Mental Health Services Act. Transforming the Santa Barbara County System of Care. Data Report: Santa Barbara County and System of Care

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1 1 Mental Health Services Act Transforming the Santa Barbara County System of Care Data Report: Santa Barbara County and System of Care Prepared by: April Howard, M.A. Departmental Analyst Santa Barbara County Alcohol, Drug & Mental Health Services (Revised 2/06)

2 Inmate and Probation Populations Two-week prevalence data on detainees entering jail indicate that 6% of males and 12% of females have a current severe mental disorder (SAMHSA, Spring, 2002) 29% of males and 53% females have substance use disorders (SAMHSA, Spring, 2002) 72% of males and females had co-occurring disorders (SAMHSA, Spring, 2002) 12 Average Adult Daily Population of Santa Barbara County Jail (FY for main jail only; Source: Santa Barbara County Sheriff s Department) Males: 660 Females: 105 no of active cases at a point in time FY All others FY Santa Barbara Co Probation Adult Active Cases (includes warrants) FY FY FY FY FY FY FY Hispanic FY Black FY FY FY White FY number of active cases at a point in time FY FY Santa Barbara Co Probation Juvenile Active Cases (includes warrants) Hispanic FY FY FY FY FY Black FY FY FY White FY FY all others FY FY 04-05

3 Mental Illness and Substance Abuse in Santa Barbara County 13 National prevalence rate for diagnosable mental illness in a given year is 22% (NIMH, 01), which translates to approximately 66,000 of Santa Barbara County s adult population (Census 2000, adults 18+). Santa Barbara County Mental Illness Prevalence (based on national prevalence rates, NIMH, 01) National Prevalence Rate in a Given Year Applied to Santa Barbara County Adult Population Major Depressive Disorder 5.0% 14,992 Bipolar Disorder 1.2% 3,598 Schizophrenia 1.1% 3,298 Posttraumatic Stress Disorder 3.6% 10,794 Obsessive Compulsive Disorder 2.3% 6,896 Generalized Anxiety Disorder 2.8% 8,396 Panic Disorder 1.7% 5,097 Specific Phobia 4.4% 13,193 An estimated 2.7 million (5%) of children in the U.S. may have definite or severe emotional or behavioral problems (NIMH, 7/05), which translates to approximately 5,000 children in Santa Barbara County (Census 2000, children 0-17). Santa Barbara County Serious Mental Illness/Serious Emotional Disturbance Prevalence Rates Serious Mental Illness (adult 18+) based on Census 2000 (CDMH, 2004) o 6.27% - general population (6.25% statewide) o 8.59% - <200% of poverty (8.78% statewide) Serious Emotional Disturbance (youth 0-18) based on Census 2000 (CDMH, 2004) o 7.54% - general population (7.51% statewide) o 8.80% - <200% of poverty (8.91% statewide) Prevalence rate for persons with serious mental illness/serious emotional disturbance living in households under 200% of the federal poverty level in Santa Barbara County: 11,620 (1.22% of California SMI/SED population, CDMH) o 8,053 Adults; 3,567 Children Age Group Prevalence of Persons with SMI/SED % of SMI/SED Population ,567 31% ,027 26% ,928 34% 55+ 1,098 9% Gender of SMI/SED Population Children (0-17) Adults (18 +) Female 47% 63% Male 53% 37%

4 Prevalence of Children (0-17) with % of Child SMI/SED Prevalence of Adults (18 +) with SMI/SED Ethnic Group SMI/SED Population African American 61 2% 118 1% Asian/Pacific 377 5% Islander 58 2% 14 % of Adult SMI/SED Population American Native 39 1% 35 <1% Hispanic/Latino 2,667 75% 3,761 47% Multi-Racial/Other 73 2% 172 2% White % 3,590 45% Age Group SMI/SED Estimates of Need for Mental Health Services by Age, Sex and Ethnicity for Below 200% of Poverty Ethnicity African Asian/Pacific Hispanic/ Multi- Native Gender American Islander Latino racial American Other White Female 58% 41% 47% 54% 46% 50% 51% 0-17 years Male 42% 59% 53% 46% 54% 50% 49% % of % 2% 75% 2% 1% <1% 19% Female 73% 62% 59% 61% 83% 71% 62% 18 years + Male 27% 38% 41% 39% 17% 29% 38% % of 18+ 1% 5% 47% 2% <1% <1% 45% Mental Illness and Substance Abuse Diagnoses of ADMHS Clients Number of Unduplicated Clients Anxiety Major Depression Bipolar Mood Disorders Schizophrenia Diagnoses of ADMHS Clients (FY 03-04) Other/Deferred/No Diagnosis Di... Substance Use Disorder Adjustment Disorders Other Child Disorders ADHD and Disruptive Behavior Pervasive Developmental Disorders (Source: CDMH)

5 Crisis Services Utilization 25 Mental Health Assessment Team (MHAT) Over 2,000 MHAT Contacts (FY 04-05) 55% of Contacts in North County 45% of Contacts in South County 34% (691) of all MHAT contacts led to an admission Age of MHAT Service Users Adults: 85% Children & Adolescents: 15% Location of Contact Field: 37% Jail: 10% Hospital: 43% Phone: 10% Hospital Contact Locations Cottage Hospital: 50% Marion Hospital: 40% Lompoc Hospital: 10% Involuntary Admissions Average per month Danger to self was the most common 5150 criteria Alcohol and Drug Crisis Data Hospital Discharges for Alcohol and Drug Related Causes and Rate per 100,000 (2000) Total Discharges 637 Total Population 400,700 Rate per 100, (compared to statewide) Deaths Due to Alcohol and Drug Use and Rate per 100,000 (2000) Total Deaths 83 Total Population 400,700 Rate per 100, (compared to 18.0 statewide) Source: California Department of Alcohol and Drug Programs, Community Indicators of Alcohol & Drug Abuse Risk, Santa Barbara County 2004 State Hospital and IMD Utilization (FY 04-05) State Hospitalization IMD Average of 4 clients per month Average of 13 clients per month Average of 122 bed days per month Average of 388 bed days per month Children in Foster Care Currently, in Santa Barbara County, there are approximately 500 children in foster care placement and over 600 open child welfare cases (Dept. of Social Services) In FY 04-05, 5% (134) of the total children (0-17 years) served by ADMHS were in foster care placement.

6 29 5,815 ADP clients served in FY Children (0-15 years) o 10% (563) of total ADP clients Transitional Age Youth (16-25 years) o 35% (2,021) of total ADP clients Adults (26-59 years) o 54% (3,166) of total ADP clients Older Adults (60 years +) o 1% (65) of total ADP clients Alcohol & Drug Program ADP Clients Served by County Region South County 2,538 41% North County 2,719 45% Central County % Ethnicity of ADP Clients 44% 1% 4% Asian/Pacific Islander Black Hispanic/Latino 0% 1% 50% American Indian Other White

7 31 ADMHS Services to Jail and Juvenile Hall Inmates (FY 04-05) 678 inmates received services o 57 (8%) received Psychiatric Health Facility services o 243 (36%) were open to both Mental Health and Alcohol & Drug Program during the year 33% female; 67% male 64% White; 24% Hispanic/Latino; 8% African American; 4% Other Jail Clients Age All Ages Total Male Female ADMHS Jail Clients for FY (Jail inmates opened to ADMHS in between 7/1/04 to 6/30/05) ADMHS Jail Clients between years old for FY Total Number of Clients Total Number of Clients African American 10 Other Asian 1 Filipino 1 Other Spanish 3 Latin American 4 White 77 Mexican American 48 Unknown 4 Native American 2

8 38 TAY Juvenile Probation ADMHS Mental Health Clients Served (FY 04-05) Female SM Juv Hall SB Juv Hall Probation Camps TOTAL % 69 37% 0 0% % Male % % % % Black 21 7% 8 4% 8 4% 37 5% Filipino 2 1% 0 0% 0 0% 2 0% Laotian 1 0% 0 0% 1 1% 2 0% Latin American 4 1% 6 3% 7 4% 17 2% Mexican % % % % Native American 3 1% 1 1% 2 1% 6 1% Other Asian 3 1% 2 1% 2 1% 7 1% Other Spanish 3 1% 4 2% 1 1% 8 1% Unknown 5 2% 4 2% 2 1% 11 2% Vietnamese 1 0% 1 1% 0 0% 2 0% White 98 32% 58 31% 44 23% % Total % % % % Diagnoses of TAY Juvenile Probation ADMHS Mental Health Clients Served (FY 04-05) Diagnostic Category SM Juv Hall SB Juv Hall Probation Camps TOTAL Additional Codes 1 0% 0 0% 0 0% 1 0% Adjustment Disorders 25 8% 8 4% 11 6% 44 6% Anxiety Disorders 23 7% 16 9% 6 3% 45 7% Childhood and % % % % Adoles 1 Conduct DO Disruptive Behavior DO Oppositonal Defiant DO ADHD 29 9% 30 16% 25 13% 84 12% % % % % Delirium, Dementia, 3 1% 1 1% 1 1% 5 1% Impulse Control DO 2 1% 0% 1 1% 3 0% Mood Disorders % 27 15% 14 7% % Major Depression 22 7% 7 4% 2 1% 31 5% Bipolar 10 3% 2 1% 5 3% 17 2% Other Conditions 16 5% 4 2% 1 1% 21 3% Personality Disorder 1 0% 0 0% 0% 1 0% Schizophrenia, Psych 4 1% 3 2% 1 1% 8 1% Substance-Related 5 2% 2 1% 2 1% 9 1% Unduplicated Count % % % % 25%-33% of youth in the probation camps take prescribed psychotropic medication (Probation Dept) 1 Childhood/Adolescent Disorders include: ADHD, Conduct DO, Oppositional-Defiant, Disruptive DO, Autism, Asperger s, Separation Anxiety 2 Mood Disorders include: Major Depression, Bipolar DO, etc.

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