Mental Health Performance Measures

2. Mental Health Performance Measures Vermont Mental Health Block Grant Planning CouncilNovember 5, 2012

3. Mental Health Performance Measures Access to CarePractice PatternsTreatment Outcomes

5. Access to Care Elder Care Service Utilization

7. Per 100,000 Residents 600 500 400 300 200 100 FY2003 FY2006 FY2009 FY2012 0 Total Female Male Eldercare Service Recipients FY2003 - FY2012

9. 120 FY2003 FY2006 FY2009 FY2012 100 80 Total Number Served 60 40 20 0 WCMH HC HCRS RMHS CSAC NCSS NKHS UCS Elder Care Service Recipients by Designated Agency FY2003 - FY2012

11. Access to Care Treatment of Psychoses

13. Individuals Treated for Psychoses Vermont CY2011 Unduplicated Number Served Per 100,000 Residents 30,000 30,000 25,000 25,000 20,000 20,000 15,000 15,000 10,000 10,000 5,000 5,000 0 0 Total Male Female 18-34 35-49 50+ Total Male Female 18-34 35-49 50+

15. Access to Care Designated Agency Services to Veterans

17. 500 10% AOP SA AOP SA 400 8% 300 6% 200 4% 100 2% 0% 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2000 2001 2002 2003 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Veterans Served FY2000 - FY2012 Number of Veterans Percent of Caseload

19. Comments, Questions, Suggestions for Further Analysis Regarding Access to Care ?

21. Practice Patterns Community Integration Children with SED

23. Children with SED FY2011 Not SED SED Overall Percent of Caseload Percent Receiving Services 40% 70% 60% 30% 50% 40% 20% 30% 20% 10% 10% 0% 0% SED Not SED In-home Services Family Support Services

25. Practice Patterns CRT Inpatient Utilization before and after Irene CRT Follow Up Services After Hospitalization

27. 60 IRENE 50 40 Average Daily Census 30 20 Total VSH 10 Other Hospital 0 Jan-11 Apr-11 Jul-11 Oct-11 Jan-12 Apr-12 CRT Inpatient Psychiatric Utilization Average Daily Census by Hospital January 2011 to April 2012

29. 100% 86% 80% 78% 77% 77% 76% 80% 73% 70% 70% 59% 57% 60% % w/ Same Day Services 40% 20% 0% NCSS CSAC LCMH CMC NKHS UCS HCRS WCMH HC RMHS Total CRT Inpatient Discharges with Same Day Follow Up Services by Designated Agency July 2011 - March 2012

31. Practice Patterns Elder Care Service Events Volume and Type

33. Elder Care Service Events FY2003 - FY2012 N = 457 3,500 MedChecks 3,000 Planning & Coordination 2,500 2,000 Clinical Assessment 1,500 Community Supports 1,000 500 Individual/ Family Therapy 0 Community Supports Clinical Assessment Planning & Coordination Individual/Family Therapy MedChecks 0 100 200 300 400 Number Served Service Events 3,052 3,040 35 67 109 246 303 151 142 113

35. Practice Patterns Severe Functional Impairment* Designated by VT Department of Corrections

37. SFI Inmates Jul-Aug 2012 With prior DA services FY2002 - FY2011 92 (69%) served out of 134 inmates DA Program Assignment Last Clinic of Service 60 25 50 20 40 15 Number Number 30 10 20 5 10 0 0 ADULT SUBS EMERG CRT CHILD NONE DS HC HCRS NKHS RMHS UCS WCMH CMC NCSS LCC CSAC UVS

39. Vermont Inmates FY2012 SFI or CRT Status Not SFI or CRT 95% SFI or CRT 5%

41. SFI 6,351 prisoners in FY2012 286 (5%) SFI or CRT 222 (3%) SFI 90 (1%) CRT 26 (0.5%) SFI and CRT

43. Comments, Questions, Suggestions for Further Analysis Regarding Practice Patterns ?

45. Treatment Outcomes CRT Employment CRT Incarcerations DCF/DMH/DOC Caseload Overlap Vermont Resident Suicides

47. CRT Employment FY2000 – FY2012 35% $7,000 $6,000 28% $5,000 21% $4,000 $3,000 14% $2,000 7% $1,000 $0 0% '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Average Earnings Percent Employed

49. CRT Incarcerations FY2011 & FY2012 Quarterly Incarceration Rate: 28 incarcerated (1%) of CRT enrollees (1%) of incarcerated population