Louis de la Parte Florida Mental Health Institute Integrated Data Systems and Program Evaluation...
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Transcript of Louis de la Parte Florida Mental Health Institute Integrated Data Systems and Program Evaluation...
Louis de la Parte Florida
Mental Health Institute
Integrated Data Systems and Program Evaluation
University of South FloridaDiane Haynes
Louis de la Parte Florida
Mental Health Institute
PSRDC stands for Policy and Services Research Data Center
PSRDC is a technical section within the Department of Mental Health Law & Policy, which is a part of the Louis de la Parte Florida Mental Health Institute at the University of South Florida, Tampa FL
Louis de la Parte Florida
Mental Health Institute
Data Sources (secondary and primary)
Secondary
Houses data for Pinellas Data Collaborative (County), Criminal Justice Mental Health & Substance Abuse Technical Assistance Centers (Statewide)
Statewide Agency Administrative data (AHCA Medicaid Claims, DCF SAMHIS & SMH, Baker Act Initiations, DCF Child Welfare)
Primary
Faculty obtained external funded projects (survey’s, evaluations)
Louis de la Parte Florida
Mental Health Institute
Various Type of Administrative Data
Criminal Justice
♦ Florida Dept. of Corrections
♦ Florida Dept. of Law Enforcement
♦ Florida Dept. of Juvenile Justice
Behavioral Health
♦ Substance Abuse
♦ Mental Health
Physical Health
Pharmacy
Louis de la Parte Florida
Mental Health Institute
Other Types of Administrative Data
♦ County EMS
♦ County HHS
♦ County CJIS
♦ County JWB
♦ County Mental Health Court
♦ County Drug Court
Types of Studies/Analysis
• Mental health, substance abuse, criminal justice
• Adults, Youths, Children
Louis de la Parte Florida
Mental Health Institute
Subpopulation of those in the Criminal Justice System (Jail/Prison)
They cycle in and out of the criminal justice system
More likely to use costly crisis behavioral health services rather than lower cost outpatient services
More likely to end up homeless
Substance Abuse
Criminal Justice
Mental Health
Louis de la Parte Florida
Mental Health Institute
Mental Health Courts
Focus on diversion of this sub-population from the normal criminal justice system path
Through coordination by case management allows access to appropriate, comprehensive, targeted, integrated services
Is voluntary option
Create an integrated collaboration of community providers to provide services
Louis de la Parte Florida
Mental Health Institute
Integrated Access to Services
Other Community Support
Mental Health
Services
Social Services
Substance Abuse
Services
Jails, Court
s
Access to Appropriate
Services
Louis de la Parte Florida
Mental Health Institute
Sharing of Administrative Data
Allowing access to administrative data through MOUs, & Data Agreements
♦ Mental Health
♦ Substance Abuse
♦ Criminal Justice
♦ Health & Human Services
♦ Homeless Coalition
Louis de la Parte Florida
Mental Health Institute
Program Evaluations
Using administrative secondary data
Initial Baseline
Formative or process (Also Uses Primary Survey Data)
Outcome
Cost Benefit Analysis
Louis de la Parte Florida
Mental Health Institute
Initial Baseline Results
Estimated number of individuals who are incarcerated and would meet the criteria to enter the mental health court program (MHCP) was found to be 3% or 423 of the individuals being arrested (14,072)
Of those 423, 152 are also dealing with a substance abuse problem
Re-arrest rate after being released from jail was 33.9% within 6 months and 44.3% within 12 months after released.
Louis de la Parte Florida
Mental Health Institute
Informative or Process Evaluation Results
Implementation was as planned, with strong commitment on the part of key stakeholders, management, and staff.
Part of the satisfaction is the ability of the program to be flexible to meeting each individual client’s needs.
There is an increased need of awareness of the program, especially for private attorneys was identified
The number of clients surpassed the estimations, to the point of the case manager / client ratio has passed what was set in the manual which was 20 clients per case manager.
Louis de la Parte Florida
Mental Health Institute
Outcome Evaluation Results
The re-arrest rate for 6 months after the program for those who completed the program was 17% compared to the baseline of 33.9%, and the rate for 12 months after the program was 22% compared to 44.3%.
The average number of days to re-arrest for those in the study group who were re-arrested was 96 days, while for the comparison group the average number of days to re-arrest was 52 days.
Louis de la Parte Florida
Mental Health Institute
Cost Analysis Evaluation Results
The average cost per individual who was in the program and graduated was $792.38.
The cost of incarceration for the study group in the prior year was $61,932.40 compared to this year was $19,919.00
Even if you include the cost of the MHC program ($32,020.76), there is still a cost savings of $9,992.64 for 40 individuals
Louis de la Parte Florida
Mental Health Institute
Cost Table Example 1
Per Client Per Year
Contact Type
Average Number Per Ind.
AverageTotal Cost
Numberof Clients Cost Per Year
Court Hearing 10 $397.24 60 $17,528.79
Group After Court 1 $15.80 2 $31.60
In Person 3 $75.19 45 $2,823.59
Placement Review 1 $31.60 1 $31.60
Survey Answer 1 $3.95 1 $3.95
Telephone 16 $260.70 59 $11,593.33
Caretaker/Guardian 1 $7.90 1 $7.90
Total Average Cost $792.38 $32,020.76
Louis de la Parte Florida
Mental Health Institute
Cost Table Example 2Type of Service Received
Number of Individuals and Costs
1 Year Before Program (N = 22) 1 Year After Starting Program ( N = 38)
Average Cost & Days of Svc Per
ClientNbr Ind. & Total Per
Year
Average Cost & Days of Svc Per
ClientNbr. Ind. & Total Per
Year
Non Crisis Services 61 $2,537.04 14 $35,518.60 20 $3,104.62 35 $108,661.70
Crisis Services 3 $921.14 18 $15,769.59 14 $5,209.62 24 $124,595.83
MH outpatient 8 $230.72 5 $1,153.58 4 $878.61 22 $19,329.37MH Inpatient 1 $538.90 8 $4,311.20 0 $0.00 0 $0.00
MH Emergency 2 $461.25 1 $461.25 5 $2,532.27 21 $53,177.65
MH Case Management 25 $1,609.04 3 $4,827.12 18 $2,656.39 31 $82,348.14SA Outpatient 12 $202.97 5 $1,014.86 4 $282.14 3 $846.34SA Inpatient 2 $538.02 1 $538.02 1 $52,808.91 1 $52,808.91SA Emergency 0 $0.00 0 $0.00 0 $0.00 0 $0.00SA Case Management 0 $0.00 0 $0.00 12 $903.81 5 $4,519.05
PH Outpatient 52 $2,194.08 13 $28,523.04 6 $809.40 2 $1,618.80PH Inpatient 6 $3,511.70 2 $7,023.40 1 $17,573.00 1 $17,573.00PH Emergency 3 $531.63 9 $4,784.64 2 $490.42 3 1,417,24PH Case Management 0 $0.00 0 $0.00 0 $0.00 0 $0.00
Louis de la Parte Florida
Mental Health Institute
Conclusion
Access to Administrative data from multiple sources can bring added benefit to evaluations
Administrative data is already collected
Across multiple sources can give a more complete picture of individuals in the program and the program itself.
Louis de la Parte Florida
Mental Health Institute
Any Questions?
Louis de la Parte Florida
Mental Health Institute
Contact
Diane Haynes. MA, MPA
Statistical Data Analyst
13301 Bruce B. Downs Blvd., MHC 2621
Florida Mental Health Institute (FMHI)
Department of Mental Health Law & Policy
College of Behavioral and Community Sciences
University of South Florida
Tampa, FL 33612
Voice: 813 974-2056
Fax: 813 974-6411