
rt
er
1
0
Source: DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
18
COMMUNITY MENTAL HEALTH SERVICES

Section 2

Children
Figure 2.1. Average monthly number of children receiving community mental
health services
25,000
20,000
17
5
,33
1
,84
17
1
,95
8
1
6
,34
8
1
5
,28
18
8
,32
8
1
9
,76
8
1
7
,01
8
1
4
,78
17
8
,85
17
1
,34
8
1
8
,62
7
1
0
,71
7
1
15,000
10,000
5,000
0
r1
r2
r3
r4
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FY
FY
FY
FY
FY
FY
FY
FY
FY
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
19
COMMUNITY MENTAL HEALTH SERVICES

Section 2

Children
Figure 2.2. Average monthly cost per child receiving community mental health
services
$800
$700
$4
50
$600
$3
83
$3
52
$3
41
$3
48
$3
57
$3
59
$3
57
$3
97
$3
87
$3
76
$400
$3
61
$3
61
$500
$300
$200
$100
1
Q
ua
rt
er
4
FY
20
13
Q
ua
rt
er
3
FY
20
12
Q
ua
rt
er
2
FY
20
12
Q
ua
rt
er
1
FY
20
12
Q
ua
rt
er
4
FY
20
12
Q
ua
rt
er
3
FY
20
11
Q
ua
rt
er
2
FY
20
11
Q
ua
rt
er
1
20
11
FY
FY
20
11
Q
ua
rt
er
4
rt
er
3
Q
ua
FY
20
10
Q
ua
rt
er
2
rt
er
FY
20
10
Q
ua
20
10
FY
FY
20
10
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
20
COMMUNITY MENTAL HEALTH SERVICES
Section 2


Children
Figure 2.3. Average monthly percentage of children in community mental health
services appropriately authorized
100%
94%
93%
93%
93%
93%
92%
92%
91%
93%
93%
93%
93%
93%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
r1
te
r
a
FY
10
20
u
Q
FY
r2
te
r
a
10
20
u
Q
FY
10
20
r3
te
r
ua
Q
FY
r4
te
r
a
10
20
u
Q
FY
r1
te
r
a
11
20
u
Q
FY
11
20
r2
te
r
ua
Q
FY
r3
te
r
a
11
20
u
Q
FY
11
20
r4
te
r
a
u
Q
FY
12
20
r1
te
r
ua
Q
FY
12
20
r2
te
r
ua
Q
FY
r3
te
r
a
12
20
u
Q
12
20
Y
F
r4
te
r
ua
Q
13
20
Y
F
r1
te
r
ua
Q
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2012 Performance
Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
87%
90%
86%
88%
85%
88%
87%
89%
88%
88%
88%
88%
87%
83%
80%
70%
(80%)
FY2013
Performance
Contract
Target
60%
50%
40%
30%
20%
10%
0%
r1
te
r
a
0
01
Y2
F
u
Q
F
0
01
Y2
r2
te
r
ua
Q
F
0
01
Y2
r3
te
r
a
u
Q
F
0
01
Y2
r4
te
r
a
u
Q
F
1
01
Y2
u
Q
r1
te
r
a
F
1
01
Y2
r2
te
r
a
u
Q
FY
r
rte
ua
Q
11
20
3
1
01
Y2
r4
te
r
a
u
Q
F
F
2
01
Y2
r1
te
r
a
u
Q
F
2
01
Y2
u
Q
r2
te
r
a
F
2
01
Y2
r3
te
r
a
u
Q
F
2
01
Y2
u
Q
r4
te
r
a
F
3
01
Y2
r1
te
r
a
u
Q
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2012
Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
79%
80%
76%
73%
73%
75%
77%
77%
77%
77%
77%
79%
80%
78%
(65%)
FY2013
Performance
Contract
Target
70%
60%
50%
40%
30%
20%
10%
0%
10
20
Y
F
r1
rte
a
u
Q
10
20
Y
F
r2
rte
a
u
Q
10
20
Y
F
r3
rte
a
u
Q
10
20
Y
F
r4
rte
a
u
Q
11
20
Y
F
r1
rte
a
u
Q
11
20
Y
F
r2
rte
a
u
Q
11
20
Y
F
r3
rte
a
u
Q
11
20
Y
F
r4
rte
a
u
Q
12
20
Y
F
r1
rte
a
u
Q
12
20
Y
F
r2
rte
a
u
Q
12
20
Y
F
r3
rte
a
u
Q
12
20
Y
F
r4
rte
a
u
Q
13
20
Y
F
r1
rte
a
u
Q
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see
Fiscal Year 2012 Performance Contract with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
98%
98%
98%
98%
99%
98%
98%
98%
98%
99%
90%
(98.3%)
FY2013
Performance
Contract
Target
80%
70%
60%
50%
40%
30%
20%
10%
0%
r1
r2
r3
r4
r2
r3
r4
r1
r2
r3
r4
r1
r1
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
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
1
0
0
0
0
1
1
1
2
2
2
2
3
1
1
1
1
1
1
1
1
1
1
1
1
1
1
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
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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
1.0%
0.5%
0.06%
0.07%
0.06%
0.05%
0.04%
0.06%
0.04%
0.02%
0.08%
0.06%
0.05%
0.06%
0.02%
0.0%
r1
te
r
a
10
20
Y
F
r2
te
r
a
u
Q
F
0
01
Y2
u
Q
F
r3
te
r
a
0
01
Y2
r4
te
r
a
u
Q
F
0
01
Y2
u
Q
11
20
Y
F
r1
te
r
ua
Q
F
r2
te
r
a
1
01
Y2
r3
te
r
a
u
Q
1
01
Y2
r4
te
r
a
u
Q
F
F
1
01
Y2
u
Q
F
r1
te
r
a
2
01
Y2
u
Q
F
2
01
Y2
u
Q
r2
te
r
a
r3
te
r
a
F
2
01
Y2
u
Q
F
2
01
Y2
u
Q
r4
te
r
a
F
3
01
Y2
u
Q
r1
te
r
a
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
38%
40%
(38% Improved
or Acceptable)
FY2013
Performance
Contract
Target
38%
37%
30%
20%
10%
20
13
FY
20
12
FY
20
11
FY
FY
20
10
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
41%
41%
(42% Improved
or Acceptable)
FY2013
Performance
Contract
Target
40%
30%
20%
10%
20
13
FY
20
12
FY
20
11
FY
FY
20
10
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
(71% Improved)
FY2013
Performance
Contract
Target
80%
73%
70%
68%
68%
60%
50%
40%
30%
20%
10%
20
13
FY
20
12
FY
20
11
FY
FY
20
10
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
(92%)
FY2013
Performance
Contract
Target
95%
90%
91%
90%
80%
70%
60%
50%
40%
30%
20%
10%
20
13
FY
20
12
FY
20
11
FY
FY
20
10
0%
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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%
(87% Improved or
Acceptable)
FY2013
Performance
Contract Target
90%
80%
79%
81%
81%
70%
60%
50%
40%
30%
20%
10%
0%
10
20
Y
F
11
20
Y
F
12
20
Y
F
13
20
Y
F
Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2012 Performance Contract
with Local Mental Health Authorities, Information Item C.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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
5,265
5,689
5,878
5,688
5,802
5,529
5,318
5,192
5,056
5,667
5,396
5,000
5,000
4,000
3,000
2,000
1,000
1
Q
ua
rt
er
4
FY
20
13
Q
ua
rt
er
3
FY
20
12
Q
ua
rt
er
2
FY
20
12
Q
ua
rt
er
1
20
12
FY
FY
20
12
Q
ua
rt
er
4
rt
er
3
Q
ua
FY
20
11
Q
ua
rt
er
2
FY
20
11
Q
ua
rt
er
1
FY
20
11
Q
ua
rt
er
4
FY
20
11
Q
ua
rt
er
3
FY
20
10
Q
ua
rt
er
2
rt
er
FY
20
10
Q
ua
20
10
FY
FY
20
10
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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
$450
$500
$410
$406
$400
$382
$400
$300
$363
$392
$401
$396
$388
$390
$401
$244
Notes: 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.
$200
$100
Qu
ar
te
r1
Qu
ar
te
r4
FY
20
13
Qu
ar
te
r3
FY
20
12
Qu
ar
te
r2
FY
20
12
Qu
ar
te
r1
FY
20
12
Qu
ar
te
r4
FY
20
12
Qu
ar
te
r3
FY
20
11
Qu
ar
te
r2
FY
20
11
Qu
ar
te
r1
FY
20
11
Qu
ar
te
r4
FY
20
11
Qu
ar
te
r3
FY
20
10
Qu
ar
te
r2
FY
20
10
FY
20
10
FY
20
10
Qu
ar
te
r1
$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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
32
COMMUNITY MENTAL HEALTH SERVICES

Section 4

New Generation Medication
Figure 4.1. Average monthly number of persons receiving new generation
medication
35,000
18
,4
16
21
,0
00
18
,0
82
FY2011
Quarter
3
18
,5
33
FY2011
Quarter
2
20,000
19
,3
19
FY2011
Quarter
1
20
,1
66
20
,7
29
FY2010
Quarter
4
21
,0
78
FY2010
Quarter
3
21
,4
08
FY2010
Quarter
2
22
,1
45
FY2010
Quarter
1
22
,2
16
21
,5
20
25,000
21
,3
51
30,000
FY2012
Quarter
2
FY2012
Quarter
3
FY2012
Quarter
4
15,000
10,000
5,000
0
FY2011
Quarter
4
FY2012
Quarter
1
FY2013
Quarter
1
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
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
$500
$400
$300
$200
$127
$129
$129
$147
$128
$134
$150
$132
$140
$159
$164
$168
$140
$100
1
4
Q
ua
rt
er
FY
20
13
Q
ua
rt
er
3
FY
20
12
Q
ua
rt
er
2
FY
20
12
Q
ua
rt
er
1
FY
20
12
Q
ua
rt
er
4
20
12
FY
FY
20
11
Q
ua
rt
er
3
2
Q
ua
rt
er
FY
20
11
Q
ua
rt
er
1
FY
20
11
Q
ua
rt
er
4
FY
20
11
Q
ua
rt
er
3
FY
20
10
Q
ua
rt
er
2
20
10
Q
ua
rt
er
FY
20
10
FY
FY
20
10
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
34
COMMUNITY MENTAL HEALTH SERVICES
Section 5


Waiting List
Figure 5.1. Number of adults on waiting list for community mental health services
with percentage waiting for all services
Number of Persons Waiting
Percentage Waiting for All Services
15,000
100%
73%
71%
72%
70%
10,000
70%
10,039
9,525
8,921
72%
74%
9,315
9,252
76%
75%
9,664
72%
72%
71%
71%
80%
60%
9,257
8,569
8,113
8,463
8,227
8,042
7,364
40%
5,000
20%
on
1
4
te
r
te
r
ua
r
ua
r
Q
Q
of
of
d
FY
2
01
3
En
d
En
01
2
11
/3
0/
12
8/
31
/1
2
on
5/
31
/1
2
3
te
r
Q
FY
2
01
2
FY
2
01
2
FY
2
En
d
of
En
d
of
Q
ua
r
te
r
ua
r
te
r
ua
r
Q
of
d
on
2/
29
/1
2
2
on
1
4
te
r
En
01
2
FY
2
on
11
/3
0/
11
8/
31
/1
1
on
5/
31
/1
1
ua
r
Q
of
FY
2
01
1
En
d
of
01
1
FY
2
01
1
FY
2
En
d
En
d
of
Q
ua
r
te
r
3
on
2/
28
/1
1
on
te
r
ua
r
Q
ua
r
Q
of
d
En
01
1
FY
2
2
on
1
te
r
te
r
ua
r
Q
d
En
01
0
11
/3
0/
10
8/
31
/1
0
on
4
on
3
of
Q
FY
2
01
0
FY
2
01
0
FY
2
En
d
of
En
d
of
Q
ua
r
te
r
ua
r
te
r
2
on
11
/3
0/
09
on
1
te
r
ua
r
Q
of
d
En
01
0
FY
2
5/
31
/1
0
0%
2/
28
/1
0
0
Source: DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
35
COMMUNITY MENTAL HEALTH SERVICES
Section 5


Waiting List
Figure 5.2. Number of children on waiting list for community mental health services
with percentage waiting for all services
Number of Persons Waiting
Percentage Waiting for All Services
2,000
100%
86%
74%
75%
76%
73%
80%
65%
62%
60%
80%
73%
71%
1,500
84%
57%
60%
1,000
40%
711
500
607
548
412
400
20%
416
315
356
349
281
347
276
233
on
1
4
te
r
te
r
ua
r
ua
r
Q
Q
of
of
d
FY
2
01
3
En
d
En
01
2
11
/3
0/
12
8/
31
/1
2
on
5/
31
/1
2
3
te
r
Q
FY
2
01
2
FY
2
01
2
FY
2
En
d
of
En
d
of
Q
ua
r
te
r
ua
r
te
r
ua
r
Q
of
d
on
2/
29
/1
2
2
on
1
4
te
r
En
01
2
FY
2
on
11
/3
0/
11
8/
31
/1
1
on
5/
31
/1
1
ua
r
Q
of
FY
2
01
1
En
d
of
01
1
FY
2
01
1
FY
2
En
d
En
d
of
Q
ua
r
te
r
3
on
2/
28
/1
1
on
te
r
ua
r
Q
ua
r
Q
of
d
En
01
1
FY
2
2
on
1
te
r
te
r
ua
r
Q
of
d
En
01
0
11
/3
0/
10
8/
31
/1
0
on
4
on
3
Q
FY
2
01
0
FY
2
01
0
FY
2
En
d
of
En
d
of
Q
ua
r
te
r
ua
r
te
r
2
on
11
/3
0/
09
on
1
te
r
ua
r
Q
of
d
En
01
0
FY
2
5/
31
/1
0
0%
2/
28
/1
0
0
Source: DSHS Client Assignment Registration (CARE) system.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
36
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%
65%
60%
60%
63%
61%
60%
63%
58%
60%
58%
57%
58%
57%
57%
FY2012
Quarter
1
FY2012
Quarter
2
FY2012
Quarter
3
FY2012
Quarter
4
FY2013
Quarter
1
50%
40%
30%
20%
10%
0%
FY2010
Quarter
1
FY2010
Quarter
2
FY2010
Quarter
3
FY2010
Quarter
4
FY2011
Quarter
1
FY2011
Quarter
2
FY2011
Quarter
3
FY2011
Quarter
4
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
37
SUBSTANCE ABUSE SERVICES
Section 1  Prevention
Figure 1.1.
Figure 1.2.
Figure 1.3.
Figure 1.4.
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
Page
40
41
42
43
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 Intervention programs per year
Cost per youth for substance abuse intervention programs per year
44
45
46
47
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
38
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
65
Specialized Female Programs
66
67
68
69
Waiting List
Figure 6.1. Number of adults entered on waiting list by substance abuse program per year
Figure 6.2. Number of youth entered on waiting list by substance abuse program per year
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
70
71
39
SUBSTANCE ABUSE SERVICES

Section 1

Prevention
Figure 1.1. Number of adults served in substance abuse prevention programs
per year
700,000
600,000
500,000
468,054
468,054
FY2011
FY2012
400,000
300,000
200,000
100,000
0
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
40
SUBSTANCE ABUSE SERVICES

Section 1

Prevention
Figure 1.2. Cost per adult for substance abuse prevention programs per year
$30
$20
$16
$16
FY2011
FY2012
$10
$0
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
41
SUBSTANCE ABUSE SERVICES

Section 1

Prevention
Figure 1.3. Number of youth served in substance abuse prevention programs
per year
2,500,000
2,000,000
1,920,024
1,843,263
1,500,000
1,000,000
500,000
0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
42
SUBSTANCE ABUSE SERVICES

Section 1

Prevention
Figure 1.4. Cost per youth for substance abuse prevention programs per year
$30
$20
$14
$14
FY2011
FY2012
$10
$0
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
43
SUBSTANCE ABUSE SERVICES

Section 2

Intervention
Figure 2.1. Number of adults served in substance abuse intervention programs
per year
300,000
250,000
Note: Improvements to
reporting in CMBHS,
such as the automated
calculation of clients
served in the HIV Early
Intervention (HEI)
program, should
continue to cause the
numbers served to
increase.
200,000
150,000
141,299
123,914
100,000
50,000
0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
44
SUBSTANCE ABUSE SERVICES

Section 2

Intervention
Figure 2.2. Cost per adult for substance abuse intervention programs per year
$150
$125
$100
Note: Improvements to
reporting in CMBHS,
such as the automated
calculation of clients
served in the HIV Early
Intervention (HEI)
program, should
continue to cause the
numbers served to
increase, thereby
reducing the cost per
client due to
economies of scale.
$89
$71
$75
$50
$25
$0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
45
SUBSTANCE ABUSE SERVICES

Section 2

Intervention
Figure 2.3. Number of youth served in substance abuse intervention programs per year
100,000
90,000
80,000
Note: Improvements to
reporting in CMBHS,
such as the automated
calculation of clients
served in the HIV Early
Intervention (HEI)
program, should
continue to cause the
numbers served to
increase.
70,000
58,903
60,000
50,000
40,000
30,000
26,519
20,000
10,000
0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
46
SUBSTANCE ABUSE SERVICES

Section 2

Intervention
Figure 2.4. Cost per youth for substance abuse intervention programs per year
$200
$150
Note: Improvements to
reporting in CMBHS,
such as the automated
calculation of clients
served in the HIV Early
Intervention (HEI)
program, should
continue to cause the
numbers served to
increase, thereby
reducing the cost per
client due to
economies of scale.
$127
$100
$55
$50
$0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
47
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.1. Number of adults served in substance abuse treatment programs per year
60,000
50,000
40,000
31,627
31,206
FY2011
FY2012
30,000
20,000
10,000
0
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
48
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
$1,617
$1,582
FY2011
FY2012
$1,000
$0
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
49
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.3. Number of adults admitted to outpatient vs. residential substance
abuse treatment programs per year
40,000
Outpatient
Residential
30,000
20,000
15,899
16,845
10,574
10,853
FY2011
FY2012
10,000
0
FY2013
FY2014
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
50
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.4. Number of adult admissions to substance abuse treatment programs by
primary substance per year
20,000
Alcohol
Cocaine
Metham phetam ine
Opioid
Other
3,797
3,094
5,400
6,022
2,628
5,000
3,840
5,554
6,125
10,000
9,117
9,213
12,184
12,925
15,000
Marijuana
0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
51
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.5. Percentage of adults completing substance abuse treatment programs
per year
100%
90%
80%
70%
60%
56%
53%
50%
40%
30%
20%
10%
0%
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
52
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%
89%
89%
(86%)
FY2013
Target
80%
70%
60%
50%
40%
30%
20%
10%
0%
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
53
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%
60%
(63%)
FY2013
Target
56%
52%
50%
40%
30%
20%
10%
0%
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
54
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.8. Percentage of adults completing substance abuse treatment programs
not re-arrested per year
100%
100%
100%
FY2011
FY2012
(98%)
FY2013
Target
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
55
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.9. Number of youth served in substance abuse treatment programs per year
10,000
8,000
6,000
5,418
4,886
4,000
2,000
0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
56
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.10. Cost per youth completing substance abuse treatment programs per year
$6,000
$5,000
$4,000
$3,713
$3,645
FY2011
FY2012
$3,000
$2,000
$1,000
$0
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
57
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.11. Number of youth admitted to outpatient vs. residential substance
abuse treatment programs per year
8,000
Outpatient
Residential
6,000
3,943
4,000
3,217
1,945
2,022
2,000
0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
58
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.12. Number of youth admissions to substance abuse treatment programs
by primary substance per year
8,000
Alcohol
Cocaine
Marijuana
Methamphetamine
Opioid
Other
4,534
5,119
6,000
4,000
344
41
48
132
245
410
FY2011
37
41
0
123
252
2,000
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
59
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.13. Number of youth by criminal justice status admitted to substance
abuse treatment programs per year
No Criminal Justice
Criminal Justice
100%
90%
80%
70%
60%
4,305
4,470
4,905
4,803
4,873
1,005
1,053
1,113
949
987
FY2008
FY2009
FY2010
FY2011
FY2012
50%
40%
30%
20%
10%
0%
FY2013
Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
60
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.14. Percentage of youth completing substance abuse treatment programs
per year
100%
90%
80%
70%
60%
54%
52%
50%
40%
30%
20%
10%
0%
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
61
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%
89%
89%
FY2011
FY2012
(85%)
FY2013
Target
80%
70%
60%
50%
40%
30%
20%
10%
0%
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
62
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%
90%
(93%)
FY2013
Target
83%
77%
80%
70%
60%
50%
40%
30%
20%
10%
0%
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
63
SUBSTANCE ABUSE SERVICES

Section 3

Treatment
Figure 3.17. Percentage of youth completing substance abuse treatment programs
not re-arrested per year
100%
99%
99%
(96%)
FY2013
Target
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
64
SUBSTANCE ABUSE SERVICES

Section 4

Co-Occurring Psychiatric and Substance Use Disorders (COPSD)
Figure 4.1. Number of COPSD clients served in substance abuse programs per year
10,000
8,000
6,757
6,189
6,000
4,000
2,000
0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
65
SUBSTANCE ABUSE SERVICES

Section 5

Specialized Female Programs
Figure 5.1. Number of females served in substance abuse specialized female
programs per year
10,000
8,000
6,246
5,778
6,000
4,000
2,000
0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
66
SUBSTANCE ABUSE SERVICES

Section 5

Specialized Female Programs
Figure 5.2. Cost per female served in substance abuse specialized female
programs per year
$10,000
$8,000
$6,000
$4,474
$4,309
$4,000
$2,000
$0
FY2011
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
67
SUBSTANCE ABUSE SERVICES

Section 5

Specialized Female Programs
Figure 5.3. Cost per female completing substance abuse specialized female
programs per year
$10,000
$8,000
$5,940
$5,972
FY2011
FY2012
$6,000
$4,000
$2,000
$0
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
68
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%
60%
50%
50%
FY2011
FY2012
50%
40%
30%
20%
10%
0%
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
69
SUBSTANCE ABUSE SERVICES

Section 6

Waiting List
Figure 6.1. Number of adults entered on waiting list by substance abuse program
per year
10,000
COPSD
Detox
Methadone
Outpatient
Residential
6,271
6,553
8,000
6,000
0
FY2011
68
634
461
0
341
838
2,000
304
1,757
4,000
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
70
SUBSTANCE ABUSE SERVICES

Section 6

Waiting List
Figure 6.2. Number of youth entered on waiting list by substance abuse program
per year
800
687
COPSD
Detox
Residential
Outpatient
Methadone
412
600
400
FY2011
0
0
2
0
0
0
66
98
200
FY2012
FY2013
FY2014
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
71
NORTHSTAR
Section 1

Persons Served
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


72
73
74
75
Monthly Medicaid Enrollment
Figure 2.1. Average monthly Medicaid enrollment
Section 3
Page
76
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
77
78
72
NORTHSTAR

Section 1
Persons Served

Figure 1.1. Quarterly Medicaid vs. Indigent persons served
21,963
22,251
20,964
21,153
20,227
19,436
22,154
23,691
20,009
20,178
24,028
23,455
19,537
17,980
18,999
17,250
15,000
16,483
20,000
20,732
23,464
19,821
22,496
23,116
21,196
25,000
21,847
30,000
10,000
5,000
Medicaid
Indigent
0
10
20
FY
r1
rte
a
Qu
10
20
FY
r2
rte
a
Qu
10
20
FY
r3
rte
a
Qu
10
20
FY
r4
rte
a
Qu
11
20
FY
r1
rte
a
Qu
11
20
FY
r2
rte
a
Qu
11
20
FY
r3
rte
a
Qu
11
20
FY
r4
rte
a
Qu
12
20
FY
r1
rte
a
Qu
12
20
FY
r2
rte
a
Qu
12
20
FY
r3
rte
a
Qu
12
20
FY
r4
rte
a
Qu
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
73
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY
20
12
20
12
20
12
Q
ua
Q
ua
Q
ua
Q
ua
rt
er
rt
er
rt
er
rt
er
rt
er
4
3
2
1
4
450
459
393
458
443
Child 0-20 Years
FY
FY
20
12
441
451
441
422
Adult 21-64 Years
13,198
13,602
12,736
28,607
28,744
26,058
28,141
29,736
12,788
12,965
30,099
29,311
12,534
13,478
29,296
27,629
28,346
12,789
11,726
12,576
25,936
11,392
20,000
26,404
25,000
10,895
35,000
FY
3
2
1
4
0
Q
ua
rt
er
rt
er
rt
er
rt
er
450
410
386

20
11
Q
ua
Q
ua
Q
ua
Q
ua
3
2
1
Section 1
FY
20
11
20
11
20
11
20
10
rt
er
rt
er
rt
er

FY
FY
FY
FY
Q
ua
Q
ua
Q
ua
15,000
20
10
20
10
20
10
30,000
FY
FY
FY
NORTHSTAR
Persons Served
Figure 1.2. Quarterly persons served by age group
10,000
65+ Years
5,000
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
74
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY
FY
FY
FY
20
12
20
12
20
12
20
12
Q
ua
Q
ua
Q
ua
Q
ua
3
2
rt
er
rt
er
rt
er
4
3
2
1
rt
er
4
rt
er
Q
ua
rt
er
rt
er
1
4
21,584 20,602
21,955 20,782
20,176 18,955
21,203 20,288
21,876 21,018
22,565 21,390
21,644 20,582
21,536 20,914
20,106 19,601

20
11
Q
ua
Q
ua
rt
er
rt
er
21,020 20,292
19,066 18,599
19,063 18,566
Section 1
FY
20
11
20
11
Q
ua
Q
ua
3
2
1

FY
FY
20
11
20
10
rt
er
rt
er
rt
er
25,000
FY
FY
Q
ua
Q
ua
Q
ua
15,000
20
10
20
10
20
10
20,000
FY
FY
FY
NORTHSTAR
Persons Served
Figure 1.3. Quarterly persons served by gender
30,000
Female
Male
10,000
5,000
0
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
75
NORTHSTAR
Section 1

Persons Served

Figure 1.4. Quarterly persons served by ethnicity
20,000
18,179
17,784
16,762
18,471
18,779
18,226
17,666
17,381
16,050
15,651
8,726
8,438
13,901
10,000
8,041
8,572
8,035
8,239
8,203
7,945
7,336
7,034
6,867
15,233
15,101
13,535
7,745
15,317
15,671
15,408
14,379
13,365
18,044
16,849
16,525
15,142
15,000
18,221
Black (Not Hispanic)
Hispanic
White and Other
Unknown
5,000
638
644
574
613
581
559
556
551
487
438
475
473
4
Q
u
ar
t
er
3
FY
20
12
Q
u
ar
t
er
2
FY
20
12
Q
u
ar
t
er
1
20
12
FY
FY
20
12
Q
u
Q
u
ar
t
ar
t
er
er
4
3
FY
20
11
Q
u
ar
t
er
2
FY
20
11
Q
u
ar
t
er
1
FY
20
11
Q
u
ar
t
er
4
FY
20
11
Q
u
ar
t
er
3
20
10
FY
FY
20
10
Q
u
ar
t
er
2
er
ar
t
Q
u
20
10
FY
FY
20
10
Q
u
ar
t
er
1
0
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
76
NORTHSTAR

Section 2

Monthly Medicaid Enrollment
Figure 2.1. Average monthly Medicaid enrollment
423,365
420,554
423,017
82,049
82,302
394,901
78,508
81,907
396,236
78,910
415,545
393,018
78,076
387,243
360,431
296,702
400,000
Families & Children
364,882
354,036
Individual SSI
80,233
500,000
300,000
76,730
74,003
74,617
73,203
100,000
65,698
200,000
0
2
FY
0
01
r1
te
r
a
Qu
2
FY
0
01
r2
te
r
a
Qu
2
FY
0
01
r3
te
r
a
Qu
2
FY
0
01
r4
te
r
a
Qu
2
FY
1
01
r1
te
r
a
Qu
2
FY
1
01
r2
te
r
a
Qu
1
2
3
4
r4
r3
er
er
er
er
te
te
t
t
t
t
r
r
r
r
r
r
a
a
a
a
a
a
Qu
Qu
Qu
Qu
Qu
Qu
1
1
11
12
12
12
12
20
20
20
20
20
20
Y
Y
Y
Y
Y
Y
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 ■ FY2013 ■ Quarter 1 ■ January 9, 2013
77
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
FY
20
FY
20
FY
20
FY
20
12
12
12
12
Q
Q
Q
3
ua
rt
er
ua
rt
er
ua
rt
er
4
3
2
1
ua
rt
er
4
ua
rt
er
Q
Q
11
ua
rt
er
2
727
729
734
708
676
686
656
664
3,765
3,577
3,854
4,055
3,583
3,490
3,447
3,630
8,558
8,394
8,533
8,692
8,450
8,799
8,208
8,042
6,823
20,127
20,050
20,171
20,467
20,599
20,726
20,516
20,461
18,849
19,260
SP4
FY
20
Q
ua
rt
er
1
620
10,000

11
Q
ua
rt
er
2,913
7,036
6,264
17,433
Section 3
FY
20
11
Q
4
645
3,316
2,654
6,021
18,201

FY
20
11
3
584
600
1,897
SP3
FY
20
ua
rt
er
ua
rt
er
2
1
5,000
Q
Q
ua
rt
er
ua
rt
er
SP2
10
10
Q
Q
SP1
FY
20
FY
20
10
10
20,000
FY
20
FY
20
NORTHSTAR
Resiliency & Disease Management (RDM)
Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend
25,000
15,000
0
Source: DSHS NorthSTAR Data Warehouse.
Note: NorthSTAR data has 90-day delay due to claims lag.
78
DSHS Behavioral Health DATA BOOK ■ FY2013 ■ Quarter 1 ■ January 9, 2013
01
2
01
2
01
2
01
2
er
4
Q
ua
rt
er
3
Q
ua
rt
er
2
Q
ua
rt
er
1
Q
ua
rt
er
4
3
1
2
4
1
170
356
173
354
165
393
172
386
811
812
841
783
664
140
366
138
354
747
1,651
1,569
1,647
1,781
1,879
3,104
2,575
2,641
2,579
2,462
2,164
1,887
2,256
6,082
6,194
5,872
5,605
5,791
SP4
FY
2
FY
2
FY
2
FY
2
Q
ua
rt
1
3,000
01
1
er
3
1,903
5,491
SP3
FY
2
643
125
375
2,084
SP2.4
Q
ua
rt
2
1,852
5,457

01
1
er
2
564
132
374
1,943
SP2.3
Q
ua
rt
1
Section 3
FY
2
01
1
er
1
1,733
5,089
SP2.2
Q
ua
rt
1,802
1,516
5,488

FY
2
01
1
1
452
111
259
510
127
366
1,905
SP2.1
FY
2
er
4
Q
ua
rt
0
1502
6,000
01
0
er
3
1,000
Q
ua
rt
4,859
SP1.2
FY
2
01
0
1,694
4,036
5,000
1
388
97
190
1,938
1,480
SP1.1
FY
2
er
2
0
3
328
76
83
7,000
Q
ua
rt
er
1
Q
ua
rt
2,000
01
0
01
0
4,000
FY
2
FY
2
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.
79
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