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 r1 r2 r3 r4 r1 r2 r3 r4 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 Qu Qu Qu Qu Qu Qu Qu Qu Qu Qu Qu Qu Qu 10 10 10 10 11 11 11 11 12 12 12 12 13 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 2 2 2 2 2 2 2 FY FY FY FY 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