Washington CountySystem Review

CSP Meeting

Undertaken by the Office of Mental Health and Mental Retardation

In partnership with Allegheny HealthChoices, Inc.October 13, 2009

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Agenda

Overview Advisory Committee Sample Data Q&A

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Overview: Project Focus

Access to services Stakeholder involvement Support for families and consumers Principles of recovery and resiliency Outcomes Accountability Evidenced-based and promising practices

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Overview: Why Do This Now?

Closure of Mayview State Hospital Ongoing financial pressure Knowledge of best practices Accountability to stakeholders We always want to do better

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Overview: Project Scope

Mental health programs for adultsMental health programs for children and

adolescentsMental retardation program operationsCounty internal administrative functions

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Overview: Who Will Be Involved?

Consumers Providers Families Advocates Providers across systems (in/out of behavioral health) Managed Care Company County staff from MH/MR Other County human service systems

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Overview: What Is Involved?

Talking to stakeholders Reviewing documents Conducting data analysis Reviewing information systems Understanding how providers interact with

one another, the County, and the people they serve

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Advisory Committee

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Laverne Cichon Value Behavioral Health of PennsylvaniaDr. Michael Crabtree PsychologistTina Duggan Family RepresentativeTimothy Kimmel Office of Human Services, Washington CountyLynne Loresch Mental Health AssociationDave McAdoo Southwest Behavioral Health ManagementBarbara Miller Community Action SouthwestDonna Murphy Washington County Drug and Alcohol CommissionLynne O’Leary Washington County ABOARDScott Pino OMHSASThomas Shade NAMI – Washington CountyJennifer Simmons AMI, Inc.Nelson Solow MH/MR Advisory Board RepresentativeBecky Tomasiak Family RepresentativeDr. Oscar Urrea Psychiatric Care Systems

Sample Data: Purpose

Provide an example of the type of data available

Provide snapshots of Base and HealthChoices Data– Base:

County funded services for people not eligible for HealthChoices Services that are not funded by HealthChoices

– Residential services, administrative case management, social rehabilitation– HealthChoices:

Services available to those who are Medicaid eligible Paid for by the Managed Care Organization/Medicaid

Individuals can receive both Base and HealthChoices services

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BASE HC*1,446 Users 6,344 Users

GENDER Female 48% 53%Male 52% 47%

AGE GROUP

00 – 20 20% 42%21 – 65 + 80% 58%

RACE African-American 7% 10%Caucasian 90% 89%Other ** 3% 1%

Demographics: 2008 Base & HealthChoices (HC)

* *Includes Asian, Native American, Other, and Unknown

* Includes MH services only

A total of 666 users had services in both HC and Base for Washington during 2008 (MH type services only)

Where were people served in 2008?

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Concentrations in: City of Washington and Canonsburg (Washington

Community MH/MR) Mon Valley (SPHS)

Spread throughout southern section of county (Centerville Clinics)

Individuals are also served from other Counties

* HealthChoices Only

Users by Service Category: Base & HealthChoices in 2008

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Service Category Base HC

Outpatient MH 558 5,442Case Management/ICM 233 1,217BHRS 0 810Crisis 340 676Inpatient MH 0 657HC Supplemental Serv - MH 0 433Lab 0 306Partial Hosp MH 32 239Family Based Services 2 134CTT 20 38RTF 0 34

Service Category Base HC

Med Check 0 26LTSR / AOP 18 13Psych Rehab 38 1Administrative Management 546 0Community Residential 28 0Emergency Services 17 0Employment Related Services 23 0Facility Based Voc Rehab 10 0Housing Support 148 0RTF - Adult 31 0Social Rehab 146 0

•MH services only• Excludes service categories with less than 10 users

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Users by Diagnostic Category: Base & HealthChoices in 2008

Diagnostic Category (Age 00-20)

Base(297)

HC(2,710)

ADHD 54 930Adjustment D/O 35 774Neurotic D/O 68 496Major Depression 16 393Psychosis Ch Orig 15 368Conduct D/O 10 323Bipolar D/O 9 311Child-Adol Emot D/O 18 308Depressive D/O 52 270Schizophrenia 1 26

Diagnostic Category (Age 21-65+)

Base(1,153)

HC(3,673)

Major Depression 268 1,396Bipolar D/O 115 905Schizophrenia 189 603Neurotic D/O 174 507Depressive D/O 212 431Adjustment D/O 74 337Unspec Psychosis 11 65Conduct D/O 11 48Org Mental D/O 4 45ADHD 15 38

• Includes the top 10 MH diagnostic categories for both children and adults

How to Contact Us

Mary Fleming: mfleming@ahci.orgMatt Koren: mkoren@ahci.org Check out our website: www.ahci.orgPhone: 412-325-1100

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