Profile of PAES Recipients and Factors That Influence PAES Outcomes

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1 ` San Francisco Department of Human Services County Adult Assistance Programs Personal Assisted Employment Services Program Profile of PAES Recipients and Factors That Influence PAES Outcomes Analysis of PAES Recipients Enrolled Jan 99 - Jun 00 Presented to Dorothy Enisman, Program Director County Adult Assistance Programs Department of Human Services Barbara A. Garcia, MPA, Deputy Director of Health Community Programs Department of Public Health January 31, 2003 Presented by the PAES Analysis Team Randy Reiter, Ph.D., MPH, Department of Public Health Maria X. Martinez, Department of Public Health Thomas Neill, Ph.D., Department of Human Services Carol Chapman, M.A., Department of Public Health Saumitra Sengupta, Ph.D., Department of Public Health

2 PAES Analysis Team Randy Reiter, Ph.D., MPH Senior Health Planner and Epidemiologist, Population Health Assessment Maria X. Martinez Deputy Director, Community Programs Thomas Neill, Ph.D. Manager of Behavioral Health Services, County Adult Assistance Program San Francisco Department of Human Services Carol Chapman, M.A. Program Analyst, Community Substance Abuse Services Saumitra Sengupta, Ph.D. Research Psychologist, Community Mental Health Services With assistance from: Po Yee Lindahl PAES Program Analyst Ann S. Santos Epidemiologist I, Community Substance Abuse Services Annette Goldman-Mosqueda Consultant (Focus Groups) Dan Najjar Consultant (Programmer Analyst) A pdf copy of this complete report is available at select get reports and data select health assessments and data

3 DSM IV Mental Health Diagnositic Codes and Classifications Diagnosis Classification Conduct Disorder - Adolescent Onset Type Disruptive Behavior Disorder NOS Oppositional Defiant Disorder Identity Problem Disorder of Infancy, Childhood, or NOS 1 Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type Attention-Deficit/Hyperactivity Disorder NOS Learning Disorder NOS mild mental retardation Alcohol Withdrawal, alcohol-induced disorder 2 Substance-Related Disorders Alcohol-Related Disorder NOS 2 Substance-Related Disorders drug-induced Psychotic Disorder, With Delusions 2 Substance-Related Disorders drug-induced Psychotic Disorder, With Hallucinations 2 Substance-Related Disorders drug Intoxication Delirium 2 Substance-Related Disorders drug-induced Mood Disorder 2 Substance-Related Disorders drug-induced Anxiety Disorder 2 Substance-Related Disorders drug-related Disorder NOS 2 Substance-Related Disorders Alcohol Intoxication 2 Substance-Related Disorders Alcohol Dependence 2 Substance-Related Disorders Opioid Dependence 2 Substance-Related Disorders Cocaine Dependence 2 Substance-Related Disorders Cannabis Dependence 2 Substance-Related Disorders Amphetamine Dependence 2 Substance-Related Disorders Inhalant Dependence 2 Substance-Related Disorders Polysubstance Dependence 2 Substance-Related Disorders Other (or Unknown) Substance Dependence 2 Substance-Related Disorders Alcohol Abuse 2 Substance-Related Disorders Nicotine Dependence 2 Substance-Related Disorders Cannabis Abuse 2 Substance-Related Disorders Sedative, Hypnotic, or Anxiolytic Abuse 2 Substance-Related Disorders Opioid Abuse 2 Substance-Related Disorders Cocaine Abuse 2 Substance-Related Disorders Amphetamine Abuse 2 Substance-Related Disorders Caffeine Intoxication 2 Substance-Related Disorders Psychotic Disorder Due to (Indicate the General Medical Condition), with delusions 3 Schizophrenia and Other Psychotic Disorders Psychotic Disorder Due to...indicate the General Medical Condition, with hallucinations 3 Schizophrenia and Other Psychotic Disorders Schizophrenia, Disorganized Type 3 Schizophrenia and Other Psychotic Disorders Schizophrenia, Catatonic Type 3 Schizophrenia and Other Psychotic Disorders Schizophrenia, Paranoid Type 3 Schizophrenia and Other Psychotic Disorders Schizophrenia, Paranoid Type 3 Schizophrenia and Other Psychotic Disorders Schizophreniform Disorder 3 Schizophrenia and Other Psychotic Disorders Schizophrenia, Residual Type 3 Schizophrenia and Other Psychotic Disorders Schizophrenia, Residual Type 3 Schizophrenia and Other Psychotic Disorders Schizoaffective Disorder 3 Schizophrenia and Other Psychotic Disorders Schizophrenia, Undifferentiated Type 3 Schizophrenia and Other Psychotic Disorders Delusional Disorder 3 Schizophrenia and Other Psychotic Disorders Shared Psychotic Disorder 3 Schizophrenia and Other Psychotic Disorders Brief Psychotic Disorder 3 Schizophrenia and Other Psychotic Disorders Psychotic Disorder NOS 3 Schizophrenia and Other Psychotic Disorders Mood Disorder Due to...indicate the General Medical Condition Bipolar I Disorder, Single Manic Episode, Unspecified Bipolar I Disorder, Single Manic Episode, Moderate Bipolar I Disorder, Single Manic Episode, Severe Without Psychotic Revised , MXM Appendix 8 - Page 1 of 4

4 DSM IV Mental Health Diagnositic Codes and Classifications Diagnosis Classification Bipolar I Disorder, Single Manic Episode, Severe With Psychotic Major Depressive Disorder, Single Episode, Unspecified Major Depressive Disorder, Single Episode, Mild Major Depressive Disorder, Single Episode, Moderate Major Depressive Disorder, Single Episode, Severe Without Psychotic Major Depressive Disorder, Single Episode, Severe With Psychotic Major Depressive Disorder, Single Episode, In Partial Remission Major Depressive Disorder Single Episode In Full Remission Major Depressive Disorder, Recurrent, Unspecified Major Depressive Disorder, Recurrent, Mild Major Depressive Disorder, Recurrent, Moderate Major Depressive Disorder, Recurrent, Severe Without Psychotic Major Depressive Disorder, Recurrent, Severe With Psychotic Major Depressive Disorder, Recurrent, In Partial Remission Major Depressive Disorder, Recurrent, In Full Remission Bipolar I Disorder, Most Recent Episode Hypomanic Bipolar I Disorder, Most Recent Episode Manic, Mild Bipolar I Disorder Most Recent Episode Manic Moderate Bipolar I Disorder, Most Recent Episode Manic, Severe Without Psychotic Bipolar I Disorder, Most Recent Episode Manic, Severe With Psychotic Bipolar I Disorder, most recent episode Manic, in full remission Bipolar I Disorder, Most Recent Episode Depressed, Unspecified Bipolar I Disorder, Most Recent Episode Depressed, Moderate Bipolar I Disorder Most Recent Episode Depressed Severe Without Psychotic Bipolar I Disorder, Most Recent Episode Depressed, Severe With Psychotic Bipolar I Disorder, Most Recent Episode Mixed, Unspecified Bipolar I Disorder, Most Recent Episode Mixed, Moderate Bipolar I Disorder, Most Recent Episode Mixed, Severe WithPsychotic Bipolar I Disorder, Most Recent Episode Unspecified Bipolar Disorder NOS Bipolar II Disorder Mood Disorder NOS Dysthymic Disorder Cyclothymic Disorder Depressive Disorder NOS Anxiety Disorder NOS 5 Anxiety Disorders Panic Disorder Without Agoraphobia 5 Anxiety Disorders Generalized Anxiety Disorder 5 Anxiety Disorders Panic Disorder With Agoraphobia 5 Anxiety Disorders Agoraphobia Without History of Panic Disorder 5 Anxiety Disorders Social Phobia 5 Anxiety Disorders Obsessive-Compulsive Disorder 5 Anxiety Disorders Acute Stress Disorder 5 Anxiety Disorders Posttraumatic Stress Disorder 5 Anxiety Disorders Adjustment Disorder With Depressed Mood 6 Adjustment Disorders Adjustment Disorder With Anxiety 6 Adjustment Disorders Adjustment Disorder With Mixed Anxiety and Depressed Mood 6 Adjustment Disorders Adjustment Disorder With Disturbance of Conduct 6 Adjustment Disorders Adjustment Disorder With Mixed Disturbance of Emotions and conduct 6 Adjustment Disorders Adjustment Disorder Unspecified 6 Adjustment Disorders Delirium Due to...indicate the General Medical Condition 7 Delirium, Dementia, and Amnestic and Other Cognitive Disorders Amnestic Disorder NOS 7 Delirium, Dementia, and Amnestic and Other Cognitive Disorders Revised , MXM Appendix 8 - Page 2 of 4

5 DSM IV Mental Health Diagnositic Codes and Classifications Diagnosis Classification Cognitive Disorder NOS 7 Delirium, Dementia, and Amnestic and Other Cognitive Disorders Paranoid personality disorder 9 Personality Disorders Schizoid personality disorder 9 Personality Disorders schizotypal personality disorder 9 Personality Disorders obsessive-compulsive personality disorder 9 Personality Disorders histrionic personality disorder 9 Personality Disorders dependent personality disorder 9 Personality Disorders antisocial personality disorder 9 Personality Disorders narcissistic personality disorder 9 Personality Disorders avoidant personality disorder 9 Personality Disorders borderline personality disorder 9 Personality Disorders Personality Disorder NOS 9 Personality Disorders Conversion Disorder 10 Somatoform Disorders Somatization Disorder 10 Somatoform Disorders Dissociative Identity Disorder 11 Dissociative Disorders Dissociative Disorder NOS 11 Dissociative Disorders Pedophilia 12 Sexual and Gender Identity Disorder Exhibitionism 12 Sexual and Gender Identity Disorder Gender Identity Disorder in Children 12 Sexual and Gender Identity Disorder Gender Identity Disorder in Adolescents or Adults 12 Sexual and Gender Identity Disorder Eating Disorder NOS 13 Eating Disorders Bulimia Nervosa 13 Eating Disorders Impulse-Control Disorder NOS 14 Impulse Control Disorders Not Elsewhere Classified Pathological Gambling 14 Impulse Control Disorders Not Elsewhere Classified kleptomania 14 Impulse Control Disorders Not Elsewhere Classified Intermittent Explosive Disorder 14 Impulse Control Disorders Not Elsewhere Classified Trichotillomania 14 Impulse Control Disorders Not Elsewhere Classified V Noncompliance With Treatment V Partner Relational Problem V Sexual Abuse of Adult (if by partner) V Parent-Child Relational Problem V Neglect of Child Relational Problem Related to a Mental Disorder or General Medical V Condition V Occupational Problem V Acculturation Problem V Relational Problem NOS V bereavement V Borderline Intellectual Functioning V Malingering V Adult Antisocial Behavior Sexual Abuse of Child (if focus of attention is on victim) Physical Abuse of Child (if focus of attention is on victim) Mental Disorder NOS Due to...indicate the General Medical Mental Disorders Due to a General Medical Condition Not Condition 16 Elsewhere Classified Mental Disorders Due to a General Medical Condition Not Elsewhere Classified Mental Disorders Due to a General Medical Condition Not 16 Elsewhere Classified Dyssomnias 18 Sleep Disorders Dyssomnias 18 Sleep Disorders Sleep Disorders Related to Another Mental Disorder 18 Sleep Disorders Dyssomnias 18 Sleep Disorders Parasomnias 18 Sleep Disorders Dyssomnias 18 Sleep Disorders Dyssomnias 18 Sleep Disorders Other Sleep Disorders 18 Sleep Disorders Other Sleep Disorders 18 Sleep Disorders Dyssomnias 18 Sleep Disorders Other Sleep Disorders 18 Sleep Disorders V No Diagnosis on Axis II 98 Additional Codes Unspecified Mental Disorder (nonpsychotic) 98 Additional Codes Diagnosis Deferred on Axis II 98 Additional Codes non-existent 99 unknown non-existent 99 unknown non-existent 99 unknown non-existent 99 unknown Revised , MXM Appendix 8 - Page 3 of 4

6 DSM IV Mental Health Diagnositic Codes and Classifications Diagnosis Classification non-existent 99 unknown non-existent 99 unknown non-existent 99 unknown Revised , MXM Appendix 8 - Page 4 of 4

7 Appendix 9 ~ Substance Classifications

8 Substance Abuse Services Client Episode Summary Substance Abuse Problem Captured in Opening and Closing Forms [Forms CSAS/EP/OP-7/00 and CSAS/EP/CL-7/00] Code Substance Abuse Problem 01 Heroin 02 Alcohol 03 Barbiturates 04 Other Sedative Hypnotics 05 Methamphetamines 06 Other Amphetamines 07 Other Stimulants 08 Cocaine 09 Marijuana / Hashish 10 PCP 11 Other Hallucinogens 12 Benzodiazepines 13 Other Tranquilizers 14 Non-Rx Methadone 15 Other Opiates/Synthetic Opiates 16 Inhalants 17 Over the Counter Other (includes Tobacco) 22 None

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