ANNUAL EVALUATION SUMMARY: FISCAL YEAR 2017 Child & Adolescent Mental Health Division Research, Evaluation & Training Program Improvement & Communications Office Trina Orimoto, David Jackson, Max Sender, & Kalyn Holmes April 2018 1
Overview Review of major trends and findings in the following areas: Overall • Youth Served • Services Rendered Special Analyses • Decreasing average age of youth clients • Trends in youth and family reported outcomes • Risk profiles revisited Summary 2
YOUTH SERVED 3
CAMHD Youth Registered & With Procured & Direct Services Fiscal Year 2012-2017 3000 2496 2405 2500 2405 2225 2119 # Youth Registered 1954 2209 2162 2000 2089 2070 1965 # Youth Enrolled and/or Youth (N) 1528 1505 Receiving Services 1765 1420 1500 1337 1313 # Youth with Direct Services 1230 # Youth with Procured 1000 Services 500 0 2012 2013 2014 2015 2016 2017 Fiscal Year 4
CAMHD Youth Enrolled & Receiving Direct & Procured Services by FGC Fiscal Year 2013-2017 1000 900 800 700 Registered Youth (N) 600 500 Enrolled 400 Procured Svc. 300 Direct Svc. 200 100 0 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 Hawaii Leeward Central Honolulu Maui Kauai Family (Big Island) Oahu Oahu Oahu Court Liaison Fiscal Year by Family Guidance Center 5
# of Youth # of 0 50 100 150 200 250 300 350 400 450 Primary Diagnosis Youth Anxiety Disorders 79 Bipolar and Related Disorders 30 Depressive Disorders 235 Disruptive, Impulse-Control, and Conduct Disorders 406 Neurodevelopmental Disorders Attention-Deficit/Hyperactivity Disorder 307 Autism Spectrum Disorder 15 Intellectual Disability 6 Other Neurodevelopmental Disorders 1 Obsessive-Compulsive and Related Disorders 10 Schizophrenia Spectrum and Other Psychotic 20 Disorders Substance-Related and Addictive Disorders 20 Trauma- and Stressor-Related Disorders Adjustment Disorder 214 Posttraumatic Stress Disorder 156 Other Trauma- and Stressor-Related Disorders 25 Other Infrequent CAMHD Diagnoses 6 General Medical Conditions or Codes No Longer Used 136 6
CAMHD Enrolled Youth Average Age Fiscal Years 2007-2017 15.0 14.6 14.5 14.5 14.4 14.4 Mean Age 14.2 14.0 14.0 13.9 13.6 13.5 13.3 13.0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Fiscal Year Note. Data excludes Kauai from 2007-2011 because of Mokihana program. 7
Trend in % of Enrolled Youth 12 or Younger 100% 90% 80% 70% 60% Older Than 12 50% 12 or Younger 40% 30% 20% 37.5% 35.3% 33.1% 29.9% 28.6% 10% 0% 2013 2014 2015 2016 2017 8
CAMHD Enrolled Youth Gender Fiscal Year 2013-2017 100% 80% 38% 39% 38% 38% 39% 60% Gender % 40% 62% 62% 62% 61% 61% 20% 0% 2013 2014 2015 2016 2017 Fiscal Year Male Female 9
Youth Served-Key Findings • The number of enrolled youth has decreased slightly from FY 2016 to FY 2017. • CAMHD client population continues to have a younger average age. 10
SERVICES RENDERED 11
CAMHD Out-of-Home Service Utilization FY 2013-2017 250 192 200 168173 145 Youth (N) 150 134 127 111 100 85 77 74 70 69 25 35 38 29 50 14 14 13 10 7 10 8 8 0 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 Community Transitional Hospital Community Community Out-of-State Residential II Family Home Residential High Risk Residential III Services by Fiscal Year 12
CAMHD Intensive Home and Community and Outpatient Service Utilization FY 2013-2017 1,200 Intensive Home & Outpatient 1,044 Community Services Services 1,016 995 1,000 878 812 800 Youth (N) 600 400 248 230 213 207 185 187 157 181 160 200 138 101 89 77 67 51 51 53 32 27 23 21 18 20 16 13 6 4 0 Comprehensive Intensive Multisystemic Assessment Outpatient Functional Partial Behavioral In-Home Therapy Therapy Family Therapy Hospitalization Intervention Services by Fiscal Year 13
CAMHD Supportive Service Utilization FY 2013-2017 180 162 152 160 148 142 136 140 120 Youth (N) 100 80 60 39 39 39 34 30 40 20 0 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 Respite Home Ancillary Service Services by Fiscal Year 14
Procured Service Cost Per Youth Within Each Fiscal Year $35,000 $28,725 $30,000 $27,898 $26,853 $25,187 $24,450 $25,000 $23,235 $21,834 $21,338 $20,835 $20,000 $15,000 $10,000 $5,000 $0 2009 2010 2011 2012 2013 2014 2015 2016 2017 Fiscal Year 15
Services Rendered – Key Findings • The majority of services have shown slight declines in number of youth served. • Use of Out-of-State services has declined. • Increases in service use shown for hospital-based residential and functional family therapy. What, if any, adjustments should be made? 16
DECREASING AVERAGE AGE OF YOUTH CLIENTS 17
CAMHD Enrolled Youth Average Age Fiscal Years 2007-2017 15.0 14.6 14.5 14.5 14.4 14.4 Mean Age 14.2 14.0 14.0 13.9 13.6 13.5 13.3 13.0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Fiscal Year Note. Data excludes Kauai from 2007-2011 because of Mokihana program. 18
Percent of 12 and Under/13 and Over Youth by Center/Branch 100% 90% 80% 70% Percent of Youth 60% 50% 40% 30% 20% 10% 0% Hawaii Island Kauai (N=202) Maui (N=319) Central Oahu Leeward Oahu Honolulu (N=325) Family Court (N=712) (N=368) (N=366) Liaison Branch (N=15) Family Guidance Center 12 and Under 13 and Over 19
Percent of Male/Female Youth by Age Group 100.00% 90.00% 80.00% 70.00% 60.00% Percent of Youth 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% 12 and Under 13 and Over Male Female 20
Percent of 12 and Under/13 and Over Youth by Primary Diagnosis Area Other Neurodevelopmental Disorders (n=1) 100.00% Autism Spectrum Disorders (n=15) 66.70% Attentional Disorders (n=307) 56.40% Obsessive Compulsive and Related Disorders (n=10) 50.00% Adjustment Disorder (n=214) 44.90% General Medical Conditions or Codes No Longer Used (n=136) 44.10% Trauma- and Stress-Related Disorders (n=25) 43.65% Posttraumatic Stress Disorder (n=156) 37.80% Intellectual Disabilities (n=6) 33.30% Anxiety Disorders (n=79) 31.60% Disruptive, Impulse-Control, and Conduct Disorders (n=406) 30.50% Other Infrequent CAMHD Diagnoses (n=6) 16.70% Depressive Disorders (n=235) 9.80% Bipolar and Related Spectrum Disorders (n=30) 6.70% Substance-Related and Addictive Disorders (n=20) 0.00% Schizophrenia Spectrum and Other Psychotic Disorders (n=20) 0.00% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 12 and Under 13 and Over 21
Percent of Youth Within Each Age Group Receiving Services by Service Format Type 100.00% 90.00% 80.00% 70.00% Percent of Youth 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Individual Family Parent Teacher Pro Consult Group Phone 12 and Under 13 and Over 22
12 and Under - 10 Most Frequently Endorsed Treatment Targets 13 and Over - 10 Most Frequently Endorsed Treatment Targets Average % Average % Progress Endorsed Progress Rating Endorsed Rating (o- Target (N=569) (0-7) Target (N=1068) 7) Positive Peer Interaction 86.82 4.83 Positive Peer Interaction 86.61 5.21 Treatment Engagement 76.59 4.96 Oppositional or Non-Compliant Behavior 71.35 4.68 Oppositional or Non-Compliant Behavior 72.10 4.98 Anger 61.16 4.46 Activity Involvement 5.17 66.85 Aggression 59.40 4.78 Anger 57.40 4.79 Social Skills 53.60 4.54 Anxiety 4.75 55.99 Treatment Engagement 52.90 4.4 Depressed Mood 55.06 4.23 Activity Involvement 51.49 4.91 Aggression 54.12 5.14 Anxiety 49.91 4.51 Academic Achievement 48.50 4.92 Peer or Sibling Conflict 49.91 4.43 Attention Problems 47.98 4.18 School Involvement 47.66 4.81 23 Note. Treatment targets not present in the top 10 targets for both groups are highlighted in yellow.
12 and Under - 10 Most Frequently Endorsed Intervention 13 and Over - 10 Most Frequently Endorsed Intervention Strategies Strategies % Endorsed % Endorsed Intervention Strategy (N=569) Intervention Strategy (N=1068) Relationship or Rapport Building 92.27 Relationship or Rapport Building 95.13 Supportive Listening or Client Centered 90.54 Supportive Listening or Client Centered 87.35 Communication Skills 89.89 Psychoeducational Parent 86.99 Problem Solving 89.04 Communication Skills 84.18 Family Engagement 88.67 Family Engagement 82.60 Goal Setting 87.73 Modeling 80.84 Psychoeducational Parent 84.27 Therapist Praise or Rewards 80.14 Skill Building 83.52 Skill Building 79.09 Family Therapy 82.49 Parent Coping 78.21 Emotional Processing 81.74 Problem Solving 75.92 24 Note. Intervention strategies not present in the top 10 strategies for both groups are highlighted in yellow.
Recommend
More recommend
