Michigan 2019 Mental Health National Outcome Measures ... · Michigan 2019 Mental Health National...

Michigan 2019 Mental Health National Outcome Measures (NOMS): SAMHSA Uniform Reporting System

Utilization Rates/Number of Consumers Served U.S. State U.S. Rate StatesPenetration Rate per 1,000 population 8,131,606 24.06 24.81 58

Community Utilization per 1,000 population 7,826,684 24.06 23.88 58

State Hospital Utilization per 1,000 population 132,710 0.14 0.41 54

Other Psychiatric Inpatient Utilization per 1,000 population 409,098 2.44 1.45 39

Adult Employment Status U.S. State U.S. Rate StatesEmployed (Percent in Labor Force)* 764,240 29.4% 46.7% 57

Employed (percent with Employment Data)** 764,240 14.4% 21.7% 57

Adult Consumer Survey Measures State U.S. Rate StatesPositive About Outcome - 75.4% 52

Child/Family Consumer Survey Measures State U.S. Rate StatesPositive About Outcome - 71.9% 46

Readmission Rates:(Civil "non-Forensic" clients) U.S. State U.S. Rate StatesState Hospital Readmissions: 30 Days 6,218 2.1% 7.8% 50

State Hospital Readmissions: 180 Days 14,246 8.9% 17.8% 53

State Hospital Readmissions: 30 Days: Adults 5,733 2.7% 8.0% 49

State Hospital Readmissions: 180 Days: Adults 13,057 7.5% 18.1% 53

State Hospital Readmissions: 30 Days: Children 485 1.1% 6.0% 18

State Hospital Readmissions: 180 Days: Children 1,187 11.1% 14.7% 19

Living Situation U.S. State U.S. Rate StatesPrivate Residence 4,133,022 80.6% 83.7% 56

Homeless/Shelter 222,985 4.0% 4.5% 51

Jail/Correctional Facility 113,677 1.7% 2.3% 51

Adult EBP Services U.S. State U.S. Rate StatesSupported Housing 97,515 0.6% 3.1% 32

Supported Employment 72,250 3.7% 2.0% 42

Assertive Community Treatment 72,957 3.9% 1.9% 43

Family Psychoeducation 39,074 0.1% 2.5% 16

Dual Diagnosis Treatment 234,329 1.3% 10.4% 26

Illness Self Management 317,463 - 18.9% 20

Medications Management 547,936 - 31.3% 20

Child/Adolescent EBP Services U.S. State U.S. Rate StatesTherapeutic Foster Care 5,390 0.0% 0.7% 22

Multisystemic Therapy 33,517 0.8% 4.2% 19

Functional Family Therapy 35,054 - 5.9% 15

Change in Social Connectedness State U.S. Rate StatesAdult Improved Social Connectedness - 75.8% 51

Child/Family Improved Social Connectedness - 87.6% 45

*Denominator is the sum of consumers employed and unemployed.**Denominator is the sum of consumers employed, unemployed, and not in labor force.

2019 SAMHSA Uniform Reporting System (URS) Output Tables of 57

SAMHSA Uniform Reporting System - 2019 State Mental Health Measures

MichiganUtilization State Number State Rate U.S. U.S. Rate StatesPenetration Rate per 1,000 population 240,431 24.06 8,131,606 24.81 58Community Utilization per 1,000 population 240,431 24.06 7,826,684 23.88 58State Hospital Utilization per 1,000 population 1,436 0.14 132,710 0.41 54Medicaid Funding Status 216,602 90% 5,617,695 73% 57Employment Status (percent employed) 22,520 14% 764,240 22% 57State Hospital Adult Admissions 523 0.42 98,852 0.80 52Community Adult Admissions - - 12,372,322 2.44 53Percent Adults with SMI and Children with SED 145,468 61% 5,638,887 69% 58

Outcome State Number State Rate U.S. U.S. Rate StatesAdult Criminal Justice Contacts 3,924 2.5% 36,939 3.1% 35

Juvenile Justice Contacts 585 1.0% 6,188 1.4% 37

School Attendance (Improved ) - - 11,600 30.7% 22

Adult Consumer Survey Measures State Rate U.S. Rate StatesAccess to Services - 86.8% 52Quality/Appropriateness of Services - 89.5% 52Outcome from Services - 75.4% 52Participation in Treatment Planning - 84.6% 52General Satisfaction with Care - 89.5% 52

Child/Family Consumer Survey Measures State Rate U.S. Rate StatesAccess to Services - 87.1% 46General Satisfaction with Care - 88.3% 47Outcome from Services - 71.9% 46Participation in Treatment Planning - 88.5% 47Cultural Sensitivity of Providers - 93.8% 45

Utilization State Rate U.S. Rate StatesState Hospital LOS Discharged Adult patients (Median) 271 Days 89 Days 50State Hospital LOS for Adult Resident patients in facility <1 year (Median) 191 Days 85 Days 49Percent of Client who meet Federal SMI definition 60% 71% 56Adults with Co-occurring MH/SA Disorders 25% 28% 56Children with Co-occurring MH/SA Disorders 4% 8% 50

Consumer Living Situations State Number State Rate U.S. U.S. Rate StatesPrivate Residence 169,783 80.6% 4,133,022 83.7% 56Jail/Correctional Facility 3,493 1.7% 113,677 2.3% 51Homeless or Shelter 8,404 4.0% 222,985 4.5% 51

Hospital Readmissions State Number State Rate U.S. U.S. Rate StatesState Hospital Readmissions: 30 Days 5 2.1% 6,218 7.8% 50State Hospital Readmissions: 180 Days 21 8.9% 14,246 17.8% 53Readmission to any psychiatric hospital: 30 Days 3,608 11.0% 27,057 12.7% 21

State Mental Health Finance (2019) State Number State Rate U.S. U.S. Rate States

SMHA Expenditures for Community Mental Health* $2,243,699 0.4% $27,064,008,068 66.8% 58

State Expenditures from State Sources $464,785,018 78.8% $17,205,668,205 42.5% 55

Total SMHA Expenditures $590,154,839 - $40,530,173,022 - 58

Adult Evidence-Based Practices State Number State Rate U.S. U.S. Rate StatesAssertive Community Treatment 4,185 3.9% 72,957 1.9% 43Supported Housing 625 0.6% 97,515 3.1% 32Supported Employment 3,954 3.7% 72,250 2.0% 42Family Psychoeducation 134 0.1% 39,074 2.5% 16Integrated Dual Diagnosis Treatment 1,417 1.3% 234,329 10.4% 26Illness Self-Management and Recovery - - 317,463 18.9% 20Medications Management - - 547,936 31.3% 20

Child Evidence Based Practices State Number State Rate U.S. U.S. Rate StatesTherapeutic Foster Care 7 0.0% 5,390 0.7% 22Multisystemic Therapy 295 0.8% 33,517 4.2% 19Functional Family Therapy - - 35,054 5.9% 15

* Includes primary prevention, evidence-based practices for early serious mental illness, and Other 24-Hour Care


Age Percent0 to 12 14.8%13 to 17 10.6%18 to 20 4.9%21 to 24 6.1%25 to 44 31.9%45 to 64 26.8%65 to 74 3.8%75 and over 1.1%Not Available 0.0%

Living Situation (with Known Status) PercentPrivate Residence 80.6%Foster Home 1.6%Residential Care 7.1%Crisis Residence 0.1%Residential Treatment Center 0.1%Institutional Setting 1.0%Jail (Correctional Facility) 1.7%Homeless (Shelter) 4.0%Other 3.8%

Consumer Perception of Care: (Children/Adolescents) PercentAccess to Services -Overall Satisfaction with Care -Outcome from Services -Participation in Treatment Planning -Cultural Sensitivity of Providers -

Outcome Measures Developmental PercentAdults Arrested this Year 2.5%Youth Arrested this Year 1.0%Improved School Attendance -

Hospital Readmissions (Civil Status Patients) PercentState Hospital Readmissions: 30 Days 2.1%State Hospital Readmissions: 180 Days 8.9%Readmission to any psychiatric hospital: 30 Days 11.0%

Gender PercentFemale 41.6%Male 45.9%Not Available 12.4%

Race/Ethnicity PercentAmerican Indian or Alaska Native 0.5%Asian 0.4%Black or African American 18.9%Native Hawaiian or Other Pacific Islander 0.0%White 53.0%Hispanic or Latino 5.3%More Than One Race 10.8%Not Available 16.3%

Employment With Known Status (Adults) PercentEmployed 14.4%Unemployed 34.6%Not In Labor Force 51.0%

Medicaid Funding Status of Consumers PercentMedicaid Only 90.1%Non-Medicaid 9.9%Both Medicaid and Other Funds -

Consumer Perception of Care: (Adults) PercentAccess to Services -Quality/Appropriateness of Services -Outcome from Services -Participation in Treatment Planning -Overall Satisfaction with Care -

Implementation of Evidence-Based Practices PercentAssertive Community Treatment 3.9%Supported Housing 0.6%Supported Employment 3.7%Family Psychoeducation 0.1%Integrated Dual Diagnosis Treatment 1.3%Illness Self-Management and Recovery -Medications Management -Therapeutic Foster Care 0.0%Multisystemic Therapy 0.8%Functional Family Therapy -

State URS Contact Person

Kathleen M. Haines

320 S. Walnut Cass Building Lansing, Michigan 48808

517-335-0179

[email protected]

State Revenue Expenditure Data AmountFY 2019 Mental Health Block Grant Expenditures $2,765,736FY 2019 SMHA Community MH Expenditures $2,243,699FY 2019 Per Capita Community MH Expenditures $0.22FY 2019 Community Percent of Total SMHA Spending 0.06%FY 2019 Total SMHA Mental Health Expenditure $590,154,839FY 2019 Per Capita Total SMHA Mental Health Expenditures $59.06

Mental Health Community Services Block Grant: 2019 State Summary Report

* Based on 2019 URS data provided by US States and Territories per annual reporting guidelines.

Michigan

Statewide Mental Health Agency Data*

Measure Number of Clients Utilization Rate Per 1,000 PopulationTotal Clients Served by SMHA System 240,431 24.1Clients Served in Community Settings 240,431 24.1Clients Served in State Hospitals 1,436 0.1

The Community Mental Health Block Grant is administered by the Center for Mental Health Services within the Substance Abuse and Mental Health Services Administration of the US Department of Health and Human Services


STATE MENTAL HEALTH INDICATORS BY REGION: SAMHSA Uniform Reporting System: URS Year 18 Indicators

Basic Measures North South Midwest West South West US Rate States Reporting

Penetration Rate per 1,000 population 35.62 18.18 23.82 21.19 26.34 24.81 58Community Utilization per 1,000 population 33.68 17.65 24.95 20.74 24.82 23.88 58State Hospital Utilization per 1,000 population 0.33 0.47 0.44 0.33 0.44 0.41 54Medicaid Funding Status 73% 57% 84% 82% 70% 73% 57Employment Status (percent employed) 23% 23% 25% 16% 20% 22% 56State Hospital Adult Admissions 0.52 0.96 0.84 0.52 0.91 0.80 52Community Adult Admissions 0.42 1.95 0.33 11.29 0.69 2.44 52State Hospital LOS Discharged Adult patients (Median) 81.00 46.00 21.00 93.00 69.00 89.00 50State Hospital LOS Resident Adult patients (Median) 94.00 66.00 82.00 90.00 99.00 85.00 49Percent of Client who meets SMI definition 61% 76% 61% 87% 61% 67% 44Adults with Co-occurring MH/SA Disorders 31% 26% 26% 28% 21% 28% 56Children with Co-occurring MH/SA Disorders 4% 6% 3% 11% 3% 8% 50

Basic Measures: Adult Consumer Survey Measures North South Midwest West South West US Rate States Reporting

Access to Services 88% 89% 88% 85% 84% 88% 52Quality/Appropriateness of Services 90% 92% 91% 89% 87% 90% 52Outcome from Services 76% 84% 76% 69% 66% 75% 52Participation in Treatment Planning 88% 89% 85% 80% 82% 86% 52Overall Satisfaction with Care 89% 91% 91% 89% 88% 90% 52

Basic Measures: Child/Family Consumer Survey Measures North South Midwest West South West US Rate States Reporting

Access to Services 91% 91% 84% 86% 85% 88% 46Overall Satisfaction with Care 88% 93% 84% 88% 86% 89% 47Outcome from Services 75% 84% 70% 68% 69% 72% 46Participation in Treatment Planning 92% 92% 86% 88% 90% 89% 47Cultural Sensitivity of Providers 96% 92% 93% 95% 94% 94% 45

Basic Measures: Consumer Living Situations North South Midwest West South West US Rate States Reporting

Private Residence 83% 88% 86% 73% 86% 84% 56Jail/Correctional Facility 4% 1% 1% 2% 1% 2% 51Homeless or Shelter 5% 4% 2% 8% 4% 5% 51

Basic Measures: Hospital Readmissions North South Midwest West South West US Rate States Reporting

State Hospital Readmissions: 30 Days 6% 7% 9% 3% 8% 8% 50State Hospital Readmissions: 180 Days 14% 18% 19% 14% 19% 18% 53Readmission to any psychiatric hospital: 30 Days 15% 14% 10% 7% 13% 13% 21

Basic Measures: State Mental Health Finance North South Midwest West South West US Rate States Reporting

SMHA Expenditures for Community MH 68% 63% 64% 70% 65% 67% 58

SMHA Expenditures From State Sources 37% 56% 46% 32% 63% 42% 55


Access Domain: Demographic Characteristics of Persons Served by the State Mental Health Authority, FY 2019

Michigan

Total Served Penetration Rates

State US (per 1,000 population)States

Demographics n % n % State Midwest US ReportingTotal 240,431 100.0% 8,131,606 100.0% 24.1 25.1 24.8 58

0-12 35,622 14.8% 1,298,555 16.0% 23.3 28.9 25.0 58

13-17 25,390 10.6% 991,267 12.2% 39.8 49.1 48.0 58

18-20 11,770 4.9% 383,867 4.7% 29.2 30.1 30.2 57

21-24 14,694 6.1% 460,555 5.7% 26.3 26.6 26.4 58

25-44 76,791 31.9% 2,555,127 31.4% 31.2 30.4 29.6 58

45-64 64,517 26.8% 1,995,749 24.5% 24.0 22.3 24.0 58

65-74 9,111 3.8% 304,601 3.7% 9.1 8.6 10.1 58

75 and over 2,532 1.1% 131,834 1.6% 3.6 4.3 6.1 55

Age Not Available 4 0.0% 10,051 0.1% - - - 26

Female 100,091 41.6% 4,186,941 51.5% 19.7 25.2 25.2 58

Male 110,437 45.9% 3,890,789 47.8% 22.4 23.5 24.1 58

Gender Not Available 29,903 12.4% 53,876 0.7% - - - 32

American Indian/Alaskan Native 1,214 0.5% 153,033 1.9% 16.5 41.5 37.0 52

Asian 1,002 0.4% 114,183 1.4% 3.0 7.3 5.9 55

Black/African American 45,454 18.9% 1,505,755 18.5% 32.3 39.7 34.5 53

Native Hawaiian/Pacific Islander 119 0.0% 22,105 0.3% 28.7 38.8 28.2 54

White 127,404 53.0% 4,764,687 58.6% 16.1 19.8 19.3 56

Hispanic or Latino Race * * 71,361 0.9% * - 3.1 11

Multi-Racial 26,033 10.8% 213,843 2.6% 104.7 38.3 26.1 48

Race Not Available 39,205 16.3% 1,286,639 15.8% - - - 51

Hispanic or Latino Ethnicity 12,776 5.3% 1,138,243 15.6% 24.6 14.4 20.0 51

Not Hispanic or Latino Ethnicity 178,144 74.1% 5,682,965 77.6% 18.8 23.6 22.5 55

Ethnicity Not Available 49,511 20.6% 498,292 6.8% - - - 46

Note:

This table uses data from URS Table 2a, Table 2b and from the US Census Bureau. All denominators use US Census data from 2018

State Notes:

US totals are calculated uniquely for each data element based on only those states who reported clients served.

* Reported under Hispanic Origin.

Table 2aAge NoneGender NoneRace NoneOverall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. Michigan does not

have data on pregnancy.Table 2bAge NoneGender NoneRace NoneOverall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. Michigan does not

have data on pregnancy.

Are Client Counts Unduplicated? Unduplicated

Duplicated between children and adults

Number of States with Unduplicated Counts 43

Regional groupings are based on SAMHSA's Block Grant Regions.

Reporting Period: 10/1/2017 To: 9/30/2018



Michigan

Demographics TotalAmerican Indian/Alaskan Native Asian

Black/African American

Native Hawaiian/Pacific Islander White

Hispanic (reported by ethnicity) Multi-Racial

Race Not Available

Total 0 to 12 35,622 132 160 7,122 10 17,426 3,380 5,620 5,1520 to 12 Female 10,617 48 40 2,291 2 5,855 1,074 1,832 5490 to 12 Male 21,634 84 120 4,831 8 11,571 2,306 3,788 1,2320 to 12 Gender NA 3,371 - - - - - - - 3,371

Total 240,431 1,214 1,002 45,454 119 127,404 12,776 26,033 39,205Total Female 100,091 628 450 20,697 64 62,198 5,938 11,853 4,201Total Male 110,437 586 552 24,757 55 65,206 6,838 14,180 5,101Total Gender NA 29,903 - - - - - - - 29,903

Total 13 to 17 25,390 159 103 4,240 14 12,987 2,219 3,181 4,70613 to 17 Female 10,686 80 51 1,942 9 6,533 1,138 1,470 60113 to 17 Male 11,262 79 52 2,298 5 6,454 1,081 1,711 66313 to 17 Gender NA 3,442 - - - - - - - 3,442

Total 18 to 20 11,770 73 66 1,990 5 6,200 837 1,194 2,24218 to 20 Female 4,905 45 22 916 4 3,055 412 578 28518 to 20 Male 5,203 28 44 1,074 1 3,145 425 616 29518 to 20 Gender NA 1,662 - - - - - - - 1,662

Total 65 to 74 9,111 45 27 1,624 4 5,308 200 854 1,24965 to 74 Female 4,441 27 17 846 3 2,980 109 457 11165 to 74 Male 3,631 18 10 778 1 2,328 91 397 9965 to 74 Gender NA 1,039 - - - - - - - 1,039

Total 75 and over 2,532 10 5 304 1 1,464 43 237 51175 and over Female 1,295 5 5 205 - 887 32 148 4575 and over Male 806 5 - 99 1 577 11 89 3575 and over Gender NA 431 - - - - - - - 431

Total Age Not Available 4 - - - - - - - 4Age Not Available Female - - - - - - - - -Age Not Available Male - - - - - - - - -Age Not Available Gender NA 4 - - - - - - - 4

Total 21 to 24 14,694 78 85 2,619 8 7,610 793 1,373 2,92121 to 24 Female 5,961 46 43 1,162 4 3,730 387 647 32921 to 24 Male 6,513 32 42 1,457 4 3,880 406 726 37221 to 24 Gender NA 2,220 - - - - - - - 2,220

Total 45 to 64 64,517 345 173 13,782 35 34,463 1,990 6,538 9,18145 to 64 Female 29,414 192 94 6,810 23 18,071 1,073 3,248 97645 to 64 Male 27,820 153 79 6,972 12 16,392 917 3,290 92245 to 64 Gender NA 7,283 - - - - - - - 7,283

Total 25 to 44 76,791 372 383 13,773 42 41,946 3,314 7,036 13,23925 to 44 Female 32,772 185 178 6,525 19 21,087 1,713 3,473 1,30525 to 44 Male 33,568 187 205 7,248 23 20,859 1,601 3,563 1,48325 to 44 Gender NA 10,451 - - - - - - - 10,451

Reporting Period: 10/1/2017 To: 9/30/2018Total Clients Served



Percent ServedMichigan

Note: For each age group, the top line provides the percentage that age group represents of the total number served for each race. For each gender, the percentage is of the total of that gender for that race.

Demographics TotalAmerican Indian/Alaskan

Native AsianBlack/African

AmericanNative Hawaiian/Pacific

Islander WhiteHispanic (reported by

ethnicity)Multi-Racial

Race Not Available

Total 0 to 12 14.8% 10.9% 16.0% 15.7% 8.4% 13.7% 26.5% 21.6% 13.1%0 to 12 Female 10.6% 7.6% 8.9% 11.1% 3.1% 9.4% 18.1% 15.5% 13.1%0 to 12 Male 19.6% 14.3% 21.7% 19.5% 14.5% 17.7% 33.7% 26.7% 24.2%0 to 12 Gender NA 11.3% - - - - - - - 11.3%




Total 75 and over 1.1% 0.8% 0.5% 0.7% 0.8% 1.1% 0.3% 0.9% 1.3%75 and over Female 1.3% 0.8% 1.1% 1.0% - 1.4% 0.5% 1.2% 1.1%75 and over Male 0.7% 0.9% - 0.4% 1.8% 0.9% 0.2% 0.6% 0.7%75 and over Gender NA 1.4% - - - - - - - 1.4%

Total Age Not Available 0.0% - - - - - - - 0.0%Age Not Available Female - - - - - - - - -Age Not Available Male - - - - - - - - -Age Not Available Gender NA 0.0% - - - - - - - 0.0%

Total 100.0% 0.5% 0.4% 18.9% 0.0% 53.0% 5.3% 10.8% 16.3%Total Female 41.6% 51.7% 44.9% 45.5% 53.8% 48.8% 46.5% 45.5% 10.7%Total Male 45.9% 48.3% 55.1% 54.5% 46.2% 51.2% 53.5% 54.5% 13.0%Total Gender NA 12.4% - - - - - 0.0% - 76.3%







Rate per 1,000 PopulationMichigan

Race, Gender and Age Not Available are not reported on this table because U.S. Census data does not include these categories, thus no rates can be calculated.

Demographics TotalAmerican Indian/Alaskan

Native AsianBlack/African

AmericanNative Hawaiian/Pacific

Islander WhiteHispanic (reported by

ethnicity)Multi-Racial

Race Not Available

Total 0 to 12 21.12 9.98 3.10 27.37 12.47 15.62 25.69 65.61 -0 to 12 Female 14.23 7.33 1.58 17.93 5.08 10.76 16.74 43.90 -0 to 12 Male 27.70 12.59 4.58 36.47 19.61 20.25 34.20 86.24 -

Total 24.05 16.52 2.97 32.27 28.73 16.08 24.62 104.71 -Total Female 19.73 17.02 2.63 27.99 31.13 15.56 23.29 94.15 -Total Male 22.44 16.01 3.32 37.00 26.37 16.61 25.90 115.54 -Total Gender NA - - - - - - - - -




Total 75 and over 2.95 3.67 0.44 4.51 8.70 2.34 3.76 48.92 -75 and over Female 3.09 3.22 0.78 4.79 - 2.43 4.80 51.98 -75 and over Male 2.75 4.26 - 4.02 19.61 2.22 2.30 44.54 -

Total 21 to 24 22.30 - 3.15 29.31 27.49 18.22 21.16 67.89 -21 to 24 Female 21.82 - 3.33 26.09 24.10 18.37 21.15 64.35 -21 to 24 Male 22.75 - 2.98 32.51 32.00 18.07 21.18 71.38 -





Access Domain: Persons Served in Community Mental Health Programs by Age and Gender, FY 2019

Michigan

Served in Community Penetration RatesState US (rate per 1,000 population) States

Demographic n % n % State US ReportingAge 0-17 61,012 25.4% 2,227,574 28.5% 28.2 30.7 58

Age 18-20 11,770 4.9% 369,016 4.7% 29.2 29.0 57

Age 21-64 156,002 64.9% 4,806,673 61.4% 27.3 25.7 58

Age 65+ 11,643 4.8% 413,844 5.3% 6.8 7.4 57

Age Not Available 4 0.0% 9,577 0.1% - - 24

Age Total 240,431 100.0% 7,826,684 100.0% 24.1 23.9 58

Note:

US totals are based on states reporting.

State Notes:

Age None

Gender None

Overall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. Does not include Forensic patients. State Inpatient data is taken from the Avatar system.

Female 100,091 41.6% 4,072,266 52.0% 19.7 24.5 58

Male 110,437 45.9% 3,701,181 47.3% 22.4 22.9 58

Gender Not Available 29,903 12.4% 53,237 0.7% - - 32

Total 240,431 100.0% 7,826,684 100.0% 24.1 23.9 58

US penetration rates are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

This table uses data from URS Table 3.



Access Domain: Persons Served in State Psychiatric Hospitals by Age and Gender, FY 2019

Michigan

Served in State Psychiatric Hospitals Penetration RatesState US (rate per 1,000 population) States

Demographic n % n % State US ReportingAge 0-17 180 12.5% 8,692 6.5% 0.1 0.2 37

Age 18-20 64 4.5% 5,626 4.2% 0.2 0.4 53

Age 21-64 1,132 78.8% 110,508 83.3% 0.2 0.6 54

Age 65+ 60 4.2% 7,877 5.9% 0.0 0.2 52

Age Not Available - - 7 0.0% - - 3

Age Total 1,436 100.0% 132,710 100.0% 0.1 0.4 54


State Notes:

Age None

Gender None

Overall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. Does not include Forensic patients. State Inpatient data is taken from the Avatar system.

Female 365 25.4% 42,306 31.9% 0.1 0.3 54

Male 1,071 74.6% 90,311 68.1% 0.2 0.6 54

Gender Not Available - - 93 0.1% - - 13

Total 1,436 100.0% 132,710 100.0% 0.1 0.4 54



Notes:



ACCESS DOMAIN: Persons Served by SMHA System through Medicaid and Other Funding Sources by Race, Gender, and Ethnicity, FY 2019

STATE: Michigan

State US AveragesNumber Served % Served Number Served % Served

DemographicMedicaid

Only

Non-Medicaid

Only

Both Medicaid &

Other

Total Served with Known Funding

StatusMedicaid

Only

Non-Medicaid

Only

Both Medicaid &

OtherMedicaid

Only

Non-Medicaid

Only

Both Medicaid &

Other

Total Served with Known Funding

Status Medicaid OnlyNon-Medicaid

OnlyBoth Medicaid

& OtherStates

Reporting

Female 91,671 8,420 - 100,091 92% 8% - 2,414,225 1,047,328 534,874 3,996,427 60% 26% 13% 56

Male 100,019 10,418 - 110,437 91% 9% - 2,112,220 1,061,161 520,226 3,693,607 57% 29% 14% 56

Gender Not Available 24,912 4,991 - 29,903 83% 17% - 34,871 12,378 1,279 48,528 72% 26% 3% 31

Total 216,602 23,829 - 240,431 90% 10% - 4,561,316 2,120,867 1,056,379 7,738,562 59% 27% 14% 56

American Indian or Alaska Native 1,080 134 - 1,214 89% 11% - 103,345 23,076 23,365 149,786 69% 15% 16% 51

Asian 896 106 - 1,002 89% 11% - 67,017 28,177 14,105 109,299 61% 26% 13% 53

Black or African American 42,118 3,336 - 45,454 93% 7% - 849,317 378,205 199,677 1,427,199 60% 26% 14% 52

Native Hawaiian or Other Pacific Islander

90 29 - 119 76% 24% - 10,276 6,312 4,629 21,217 48% 30% 22% 52

White 115,151 12,253 - 127,404 90% 10% - 2,570,449 1,359,706 600,306 4,530,461 57% 30% 13% 54

Hispanic or Latino * * - * * * - 32,779 23,863 5,395 62,037 53% 38% 9% 9

More Than One Race 24,656 1,377 - 26,033 95% 5% - 112,455 60,565 36,635 209,655 54% 29% 17% 46

Race Not Available 32,611 6,594 - 39,205 83% 17% - 815,678 240,963 172,267 1,228,908 66% 20% 14% 49

Total 216,602 23,829 - 240,431 90% 10% - 4,561,316 2,120,867 1,056,379 7,738,562 59% 27% 14% 56

Hispanic or Latino 11,570 1,206 - 12,776 91% 9% - 632,810 284,748 187,919 1,105,477 57% 26% 17% 50

Not Hispanic or Latino 163,262 14,882 - 178,144 92% 8% - 3,034,828 1,639,094 703,213 5,377,135 56% 30% 13% 54

Ethnicity Not Available 41,770 7,741 - 49,511 84% 16% - 254,385 122,130 68,260 444,775 57% 27% 15% 43

Total 216,602 23,829 - 240,431 90% 10% - 3,922,023 2,045,972 959,392 6,927,387 57% 30% 14% 54

Note:

This table uses data from URS tables 5a and 5b.

Type of Medicaid Data Reported

People Served by Both includes people with any Medicaid

State Notes

5a Age None

5a Gender None

5a Overall Consumers defined as 'Medicaid' if they received at least one Medicaid-covered service while they were Medicaid-eligible. Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning.

5b Overall Consumers defined as 'Medicaid' if they received at least one Medicaid-covered service while they were Medicaid-eligible. Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning.

* Reported under Hispanic Ethnicity.



Access Domain: Demographic Characteristics of Adults with SMI and Children with SED Served by the State Mental Health Authority, FY 2019Michigan

Note:This table uses data from URS Table 14a, Table 14b and from the US Census Bureau. All denominators use US Census data from 2018

State Notes:



Table 14aAge NoneGender NoneRace See General Comments for Table 14A.Overall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. See General Notes.Table 14bAge NoneGender NoneRace NoneOverall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning

Total Served Penetration Rates

State US (per 1,000 population)States

Demographics n % n % State Midwest US ReportingTotal 145,468 100.0% 5,638,887 100.0% 14.6 15.8 17.0 58

0-12 21,581 14.8% 903,601 16.0% 14.1 20.6 17.2 56

13-17 16,963 11.7% 728,885 12.9% 26.6 33.6 35.0 58

18-20 3,902 2.7% 248,214 4.4% 9.7 15.6 19.3 56

21-24 7,399 5.1% 301,271 5.3% 13.2 14.4 17.1 58

25-44 45,313 31.1% 1,725,126 30.6% 18.4 17.7 18.9 58

45-64 43,320 29.8% 1,448,787 25.7% 16.1 14.3 17.3 58

65-74 5,645 3.9% 206,496 3.7% 5.6 5.2 6.8 56

75 and over 1,345 0.9% 72,574 1.3% 1.9 2.1 3.7 53

Age Not Available - - 3,933 0.1% - - - 19

Female 72,462 49.8% 2,942,952 52.2% 14.3 16.2 17.5 58

Male 73,006 50.2% 2,684,933 47.6% 14.8 15.0 16.5 58

Gender Not Available - - 11,002 0.2% - - - 31

American Indian/Alaskan Native 820 0.6% 86,235 1.5% 11.2 26.8 20.8 52

Asian 530 0.4% 86,075 1.5% 1.6 4.2 4.5 54

Black/African American 32,742 22.5% 1,102,541 19.6% 23.2 27.3 25.2 53

Native Hawaiian/Pacific Islander 76 0.1% 17,263 0.3% 18.3 25.2 21.6 53

White 87,016 59.8% 3,264,793 57.9% 11.0 12.6 13.1 54

Hispanic or Latino Race * * 30,283 0.5% * - 0.5 10

Multi-Racial 18,884 13.0% 174,352 3.1% 76.0 27.2 19.5 48

Race Not Available 5,400 3.7% 877,345 15.6% - - - 50

Hispanic or Latino Ethnicity 8,897 6.1% 953,108 18.0% 17.1 10.3 15.9 51

Not Hispanic or Latino Ethnicity 125,746 86.4% 3,998,297 75.7% 13.3 15.3 15.0 55

Ethnicity Not Available 10,825 7.4% 332,168 6.3% - - - 46

Regional groupings are based on SAMHSA's Block Grant Regions.



Access Domain: Adults with Serious Mental Illness and Children with Serious Emotional Disturbances as a Percent of Population Served by Age, Gender, Race, and Ethnicity, FY 2019Michigan

State US StatesDemographics SMI/SED Total Served % SMI/SED Total Served % ReportingAge 0-12 21,581 35,622 60.6% 903,601 1,298,555 69.6% 56

Age 13-17 16,963 25,390 66.8% 728,885 991,267 73.5% 58

Age 18-20 3,902 11,770 33.2% 248,214 383,867 64.7% 56

Age 21-24 7,399 14,694 50.4% 301,271 460,555 65.4% 58

Age 25-44 45,313 76,791 59.0% 1,725,126 2,555,127 67.5% 58

Age 45-64 43,320 64,517 67.1% 1,448,787 1,995,749 72.6% 58

Age 65-74 5,645 9,111 62.0% 206,496 304,601 67.8% 56

Age 75 and over 1,345 2,532 53.1% 72,574 131,834 55.0% 53

Age Age Not Available - 4 - 3,933 10,051 39.1% 19

Age Total 145,468 240,431 60.5% 5,638,887 8,131,606 69.3% 58

Note:

This table uses data from URS Tables 2a, 2b, 14a, and 14b.

State Notes:

* Reported under Hispanic ethnicity.

Table 14aAge None

Gender None

Race See General Comments for Table 14A.

Overall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. See General Notes.

Table 14bAge None

Gender None

Race None

Overall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning

Female 72,462 100,091 72.4% 2,942,952 4,186,941 70.3% 58

Male 73,006 110,437 66.1% 2,684,933 3,890,789 69.0% 58

Gender Not Available - 29,903 - 11,002 53,876 20.4% 31

Gender Total 145,468 240,431 60.5% 5,638,887 8,131,606 69.3% 58

American Indian/Alaskan Native 820 1,214 68% 86,235 153,033 56.4% 52

Asian 530 1,002 53% 86,075 114,183 75.4% 54

Black/African American 32,742 45,454 72% 1,102,541 1,505,755 73.2% 53

Native Hawaiian/Pacific Islander 76 119 64% 17,263 22,105 78.1% 53

White 87,016 127,404 68% 3,264,793 4,764,687 68.5% 54

Hispanic or Latino Race * * * 30,283 71,361 42.4% 10

Multi-Racial 18,884 26,033 73% 174,352 213,843 81.5% 48

Race Not Available 5,400 39,205 14% 877,345 1,286,639 68.2% 50

Race Total 145,468 240,431 60.5% 5,638,887 8,131,606 69.3% 54

Hispanic or Latino Ethnicity 8,897 12,776 69.6% 953,108 1,138,243 83.7% 51

Not Hispanic or Latino Ethnicity 125,746 178,144 70.6% 3,998,297 5,682,965 70.4% 55

Ethnicity Not Available 10,825 49,511 21.9% 332,168 498,292 66.7% 46

Ethnicity Total 145,468 240,431 60.5% 5,283,573 7,319,500 72.2% 55

State used Federal SMI Definition? YesThis is the fourth year where data was collected via BH-TEDS, which includes a question on whether the consumer has an SMI or SED. We used the information from this BH-TEDS question rather than our previous approach of determining SMI and SED from diagnoses.

Diagnoses included in State SMI definition -State used Federal SED Definition? Yes

-Diagnoses included in State SED definition -

US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.



Access Domain: Adults with SMI and Children with SED Served in Community Mental Health Programs by Age and Gender, FY 2019

Michigan

Served in Community Penetration RatesState US (rate per 1,000 population) States

Demographic n % n % State US ReportingAge 0-17 38,544 26.5% 1,587,678 29.3% 17.8 21.9 57

Age 18-20 3,902 2.7% 238,524 4.4% 9.7 18.8 55

Age 21-64 96,032 66.0% 3,323,906 61.3% 16.8 17.8 57

Age 65+ 6,990 4.8% 264,434 4.9% 4.1 4.8 55

Age Not Available - - 3,493 0.1% - - 17

Age Total 145,468 100.0% 5,418,035 100.0% 14.6 16.6 57

Note:


State Notes:

Age None

Gender None

Overall None

Female 72,462 49.8% 2,854,070 52.7% 14.3 17.2 57

Male 73,006 50.2% 2,553,311 47.1% 14.8 15.9 57

Gender Not Available - - 10,654 0.2% - - 30

Total 145,468 100.0% 5,418,035 100.0% 14.6 16.6 57


This table uses data from URS Table 15a.



Access Domain: Adults with SMI and Children with SED Served in State Psychiatric Hospitals by Age and Gender, FY 2019

Michigan

Served in State Psychiatric Hospitals Penetration RatesState US (rate per 1,000 population) States

Demographic n % n % State US ReportingAge 0-17 - - 9,192 7.5% 0.0 0.2 28

Age 18-20 - - 5,466 4.5% 0.0 0.5 47

Age 21-64 - - 102,161 83.3% 0.0 0.6 50

Age 65+ - - 5,783 4.7% 0.0 0.1 47

Age Not Available - - 8 0.0% - - 3

Age Total - - 122,610 100.0% 0.0 0.4 50


State Notes:

Age None

Gender None

Overall None

Female - - 41,683 34.0% 0.0 0.3 49

Male - - 80,866 66.0% 0.0 0.5 50

Gender Not Available - - 61 0.0% - - 9

Total - - 122,610 100.0% 0.0 0.4 50



Notes:



Table 6 State Notes:Hospital Includes both Forensic and non-forensic. Michigan collects admission, discharge and state hospital census information through the AVATAR system which is the Electronic Medical System for

Michigan's State inpatient Hospitals.Other Inpatient Other psychiatric inpatient data is from Michigan's encounter data system.Residential NoneCommunity See General NotesOverall None

Table 3 State Notes:Age NoneOverall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. Does not include Forensic patients. State Inpatient data is taken from the Avatar

system.Gender None

This table uses data from URS Table 3 and 6.

Admission Rate= number of admissions divided by total served during the year

US Admissions During Year uses data from states reporting data only. States are only included in "US Total Served" if they also reported data on admissions.

US Total Served During Year is calculated using data in URS Table 3.

Note:

APPROPRIATENESS DOMAIN: NUMBER OF ADMISSIONS DURING THE YEAR TO STATE HOSPITAL INPATIENT AND COMMUNITY-BASED PROGRAMS, FY 2019

STATE: Michigan

State US Admission Rate

Setting Demographic Admissions During Year

Total Served At Start of Year

Total Served During Year

Admissions During Year

Total Served At Start of Year

Total Served During Year

State US States Reporting

Total 653 783 1,436 107,452 42,304 132,650 0.45 0.81 52State Psychiatric Hospitals Children 130 49 180 8,590 1,543 8,672 0.72 0.99 31

Adults 523 734 1,256 98,852 40,761 123,952 0.42 0.80 52Age NA - - - 10 - 3 - 3.33 2

Total 32,081 659 24,342 446,526 51,283 402,666 1.32 1.11 38Other Inpatient Children 5,963 115 2,292 65,031 4,526 54,814 2.60 1.19 30

Adults 26,118 544 20,695 381,381 46,586 346,062 1.26 1.10 36Age NA - - 1,355 114 171 73 - 1.56 3

Total - - - 38,174 15,916 46,949 - 0.81 33Residential Treatment Centers Children - - - 12,528 5,815 13,308 - 0.94 32

Adults - - - 25,569 10,098 32,142 - 0.80 25Age NA - - - 77 3 52 - 1.48 1

Total - 240,431 240,431 22,512,448 3,870,862 7,163,856 - 3.14 53Community Programs Children - 61,012 61,012 10,113,081 1,044,166 2,039,769 - 4.96 53

Adults - 179,415 179,415 12,372,322 2,822,270 5,074,426 - 2.44 52Age NA - 4 4 27,045 4,426 9,454 - 2.86 15



Table 6 State Notes:

Hospital Includes both Forensic and non-forensic. Michigan collects admission, discharge and state hospital census information through the AVATAR system which is the Electronic Medical System for Michigan's State inpatient Hospitals.

Other Inpatient Other psychiatric inpatient data is from Michigan's encounter data system.

Residential None

Community See General Notes

Overall None

APPROPRIATENESS DOMAIN: Length of Stays in State Psychiatric Hospitals, Other Psychiatric Inpatient and Residential Treatment Centers for Children Settings, FY 2019

STATE: Michigan

Note:

Resident clients are clients who were receiving services in inpatient settings at the end of the reporting period.


State US

Length of Stay (Days) Length of Stay (Days)

Setting Demographic Discharged Clients

Resident Clients in Facility 1 year

or less

Resident Clients in Facility more

than 1 year

Discharged Clients

Resident Clients in Facility 1 year

or less

Resident Clients in Facility more

than 1 year States

Average Median Average Median Average Median Average Median Average Median Average Median Reporting

All - - - - - - 166 50 91 63 1,584 986 12

State Hospitals Children 142 104 156 192 556 518 94 79 85 75 683 526 28

Adults 508 271 193 191 1,602 853 235 89 109 85 1,755 1,037 50

Age NA - - - - - - 16 11 13 9 - - 2

All - - - - - - 66 50 61 43 795 723 8

Other Inpatient Children 8 - 8 - - - 37 30 37 29 709 627 23

Adults 9 - 9 - - - 55 37 45 33 772 695 29

Age NA - - - - - - 10 4 29 29 - - 3

All - - - - - - 229 163 144 146 658 524 4

Residential Treatment Centers Children - - - - - - 185 159 121 122 640 584 28

Adults - - - - - - 398 339 121 121 1,001 737 21

Age NA - - - - - - 10 10 3 3 669 669 1



Appropriateness Domain: Percent of Adults and Children Served Who Meet the Federal Definition for SMI/SED and Percent of Adults and Children Served Who Have Co-Occurring MH/AOD Disorders, FY 2019

Michigan

Adults and Children who meet the Federal Definition of SMI/SED State US Average US MedianStates

ReportingPercent of Adults served through the SMHA who meet the Federal definition for SMI 59.6% 71.4% 73.0% 56

Percent of Children served through the SMHA who meet the Federal definition for SED 63.1% 70.8% 75.0% 55

Co-occurring MH and Substance Abuse Consumers State US Average US MedianStates

ReportingPercent of Adults served through the SMHA who had a co-occurring MH and AOD disorder 25.0% 27.6% 25.5% 56

Percent of Children served through the SMHA who had a co-occurring MH and AOD disorder 4.0% 7.2% 3.0% 54

Percent of Adults served through the SMHA who met the Federal definitions of SMI who also have a substance abuse diagnosis 37.0% 27.9% 25.0% 55

Percent of Children served through the SMHA who met the Federal definitions of SED who also have a substance abuse diagnosis 5.0% 8.6% 4.0% 53

Note

State NotesSee General Comments for Table 12.


How are the number of clients with co-occurring disorders counted and calculated?

Agencies identify the individual’s substance Use problem (up to 3 substances)



APPROPRIATENESS DOMAIN: Living Situation of Consumers Served by State Mental Health Agency Systems, FY 2019

State US

SettingsLiving

Situation

Percent in Living

Situation

Percent with Known Living

SituationLiving

SituationPercent in

Living Situation


SituationStates

ReportingPrivate Residence 169,783 70.6% 80.6% 4,133,022 56.3% 83.7% 56

Foster Home 3,420 1.4% 1.6% 60,565 0.8% 1.2% 47

Residential Care 15,006 6.2% 7.1% 180,140 2.5% 3.6% 52

Crisis Residence 159 0.1% 0.1% 7,867 0.1% 0.2% 30

Residential Treatment Center 175 0.1% 0.1% 10,329 0.1% 0.2% 32

Institutional Setting 2,148 0.9% 1.0% 66,291 0.9% 1.3% 52

Jail (Correctional Facility) 3,493 1.5% 1.7% 113,677 1.5% 2.3% 51

Homeless (Shelter) 8,404 3.5% 4.0% 222,985 3.0% 4.5% 51

Other 7,940 3.3% 3.8% 144,626 2.0% 2.9% 42

Not Available 29,903 12.4% - 2,403,479 32.7% - 49

Total 240,431 100.0% 100.0% 7,342,981 100.0% 100.0% 56

Note:

US totals based on states reporting.

State Notes:

Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. See General Notes for Table 15.


When is Living Situation Measured: At Admission At Discharge Updated Monthly Updated quarterly Other Time Period

MI - - - - At least yearly

U.S. 40 28 2 7 30

Michigan Reporting Period: 10/1/2017 To: 9/30/2018


APPROPRIATENESS DOMAIN: Living Situation of Consumers Served by State Mental Health Agency Systems, FY 2019

STATE: Michigan


State US

Age Group SettingLiving

Situation

Percent in Living

Situation


SituationLiving

SituationPercent in

Living Situation


SituationStates

ReportingPrivate Residence 169,783 70.6% 80.6% 4,133,022 56.3% 83.7% 56

Foster Home 3,420 1.4% 1.6% 60,565 0.8% 1.2% 47



Residential Treatment Center

175 0.1% 0.1% 10,329 0.1% 0.2% 32

All Persons Served Institutional Setting 2,148 0.9% 1.0% 66,291 0.9% 1.3% 52



Other 7,940 3.3% 3.8% 144,626 2.0% 2.9% 42

Not Available 29,903 12.4% - 2,403,479 32.7% - 49

Total 240,431 100.0% 100.0% 7,342,981 100.0% 100.0% 56

Private Residence 49,877 81.7% 92.0% 1,185,490 58.5% 91.6% 55

Foster Home 2,708 4.4% 5.0% 45,000 2.2% 3.5% 47

Residential Care - - - 14,711 0.7% 1.1% 44



175 0.3% 0.3% 7,360 0.4% 0.6% 29

Children under age 18 Institutional Setting 65 0.1% 0.1% 4,365 0.2% 0.3% 44

Jail (Correctional Facility) 276 0.5% 0.5% 7,056 0.3% 0.5% 45

Homeless (Shelter) 293 0.5% 0.5% 6,523 0.3% 0.5% 49

Other 771 1.3% 1.4% 23,184 1.1% 1.8% 39

Not Available 6,813 11.2% - 732,404 36.1% - 47

Total 61,012 100.0% 100.0% 2,027,276 100.0% 100.0% 56

Private Residence 119,906 66.8% 76.7% 2,937,209 55.4% 80.9% 55

Foster Home 712 0.4% 0.5% 15,528 0.3% 0.4% 42




- - - 2,969 0.1% 0.1% 21

Adults over age 18 Institutional Setting 2,083 1.2% 1.3% 61,538 1.2% 1.7% 51



Other 7,169 4.0% 4.6% 121,178 2.3% 3.3% 42

Not Available 23,086 12.9% - 1,665,326 31.4% - 49

Total 179,415 100.0% 100.0% 5,298,040 100.0% 100.0% 55

State Notes:




APPROPRIATENESS DOMAIN: Persons Who were Homeless by Age, Gender, Race, and Ethnicity, FY 2019

STATE: Michigan

Note:


State Notes:




Homeless or Living in Shelters Percent of Total with Known Living Situation

State US State US States

Demographic N % N % % % Reporting

Age 0 to 17 293 3.5% 6,523 2.9% 0.5% 0.5% 49

Age 18 to 64 7,964 94.8% 209,978 94.2% 5.4% 6.3% 50

Age 65+ 147 1.7% 6,216 2.8% 1.4% 2.2% 49

Age Not Available - - 268 0.1% - 2.2% 10

Age Total 8,404 100.0% 222,985 100.0% 4.0% 4.5% 51

Female 3,398 40.4% 88,121 39.5% 3.4% 3.5% 51

Male 5,006 59.6% 134,512 60.3% 4.5% 5.6% 51

Gender Not Available - - 352 0.2% - 2.8% 22

Gender Total 8,404 100.0% 222,985 100.0% 4.0% 4.5% 51

American Indian or Alaska Native 64 0.8% 5,070 2.3% 5.3% 5.8% 47

Asian 10 0.1% 1,997 0.9% 1.0% 2.8% 43

Black or African American 3,041 36.2% 67,644 30.3% 6.7% 6.9% 50

Native Hawaiian or Other Pacific Islander 6 0.1% 586 0.3% 5.0% 4.7% 40

White 4,020 47.8% 113,100 50.7% 3.2% 3.8% 50

Hispanic or Latino * * 1,937 0.9% * 3.4% 8

More Than One Race 1,002 11.9% 7,436 3.3% 3.8% 3.9% 45

Race Not Available 261 3.1% 25,215 11.3% 2.8% 4.5% 45

Race Total 8,404 100.0% 222,985 100.0% 4.0% 4.5% 51

Hispanic or Latino 418 5.0% 38,199 17.1% 3.3% 3.8% 49

Not Hispanic or Latino 7,366 87.6% 171,693 77.0% 4.1% 4.8% 49

Not Available 620 7.4% 13,093 5.9% 3.2% 4.0% 45

Ethnicity Total 8,404 100.0% 222,985 100.0% 4.0% 4.5% 51




Appropriateness Domain: Persons Living in Private Residence by Age, Gender, Race and Ethnicity, FY 2019

Michigan

Living in Private Residence Percent of Total Consumers ServedState US Living in Private Residences States

Demographics n % n % State US ReportingAge 0-17 49,877 29.4% 1,185,490 28.7% 92.0% 91.6% 55

Age 18-64 114,594 67.5% 2,721,386 65.8% 78.4% 81.2% 55

Age 65+ 5,312 3.1% 215,823 5.2% 52.2% 76.8% 54

Age Not Available - - 10,323 0.2% - 86.6% 19

Age Total 169,783 100.0% 4,133,022 100.0% 80.6% 83.7% 55

Note:

US Totals are based on states reporting.

State Notes:

Female 82,727 48.7% 2,215,748 53.6% 82.7% 87.1% 56

Male 87,056 51.3% 1,906,381 46.1% 78.8% 80.0% 56

Gender Not Available - - 10,893 0.3% - 87.6% 31

Gender Total 169,783 100.0% 4,133,022 100.0% 80.6% 83.7% 56

American Indian/Alaskan Native 960 0.6% 69,160 1.7% 79.1% 79.3% 51

Asian 860 0.5% 62,376 1.5% 85.8% 86.4% 54

Black/African American 35,490 20.9% 777,484 18.8% 78.1% 79.4% 50

Native Hawaiian/Pacific Islander 94 0.1% 9,512 0.2% 79.0% 76.8% 53

White 103,535 61.0% 2,529,855 61.2% 81.3% 85.0% 53

Hispanic or Latino Race * * 50,466 1.2% * 88.0% 10

Multi-Racial 20,978 12.4% 160,779 3.9% 80.6% 84.0% 47

Race Not Available 7,866 4.6% 473,390 11.5% 84.6% 83.9% 47Race Total 169,783 100.0% 4,133,022 100.0% 80.6% 83.7% 54

Hispanic or Latino Ethnicity 11,042 6.5% 867,195 21.0% 86.4% 85.8% 49

Not Hispanic or Latino Ethnicity 144,265 85.0% 2,991,095 72.4% 81.0% 83.0% 54

Ethnicity Not Available 14,476 8.5% 274,732 6.6% 73.8% 84.1% 46

Ethnicity Total 169,783 100.0% 4,133,022 100.0% 80.6% 83.7% 54







Appropriateness Domain: Persons Who Were in Jails or Correctional Settings by Age, Gender, Race and Ethnicity, FY 2019

Michigan

Note:

US Totals are based on states reporting.

State Notes:Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. See General Notes for Table 15.




Living in Jails and other Correctional Settings Percent of Total Consumers Served

State USLiving in Jails and other Correctional

Settings StatesDemographics n % n % State US ReportingAge 0-17 276 7.9% 7,056 6.2% 0.5% 0.5% 45

Age 18-64 3,172 90.8% 104,718 92.1% 2.2% 3.1% 50

Age 65+ 45 1.3% 1,633 1.4% 0.4% 0.6% 38

Age Not Available - - 270 0.2% - 2.3% 3

Age Total 3,493 100.0% 113,677 100.0% 1.7% 2.3% 50

Female 972 27.8% 21,354 18.8% 1.0% 0.8% 49

Male 2,521 72.2% 92,109 81.0% 2.3% 3.9% 51

Gender Not Available - - 214 0.2% - 1.7% 15

Gender Total 3,493 100.0% 113,677 100.0% 1.7% 2.3% 51

American Indian/Alaskan Native 19 0.5% 2,217 2.0% 1.6% 2.5% 41

Asian 13 0.4% 616 0.5% 1.3% 0.9% 34

Black/African American 699 20.0% 37,485 33.0% 1.5% 3.8% 49

Native Hawaiian/Pacific Islander 1 0.0% 216 0.2% 0.8% 1.7% 30

White 2,109 60.4% 54,550 48.0% 1.7% 1.8% 49

Hispanic or Latino Race * * 159 0.1% * 0.3% 3

Multi-Racial 195 5.6% 1,853 1.6% 0.7% 1.0% 39

Race Not Available 457 13.1% 16,581 14.6% 4.9% 2.9% 44Race Total 3,493 100.0% 113,677 100.0% 1.7% 2.3% 49

Hispanic or Latino Ethnicity 220 6.3% 22,021 19.4% 1.7% 2.2% 45

Not Hispanic or Latino Ethnicity 2,240 64.1% 84,383 74.2% 1.3% 2.3% 49

Ethnicity Not Available 1,033 29.6% 7,273 6.4% 5.3% 2.2% 40

Ethnicity Total 3,493 100.0% 113,677 100.0% 1.7% 2.3% 49



Appropriateness Domain: Evidence-Based Practices Reported by SMHAs, FY 2019

Michigan

State US Penetration Rate: % of Consumers Receiving EBP/Estimated SMI

Measuring Fidelity

Adult EBP Services EBP N SMI N EBP N SMI N State US Average State USStates

ReportingSupported Housing 625 106,924 97,515 3,843,815 0.6% 3.1% Yes 8 32Supported Employment 3,954 106,924 72,250 3,843,815 3.7% 2.0% Yes 23 42Assertive Community Treatment 4,185 106,924 72,957 3,843,815 3.9% 1.9% Yes 28 43Family Psychoeducation 134 106,924 39,074 3,843,815 0.1% 2.5% Yes 5 16Dual Diagnosis Treatment 1,417 106,924 234,329 3,843,815 1.3% 10.4% Yes 8 26Illness Self Management - - 317,463 3,843,815 - 18.9% - 5 20Medication Management - - 547,936 3,843,815 - 31.3% - 1 20

Note:

This table uses data from URS Tables 16 and 17.

US averages are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:

Table 16: Data taken from the CHAMPS data warehouse.Consumers who report 'some other race' are counted above as race 'not available'. See General Notes.

Table 17: None

State US Penetration Rate: % of Consumers Receiving EBP/Estimated SED

Measuring Fidelity

Child/Adolescent EBP Services EBP N SED N EBP N SED N State US Average State US

States Reporting

Therapeutic Foster Care 7 38,544 5,390 1,372,820 0.0% 0.7% No 4 22Multi-Systemic Therapy 295 38,544 33,517 1,372,820 0.8% 4.2% Yes 8 19Family Functional Therapy - - 35,054 1,372,820 - 5.9% - 6 15




Appropriateness Domain: Assertive Community Treatment, By Age, Gender, Race and Ethnicity FY 2019

Michigan

Note:

US totals are based on states reporting.This table uses data from URS Table 16.

State Notes:

Assertive Community Treatment Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States

Demographics n % n % State US State US ReportingTotal 4,185 100.0% 72,957 100.0% 106,924 3,843,815 3.9% 1.9% 43

1. Do you monitor fidelity for EBP? Yes States Measuring Fidelity= 282. IF YES what fidelity measure is used? - 3. Who conducts fidelity measure? - 4. How often is fidelity measured? - 5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation? Yes SAMHSA Toolkit Used= 186. Have staff been specifically trained to implement the EBP? Yes EBP Training= 24

American Indian or Alaska Native 26 0.6% 732 1.0% 629 43,903 4.1% 1.7% 32Asian 25 0.6% 1,281 1.8% 427 65,186 5.9% 2.0% 34Black or African American 956 22.8% 20,719 28.4% 24,668 715,753 3.9% 2.9% 36Native Hawaiian or Other Pacific Islander

3 0.1% 634 0.9% 58 9,832 5.2% 6.4% 23

White 2,512 60.0% 35,863 49.2% 65,112 2,095,695 3.9% 1.7% 37Hispanic or Latino Race - - 65 0.1% - 6,970 - 0.9% 5More Than One Race 556 13.3% 2,271 3.1% 12,314 99,559 4.5% 2.3% 31Race Not Available 107 2.6% 11,392 15.6% 3,716 806,917 2.9% 1.4% 37

Hispanic or Latino Ethnicity 141 3.4% 10,603 14.5% 5,030 585,070 2.8% 1.8% 36Not Hispanic or Latino Ethnicity 3,803 90.9% 53,655 73.5% 93,809 2,624,042 4.1% 2.0% 38Ethnicity Not Available 241 5.8% 8,699 11.9% 8,085 634,703 3.0% 1.4% 30

US percentages are calculated uniquely for each data element based on only those states who reported numerator (clients served) data and denominator (total SMI data)

Age 18 to 20 49 1.2% 2,144 2.9% 3,902 201,030 1.3% 1.1% 36Age 21 to 64 3,893 93.0% 61,217 83.9% 96,032 3,049,807 4.1% 2.0% 39Age 65 to 74 225 5.4% 3,620 5.0% 5,645 181,015 4.0% 2.0% 37Age 75 and over 18 0.4% 426 0.6% 1,345 55,060 1.3% 0.8% 34Age Not Available - - 5,550 7.6% - 356,903 - 1.6% 8

Female 1,674 40.0% 27,829 38.1% 56,528 1,883,276 3.0% 1.5% 39Male 2,511 60.0% 39,708 54.4% 50,396 1,594,105 5.0% 2.5% 39Gender Not Avaiable - - 5,420 7.4% - 366,434 - 1.5% 10

Measures Fidelity 4,185 52,585 72.1% 106,924 2,346,210 3.9% 2.2% 28

Does Not Measure Fidelity - 20,372 27.9% - 1,407,900 - 1.4% 15

Data taken from the CHAMPS data warehouse.Consumers who report 'some other race' are counted above as race 'not available'. See General Notes.

Procedure Code = H0039



Appropriateness Domain: Supported Employment, by Age, Gender, Race and Ethnicity FY 2019

Michigan

Note:


State Notes:Procedure Code = H2023

Supported Employment Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States



American Indian or Alaska Native 19 0.5% 771 1.1% 629 43,903 3.0% 1.8% 30Asian 24 0.6% 729 1.0% 427 65,186 5.6% 1.1% 29Black or African American 930 23.5% 14,069 19.5% 24,668 715,753 3.8% 2.0% 34Native Hawaiian or Other Pacific Islander

4 0.1% 83 0.1% 58 9,832 6.9% 0.8% 21






Female 1,683 42.6% 31,267 43.3% 56,528 1,883,276 3.0% 1.7% 36Male 2,271 57.4% 33,378 46.2% 50,396 1,594,105 4.5% 2.1% 37Gender Not Avaiable - - 7,605 10.5% - 366,434 - 2.1% 15

Measures Fidelity 3,954 60,071 83.1% 106,924 1,577,948 3.7% 3.8% 23




Appropriateness Domain: Supported Housing, by Age, Gender, Race and Ethnicity FY 2019

Michigan

Note:


State Notes:Data taken from the CHAMPS data warehouse.Consumers who report 'some other race' are counted above as race 'not available'. See General Notes.Procedure Code = T2038

Supported Housing Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States

Demographics n % n % State US State US ReportingTotal 625 100.0% 97,515 100.0% 106,924 3,843,815 0.6% 2.5% 32


American Indian or Alaska Native 1 0.2% 740 0.8% 629 43,903 0.2% 1.7% 24Asian 2 0.3% 1,105 1.1% 427 65,186 0.5% 1.7% 23Black or African American 255 40.8% 36,774 37.7% 24,668 715,753 1.0% 5.1% 28Native Hawaiian or Other Pacific Islander

- - 182 0.2% 58 9,832 - 1.9% 18

White 206 33.0% 44,507 45.6% 65,112 2,095,695 0.3% 2.1% 29Hispanic or Latino Race - - 102 0.1% - 6,970 - 1.5% 2More Than One Race 144 23.0% 1,228 1.3% 12,314 99,559 1.2% 1.2% 24Race Not Available 17 2.7% 12,877 13.2% 3,716 806,917 0.5% 1.6% 28

Hispanic or Latino Ethnicity 26 4.2% 12,166 12.5% 5,030 585,070 0.5% 2.1% 26Not Hispanic or Latino Ethnicity 573 91.7% 72,015 73.9% 93,809 2,624,042 0.6% 2.7% 28Ethnicity Not Available 26 4.2% 13,334 13.7% 8,085 634,703 0.3% 2.1% 23



Age 18 to 20 4 0.6% 1,982 2.0% 3,902 201,030 0.1% 1.0% 26Age 21 to 64 605 96.8% 81,861 83.9% 96,032 3,049,807 0.6% 2.7% 29Age 65 to 74 16 2.6% 5,464 5.6% 5,645 181,015 0.3% 3.0% 29Age 75 and over - - 654 0.7% 1,345 55,060 - 1.2% 25Age Not Available - - 7,554 7.7% - 356,903 - 2.1% 9

Female 415 66.4% 44,972 46.1% 56,528 1,883,276 0.7% 2.4% 29Male 210 33.6% 44,971 46.1% 50,396 1,594,105 0.4% 2.8% 29Gender Not Avaiable - - 7,572 7.8% - 366,434 - 2.1% 10

Measures Fidelity 625 19,523 20.0% 106,924 656,410 0.6% 3.0% 8




Appropriateness Domain: Therapeutic Foster Care, by Age, Gender, Race and Ethnicity FY 2019

Michigan

Note:


State Notes:

Collected directly from programs that provide the EBP. Total number served is the only data collected.

Therapeutic Foster Care Children with SED in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SED States


American Indian or Alaska Native - - 37 0.7% 191 23,397 - 0.2% 10Asian - - 26 0.5% 103 14,325 - 0.2% 5Black or African American - - 808 15.0% 8,074 212,434 - 0.4% 16Native Hawaiian or Other Pacific Islander

- - 22 0.4% 18 4,008 - 0.5% 3

White - - 2,110 39.1% 21,904 604,733 - 0.3% 18Hispanic or Latino Race - - 15 0.3% - 3,185 - 0.5% 2More Than One Race - - 347 6.4% 6,570 64,700 - 0.5% 13Race Not Available 7 100.0% 2,025 37.6% 1,684 446,038 0.4% 0.5% 17

Hispanic or Latino Ethnicity - - 689 12.8% 3,867 295,018 - 0.2% 12Not Hispanic or Latino Ethnicity - - 2,319 43.0% 31,937 765,470 - 0.3% 17Ethnicity Not Available 7 100.0% 2,382 44.2% 2,740 312,332 0.3% 0.8% 12



Age 0 to 12 - - 2,064 43.3% 21,581 620,714 - 0.3% 16Age 13 to 17 - - 1,715 35.9% 16,963 515,764 - 0.3% 17Age 18 to 20 - - 324 6.8% - 76,303 - 0.4% 10Age Not Available 7 100.0% 1,287 14.0% - 160,039 - 0.8% 5

Female - - 1,891 35.1% 15,934 547,303 - 0.3% 18Male - - 2,213 41.1% 22,610 665,136 - 0.3% 17Gender Not Available 7 100.0% 1,286 23.8% - 160,381 - 0.8% 4

1. Do you monitor fidelity for EBP? No States Measuring Fidelity= 4

2. IF YES what fidelity measure is used? -

3. Who conducts fidelity measure? -

4. How often is fidelity measured? -

5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation? Yes SAMHSA Toolkit Used= 4

6. Have staff been specifically trained to implement the EBP? Yes EBP Training= 7

Notes:



Appropriateness Domain: Multi-Systemic Therapy by Age, Gender, Race and Ethnicity FY 2019

Michigan

Note:


Multisystemic Therapy (MST) Children with SED in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SED States

Demographics n % n % State US State US ReportingTotal 295 100% 33,517 100.0% 38,544 1,372,820 0.8% 2.4% 19

1. Do you monitor fidelity for EBP? Yes States Measuring Fidelity= 8







- - 89 0.3% 18 4,008 - 2.2% 6

White 166 56.3% 19,411 57.9% 21,904 604,733 0.8% 3.2% 16Hispanic or Latino Race - - 292 0.9% - 3,185 - 9.2% 4More Than One Race 53 18.0% 3,351 10.0% 6,570 64,700 0.8% 5.2% 12Race Not Available 7 2.4% 2,875 8.6% 1,684 446,038 0.4% 0.6% 16

Hispanic or Latino Ethnicity 33 11% 7,347 21.9% 3,867 295,018 0.9% 2.5% 16Not Hispanic or Latino Ethnicity 241 82% 25,482 76.0% 31,937 765,470 0.8% 3.3% 17Ethnicity Not Available 21 7% 688 2.1% 2,740 312,332 0.8% 0.2% 12



Age 0 to 12 19 6% 13,203 39.4% 21,581 620,714 0.1% 2.1% 16Age 13 to 17 276 94% 13,928 41.6% 16,963 515,764 1.6% 2.7% 17Age 18 to 20 - - 5,545 16.5% - 76,303 - 7.3% 8Age Not Available - - 841 2.5% - 160,039 - 0.5% 2

Female 89 30% 15,503 46.3% 15,934 547,303 0.6% 2.8% 18Male 206 70% 17,729 52.9% 22,610 665,136 0.9% 2.7% 18Not Available - - 285 0.9% - 160,381 - 0.2% 3

State Notes:

Procedure Code = H2033. See General Notes for table 16.



Appropriateness Domain: Family Functional Therapy by Age, Gender Race and Ethnicity FY 2019

Michigan

Note:


State Notes:

Family Functional Therapy Children with SED in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SED States

Demographics n % n % State US State US ReportingTotal - - 35,054 100.0% 38,544 1,372,820 - 2.6% 15

1. Do you monitor fidelity for EBP? - States Measuring Fidelity= 6




5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation? - SAMHSA Toolkit Used= 3

6. Have staff been specifically trained to implement the EBP? - EBP Training= 7

American Indian or Alaska Native - - 89 0.3% 191 23,397 - 0.4% 8Asian - - 276 0.8% 103 14,325 - 1.9% 9Black or African American - - 7,296 20.8% 8,074 212,434 - 3.4% 13Native Hawaiian or Other Pacific Islander

- - 75 0.2% 18 4,008 - 1.9% 6

White - - 20,798 59.3% 21,904 604,733 - 3.4% 11Hispanic or Latino Race - - 3 0.0% - 3,185 - 0.1% 3More Than One Race - - 3,294 9.4% 6,570 64,700 - 5.1% 10Race Not Available - - 3,223 9.2% 1,684 446,038 - 0.7% 12

Hispanic or Latino Ethnicity - - 8,134 23.2% 3,867 295,018 - 2.8% 13Not Hispanic or Latino Ethnicity - - 26,225 74.8% 31,937 765,470 - 3.4% 13Ethnicity Not Available - - 695 2.0% 2,740 312,332 - 0.2% 9



Age 0 to 12 - - 14,730 42.0% 21,581 620,714 - 2.4% 12Age 13 to 17 - - 14,446 41.2% 16,963 515,764 - 2.8% 14Age 18 to 20 - - 5,446 15.5% - 76,303 - 7.1% 7Age Not Available - - 432 1.2% - 160,039 - 0.3% 2

Female - - 16,452 46.9% 15,934 547,303 - 3.0% 14Male - - 18,170 51.8% 22,610 665,136 - 2.7% 12Gender Not Avaiable - - 432 1.2% - 160,381 - 0.3% 2

Data taken from the CHAMPS data warehouse.Consumers who report 'some other race' are counted above as race 'not available'. See General Notes.

Michigan does not provide FFT any longer.



Appropriateness Domain: Family Psychoeducation by Age, Gender, Race and Ethnicity FY 2019

Michigan

Note:


Family Psychoeducation Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States









- - 125 0.3% 58 9,832 - 1.3% 8

White 96 71.6% 23,292 59.6% 65,112 2,095,695 0.1% 1.1% 12Hispanic or Latino Race - - 46 0.1% - 6,970 - 0.7% 2More Than One Race 17 12.7% 2,521 6.5% 12,314 99,559 0.1% 2.5% 11Race Not Available 1 0.7% 4,314 11.0% 3,716 806,917 0.0% 0.5% 12

Hispanic or Latino Ethnicity 11 8.2% 7,853 20.1% 5,030 585,070 0.2% 1.3% 12Not Hispanic or Latino Ethnicity 111 82.8% 26,170 67.0% 93,809 2,624,042 0.1% 1.0% 12Ethnicity Not Available 12 9.0% 5,051 12.9% 8,085 634,703 0.1% 0.8% 12



Age 18 to 20 5 3.7% 2,530 6.5% 3,902 201,030 0.1% 1.3% 12Age 21 to 64 123 91.8% 32,141 82.3% 96,032 3,049,807 0.1% 1.1% 14Age 65 to 74 6 4.5% 1,394 3.6% 5,645 181,015 0.1% 0.8% 11Age 75 and over - - 330 0.8% 1,345 55,060 - 0.6% 7Age Not Available - - 2,679 6.9% - 356,903 - 0.8% 3


State Notes:

Procedure codes = S5110, G0177, and T1015. See General Notes for Table 17.



Appropriateness Domain: Integrated Treatment for Dual Diagnosis by Age, Gender, Race and Ethnicity FY 2019

Michigan

Note:


Integrated Treatment for Dual Diagnosis Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States








American Indian or Alaska Native 11 0.8% 2,339 1.0% 629 43,903 1.7% 5.3% 22Asian 3 0.2% 4,576 2.0% 427 65,186 0.7% 7.0% 20Black or African American 194 13.7% 33,865 14.5% 24,668 715,753 0.8% 4.7% 23Native Hawaiian or Other Pacific Islander

- - 856 0.4% 58 9,832 - 8.7% 16



US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.This table uses data from URS Tables 16 and 17.



State Notes:

Dual Diagnosis Integrated Treatment is defined by any of the HCPCS codes with both a HH and TG modifier.



Appropriateness Domain: Illness Self-Management by Age, Gender, Race and Ethnicity FY 2019

Michigan

Note:


Illness Self-Management Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SED States








American Indian or Alaska Native - - 1,744 0.5% 629 43,903 - 4.0% 16Asian - - 3,226 1.0% 427 65,186 - 4.9% 16Black or African American - - 66,024 20.8% 24,668 715,753 - 9.2% 15Native Hawaiian or Other Pacific Islander

- - 296 0.1% 58 9,832 - 3.0% 13

White - - 217,724 68.6% 65,112 2,095,695 - 10.4% 15Hispanic or Latino Race - - 761 0.2% - 6,970 - 10.9% 2More Than One Race - - 12,544 4.0% 12,314 99,559 - 12.6% 16Race Not Available - - 15,144 4.8% 3,716 806,917 - 1.9% 17

Hispanic or Latino Ethnicity - - 66,328 20.9% 5,030 585,070 - 11.3% 16Not Hispanic or Latino Ethnicity - - 238,473 75.1% 93,809 2,624,042 - 9.1% 17Ethnicity Not Available - - 12,662 4.0% 8,085 634,703 - 2.0% 14



Age 18 to 20 - - 16,731 5.3% 3,902 201,030 - 8.3% 16Age 21 to 64 - - 277,535 87.4% 96,032 3,049,807 - 9.1% 18Age 65 to 74 - - 12,084 3.8% 5,645 181,015 - 6.7% 16Age 75 and over - - 2,882 0.9% 1,345 55,060 - 5.2% 15Age Not Available - - 8,231 2.6% - 356,903 - 2.3% 7

Female - - 162,643 51.2% 56,528 1,883,276 - 8.6% 18Male - - 147,074 46.3% 50,396 1,594,105 - 9.2% 18Gender Not Avaiable - - 7,746 2.4% - 366,434 - 2.1% 8

State Notes:

Michigan does not provide this EBP service



Appropriateness Domain: Medication Management by Age, Gender, Race and Ethnicity FY 2019

Michigan

Note:


Medication Management Adults with SMI in Penetration Rate: Percent ofState US States Reporting EBP Consumers Receiving EBP/Estimated SMI States








American Indian or Alaska Native - - 2,366 0.4% 629 43,903 - 5.4% 16Asian - - 6,969 1.3% 427 65,186 - 10.7% 16Black or African American - - 107,264 19.6% 24,668 715,753 - 15.0% 16Native Hawaiian or Other Pacific Islander

- - 1,041 0.2% 58 9,832 - 10.6% 16

White - - 377,413 68.9% 65,112 2,095,695 - 18.0% 16Hispanic or Latino Race - - 582 0.1% - 6,970 - 8.4% 2More Than One Race - - 13,419 2.4% 12,314 99,559 - 13.5% 14Race Not Available - - 38,882 7.1% 3,716 806,917 - 4.8% 16

Hispanic or Latino Ethnicity - - 83,763 15.3% 5,030 585,070 - 14.3% 17Not Hispanic or Latino Ethnicity - - 445,753 81.4% 93,809 2,624,042 - 17.0% 18Ethnicity Not Available - - 18,420 3.4% 8,085 634,703 - 2.9% 14



Age 18 to 20 - - 25,448 4.6% 3,902 201,030 - 12.7% 18Age 21 to 64 - - 491,598 89.7% 96,032 3,049,807 - 16.1% 19Age 65 to 74 - - 25,898 4.7% 5,645 181,015 - 14.3% 18Age 75 and over - - 4,960 0.9% 1,345 55,060 - 9.0% 16Age Not Available - - 32 0.0% - 356,903 - 0.0% 3

Female - - 310,421 56.7% 56,528 1,883,276 - 16.5% 19Male - - 237,404 43.3% 50,396 1,594,105 - 14.9% 19Gender Not Avaiable - - 111 0.0% - 366,434 - 0.0% 8

State Notes:

Michigan does not provide this EBP service



Appropriateness Domain: Adults with SMI and Children with SED Receiving Evidence-Based Services for First Episode Psychosis (FEP), 2019

Michigan

State US

N % N % States Reporting

Adult CSC-FEP Admissions 55 82.1% 17,594 65.1% 46

Children/Adolescent CSC-FEP Admissions 12 17.9% 9,421 34.9% 43

Total CSC-FEP Admissions 67 100.0% 27,015 100.0% 47

Total Programs Reporting Number of Admissions 4 100.0% 237 91.9% 48

Average Admissions per Program 16.8 - 104.7 - 47

Note: This table use data from URS Table 16a.

Admissions to Coordinated Specialty Care (CSC)-FEP Service During the Year

State US


Adults Receiving CSC-FEP Services 158 92.9% 19,481 87.6% 46

Children/Adolescents Receiving CSC-FEP Services 12 7.1% 2,769 12.4% 43

Total Receiving CSC-FEP Services 170 100.0% 22,250 100.0% 47

Total Programs Reporting Number of Clients Receiving Services 4 100.0% 238 92.2% 48

Average Number of Clients Services per Program 42.5 - 86.2 - 47

Clients Currently Receiving CSC-FEP Services

State US


Number of Programs Measuring Fidelity 4 100.0% 190 73.6% 47

Number of Programs with Staff Training Specifically in CSC EBP 4 100.0% 221 85.7% 44

CSC-FEP Fidelity and Training

State US

Number of Programs

Clients Served

Average Number of Clients Served

Per Program

Number of Programs

Clients Served

Average Number of Clients Served

Per Program

States Reporting

Programs with Fidelity 4 170 42.50 190 7,787 40.98 36

Programs without Fidelity - - - 68 14,463 212.69 16

Clients Served by Programs With and Without CSC-FEP Fidelity

Number of coordinated specialty care programs: 4



Outcomes Domain: Employment Status of Adult Mental Health Consumers Served in the Community by Age and Gender, FY 2019

Michigan

StateEmployed as Percent of those in Labor

ForceEmployed as Percent of Known

Employment Status

Demographics Employed Unemployed In Labor Force*With Known

Employment Status** State US State USStates

ReportingAge 18 to 20 1,812 3,651 5,463 10,108 33% 50% 17.9% 19.7% 56Age 21 to 64 20,490 48,850 69,340 136,048 30% 47% 15.1% 23.0% 57Age 65 and over 218 1,640 1,858 10,173 12% 40% 2.1% 10.0% 56Age Not Available - - - - - 68% - 28.5% 8Age TOTAL 22,520 54,141 76,661 156,329 29% 47% 14.4% 21.7% 57

Note:

State Notes:

Age None

Gender None

Overall Data are from the FY18 Section 904 Quality Improvement File, Division of Quality Management and Planning. See General Notes

Female 12,081 26,868 38,949 78,788 31% 49% 15.3% 22.6% 57Male 10,439 27,273 37,712 77,541 28% 44% 13.5% 20.7% 57Gender Not Available - - - - - 37% - 22.0% 30Gender TOTAL 22,520 54,141 76,661 156,329 29% 47% 14.4% 21.7% 57

When is Employment Status Measured? At Admission At Discharge Monthly Quarterly OtherMI Yes - - - At least yearly

US 43 30 3 7 26

What populations are reported? All Clients Number of States Reporting All Clients: 46 Number of States Reporting Some Clients: 10

*In Labor Force is the sum of consumers employed and unemployed.

**With Known Employment Status is the sum of consumer employed, unemployed and not in labor force.

Consumers employed as a % of those in labor force uses adults employed and unemployed as the denominator.

Consumers employed as % of known employment status uses the sum of persons employed, unemployed and not in labor force as the denominator.




Outcomes Domain: Employment Status of Adult Mental Health Consumers Served in the Community by Diagnosis, FY 2019

Michigan

State Employed as a % of Labor Force

Employed as % of Known Employment Status

% of Consumers with Dx

Diagnosis Employed Unemployed In Labor Force*With Known Employment

Status**State US State US State US States

Reporting

Schizophrenia and Related Disorders 1,835 7,365 9,200 26,795 19.9% 30.1% 6.8% 9.2% 17.1% 13.5% 50

Bipolar and Mood Disorders 11,630 27,478 39,108 66,819 29.7% 46.3% 17.4% 22.3% 42.7% 42.0% 50

Other Psychoses 197 799 996 2,081 19.8% 30.3% 9.5% 11.9% 1.3% 2.2% 48

All other Diagnoses 8,858 18,499 27,357 60,634 32.4% 53.6% 14.6% 25.8% 38.8% 35.3% 50

No Diagnosis and Deferred Diagnosis - - - - - 47.9% - 26.4% - 6.9% 40

TOTAL 22,520 54,141 76,661 156,329 29.4% 47.4% 14.4% 21.8% 100.0% 100.0% 50

Note:

*In Labor Force is the sum of consumers employed and unemployed.

State Notes:

**With Known Employment Status is the sum of consumer employed, unemployed and not in labor force.

This table uses data for URS Table 4a.

Consumers employed as a % of those in labor force uses adults employed and unemployed as the denominator.

Consumers employed as % of known employment status uses the sum of persons employed, unemployed and not in labor force as the denominator.

None



OUTCOMES DOMAIN: Consumer Survey Results, FY 2019

Michigan

Indicators Children: State Children: U.S. Average

States Reporting

Adults: State Adults: U.S. Average

States Reporting

Reporting Positively About Access - 87.1% 46 - 86.8% 52

Reporting Positively About Quality and Appropriateness

- 89.5% 52

Reporting Positively About Outcomes - 71.9% 46 - 75.4% 52

Reporting on Participation in Treatment Planning

- 88.5% 47 - 84.6% 52

Family Members Reporting High Cultural Sensitivity of Staff

- 93.8% 45

Reporting positively about General Satisfaction with Services

- 88.3% 47 - 89.5% 52

Note: U.S. Average Children & Adult rates are calculated only for states that used a version of the MHSIP Consumer Survey

This table uses data from URS Table 11.Children/Family State U.S.

Type of Survey Used YSS-F=40

Type of Adult Consumer Survey Used 28-Item MHSIP Other MHSIP Other SurveyState - - -

U.S. 31 18 3

Sample Size & Response Rate Children: State Children: U.S. States Reporting

Adults: State Adults: U.S. Average

States Reporting

Response Rate - 36.8% 42 - 43.2% 43

Number of Surveys Attempted (send out) - 197,030 42 - 282,117 43

Number of Surveys Contacts Made - 133,797 38 - 195,887 40

Complete Surveys - 109,922 45 - 186,863 48

Populations covered in survey Children: State Children: U.S. Adults: State Adults: U.S.

All Consumers - 9 - 6

Sample - 39 - 45

Sample Approach Children: State Children: U.S. Adults: State Adults: U.S.

Random Sample - 10 - 10

Stratified Sample - 12 - 14

Convenience Sample - 16 - 19

Other Sample - 1 - 2

Who is Sampled? Children: State Children: U.S. Adults: State Adults: U.S.

Current Clients - 46 - 52

Former Clients - 17 - 17

Populations included in sample: (e.g., all adults, only adults with SMI, etc.)

Children: State Children: U.S. Adults: State Adults: U.S.

All Children or Adults Served - 28 - 31

SMI Adults or SED Children - 20 - 21

Persons Covered by Medicaid - 13 - 11

Other - 6 - 7

State Notes:Michigan did not implement the MHSIP and YSS surveys during 2019. The Quality Improvement Council will determine what populations to include in the next survey and whether a different set of surveys should be implemented.

CONSUMER SURVEY RESULTS, FY 2019



OUTCOMES DOMAIN: Consumer Survey Results, by Race/Ethnicity FY 2019STATE: Michigan

Family of Children Survey Indicators: Reporting Positively About...

AccessGeneral Satisfaction with

Services Outcomes Participation In Tx PlanningCultural Sensitivity of

Staff Social Connectedness Improved FunctioningRace/Ethnicity State US Average State US Average State US Average State US Average State US Average State US Average State US Average States

Total - 88% - 89% - 71% - 90% - 95% - 87% - 69% 38

American Indian or Alaska Native - 57% - 59% - 46% - 59% - 62% - 58% - 45% 29

Asian - 85% - 89% - 71% - 90% - 95% - 84% - 70% 29

Black or African American - 90% - 91% - 74% - 92% - 95% - 87% - 67% 33Native Hawaiian or Other Pacific Islander - 90% - 91% - 76% - 89% - 96% - 90% - 78% 22

White - 87% - 88% - 71% - 91% - 95% - 88% - 69% 34

Hispanic or Latino - 89% - 90% - 71% - 89% - 95% - 88% - 71% 29

More Than One Race - 88% - 88% - 69% - 90% - 95% - 85% - 65% 25

Not Available - 87% - 89% - 72% - 88% - 94% - 87% - 72% 35

Adult Consumer Survey Indicators: Reporting Positively About...

Access Quality & Appropriateness Outcomes Participation In Tx Planning General Satisfaction Social Connectedness Improved FunctioningRace/Ethnicity State US Average State US Average State US Average State US Average State US Average State US Average State US Average States

Total - 87% - 91% - 74% - 85% - 90% - 71% - 72% 45

American Indian or Alaska Native - 85% - 88% - 71% - 82% - 89% - 72% - 72% 35

Asian - 88% - 90% - 72% - 84% - 91% - 72% - 72% 38

Black or African American - 89% - 92% - 80% - 88% - 91% - 73% - 74% 39Native Hawaiian or Other Pacific Islander - 89% - 91% - 80% - 84% - 91% - 76% - 80% 31

White - 87% - 91% - 74% - 86% - 90% - 70% - 71% 40

Hispanic or Latino - 88% - 91% - 74% - 84% - 92% - 74% - 74% 32

More Than One Race - 84% - 88% - 71% - 80% - 88% - 68% - 71% 32

Not Available - 86% - 89% - 69% - 83% - 89% - 73% - 72% 41


State Notes:

Michigan did not implement the MHSIP and YSS surveys during 2019. The Quality Improvement Council will determine what populations to include in the next survey and whether a different set of surveys should be implemented.

Notes:



OUTCOMES DOMAIN: CRIMINAL JUSTICE: ARRESTS OVER THE LAST 2 YEARS BY GENDER, FY 2019

STATE: Michigan

State US AverageArrested During T1 (more than 1 year ago) Arrested During T2 (This year) Arrested During T1 (more than 1 year ago) Arrested During T2 (This year)

Arrested Not Arrested Percent Arrested



Arrested Not Arrested Percent Arrested States Reporting

All Consumers (New and Continuing Clients Combined)Total 2,249 139,717 2% 4,509 211,543 2% 53,177 1,485,197 3% 43,127 1,606,761 3% 39Children 356 32,863 1% 585 57,138 1% 5,993 412,477 1% 6,188 448,650 1% 37 Female 112 12,222 1% 202 22,646 1% 2,052 197,362 1% 2,104 211,971 1% 35 Male 244 20,641 1% 383 34,492 1% 3,813 212,818 2% 3,667 234,138 2% 35 Not Available - - - - - - 128 2,297 5% 417 2,541 14% 20Adult 1,893 106,854 2% 3,924 154,405 2% 47,184 1,072,720 4% 36,939 1,158,111 3% 35 Female 706 53,525 1% 1,352 78,870 2% 16,278 581,821 3% 12,363 624,123 2% 34 Male 1,187 53,329 2% 2,572 75,535 3% 30,731 489,657 6% 24,384 532,094 4% 35 Not Available - - - - - - 175 1,242 12% 192 1,894 9% 16For Consumers in Service At Least 12 MonthsTotal 2,249 139,717 2% 1,944 138,425 1% 30,549 883,580 3% 23,328 928,675 2% 37Children 356 32,863 1% 317 30,978 1% 2,319 199,810 1% 2,386 207,977 1% 35 Female 112 12,222 1% 105 11,330 1% 825 92,841 1% 821 95,819 1% 34 Male 244 20,641 1% 212 19,648 1% 1,461 106,207 1% 1,503 111,338 1% 34 Not Available - - - - - - 33 762 4% 62 820 7% 16Adult 1,893 106,854 2% 1,627 107,447 1% 28,230 683,770 4% 20,942 720,698 3% 34 Female 706 53,525 1% 571 53,782 1% 9,702 370,205 3% 6,929 388,220 2% 33 Male 1,187 53,329 2% 1,056 53,665 2% 18,450 312,860 6% 13,917 331,375 4% 34 Not Available - - - - - - 78 705 10% 96 1,103 8% 16For Consumers Who Started Services This YearTotal - - - 2,565 73,118 3% 22,628 601,617 4% 19,799 678,086 3% 37Children - - - 268 26,160 1% 3,674 212,667 2% 3,802 240,673 2% 35 Female - - - 97 11,316 1% 1,227 104,521 1% 1,283 116,152 1% 33 Male - - - 171 14,844 1% 2,352 106,611 2% 2,164 122,800 2% 33 Not Available - - - - - - 95 1,535 6% 355 1,721 17% 15Adult - - - 2,297 46,958 5% 18,954 388,950 5% 15,997 437,413 4% 33 Female - - - 781 25,088 3% 6,576 211,616 3% 5,434 235,903 2% 32 Male - - - 1,516 21,870 6% 12,281 176,797 6% 10,467 200,719 5% 33 Not Available - - - - - - 97 537 15% 96 791 11% 13

This table uses data from URS/DIG Table 19a.

State Notes:

Arrest information is collected at admission and again annually as part of person-centered planning. For consumers in service at least 12 months, above compares arrest information reported for FY17 (T1) to arrest information reported for FY18 (T2).

Notes:


US totals are calculated uniquely for each data element based on only those states who reported numerator (clients Served) data.

Source of Data Recommended Survey Item Other Consumer Survey Mental Health MIS State Criminal Justice Agency Other

MI US MI US MI US MI US MI US

Adult - 16 - Yes 8 - 5 - 6

Children - 19 - Yes 9 - 4 - 5

Measure Arrest Other

Adult Yes 30 Number of Arrests in past 30 days.

(Recoded as either '0' or '1+').

4

Children - 34 Number of Arrests in past 30 days.

(Recoded as either '0' or '1+').

4

MH Programs Covered Adults with SMI only Other Adult All Adults Children With SED only Other Children All Children

- 9 SMI & I/DD 2 - 16 - 12 SMI & I/DD 2 - 17

Data Report Region The Whole State Parts of the State

Adult Yes 28 - 3

Children Yes 33 - 3

Reporting Period: 10/1/2017-9/30/2018


OUTCOMES DOMAIN: CRIMINAL JUSTICE: ARRESTS OVER THE LAST 2 YEARS By GENDER, FY 2019

STATE: Michigan


State Notes:


Notes:



State US Average

Arrested During T1 (more than 1 year ago) Persons Not Arrested In T1 Arrested During T1 (more than 1 year ago) Persons Not Arrested In T1

Arrested T1 # with Rearrest in

T2

Percent Rearrested

Percent W/No

Rearrest

Not Arrested T1

# with Arrest in T2

Percent Arrested

Percent W/No

Rearrest

Arrested T1 # with Rearrest in

T2

Percent Rearrested

Percent W/No

Rearrest

Not Arrested T1

# with Arrest in T2

Percent Arrested

Percent W/No

Rearrest

States Reporting

All Consumers (New and Continuing Clients Combined)

Total 2,249 758 35% 65% 139,717 1,177 1% 99% 53,177 15,468 30% 70% 1,485,197 20,436 1% 99% 32Children 356 132 38% 62% 32,863 220 1% 99% 5,993 1,674 30% 70% 412,477 2,040 1% 99% 31 Female 112 38 35% 65% 12,222 82 1% 99% 2,052 579 30% 70% 197,362 751 0% 100% 30 Male 244 94 39% 61% 20,641 138 1% 99% 3,813 1,025 29% 71% 212,818 1,215 1% 99% 30 Not Available - - - - - - - - 128 70 57% 43% 2,297 74 3% 97% 16Adult 1,893 626 35% 65% 106,854 957 1% 99% 47,184 13,794 30% 70% 1,072,720 18,396 2% 98% 29 Female 706 195 29% 71% 53,525 357 1% 99% 16,278 4,098 26% 74% 581,821 6,217 1% 99% 29 Male 1,187 431 38% 62% 53,329 600 1% 99% 30,731 9,607 32% 68% 489,657 12,117 3% 97% 29 Not Available - - - - - - - - 175 89 53% 47% 1,242 62 5% 95% 13For Consumers in Service At Least 12 Months

Total 2,249 758 35% 65% 139,717 1,177 1% 99% 30,549 8,527 28% 72% 883,580 12,040 1% 99% 32Children 356 132 38% 62% 32,863 220 1% 99% 2,319 688 30% 70% 199,810 936 0% 100% 31 Female 112 38 35% 65% 12,222 82 1% 99% 825 241 30% 70% 92,841 330 0% 100% 30 Male 244 94 39% 61% 20,641 138 1% 99% 1,461 422 29% 71% 106,207 571 1% 99% 30 Not Available - - - - - - - - 33 25 76% 24% 762 35 5% 95% 14Adult 1,893 626 35% 65% 106,854 957 1% 99% 28,230 7,839 28% 72% 683,770 11,104 2% 98% 28 Female 706 195 29% 71% 53,525 357 1% 99% 9,702 2,206 23% 77% 370,205 3,740 1% 99% 28 Male 1,187 431 38% 62% 53,329 600 1% 99% 18,450 5,584 31% 69% 312,860 7,338 2% 98% 28 Not Available - - - - - - - - 78 49 66% 34% 705 26 4% 96% 13For Consumers Who Started Services This Year

Total - - - - - - - - 22,628 6,941 32% 68% 601,617 8,396 1% 99% 28Children - - - - - - - - 3,674 986 30% 70% 212,667 1,104 1% 99% 27 Female - - - - - - - - 1,227 338 30% 70% 104,521 421 0% 100% 26 Male - - - - - - - - 2,352 603 29% 71% 106,611 644 1% 99% 26 Not Available - - - - - - - - 95 45 51% 49% 1,535 39 3% 97% 11Adult - - - - - - - - 18,954 5,955 33% 67% 388,950 7,292 2% 98% 25 Female - - - - - - - - 6,576 1,892 30% 70% 211,616 2,477 1% 99% 25 Male - - - - - - - - 12,281 4,023 34% 66% 176,797 4,779 3% 97% 25 Not Available - - - - - - - - 97 40 43% 57% 537 36 7% 93% 10



Outcome Domain: Consumer/Family Assessment of the Impact of Mental Health Services on Criminal Justice Contacts, FY 2019

Michigan

State US

Demographics Over the Past 12 Months of Services (or Since Beginning Services) My Involvement with the Police Has. . .

Reduced Encounters

Stayed the Same Increased % Improved

% Stayed the Same

% Got Worse

Reduced Encounters

Stayed the Same Increased % Improved

% Stayed the Same

% Got Worse

States Reportin

g

All Consumers (New and Continuing)Total - - - - - - 15,842 90,348 3,510 14.4% 82.4% 3.2% 23Children - - - - - - 4,373 36,591 1,465 10.3% 86.2% 3.5% 23Children: Female - - - - - - 1,870 15,290 607 10.5% 86.1% 3.4% 22Children: Male - - - - - - 2,281 21,150 770 9.4% 87.4% 3.2% 22Adult - - - - - - 11,469 53,757 2,045 17.0% 79.9% 3.0% 21Adult: Female - - - - - - 4,859 29,909 878 13.6% 83.9% 2.5% 21Adult: Male - - - - - - 6,395 23,707 1,115 20.5% 75.9% 3.6% 21

Note:

US totals are based on states reporting.This table uses data from URS Table 19a.US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:

For Consumers In Service At least 12 Months

Total - - - - - - 7,526 70,829 1,911 9.4% 88.2% 2.4% 23Children - - - - - - 1,548 28,082 700 5.1% 92.6% 2.3% 23Children: Female - - - - - - 684 11,361 281 5.5% 92.2% 2.3% 22Children: Male - - - - - - 793 16,673 377 4.4% 93.4% 2.1% 22Adult - - - - - - 5,978 42,747 1,211 12.0% 85.6% 2.4% 20Adult: Female - - - - - - 2,575 23,990 525 9.5% 88.6% 1.9% 20Adult: Male - - - - - - 3,302 18,677 660 14.6% 82.5% 2.9% 20

For Consumers Who Started Services This Year

Total - - - - - - 8,316 19,519 1,599 28.3% 66.3% 5.4% 21Children - - - - - - 2,825 8,509 765 23.3% 70.3% 6.3% 21Children: Female - - - - - - 1,186 3,929 326 21.8% 72.2% 6.0% 20Children: Male - - - - - - 1,488 4,477 393 23.4% 70.4% 6.2% 20Adult - - - - - - 5,491 11,010 834 31.7% 63.5% 4.8% 19Adult: Female - - - - - - 2,284 5,919 353 26.7% 69.2% 4.1% 19Adult: Male - - - - - - 3,093 5,030 455 36.1% 58.6% 5.3% 19




OUTCOMES DOMAIN: SCHOOL ATTENDANCE OVER THE LAST 2 YEARS By GENDER, FY 2019

STATE: Michigan

This table uses data from URS Table 19b.

State Notes:


Notes:



Source of Data Recommended Survey Item Other Consumer Survey Mental Health MIS Other

MI US MI US MI US MI US MI US

Children - 18 - - 5 - 1 - 5

Measure School Attendance Other

Children - 26 - 3

MH Programs CoveredChildren With SED only Both Other Children

- 10 - 15 - 1

Data Report Region The Whole State: Parts of the State:

Children - 27 - 3

State US Average

Suspended During T1 (more than 1 year ago) Suspended During T2 (This year) Suspended During T1 (more than 1 year ago) Suspended During T2 (This year)

Suspended Not Suspended Percent Suspended

Suspended Not Suspended

Percent Suspended

Suspended Not Suspended Percent Suspended

Suspended Not Suspended

Percent Suspended

States Reporting


Female - - - - - - 4,829 59,891 7% 4,081 64,874 6% 30

Male - - - - - - 10,137 63,356 14% 8,264 72,930 10% 30

Not Available - - - - - - 277 1,825 13% 293 2,102 12% 18

Total - - - - - - 15,243 125,072 11% 12,638 139,906 8% 31For Consumers in Service At Least 12 Months

Female - - - - - - 1,542 19,954 7% 1,734 23,906 7% 28

Male - - - - - - 3,613 23,904 13% 3,826 30,712 11% 28

Not Available - - - - - - 91 602 13% 127 703 15% 14

Total - - - - - - 5,246 44,460 11% 5,687 55,321 9% 29For Consumers Who Started Services This Year

Female - - - - - - 3,287 39,937 8% 2,347 40,968 5% 28

Male - - - - - - 6,524 39,452 14% 4,438 42,218 10% 28

Not Available - - - - - - 186 1,223 13% 166 1,399 11% 14

Total - - - - - - 9,997 80,612 11% 6,951 84,585 8% 29

10/1/2017-9/30/2018Reporting Period:


OUTCOMES DOMAIN: SCHOOL ATTENDANCE OVER THE LAST 2 YEARS By GENDER, FY 2019

STATE: Michigan

This table uses data from URS Table 19b.

State Notes:


Notes:

US totals are based on states reporting.US totals are calculated uniquely for each data element based on only those states who reported numerator (clients Served) data.

State US Average

Suspended During T1 (more than 1 year ago) Persons Not Suspended In T1 Suspended During T1 (more than 1 year ago) Persons Not Suspended In T1

Suspended T1

# with Suspension

in T2

Percent Suspended

Percent W/No

Suspension

Not Suspended

T1

# with Suspension

in T2

Percent Suspended

Percent W/No

Suspension

Suspended T1

# with Suspension

in T2

Percent Suspended

Percent W/No

Suspension

Not Suspended

T1

# with Suspension

in T2

Percent Suspended

Percent W/No

Suspension

States Reporting


Female - - - - - - - - 4,829 1,698 40% 60% 59,891 1,605 3% 97% 23

Male - - - - - - - - 10,137 3,746 42% 58% 63,356 2,582 4% 96% 24

Not Available - - - - - - - - 277 160 59% 41% 1,825 111 6% 94% 13

Total - - - - - - - - 15,243 5,604 41% 59% 125,072 4,298 4% 96% 24

For Consumers in Service At Least 12 Months

Female - - - - - - - - 1,542 659 44% 56% 19,954 667 3% 97% 23

Male - - - - - - - - 3,613 1,615 46% 54% 23,904 1,062 5% 95% 24

Not Available - - - - - - - - 91 70 78% 22% 602 46 8% 92% 10

Total - - - - - - - - 5,246 2,344 46% 54% 44,460 1,775 4% 96% 24


Female - - - - - - - - 3,287 1,039 38% 62% 39,937 938 3% 97% 21

Male - - - - - - - - 6,524 2,131 39% 61% 39,452 1,520 4% 96% 21

Not Available - - - - - - - - 186 90 50% 50% 1,223 65 5% 95% 9

Total - - - - - - - - 9,997 3,260 39% 61% 80,612 2,523 3% 97% 21



Outcome Domain: Consumer/Family Assessment of the Impact of Mental Health Services on School Attendance, FY 2019

Michigan

Note:

US totals are based on states reporting.This table uses data from URS Table 19b.US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:


State US

Demographics Over the Past 12 Months of Services (or Since Beginning Services) My Child's School Attendance Has. . .

ImprovedStayed the

Same(got worse) Fewer Days % Improved

% Stayed the Same

% Got Worse Improved

Stayed the Same

(got worse) Fewer Days % Improved

% Stayed the Same

% Got Worse

States Reporting

All Consumers (New and Continuing)

Total - - - - - - 11,600 22,336 3,865 30.7% 59.1% 10.2% 23Female - - - - - - 5,259 10,320 1,841 30.2% 59.2% 10.6% 21Male - - - - - - 5,840 11,223 1,820 30.9% 59.4% 9.6% 22Not Available - - - - - - 501 793 204 33.4% 52.9% 13.6% 15

For Consumers In Service At least 12 Months

Total - - - - - - 4,729 8,424 1,783 31.7% 56.4% 11.9% 22

Female - - - - - - 2,043 3,575 840 31.6% 55.4% 13.0% 20

Male - - - - - - 2,488 4,582 863 31.4% 57.8% 10.9% 21

Not Available - - - - - - 198 267 80 36.3% 49.0% 14.7% 13


Total - - - - - - 6,871 13,912 2,082 30.1% 60.8% 9.1% 21

Female - - - - - - 3,216 6,745 1,001 29.3% 61.5% 9.1% 20

Male - - - - - - 3,352 6,641 957 30.6% 60.6% 8.7% 20

Not Available - - - - - - 303 526 124 31.8% 55.2% 13.0% 12



Outcomes Domain: Change in Social Connectedness and Functioning, FY 2019

Michigan

Children Adults

Indicators State US Average US MedianStates

Reporting State US Average US MedianStates

ReportingPercent Reporting Improved Social Connectedness from Services - 87.6% 84.4% 45 - 75.8% 72.8% 51

Percent Reporting Improved Functioning from Services - 72.4% 66.8% 44 - 76.0% 73.1% 51

Note:


State Notes:

None

US State Averages and Medians are calculated only with states which used the recommended Social Connectedness and Functioning questions.

Children/Family Social Connectedness and Functioning Measures State USDid you use the recommended new Social Connectedness Questions? - 46

Did you use the recommended new Functioning Domain Questions? - 45

Did you collect these as part of your YSS-F Survey? - 44

Adult Social Connectedness and Functioning Measures State USDid you use the recommended new Social Connectedness Questions? - 49

Did you use the recommended new Functioning Domain Questions? - 49

Did you collect these as part of your MHSIP Adult Consumer Survey? - 47



STATE: Michigan

OUTCOMES DOMAIN: Civil (Non Forensic) & Forensic Patients Readmission within 30 Days by Age, Gender, and Race, FY 2019

State Notes:

See General Notes for Table 20A

Forensics included in "non forensic" data? No

US totals are based on states reporting.This table uses data from URS Tables 20a and 20b.

Readmissions within 30 days to state psychiatric hospitals: "Civil" (Non-Forensic) Patients

Readmissions within 30 days to state psychiatric hospitals: Forensic Patients

State US State US

Demographic Readmissions N

Discharges N

% Readmissions N

Discharges N

% States Reporting

Readmissions N

Discharges N

% Readmissions N

Discharges N

% States Reporting

Age 0 to 12 0 23 0.0% 112 1,983 5.6% 11 0 0 - 2 39 5.1% 2

Age 13 to 17 1 67 1.5% 373 6,119 6.1% 18 0 0 - 28 479 5.8% 7

Age 18 to 20 0 36 0.0% 360 4,616 7.8% 28 0 10 0.0% 37 884 4.2% 11

Age 21 to 64 3 94 3.2% 5,176 63,993 8.1% 48 2 394 0.5% 863 26,543 3.3% 39

Age 65 to 74 1 14 7.1% 176 2,629 6.7% 28 0 33 0.0% 33 904 3.7% 16

Age 75 and over 0 2 0.0% 21 742 2.8% 10 0 4 0.0% 9 178 5.1% 5

Age Not Available 0 0 - - 3 - 0 0 0 - - - - 0

Age Total 5 236 2.1% 6,218 80,085 7.8% 50 2 441 0.5% 972 29,027 3.3% 40

Female 2 106 1.9% 2,336 32,273 7.2% 45 0 73 0.0% 182 6,004 3.0% 28

Male 3 130 2.3% 3,882 47,797 8.1% 47 2 368 0.5% 790 23,014 3.4% 39

Gender Not Available 0 0 - - 15 - 0 0 0 - - 9 - 0

Gender Total 5 236 2.1% 6,218 80,085 7.8% 50 2 441 0.5% 972 29,027 3.3% 40

American Indian or Alaska Native 0 0 - 123 1,399 8.8% 17 0 0 - 11 309 3.6% 4

Asian 0 0 - 180 1,257 14.3% 17 0 2 0.0% 10 573 1.7% 7

Black or African American 3 78 3.8% 1,483 18,274 8.1% 35 1 217 0.5% 411 10,824 3.8% 31

Native Hawaiian or Other Pacific Islander 0 0 - 216 333 64.9% 4 0 0 - 1 91 1.1% 1

White 2 143 1.4% 3,820 52,119 7.3% 44 1 205 0.5% 460 13,667 3.4% 37

Hispanic or Latino 0 * * 23 624 3.7% 5 0 * * 8 1,350 0.6% 2

More Than One Race 0 0 - 133 2,340 5.7% 17 0 0 - 20 565 3.5% 9

Race Not Available 0 15 0.0% 240 3,739 6.4% 23 0 17 0.0% 51 1,648 3.1% 16

Race Total 5 236 2.1% 6,218 80,085 7.8% 50 2 441 0.5% 972 29,027 3.3% 40

Hispanic or Latino 0 13 0.0% 708 9,395 7.5% 30 0 19 0.0% 102 5,187 2.0% 22

Not Hispanic or Latino 4 202 2.0% 5,256 66,939 7.9% 45 1 377 0.3% 837 22,174 3.8% 37

Not Available 1 21 4.8% 254 3,751 6.8% 22 1 45 2.2% 33 1,666 2.0% 10

Ethnicity Total 5 236 2.1% 6,218 80,085 7.8% 50 2 441 0.5% 972 29,027 3.3% 40

Note:




OUTCOMES DOMAIN: Civil (Non Forensic) & Forensic Patients Readmission within 180 Days by Age, Gender, and Race, FY 2019

STATE: Michigan

State Notes:

See General Notes for Table 20A

Forensics included in "non forensic" data? No

US totals are based on states reporting.This table uses data from URS Tables 20a and 20b.

Readmissions within 180 days to state psychiatric hospitals: "Civil" (Non-Forensic) Patients

Readmissions within 180 days to state psychiatric hospitals: Forensic Patients

State US State US


Discharges N

% Readmissions N

Discharges N

% States Reporting

Readmissions N

Discharges N

% Readmissions N

Discharges N

% States Reporting

Age 0 to 12 3 23 13.0% 262 1,983 13.2% 11 0 0 - 4 39 10.3% 3

Age 13 to 17 7 67 10.4% 925 6,119 15.1% 19 0 0 - 46 479 9.6% 8

Age 18 to 20 3 36 8.3% 722 4,616 15.6% 34 0 10 - 82 884 9.3% 25

Age 21 to 64 7 94 7.4% 11,934 63,993 18.6% 51 30 394 7.6% 2,900 26,543 10.9% 48

Age 65 to 74 1 14 7.1% 357 2,629 13.6% 34 0 33 - 95 904 10.5% 30

Age 75 and over 0 2 0.0% 44 742 5.9% 14 0 4 - 16 178 9.0% 9

Age Not Available 0 0 - 2 3 66.7% 1 0 0 - - - -

Age Total 21 236 8.9% 14,246 80,085 17.8% 53 30 441 6.8% 3,143 29,027 10.8% 50

Female 9 106 8.5% 5,426 32,273 16.8% 51 4 73 5.5% 665 6,004 11.1% 43

Male 12 130 9.2% 8,819 47,797 18.5% 52 26 368 7.1% 2,477 23,014 10.8% 48

Gender Not Available 0 0 - 1 15 6.7% 1 0 0 - 1 9 11.1% 1

Gender Total 21 236 8.9% 14,246 80,085 17.8% 53 30 441 6.8% 3,143 29,027 10.8% 50

American Indian or Alaska Native 0 0 - 298 1,399 21.3% 24 0 0 - 29 309 9.4% 12

Asian 0 0 - 219 1,257 17.4% 24 0 2 - 54 573 9.4% 16

Black or African American 9 78 11.5% 3,534 18,274 19.3% 43 15 217 6.9% 1,310 10,824 12.1% 37

Native Hawaiian or Other Pacific Islander 0 0 - 32 333 9.6% 7 0 0 - 8 91 8.8% 4

White 11 143 7.7% 9,240 52,119 17.7% 49 14 205 6.8% 1,420 13,667 10.4% 48

Hispanic or Latino * * * 57 624 9.1% 6 * * * 83 1,350 6.1% 3

More Than One Race 0 0 - 300 2,340 12.8% 22 0 0 - 63 565 11.2% 12

Race Not Available 1 15 6.7% 566 3,739 15.1% 32 1 17 5.9% 176 1,648 10.7% 23

Race Total 21 236 8.9% 14,246 80,085 17.8% 53 30 441 6.8% 3,143 29,027 10.8% 50

Hispanic or Latino 0 13 0.0% 1,617 9,395 17.2% 35 1 19 5.3% 441 5,187 8.5% 30

Not Hispanic or Latino 20 202 9.9% 12,202 66,939 18.2% 50 25 377 6.6% 2,569 22,174 11.6% 46

Not Available 1 21 4.8% 427 3,751 11.4% 26 4 45 8.9% 133 1,666 8.0% 18

Ethnicity Total 21 236 8.9% 14,246 80,085 17.8% 53 30 441 6.8% 3,143 29,027 10.8% 50

Note:




OUTCOMES DOMAIN: READMISSION WITHIN 30 and 180 DAYS TO ANY PSYCHIATRIC INPATIENT BED IN THE SMHA SYSTEM BY AGE, GENDER AND RACE, FY 2019

STATE: Michigan

Readmissions within 30 days to any psychiatric inpatient bed Readmissions within 180 days to any psychiatric inpatient bed

State US States State US States


Discharges N

% Readmissions N

Discharges N

% Reporting Readmissions N

Discharges N

% Readmissions N

Discharges N

% Reporting

Age 0 to 12 47 731 6.4% 905 9,785 9.2% 15 113 731 15.5% 2,109 9,785 21.6% 14

Age 13 to 17 295 3,242 9.1% 2,316 24,984 9.3% 15 695 3,242 21.4% 5,737 24,984 23.0% 14

Age 18 to 20 212 2,225 9.5% 1,512 12,747 11.9% 17 417 2,225 18.7% 3,213 12,747 25.2% 17

Age 21 to 64 2,961 25,505 11.6% 21,499 155,643 13.8% 19 6,120 25,505 24.0% 46,918 155,643 30.1% 21

Age 65 to 74 15 304 4.9% 641 7,383 8.7% 18 44 304 14.5% 1,458 7,383 19.7% 17

Age 75 and over 0 60 0.0% 105 1,752 6.0% 12 3 60 5.0% 259 1,752 14.8% 17

Age Not Available 78 882 8.8% 79 902 8.8% 2 133 882 15.1% 135 902 15.0% 3

Age Total 3,608 32,949 11.0% 27,057 213,196 12.7% 21 7,525 32,949 22.8% 59,829 213,196 28.1% 23

Female 1,469 15,086 9.7% 11,428 99,535 11.5% 21 3,200 15,086 21.2% 25,866 99,535 26.0% 21

Male 2,061 16,981 12.1% 15,549 112,743 13.8% 21 4,192 16,981 24.7% 33,827 112,743 30.0% 23

Gender Not Available 78 882 8.8% 80 918 8.7% 3 133 882 15.1% 136 918 14.8% 4

Gender Total 3,608 32,949 11.0% 27,057 213,196 12.7% 21 7,525 32,949 22.8% 59,829 213,196 28.1% 23

American Indian or Alaska Native 13 176 7.4% 472 4,361 10.8% 17 35 176 19.9% 1,076 4,361 24.7% 17

Asian 18 136 13.2% 632 4,542 13.9% 15 32 136 23.5% 1,179 4,542 26.0% 16

Black or African American 870 6,762 12.9% 7,135 45,863 15.6% 20 1,880 6,762 27.8% 16,153 45,863 35.2% 21

Native Hawaiian or Other Pacific Islander 3 20 15.0% 238 560 42.5% 12 9 20 45.0% 84 560 15.0% 12

White 1,665 16,620 10.0% 12,658 110,614 11.4% 20 3,476 16,620 20.9% 28,381 110,614 25.7% 21

Hispanic or Latino * * * 907 5,882 15.4% 5 * * * 2,140 5,882 36.4% 5

More Than One Race 35 215 16.3% 238 2,601 9.2% 16 64 215 29.8% 531 2,601 20.4% 16

Race Not Available 1,004 9,020 11.1% 4,777 38,773 12.3% 17 2,029 9,020 22.5% 10,285 38,773 26.5% 19

Race Total 3,608 32,949 11.0% 27,057 213,196 12.7% 21 7,525 32,949 22.8% 59,829 213,196 28.1% 23

Hispanic or Latino 121 1,362 8.9% 480 5,999 8.0% 14 288 1,362 21.1% 1,058 5,999 17.6% 14

Not Hispanic or Latino 2,552 22,818 11.2% 7,446 75,480 9.9% 17 5,389 22,818 23.6% 15,931 75,480 21.1% 19

Not Available 935 8,769 10.7% 6,320 48,788 13.0% 18 1,848 8,769 21.1% 13,287 48,788 27.2% 18

Ethnicity Total 3,608 32,949 11.0% 14,246 130,267 10.9% 20 7,525 32,949 22.8% 30,276 130,267 23.2% 22

State Notes:

None

US totals are based on states reporting.This table uses data from URS Table 21.

Note:

Forensics included in Table? No

State Hospitals included in Table? Yes




Structure Domain: SMHA Expenditure for Early Serious Mental Illness and First Episode Psychosis, 2019

Michigan

Note: This table use data from URS Table 7a.

Reporting Period 10/1/2018 To: 9/30/2019

State US

MHBG Other Funds State Funds Total MHBG Other Funds State Funds Total

Activity $ % $ % $ % $ % $ % $ % $ % $ %

CSC-Evidence-Based Practices for First Episode Psychosis

$1,572,812 100.0% $0 0.0% $0 0.0% $1,572,812 100% $57,513,340 79.4% $3,011,410 1.0% $11,907,873 16.4% $72,432,623 100%

Training for CSC Practices $0 - $0 - $0 - $0 - $3,160,074 89.8% $25,742 0.2% $333,461 9.5% $3,519,277 100%

Plannning for CSC Practices $0 - $0 - $0 - $0 - $492,111 62.3% $5,111 0.2% $292,397 37.0% $789,619 100%

Other Early Serious Mental Illnesses program (other than FEP or partial CSC programs)

$314,746 100.0% $0 0.0% $0 0.0% $314,746 100% $4,675,422 98.0% $94,520 0.5% $0 0.0% $4,769,942 100%

Training for ESMI $0 - $0 - $0 - $0 - $621,356 100.0% $0 0.0% $0 0.0% $621,356 100%

Planning for ESMI $0 - $0 - $0 - $0 - $620,197 83.2% $125,000 4.2% $0 0.0% $745,197 100%

* Other Funds include Medicaid, Other Federal funds, local funds, and other funds from table 7a.


STRUCTURE DOMAIN: State Mental Health Agency Controlled Expenditures for Mental Health, FY 2019

Michigan

Note:

This table uses data from URS Table 7

10/1/2018 To: 9/30/2019Reporting Period:

Expenditures: State Percent of Total Expenditures: State

Expenditures: U.S. Percent of Total Expenditures: U.S.

States Reporting

State Hospitals-Inpatient $587,032,962 99% $11,400,517,666 28% 53

Other 24-Hour Care - 0% $4,608,888,856 11% 46

Ambulatory/Community $356,141 0% $22,283,151,769 55% 57

EBPs for Early Serious Mental Illness $1,887,558 0% $84,450,289 0% 58

Primary Prevention - 0% $87,517,154 0% 13

Administration $878,178 0% $2,065,647,288 5% 54

Total $590,154,839 100% $40,530,173,022 100% 58


STRUCTURE DOMAIN: State Mental Health Agency Controlled Expenditures by Funding Sources, 2019

Funding SourceAmbulatory/Community State Hospital

StatePercent Total

(State) Percent Total (US) StatePercent Total

(State) Percent Total (US)

Mental Health Block Grant $1,887,558 84.1% 2.1% - - -

Medicaid (Federal, State, and Local) $4,094 0.2% 56.4% $71,411,686 12.2% 16.8%

Other Federal Funds (e.g., ACF (TANF), CDC, CMS (Medicare), SAMHSA, etc.)

- - 3.3% - - 2.5%

State Funds $352,047 15.7% 28.6% $464,432,971 79.1% 76.7%

Local Funds (excluding local Medicaid) - - 6.9% $27,094,543 4.6% 1.2%

Other - - 2.8% $24,093,762 4.1% 2.8%

Total $2,243,699 100% 100% $587,032,962 100% 100%

This table does not show expenditures for state central office including Research, Training, and Administration expenses.

Note:

Michigan Reporting Period: 10/1/2018 To: 9/30/2019

This table uses data from URS Table 7

Ambulatory/Community includes Primary Prevention, Evidence-Based Practices for Early Serious Mental Illness, and Other 24-Hour Care expenditures


Structure Domain: Federal Mental Health Block Grant Expenditures for Non-Direct Service Activities, FY 2019

Michigan

Note: This table use data from URS Table 8.

State Notes:

None

10/1/2018 To: 9/30/2019Reporting Period:

Service Non-Direct Block Grant Expenditures % Total US % Total

Information Systems $190,000 1.3% 4.7%

Infrastructure Support $7,539,148 50.6% 23.2%

Partnerships, community outreach, and needs assessment $1,061,728 7.1% 23.2%

MHA Planning Council Activities $191 0.0% 4.0%

Quality assurance and improvement $1,445,514 9.7% 7.7%

Research and Evaluation $1,165,707 7.8% 7.9%

Training and Education $3,498,944 23.5% 29.4%

Total $14,901,232 100.0% 100.0%


Agency Name Address Area Served Total Block Grant Funds

Block Grant for Adults with

SMI

Block Grant for Children with

SED

Set-Aside for FEP

ProgramsAssociaion for Children's Mental Health 6017 W. St. Joe Highway, Lansing, MI 48917 Statewide $470,336 $0 $470,336 $0

Copper County 901 West Memorial Drive, Houghton, MI 49931 Baraga, Houghton, Keweenaw, and Ontonagon Counties

$51,220 $51,220 $0 $0

Detroit Wayne Integrated Health Network 707 W. Milwaukee St., Detroit, MI 48201 Wayne County $1,383,582 $340,000 $1,043,582 $0

Gobebic CMH Authority 103 West US2, Wakefiled, MI 49968 Gogebic Couny $100,000 $0 $100,000 $0

Inter-Tribal Council of Michigan 2956 Ashmun, Sault Ste. Marie, MI 49783 19 county area $1,151,229 $1,143,429 $7,800 $0

Justice in Mental Health Organization 520 Cherry Street, Lansing, MI 48933 Statewide $216,591 $216,591 $0 $0

Integrated Services of Kalamazoo 3299 Gull Road, Nazareth, MI 49074 Statewide $4,184,814 $375,013 $3,809,801 $0

Kaplan Early Learning Co. 1310 Lewisville-Clemmons Rd., Lewisville, MI 27023

Statewide $9,100 $0 $9,100 $0

Lakeshore Regional Entity 5000 Hakes Dr., Norton Shores, MI 48073 Allegan, Kent, Lake, Mason, Muskegon, Oceana, Ottawa

$150,100 $150,100 $0 $0

Lenewee CMH 1040 S. Winter St. #1022, Adrian, MI 49221 Lenewee County $5,000 $5,000 $0 $0

LifeWays CMH 1200 North West Avenue, Jackson, MI 49202 Hillsdale and Jackson Counties $82,000 $25,000 $57,000 $0

Allegan Conty CMH 3283 122nd Ave., PO Drawer 130, Allegan, MI 49010

Allegan County $100,000 $0 $100,000 $0

Livingston County CMH Authority 622 East Grand River Avenue, Howell, MI 48843 Livingston County $152,881 $152,881 $0 $0

Macomb County PIHP 22550 Hall Rd., Clinton Township, MI 48036 Macomb County $900,000 $800,000 $100,000 $0

Michigan Association of CMH Boards 426 S. Walnut St., Lansing, MI 48933 Statewide $4,523,352 $4,038,675 $484,677 $0

Michigan Disability Rights Coalition 3498 E. Lake Lansing Rd., Ste 100, East Lansing, MI 48823

Statewide $476,250 $476,250 $0 $0

Michigan Public Health Institute 2436 Woodlake Circle, Okemos, MI 48864 Statewide $203,653 $0 $203,653 $0

Michigan State University 426 Auditorium Rd. Rm 2, East Lansing, MI 48824 Statewide $410,760 $0 $410,760 $0

Mid-State Health Network 530 W Ionia St. Ste F, Lansing, MI 48318 21 county area $150,000 $150,000 $0 $0

Miles Consulting, LLC 3139 SW Eastwood, Gresham, MI 97080 Statewide $30,000 $0 $30,000 $0

Monroe CMH Authority 1001 Raisinville PO Box 726, Monroe, MI 48161 Monroe County $33,796 $33,796 $0 $0

Muskegon CMH (dba HealthWest) 376 Apple Avenue, Muskegon, MI 49442 Muskegon County $155,000 $155,000 $0 $0

Barry County CMH 5000 Barfield Dr. , Hastings , MI 49058 Barry County $5,000 $5,000 $0 $0

Neil Brown Consulting, Inc 6050 Ebright Rd., Groveport, MI 43125 Statewide $30,000 $0 $30,000 $0

network180 790 Fuller Ave NE, Grand Rapids, MI 49503 Kent County $2,191,326 $155,000 $0 $2,036,326

Newago County Mental Health Center 1049 E Newell St, White Cloud, MI 49349 Newago County $5,000 $5,000 $0 $0

North Country CMH 1420 Plaza Dr., etoskey, MI 49770 Amrim, Charlevoix, Cheboygan, Emmet, Kalkasda, Otsego

$100,000 $0 $100,000 $0

NorthCare Network 200 W Spring St. #2, Marquette, MI 48208 15 county area $624,295 $624,295 $0 $0

Total Programs: 52

Total: $24,856,665

Structure Domain: Mental Health Programs Funded By the Federal Mental Health Block Grant, FY 2019

Michigan

Adult Programs: 39 Child Programs: 30

Adult Total: $12,714,538 Child Total: $10,105,801

10/1/2018 To: 9/30/2019

Set-Aside FEP Programs: 1

Set-Aside FEP Total: $2,036,326

Reporting Period:


Agency Name Address Area Served Total Block Grant Funds

Block Grant for Adults with

SMI

Block Grant for Children with

SED

Set-Aside for FEP

ProgramsNorthern Lakes CMH Authority 105 Hall Street, Ste A, Traverse City, MI 49684 Crawford, Grand Traverse, Leelanau,

Missaukee, Roscommon, Wexford$310,525 $159,525 $151,000 $0

Northern Michigan Regional Entity 1420 Plaza Dr., Petoskey, MI 49770 21 county area $300,000 $300,000 $0 $0

Oakland Community Health Network 2011 Executive Hills Blvd., Auburn Hills, MI 48326 Oakland, Macomb, Genesee, Lapeer, Sanilac, St. Clair

$1,574,757 $1,349,826 $224,931 $0

Ottawa CMH 12265 James St. Ste 100, Holland, MI 49424 Ottawa County $406,064 $206,064 $200,000 $0

Pines Behavioral Health 200 Vista Dr., Coldwater, MI 49036 Branch County $123,800 $123,800 $0 $0

Bay-Arenac Behavioral Health 201 Mulholland, Bay City, MI 48708 Bay County, Arenac County $80,000 $0 $80,000 $0

Region 10 PIHP 3111 Electric Ave. Ste A, Port Huron, MI 49501 Genesee, Lapeer, St. Clair, Sanilac Counties

$173,471 $173,471 $0 $0

Right Door for Hope, Recovery and Wellness 375 Apple Tree Dr, Ionia, MI 48865 Ionia County $152,626 $152,626 $0 $0

St. Clair County CMH 3111 Electric Ave., Port Huron, MI 48060 St. Clair County $105,000 $5,000 $100,000 $0

Saginaw County CMH Authority 500 Hancock, Saginaw, MI 48602 Saginaw County $95,000 $95,000 $0 $0

Sanilac County CMH 227 East Sanilac Avenue, Sandusky , MI 48471 Sanilac County $15,640 $15,640 $0 $0

CMH Partnership of Southeast MI 705 North Zeeb Rd, Ann Arbor , MI 48103 Lenawee, Livingston, Monroe, Washtenaw Counties

$100,000 $100,000 $0 $0

Southwest Michigan Behavioral Health 5250 Lover's Lane Ste 200, Portage , MI 48603 16 county area $503,000 $335,000 $168,000 $0

Southease Michigan Health Assoiiation 200 Fisher Bldg, Detroit, MI 48020 Statewide $304,891 $0 $304,891 $0

University of Michigan 3003 S. State Street, Wolverine Tower, Ann Arbor , MI 48109

Oakland and Washtenaw Counties $239,400 $0 $239,400 $0

Summit Pointe 140 W. Michigan Ave, Battle Creek , MI 49017 Calhoun County $180,868 $160,868 $20,000 $0

Berrien Mental Health PO Box 547/1485 M-139, Benton Harbor, MI 49023

Berrien County $5,000 $5,000 $0 $0

Van Buren CMH Authority 801 Hazen Street, Suite C, PO Box 249, Paw Paw, MI 49079

Van Buren County $123,880 $23,880 $100,000 $0

Washtenaw County CMH 555 Towner Street, Ypsilanti, MI 48198 Washtenaw County $195,000 $95,000 $100,000 $0

West Michigan CMH 920 Diana Street, Ludington , MI 49431 Lake, Mason, and Oceana Counties $149,462 $54,162 $95,300 $0

CMH Authority of Clinton-Eaton-Ingham Counties 812 E. Jolly Rd Ste G10, Lansing, MI 48910 Statewide $1,266,191 $147,426 $1,118,765 $0

CMH for Central MI 301 S. Crapo St., Ste 100, Mt. Pleasant, MI 48858 Gladwin, Isabella, Mecosta, Midland, Clare, and Osceola Counties

$346,805 $150,000 $196,805 $0

CMH Partnership of Southeast MI 705 N. Zeeb Rd., Ann Arbor , MI 48103 Washtenaw, Lenawee, Livingston, Monroe

$50,000 $0 $50,000 $0

Centra Wellness Network 310 North Glocheski Drive, Manistee, MI 49660 Manistee and Benzie Counties $160,000 $160,000 $0 $0


URS Table Number General Notes

6

Beginning this current year, Michigan switched to the AVATAR system for state inpatient data. While this information is extremely accurate, it is not currently linked to the state's encounter data. As a result, Michigan is not able to determine how many individuals did not receive community services and only received services while in a state inpatient facility.

7 The FY19 increase is the result of increase in staff and cost allocation.

7A Michigan increased the contract to spend more of First Episode Psychosis Expenditures 10% set aside.

12For the current year disability type was not reported for approximately 30,000 people served. Given this, Michigan could not determine whether these individuals had serious mental illness, or serious emotional disturbance (SED) for children, or were mild/moderate.

14A/BThis is the third year where data was collected via BH-TEDS, which includes a question on whether the consumer has an SMI or SED. We used the information from this BH-TEDS question rather than our previous approach of determining SMI and SED from diagnoses.

14A

For the current year one of the very large and racially and ethnically diverse mental health agencies took steps to more accurately report race. In the previous two years, this agency had defaulted to reporting most individuals in a minority racial group as 'more than one race'. For the current year this agency made efforts to assign individuals to that person's specific racial group.

15

Michigan notes SAMHSA's observation that the number of consumers in jail increased 92% between the previous and current reporting year. While Michigan can’t point to statistical data that would definitively link these trends to programmatic reasons, anecdotally what SAMHSA has noted is further confirmation of what the field (law enforcement, courts, CMH’s etc.) have been stating. This is in part what prompted the last administration’s C.A.R.E.S report (http://gophouse.org/wp-content/uploads/2018/01/HouseCARES_Report.pdf) and continues in the current administration’s Michigan Joint Taskforce on Jails and Pretrial Incarceration. The latter group has just concluded their findings in a final report and recommendations that tie to the increase in incarceration for this population. Michigan continues its efforts to reach out to individuals with mental illness in order to divert incarceration. For example, the Mental Health Diversion Council has 11 pilots in 10 counties. The goal of the pilots is to take lessons learned and use those lessons as a roadmap to assist other counties statewide…this with the notion that once every county has a robust diversion initiative that addresses every point of intercept along the Sequential Intercept Model. This is a huge challenge with huge implications being played out on a huge stage evidenced by leadership at the highest levels trying to get a handle on it. The Department is committed to continue addressing this issue knowing that the gravity of what needs to be done would affect tens of thousands of Michiganders concerning mental health issues, SUD issues, homelessness and public safety.

15Michigan notes SAMHSA's observation that the number of consumers who are homeless decreased 26% between the previous and current reporting year. Michigan is not yet aware, however, of any programmatic or data reporting reasons for this change. We will continue our review of this finding.

16 For this year the state was successful in determining the number of consumers who are receiving therapeutic foster care but do not have access to information on their age or gender.

16

Michigan notes SAMHSA's observation that the number of consumers receiving Multi-Systemic Therapy increased by 32% between the previous and current reporting year. Two additional teams have been added for a current total of twelve MST teams state-wide. Each team serves on average 20-30 families. Also over the last year, one of our mental health programs at Kalamazoo community mental health has increased the use of MST in joint partnership with the courts.

16Michigan notes SAMHSA's observation that the number of consumers receiving Supported Housing services decreased by 51% between the previous and current reporting year. Michigan is not yet aware, however, of any programmatic or data reporting reasons for this change. We will continue our review of this finding.

16

Michigan notes SAMHSA's observation that the number of children with serious emotional disturbance (SED) increased 33% from the previous fiscal year. MDHHS staff are not aware of any clinical or programmatic reason for this increase. For FY18 and FY19, Michigan began using the clinical determination as reported in BH-TEDS. This is a new process from the previous approach of using the diagnoses on the encounter data as proxies for SED. Michigan provides regular training to the mental health programs on how to report the various BH-TEDS data elements. Michigan is sharing the information found by SAMHSA on the percentage increase in SED consumers to determine whether training is needed on how to report this data element.

General Notes FY 2019

Michigan


URS Table Number General Notes

17

As of September, 2019 when we did a count of the number of active Family Psychoeducation (FPE) Teams in the state, we had about 50. FPE continues to be utilized across the state, however, many teams have been/are currently dormant due to the other strains on their systems, budget constraints, FPE not being identified as a priority practice, or staff turnover. Widespread implementation and ongoing use has historically been problematic, especially in rural areas. Particularly with staff turnover, it has been difficult for providers to commit resources to developing FPE when other support services can be provided/offered to families. There are 15 active supervisors/trainers spread regionally across the state to provide regular supervision, and we continue to support the development of FPE by offering needed trainings and certification.

20A Starting the current year, Michigan is using admission, discharge, and state hospital census information collected through the AVATAR system which is the Electronic Medical System for Michigan's State inpatient hospitals.

20B Michigan collects admission, discharge and state hospital census information through the AVATAR system which includes the Electronic Medical System for Michigan's forensic State inpatient Hospital.

General Note

General Note on switch to AVATAR system for state inpatient data: starting this current reporting year Michigan can provide complete information on state inpatient census counts, admissions during the year, and discharges. Demographic information includes age, gender, race (white, Black/African American, Other) and Hispanic Origin (Puerto Rican, Mexican). Prior to 2017 Michigan obtained state inpatient information from the encounter data. Due to a 2016 change in the funding structure for state inpatient services, the quality and completeness of the state inpatient information in the encounter data declined. Given this, Michigan has switched the data source for state inpatient to the information collected via the AVATAR system.


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