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FY2016 Needs Assessment Data Report Data update for needs identified in FY2016 Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
FY2016 Needs Assessment Data Report Data update for needs identified in FY2016
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
Table of contents
2
Page
The needs assessment process……………………………………………………… 3
Process for needs assessment reports…………………………………………… 4
Mental health needs overview……………………………………………………… 6
Crisis services statewide map..................................................... Crisis stabilization units for adults …………………………………………
7 8
Housing for individuals with mental health or co-occurring disorders……………………………………………….…………………………….… Reliable TennCare transportation to and from treatment and recover/support services…………………………………….………………...
10
12
Substance abuse services needs overview………………………………….… 14
Full continuum of care including appropriate recovery and transitional housing for individuals with addiction and/or co-occurring diagnosis leaving treatment…………………….…….….
15
Increase residential and detox beds including adolescent residential programs………………………………………………………………………….….…
17
Increase medically monitored detox beds……………………………… 18
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
The needs assessment process
3 Joe Denton, Ph.D., MPA | 2/13/2018
Office of Research
Process for needs assessment reports
4
FY2016 needs identified
January 2018 FY2016 7/1/2015 – 6/30/2016
Needs assessment report for FY2016
needs* TDMHSAS data collection
FY2017 7/1/2016 – 6/30/2017
• Regional Planning and Policy Council members identified needs in FY2016. • TDMHSAS collected data on FY2016 needs in FY2017 (7/1/2016 – 6/30/2017). • “FY2016 Needs Assessment Data Report” covers trends over time for
needs identified in FY2016.
*FY2017 needs will be covered in the “FY2017 Needs Assessment Data Report” in January 2019.
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
2016 Mental Health Needs
5 Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
Mental health needs overview
Identified mental health (MH) needs in FY2016
1. Crisis Stabilization Units (CSUs) for adults and children
– Regions 1, 2, 5 & 6
2. Children’s Committee (CSUs for adolescents)
3. Increase appropriate and affordable housing for persons with mental illness and co-occurring disorders
– Region 2
4. Reliable TennCare transportation to and from treatment and recovery support services
– Region 3 & Region 6
6 Joe Denton, Ph.D., MPA | 2/13/2018
Office of Research
MH need 1: Crisis Services Statewide Map
7
Data source: Office of Crisis Services and Suicide Prevention, TDMHSAS
TENNESSEE CRISIS SERVICES STATEWIDE MAP Statewide Crisis Line: 855-274-7471 (855-CRISIS-1)
1 2
3
4
5 6
7
8
Crisis Stabilization Units/Walk-in Center
1
2
3
4
5
6
7
8
Frontier Health
Cherokee Health Systems
Helen Ross McNabb Center
Volunteer Behavioral Health Chattanooga
Volunteer Behavioral Health Cookeville
Mental Health Co-Operative
Pathways of Tennessee
Alliance Healthcare Services
6
1
7
2
3
4
5
1
2
3
4
5
6
7
Alliance Healthcare Services
Frontier
Volunteer
Pathways
Buffalo Valley
CADAS
Helen Ross McNabb
Medically Monitored Withdrawal Management (Detox)
4 3
2
1
1
2 3
4
Moccasin Bend Mental Health Institute
Middle Tennessee Mental Health Institute
Western Mental Health Institute
Memphis Mental Health Institute
Regional Mental Health Institutes
B
C D
E
A
C
A
B
D
E
Respite Services Frontier Health
Volunteer Behavioral Health
Volunteer Behavioral Health
Mental Health Co-operative
Alliance Healthcare Services
Ridgeview Psychiatric Hospital & Center
Helen Ross McNabb Volunteer Behavioral Health Mental Health Cooperative Centerstone Community MHC Carey Counseling Center Quinco Community MHC Pathways
Professional Care Services
Alliance Healthcare Services
Cherokee Health Systems Frontier Health
Mobile Crisis Teams Youth Villages (9 areas statewide)
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
MH need 1: Crisis stabilization units (CSUs) for adults & children
Data source: See more at: https://www.tn.gov/behavioral-health/need-help/crisis-services/mental-health-crisis-services/crisis-stabilization-units--csu-.html
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CSU LOCATIONS Frontier Health: Johnson City, TN 877-928-9062 (Region 1) Helen Ross McNabb: Knoxville, TN 865-541-6958 (Region 2) Volunteer Behavioral Health: Cookeville, TN 800-704-2651 (Region 3 & 5) Volunteer Behavioral Health: Chattanooga, TN 800-704-2651 (Region 3) Mental Health Cooperative: Nashville, TN 615-726-0125 (Region 4) Pathways of Tennessee: Jackson, TN 731-541-8330 (Region 6) Alliance Healthcare Services: Memphis, TN 901-577-9400 (Region 7) Cherokee Health Systems: Morristown, TN 423-586-5074 or 1-855-602-1082 (toll-free) (Region 2)
CSUs
Intensive short-term stabilization
24/7/365
Counseling and
support
Mental illness and substance
abuse education
Medication management
and administration
Stress management
counseling
Individual treatment
plan
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
MH need 1: Crisis stabilization units (CSUs) for adults
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*Other referral sources include inpatient psychiatric hospitals, other crisis service providers and unknown . This data is for adults only. Data source: Office of Crisis Services and Suicide Prevention, TDMHSAS
3.2
2.8 2.9 3.05
FY2014 FY2015 FY2016 FY2017
Average length of stay in days
69%
66% 67%
68%
FY2014 FY2015 FY2016 FY2017
Average occupancy rate
17,504
17,135
17,421
17,682
FY 2014 FY 2015 FY 2016 FY 2017
Walk-in assessments
10,216 10,320 10,580
9,730
FY 2014 FY 2015 FY 2016 FY 2017
Total number of admissions to CSUs FY14 - FY17
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
MH need 2: Housing for individuals living with mental health or co-occurring disorders
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Safe, quality, affordable permanent housing beds
were developed through the Creating Affordable
Housing program.
2,636 individuals discharged from RMHIs, CSUs and
State Contracted Psychiatric Hospitals (SCPH) were
connected with permanent housing opportunities.
2,029 individuals at risk of homelessness in the
community experienced increased stability in
housing due to the Community Targeted
Transitional Support program.
In FY2016 and FY2017: In FY2017:
Data source: Office of Housing and Homeless Services, TDMHSAS
1,406
2,287
FY 2016
FY 2017
Number of housing opportunities created for individuals experiencing mental health or co-occurring disorders
1,357 1,704
FY 2016 FY 2017
Number of homeless individuals connected to community mental
health care 5,565
3,428
FY 2016 FY 2017
Number of homeless individuals who received outreach services in
Tennessee
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
MH need 2: Housing for individuals living with mental health or co-occurring disorders
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Data source: Office of Housing and Homeless Services, TDMHSAS
Increase quality housing options and support
services
PATH: Projects for Assistance in
Transition from Homelessness
CAH: Creating Affordable
Housing
NEXT STEPS Tennessee Interagency Council on Homelessness (TICH): Through the TICH, federal, state and local organizations are working to increase the coordination of services for individuals experiencing or at risk of homelessness.
• $1.2 Million: total grant award to enhance the opportunity for individuals discharging from state RMHIs, CSUs and SCPHs to receive safe, quality and affordable permanent housing opportunities.
• To increase available services in each local community. • To sustain the current stock of group home locations across the state.
• The primary source of outreach for serving the most vulnerable population groups in the State of Tennessee.
• FY 2017: 5,758 individuals received PATH services to include linkage with mental health, substance abuse, educational, SOAR and housing services.
Tennessee Interagency Council on Homelessness (TICH): The TICH is working to develop a statewide data repository that will de-identify and aggregate homeless services data as collected in each of the 10 Continua of Care (CoC) regions.
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
MH need 3: BHSN transportation to and from treatment and recovery services added in 2018
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• January 1, 2018: transportation was added to the Behavioral Health Safety Net (BHSN) of Tennessee as a Pilot Project.
• The service provides transportation for BHSN of TN enrollees for the purpose of accessing treatment and recovery services covered by BHSN of TN.
• Mode of transportation used will be determined by the enrollee’s BHSN of TN provider.
• This transportation pilot project will be evaluated to see if service utilization in the BHSN of TN program is increased.
Data source: TDMHSAS BHSN
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
2016 Substance Abuse Needs
13 Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
1. Full continuum of care including appropriate recovery and transitional housing for individuals with addiction and/or co-occurring diagnosis leaving treatment • Regions 1, 2, 4, 5, & 7
2. Increase residential and detox beds including
adolescent residential programs • Regions 1, 2, 4, 5, & 7
3. Increase medically monitored detox beds • Regions 5 and 7
Identified substance abuse services (SAS) needs in FY2016:
Substance abuse services needs overview
14 Joe Denton, Ph.D., MPA | 2/13/2018
Office of Research
SAS need 1: Full continuum of care including appropriate recovery and transitional housing for individuals with addiction and/or co-occurring diagnosis leaving treatment
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• Oxford Houses across the State of Tennessee have a total capacity of 435 beds available for individuals with addiction and/or co-occurring diagnosis.
Data source: Division of Substance Abuse Services, TDMHSAS & oxfordhouse.org
Capa
city
(bed
s)
89
163
248
328
435
2013 2014 2015 2016 2017
Oxford House Capacity
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
Anderson
Bedford
Benton
Blount
Bradley
Campbell
Carroll
Carter
Chester
Claiborne
Clay
Cocke
Coffee
Crockett
Cumberland De Kalb
Dickson Dyer
Fayette
Fentress
Franklin
Gibson
Giles
Grainger
Greene
Grundy
Hamilton
Hancock
Hardeman Hardin
Hawkins
Haywood
Henderson
Henry
Hickman
Houston
Humphreys
Jackson
Jefferson Knox
Lauderdale
Lawrence
Lewis
Lincoln
Loudon
McMinn
McNairy
Macon
Madison
Marion
Maury
Monroe
Montgomery
Morgan
Obion Overton
Perry
Pickett
Polk
Putnam
Rhea
Roane
Robertson
Scott
Sevier
Shelby
Smith
Stewart Sullivan Sumner
Tipton
Trousdale
Union
Warren
Wayne
Weakley
White Williamson
Wilson Davidson
Rutherford
Map Legend Counties with Oxford Houses
10
1
3
61 Number of houses
17
15
10
7
3
9
Follow this link for the Oxford Houses of Tennessee – Directory: http://www.oxfordhouse.org/pdf/tn_directory_listing.pdf
Map of Oxford Houses across the state
435 - Total capacity of Oxford Houses in Tennessee
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
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SAS need 2: Increase residential and detox beds including adolescent residential programs
17
Funding for adolescent residential treatment
programs will be $1,862,500 in FY
2018.
*For more information, see https://www.tn.gov/behavioral-health/article/Crisis-Detoxification Data sources: Office of Licensure, Division of Administrative and Regulatory Services; Division of Substance Abuse Services, TDMHSAS
For adolescents who have a primary or secondary alcohol or other drug abuse or dependency diagnosis or co-occurring substance use and psychiatric diagnosis, treatment is available. For youth in need of substance abuse treatment, adolescent services are available through: • Residential services: provided in a residential setting and include treatment
sessions as well as education
• Outpatient services: regularly-scheduled sessions of usually fewer than nine hours each week.*
856 697
888
0
200
400
600
800
1,000
FY16 FY17 FY18
Adolescent treatment: Number served Outpatient, Day/Evening, Residential Treatment
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
Dotted line = projection
Funding increased from $200,000 in FY 2017 to $400,000 in FY 2018 for medically managed withdrawal management (Level IV).
SAS need 3: Increase medically monitored detox beds
18
Data source: Division of Substance Abuse Services, TDMHSAS
Joe Denton, Ph.D., MPA | 2/13/2018 Office of Research
FY18 = projection
Detox Type FY16 FY17 FY18 Estimated
Crisis detox 1,911 2,237 2,240
Level IV detox 130 124 260
Total 2,041 2,361 2,500
