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Mental Health Performance
Measures
Vermont Mental Health Block Grant Planning Council
November 5, 2012
Mental Health Performance
Measures
Access to CarePractice Patterns
Treatment Outcomes
Access to Care
Elder Care Service Utilization
0
100
200
300
400
500
600
Total Female Male
Per 100,000 Residents
Eldercare Service RecipientsFY2003 - FY2012
FY2003 FY2006 FY2009 FY2012
0
20
40
60
80
100
120
WCMH HC HCRS RMHS CSAC NCSS NKHS UCS
To
tal N
um
ber
Ser
ved
Elder Care Service Recipients by Designated AgencyFY2003 - FY2012
FY2003 FY2006 FY2009 FY2012
Access to Care
Treatment of Psychoses
0
5,000
10,000
15,000
20,000
25,000
30,000
Total Male Female 18-34 35-49 50+
Individuals Treated for PsychosesVermont CY2011
Per 100,000 ResidentsUnduplicated Number Served
0
5,000
10,000
15,000
20,000
25,000
30,000
Total Male Female 18-34 35-49 50+
Access to Care
Designated Agency Services to Veterans
0
100
200
300
400
500
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
0%
2%
4%
6%
8%
10%
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Number of Veterans Percent of Caseload
AOP SA AOP SA
Veterans ServedFY2000 - FY2012
Comments, Questions,Suggestions
for Further Analysis
Regarding
Access to Care
?
Practice Patterns
Community Integration
Children with SED
Children with SEDFY2011
OverallPercent of Caseload
0%
10%
20%
30%
40%
50%
60%
70%
SED Not SED0%
10%
20%
30%
40%
In-home Services Family Support Services
Percent Receiving Services
SED Not SED
Practice Patterns
CRT Inpatient Utilizationbefore and after Irene
CRT Follow Up ServicesAfter Hospitalization
0
10
20
30
40
50
60
Jan-11 Apr-11 Jul-11 Oct-11 Jan-12 Apr-12
Av
era
ge
Da
ily
Ce
ns
us
CRT Inpatient Psychiatric UtilizationAverage Daily Census by Hospital
January 2011 to April 2012
Total
VSH
Other Hospital
IRENE
0%
20%
40%
60%
80%
100%
NCSS CSAC LCMH CMC NKHS UCS HCRS WCMH HC RMHS Total
% w
/ S
am
e D
ay
Se
rvic
es
CRT Inpatient Discharges withSame Day Follow Up Services by Designated Agency
July 2011 - March 2012
86%
80%78% 77% 77% 76%
73%70%
59% 57%
70%
Practice Patterns
Elder Care Service Events
Volume and Type
Elder Care Service EventsFY2003 - FY2012
N = 457
0
500
1,000
1,500
2,000
2,500
3,000
3,500
Individual/FamilyTherapy
CommunitySupports
ClinicalAssessment
Planning &Coordination
MedChecks0 100 200 300 400
Individual/Family Therapy
CommunitySupports
Clinical Assessment
Planning &Coordination
MedChecks
Service EventsNumber Served
303
246
109
67
35 3,040 3,052
113 142 151
Practice Patterns
Severe Functional Impairment*
Designated by VT Department of Corrections
SFI Inmates Jul-Aug 2012With prior DA services FY2002 - FY2011
92 (69%) served out of 134 inmatesDA Program Assignment
0
10
20
30
40
50
60
ADULT SUBS EMERG CRT CHILD NONE DS
Nu
mb
er
Last Clinic of Service
0
5
10
15
20
25
HC HCRS NKHS RMHS UCS WCMH CMC NCSS LCC CSAC UVS
Nu
mb
er
Vermont Inmates FY2012SFI or CRT Status
NotSFI or CRT
95%
SFI or CRT5%
SFI
6,351 prisoners in FY2012
286 (5%) SFI or CRT
222 (3%) SFI 90 (1%) CRT 26 (0.5%) SFI and CRT
Comments, Questions,Suggestions
for Further Analysis
Regarding
Practice Patterns
?
Treatment Outcomes
CRT Employment
CRT IncarcerationsDCF/DMH/DOC Caseload Overlap
Vermont Resident Suicides
0%
7%
14%
21%
28%
35%
'00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
'00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12
CRT Employment
FY2000 – FY2012
Percent Employed Average Earnings
CRT Incarcerations
FY2011 & FY2012Quarterly Incarceration Rate:
28 incarcerated(1%) of CRT enrollees
(1%) of incarcerated population
0%
5%
10%
15%
20%
25%
30%
Total Male Female
Per
cen
t In
carc
erat
edVermont Youth Served: FY2006-2008 Incarcerated as Young Adults: FY2009-2011
3%
5%
1%
5%
8%
3%
17%
22%
10%
21%
27%
11%
General PopulationOnly DMHOnly DCFBoth DCF and DMH
0
2
4
6
8
10
12
14
16
18S
ep
Oct
No
v
De
c
Jan
Fe
b
Ma
r
Ap
r
Ma
y
Jun
Jul
Au
g
Se
p
Oct
No
v
De
c
Jan
Fe
b
Ma
r
Ap
r
Ma
y
Jun
Jul
Au
g
# V
erm
on
t R
esid
ent
Su
icid
es
Pre-Irene
102
Post-Irene
105
IRENE
VT Resident Suicides by MonthSeptember 2010 – August 2012
Comments, Questions,Suggestions
for Further Analysis
Regarding
Treatment Outcomes
?
Department of Mental HealthDepartment of Mental HealthAgency of Human ServicesAgency of Human Services
Mental Health Research and Statistics Unit
John Pandiani, MH Statistics Chief
Data Analysis:Sheila Leno
Emma Harrigan
Cindy Chornyak
Slideshow:Emma Harrigan
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DATA
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