CAMHD Annua l E va lua tio n Summa ry: F Y 2016 Child & Ado le sc e nt Me ntal He alth Divisio n Re se ar c h & E valuation Offic e
Ove rvie w Re vie w o f ma jo r tre nds a nd finding s in the fo llo wing a re a s: Yo uth Se rve d Se rvic e s Re nde re d Outc o me s Risk Pro file s Ove ra ll Pic ture
Yo uth Se rve d
Yo uth Se rve d CAMHD Youth Re g iste re d & With Proc ure d & Dire c t Se rvic e s: F isc a l Ye a r 2012- 2016 3000 28% I nc re a se 2496 2405 2500 2225 # Yo uth 2119 1954 Re g iste re d 2209 2000 2089 2070 Youth (N) 1965 # Yo uth with 1765 1500 Pro c ure d Svc s 1528 1505 1337 1313 1000 1230 # Yo uth with Dire c t Se rvic e s 500 0 2012 2013 2014 2015 2016 F isc a l Ye a r
Yo uth Se rve d CAMHD Youth Re g iste re d a nd Re c e iving Dire c t a nd Proc ure d Se rvic e s by F GC: F isc a l Ye a r 2012- 2016 1000 900 800 Re g iste re d Youth (N) 700 600 Re g iste re d 500 Pro c ure d Svc . 400 Dire c t Svc . 300 200 100 0 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 Ha wa ii L e e wa rd Ce ntra l Ho no lulu Ma ui K a ua i F a mily (Big I sla nd) Oa hu Oa hu Oa hu Co urt L ia iso n F isc a l Ye a r by F a mily Guida nc e Ce nte r
Yo uth Se rve d CAMHD Youth National Or igin and Rac e F isc al Ye ar 2016 0% 20% 40% 60% 80% Na tiona l Orig in No t Hispa nic 67% (% of Ava ila ble ) Hispa nic o r L a tino / a 33% Multira c ia l 65% Na tive Ha wa iia n o r Pa c ific I sla nde r 11% White 13% Ra c e Asia n 9% (% of Ava ila ble ) Othe r Ra c e 1% Bla c k o r Afric a n-Ame ric a n 1% Ame ric a n I ndia n o r Ala ska Na tive 0%
Yo uth Se rve d CAMHD Pe rc e nt of Ra c e Not Ava ila ble : F isc a l Ye a r 2011- 2016 50% 46% 40% 45% 41% 39% 45% 40% 35% 41% 41% 40% 32% 35% 33% 28% Youth (% ) 35% 30% 26% 32% Na tio na l Orig in NA 25% 23% 25% Ra c e NA 20% E thnic ity NA 15% 14% 10% 5% 0% 2011 2012 2013 2014 2015 2016 F isc a l Ye a r
Yo uth Se rve d CAMHD Re g iste re d Youth Ma jor Prima ry Dia g nose s: F isc a l Ye a r 2012- 2016 33% 32% 35% 30% 30% 26% 26% 25% 19% Disruptive Be ha vio r Youth (N) 20% 19% 20% 20% 20% 18% Atte ntio na l 19% 18% 19% 19% 15% Mo o d 16% 14% 10% 12% 12% 12% 11% Anxie ty 11% 8% 7% 5% Adjustme nt 7% 0% 2012 2013 2014 2015 2016 F isc a l Ye a r
Yo uth Se rve d Ave ra g e Ag e of Re g iste re d Youth: F isc a l Ye a r 2007- 2016 15.0 14.6 14.5 14.5 Me a n Ag e 14.4 14.4 14.2 14.0 14.0 13.9 13.6 13.5 13.0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 F isc a l Ye a r
Yo uth Se rve d T re nd in % of Re g iste re d Youth 12 or Young e r: F isc a l Ye a r 2012- 2016 100% 90% 80% 70% 60% Olde r T ha n 12 50% 12 o r Yo ung e r 40% 30% 20% 35.3% 33.1% 29.9% 28.6% 26.3% 10% 0% 2012 2013 2014 2015 2016
Yo uth Se rve d CAMHD Re g iste re d Youth Ge nde r: F isc a l Ye a r 2012- 2016 100% 80% 38% 38% 38% 38% 39% Ge nde r % 60% F e ma le 40% Ma le 61% 62% 62% 62% 62% 20% 0% 2012 2013 2014 2015 2016 F isc a l Ye a r
Yo uth Se rve d – K e y Po ints Co ntinuing inc re a se s in numb e r o f yo uth se rve d Po pula tio n c o ntinue s to g ro w yo ung e r De c re a se s in Disruptive Be ha vio r dia g no se s a nd inc re a se s in Adjustme nt a nd Anxie ty dia g no se s Wha t, if a ny, a djustme nts sho uld b e ma de ?
Se rvic e s Re nde re d
Se rvic e s Re nde re d CAMHD Out- of- Home Se rvic e Utiliza tion: F isc a l Ye a r 2012- 2016 250 205 192 200 168173 155 139128137 137 145 150 Youth (N) 100 77 74 70 69 60 14 14 25 35 38 50 14 14 13 10 7 0 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 Community Community Transitional Hospital Out-of-State High Risk Residential Family Home Residential Se rvic e s by F isc a l Ye a r
Se rvic e s Re nde re d CAMHD Inte nsive Home a nd Community a nd Outpa tie nt Se rvic e Utiliza tion: F isc a l Ye a r 2012- 2016 1,200 Intensive Home & Outpatient Community Services Services 1,000 1,044 1,016 878 800 Youth (N) 812 693 600 400 248230 242213207185187 139181160 113101 89 77 51 200 36 32 27 20 6 0 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 Multisystemic Functional Intensive Outpatient Assessment Therapy Family Therapy In-Home Therapy Se rvic e s by F isc a l Ye a r
Se rvic e s Re nde re d CAMHD Supportive Se rvic e Utiliza tion: F isc a l Ye a r 2012- 2016 180 162 152 148 145 160 142 140 120 Youth (N) 100 80 60 39 39 34 30 40 20 20 0 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 Respite Home Ancillary Service Se rvic e s by F isc a l Ye a r
Se rvic e s Re nde re d Proc ure d Se rvic e Cost Pe r Youth: F isc a l Ye a r 2009- 2016 $35,000 $28,725 $27,898 $30,000 $26,853 $25,187 $24,450 $23,235 $25,000 $21,338 $20,835 $20,000 $15,000 $10,000 $5,000 $0 2009 2010 2011 2012 2013 2014 2015 2016 F isc a l Ye a r
Se rvic e s Re nde re d: Clie nt Sa tisfa c tio n CAMHD Consume r Surve y 2016: % of Re sponde nts Rating Positive ly in E ac h Domain Cultura l Se nsitivity 94.7 T re a tme nt Pa rtic ipa tio n 87.2 So c ia l Co nne c te dne ss 90.5 Ac c e ss 84.3 Outc o me s 56.4 F unc tio ning 56.4 Ove ra ll Pro g ra m Asse ssme nt 82.9 Co mmunic a tio n with Ca re Co o rdina to r 83.5 0 10 20 30 40 50 60 70 80 90 100 Pe r c e nt T he se pe rc e nta g e s a re b a se d o n the numb e r o f re spo nde nts who se c o mb ine d sc o re s to ta le d a ‘ 3.5’ o r b e tte r. • A five -po int L ike rt-type sc a le wa s use d fo r e a c h ite m (i.e ., ‘ Stro ng ly Ag re e ‘ (5), ‘ Ag re e ’ (4), ‘ Unde c ide d’ (3), • ‘ Disa g re e ’ (2), o r ‘ Stro ng ly Disa g re e ’ (1).
Se rvic e s Re nde re d: Clie nt Sa tisfa c tio n Re spo nse s to “What wo uld impr e d? ” (% o f tho se who o ve the se r vic e s o ffe r re spo nde d) 19% Mo re suppo rt ne e de d (tra nsitio ning to a dultho o d, e xte nd time -limite d se rvic e s like MST , mo re c a re c o o rdina to rs, mo re fle xib le ho urs) 13% Additio na l se rvic e s (we e ke nd a c tivitie s, g ro up se ssio ns, lo c a l [vs o ut- o f-sta te ] fa c ilitie s) 11% I mpro ve q ua lity o f se rvic e s (impro ving a c c e ss, b e tte r c o mmunic a tio n with c a re c o o rdina to rs) 7% I mpro ve e lig ib ility pro c e ss 5% Spe c ific re q ue sts fo r c hild’ s uniq ue ne e ds
Se rvic e s Re nde re d: Clie nt Sa tisfa c tio n Dur ing me e ting(s) with my c hild’s Car e I unde r stand the r ole of the Par e nt Par tne r in the tr e atme nt of my c hild. Coor dinator , I was infor me d about the r ole of the Par e nt Par tne r s. 45% 45% 38.2% 40% 39.9% 36.4% 40% 35% 35.3% 35% 30% 30% c e nt 25% c e nt 25% Pe r 20% Pe r 20% 16.0% 16.0% 15% 12.7% 15% 9.2% 9.2% 9.2% 10% 10% 6.4% 3.5% 5% 5% 0% 0%
Se rvic e s Re nde re d: Clie nt Sa tisfa c tio n Do you know about the He lp You Ke iki If “Ye s,” dur ing the last ye ar , did you we bsite that pr ovide s infor mation about ac c e ss the He lp Your Ke iki we bsite for se r vic e s for your c hild? infor mation about se r vic e s for your c hild? NO 68.9% (N = 42) NO YE S 69.0% 31.0% (N = 138) (N = 62) YE S 31.1% (N = 19) 9.5% o f T o ta l
Se rvic e s Re nde re d: Pa re nt I nfo rma tio na l We b site He lpYour Ke iki.c om
Se rvic e s Re nde re d – K e y Po ints Arra y o f se rvic e s c o ntinuing to g e t “sq ue e ze d” in the middle – le ss yo uth se rve d in T F H, MST a nd F F T , while mo re yo uth se rve d in I nte nsive I n-Ho me a nd o n the ma inla nd. De c re a sing c o st pe r yo uth De c re a sing use o f e vide nc e -b a se d a nd c o st-re imb urse me nt se rvic e s (inc re a sing c o st pe r yo uth fo r tho se se rvic e s) Pa re nts mo stly sa tisfie d with ho w c urre nt se rvic e s a re pro vide d, b ut le ss so with o utc o me s. Pa re nts sug g e sting a dditio na l suppo rts a nd se rvic e s Ne e d mo re a wa re ne ss o f pa re nt pa rtne rs a nd He lp Yo ur K e iki we b site Wha t, if a ny, a djustme nts sho uld b e ma de ?
Outc o me s
Outc o me s Ave r age E ar lie st & L ate st Ohio Sc ale s Pr oble m Sc or e by L e ve l of Car e : F or E pisode s F alling Within 10/ 1/ 2014 to 9/ 30/ 2016 35 Avg OS Pro b le m Sc o re 30 25 20 15 10 5 0 a rlie st a te st a rlie st a te st a rlie st a te st a rlie st a te st a rlie st a te st a rlie st a te st a rlie st a te st a rlie st a te st L L L L L L L L E E E E E E E E HBR CBRI I I T F H MST CHR CBRI I F F T I I H Pa re nt Yo uth
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