NEW MEXICO BEHAVIORAL HEALTH NEEDS ASSESSMENT Deborah Altschul, - PowerPoint PPT Presentation

NEW MEXICO BEHAVIORAL HEALTH NEEDS ASSESSMENT Deborah Altschul, Ph.D. and Jessica Reno, MPH University of New Mexico Health Sciences Center Department of Psychiatry and Behavioral Sciences June 7, 2017 LFC Meeting

New Mexico Behavioral Health Needs Assessment Data Elements ■ Population Demographics (Race, Ethnicity, Age, Gender, Primary Language) ■ Percent of the Population Insured (2010-2014) ■ Health Care Workforce ■ Alcohol Use and Alcohol-Related Chronic Disease Mortality Rates ■ Drug Use and Drug Overdose Mortality Rates ■ Suicide Rates ■ Rates of Mental Illness ■ Demographic Profile of Medicaid Clients with Active Behavioral Health Diagnoses ■ Medicaid Clients with Chronic Conditions Co-Morbid with Active Behavioral Health Diagnoses ■ Cost Associated with Claims for NM Medicaid Clients with Active Behavioral Health Diagnoses ■ County Demographic Profiles for Overall Populations and Medicaid Clients with Active Behavioral Health Diagnoses

Access to Services and Improvement in Functioning NM Youth w th with h Major D Depres essive E e Episode w who NM Adults lts w with a th a Menta tal I l Illnes ess w who R o Recei eive Recei eive Treatm tmen ent E t Each Y h Year Treatm tmen ent E t Each Y h Year 44.2% 37.2% ■ Among adults who perceived a need for treatment but did not receive it, the top reason for not receiving treatment was cost (61.1%), followed by accessibility (31.6%) and personal reasons (32.2%) ■ The percentage of adults reporting improved functioning from treatment in the public mental health system in New Mexico is similar to that of the United States (70.3% vs. 70.9%). ■ The percentage of children and adolescents reporting improved functioning in New Mexico was higher than that of the United States as a whole (80.3% vs. 69.5%).

Alcohol-Related Chronic Disease and Drug Overdose Mortality, New Mexico and United States Alcohol ol-Rel elated Chronic D Disea ease e Mortality Dr Drug ug Overdose Mortality 30 30 26. 26.5 population population 24.3 2,982 Deaths 25 25 2,464 Dea Deaths r 100,000 p r 100,000 p 20 20 14.8 14 13.3 per per 15 15 ge-Adjusted Rate p ge-Adjusted Rate p 10 10 5 5 Age Age 0 0 New M Mexico co, 2 2010- 010-201 2014 United ed S States, 2 , 2014 New M Mexico co, 2 2010- 010-201 2014 United ed S States, 2 , 2014

Suicide Mortality, New Mexico and United States 25 20. 20.5 population 20 2,141 D Deat eaths r 100,000 p 13.4 15 per ge-Adjusted Rate p 10 5 Age 0 New ew M Mex exico co, 2 201 010- 0-20 2014 14 Unit ited St Stat ates, s, 2 2014

Demographics of Medicaid Clients with Active Behavioral Health Diagnoses ■ 65% were 18-65 years old ■ 29% were 17 and younger ■ 57% were female ■ 34% were Native American

Services Utilized by Medicaid Clients with Active Behavioral Health Diagnoses ■ 51.1% received medication management ■ 61.5% received outpatient treatment services

Co-Morbid Chronic Health Conditions Chron onic C Conditions a amon ong M Medicaid C Clients w with Active B Behavior oral al Health h Diagnose ses, s, New M Mexico, 2 , 2014-201 015 Chr hron onic Health th Condi dition N 100% Cong ngestive H Heart F t Failur ure 8,001 80% Perip ipheral V Vas ascular D Dis isorders 8,157 Hypertens nsio ion w n with C Complic icat ations ns 4,837 60% Chroni nic P Pulmonar nary Diseas ase 48,033 40% Diab iabetes w wit ith C Complic ications 13,395 22.7% 17.2% 20% 9.0 .0% Rena nal F Failur ure 7,384 6.3 .3% 3.8 .8% 3.9 .9% 3.5 .5% 2.3 .3% 0.4 .4% 0.7 .7% 0.3 .3% 0% Liv iver D Dis isease 19,097 HIV/ V/AID IDS 873 Lymp mphoma ma 603 Metas astat atic ic C Canc ncer 1,414 Obesity 36,351

Types of Costs of Medicaid-Reimbursed Health Care Services for Clients with Active Behavioral Health Diagnoses 35.0% 32.0% 30.0% 23.7% 25.0% 20.0% 15.2% 15.0% 10.3% 8.3% 10.0% 3.2% 3.1% 5.0% 1.4% 1.2% 1.1% 0.5% 0.0%

NEXT STEPS ■ Update Needs Assessment to include 2016 Medicaid data and 2015 population data ■ Additional analyses of Medicaid data: – Describe clients by specific diagnostic categories – Describe services utilized by diagnostic categories – Describe prescriptions by diagnostic categories ■ Include data on population insured ■ Any other suggestions?

Questions or Comments? ■ For More Information: Deborah Altschul, Ph.D. daltschul@salud.unm.edu (505) 272-6238 Jessica Reno, MPH jreno@salud.unm.edu (505) 272-0550