fiscal year 2010 quarter 2 march 30, 2010

Behavioral Health

DATA BOOKA quarterly reference to community mental health and substance abuse services

Fiscal Year 2010 Quarter 2 March 30, 2010

DSHS Behavioral Health DATA BOOK FY2010 Quarter 2 March 30, 2010 2

PREFACE

The purpose of the Texas Department of State Health Services (DSHS) Behavioral Health Data Book is to present, in a quarterly document series, statewide data trends for community mental health and substance abuse services (excluding NorthSTAR) for policy and practice decision making. It is not intended as a comprehensive guide, but as a quick reference for DSHS staff in response to frequently-asked, general questions from behavioral health stakeholders. Therefore, data presented here should not be taken out of this context.

For further information, contact the Mental Health & Substance Abuse Decision Support Unit.


COMMUNITY MENTAL HEALTH SERVICES

Section 1 Adults Page

Figure 1.1. Average monthly number of adults receiving community mental health services 5Figure 1.2. Average monthly cost per adult receiving community mental health services 6Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized 7Figure 1.4. Average monthly percentage of adults in community mental health services receiving minimum number of recommended service hours 8Figure 1.5. Percentage of adults in community mental health services receiving first service encounter within 14 days of assessment 9Figure 1.6. Percentage of adults in community mental health services avoiding crisis 10Figure 1.7. Percentage of adults in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital 11Figure 1.8. Percentage of adults in community mental health services with improved or acceptable functioning per year 12Figure 1.9. Percentage of adults in community mental health services with improved or acceptable employment per year 13Figure 1.10. Percentage of adults in community mental health services with improved or acceptable housing per year 14Figure 1.11. Percentage of adults in community mental health services with improved criminal justice involvement per year 15Figure 1.12. Percentage of adults in community mental health services with improved or acceptable co-occurring substance use per year 16Figure 1.13. Number of persons assigned to Supported Employment 17Figure 1.14. Number of persons assigned to Supported Housing 18

Section 2 Children

Figure 2.1. Average monthly number of children receiving community mental health services 19Figure 2.2. Average monthly cost per child receiving community mental health services 20Figure 2.3. Average monthly percentage of children in community mental health services appropriately-authorized 21Figure 2.4. Average monthly percentage of children in community mental health services receiving minimum number of recommended service hours 22Figure 2.5. Percentage of children in community mental health services receiving first service encounter within 14 days of assessment 23Figure 2.6. Percentage of children in community mental health services avoiding crisis 24Figure 2.7. Percentage of children in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital 25Figure 2.8. Percentage of children in community mental health services with improved or acceptable functioning per year 26Figure 2.9. Percentage of children in community mental health services with improved or acceptable problem severity per year 27Figure 2.10. Percentage of children in community mental health services with improved school behavior per year 28Figure 2.11. Percentage of children in community mental health services avoiding re-arrest per year 29Figure 2.12. Percentage of children in community mental health services with improved or acceptable co-occurring substance use per year 30


COMMUNITY MENTAL HEALTH SERVICES (continued)

Section 3 Front Door Crisis Page

Figure 3.1. Average monthly number of persons receiving community mental health front-door crisis services 31

Figure 3.2. Average monthly cost per person receiving community mental health front-door crisis services 32

Section 4 New Generation Medication

Figure 4.1. Average monthly number of persons receiving new generation medication 33

Figure 4.2. Average monthly cost per person receiving new generation medication 34

Section 5 Waiting List

Figure 5.1. Average monthly number of persons on waiting list for all community mental health services 35

Figure 5.2. Average monthly number of persons removed from waiting list for community mental health services 36

Figure 5.3. Average monthly cost per person removed from waiting list for community mental health services 37

Section 6 Pay for Performance

Figure 6.1. Average monthly estimated percentage of DSHS General Revenue earned by community mental health centers 38


Figure 1.1. Average monthly number of adults receiving community mental health services

0

20,000

40,000

60,000

80,000

100,000

120,000

COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults

Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.


Figure 1.2. Average monthly cost per adult receiving community mental health services

$357 $359$379

$354 $347 $337 $344 $327 $326 $307 $320 $330 $322 $324 $334 $327 $323$345

$0

$100

$200

$300

$400

$500

$600

$700

$800


Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST).


Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized

95% 96% 95%93%93%94%93% 93% 93%94%

95% 95% 96% 96% 96%94% 94% 93%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

(90%)FY2010

PerformanceContractTarget


Figure 1.4. Average monthly percentage of adults in community mental health services receiving minimum number of recommended service hours

75%

85%90% 89% 89% 90% 89% 88%

82% 81%84% 84%

82% 81% 82%83%81% 83%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2006

Quarte

r 1

FY2006

Quarte

r 2

FY2006

Quarte

r 3

FY2006

Quarte

r 4

FY2007

Quarte

r 1

FY2007

Quarte

r 2

FY2007

Quarte

r 3

FY2007

Quarte

r 4

FY2008

Quarte

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FY2008

Quarte

r 2

FY2008

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r 3

FY2008

Quarte

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FY2009

Quarte

r 1

FY2009

Quarte

r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

(80%)FY2010



Figure 1.5. Percentage of adults in community mental health services receiving first service encounter within 14 days of assessment

80% 81%84% 83% 84% 82% 82% 81% 82% 84% 85%

79% 80% 82% 80%

74%77% 78%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2006

Quarte

r 1

FY2006

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r 2

FY2006

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r 3

FY2006

Quarte

r 4

FY2007

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r 1

FY2007

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FY2008

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r 1

FY2008

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r 2

FY2008

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r 3

FY2008

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FY2009

Quarte

r 1

FY2009

Quarte

r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

(77%)FY2010



Figure 1.6. Percentage of adults in community mental health services avoiding crisis

98% 98% 98% 98% 98% 98% 98% 98% 98% 98% 97% 98% 98% 98% 98% 97% 98% 98%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY20

06 Q

uarte

r 1

FY20

06 Q

uarte

r 2

FY20

06 Q

uarte

r 3

FY20

06 Q

uarte

r 4

FY20

07 Q

uarte

r 1

FY20

07 Q

uarte

r 2

FY20

07 Q

uarte

r 3

FY20

07 Q

uarte

r 4

FY20

08 Q

uarte

r 1

FY20

08 Q

uarte

r 2

FY20

08 Q

uarte

r 3

FY20

08 Q

uarte

r 4

FY20

09 Q

uarte

r 1

FY20

09 Q

uarte

r 2

FY20

09 Q

uarte

r 3

FY20

09 Q

uarte

r 4

FY20

10 Q

uarte

r 1

FY20

10 Q

uarte

r 2


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

(97.7%)FY2010



Figure 1.7. Percentage of adults in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital

0.43% 0.40% 0.40% 0.42% 0.44% 0.40% 0.36% 0.36% 0.35% 0.32% 0.26% 0.29% 0.27% 0.25% 0.25% 0.26% 0.22% 0.20%

0%

2%

4%

6%

8%

10%

FY2006

Quarte

r 1

FY2006

Quarte

r 2

FY2006

Quarte

r 3

FY2006

Quarte

r 4

FY2007

Quarte

r 1

FY2007

Quarte

r 2

FY2007

Quarte

r 3

FY2007

Quarte

r 4

FY2008

Quarte

r 1

FY2008

Quarte

r 2

FY2008

Quarte

r 3

FY2008

Quarte

r 4

FY2009

Quarte

r 1

FY2009

Quarte

r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), DATA BOOK - Percentage of Adults and Children in Full RDM Packages Admitted 3 or More Times in 180 Days to a State or Community Psychiatric Hospital. For methodology, see report query.


37% 36%39% 38%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Figure 1.8. Percentage of adults in community mental health services with improved or acceptable functioning per year


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Adult Outcomes. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

(35% Improved or Acceptable )

FY2010Performance

ContractTarget


Figure 1.9. Percentage of adults in community mental health services with improved or acceptable employment per year

74%

81% 83%85%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(85% Improved or Acceptable)

FY2010Performance

ContractTarget


Figure 1.10. Percentage of adults in community mental health services with improved or acceptable housing per year

68%69%67%66%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




FY2010Performance

ContractTarget


Figure 1.11. Percentage of adults in community mental health services with improved criminal justice involvement per year

43% 43%44%44%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(41% Improved)FY2010



Figure 1.12. Percentage of adults in community mental health services with improved or acceptable co-occurring substance use per year

82%

73%

83% 85%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




FY2010Performance

ContractTarget


Figure 1.13. Number of persons assigned to Supported Employment


1,4491,341 1,320

1,1381,265 1,303 1,301

1,116 1,038882 872 860

723 793 833 819 777656

0

500

1,000

1,500

2,000

2,500

3,000

Source: DSHS Client Assignment Registration (CARE) system.


Figure 1.14. Number of persons assigned to Supported Housing


0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

Source: DSHS Client Assignment Registration (CARE) system.


0

5,000

10,000

15,000

20,000

25,000

Figure 2.1. Average monthly number of children receiving community mental health services

COMMUNITY MENTAL HEALTH SERVICES Section 2 Children

Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. For methodology, see report query.


$0

$100

$200

$300

$400

$500

$600

$700

$800

Figure 2.2. Average monthly cost per child receiving community mental health services




Figure 2.3. Average monthly percentage of children in community mental health services appropriately authorized

91%93% 93% 93% 93% 94% 94% 93%

92% 93% 92%93%94%94% 93%94%94% 94%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2006

Quarte

r 1

FY2006

Quarte

r 2

FY2006

Quarte

r 3

FY2006

Quarte

r 4

FY2007

Quarte

r 1

FY2007

Quarte

r2

FY2007

Quarte

r 3

FY2007

Quarte

r 4

FY2008

Quarte

r 1

FY2008

Quarte

r 2

FY2008

Quarte

r 3

FY2008

Quarte

r 4

FY2009

Quarte

r 1

FY2009

Quarte

r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

(90%)FY2010



Figure 2.4. Average monthly percentage of children in community mental health services receiving minimum number of recommended service hours

71%

83%88%

85% 87% 87% 88% 87% 85% 84%87% 87%

84%87% 86%86%87%86%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2006

Quarte

r 1

FY2006

Quarte

r 2

FY2006

Quarte

r 3

FY2006

Quarte

r 4

FY2007

Quarte

r 1

FY2007

Quarte

r 2

FY2007

Quarte

r 3

FY2007

Quarte

r 4

FY2008

Quarte

r 1

FY2008

Quarte

r 2

FY2008

Quarte

r 3

FY2008

Quarte

r 4

FY2009

Quarte

r 1

FY2009

Quarte

r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r 2


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Minimum Hours. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

(80%)FY2010



Figure 2.5. Percentage of children in community mental health services receiving first service encounter within 14 days of assessment

78%82% 83% 85% 84% 84% 86%

82% 84% 82%85%

78%76%

80% 78% 78% 79%76%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Time Between Assessment and First Service Encounter. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

(65%)FY2010



Figure 2.6. Percentage of children in community mental health services avoiding crisis

98% 98% 98% 99% 99% 99% 99% 99% 99% 99%95%

99% 99% 99% 98% 99% 98% 98%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Crisis Avoidance. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

(98.3%)FY2010



Figure 2.7. Percentage of children in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital

0.08% 0.03% 0.03% 0.08% 0.12% 0.11% 0.11% 0.08% 0.10% 0.07% 0.06% 0.04% 0.04% 0.07% 0.08% 0.04% 0.05% 0.03%

0%

2%

4%

6%

8%

10%


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), DATA BOOK - Percentage of Adults and Children in Full RDM Packages Admitted 3 or More Times in 180 Days to a State or Community Psychiatric Hospital. For methodology, see report query.


Figure 2.8. Percentage of children in community mental health services with improved or acceptable functioning per year


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Child Outcomes. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item C.

38% 37% 38% 37%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


FY2010Performance

ContractTarget


Figure 2.9. Percentage of children in community mental health services with improved or acceptable problem severity per year

42% 42%41%

40%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




FY2010Performance

ContractTarget


Figure 2.10. Percentage of children in community mental health services with improved school behavior per year

64%

69%68%65%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(68% Improved)FY2010



Figure 2.11. Percentage of children in community mental health services avoiding re-arrest per year

93% 93% 92%90%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



(91%)FY2010



Figure 2.12. Percentage of children in community mental health services with improved or acceptable co-occurring substance use per year

84%

79%81%80%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2006

FY2007

FY2008

FY2009

FY2010


(84% Improved or Acceptable) Performance

Contract Target



1,9971,868

2,4422,548

2,433 2,381

2,885

2,609 2,6922,859

3,985 4,0474,305 4,399

5,384

5,0565,2655,217

0

1,000

2,000

3,000

4,000

5,000

6,000

Figure 3.1. Average monthly number of persons receiving MH crisis services

COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis



$450

$503

$436 $434

$385 $378$340

$282

$161 $170$194 $195 $207

$230 $238 $250 $244

$410

$0

$100

$200

$300

$400

$500

$600

$700

$800

Figure 3.2. Average monthly cost per person receiving MH crisis services

COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis


Notes: Starting in FY2008 Q3, the number of persons receiving free new generation medication and those partially paid for by Medicare Part D were included in this computation. The expenditures remained the same, thereby decreasing the average monthly cost of new generation medication per person. This performance reflects the efforts to efficiently provide new generation medication. Beginning in FY2010 Q2, rate adjustments to the Cost Accounting Methodology (CAM) data resulted in a substantial increase in the average monthly cost per person receiving MH crisis services.


0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Figure 4.1. Average monthly number of persons receiving new generation medication

COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication



$233

$277 $268

$401$430

$349$382

$514

$392

$340

$147

$215

$139 $138 $142 $134 $127 $129

$0

$100

$200

$300

$400

$500

$600

$700

$800

Figure 4.2. Average monthly cost per person receiving new generation medication

COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication


Note: Starting in FY2008 Q3, the number of persons receiving free new generation medication and those partially paid for by Medicare Part D were included in this computation. The expenditures remained the same, thereby decreasing the average monthly cost of new generation medication per person. This performance reflects the efforts to efficiently provide new generation medication.


1,394 1,319 1,350

2,044 2,056 1,9142,230 2,105 2,165 2,386

2,604

3,2863,672 3,611

3,9774,296

5,422

6,224

0

2,000

4,000

6,000

8,000

Figure 5.1. Number of persons on waiting list for all community mental health services

COMMUNITY MENTAL HEALTH SERVICES Section 5 Waiting List

Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Waiting List Summary. For methodology, see Fiscal Year 2010 Performance Contract with Local Mental Health Authorities, Information Item R.


132118

100

138147

161 166 170 172 174 180192

176195

219230

291

228

0

100

200

300

400

Figure 5.2. Average monthly number of persons removed from waiting list for community mental health services.


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Clients Removed from Waiting List. For methodology, see report query.


$426

$474

$533

$472

$577

$467

$553

$463$419

$368

$457$487

$414

$484 $493$451 $467

$516

$0

$100

$200

$300

$400

$500

$600

$700

$800

$900

Figure 5.3. Average monthly cost per person removed from waiting list for community mental health services


Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Clients Removed from Waiting List. For methodology, see report query.


Figure 6.1. Estimated percentage of DSHS General Revenue earned by community mental health centers

63% 64%

70% 69%66%

63%67%

62% 62% 63%67% 68%

54% 55%

61% 63%60% 60%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

COMMUNITY MENTAL HEALTH SERVICES Section 6 Pay for Performance

Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), FIN GR Earned. For methodology, see Method and Notes in FIN GR Earned.


SUBSTANCE ABUSE SERVICES

Section 1 Prevention Page

Figure 1.1. Average monthly number of adults served in substance abuse prevention programs 41Figure 1.2. Average monthly cost per adult for substance abuse prevention programs 42Figure 1.3. Average monthly number of youth served in substance abuse prevention programs 43Figure 1.4. Average monthly cost per youth for substance abuse prevention programs 44

Section 2 Intervention

Figure 2.1. Average monthly number of adults served in substance abuse intervention programs 45 Figure 2.2. Average monthly cost per adult for substance abuse intervention programs 46Figure 2.3. Average monthly number of youth served in substance abuse prevention programs 47Figure 2.4. Average cost per youth for substance abuse intervention programs 48

Section 3 Treatment

Figure 3.1. Average monthly number of adults served in substance abuse treatment programs 49 Figure 3.2. Average monthly cost per adult completing substance abuse treatment programs 50Figure 3.3. Average monthly number of adults admitted to outpatient vs. residential substance abuse treatment programs 51Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance 52Figure 3.5. Average monthly percentage of adults completing substance abuse treatment programs 53Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year 54Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment per year 55Figure 3.8. Percentage of adults completing substance abuse treatment programs not re-arrested per year 56Figure 3.9. Average monthly number of youth served in substance abuse treatment programs 57Figure 3.10. Average monthly number of youth by criminal justice status admitted to substance abuse treatment programs 58Figure 3.11. Average monthly cost per youth completing substance abuse treatment programs 59Figure 3.12. Average monthly number of youth admitted to outpatient vs. residential substance abuse treatment programs 60Figure 3.13. Number of youth admissions to substance abuse treatment programs by primary substance 61Figure 3.14. Average monthly percentage of youth completing substance abuse treatment programs 62Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at follow-up per year 63Figure 3.16. Percentage of youth completing substance abuse treatment programs with positive school status at follow-up per year 64Figure 3.17. Percentage of youth completing substance abuse treatment programs not re-arrested per year 65


SUBSTANCE ABUSE SERVICES (continued)

Section 4 Co-Occurring Psychiatric and Substance Use Disorders (COPSD) Page

Figure 4.1. Number of COPSD clients served in substance abuse programs 66

Section 5 Specialized Female Programs

Figure 5.1. Average monthly number of females served in substance abuse specialized female programs 67

Figure 5.2. Average monthly cost per female served in substance abuse specialized female programs 68

Figure 5.3. Average monthly cost per female completing substance abuse specialized female programs 69

Figure 5.4. Average monthly percentage of females completing substance abuse specialized female programs 70

Section 6 Waiting List

Figure 6.1. Number of adults entered on waiting list by substance abuse program 71

Figure 6.2. Number of youth entered on waiting list by substance abuse program 72


41,497

20,806

29,551

22,926

35,885

15,213

28,624

21,607

44,490

16,923

34,443

19,753

25,838

18,296

32,90130,161

51,018

22,133

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

Figure 1.1. Average monthly number of adults served in substance abuse prevention programs

SUBSTANCE ABUSE SERVICES Section 1 Prevention


Note: Fluctuation reflects school calendar.


$9

$27

$24

$35

$14

$43

$23

$41

$11

$40

$19

$39

$5

$34

$21

$32

$9

$30

$0

$5

$10

$15

$20

$25

$30

$35

$40

$45

$50

Figure 1.2. Average monthly cost per adult for substance abuse prevention programs





225,680

73,91184,391

62,295

179,093

48,482

80,835

40,809

193,622

51,334

105,101

36,683

186,862

62,767

82,753

50,896

69,987

292,942

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

Figure 1.3. Average monthly number of youth served in substance abuse prevention programs





$13

$37

$32

$50

$14

$51

$32

$11

$51

$23

$62

$10

$34

$26

$47

$7

$33

$66

$0

$10

$20

$30

$40

$50

$60

$70

Figure 1.4. Average monthly cost per youth for substance abuse prevention programs





0

10,000

20,000

30,000

40,000

50,000

60,000

Figure 2.1. Average monthly number of adults served in substance abuse intervention programs

SUBSTANCE ABUSE SERVICES Section 2 Intervention


Note: Higher numbers served in FY2006 reflect previous classification of prevention activities as intervention programs. Starting in FY2010 Q2, Program Services instructed providers of DSHS-funded substance abuse intervention services to try their best to provide DSHS with unduplicated counts. This technical assistance likely deflated the measure.


$89 $89

$34

$54

$79$83 $81

$98

$81

$94 $92

$112

$89

$65 $66$60

$86

$118

$0

$25

$50

$75

$100

$125

$150

Figure 2.2. Average monthly cost per adult for substance abuse intervention programs



Note: Higher numbers served in FY2006 reflect previous classification of prevention activities as intervention programs, thereby lowering costs. Starting in FY2010 Q2, Program Services instructed providers of DSHS-funded substance abuse intervention services to try their best to provide DSHS with unduplicated counts. This technical assistance likely deflated the measure, thereby raising costs.


4,009 4,148

8,0737,164

3,939 3,5054,300 3,880 3,521 3,218

3,921

2,4211,747

5,144

7,442 7,140

2,9702,674

0

5,000

10,000

15,000

20,000

25,000

30,000

Figure 2.3. Average monthly number of youth served in substance abuse intervention programs



Note: Higher numbers served in FY2006 reflect previous classification of prevention activities as intervention programs. Starting in FY2010 Q2, Program Services instructed providers of DSHS-funded substance abuse intervention services to try their best to provide DSHS with unduplicated counts. This technical assistance likely deflated the measure.


$72$68

$34

$54

$72$76

$70

$81

$73

$102

$76

$107

$98

$47$42 $40

$77

$111

$0

$25

$50

$75

$100

$125

$150

FY2006

Quarte

r 1

FY2006

Quarte

r 2

FY2006

Quarte

r 3

FY2006

Quarte

r 4

FY2007

Quarte

r 1

FY2007

Quarte

r 2

FY2007

Quarte

r 3

FY2007

Quarte

r 4

FY2008

Quarte

r 1

FY2008

Quarte

r 2

FY2008

Quarte

r 3

FY2008

Quarte

r 4

FY2009

Quarte

r 1

FY2009

Quarte

r 2

FY2009

Quarte

r 3

FY2009

Quarte

r 4

FY2010

Quarte

r 1

FY2010

Quarte

r2

Figure 2.4. Average monthly cost per youth for substance abuse intervention programs



Note: Higher numbers served in FY2006 reflect previous classification of prevention activities as intervention programs, thereby lowering costs. Starting in FY2010 Q2, Program Services instructed providers of DSHS-funded substance abuse intervention services to try their best to provide DSHS with unduplicated counts. This technical assistance likely deflated the measure, thereby raising costs.


5,119 5,255 5,790 5,823 6,144 6,435 6,971 6,6705,715 5,293 5,099 4,787 4,496

5,150 5,129 5,046 5,315 5,238

0

5,000

10,000

15,000

20,000

25,000

30,000

Figure 3.1. Average monthly number of adults served in substance abuse treatment programs

SUBSTANCE ABUSE SERVICES Section 3 Treatment


Note: Regions 5 and 6 were severely impacted by Hurricane IKE, which shut down many providers, schools and community sites.


$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

Figure 3.2. Average monthly cost per adult completing substance abuse treatment programs




4,9914,736

5,509

5,033 5,079

4,656

5,066 5,0644,878

4,421

5,2114,841 4,886 4,844 4,936 4,946

4,7624,482

3,381 3,350 3,4453,280 3,197 3,222 3,172 3,276 3,250

3,006 3,085 3,089 3,0952,930 3,067 3,064 3,194 3,277

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000Outpatient

Residential

Figure 3.3. Average monthly number of adults admitted to outpatient vs. residential substance abuse treatment programs


Source: DSHS, Behavioral Health Integrated Provider System (BHIPS).


Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance

3,0

97

2,9

38

3,2

89

3,2

07

3,0

82

2,8

90

3,0

36

3,1

90

3,1

29

3,0

92

3,3

66

3,4

05

3,6

51

3,4

98

3,5

41

3,7

71

3,6

80

3,1

00 3

,672

3,4

62

3,3

10

3,6

70

3,4

80

3,3

58

3,2

66

3,2

27

3,2

62

3,2

67

3,0

54

3,2

93

3,0

16

2,7

51

2,4

50

2,5

29

2,3

90

2,3

54

1,8

30

2,0

79

1,5

75

1,4

99

1,7

85

1,6

13

1,6

09

1,5

66

1,7

09

1,7

87

1,6

86

1,5

71

1,8

73

1,6

89

1,6

85

1,8

10

1,9

23

1,9

43

1,7

59

1,5

01

1,7

94

1,9

80

1,9

17

1,7

97

1,5

43

1,5

57

1,5

80

1,6

72

1,3

18

1,0

95

1,0

13

1,0

22

1,0

61

1,0

73

1,0

67

1,0

72

1,1

61

1,1

20

862

910

2,0

46

1,7

39 2,1

31

2,1

80

1,9

43

1,8

46

1,9

47

2,0

72

2,1

25

2,0

02

2,2

85

2,2

12

2,5

52

2,2

58

2,4

41

2,6

18

2,6

91

2,3

95

2,6

02

283

250

275

285

286

273

333

345

360

320

373

342

340

288

392

406

387

286

446

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000Alcohol

Cocaine

Marijuana

Methamphetamine

Opioid

Other




Figure 3.5. Average monthly percentage of adults completing substance abuse treatment programs

60% 60% 62% 62% 62% 60% 61% 63%60%

63%

58% 57%

63%

58%

64%60% 60%

63%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




86%86%87%85%

87% 87% 87% 87%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at follow-up per year

Source: DSHS, Budget & Forecasting. For methodology, see Outcome Measure Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST).

Target


62%66%

60%63%

56%56%60%

56%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Target

Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment at follow-up per year



98%97%98%98%

96%96%95% 96%

0%

20%

40%

60%

80%

100%


Target

Figure 3.8. Percentage of adults completing substance abuse treatment programs not re-arrested per year



946 928 998 942 921 975 1,020

799 750 723 768 748 707800 851

714 754 755

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

Figure 3.9. Average monthly number of youth served in substance abuse treatment programs



Note: Regions 5 and 6 were severely impacted by Hurricane IKE, which shut down many providers, schools and community sites.


365 327 362238

292 327 294 267 257 266 327161

368 323 309169 215 218

1,439 1,399 1,5461,533

1,323 1,320 1,352 1,389 1,495 1,296 1,3781,293

1,575 1,363 1,4511,367 1,287 1,301

0%

20%

40%

60%

80%

100%

No Criminal Justice Criminal Justice

Figure 3.10. Number of youth by criminal justice status admitted to substance abuse treatment programs




$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Figure 3.11. Average monthly cost per youth completing substance abuse treatment programs




1,164 1,166 1,1861,137

1,068

1,181 1,153

1,045

921

1,0471,094 1,063

956

1,0791,130 1,127

921848

537476

632550 517 496 523

482404 394

490438 425

504 515 519 484 478

0

500

1,000

1,500

2,000Outpatient

Residential

Figure 3.12. Average monthly number of youth admitted to outpatient vs. residential substance abuse treatment programs




Figure 3.13. Number of youth admissions to substance abuse treatment programs by primary substance

13

4

14

0

11

2

12

9

10

8

13

6

10

8

12

0

84

10

0

10

7

99

99

97

10

0

85

80

65

7312

8

10

4

12

4

11

6

12

5

11

8

11

8

91

97

67

83

71

59

63

51

27

38

28

28

1,3

05

1,2

69 1,4

63

1,3

56

1,2

30

1,3

20

1,3

05

1,2

25

1,0

48

1,2

06

1,3

22

1,2

54

1,1

82 1,3

66

1,3

95

1,2

78

1,2

11

1,0

40

1,1

46

93

84

79

51

42

49

53

36

15

10

13

15

12

15

15

12

21

10

10

22

23

26

24

33

26

46

29

37

32

28

36

34

34

47

25

36

33

3366

53

56

47 70

54 71

50 70

52

50

38

52

41 68

49

45

54

60

0

500

1,000

1,500

2,000

2,500

3,000Alcohol

Cocaine

Marijuana

Methamphetamine

Opioid

Other




Figure 3.14. Average monthly percentage of youth completing substance abuse treatment programs

56% 56%60%

55%58%

53%

63% 61% 60%57% 56% 57%

61%57%

64%61% 60% 59%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




85%84%84%88%

84% 84%84% 84%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2006

FY2007

FY2008

FY2009

FY2010


Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at follow-up per year

Source: DSHS, Budget & Forecasting. For methodology, see Outcome Measure Definitions Report, 79th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST).

Target


94% 95% 93% 93%

96% 96% 96% 96%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2006

FY2007

FY2008

FY2009

FY2010


Target

Figure 3.16. Percentage of youth completing substance abuse treatment programs with positive school status at follow-up per year



97% 96% 96% 96%

95% 96% 96% 96%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FY2006

FY2007

FY2008

FY2009

FY2010


Target

Figure 3.17. Percentage of youth completing substance abuse treatment programs not re-arrested per year



0

500

1,000

1,500

2,000

2,500

3,000

Figure 4.1. Number of COPSD clients served in substance abuse programs

SUBSTANCE ABUSE SERVICES Section 4 Co-Occurring Psychiatric and Substance Use Disorders (COPSD)


Note: Spikes in number served are due to COPSD specialists receiving additional and updated training on COPSD competencies, assessment, treatment planning, and referrals.


1,038 1,0171,124 1,083 1,084 1,062 1,135 1,079 1,001

907 965 963 1,000 961 1,010 952 965871

0

1,000

2,000

3,000

4,000

Figure 5.1. Average monthly number of females served in substance abuse specialized female programs

SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs



$810 $809 $785 $782 $775$710 $703 $731

$930 $922 $899$835 $854 $867

$946 $925 $940$813

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

Figure 5.2. Average monthly cost per female served in substance abuse specialized female programs




$0

$1,000

$2,000

$3,000

$4,000

$5,000

Figure 5.3. Average monthly cost per female completing substance abuse specialized female programs




Figure 5.4. Average monthly percentage of females completing substance abuse specialized female programs

60% 61%59%

61% 63%59%

61% 62% 63% 64% 63%60% 62% 63%

58% 59% 59%62%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%




2 0 2 5 1 1 1 2 0 0 0 1

393

327

351

222

162

89 1

60

167

190

123

131

146

60 105

121

136

121

96

25

32

43

34

31

39

36

40

52

32

26

24

24

24 53

43

40

25

164

106 182

37

512

504

553

726

727

693

606

544

740

748 8

65

813

687 7

91 9

22

954

889

737

31

22 62 85 122

125

141

114

93

75 1

31

119

118

109

162

142

139

140

0

500

1,000

1,500

2,000

2,500

COPSD

Detox

Methadone

Outpatient

Residential

Other

Figure 6.1. Average monthly number of adults entered on waiting list by substance abuse program

SUBSTANCE ABUSE SERVICES Section 6 Waiting List



0.3

3

0 0 0 01

35

58

27

0 0 0 0

165

94

113

208

232

195

187

155

142

52

63

45 50

59

95

70

67 7

5

24

63

124

12

38

34

18 21

30

3 6

10

6 7 4 3 3

11

0

25

50

75

100

125

150

175

200

225

250

275Methadone

Outpatient

Residential

Other

Figure 6.2. Average monthly number of youth entered on waiting list by substance abuse program

SUBSTANCE ABUSE SERVICES Section 6 Waiting List



Section 1 Persons Served Page

Figure 1.1. Quarterly Medicaid vs. indigent persons served 74

Figure 1.2. Quarterly persons served by age group 75

Figure 1.3. Quarter persons served by gender 76

Figure 1.4. Quarterly person served by ethnicity 77

Section 2 Monthly Medicaid Enrollment

Figure 2.1. Average monthly Medicaid enrollment 78

Section 3 Resiliency & Disease Management (RDM)

Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend 79

Figure 3.2. Unduplicated quarterly child authorized Service Package (SP) trend 80

NORTHSTAR


10,3

91

10,4

57

11,0

90

10,6

95

11,0

42

11,2

61

12,0

51

11,7

33

11,7

33

12,4

65

12,7

98

13,2

07

14,2

51

14,9

84

16,3

05

16,1

45

16,4

83

17,2

24

17,3

16

18,0

07

17,5

27

17,1

40

16,8

37

17,7

53

17,5

47

16,8

97

17,6

52

18,0

13

18,9

06

19,0

72

20,5

72

21,8

99

22,5

34

21,8

47

0

5,000

10,000

15,000

20,000

25,000

30,000

Medicaid

Indigent

Source: DSHS NorthSTAR Data Warehouse.Note: NorthSTAR data has 90-day delay due to claims lag.

Figure 1.1. Quarterly Medicaid vs. Indigent persons served

NORTHSTAR Section 1 Persons Served


6,0

63

6,0

41

6,4

03

5,6

73

6,1

64

6,1

82

6,8

83

7,1

46

7,4

70

7,8

56

8,0

49

8,2

26

9,3

33

9,8

32

10,9

12

10,3

61

10,8

95

20,0

86

20,2

12

20,9

82

20,8

15

20,3

01

20,1

74

20,9

77

20,2

49

20,9

97

21,3

46

21,8

38

22,8

84

23,0

00

24,6

15

26,1

20

27,2

59

26,4

04

386

455

449

452

413

463

459

395

379

347

425

413

391

378

377

346

275

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000Child 0-20 Years Adult 21-64 Years 65+ Years

Figure 1.2. Quarterly persons served by age group




14,2

48

14,3

41

14,8

54

14,5

70

14,3

47

14,1

91

14,9

94

14,8

45

14,3

78

15,0

23

15,4

68

16,0

42

16,4

12

17,4

27

18,5

72

18,8

77

18,5

66

12,9

67

12,9

89

13,7

40

13,1

34

13,3

36

13,4

08

14,2

53

13,9

16

13,7

25

14,5

31

14,8

38

15,4

75

16,2

76

17,4

18

18,8

50

19,1

15

19,0

63

0

5,000

10,000

15,000

20,000

25,000

30,000Female

Male

Figure 1.3. Quarterly persons served by gender




8,4818,952 8,713 8,858 8,795

9,297 9,268 9,2399,709 9,994

10,61911,277

12,085

13,15413,554 13,365

3,889 4,112 3,944 4,092 4,2314,786 4,604 4,614 4,895 5,019 4,942

5,7756,162

6,866 6,773 6,867

882 769 768 740128

701 724 713 667 665 686 685 638

16,76216,98316,71815,933

14,96914,35614,57014,520

13,55414,14914,396

13,80413,90714,16614,628

14,066

903895

826

0

5,000

10,000

15,000

20,000Black (Not Hispanic)

Hispanic

White and OtherUnknown

Figure 1.4. Quarterly persons served by ethnicity




57,9

32

58,9

61

59,8

92

60,8

19

61,3

70

61,9

33

63,1

28

64,0

14

63,4

71

65,1

35

65,4

16

66,8

23

67,2

18

68,3

74

69,6

85

70,9

98

65,6

98

287,4

14

280,9

30

281,1

81

285,2

54

285,7

26

286,6

53

292,4

60

298,1

88

290,2

35

294,6

38

289,6

17

299,0

64

300,3

55

304,4

63

316,8

20

327,9

53

296,7

02

0

100,000

200,000

300,000

400,000Individual SSI Families & Children

Figure 2.1. Average monthly Medicaid enrollment

NORTHSTAR Section 2 Monthly Medicaid Enrollment



Figure 3.1. Unduplicated quarterly adult authorized Service Package (SP) trend6,1

59

6,9

83 8,2

17

11,4

27 13,1

33

14,3

22

15,7

39

15,8

21

16,0

29

15,4

59

15,5

73

15,8

95

16,5

17

16,7

93

16,9

96

17,7

73

18,2

01

1,5

34

1,3

98

1,5

58

1,4

77

1,0

72

753

550

502

627

886

999

1,0

25

1,1

57

1,2

45

1,4

17

1,4

54

1,8

97

5,9

54

6,1

16

6,2

71

5,8

20

4,5

62

4,1

22

3,6

39

3,5

72

3,6

93

4,0

26

4,4

89

4,8

38

5,0

01

5,8

24

6,4

37

6,0

62

6,0

21

614

572

558

546

555

539

516

499

504

506

520

518

533

565

590

596

600

0

5,000

10,000

15,000

20,000

25,000SP1 SP2 SP3 SP4

NORTHSTAR Section 3 Resiliency & Disease Management (RDM)



Figure 3.2. Unduplicated quarterly child authorized Service Package (SP) Trend1,9

56

2,1

53

2,0

99

1,9

04

1,8

12

1,6

55

1,7

24

1,6

50

1,8

54 2,1

61 2

,513

2,6

30 2,8

66 3,1

52

3,6

73

3,7

11 4

,036

420

721

1,0

41

979

904

974 1,0

77

1,0

05

1,0

24

1,0

83

1,1

15

1,0

11

1,0

42 1,2

97 1,5

41

1,5

08

1,4

80

2 3 1 1 1 1 1 1 2 3

671

622

712

711

636

587

619

560

506

440

359

311

291

332

346

355

328

111

33

22

14 26

28

23

17 23

27 51

56

55 100

112

91

76143

125

99

87

85

73

77

75

81

78 91

91

94 100

104

100

83

1 1

486 7

03

1,0

82

1,2

63

1,3

54

1,4

54 1,7

57

1861

1,9

39

1,8

69

1,8

80

1,8

78

2,0

68

2,2

01

2,0

54

1,8

90

1,9

38

0

1,000

2,000

3,000

4,000

5,000SP1.1 SP1.2 SP2.1 SP2.2 SP2.3 SP2.4 SP3 SP4

NORTHSTAR Section 3 Resiliency & Disease Management (RDM)


fiscal year 2010 quarter 2 march 30, 2010

Documents

behavioral health stakeholders

community psychiatric

adults pagefigure

average monthly cost

number of persons

dshs staff

statewide data trends

acceptable housing