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March 20, 2012

CMP State Measurement Plan PHASE II: Education and Health/Mental Health indicatorS Presentation to the SSC. March 20, 2012. Background and Rationale. In FY10-11, stakeholders in the initiative participated in a series of workgroup meetings The workgroup:

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March 20, 2012

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  1. CMP State Measurement Plan PHASE II:Education and Health/Mental Health indicatorSPresentation to the SSC March 20, 2012

  2. Background and Rationale • In FY10-11, stakeholders in the initiative participated in a series of workgroup meetings • The workgroup: • Identified CMP core components for measurement • Developed a measurement approach to implement across CMPs • CMPs to continue to track their local performance measures (incentivized outcomes) • CMPs to begin tracking a small set of common indicators for the statewide evaluation (non-incentivized) Final 4-13-12

  3. Phase I (FY11-12) • Establish data collection of key service components for ISST-served families • Begin to assess statewide performance on select child welfare and juvenile justice indicators Final 4-13-12

  4. Phase II (FY12-13) • This year, we worked to select parallel indicators for the Education and Health/Mental Health Domains. • Goal was to select indicators that can reasonably be tracked across all or most CMPs and have relevance to the goals of the initiative/legislation. Final 4-13-12

  5. While statewide indicators should be reasonably meaningful for the initiative… • they are notexpected to reflect all efforts/goals at the local level, and • they are not expected to replace locally defined outcomes, unless desired by an individual IOG. • Similar to CW and JJ indicator selection process in Phase I: • CMPs will select one indicator in each domain that is most closely aligned with their efforts • Indicators will be tracked on ISST-served families • Data will be aggregated to track performance across CMPs Final 4-13-12

  6. Phase II: Indicator Selection Process • Process relied on three key activities: • Review of ED/HMH outcomes reported by CMPs in FY2009-10 and FY2010-11 • Interviews with CMP stakeholders in each domain • 5 CMPs participated for ED • 4 CMPs participated for HMH • Discussion sessions with CMP coordinators • 7 CMPs participated for ED • 6 CMPs participated for HMH Final 4-13-12

  7. FY2011-12 Indicator Selection Process • Candidate indicators reviewed with coordinators: • 7 for ED • 9 for HMH • Coordinators were asked to offer feedback about proposed indicators in the following areas: • Relevant/ meaningful (both statewide and locally) • Feasible • Balance between relevance and feasibility • Interpretation of trends Final 4-13-12

  8. EDUCATION INDICATORS

  9. Education Outcome Topics • OMNI reviewed the education outcomes currently being tracked by all CMPs. • In FY2010-11 MOUs, most common topic areas: • Truancy/Attendance(25) • Achievement (8) • Behavior (7) • Drop Out (7) Final 4-13-12

  10. Review of Indicators • Reviewed 7 potential indicators with coordinator group • Number/rate of ISST-served youth: • with truancy filings • with founded educational neglect findings • with improved school attendance • with disciplinary actions • with improved academic performance • remaining in school • “on track to graduate” Final 4-13-12

  11. Review of Indicators • Greatest support for • improved school attendance • disciplinary actions • improved academic performance • remaining in school • Less support for • truancy filings – low #s; move away from court interventions • founded educational neglect findings – low #s • “on track to graduate”– complexity Final 4-13-12

  12. Possible measurement of ED indicators • Improved school attendance • Attendance rate at ISST intake and at case closure, or 6 months after intake? • Disciplinary actions • #/% of CMP youth with disciplinary actions (referrals, suspensions, or expulsion) occurring while receiving ISST services? • Could be measured as events, or a rate reflecting # of actions in a pre-post measure? • Improved academic performance • #/% of CMP youth demonstrating some academic performance improvement (locally defined testing data or GPA?) between ISST intake and case closure/6 months? • Remaining in school • #/% of CMP youth enrolled in school during ISST services? Or through academic year in which ISST services began? Final 4-13-12

  13. HEALTH/MENTAL HEALTH INDICATORS

  14. Health/Mental Health Outcome Topics • OMNI reviewed the health/mental health outcomes currently being tracked by all CMPs. • In FY2010-11 MOUs, most common topic areas: • Functioning/Problem Severity (14) • Substance Use/Abuse Treatment (4) • Length of Inpatient Stay/Hospitalization (6) Final 4-13-12

  15. Review of Indicators • Reviewed 9 potential indicators with coordinator group • Number/rate of ISST-served youth: • with decreased problem severity (CCAR) • with improved functioning (CCAR) • placed in inpatient mental health care • discharged to a lower level of mental health care from inpatient care • who have successfully completed substance use treatment • with access to substance use treatment • with access to mental health treatment • with access to a primary care provider • with health insurance Final 4-13-12

  16. Review of Indicators • Greatest support for • decreased problem severity/improved functioning (CCAR) • placed in inpatient mental health care • completion of substance abuse treatment • access to care • substance use treatment • mental health treatment • primary care provider • health insurance • Less support for • discharged to a lower level of mental health care from inpatient care – low #s Final 4-13-12

  17. Possible measurement of indicators • Decreased problem severity/improved functioning (CCAR) • #/% of CMP youth with improved severity/functioning measured by CCAR between ISST intake and case closure/6 months? • Not measured on all mental-health involved CMP youth and clinician raters vary; however state-level database is available so may be expedient to track • Placed in inpatient mental health care • #/% of CMP youth placed into care while receiving ISST services/6 months after services? • Completion of substance abuse treatment • #/% of CMP youth who successfully complete SA treatment between ISST intake and case closure/6 months post? • Access to care • substance use treatment • mental health treatment • primary care provider • health insurance • These indicators could be measured at ISST intake (does CMP youth have access?) or at case closure, or pre- and post services to assess improved access due to CMP services Final 4-13-12

  18. Considerations • The CMP Evaluation Subcommittee (SEC) has reviewed and endorses this set of indicators and measurement methods • The SEC and OMNI will work to define each indicator further (including timeframes, units, data collection tools, etc. associated with each) • Some indicators will require measurement over multiple time points Final 4-13-12

  19. Next Steps • Share the list of indicators in both domains with your IOGs (March/April). • SEC/OMNI will further define each indicator (March/April). • IOGs will select one indicator in each domain and submit this information with their MOU. • OMNI will integrate new data elements into the existing Client Tracking Form and ETO (April/May). • OMNI will distribute revised Client Tracking Form for use in FY12-13 (May/June). • CMPs will begin tracking ED and H/MH outcomes for children/youth going through their ISSTs (July). Final 4-13-12

  20. Thank you! A summary report about this process and proposed outcomes will be posted on the portal in early April. If you have any additional feedback that you would like to share, please feel free to contact us at: ksmiles@omni.org (303) 839-9422 ext. 196 and eingoldsby@omni.org (303) 839-9422 ext. 116. Final 4-13-12

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