Today s Presentation

Transcription

1 1/2/216 MHSA Steering Committee October 2, 116 Today s Presentation Demographics of partner s served in FSPs Outcome data FY compared to 1

2 1/2/216 Where Does Data Come From? Performance Advisory Committee Development of standard forms All Counties required to submit FSP data to DMH Partnership Assessment Form (PAF), Quarterly Assessment (3M), Key Event Tracking (KET) Self report data Inpatient data reported in AVATAR FSP Assessment Forms Partnership Assessment Form PAF: establishes partnership start date, completed once, establishes baseline data and current status Quarterly Assessment 3M: every 3 months following the partnership start date, updates status on elements collected on PAF Key Event Tracking KET: report changes on key events such as residence changes, arrests, ER visits 2

3 1/2/216 Limitations Considerations to Data Analysis Self report Staff collection and submission Annualization Annualization of Data Estimate for full 12 months of data For example: Partner has been receiving services for 3 months and during that time has gone to the hospital 2 times. If we annualize the data we estimate that if the partner continues this same pattern by the end of the year (12 months) they will have had 8 hospitalizations. Allows for comparison of equal timeframes (across years) For example: 12 months prior to start of services compared to most recent 12 months of services Data may be under or over represented due to annualization Interpret extremes with caution 3

4 1/2/216 7 FSP s in Sacramento County Turning Point Integrated Services Agency (ISA) Telecare Sacramento Outreach Adult Recovery (SOAR) TLCS New Direction Turning Point Pathways River Oak Juvenile Justice Diversion and Treatment Program (JJDTP) Asian Pacific Community Counseling (APCC) Transcultural Wellness Center (TWC) El Hogar Sierra Elder Wellness Demographics The Full Service Partnerships (FSP s) served a total of 1,674 unduplicated partners in Unduplicated FSP Partners Served by Episode Undup # Served by Prgm (N) Percent Undup # Undup # of of Ptnrs Ptnrs Admitted Discharged in Year in Year Avg LOS Note: Total N is greater than the number of unduplicated partners, as some partners were served in multiple programs throughout the year Attrition Rate TP ISA % Years 13.5% TLCS New Direction % Years 16.5% TP Pathways % Years 11.3% RO JJDTP % Year 84.% Telecare SOAR % Years 19.7% APCC TWC % Years 32.4% El Hogar Sierra % Years 17.6% Total % Years 22.1% 4

5 1/2/216 Demographics Age Served by Age Group N= % 6.4% 9.6% 14.3% Demographics Gender Served by Gender N=1674.1% 48.9% 51.% Male Female Unk/Not Reported 5

6 1/2/216 Demographics Race Served by Race N=1674 Caucasian 22.% 1.3% 9.1% 2.3% 39.7% African American Native American/ Alaskan Native Asian Pacific Islander Multi Race 1.1% 24.6% Other Unk/Not Reported Demographics Ethnicity Served By Ethnicity N= % 11.2% Hispanic Not Hispanic Unk/Not Reported 81.% 6

7 1/2/216 Demographics Diagnosis Diagnosis N=1674 7% 2% 1% 6% 21% Depressive Bipolar 7% Psychotic Anxiety/PTSD 14% Disruptive Disorders Adjustment Deferred and No Diagnoses 42% Other Outcomes Compared to Homelessness Incarceration Inpatient Hospitalization ER Visits (mental & physical health related) 7

8 1/2/216 Behind the Numbers The data set includes baseline and 12 months of comparison data for each partner served in an FSP in FY13/14 an FY14/15 12 months prior to admission to a FSP In FY14/15 comparison data that represents the last 12 months of data for each partner served in FY14/15 For partners who discharged and did not have a full year of data in FY14/15, data from FY13/14 was used to obtain a full 12 months of data For partners enrolled in an FSP in FY14/15 and did not have a full 12 months of data, data was annualized The data analysis looks at overall improvement regardless of length of time in program Homelessness Partners living on the streets or living in their car Does not include those in emergency shelters or temporary housing Captured on the KET Validity and integrity rests upon accuracy of data being reported and captured Over/under representation of data 8

9 1/2/216 Homeless Occurrences % Decrease 82.2% Decrease Homeless Days 75, 71,17 75, 66,68 6, 6, 45, 45, 3, 3, 15, 9,735 15, 1, % Decrease 84.9% Decrease 9

10 1/2/216 Arrests Arrests that may or may not lead to incarceration Includes cite and release Captured on KET Validity and integrity rests upon accuracy of data being reported and captured Over/under representation of data Percent of Partners with Arrests N= % 2.% 2.% 2.5% 15.% 15.8% 15.% 1.% 1.% 7.9% 5.% 5.7% 5.%.% 66.3% Decrease 63.9% Decrease.% 1

11 1/2/216 Number of Arrests % Decrease 66.4% Decrease Incarceration At least one night spent in jail or a juvenile detention facility Captured on KET Validity and integrity rests upon accuracy of data being reported and captured Over/under representation of data 11

12 1/2/216 Incarcerations % Decrease 5.4% Decrease Jail Days 18, 16, 15,99 14, 12, 12,565 14, 12, 1, 8, 11,199 1, 8, 6, 7,216 6, 4, 4, 2, 2, 29.6% Decrease 43.% Decrease 12

13 1/2/216 Inpatient Admits Data extracted from Avatar Hospitals include: Sacramento County Mental Health Treatment Center Heritage Oaks Hospital Sierra Vista Hospital Sutter Center for Psychiatry Crestwood Engle Rd. 12 Bed Psychiatric Health Facility (PHF) Crestwood Stockton Blvd. 16 Bed Psychiatric Health Facility (PHF) Inpatient Hospitalizations 1,4 1,2 1,156 N = ,4 1,2 1,183 1, 1, % Decrease 71.1% Decrease 13

14 1/2/216 Hospitalization Days N = , 2, 21,798 3, 25, 23,833 2, 15, 1, 15, 1, 5, 4,772 5, 5, % Decrease 76.7% Decrease Emergency Room Visits Captured on KET Capture primary reason for ER visit: Mental Health reasons or Physical Health reasons Validity and integrity rests upon accuracy of data being reported and captured 14

15 1/2/216 Mental Health Emergency Room Visits % Decrease 65.2% Decrease Physical Health Emergency Room Visits N= % Decrease 54.7% Decrease 15

16 1/2/216 Linked to a Primary Care Physician Captured on PAF and 3M Data updated as status changes Validity and integrity rests upon accuracy of data being reported and captured Partners Linked to a PCP % Increase 39.7% Increase 16

17 1/2/216 Closing remarks Key goal of MHSA & FSP programs: decrease the longterm impact resulting from untreated serious mental illness. FSP programs continue to demonstrate the effectiveness of their programs as indicated by the positive outcomes for the partners they serve. 17