Profile of PAES Recipients and Factors That Influence PAES Outcomes

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` 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

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 www.dph.sf.ca.us select get reports and data select health assessments and data

DSM IV Mental Health Diagnositic Codes and Classifications Diagnosis Classification 312.82 Conduct Disorder - Adolescent Onset Type 1 312.90 Disruptive Behavior Disorder NOS 1 313.81 Oppositional Defiant Disorder 1 313.82 Identity Problem 1 313.90 Disorder of Infancy, Childhood, or NOS 1 Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive 314.00 Type 1 314.90 Attention-Deficit/Hyperactivity Disorder NOS 1 315.90 Learning Disorder NOS 1 317.00 mild mental retardation 1 291.80 Alcohol Withdrawal, alcohol-induced disorder 2 Substance-Related Disorders 291.90 Alcohol-Related Disorder NOS 2 Substance-Related Disorders 292.11 drug-induced Psychotic Disorder, With Delusions 2 Substance-Related Disorders 292.12 drug-induced Psychotic Disorder, With Hallucinations 2 Substance-Related Disorders 292.81 drug Intoxication Delirium 2 Substance-Related Disorders 292.84 drug-induced Mood Disorder 2 Substance-Related Disorders 292.89 drug-induced Anxiety Disorder 2 Substance-Related Disorders 292.90 drug-related Disorder NOS 2 Substance-Related Disorders 303.00 Alcohol Intoxication 2 Substance-Related Disorders 303.90 Alcohol Dependence 2 Substance-Related Disorders 304.00 Opioid Dependence 2 Substance-Related Disorders 304.20 Cocaine Dependence 2 Substance-Related Disorders 304.30 Cannabis Dependence 2 Substance-Related Disorders 304.40 Amphetamine Dependence 2 Substance-Related Disorders 304.60 Inhalant Dependence 2 Substance-Related Disorders 304.80 Polysubstance Dependence 2 Substance-Related Disorders 304.90 Other (or Unknown) Substance Dependence 2 Substance-Related Disorders 305.00 Alcohol Abuse 2 Substance-Related Disorders 305.10 Nicotine Dependence 2 Substance-Related Disorders 305.20 Cannabis Abuse 2 Substance-Related Disorders 305.40 Sedative, Hypnotic, or Anxiolytic Abuse 2 Substance-Related Disorders 305.50 Opioid Abuse 2 Substance-Related Disorders 305.60 Cocaine Abuse 2 Substance-Related Disorders 305.70 Amphetamine Abuse 2 Substance-Related Disorders 305.90 Caffeine Intoxication 2 Substance-Related Disorders 293.81 Psychotic Disorder Due to (Indicate the General Medical Condition), with delusions 3 Schizophrenia and Other Psychotic Disorders 293.82 Psychotic Disorder Due to...indicate the General Medical Condition, with hallucinations 3 Schizophrenia and Other Psychotic Disorders 295.10 Schizophrenia, Disorganized Type 3 Schizophrenia and Other Psychotic Disorders 295.20 Schizophrenia, Catatonic Type 3 Schizophrenia and Other Psychotic Disorders 295.30 Schizophrenia, Paranoid Type 3 Schizophrenia and Other Psychotic Disorders 295.34 Schizophrenia, Paranoid Type 3 Schizophrenia and Other Psychotic Disorders 295.40 Schizophreniform Disorder 3 Schizophrenia and Other Psychotic Disorders 295.60 Schizophrenia, Residual Type 3 Schizophrenia and Other Psychotic Disorders 295.65 Schizophrenia, Residual Type 3 Schizophrenia and Other Psychotic Disorders 295.70 Schizoaffective Disorder 3 Schizophrenia and Other Psychotic Disorders 295.90 Schizophrenia, Undifferentiated Type 3 Schizophrenia and Other Psychotic Disorders 297.10 Delusional Disorder 3 Schizophrenia and Other Psychotic Disorders 297.30 Shared Psychotic Disorder 3 Schizophrenia and Other Psychotic Disorders 298.80 Brief Psychotic Disorder 3 Schizophrenia and Other Psychotic Disorders 298.90 Psychotic Disorder NOS 3 Schizophrenia and Other Psychotic Disorders 293.83 Mood Disorder Due to...indicate the General Medical Condition 296.00 Bipolar I Disorder, Single Manic Episode, Unspecified 296.02 Bipolar I Disorder, Single Manic Episode, Moderate 296.03 Bipolar I Disorder, Single Manic Episode, Severe Without Psychotic Revised 7-23-02, MXM 415-255-3706 Appendix 8 - Page 1 of 4

DSM IV Mental Health Diagnositic Codes and Classifications Diagnosis Classification 296.04 Bipolar I Disorder, Single Manic Episode, Severe With Psychotic 296.20 Major Depressive Disorder, Single Episode, Unspecified 296.21 Major Depressive Disorder, Single Episode, Mild 296.22 Major Depressive Disorder, Single Episode, Moderate 296.23 Major Depressive Disorder, Single Episode, Severe Without Psychotic 296.24 Major Depressive Disorder, Single Episode, Severe With Psychotic 296.25 Major Depressive Disorder, Single Episode, In Partial Remission 296.26 Major Depressive Disorder Single Episode In Full Remission 296.30 Major Depressive Disorder, Recurrent, Unspecified 296.31 Major Depressive Disorder, Recurrent, Mild 296.32 Major Depressive Disorder, Recurrent, Moderate 296.33 Major Depressive Disorder, Recurrent, Severe Without Psychotic 296.34 Major Depressive Disorder, Recurrent, Severe With Psychotic 296.35 Major Depressive Disorder, Recurrent, In Partial Remission 296.36 Major Depressive Disorder, Recurrent, In Full Remission 296.40 Bipolar I Disorder, Most Recent Episode Hypomanic 296.41 Bipolar I Disorder, Most Recent Episode Manic, Mild 296.42 Bipolar I Disorder Most Recent Episode Manic Moderate 296.43 Bipolar I Disorder, Most Recent Episode Manic, Severe Without Psychotic 296.44 Bipolar I Disorder, Most Recent Episode Manic, Severe With Psychotic 296.46 Bipolar I Disorder, most recent episode Manic, in full remission 296.50 Bipolar I Disorder, Most Recent Episode Depressed, Unspecified 296.52 Bipolar I Disorder, Most Recent Episode Depressed, Moderate 296.53 Bipolar I Disorder Most Recent Episode Depressed Severe Without Psychotic 296.54 Bipolar I Disorder, Most Recent Episode Depressed, Severe With Psychotic 296.60 Bipolar I Disorder, Most Recent Episode Mixed, Unspecified 296.62 Bipolar I Disorder, Most Recent Episode Mixed, Moderate 296.64 Bipolar I Disorder, Most Recent Episode Mixed, Severe WithPsychotic 296.70 Bipolar I Disorder, Most Recent Episode Unspecified 296.80 Bipolar Disorder NOS 296.89 Bipolar II Disorder 296.90 Mood Disorder NOS 300.40 Dysthymic Disorder 301.13 Cyclothymic Disorder 311.00 Depressive Disorder NOS 300.00 Anxiety Disorder NOS 5 Anxiety Disorders 300.01 Panic Disorder Without Agoraphobia 5 Anxiety Disorders 300.02 Generalized Anxiety Disorder 5 Anxiety Disorders 300.21 Panic Disorder With Agoraphobia 5 Anxiety Disorders 300.22 Agoraphobia Without History of Panic Disorder 5 Anxiety Disorders 300.23 Social Phobia 5 Anxiety Disorders 300.30 Obsessive-Compulsive Disorder 5 Anxiety Disorders 308.30 Acute Stress Disorder 5 Anxiety Disorders 309.81 Posttraumatic Stress Disorder 5 Anxiety Disorders 309.00 Adjustment Disorder With Depressed Mood 6 Adjustment Disorders 309.24 Adjustment Disorder With Anxiety 6 Adjustment Disorders 309.28 Adjustment Disorder With Mixed Anxiety and Depressed Mood 6 Adjustment Disorders 309.30 Adjustment Disorder With Disturbance of Conduct 6 Adjustment Disorders 309.40 Adjustment Disorder With Mixed Disturbance of Emotions and conduct 6 Adjustment Disorders 309.90 Adjustment Disorder Unspecified 6 Adjustment Disorders 293.00 Delirium Due to...indicate the General Medical Condition 7 Delirium, Dementia, and Amnestic and Other Cognitive Disorders 294.80 Amnestic Disorder NOS 7 Delirium, Dementia, and Amnestic and Other Cognitive Disorders Revised 7-23-02, MXM 415-255-3706 Appendix 8 - Page 2 of 4

DSM IV Mental Health Diagnositic Codes and Classifications Diagnosis Classification 294.90 Cognitive Disorder NOS 7 Delirium, Dementia, and Amnestic and Other Cognitive Disorders 301.00 Paranoid personality disorder 9 Personality Disorders 301.20 Schizoid personality disorder 9 Personality Disorders 301.22 schizotypal personality disorder 9 Personality Disorders 301.40 obsessive-compulsive personality disorder 9 Personality Disorders 301.50 histrionic personality disorder 9 Personality Disorders 301.60 dependent personality disorder 9 Personality Disorders 301.70 antisocial personality disorder 9 Personality Disorders 301.81 narcissistic personality disorder 9 Personality Disorders 301.82 avoidant personality disorder 9 Personality Disorders 301.83 borderline personality disorder 9 Personality Disorders 301.90 Personality Disorder NOS 9 Personality Disorders 300.11 Conversion Disorder 10 Somatoform Disorders 300.81 Somatization Disorder 10 Somatoform Disorders 300.14 Dissociative Identity Disorder 11 Dissociative Disorders 300.15 Dissociative Disorder NOS 11 Dissociative Disorders 302.20 Pedophilia 12 Sexual and Gender Identity Disorder 302.40 Exhibitionism 12 Sexual and Gender Identity Disorder 302.60 Gender Identity Disorder in Children 12 Sexual and Gender Identity Disorder 302.85 Gender Identity Disorder in Adolescents or Adults 12 Sexual and Gender Identity Disorder 307.50 Eating Disorder NOS 13 Eating Disorders 307.51 Bulimia Nervosa 13 Eating Disorders 312.30 Impulse-Control Disorder NOS 14 Impulse Control Disorders Not Elsewhere Classified 312.31 Pathological Gambling 14 Impulse Control Disorders Not Elsewhere Classified 312.32 kleptomania 14 Impulse Control Disorders Not Elsewhere Classified 312.34 Intermittent Explosive Disorder 14 Impulse Control Disorders Not Elsewhere Classified 312.39 Trichotillomania 14 Impulse Control Disorders Not Elsewhere Classified V 15.81 Noncompliance With Treatment V 61.10 Partner Relational Problem V 61.12 Sexual Abuse of Adult (if by partner) V 61.20 Parent-Child Relational Problem V 61.21 Neglect of Child Relational Problem Related to a Mental Disorder or General Medical V 61.90 Condition V 62.20 Occupational Problem V 62.40 Acculturation Problem V 62.81 Relational Problem NOS V 62.82 bereavement V 62.89 Borderline Intellectual Functioning V 65.20 Malingering V 71.01 Adult Antisocial Behavior 995.53 Sexual Abuse of Child (if focus of attention is on victim) 995.54 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 293.90 Condition 16 Elsewhere Classified 316.00 Mental Disorders Due to a General Medical Condition Not Elsewhere Classified Mental Disorders Due to a General Medical Condition Not 16 Elsewhere Classified 307.42 Dyssomnias 18 Sleep Disorders 307.44 Dyssomnias 18 Sleep Disorders 307.44 Sleep Disorders Related to Another Mental Disorder 18 Sleep Disorders 307.45 Dyssomnias 18 Sleep Disorders 307.46 Parasomnias 18 Sleep Disorders 307.47 Dyssomnias 18 Sleep Disorders 347.00 Dyssomnias 18 Sleep Disorders 780.52 Other Sleep Disorders 18 Sleep Disorders 780.54 Other Sleep Disorders 18 Sleep Disorders 780.59 Dyssomnias 18 Sleep Disorders 780.59 Other Sleep Disorders 18 Sleep Disorders V 71.09 No Diagnosis on Axis II 98 Additional Codes 300.90 Unspecified Mental Disorder (nonpsychotic) 98 Additional Codes 799.90 Diagnosis Deferred on Axis II 98 Additional Codes 295.32 non-existent 99 unknown 302.50 non-existent 99 unknown 305.02 non-existent 99 unknown 305.61 non-existent 99 unknown Revised 7-23-02, MXM 415-255-3706 Appendix 8 - Page 3 of 4

DSM IV Mental Health Diagnositic Codes and Classifications Diagnosis Classification 309.89 non-existent 99 unknown 312.20 non-existent 99 unknown 313.00 non-existent 99 unknown Revised 7-23-02, MXM 415-255-3706 Appendix 8 - Page 4 of 4

Appendix 9 ~ Substance Classifications

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 18 19 20 21 Other (includes Tobacco) 22 None