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Sacramento County Mental Health Services Act
Full Service Partnership (FSP) Annual Report Fiscal Year 2013-14
MHSA Steering Committee November 19, 2015
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Today’s Presentation
Demographics of partner’s served in FSPs FY 13-14 outcome data
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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
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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
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Limitations-Considerations to Data Analysis
Self-report
Staff collection and submission
Annualization
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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
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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
7 FSP’s in Sacramento County
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Demographics The Full Service Partnerships (FSP’s) served a total of
1,687 partners in FY 13/14
Note: Total N is greater than the number of unduplicated partners, as some partners were served in multiple programs throughout the year
Unduplicated FSP Clients Served by Episode
Undup # Served
(N) Percent
Undup # of Ptnrs Admitted in Year
Undup # of Ptnrs Discharged in Year
Avg LOS
ISA 169 10.0% 25 23 2.2 YearsNew Direction 307 18.1% 62 46 2.5 yearsPathways 396 23.4% 42 41 3.0 YearsJJDTP 163 9.6% 80 83 11.8 MonthsSOAR 173 10.2% 26 21 2.8 YearsTWC 315 18.6% 86 71 2.1 YearsSierra 169 10.0% 48 39 2.9 YearsTotal 1692 100.0% 369 324 2.1 Years
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Demographics - Age
9%
14%
60%
17%
Served by Age Group N=1687
0-15
16-25
26-59
60+
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Demographics - Gender
51% 49%
0%
Served by Gender N=1687
Male
Female
Unk/Not Reported
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Demographics - Race
40%
24% 1%
21%
1% 9% 4%
Served by Race N=1687
Caucasian
African American
Native American/ Alaskan Native
Asian Pacific Islander
Multi Race
Other
Unk/Not Reported
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Demographics - Ethnicity
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Demographics - Diagnosis
22%
14%
40%
9%
8%
3% 1%
3%
Diagnosis N=1687
Depressive
Bipolar
Psychotic
Anxiety/PTSD
Disruptive Disorders
Adjustment
Personality Disorder
Other
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Outcomes
Homelessness Incarceration Inpatient Hospitalization ER Visits (mental & physical health related)
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Behind the Numbers The data set includes baseline and 12 months of
comparison data for each partner served in an FSP in 13/14
“At Baseline” - 12 months prior to admission to a FSP “In FY13/14” –comparison data that represents the last
12 months of data for each partner served in FY13/14 For partners not receiving services for the entire FY13/14
data from FY12/13 was used to obtain a full 12 months of data
For partners that had not been receiving FSP services for a full 12 months data was annualized
The data analysis looks at overall improvement regardless of length of time in program
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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
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Homelessness Comparison of Baseline to FY 13/14
851
215
0
100
200
300
400
500
600
700
800
900
Homeless Occurrences N = 1674
At Baseline
In FY 13-14
71,017
9,735
0
15,000
30,000
45,000
60,000
75,000
Homeless Days N = 1674
At Baseline
In FY 13-14
74.7% Decrease 86.3% Decrease
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Arrests Arrests that may or may not lead to incarceration Includes site and release Captured on KET Validity and integrity rests upon accuracy of data
being reported and captured Over/under representation of data
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Arrests Comparison of Baseline to FY 13/14
539
200
0
100
200
300
400
500
600
Number of Arrests N = 1674
At Baseline
In FY 13-14
66.3% Decrease 62.9% Decrease
20.5%
7.9%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Partners With Arrests N=1674
At Baseline
In FY 13-14
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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
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413
263
0
50
100
150
200
250
300
350
400
450
Jail Occurrences N = 1674
At Baseline
In FY 13-14
15,909
11,199
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
Jail Days N = 1674
At Baseline
In FY 13-14
Incarcerations Comparison of Baseline to FY 13/14
36.3% Decrease 29.6% Decrease
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Inpatient Admits
• Data extracted from Avatar • Hospitals include:
• Sacramento County Mental Health Treatment Center
• Heritage Oaks • Sierra Vista • Sutter Center for Psychiatry
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Inpatient Hospitalizations Comparison of Baseline to FY 13/14
21,798
4,772
0
5,000
10,000
15,000
20,000
25,000
Hospitalized Days N = 1687
At Baseline
In FY 13-14
1,156
375
0
200
400
600
800
1,000
1,200
1,400
Number of Hospitalizations N = 1687
At Baseline
In FY 13-14
67.6% Decrease 78.1% Decrease
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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
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Emergency Room Visits Comparison of baseline to FY 13/14
1730
803
0
300
600
900
1200
1500
1800
2100
Mental Health ER Visits N = 1674
At Baseline
In FY 13-14
1184
429
0
200
400
600
800
1000
1200
1400
Physical Health ER Visits N=1674
At Baseline
In FY 13-14
53.6% Decrease 63.8% Decrease
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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
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Partners Linked to a PCP Comparison of baseline to FY 13/14
23.4% Increase
1086
1340
0
200
400
600
800
1000
1200
1400
1600
Partners with Primary Care Physician N = 1674
At Baseline
In FY 13-14
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Closing remarks… Key goal of MHSA & FSP programs: decrease the long-
term 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 clients they serve.