1. Washington County System Review CSP Meeting Undertaken by the Office of Mental Health and Mental Retardation In partnership with Allegheny HealthChoices, Inc. October 13, 2009 1

2. Agenda Overview Advisory Committee Sample Data Q&A 2

3. Overview: Project Focus Access to services Stakeholder involvement Support for families and consumers Principles of recovery and resiliency Outcomes Accountability Evidenced-based and promising practices 3

4. Overview: Why Do This Now? Closure of Mayview State Hospital Ongoing financial pressure Knowledge of best practices Accountability to stakeholders We always want to do better 4

5. Overview: Project Scope Mental health programs for adults Mental health programs for children and adolescents Mental retardation program operations County internal administrative functions 5

6. Overview: Who Will Be Involved? Consumers Providers Families Advocates Providers across systems (in/out of behavioral health) Managed Care Company County staff from MH/MR Other County human service systems 6

7. Overview: What Is Involved? Talking to stakeholders Reviewing documents Conducting data analysis Reviewing information systems Understanding how providers interact with one another, the County, and the people they serve 7

8. Advisory Committee 8 Laverne CichonValue Behavioral Health of Pennsylvania Dr. Michael CrabtreePsychologist Tina DugganFamily Representative Timothy KimmelOffice of Human Services, Washington County Lynne LoreschMental Health Association Dave McAdooSouthwest Behavioral Health Management Barbara MillerCommunity Action Southwest Donna MurphyWashington County Drug and Alcohol Commission Lynne O’LearyWashington County ABOARD Scott PinoOMHSAS Thomas ShadeNAMI – Washington County Jennifer SimmonsAMI, Inc. Nelson SolowMH/MR Advisory Board Representative Becky TomasiakFamily Representative Dr. Oscar UrreaPsychiatric Care Systems

9. Sample Data: Purpose Provide an example of the type of data available Provide snapshots of Base and HealthChoices Data – Base: County funded services for people not eligible for HealthChoices Services that are not funded by HealthChoices – Residential services, administrative case management, social rehabilitation – HealthChoices: Services available to those who are Medicaid eligible Paid for by the Managed Care Organization/Medicaid Individuals can receive both Base and HealthChoices services 9

10. 10 BASEHC* 1,446 Users6,344 Users GENDERFemale48%53% Male52%47% AGE GROUP 00 – 2020%42% 21 – 65 +80%58% RACEAfrican-American7%10% Caucasian90%89% Other **3%1% Demographics: 2008 Base & HealthChoices (HC) * *Includes Asian, Native American, Other, and Unknown * Includes MH services only A total of 666 users had services in both HC and Base for Washington during 2008 (MH type services only)

11. Where were people served in 2008? 11 Concentrations in: City of Washington and Canonsburg (Washington Community MH/MR) Mon Valley (SPHS) Spread throughout southern section of county (Centerville Clinics) Individuals are also served from other Counties * HealthChoices Only

12. Users by Service Category: Base & HealthChoices in 2008 12 Service CategoryBaseHC Outpatient MH5585,442 Case Management/ICM2331,217 BHRS0810 Crisis340676 Inpatient MH0657 HC Supplemental Serv - MH0433 Lab0306 Partial Hosp MH32239 Family Based Services2134 CTT2038 RTF034 Service CategoryBaseHC Med Check026 LTSR / AOP1813 Psych Rehab381 Administrative Management5460 Community Residential280 Emergency Services170 Employment Related Services230 Facility Based Voc Rehab100 Housing Support1480 RTF - Adult310 Social Rehab1460 MH services only Excludes service categories with less than 10 users

13. 13 Users by Diagnostic Category: Base & HealthChoices in 2008 Diagnostic Category (Age 00-20) Base (297) HC (2,710) ADHD54930 Adjustment D/O35774 Neurotic D/O68496 Major Depression16393 Psychosis Ch Orig15368 Conduct D/O10323 Bipolar D/O9311 Child-Adol Emot D/O18308 Depressive D/O52270 Schizophrenia126 Diagnostic Category (Age 21-65+) Base (1,153) HC (3,673) Major Depression2681,396 Bipolar D/O115905 Schizophrenia189603 Neurotic D/O174507 Depressive D/O212431 Adjustment D/O74337 Unspec Psychosis1165 Conduct D/O1148 Org Mental D/O445 ADHD1538 Includes the top 10 MH diagnostic categories for both children and adults

14. How to Contact Us Mary Fleming: mfleming@ahci.orgmfleming@ahci.org Matt Koren: mkoren@ahci.orgmkoren@ahci.org Check out our website: www.ahci.orgwww.ahci.org Phone: 412-325-1100 14