1. Behavioral Health DATA BOOK A quarterly reference to community mental health and substance abuse services Fiscal Year 2015 Quarter 1 March 10, 2015 http://www.dshs.state.tx.us/mhsa/databook/

2. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 PREFACE The purpose of the Texas Department of State Health Services (DSHS) Behavioral Health Data Book is to present, in a quarterly document series, statewide data trends for community mental health and substance abuse services for policy and practice decision making. It is not intended as a comprehensive guide, but as a quick reference for DSHS staff in response to frequently-asked, general questions from behavioral health stakeholders. Therefore, data presented here should not be taken out of this context. For further information, contact the Mental Health & Substance Abuse Office of Decision Support. 2

3. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 COMMUNITY MENTAL HEALTH SERVICES Section 1 AdultsPage Figure 1.1. Average monthly number of adults receiving community mental health services5 Figure 1.2. Average monthly cost per adult receiving community mental health services6 Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized7 Figure 1.4. Average monthly percentage of adults in community mental health services receiving average number of recommended service hours8 Figure 1.5. Percentage of adults in community mental health services with effective crisis response9 Figure 1.6. Percentage of adults in community mental health services had frequent admissions in 180 days to a state or community psychiatric hospital10 Figure 1.7. Percentage of adults in community mental health services with improved employment per year11 Figure 1.8. Percentage of adults in community mental health services with improved housing per year12 Figure 1.9. Percentage of adults in community mental health services with improved community tenure per year13 Figure 1.10. Percentage of adults in community mental health services with improved reliable improvement in at least one domain14 Figure 1.11. Percentage of adults in community mental health services with at least one Mental Health (MH) Hourly Services se per month15 Figure 1.12. Number of persons assigned to Supported Employment16 Figure 1.13. Number of persons assigned to Supported Housing17 Section 2 Children Page Figure 2.1. Average monthly number of children receiving community mental health services18 Figure 2.2. Average monthly cost per child receiving community mental health services19 Figure 2.3. Average monthly percentage of children in community mental health services appropriately-authorized20 Figure 2.4. Average monthly percentage of children in community mental health services receiving average number of recommended service hours21 Figure 2.5. Percentage of children in community mental health services avoiding re-arrest per year22 Figure 2.6. Percentage of children in community mental health services with improved community tenure23 Figure 2.7. Percentage of children in community mental health services meeting or exceeding the Reliable Change Index (RCI) in one or more domains24 Figure 2.8. Percentage of children in community mental health services with at least one Mental Health (MH) Hourly Services se per month25 3

4. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 COMMUNITY MENTAL HEALTH SERVICES (continued) 4 Section 3 Front Door CrisisPage Figure 3.1. Average monthly number of persons receiving community mental health front-door crisis services26 Figure 3.2. Average monthly cost per person receiving community mental health front-door crisis services27 Section 4 New Generation MedicationPage Figure 4.1. Average monthly number of persons receiving new generation medication28 Figure 4.2. Average monthly cost per person receiving new generation medication29 Section 5 Waiting ListPage Figure 5.1. Number of adults on waiting list for community mental health services with percentage waiting for all services30 Figure 5.2. Number of children on waiting list for community mental health services with percentage waiting for all services31 Section 6 Pay for PerformancePage Figure 6.1. Average monthly estimated percentage of DSHS General Revenue earned by community mental health centers32

5. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 5 Figure 1.1. Average monthly number of adults receiving community mental health services COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).

6. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.2. Average monthly cost per adult receiving community mental health services COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults 6 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).

7. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.3. Average monthly percentage of adults in community mental health services appropriately authorized COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. 7

8. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.4. Average monthly percentage of adults in community mental health services receiving average number of recommended service hours COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Average Hours. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. Standard 8

9. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.5. Percentage of adults in community mental health services effective crisis response COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Effective Crisis Response. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. 9

10. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.6. Percentage of adults in community mental health services admitted 3 or more times in 180 days to a state or community psychiatric hospital COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW). PM Frequent Admission. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (≤0.3%) FY2015 Performance Contract Target 10

11. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.7. Percentage of adults in community mental health services with improved employment per year COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Employment. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (≥9.8%) FY2015 Performance Contract Target 11

12. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.8. Percentage of adults in community mental health services with improved housing per year COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Housing. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (≥96.6%) FY2015 Performance Contract Target 12

13. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.9. Percentage of adults in community mental health services with improved community tenure per year COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Community Tenure. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (≥96.4 %) FY2015 Performance Contract Target 13

14. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.10. Percentage of adults in community mental health services with reliable improvement in at least one domain per year COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM AMH Improvement. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (≥20.0%) FY2015 Performance Contract Target 14

15. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.11. Percentage of adults in community mental health services with at least one mental health hourly services per month COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Engagement Measure. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (54.1%) FY2015 Performance Contract Target 15

16. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.12. Percentage of adults assigned to supported employment COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM AMH Supported Employment Target. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (3.0%) FY2015 Performance Contract Target 16

17. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.13. Percentage of adults assigned to supported housing COMMUNITY MENTAL HEALTH SERVICES Section 1 Adults (3.0%) FY2015 Performance Contract Target 17 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM AMH Supported Housing Target. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C.

18. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.1. Average monthly number of children receiving community mental health services COMMUNITY MENTAL HEALTH SERVICES Section 2 Children 18 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).

19. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.2. Average monthly cost per child receiving community mental health services COMMUNITY MENTAL HEALTH SERVICES Section 2 Children 19 Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).

20. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.3. Average monthly percentage of children in community mental health services appropriately authorized COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM UM Appropriateness. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. 20

21. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.4. Average monthly percentage of children in community mental health services receiving average number of recommended service hours COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Service Package Average Hours. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. Standard 21

22. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.5. Percentage of children in community mental health services with avoiding re-arrest COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM CMH Juvenile Justice Avoidance. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (95.0%) FY2015 Performance Contract Target 22

23. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.6. Percentage of children in community mental health services with improved community tenure per year COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Community Tenure. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (≥98.1%) FY2015 Performance Contract Target 23

24. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.7. Percentage of children in community mental health services with meeting or exceeding the Reliable Change Index in one or more domains COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM CMH Improvement. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (25.0%) FY2015 Performance Contract Target 24

25. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.8. Percentage of children in community mental health services with at least one mental health hourly services per month COMMUNITY MENTAL HEALTH SERVICES Section 2 Children Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), PM Engagement Measure. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C. (≥65%) FY2015 Performance Contract Target 25

26. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.1. Average monthly number of persons receiving mental health crisis services COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 83 th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST). 26

27. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.2. Average monthly cost per person receiving mental health crisis services COMMUNITY MENTAL HEALTH SERVICES Section 3 Front Door Crisis Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 83 th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST). 27

28. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 4.1. Average monthly number of persons receiving new generation medication COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 83 th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST). 28 Note: For FY14 Q2, the transfer of data from CARE to CMBHS was incomplete for persons who had authorizations under RDM.

29. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 4.2. Average monthly cost per person receiving new generation medication COMMUNITY MENTAL HEALTH SERVICES Section 4 New Generation Medication Note: For FY14 Q2, the transfer of data from CARE to CMBHS was incomplete for persons who had authorizations under RDM. Source: DSHS, Budget & Forecasting. For methodology, see Strategy-Related Measures Definitions Report, 83 th Regular Session, Performance Reporting, Automated Budget and Evaluation System of Texas (ABEST). 29

30. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 5.1. Number of adults on waiting list for community mental health services with percentage waiting for all services COMMUNITY MENTAL HEALTH SERVICES Section 5 Waiting List 30 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Clients Removed from Waiting List Including Discharges. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C.

31. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 5.2. Number of children on waiting list for community mental health services with percentage waiting for all services COMMUNITY MENTAL HEALTH SERVICES Section 5 Waiting List 31 Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), UM Clients Removed from Waiting List Including Discharges. For methodology, see Fiscal Year 2015 Performance Contract with Local Mental Health Authorities, Information Item C.

32. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 6.1. Estimated percentage of DSHS General Revenue earned by community mental health centers COMMUNITY MENTAL HEALTH SERVICES Section 6 Pay for Performance Source: DSHS, Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), FIN GR Earned. For methodology, see Method and Notes in FIN GR Earned. 32

33. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 SUBSTANCE ABUSE SERVICES 33 Section 1 PreventionPage Figure 1.1. Number of adults served in substance abuse prevention programs per year35 Figure 1.2. Cost per adult for substance abuse prevention programs per year36 Figure 1.3. Number of youth served in substance abuse prevention programs per year37 Figure 1.4. Cost per youth for substance abuse prevention programs per year38 Section 2 Intervention Page Figure 2.1. Number of adults served in substance abuse intervention programs per year39 Figure 2.2. Cost per adult for substance abuse intervention programs per year40 Figure 2.3. Number of youth served in substance abuse Intervention programs per year41 Figure 2.4. Cost per youth for substance abuse intervention programs per year42 Section 3 Treatment Page Figure 3.1. Number of adults served in substance abuse treatment programs per year43 Figure 3.2. Cost per adult completing substance abuse treatment programs per year44 Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year45 Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year46 Figure 3.5. Percentage of adults completing substance abuse treatment programs per year47 Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at discharge per year48 Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment per year49 Figure 3.8. Percentage of adults completing substance abuse treatment programs not arrested per year50 Figure 3.9. Number of youth served in substance abuse treatment programs per year51 Figure 3.10. Cost per youth completing substance abuse treatment programs per year52

34. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 SUBSTANCE ABUSE SERVICES (continued) 34 Section 4 Co-Occurring Psychiatric and Substance Use Disorders (COPSD) Page Figure 4.1. Number of COPSD clients served in substance abuse programs per year60 Section 5 Specialized Female Programs Page Figure 5.1. Number of females served in substance abuse specialized female programs per year61 Figure 5.2. Cost per female served in substance abuse specialized female programs per year62 Figure 5.3. Percentage of females completing substance abuse specialized female programs per year63 Figure 5.4. Cost per females completing substance abuse specialized female programs per year64 Section 6 Waiting ListPage Figure 6.1. Number of adults entered on waiting list by substance abuse program per year65 Figure 6.2. Number of youth entered on waiting list by substance abuse program per year66 Section 3 Treatment Page Figure 3.11. Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year53 Figure 3.12. Number of youth admissions to substance abuse treatment programs by primary substance per year54 Figure 3.13. Number of youth by criminal justice status admitted to substance abuse treatment programs per year55 Figure 3.14. Percentage of youth completing substance abuse treatment programs per year56 Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at discharge57 Figure 3.16. Percentage of youth completing substance abuse treatment programs attending school or vocational training58 Figure 3.17. Percentage of youth completing substance abuse treatment programs not arrested per year59

35. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.1. Number of adults served in substance abuse prevention programs per year SUBSTANCE ABUSE SERVICES Section 1 Prevention Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). *AOD: Alcohol and Other Drugs *ATOD: Alcohol,tobacco and other drugs 35 Note: New performance measures were developed in FY2014 to capture data not reported in previous years, e.g. number of adults attending *AOD prevention presentations and number of adults receiving *ATOD information.

36. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.2. Cost per adult for substance abuse prevention programs per year SUBSTANCE ABUSE SERVICES Section 1 Prevention Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 36

37. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.3. Number of youth served in substance abuse prevention programs per year SUBSTANCE ABUSE SERVICES Section 1 Prevention Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 37

38. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.4. Cost per youth for substance abuse prevention programs per year SUBSTANCE ABUSE SERVICES Section 1 Prevention Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 38

39. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.1. Number of adults served in substance abuse intervention programs per year SUBSTANCE ABUSE SERVICES Section 2 Intervention Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 39 Note: In FY2014 only the number of individuals at HIGH risk for HIV vs individuals at risk in FY2013, were included. These changes impacted the counts and caused a decrease in the number of adults served in substance abuse intervention programs.

40. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.2. Cost per adult for substance abuse intervention programs per year SUBSTANCE ABUSE SERVICES Section 2 Intervention Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). Note: The cost per adult increased as a result of a decrease in the number of adults served in substance abuse intervention programs. 40

41. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.3. Number of youth served in substance abuse intervention programs per year SUBSTANCE ABUSE SERVICES Section 2 Intervention Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 41 Note: Youth were removed from the count of HEI and HIV to keep with program definitions regarding proper primary target groups. These changes resulted in a decrease of youth being served in substance abuse intervention programs.

42. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.4. Cost per youth for substance abuse intervention programs per year SUBSTANCE ABUSE SERVICES Section 2 Intervention Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 42 Note: The cost per youth increased as a result of a decrease in the number of youth served in substance abuse intervention programs.

43. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.1. Number of adults served in substance abuse treatment programs per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 43

44. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.2. Cost per adult completing substance abuse treatment programs per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 44

45. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.3. Number of adults admitted to outpatient vs. residential substance abuse treatment programs per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and/or Clinical Management for Behavioral Health Services (CMBHS). 45

46. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.4. Number of adult admissions to substance abuse treatment programs by primary substance per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 46

47. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.5. Percentage of adults completing substance abuse treatment programs per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 47 ≥ (42%) SFY 2014 Target

48. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.6. Percentage of adults completing substance abuse treatment programs reporting abstinence at discharge per year Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). ≥ (45%) FY2014 New Target 48 New Target

49. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.7. Percentage of unemployed adults completing substance abuse treatment programs gaining employment at discharge per year Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). (60%) FY2014 Target 49 New Target

50. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.8. Percentage of adults completing substance abuse treatment programs not arrested per year Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). ≥ (90%) FY2014 Target 50 New Target

51. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.9. Number of youth served in substance abuse treatment programs per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 51

52. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.10. Cost per youth completing substance abuse treatment programs per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 52

53. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.11. Number of youth admitted to outpatient vs. residential substance abuse treatment programs per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 53

54. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.12. Number of youth admissions to substance abuse treatment programs by primary substance per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 54

55. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.13. Number of youth by criminal justice status admitted to substance abuse treatment programs per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Behavioral Health Integrated Provider System (BHIPS) and Clinical Management for Behavioral Health Services (CMBHS). 55

56. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 3.14. Percentage of youth completing substance abuse treatment programs per year SUBSTANCE ABUSE SERVICES Section 3 Treatment Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 56 ≥ (42%) FY2014 Target

57. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.15. Percentage of youth completing substance abuse treatment programs reporting abstinence at discharge per year Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). ≥ (55%) FY2013 Target 57 New Target

58. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.16. Percentage of youth completing substance abuse treatment programs attending school or vocational training Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). (35%) FY2014 Target 58 New Target

59. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 SUBSTANCE ABUSE SERVICES Section 3 Treatment Figure 3.17. Percentage of youth completing substance abuse treatment programs not arrested per year Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). ≥ (80%) FY2014 Target 59 New Target

60. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 4.1. Number of COPSD clients served in substance abuse programs per year SUBSTANCE ABUSE SERVICES Section 4 Co-Occurring Psychiatric and Substance Use Disorders (COPSD) Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 60

61. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 5.1. Number of females served in substance abuse specialized female programs per year SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 61

62. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 5.2. Cost per female served in substance abuse specialized female programs per year SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 62 Note: Provider access to Medicaid funds have resulted in a decrease in cost per female served in 2014

63. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 5.1. Number of females served in substance abuse specialized female programs per year SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 63

64. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 5.3. Percentage of females completing substance abuse specialized female programs per year SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 64 ≥ (52%) FY2014 Target

65. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 5.4. Cost per female completing substance abuse specialized female programs per year SUBSTANCE ABUSE SERVICES Section 5 Specialized Female Programs Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 65

66. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 6.1. Number of adults entered on waiting list by substance abuse program per year SUBSTANCE ABUSE SERVICES Section 6 Waiting List Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 66

67. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 6.2. Number of youth entered on waiting list by substance abuse program per year SUBSTANCE ABUSE SERVICES Section 6 Waiting List Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS). 67

68. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 NORTHSTAR 68 Section 1 Persons Served Page Figure 1.1. Quarterly Medicaid vs. indigent persons served68 Figure 1.2. Quarterly persons served by age group69 Figure 1.3. Quarter persons served by gender70 Figure 1.4. Quarterly person served by ethnicity71 Section 2 Monthly Medicaid EnrollmentPage Figure 2.1. Average monthly Medicaid enrollment72

69. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. Figure 1.1. Quarterly Medicaid vs. Indigent persons served NORTHSTAR Section 1 Persons Served 69

70. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.2. Quarterly persons served by age group Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. NORTHSTAR Section 1 Persons Served 70

71. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.3. Quarterly persons served by gender NORTHSTAR Section 1 Persons Served Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. 71

72. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 1.4. Quarterly persons served by ethnicity Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. NORTHSTAR Section 1 Persons Served 72

73. DSHS Behavioral Health DATA BOOK ■ FY2015 ■ Quarter 1 ■ March 11, 2015 Figure 2.1. Average monthly Medicaid enrollment NORTHSTAR Section 2 Monthly Medicaid Enrollment Source: DSHS NorthSTAR Data Warehouse. Note: NorthSTAR data have 90-day delay due to claims lag. 73