CAMHD Annua l E va lua tio n Summa ry: F Y 2016 Child & Ado - - PowerPoint PPT Presentation

CAMHD Annua l E va lua tio n Summa ry: F Y 2016

Child & Ado le sc e nt Me ntal He alth Divisio n Re se ar c h & E valuation Offic e

Ove rvie w

Re vie w o f ma jo r tre nds a nd finding s in the fo llo wing a re a s:

 Yo uth Se rve d  Se rvic e s Re nde re d  Outc o me s  Risk Pro file s  Ove ra ll Pic ture

Yo uth Se rve d

Yo uth Se rve d

1954 2119 2225 2405 2496 1230 1313 1337 1505 1528 1765 1965 2089 2070 2209 500 1000 1500 2000 2500 3000 2012 2013 2014 2015 2016

Youth (N) F isc a l Ye a r

CAMHD Youth Re g iste re d & With Proc ure d & Dire c t Se rvic e s: F isc a l Ye a r 2012- 2016

# Yo uth Re g iste re d # Yo uth with Pro c ure d Svc s # Yo uth with Dire c t Se rvic e s

28% I nc re a se

Yo uth Se rve d

100 200 300 400 500 600 700 800 900 1000 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016

Re g iste re d Youth (N) F isc a l Ye a r by F a mily Guida nc e Ce nte r

CAMHD Youth Re g iste re d a nd Re c e iving Dire c t a nd Proc ure d Se rvic e s by F GC: F isc a l Ye a r 2012- 2016

Re g iste re d Pro c ure d Svc . Dire c t Svc .

Ha wa ii L e e wa rd Ce ntra l Ho no lulu Ma ui K a ua i F a mily (Big I sla nd) Oa hu Oa hu Oa hu Co urt L ia iso n

Yo uth Se rve d

67% 33% 65% 11% 13% 9% 1% 1% 0% 0% 20% 40% 60% 80% No t Hispa nic Hispa nic o r L a tino / a Multira c ia l Na tive Ha wa iia n o r Pa c ific I sla nde r White Asia n Othe r Ra c e Bla c k o r Afric a n-Ame ric a n Ame ric a n I ndia n o r Ala ska Na tive

CAMHD Youth National Or igin and Rac e F isc al Ye ar 2016

Na tiona l Orig in (% of Ava ila ble ) Ra c e (% of Ava ila ble )

Yo uth Se rve d

32% 35% 41% 40% 39% 45% 14% 23% 28% 25% 26% 33% 32% 35% 41% 41% 40% 46% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 2011 2012 2013 2014 2015 2016

Youth (% ) F isc a l Ye a r

CAMHD Pe rc e nt of Ra c e Not Ava ila ble : F isc a l Ye a r 2011- 2016

Na tio na l Orig in NA Ra c e NA E thnic ity NA

Yo uth Se rve d

33% 32% 30% 26% 26% 18% 20% 19% 19% 20% 20% 19% 19% 19% 18% 12% 11% 12% 14% 16% 7% 7% 8% 11% 12% 0% 5% 10% 15% 20% 25% 30% 35% 2012 2013 2014 2015 2016

Youth (N) F isc a l Ye a r

CAMHD Re g iste re d Youth Ma jor Prima ry Dia g nose s: F isc a l Ye a r 2012- 2016

Disruptive Be ha vio r Atte ntio na l Mo o d Anxie ty Adjustme nt

Yo uth Se rve d

14.6 14.5 14.4 14.5 14.4 14.2 14.0 13.9 13.6 13.5 13.0 14.0 15.0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Me a n Ag e F isc a l Ye a r

Ave ra g e Ag e of Re g iste re d Youth: F isc a l Ye a r 2007- 2016

Yo uth Se rve d

26.3% 28.6% 29.9% 33.1% 35.3% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2012 2013 2014 2015 2016

T re nd in % of Re g iste re d Youth 12 or Young e r: F isc a l Ye a r 2012- 2016

Olde r T ha n 12 12 o r Yo ung e r

Yo uth Se rve d

62% 62% 62% 62% 61% 38% 38% 38% 38% 39% 0% 20% 40% 60% 80% 100% 2012 2013 2014 2015 2016

Ge nde r % F isc a l Ye a r

CAMHD Re g iste re d Youth Ge nde r: F isc a l Ye a r 2012- 2016

F e ma le Ma le

Yo uth Se rve d – K e y Po ints

 Co ntinuing inc re a se s in numb e r o f yo uth se rve d  Po pula tio n c o ntinue s to g ro w yo ung e r  De c re a se s in Disruptive Be ha vio r dia g no se s a nd

inc re a se s in Adjustme nt a nd Anxie ty dia g no se s

Wha t, if a ny, a djustme nts sho uld b e ma de ?

Se rvic e s Re nde re d

Se rvic e s Re nde re d

14 14 25 35 38 60 77 74 70 69 14 14 13 10 7 137 155 139128137 205 192 168173 145 50 100 150 200 250 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016

Youth (N) Se rvic e s by F isc a l Ye a r

CAMHD Out- of- Home Se rvic e Utiliza tion: F isc a l Ye a r 2012- 2016

Out-of-State Hospital Residential Community High Risk Community Residential Transitional Family Home

Se rvic e s Re nde re d

242213207185187 693 812 878 1,016 1,044 113101 89 77 51 36 32 27 20 6 139181160 248230 200 400 600 800 1,000 1,200 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016

Youth (N) Se rvic e s by F isc a l Ye a r

CAMHD Inte nsive Home a nd Community a nd Outpa tie nt Se rvic e Utiliza tion: F isc a l Ye a r 2012- 2016

Multisystemic Therapy Intensive In-Home Functional Family Therapy Outpatient Therapy Assessment Intensive Home & Community Services Outpatient Services

Se rvic e s Re nde re d

20 30 39 34 39 145 162 142 152 148 20 40 60 80 100 120 140 160 180 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016

Youth (N) Se rvic e s by F isc a l Ye a r

CAMHD Supportive Se rvic e Utiliza tion: F isc a l Ye a r 2012- 2016

Respite Home Ancillary Service

Se rvic e s Re nde re d

$28,725 $27,898 $26,853 $25,187 $24,450 $23,235 $21,338 $20,835 $0 $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 2009 2010 2011 2012 2013 2014 2015 2016 F isc a l Ye a r

Proc ure d Se rvic e Cost Pe r Youth: F isc a l Ye a r 2009- 2016

Se rvic e s Re nde re d: Clie nt Sa tisfa c tio n

83.5 82.9 56.4 56.4 84.3 90.5 87.2 94.7 10 20 30 40 50 60 70 80 90 100

Co mmunic a tio n with Ca re Co o rdina to r Ove ra ll Pro g ra m Asse ssme nt F unc tio ning Outc o me s Ac c e ss So c ia l Co nne c te dne ss T re a tme nt Pa rtic ipa tio n Cultura l Se nsitivity

Pe r c e nt

CAMHD Consume r Surve y 2016: % of Re sponde nts Rating Positive ly in E ac h Domain

• T

he se pe rc e nta g e s a re b a se d o n the numb e r o f re spo nde nts who se c o mb ine d sc o re s to ta le d a ‘ 3.5’ o r b e tte r.

• A five -po int L

ike rt-type sc a le wa s use d fo r e a c h ite m (i.e ., ‘ Stro ng ly Ag re e ‘ (5), ‘ Ag re e ’ (4), ‘ Unde c ide d’ (3), ‘ Disa g re e ’ (2), o r ‘ Stro ng ly Disa g re e ’ (1).

Se rvic e s Re nde re d: Clie nt Sa tisfa c tio n

Re spo nse s to “What wo uld impr

• ve the se r

vic e s o ffe r e d? ” (% o f tho se who

re spo nde d)

 19% Mo re suppo rt ne e de d (tra nsitio ning to a dultho o d, e xte nd time -limite d

se rvic e s like MST , mo re c a re c o o rdina to rs, mo re fle xib le ho urs)

 13% Additio na l se rvic e s (we e ke nd a c tivitie s, g ro up se ssio ns, lo c a l [vs o ut-

• f-sta te ] fa c ilitie s)

 11% I

mpro ve q ua lity o f se rvic e s (impro ving a c c e ss, b e tte r c o mmunic a tio n with c a re c o o rdina to rs)

 7% I

mpro ve e lig ib ility pro c e ss

 5% Spe c ific re q ue sts fo r c hild’ s uniq ue ne e ds

Se rvic e s Re nde re d: Clie nt Sa tisfa c tio n

9.2% 6.4% 9.2% 35.3% 39.9% 16.0% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

Pe r c e nt

Dur ing me e ting(s) with my c hild’s Car e Coor dinator , I was infor me d about the r

• le of

the Par e nt Par tne r s.

9.2% 3.5% 12.7% 38.2% 36.4% 16.0% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

Pe r c e nt

I unde r stand the r

• le of the Par

e nt Par tne r in the tr e atme nt of my c hild.

Se rvic e s Re nde re d: Clie nt Sa tisfa c tio n

NO 69.0% (N = 138) YE S 31.1% (N = 19) NO 68.9% (N = 42) YE S 31.0% (N = 62)

Do you know about the He lp You Ke iki we bsite that pr

• vide s infor

mation about se r vic e s for your c hild? If “Ye s,” dur ing the last ye ar , did you ac c e ss the He lp Your Ke iki we bsite for infor mation about se r vic e s for your c hild?

9.5% o f T

• ta l

Se rvic e s Re nde re d: Pa re nt I nfo rma tio na l We b site

He lpYour Ke iki.c om

Se rvic e s Re nde re d – K e y Po ints

 Arra y o f se rvic e s c o ntinuing to g e t “sq ue e ze d” in the middle – le ss yo uth se rve d

in T F H, MST a nd F F T , while mo re yo uth se rve d in I nte nsive I n-Ho me a nd o n the ma inla nd.

 De c re a sing c o st pe r yo uth  De c re a sing use o f e vide nc e -b a se d a nd c o st-re imb urse me nt se rvic e s

(inc re a sing c o st pe r yo uth fo r tho se se rvic e s)

 Pa re nts mo stly sa tisfie d with ho w c urre nt se rvic e s a re pro vide d, b ut le ss so with

• utc o me s.

 Pa re nts sug g e sting a dditio na l suppo rts a nd se rvic e s  Ne e d mo re a wa re ne ss o f pa re nt pa rtne rs a nd He lp Yo ur K

e iki we b site

Wha t, if a ny, a djustme nts sho uld b e ma de ?

Outc o me s

Outc o me s

5 10 15 20 25 30 35

E a rlie st L a te st E a rlie st L a te st E a rlie st L a te st E a rlie st L a te st E a rlie st L a te st E a rlie st L a te st E a rlie st L a te st E a rlie st L a te st

Avg OS Pro b le m Sc o re

Ave r age E ar lie st & L ate st Ohio Sc ale s Pr

• ble m Sc or

e by L e ve l of Car e : F

• r

E pisode s F alling Within 10/ 1/ 2014 to 9/ 30/ 2016

Pa re nt Yo uth

HBR CHR CBRI I CBRI I I T F H MST F F T I I H

Outc o me s

89% 39% 100% 83% 52% 43% 78% 79% 55% 63% 0% 20% 40% 60% 80% 100% HBR PH CHR CBRI I CBRI I I T F H MST F F T CBI I I H

Pe r c e nt of Youth Suc c e ssfully Disc har ge d (MT PS) by L e ve l of Car e : 10/ 1/ 2014 to 9/ 30/ 2016

Risk Pro file s

Risk Pro file s

CBRIII Disc har ge Suc c e ss Rate by Initial CAF AS Sc or e

Initial CAF AS Sc or e

Suc c e ss Ra te a t T his L e ve l o r Hig he r N a t T his L e ve l o r Hig he r (De no mina to r)

All

70.4% 81

90+

71.4% 77

110+

71.6% 67

130+

66.0% 47

150+

47.8% 23

170+

20.0% 5

Initial CAF AS is a signific ant pr e dic tor

• f

disc har ge suc c e ss

Risk Pro file s

Summar y of Initial Risk Indic ator s.

L e ve l o f Ca re CAF AS Cuto ff (Sc o re s a t T his L e ve l o r Hig he r) Pro b a b ility o f Suc c e ssful Disc ha rg e

Co mmunity Ba se d Re side ntia l I I I

150+

47.8% T ra nsitio na l F a mily Ho me

120+

45.2% I nte nsive I n-Ho me

130+

46.7%

Risk Pro file s

Summa ry of E a rly Prog re ss Risk Indic a tors. L e ve l of Ca re

Asse ssme nt E a rly Pro g re ss Risk I ndic a to r

Community Ba se d Re side ntia l III

4th (Mo nth) MT PS Ave ra g e MT PS Pro g re ss Ra ting Be low 2.9 2nd (Qua rte r) CAF AS CAF AS Sc o re 150 or hig he r

T ra nsitiona l F a mily Home

3rd (Mo nth) MT PS Ave ra g e MT PS Pro g re ss Ra ting Be low 3.6 2nd (Qua rte r) CAF AS CAF AS Sc o re 140 or hig he r

Inte nsive - In Home

2nd (Mo nth) MT PS Ave ra g e MT PS Pro g re ss Ra ting Be low 2.0 2nd (Qua rte r) CAF AS CAF AS Sc o re 120 or hig he r

Hospita l- Ba se d Re side ntia l

2nd (Mo nth) MT PS Ave ra g e MT PS Pro g re ss Ra ting Be low 2.8

Multisyste mic T he ra py

3rd (Mo nth) MT PS Ave ra g e MT PS Pro g re ss Ra ting Be low 3.3

F unc tiona l F a mily T he ra py

3rd (Mo nth) MT PS Ave ra g e MT PS Pro g re ss Ra ting Be low 3.6

Ove ra ll Pic ture

Str e ngths

 I

nc re a sing # o f yo uth se rve d – g e tting b e tte r a t re a c hing o ur po pula tio n

 I

nc re a sing ly se rving yo ung e r yo uth

 Ove rc o ming syste m’ s b ia s to wa rd disruptive b e ha vio r pro b le ms  Se rvic e c o st pe r yo uth is de c re a sing  Pa re nts sa tisfie d with the se rvic e s the y a re re c e iving

Ove ra ll Pic ture

Ar e as for De ve lopme nt

 I

nte nsive I n-ho me inc re a sing , b ut MST & F F T is no t

 With c ha lle ng e s in inc re a sing utiliza tio n o f e vide nc e -b a se d pro g rams, the re

is a n e ve n g re a te r ne e d to b o lste r e vide nc e -b a se d prac tic e s

 Syste m c a n b e tte r ide ntify yo uth who a re a t risk – a c tio n ne e ds to b e ta ke n

to inc re a se suppo rts fo r the se yo uth

 I

nc re a se a mo unt o r dive rsity o f suppo rtive se rvic e s fo r a t-risk yo uth

 Additio na l se rvic e s, a fte r-c a re  Pa re nt Pa rtne r  He lp Yo ur K

e iki We b site

 I

nc re a se mo nito ring o f a t-risk yo uth

Ma ha lo !

 F

• r mo re info rma tio n, ple a se c o nta c t

CAMHD’ s Re se a rc h & E va lua tio n Offic e Da vid Ja c kso n, PhD Da vid.Ja c kso n@ do h.ha wa ii.g o v (808) 733-8354