1 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base SECOND, THIRD, & FOURTH QUARTERS FY2007 & FIRST QUARTER FY2008 DATA FROM MEDICAID ACUTE CARE PILOT PROJECT OF NON-CUSTODY YOUTH REVIEWED FOR OUT OF STATE RESIDENTIAL PLACEMENT This data reflects information gathered from the referrals made from acute care facilities to the DHHS Resource Team for out of state placement and diversions that occurred.

2 Sources of All Referrals From Acute Care Facilities for Out of State RPTCs Second, Third, & Fourth Quarters 2007 & First Quarter 2008 N = 195 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base N=60N=35N= N= Cumulative 2 nd, 3 rd, 4 th Qtrs. N=153

3 REASONS FOR OUT OF STATE TREATMENT AS A RESULT OF LIMITED BED CAPACITY (Fourth Quarter) N=58 Limited Bed Capacity can be defined in 2 ways: A. Shortage of Existing Services B. Shortage of Specialized Services (Reasons May Overlap) DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base

4 REASONS FOR OUT OF STATE TREATMENT AS A RESULT OF LIMITED BED CAPACITY Second, Third, Fourth Quarters 2007 N=153 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base Special Services, 81 No Bed, No Services, 72

5 REASONS FOR OUT OF STATE TREATMENT AS A RESULT OF LIMITED BED CAPACITY First Quarter, 2008 Limited Bed Capacity can be defined in 2 ways: A. Shortage of Existing Services B. Shortage of Specialized Services (Reasons May Overlap) DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base Parent Request, 1

6 REASONS FOR DENIALS FROM IN-STATE FACILITIES (Fourth Quarter) Denials Received by Acute Care Discharge Planners to In-State Facilities on Behalf of 58 Youth N= 187 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base No Bed, 105 Reasons According to Resource Team Referral Form More Specific Reasons Provided by Facilities Workforce, 12 More Specific Reasons Provided by Facilities Does Not Match Services, 70 Locked, 13 FY 2007 First Qtr 2008 on Behalf of 42 Youth N=141 Reasons According to Resource Team Referral Form No Bed, 78 Workforce, 6 Does Not Match Services, 57 Locked, 13 Aggression, 11 Low IQ, 5 Readmission declined, 14 Other, 6 Dual Dx, 3 Homicidal Ideation, 2 Sexual Aggression, 3

7 REASONS FOR DENIALS FROM IN-STATE FACILITIES Second, Third, Fourth Quarters 2007 N=153 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base Special Services, 190 No Bed, 279 Workforce, 20

8 REASONS FOR READMISSION DENIALS GIVEN TO DISCHARGE PLANNERS FROM IN-STATE FACILITIES Second, Third, Fourth Quarters 2007 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base

9 Diversions From Acute Care Through Resource Team Second, Third, & Fourth Quarters 2008 & First Quarter 2008 Recipients = 195 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base N=60N=35N=58N=42

10 COMPARISON OF RESOURCE TEAM & ISA ACTIVITY Fiscal Year 2007 & First Quarter 2008 Recipient Total = 311 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests N=72N=56N= N=96 FY N=2 Diversions to: Home NS ra=7gaw=4 NS Debarr=4 RDT=3 Foster Home=2 Booth=1 AK Baptist=1 Providence RPTC=1 NS Palmer=1 SCF Group Home=1 MYF=1

11 COMPARISON OF RESOURCE TEAM & ISA ACTIVITY Fiscal Year 2007 Recipient Total = 215 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests FY 2007