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Behavioral Health Treatment ServicesState Profile

2021Annual Report

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Community Behavioral Health Treatment ServicesV

Community Behavioral

Health Treatment Services

September 2021 | 1 ii


9

Survey Respondents………………………………………………………..…………………………………………….13

Definitions…………………………………………………………………………………………..13

Survey Responses………………………………………………………………………………………………..14

Familiarity of Services……………………...……………………………………………………………..14

Client Support………………………………………………………………………………………………………………….15

Positive Outcomes………………………………………………………………………………...………………………15

Location of Services………………………………………………………...…………………………………………………………………16

Group Times……………………………………………………………………………………..16

Staff Respectfulness…………………………………………………………………………..17

Trained Staff………………………………………………………………………………………………………………….17

Staff Competencies…………………………………………………….......................…………18

Agency Responsivity………………………………………………………...…………………………………………………………………18

Staff Communication……………………………………………………………………………………..19

Utilization of Evidence-Based or Emerging/Promising Practices……………………………………19

Quality of Services……………………………………………………………………………………..20

SUD Treatment Services State Information………………………………………………...………………….

Outcome Tool Return Rate Information for SUD Treatment Services…………………………………………………………………………………….

Discharge Reasons for SUD Treatment Services………………………………………………………………………………………………………………….

Primary Diagnostic Information for SUD Treatment Services……………………………………………………………

Impact of SUD Treatment Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for SUD Treatment Services……………………………………………………………………………………..

Quality of Life Information for SUD Treatment Services………………………………………………...………………………………………………………………..

Public Safety Information for SUD Treatment Services…………………………………………………………………………………..………………………………..

Outpatient Treatment Services State Information…………………………………………...……………

Outcome Tool Return Rate Information for Outpatient Treatment Services…………………………………………………………………………………….

Discharge Reasons for Outpatient Treatment Services………………………………………………………………………………………………………………….

Impact of Outpatient Treatment Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for Outpatient Treatment Services……………………………………………………………………………………..

Quality of Life Information for Outpatient Treatment Services………………………………………………...………………………………………………………………..

Public Safety Information for Outpatient Treatment Services…………………………………………………………………………………..………………………………..

Level 2.5 Day Treatment Services State Information…………………………………………

Outcome Tool Return Rate Information for Day Treatment Services…………………………………………………………………………………….

Discharge Reasons for Day Treatment Services………………………………………………………………………………………………………………….

Impact of Day Treatment Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for Day Treatment Services……………………………………………………………………………………..

Quality of Life Information for Day Treatment Services………………………………………………...………………………………………………………………..

Public Safety Information for Day Treatment Services…………………………………………………………………………………..………………………………..

Stakeholder Survey Summary

35

36

37

39

41

41

28

30

31

33

33

34

42

43

44

45

Data Collection Methodology………………………………………………………………………………..

SUD Treatment Services23

25

25

26

27

26

Table of Contents



Impact of Low-Intensity Residential Treatment Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for Low-Intensity Residential Treatment Services……………………………………………………………………………………..

Quality of Life Information for Low-Intensity Residential Treatment Services………………………………………………...………………………………………………………………..

Public Safety Information for Low-Intensity Residential Treatment Services…………………………………………………………………………………..………………………………..

Level 3.7 Medically-Monitored Intensive Inpatient Treatment Services State Information…………………………………………

Outcome Tool Return Rate Information for Inpatient Treatment Services…………………………………………………………………………………….

Discharge Reasons for Inpatient Treatment Services………………………………………………………………………………………………………………….

Impact of Inpatient Treatment Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for Inpatient Treatment Services……………………………………………………………………………………..

Quality of Life Information for Inpatient Treatment Services………………………………………………...………………………………………………………………..

Public Safety Information for Inpatient Treatment Services…………………………………………………………………………………..………………………………..

Intensive Methamphetamine Treatment (IMT) Services State Information………………………………..

Outcome Tool Return Rate Information for IMT Services…………………………………………………………………………………….

Discharge Reasons for IMT Services………………………………………………………………………………………………………………….

Impact of IMT Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for IMT Services……………………………………………………………………………………..

Quality of Life Information for IMT Services………………………………………………...………………………………………………………………..

Public Safety Information for IMT Services…………………………………………………………………………………..………………………………..

Performance Measures for IMT Services…....................................................................................70

Pregnant Woman and Woman with Dependant Children………………………………..

Outcome Tool Return Rate Information for PW/WDC Program…………………………………………………………………………………….

Discharge Reasons for PW/WDC Program………………………………………………………………………………………………………………….

Impact of PW/WDC Program………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for PW/WDC Program……………………………………………………………………………………..

Quality of Life Information for PW/WDC Program………………………………………………...………………………………………………………………..

Public Safety Information for PW/WDC Program…………………………………………………………………………………..………………………………..

77

78

Discharge Reasons for Low-Intensity Residential Treatment Services …...…….........

54

56

67

68

69

70

81

72

74

74

75

58

58

59

60

61

62

Level 3.1 Clinically-Managed Low-Intensity Residential Treatment Services State

Information…………….……………………………………………………….……………

Outcome Tool Return Rate Information for Low-Intensity Residential Treatment

Services ……………………………………………………………….

64

49

50

51

52

47

49

66

66



SUD Treatment Services Treatment Services State Information………………………………………….

83


Discharge Reasons for SUD Treatment Services………………………………………………………………………………………………………………….

Primary Diagnostic Information for SUD Treatment Services……………………………………………………………










Outpatient Treatment Services State Information………………..…………………………….

95


Discharge Reasons for Outpatient Treatment Services………………………………………………………………………………………………………………….


Utilization of High Cost Treatment Services for Outpatient Treatment Services……………………………………………………………………………………..





Utilization of High Cost Treatment Services for Outpatient Treatment Services……………………………………………………………………………………..



107

Outcome Tool Return Rate Information for PRTF Treatment Services…………………………………………………………………………………….

Discharge Reasons for PRTF Treatment Services………………………………………………………………………………………………………………….

Impact of PRTF Treatment Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Treatment Services for PRTF Treatment Services……………………………………………………………………………………..

Quality of Life Information for PRTF Treatment Services………………………………………………...………………………………………………………………..

Public Safety Information for PRTF Treatment Services…………………………………………………………………………………..………………………………..

Outcome Tool Return Rate Information for PRTF Treatment Services…………………………………………………………………………………….

Impact of PRTF Treatment Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Treatment Services for PRTF Treatment Services……………………………………………………………………………………..

105

83

101

101

102

103

104

83

84

95

96

98

99

100

89

90

101

Youth Information…………….………………………………...……………………………………….

Family Information……………………………………………………….………………………..

89





Psychiatric Residential Treatment Facility (PRTF) Treatment Services State

Information………………………………………………………………………………………

86

87

88

89

Youth Substance Use Disorder Treatment Services

81

108

109

91

92

93

95

110

111

113

113

114

84

107

107

113



Quality of Life Information for PRTF Treatment Services………………………………………………...………………………………………………………………..

Public Safety Information for PRTF Treatment Services…………………………………………………………………………………..………………………………..116

115



CARE and IMPACT Services State Information……………..…………………………………………………..…………….

Outcome Tool Return Rate Information for CARE and IMPACT Services…………………………………………………………………………………….

Primary Diagnostic Information for CARE and IMPACT Services……………………………………………………………

Impact of CARE and IMPACT Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for CARE and IMPACT Services……………………………………………………………………………………..

Quality of Life Information for CARE and IMPACT Services………………………………………………...………………………………………………………………..

Public Safety Information for CARE and IMPACT Services…………………………………………………………………………………..………………………………..

CARE Services State Information……………….................….................…...…..…………………….

Outcome Tool Return Rate Information for CARE Services…………………………………………………………………………………….

Impact of CARE Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for CARE Services……………………………………………………………………………………..

Quality of Life Information for CARE Services………………………………………………...………………………………………………………………..

Public Safety Information for CARE Services…………………………………………………………………………………..………………………………..

IMPACT Services State Information……..………..........…...………..………………...……….

Outcome Tool Return Rate Information for IMPACT Services…………………………………………………………………………………….

Impact of IMPACT Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Services for IMPACT Services……………………………………………………………………………………..

Quality of Life Information for IMPACT Services………………………………………………...………………………………………………………………..

Public Safety Information for IMPACT Services…………………………………………………………………………………..………………………………..

Children, Youth, Family (CYF) Treatment Services State Information………………………………………….

145

Outcome Tool Return Rate Information for CYF Treatment Services…………………………………………………………………………………….

Primary Diagnostic Information for CYF Treatment Services……………………………………………………………

Impact of CYF Treatment Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Treatment Services for CYF Treatment Services……………………………………………………………………………………..

Quality of Life Information for CYF Treatment Services………………………………………………...………………………………………………………………..

Public Safety Information for CYF Treatment Services…………………………………………………………………………………..………………………………..

Outcome Tool Return Rate Information for CYF Treatment Services…………………………………………………………………………………….

Impact of CYF Treatment Services………………………………………………………...…………………………………………………………………

Utilization of High Cost Treatment Services for CYF Treatment Services……………………………………………………………………………………..

Quality of Life Information for CYF Treatment Services………………………………………………...………………………………………………………………..

Public Safety Information for CYF Treatment Services…………………………………………………………………………………..………………………………..

Targeted Services for Justice Involved Adults Table of Contents

Targeted Services for Justice Involved Adults Table of Contents…....................................... 159

181

141


Family Information…………………………..…………………….………………………..

Youth Mental Health Treatment Services

152

154

155

156

122

146

149

150

151

152

152

140

143

145

147

Mental Health Services

121

135

137

138

Targeted Services for Justice-Involved Youth Table of Contents

Targeted Services for Justice-Involved Youth Table of Contents…..........................................

139

127

129

129

131

132

133

119

122

124

125

126



Appendix C: Youth Substance Use Disorder Treatment Services………………………………………

Appendix D: Adult Mental Health Services………………………………………...…

Appendix E: Youth Mental Health Treatment Services…………………...…………………..

Appendix A: Stakeholder Survey………………..……………………………………….219

Supporting Data

Appendix B: Adult Substance Use Disorder Treatment Services……………………………………….221

265

299

318


Data Collection Methodology V

Data Collection

Methodology


Data Collection Methodology V

The Division of Behavioral Health collaborated closely with members of the Data and Outcomes Work Group

(DOWG) to identify the information found in this executive summary and the state and agency profiles. This work

group is comprised of representatives from mental health and substance use disorder agencies as well as Division

of Behavioral Health staff.

For FY21 agency profiles, contracted behavioral health agencies collected data from in-person questionnaires. The

surveyed population included adults and youth receiving publicly funded behavioral health services between June

1st, 2020, through May 31st, 2021. In addition, parents and guardians of youth receiving services were surveyed.

Publicly funded behavioral health services are funded through state general funds, block grant funding, and

Medicaid funding.

Data Collection Process

Stakeholder Survey

The Division of Behavioral Health (DBH) collects Stakeholder Survey data once a year for all accredited mental

health and substance use disorder agencies. As part of the survey process, accredited agencies are asked to share

the survey with at least three stakeholders in their community. In addition, the DBH surveys the Department of

Corrections (DOC), Unified Judicial System (UJS), and Child Protection Services (CPS) regarding the accredited

agencies.

Mental Health Services

Contracted agencies collect mental health outcome data at admission, every six months until discharge from

services, and at successful discharge from services. The most significant improvements in mental health are made

between admission and the first 6 months of services. However, the DBH requires contracted agencies to continue

to collect data every six months to ensure clinical services continue to support changes made in the first 6 months

of services. Clients completing the surveys do have the option to skip or refuse to answer questions. As a result,

total data points collected may change between questions.

Substance Use Disorder Services and Targeted Services for Justice-Involved Clients

Contracted agencies collect substance use disorder outcome data at admission and at successful discharge from

services. Clients completing the surveys have the option to skip or refuse to answer questions. As a result, total

data points collected may change between questions. The Texas Christian University Criminal Thinking Scales

(TCU), How I Think Questionnaire (HIT), Gain Short Screener, (Gain-SS) and Aggression Questionnaire (AQ)

are secondary tools utilized to measure the impact of Targeted Services for Justice-Involved clients.

Data Reporting

Appendices contain the data used to build this report. Information includes each data point identified in the State

Profile, the total number of clients who responded, and their responses.


Stakeholder Survey

Stakeholder Survey

Summary


Stakeholder Survey



Stakeholder Survey

Prevention Service Providers

County Board of Mental Illness

Other

525370431383-Total Responses

DefinitionsCPS-Child Protection Services

DBH-Division of Behavioral Health

DOC-Department of Corrections (Juvenile Correction Agents, Parole Services)

EA-Economic Assistance

EAP-Employee Assistance Program

SUD-Substance Use Disorder

UJS-Unified Judicial Services (Court Services Officer)

- 6 - 0 -

- - 19 16 25

- - 4 2 4

School (Administrator/Counselor/

Teacher/Social Worker)- 49 61 69 52

Treatment Agency (Mental

Health/SUD/EAP/Therapist/

Counselor/Case Manager)

- 35 50 64 34

Medical (Doctor/Nurse/Hospital

Social Worker/Psychiatric

Nurse/Community Health)

- 11 19 23 24

Department of Social Services-

State/Tribal (EA/CPS/Adult

Services/Child Welfare)

- 53 45 27 88

Court Staff- UJS (State, Federal,

Tribal, Judge, Attorney, DOC,

Drug Court, Teen Court)

- 219 217 145 271

FY17 FY18 FY19 FY20 FY21

Law Enforcement (Sheriff, Police

Department, Highway Patrol)- 10 16 24

Stakeholder Survey Summary

State InformationPrinted September 2021

Survey Respondents

The Division of Behavioral Health (DBH) recognizes the need for strong community collaboration at the local

level between agencies accredited with the DBH and their local referral sources seeking services for clients.

Accredited agencies are asked to share a stakeholder survey with local referral sources such as schools,

healthcare providers, and other entities of their choosing. The Stakeholder Survey is intended to create a

dialogue between referral sources and accredited agencies to encourage collaboration to best meet the needs

of clients.

Stakeholder Types

27


Stakeholder Survey

Not Familiar

Somewhat Familiar

Familiar

Very Familiar

Total Responses

22% 16% 23%

37% 75% 81% 74%

Not Collected

4% 0% 0% 0%

13% 3% 3% 3%

46%

383 431 370 532

Survey Responses

The following data reflect stakeholders’ perceptions regarding treatment services provided by accredited

agencies.

Familiarity of Services: How familiar are you with the services that are offered by this agency…


0% 4% 0% 0% 0%13%

3% 3% 3%

46%

22% 16%23%

37%

75% 81%74%

0%

20%

40%

60%

80%

100%


Familiarity of Services

Not Familiar Somewhat Familiar Familiar Very Familiar


Stakeholder Survey

Disagree

Undecided

Agree

Total Responses

Disagree

Undecided

Agree

Total Responses

11% 12% 14%

79%

7% 3% 5% 6%

90%

84% 85% 81%

367 418 359 514

Not Collected

6% 5% 3% 5%

15%

Client Support: This agency is supportive of client needs…


Positive Outcomes: Clients that receive services from this agency have positive outcomes…


92% 92% 91%

368 419 364 511

Not Collected

3% 4% 4% 3%

0% 3% 4% 4% 3%7% 3% 5% 6%

90% 92% 92% 91%

0%

20%

40%

60%

80%

100%


Client Support

Disagree Undecided Agree

0% 6% 5% 3% 5%15% 11% 12% 14%

79% 84% 85% 81%

0%

20%

40%

60%

80%

100%


Positive Outcomes



Stakeholder Survey

Disagree

Undecided

Agree

Total Responses

Disagree

Undecided

Agree

Total Responses

12%

82%

6% 7%

82%

80% 84% 80%

367 413 354 508

Not Collected

7% 6% 6% 8%

11% 14% 10%

Group Times: The services are available at times that are convenient for clients…


85% 89% 88%

367 417 358 512

Not Collected

7% 7% 5% 5%

11% 8%

Location of Services: The location of services is convenient for clients…


0%7% 7% 5% 5%11% 8% 6% 7%

82% 85% 89% 88%

0%

20%

40%

60%

80%

100%


Location of Services


0%7% 6% 6% 8%11% 14% 10% 12%

82% 80% 84% 80%

0%

20%

40%

60%

80%

100%


Group Times



Stakeholder Survey

Disagree

Undecided

Agree

Total Responses

Disagree

Undecided

Agree

Total Responses

91%

86% 90% 84%

368 413 350 508

Not Collected

5% 5% 2% 4%

10% 9% 8% 12%

85%

Trained Staff: Staff at this agency are well trained


94% 94% 94%

370 416 360 516

Not Collected

3% 3% 2% 2%

6% 3% 4% 4%

Staff Respectfulness: Staff at this agency are respectful


0% 3% 3% 2% 2%6% 3% 4% 4%

91% 94% 94% 94%

0%

20%

40%

60%

80%

100%


Staff Respectfulness


0% 5% 5% 2% 4%10% 9% 8% 12%

85% 86% 90% 84%

0%

20%

40%

60%

80%

100%


Trained Staff



Stakeholder Survey

Disagree

Undecided

Agree

Total Responses

Disagree

Undecided

Agree

Total Responses

87% 92% 88%

371 412 355 496

Not Collected

6% 2% 5%

9% 7% 6% 7%

84%

7%

Agency Responsivity: This agency is responsive to the needs within the community


88% 92% 87%

363 407 348 506

Not Collected

4% 4% 2% 3%

9% 8% 6% 10%

87%

Staff Competencies: Staff at this agency are competent to deliver treatment services


0% 4% 4% 2% 3%9% 8% 6% 10%

87% 88% 92% 87%

0%

20%

40%

60%

80%

100%


Staff Competencies


0%7% 6% 2% 5%9% 7% 6% 7%

84% 87% 92% 88%

0%

20%

40%

60%

80%

100%


Agency Responsivity



Stakeholder Survey

Disagree

Undecided

Agree

Total Responses

Disagree

Undecided

Agree

Total Responses

83% 85% 79%

352 389 338 487

Not Collected

4% 3% 2% 1%

19% 14% 13% 20%

77%

Utilization of Evidence-Based or Emerging/Promising Practices: This agency utilizes Evidence Based or

Emerging/Promising Practices


81% 81% 79%

356 399 345 496

Not Collected

8% 8% 9%

14% 11% 11% 12%

78%

8%

Staff Communication: Staff actively communicate regarding the client's treatment


0%8% 8% 8% 9%14% 11% 11% 12%

78% 81% 81% 79%

0%

20%

40%

60%

80%

100%


Staff Communication


0% 4% 3% 2% 1%

19% 14% 13%20%

77% 83% 85% 79%

0%

20%

40%

60%

80%

100%


Utilization of Evidence-Based or Emerging/Promising Practices



Stakeholder Survey

Disagree

Undecided

Agree

Total Responses

88% 89% 87%

Quality of Services: This agency provides quality services


370 415 361 514

Not Collected

3% 5% 2% 5%

12% 7% 9% 8%

85%

0% 3% 5% 2% 5%12% 7% 9% 8%

85% 88% 89% 87%

0%

20%

40%

60%

80%

100%


Quality of Services



SUD Treatment Services

Fiscal Year 2021 (FY21) Program Activity

Adults

Youth

White

Black or African American

Asian

18 and below 5%

19 to 64 94% Two or More Races

65 and above 1% Other

Accreditation Information

Administrative Score

SUD Chart Score

Total Accreditation Score

11,281

11,189

10,630

4%

7%

*All clients served includes all funding sources including private

pay, insurance, and other funding sources.

** Publicly funded includes only clients served through state and

federal funding, including Medicaid.

State Avg.

94.7%

92.4%

93.8%

Accreditation Review

24%

Publicly Funded**

Substance Use Disorder (SUD) Treatment Services Profile

Non-Justice Involved State InformationPrinted September 2021

RaceSUD

Clients

85%

2%

1%

3%

NA

0%

9%American Indian and Alaska

Native33%

Native Hawaiian and Other

Pacific Islander0.2%

State Pop.

50%

0.4%

5%

Age SUD Clients Pop. State Pop.

17%

11,875

594

559

58%

All Clients Served*

Youth

Adults

Demographic Information

Clients Served

The DBH accredits 42 SUD treatment

agencies utilizing the standards set forth in

Administrative Rules of South Dakota

(ARSD 67:61).

42 accredited agencies provide

Substance Use Disorder

Treatment Services across South

Dakota

In FY21, the Division of Behavioral Health (DBH) accredited 42

SUD agencies. Of the 42 agencies, 34 agencies were contracted

by the DBH to provide SUD treatment services.

This state profile page reflects adult and youth clients who were

publicly funded in FY21, which runs from June 2020 - May

2021. This does not include clients who received targeted

services for justice-involved individuals.

The demographic information includes all clients who

were funded through state and federal funds, including

Medicaid.

September 2021 | 21 v

Adult SUD Treatment Services




Adult SUD

Treatment Services



# of Admissions

# of Tools Submitted

Return Rate

Target Return Rate

# of Successful Discharges


Return Rate

Target Return Rate

State Average

Treatment Completed

Terminated by Facility

Incarcerated

Other

National Average

Treatment Completed


Incarcerated

Other

The Data and Outcomes Work Group members set a goal for all contracted agencies to meet or exceed a 60%

outcome tool return rate for FY21.

2% 2% 2% 1% 1%

4% 4% 5% 5% 5%

Transferred to Another Facility or

Program15% 16% 22% 18% 20%

40%

7% 7% 7% 5% 4%

45% 43% 39% 30% 30%

Left Against Professional Advice 27% 29% 25% 41%

3% 3% 3% 2% 2%

4% 4% 4% 4% 3%


Program4% 3% 4% 4% 3%

13%

6% 5% 5% 4% 3%

69% 71% 73% 75% 75%


This information is collected in the State Treatment Activity Reporting System (STARS) for clients discharged

from SUD treatment services. The DBH has set a benchmark of a 70% successful completion rate.


60% 60% 60% 60% 60%

Discharge Reasons for SUD Treatment Services

SUD Treatment Discharge Reasons

76% 73% 81%

Discharge Outcome Tool Return Rate

2,148 1,921 2,048 2,320 2,080

44% 74% 84% 80% 85%

60% 60% 60% 60% 60%

597 1,065 1,563 1,703 1,686

28% 55%

2,025 3,340 3,917 4,071 4,444


Initial Outcome Tool Return Rate

4,578 4,495 4,689 5,080 5,206

Outcome Tool Return Rate Information for SUD Treatment Services

The DBH accredits and contracts with SUD treatment agencies across the state to provide quality treatment

services to adults. This is a reflection of the 34 agencies who provide contracted treatment services. The

information below includes clients in Outpatient Treatment Services, which includes Level 0.5 Early

Intervention, Level 1.0 Outpatient and Level 2.1 Intensive Outpatient Treatment Services, Level 2.5 Day

Treatment Services (Day Treatment Services), Level 3.1 Clinically-Managed Low-Intensity Residential

Treatment Services (3.1 Low-Intensity Residential Treatment Services), Level 3.7 Medically-Monitored

Intensive Inpatient Treatment Services (3.7 Inpatient Treatment Services), and Intensive Methamphetamine

Treatment Services (IMT).

Statewide Program Outcomes for SUD Treatment Services

SUD Treatment Return Rates



State Primary SUD Diagnosis


State Average


State Average


State Average


State Average

Quality and Appropriateness of Services: Perception of the quality and appropriateness of treatment services received


90% 91% 91% 91% 92%

Outcome of Services: Perception of treatment outcomes as a result of services received


93% 94% 94% 95% 95%

90% 92% 92% 93% 94%


94% 95% 95% 94% 94%

Impact of treatment services is measured by surveying client perception of the quality of services received

including the following: general satisfaction with services, access to services, quality and appropriateness of

services, outcome of services, and participation in treatment planning. Additionally, impacts are measured by

improvements in social connectedness and overall functioning. Impact of treatment services is relevant because

clients who feel empowered, motivated, have positive family relationships, and feel they have the ability to

change may be more likely to have positive treatment outcomes.

The following information represents data from those clients who agreed or strongly agreed at time of

successful discharge.

General Satisfaction with Services: Overall satisfaction with treatment services received


Access to Services: Perception of the ease and convenience of treatment services received

2% 4% 4% 3% 1%

Impact of SUD Treatment Services

3% 4% 4% 3%

Number/Percent of Clients with a

Primary Other Substance Use

Disorder

132 221 234 248 93

25% 27% 30%


Primary Opioid Use Disorder

253 209 225 276 210

4%

8% 8%


Primary Amphetamine Use Disorder

1,175 1,227 1,420 1,921 1,898

17% 20%

58%


Primary Cannabis Use Disorder

559 743 577 604 508

8% 12% 10%


Primary Alcohol Use Disorder

3,389 3,137 3,234 4,232 3,654

50% 51% 56% 59%

Primary Diagnostic Information for SUD Treatment ServicesThe DBH monitors data and outcomes for publicly funded behavioral health treatment services. The table

below reflects information entered into STARS by contracted providers for publicly funded clients receiving

SUD treatment services. This does not include individuals who received only an assessment or justice-involved

individuals.





State Average

Social Connectedness: Perception of their support system in the community at…


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge

FY17

FY21

6%

71%

7%

FY18

FY20

73% 72% 71%

7% 8%

FY17 FY18 FY19

FY18 FY19 FY20 FY21FY17

85% 86% 86% 89%88%

Emergency Department: Clients who reported emergency department visit(s) within 30 days of…

- 12% 11%

Illness, Injury, or Surgery: Clients who reported night(s) spent in a facility for illness, injury, or surgery within 30 days

of…

High cost services include the following: treatment for illness, injury, or surgery, emergency department visits,

hospital admissions for mental health care, detoxification services, inpatient substance use disorder treatment

services, or detention in a correctional facility. Participation in treatment services may help reduce the

frequency of client utilization of high cost services. Data from FY17 and June through December FY18 are not

reported due to a change in the reporting process. The following section includes data at admission into

services and at successful discharge from services.

Utilization of High Cost Services for SUD Treatment Services

Functioning: Perception of their mental health and social well-being at…

- 10% 9% 8% 9%

- 8% 5% 5% 4%

FY17 FY18 FY19 FY20

- 9% 10% 9%

-

12% 11%

- 9% 6% 6% 16%

9%

Hospital Admissions for Mental Health Care: Clients who reported hospital admission(s) for mental health care within

30 days of…

FY21

71%

91% 93% 92% 93% 94%


91% 91% 93% 93% 93%

FY19 FY20 FY21

73%

Participation in Treatment Planning: Perception of participation in treatment planning

FY17 FY18 FY19

The following two sections include data at admission into services and at successful discharge from services as

a means to demonstrate improvement in social connectedness and functioning.

FY20 FY21

74% 74% 74% 75%




State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge

Inpatient Substance Use Disorder Treatment Services: Clients who reported inpatient treatment services for substance

use disorders within 30 days of…

Data from FY17 and June through December FY18 are not reported for suicide attempt(s) due to a change in

the reporting process.

9% 11% 14%


16%

- 16%

Detoxification Services: Clients who reported night(s) spent in a facility for detoxification within 30 days of…

- 17% 18% 19%

Suicide Attempts: Clients who reported suicide attempt(s) within 30 days of…


- 12% 11% 11% 10%

- 9% 5% 5% 4%

83% 80% 80% 80% 78%

91% 91% 90% 92% 90%


- 51% 43% 42% 36%

- 36% 23% 19% 7%

Quality of life is measured in several key life domains including the following: general health, suicide attempts,

employment status, homelessness, and other domains as shown in the tables below. Improvements in these

areas may indicate the effectiveness of treatment services. The following section includes data at admission

into services and at successful discharge from services.

Quality of Life Information for SUD Treatment Services

General Health: Clients who reported their general health as good, very good, or excellent at…


- 17% 16% 16% 15%

- 33% 22% 21% 36%


Correctional Facility: Clients who reported night(s) spent in a correctional facility within 30 days of…




State Average

Admission

Discharge

National Average

Admission

Discharge


State Average

Admission

Discharge

National Average

Admission

Discharge

Federally Required; Discharge data includes successful and unsuccessful discharges


State Average

Admission

Discharge


State Average

Before Program

End of Program


State Average

Admission

Discharge


State Average

Admission

Discharge

Federally Required; Due to STARS limitations, both adult and youth population are included; Discharge data includes

successful and unsuccessful discharges

51% 46% 42% 44% 48%

83% 81% 81% 83% 85%

Engagement in Treatment Services: Clinicians who reported clients had positive or optimal engagement in treatment

services at…


68% 49% 65% 63% 63%

87% 79% 87% 88% 89%

Motivation to Not Use Substances: Clients who reported motivation to not use substances at…


39% 38% 39% 38% 39%

98% 98% 98% 98% 98%

Ability to Control Use: Clients who reported the ability to control their substance use…


23% 21% 22% 23% 21%

10% 6% 5% 7% 7%

Missing School/Work: Clients who reported missing school/work due to their substance use within 30 days of…


15% 15% 16% 12% 14%

10% 10% 10% 9% 9%

5% 7% 8%

4% 10% 12% 14% 14%

Homelessness: Clients who reported homelessness at…


55% 44% 46% 45% 45%

25% 24% 24% 19% 18%

25% 25% 23% 19% 18%

3% 7%

33% 30%


Employment Status: Adult and youth clients who reported employment at…

46% 33% 34%




State Average

Admission

Discharge

National Average

Admission

Discharge



State Average

Admission

Discharge

Trouble as a Result of Substance Use: Clients who reported getting in trouble at home, school, work, or in the

community as a result of substance use within 30 days of…

29% 30% 31% 32% 29%

12% 8% 8% 8% 8%


19% 19% 16% 35% 32%

24% 23% 24% 37% 35%

14% 18% 15% 14% 11%

15% 11% 11% 9% 7%

Public Safety Information for SUD Treatment Services

Public safety information includes history of arrest and trouble as a result of substance use. Reductions in

these areas may indicate how clients are able to positively contribute to their families and communities. The

following section includes data at admission into services and at successful discharge from services.

History of Arrest: Clients who reported arrest(s) within 30 days of…




Outpatient

Treatment Services



# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

State Average

Treatment Completed


Incarcerated

Other

7% 5% 5% 4% 4%

8% 8% 10% 11% 10%


Program6% 5% 5% 5% 5%

28%

7% 7% 9% 8% 8%

43% 45% 44% 46% 45%


Discharge Reasons for Outpatient Treatment Services

This information is collected in STARS for clients discharged from outpatient treatment services.


24% 54% 79% 75% 85%

60% 60% 60% 60% 60%

Outpatient Treatment Discharge

Reasons

1,511 1,293 1,327 1,395 1,175

359 695 1,043 1,051 1,003

60% 60% 60% 60% 60%


1,470 2,535 2,719 2,643 2,881

46% 76% 82% 80% 87%


3,229 3,338 3,312 3,297 3,322


Outcome Tool Return Rate Information for Outpatient Treatment Services

Outpatient Treatment Return Rates

Outpatient Treatment Services include the following: Level 0.5 Early Intervention, Level 1.0 Outpatient

Treatment Services, and Level 2.1 Intensive Outpatient Treatment Services. These services provide outpatient

counseling to individuals diagnosed with substance use disorders. This is a reflection of the 23 agencies who

provide contracted outpatient treatment services.



Statewide Program Outcomes for Outpatient Treatment Services



Outpatient Treatment Services

State Average


State Average


State Average


State Average


State Average



State Average

Admission

Discharge


State Average

Admission

Discharge





Impact of Outpatient Treatment Services

FY18 FY19 FY20 FY21

94% 94% 96% 96% 96%


FY17

91% 94% 93% 95% 96%








75% 75% 76% 77% 78%

92% 93% 93% 94% 95%



76% 76% 78% 78% 79%

87% 89% 89% 90% 92%




92% 94% 94% 94% 95%



90% 92% 91% 93% 94%



93% 95% 95% 96% 95%





State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge

- 50% 42% 38% 33%

- 33% 22% 17% 6%



- 12% 11% 11% 7%

- 8% 7% 6% 6%




- 13% 12% 11% 11%

- 8% 4% 3% 2%



- 6% 7% 7% 5%

- 4% 2% 3% 2%


30 days of…


- 10% 9% 8% 8%

- 4% 3% 3% 2%



- 9% 8% 7% 7%

- 8% 4% 4% 2%

Utilization of High Cost Services for Outpatient Treatment Services








of…





State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge



State Average

Admission

Discharge


State Average

Before Program

End of Program



- 9% 9% 7% 7%

-




47% 43% 43% 44% 46%

98% 98% 98% 99% 98%


18% 19% 18% 17% 15%

7% 4% 4% 4% 3%


3% 4% 3% 4% 4%

3% 6% 7% 9% 7%


45% 42% 43% 44% 41%

56% 53% 53% 55% 56%



4% 3% 3% 2%



86% 83% 83% 83% 82%

91% 93% 91% 93% 91%

Data from FY17 and June through December FY18 are not reported for suicide attempt(s) due to a change in the

reporting process.

Quality of Life Information for Outpatient Treatment Services










State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge



State Average

Admission

Discharge


services at…


25% 27% 27% 26% 24%

10% 5% 5% 5% 4%


10% 17% 15% 14% 11%

17% 13% 12% 10% 9%




52% 48% 46% 48% 56%

86% 83% 84% 87% 87%






Public Safety Information for Outpatient Treatment Services

70% 54% 70% 70% 72%

88% 82% 90% 91% 91%




Level 2.5 Day

Treatment Services



# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

Day Treatment Discharge Reasons

State Average

Treatment Completed


Incarcerated

Other

0% 1% 0% 0% 0%

1% 1% 0% 2% 0%


Program0% 1% 0% 0% 2%

9%

15% 14% 9% 12% 8%

70% 75% 82% 78% 81%


Discharge Reasons for Day Treatment Services

This information is collected in STARS for clients discharged from Day Treatment Services.


88% 99% 99% 97% 86%

60% 60% 60% 60% 60%

89 106 91 90 74

78 105 90 87 64

60% 60% 60% 60% 60%


110 131 103 113 86

82% 100% 100% 96% 97%


134 131 103 118 89




Statewide Program Outcomes for Level 2.5 Day Treatment Services Level 2.5 Day Treatment Services (Day Treatment Services) offers clinically intensive programming to

individuals with substance use disorders. This is a reflection of 1 agency who provides contracted day

treatment services.

Outcome Tool Return Rate Information for Day Treatment Services

Day Treatment Return Rates



Day Treatment Services

State Average


State Average


State Average


State Average


State Average



State Average

Admission

Discharge


State Average

Admission

Discharge



59% 69% 64% 59% 62%

93% 95% 92% 95% 95%



62% 72% 68% 64% 64%

78% 83% 84% 82% 82%




96% 96% 97% 96% 98%



91% 90% 93% 90% 92%



97% 98% 98% 97% 98%


96% 98% 98% 95% 97%



99% 100% 100% 97% 98%








Impact of Day Treatment Services






State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge

- 72% 53% 50% 39%

- 49% 24% 17% 9%



- 58% 62% 65% 68%

- 83% 83% 73% 80%




- 34% 29% 21% 29%

- 24% 16% 15% 17%



- 11% 11% 14% 9%

- 2% 9% 6% 3%


30 days of…


- 21% 15% 19% 15%

- 17% 5% 5% 5%



- 0% 7% 6% 7%

- 10% 7% 5% 5%

Utilization of High Cost Services for Day Treatment Services








of…





State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge



State Average

Admission

Discharge


State Average

Before Program

End of Program


Employment Status: Clients who reported employment at…


30% 28% 31% 31% 23%

100% 99% 98% 99% 100%

FY17 FY18 FY19


FY21

14% 9% 10% 12% 17%

27%



13% 5% 6% 8% 7%

5% 2% 9% 3% 7%



FY20

28% 26% 31% 22% 31%

31% 24% 26% 24%

44% 31% 38% 43% 28%



- 11% 14% 14% 8%

- 15% 10% 5% 5%

76% 73% 68% 74% 83%

92% 88% 88% 94% 100%



Quality of Life Information for Day Treatment Services










State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge



State Average

Admission

Discharge



50% 48% 52% 53% 75%

96% 90% 87% 92%





Public Safety Information for Day Treatment Services

97%



48% 43% 53% 52% 39%

11% 14% 21% 15% 11%


14% 19% 26% 25% 23%

1% 6% 6% 5% 3%


51% 30% 54% 42% 51%

90% 83% 86% 85% 90%



services at…



Level 3.1 Clinically-

Managed Low-Intensity

Residential Treatment

Services



# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

State Average

Treatment Completed


Incarcerated

Other

4% 4% 5% 5% 5%

5% 3% 3% 4% 3%


Program5% 10% 3% 3% 5%

35%

27% 16% 22% 17% 17%

36% 43% 38% 39% 35%


Discharge Reasons for Low-Intensity Residential Treatment Services

This information is collected in STARS for clients discharged from Low-Intensity Residential Treatment

Services.


27% 51% 78% 65% 77%

60% 60% 60% 60% 60%

Low-Intensity Residential

Treatment Discharge Reasons

195 135 209 227 147

53 69 164 147 113

60% 60% 60% 60% 60%


310 344 455 388 415

49% 83% 81% 75% 80%


634 413 561 519 517




Statewide Program Outcomes for

Level 3.1 Clinically-Managed Low-Intensity Residential Treatment Services

Level 3.1 Clinically-Managed Low-Intensity Residential Treatment Services (Low-Intensity Residential

Treatment Services) include residential, peer-oriented treatment programs for individuals with substance use

disorders whose living situation or recovery environment is incompatible with recovery goals. To prepare the

client to live successfully in the community, the program provides substance use disorder counseling along with

case management services. This is a reflection of the 7 agencies who provide contracted low-intensity treatment

services.

Outcome Tool Return Rate Information for Low-Intensity Residential Treatment Services


Treatment Return Rates



State Average

State Average

State Average

State Average

State Average


State Average

Admission

Discharge






69% 75% 69% 68% 73%

88% 88% 83% 86% 89%

79% 91% 89% 88% 93%




Treatment Services


FY21

79% 88% 87% 87% 93%


Treatment Services


Treatment Services


Treatment Services

94%88%88%88%84%

FY17 FY18 FY19 FY20

92% 87% 83% 90%

87% 91% 88% 87% 95%




FY17 FY18 FY19 FY20 FY21Low-Intensity Residential

Treatment Services


Treatment Services







Impact of Low-Intensity Residential Treatment Services



87%



State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

- 27% 20% 19% 13%

- 19% 3% 2% 2%



Treatment Services

- 13% 11% 12% 10%

- 3% 3% 4% 2%


30 days of…


Treatment Services

- 13% 10% 10% 9%

- 7% 3% 1% 2%



Treatment Services



Treatment Services

- 10% 7% 8% 5%

- 0% 2% 3% 5%

Utilization of High Cost Services for Low-Intensity Residential Treatment Services








of…


Treatment Services

69% 71% 71% 72% 74%

90% 91% 92% 89% 96%



State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge


82% 78% 81% 83% 85%

91% 89% 93% 94% 92%


reporting process.

Quality of Life Information for Low-Intensity Residential Treatment Services






Treatment Services


Treatment Services

FY18 FY19 FY20 FY21


- 20% 15% 16% 14%

-



76% 11% 8% 8% 7%

47% 37% 50% 46%

FY17

43%

6% 2% 2% 1%



Treatment Services

- 63% 48% 51% 43%

- 21% 3% 3% 1%



Treatment Services

- 34% 32% 34% 27%

- 88% 61% 56% 40%




Treatment Services



State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Before Program

End of Program

State Average

Admission

Discharge

State Average

Admission

Discharge


Treatment Services



Treatment Services


Treatment Services


Treatment Services


Treatment Services

89% 94%

FY17 FY18 FY19 FY21

40% 39% 38% 39% 37%

98% 100%


services at…



FY20 FY21

28% 24% 24% 22%

18% 24%

18%

61% 43% 63% 62% 68%

89% 83%

98% 99% 100%

FY17 FY18 FY19

90%

FY20

FY20 FY21

14% 7% 2% 3% 4%


FY17 FY18 FY19

54% 37% 28% 32% 39%

68% 73% 73% 74% 75%


FY20 FY21

15% 17% 14%

32% 32% 42% 39% 41%


FY17 FY18 FY19



State Average

Admission

Discharge


State Average

Admission

Discharge



33% 30% 28% 28% 21%

9% 7% 5% 5% 5%


13% 19% 13% 14% 12%

10% 12% 11% 8% 8%


Treatment Services





Public Safety Information for Low-Intensity Residential Treatment Services


Treatment Services



Level 3.7 Medically-

Monitored Intensive

Inpatient Treatment

Services



Inpatient Treatment Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

State Average

Treatment Completed


Incarcerated

Other

Inpatient Treatment Discharge

Reasons

1% 1% 1% 0% 1%

0% 1% 1% 1% 1%


Program2% 3% 2% 2% 3%

18%

4% 5% 2% 4% 5%

75% 73% 77% 76% 73%


Discharge Reasons for Inpatient Treatment Services

This information is collected in STARS for those clients discharged from inpatient treatment services.


30% 53% 59% 65% 73%

60% 60% 60% 60% 60%

353 336 382 511 553

107 178 227 333 404

60% 60% 60% 60% 60%


135 289 474 678 790

23% 54% 89% 81% 85%


581 537 533 832 933





Level 3.7 Medically-Monitored Intensive Inpatient Treatment ServicesLevel 3.7 Medically-Monitored Intensive Inpatient Treatment Services (Inpatient Treatment Services) provide

residential treatment for individuals with severe substance use disorders. This is a reflection of the 8 agencies

who provide contracted inpatient treatment services.

Outcome Tool Return Rate Information for Inpatient Treatment Services



Inpatient Treatment Services

State Average


State Average


State Average


State Average


State Average



State Average

Admission

Discharge


State Average

Admission

Discharge

45%

91% 92%94% 92%



53% 53% 54% 52%

89%


62% 59% 64% 66% 63%

82% 78% 81% 83% 84%




91% 92% 93% 94% 89%



88% 88% 88% 88% 89%



93% 94% 94% 94% 93%



91% 88% 91% 92% 91%


93% 97% 95% 95% 92%











Impact of Inpatient Treatment Services




State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge




of…


hospital admissions for mental health care, detoxification services, or detention in a correctional facility.

Participation in treatment services may help reduce the frequency of client utilization of high cost services.

Data from FY17 and June through December FY18 are not reported due to a change in the reporting process.

The following section includes data at admission into services and at successful discharge from services.

Utilization of High Cost Services for Inpatient Treatment Services

- 15% 13% 14% 16%

- 12% 11% 10% 9%

42% 34% 12%


- 45% 40% 43% 38%

- 47%


- 28% 51% 48% 34%

- 38% 31% 34% 38%


- 17% 19% 19% 19%

- 20% 19% 21% 21%



- 25% 23% 25% 24%

- 23% 24% 16% 11%



30 days of…




State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge



State Average

Admission

Discharge


State Average

Before Program

End of Program



23% 29% 31% 30% 32%

99% 98% 98% 97% 97%



47% 39% 42% 42% 41%

17% 11% 9% 13% 14%



6% 13% 7% 14% 13%

16% 13% 11% 13% 16%



43% 11% 12% 14% 13%

65% 9% 11% 12% 12%


- 28% 18% 20% 21%

- 24% 13% 13% 9%











Quality of Life Information for Inpatient Treatment Services

92% 87% 87% 91% 87%

63% 60% 64% 67% 61%





State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge



State Average

Admission

Discharge

24% 32% 27% 34% 25%

70% 73% 71% 74% 84%


services at…

50% 51% 49% 53% 49%

20% 15% 13% 16% 15%


13% 9% 11% 11% 12%

3% 2% 2% 1% 1%

Public Safety Information for Inpatient Treatment Services






Trouble as a result of Substance Use: Clients who reported getting in trouble at home, school, work, or in the



50% 25% 46% 42% 39%

86% 65% 79% 81% 83%





Intensive

Methamphetamine

Treatment (IMT) Services



# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

IMT Discharge Reasons

State Average

Treatment Completed


Incarcerated

Other


-

2% 17% 11%

35%

- 6% 11% 5% 8%

- 41% 31% 35% 40%

Left Against Professional Advice - 38% 51% 37%


Program- 3%

This information is collected in STARS for clients discharged from IMT services. The DBH has set a

benchmark of a 45% successful completion rate.

- 7% 2% 4% 5%

- 4% 2% 3% 2%

35% 100% 88% 78%

- 60% 100% 100% 100%

- 51 39 97 131

- 18 39 85 102

- 60% 100% 100% 100%

- 41 166 249 272

- 54% 92% 79% 79%


- 76 180 314 345

Starting in FY19, the DBH set a goal of a 100% outcome tool return rate for IMT services.


Statewide Program Outcomes for Intensive Methamphetamine TreatmentIntensive Methamphetamine Treatment (IMT) services support treatment for individuals with severe

methamphetamine use disorder. IMT services offer long-term treatment with multiple entry points into services

to address the needs of each individual. This is a reflection of the 6 agencies who provide contracted IMT

services.

Outcome Tool Return Rate Information for IMT Services


IMT Return Rates

Discharge Reasons for IMT Services



IMT Services

State Average

IMT Services

State Average

IMT Services

State Average

IMT Services

State Average

IMT Services

State Average


IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Admission

Discharge

FY21

92% 60% 89% 94% 93%

FY17 FY18 FY19





FY20


FY17 FY18 FY19


FY21

92% 67%

74% 58%

FY20







97% 95%


72% 63% 71% 75% 73%

92% 67% 89% 94% 93%

70% 70% 65%

92% 60% 91%




100% 100% 91% 92% 94%

91% 90%



91% 93% 95%



85% 67% 89%

96%


Impact of IMT Services

92% 75% 86% 92%



IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Admission

Discharge



30 days of…


of…


hospital admissions for mental health care, detoxification services, or detention in a correctional facility.

Participation in treatment services may help reduce the frequency of client utilization of high cost services.

Data from FY17 and June through December FY18 are not reported due to a change in the reporting process.

The following section includes data at admission into services and at successful discharge from services.

Utilization of High Cost Services for IMT Services

- 78% 66% 71% 56%

- 50% 17% 5% 2%



- 29% 18% 15% 10%

- 0% 0% 6% 5%


9% 7% 7%

- 0% 6% 1% 1%


- 26% 12% 11% 7%

- 0% 6% 2% 2%

- 24%


- 6% 12% 7% 7%

- 17% 6% 1% 1%





IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Admission

Discharge


IMT Services

State Average

Admission

Discharge


IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Before Admission

End of Program

28% 24% 31%

94% 96%

FY17













Quality of Life Information for IMT Services

35% 35%

92% 96% 100%

FY18 FY19 FY20 FY21

22% 20% 26% 27% 23%

0% 4% 0% 1% 5%


- 20% 10% 13% 20%

- 30% 41% 36% 29%


- 24% 9% 7% 9%

- 54% 43% 38% 48%


- 28% 24% 19% 10%

- 17% 0% 0% 1%


78% 82% 79% 79% 83%

85% 91% 90% 91% 91%




IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Admission

Discharge

IMT Services

State Average

Admission

Discharge


IMT Services

State Average

Admission

Discharge

Matrix Training

Matrix Key Supervisor Trainings


11% 11% 10%

25% 26% 21% 36% 28%

0% 4% 0% 4% 5%




11%


89% 58% 43% 47% 45%

92% 78% 75% 81% 79%

- 12%





Public Safety Information for IMT Services

16% 15% 9%

-


81% 45% 59% 56% 53%

81% 74% 92% 88% 87%



services at…

Performance Measures for IMT Services

IMT Service Curriculum Trainings

The DBH contracts with the Matrix Clare Foundation to provide Matrix and Key Supervisor trainings for

continued skill development.

IMT Services FY17 FY18 FY19 FY20 FY21

- - 1 2 3

- - 1 2 2



Pregnant Woman and

Women with Dependent

Children Program



# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

State Average

Treatment Completed


Incarcerated

Other


Pregnant Women and Women with Dependant Children Program

The Pregnant Women and Women with Dependant Children Program includes Low Intensity residential

Treatment Services (3.1 Services) and Inpatient Treatment Services (3.7 Services) from Behavior Management

Services and Volunteers of America. This program focuses on aiding women who struggle with substance use

and are the caregivers for children or are expectant mothers.

Outcome Tool Return Rate Information for Pregnant Women and Women with Dependant

Children Program



Pregnant Women and Women with

Dependant Children Program

Return Rates



133 116 117 169 145

66 76 86 168 139

50% 66% 74% 99% 96%

60% 60% 60% 60% 60%

62 37 37 68 29

27 31 33 50 17

44% 84% 89% 74% 59%

60% 60% 60% 60% 60%

Discharge Reasons for Pregnant Women and Women with Dependant Children Program

This information is collected in STARS for clients discharged from the Pregnant Women and Women with

Dependant Children Program.


Dependant Children Program

Discharge Reasons


51% 46% 44% 50% 38%

Left Against Professional Advice 40% 39% 48%30% 41%

13% 8% 8% 6% 12%


Program5% 1% 3% 4% 0%

1% 4% 4% 1% 2%

0% 0% 1% 0% 0%



State Average

State Average

State Average

State Average

State Average

Impact of Pregnant Women and Women with Dependant Children Program











Dependant Children ProgramFY17 FY18 FY19 FY20 FY21

100% 100% 100% 95% 85%




100% 100% 100% 98% 85%




100% 100% 100% 95% 95%




100% 100% 88% 93% 95%




100% 100% 100% 98% 90%




State Average

Admission

Discharge

State Average

Admission

Discharge





62% 65% 67% 71% 70%

100% 100% 92% 95% 95%




50% 65% 45% 59% 65%

100% 100% 100% 95% 100%



State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

Utilization of High Cost Services for Pregnant Women and Women with Dependant Children Program








of…



- 3% 3% 6% 6%

- 0% 0% 0% 10%




- 3% 6% 10% 6%

- 0% 0% 0% 0%


30 days of…



- 0% 1% 4% 3%

- 0% 4% 2% 20%




- 15% 15% 16% 12%

- 0% 0% 0% 0%



State Average

Admission

Discharge

This program includes level 3.7 Inpatient Treatment so increases from admission to discharge are expected.

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge





- 25% 15% 30% 11%

- 100% 94% 94% 100%




- 24% 21% 30% 29%

- 0% 0% 0% 0%

Quality of Life Information for Pregnant Women and Women with Dependant Children Program








61% 68% 67% 68% 72%

100% 96% 97% 94% 86%


reporting process.




- 43% 34% 24% 25%

- 0% 0% 0% 0%



State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Before Program

End of Program

State Average

Admission

Discharge

State Average

Admission

Discharge




80% 3% 6% 9% 3%

70% 18% 20% 33% 30%





24% 25% 22% 21% 30%

31% 23% 34% 28% 32%





47% 32% 34% 29% 20%

0% 0% 0% 0% 0%




38% 13% 23% 26% 30%

100% 100% 100% 100% 100%




55% 33% 56% 56% 56%

100% 84% 97% 92% 100%


services at…



10% 31% 48%

100% 100% 90% 90% 85%

19% 18%



State Average

Admission

Discharge


State Average

Admission

Discharge

Public Safety Information for Pregnant Women and Women with Dependant Children Program







36% 35% 38% 36% 28%

0% 0% 3% 0% 0%

29% 23% 25% 23% 21%

6% 8% 8% 4% 3%






Youth SUD Treatment Services

Youth SUD

Treatment Services



# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

State Average

Treatment Completed


Incarcerated

Other


- 2% 1% 1% 1%

- 30% 8% 5% 6%


Program- 6% 9% 8% 4%

16%

- 11% 8% 10% 8%

- 51% 56% 59% 65%


Discharge Reasons for SUD Treatment Services

This information is collected in STARS for youth discharged from SUD treatment services. The DBH has set a

benchmark of a 70% successful completion rate.


Statewide Program Outcomes for SUD Treatment Services

- 60% 60% 60% 60%


- 251 345 445 309

- 45% 65% 85% 79%


- 562 532 523 389

- 47% 70% 84% 72%

- 60% 60%

SUD Treatment Discharge

Reasons

The DBH accredits and contracts with SUD treatment agencies across the state to provide quality treatment

services to youth. This is a reflection of the 17 agencies who provide contracted treatment services. The

information below includes youth in Outpatient Treatment Services that include Level 0.5 Early Intervention,

Level 1.0 Outpatient, and Level 2.1 Intensive Outpatient Treatment Services and Psychiatric Residential

Treatment Facility (PRTF) treatment services.

Outcome Tool Return Rate Information for SUD Treatment Services




60% 60%

- 243 254 256 195

- 115 179 216 140



State Primary SUD Diagnosis


State Average


State Average


State Average


State Average - 82% 84% 83% 84%



- 89% 88% 88% 89%

Cultural Sensitivity: Perception of staff sensitivity to cultural beliefs


- 80% 81% 85% 88%



- 89% 95% 93% 92%

Impact of treatment services is measured by surveying youth perception of the quality of services received

including the following: general satisfaction with services, access to services, cultural sensitivity, outcome of

services, and participation in treatment planning. Additionally, impacts are measured by improvements in

social connectedness and overall functioning. Impact of treatment services is relevant because youth who feel

empowered, motivated, have positive family relationships, and feel they have the ability to change may be

more likely to have positive treatment outcomes.

The following information represents data from those youth who agreed or strongly agreed at time of




2% 2% 3% 2% 3%


1% 1% 0.2% 0%

Number/Percent of Youth with a

Primary Other Substance Use

Disorder

12 11 11 11 12

5% 8% 13%


Primary Opioid Use Disorder

3 7 6 1 1

1%

59% 52%


Primary Amphetamine Use Disorder

30 19 19 35 51

6% 3%

28%



315 319 262 271 203

63% 58% 63%



131 200 121 152 110

26% 36% 29% 33%

Primary Diagnostic Information for SUD Treatment ServicesThe DBH monitors data and outcomes for publicly funded behavioral health treatment services. The table

below reflects information entered into STARS by contracted providers for publicly funded youth receiving

SUD treatment services. This does not include individuals who received only an assessment or youth who

received targeted services for justice-involved youth.





State Average



State Average

Admission

Discharge


State Average

Admission

Discharge

Admission

Discharge

Admission

Discharge

Admission

Discharge

- 58% 51% 51% 50%

- 10% 17% 15% 13%

State Average

Substance Disorder: Measures SUD symptoms at…

Substance Disorder Screener FY17 FY18 FY19 FY20 FY21

- 64% 61% 61% 59%

- 59% 51% 58% 53%

State Average

Externalizing Disorder: Measures attention deficits, hyperactivity, impulsivity, conduct problems, and/or

other impulse control disorders at…

Externalizing Disorder Screener FY17 FY18 FY19 FY20 FY21

- 68% 69% 69% 75%

- 72% 67% 68% 68%

State Average

GAIN Short Screener (GAIN-SS) Scoring

The GAIN-SS is used as a simple measure of change after intervals of a month or more. The following tables

report the information gathered at admission into services and at successful discharge from services. These

results can be used at the group level as an outcome measure by monitoring over time.

Internalizing Disorder: Measures somatic complaints, depression, anxiety, trauma, suicide, and other serious

mental illness at…

Internalizing Disorder Screener FY17 FY18 FY19 FY20 FY21

- 64% 67% 68% 67%

- 82% 84% 83% 83%



- 79% 84% 82% 81%

- 87% 95% 92% 89%

The following two sections include data at admission into services and at successful discharge from services

as a means to demonstrate improvement in social connectedness and functioning.


- 90% 91% 88% 92%





Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge

- 46% 41% 39% 36%

- 60% 31% 20% 7%

Correctional Facility: Youth who reported night(s) spent in a correctional facility within 30 days of…


- 25% 11% 9% 14%

- 70% 8% 0% 63%

Inpatient Substance Use Disorder Treatment Services: Youth who reported inpatient treatment services for

substance use disorders within 30 days of…


- 18% 16% 15% 17%

- 27% 15% 12% 8%

Hospital Admissions for Mental Health Care: Youth who reported a hospital admission(s) for mental health care

within 30 days of…


- 20% 19% 17% 21%

- 26% 22% 12% 8%

Emergency Department: Youth who reported emergency department visit(s) within 30 days of…


- 13% 8% 7% 8%

- 12% 9% 5% 4%


High cost services include the following: treatment for illness, injury, or surgery, emergency department

visits, hospital admissions for mental health care, inpatient substance use disorder treatment services, or

detention in a correctional facility. Participation in treatment services may help reduce the frequency of youth

utilization of high cost services. The following section includes data at admission into services and at

successful discharge from services.

Illness, Injury, or Surgery: Youth who reported night(s) spent in a facility for illness, injury, or surgery within 30 days

of…


- 41% 40% 38% 39%

- 21% 12% 13% 13%

State Average

Crime/Violence: Measures interpersonal violence, drug-related crimes, property crimes, and

interpersonal/violent crimes at…

Crime/Violence Screener FY17 FY18 FY19 FY20 FY21




State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Before Admission

End of Program


- 21% 27% 25% 34%

- 90% 92% 92% 93%

Ability to Control Use: Youth who reported the ability to control their substance use…


- 33% 31% 35% 30%

- 19% 17% 18% 11%

Missing School/Work: Youth who reported missing school/work due to their substance use within 30 days of…


- 0% 0% 1% 1%

- 1% 1% 0% 0%

Homelessness: Youth who reported homelessness at…


- 33% 34% 33% 30%

- 44% 46% 45% 45%





- 25% 23% 24% 34%

- 34% 32% 23% 9%

Suicide Attempts: Youth who reported suicide attempt(s) within 30 days of…


- 83% 84% 85% 84%

- 92% 95% 97% 91%


Quality of life is measured in several key life domains including the following: general health, suicide

attempts, employment status, homelessness, and other domains as shown in the tables below. Improvements in

these areas may indicate the effectiveness of treatment services. The following section includes data at

admission into services and at successful discharge from services.

General Health: Youth who reported their general health as good, very good, or excellent at…





State Average

Admission

Discharge


Admission

Discharge


State Average

Admission

Discharge



State Average

Admission

Discharge

56% 52%

Engagement in Treatment Services: Clinicians who reported youth had positive or optimal engagement in treatment

services at…

- 53% 53% 54% 50%

- 23% 21% 20% 14%

Trouble as a Result of Substance Use: Youth who reported getting in trouble at home, school, work, or in the



- 29% 25% 25% 26%

- 10% 8% 11% 14%


History of Arrest: Youth who reported arrest(s) within 30 days of…


- 30% 52% 54% 52%

- 43% 69% 72% 70%


- 35% 36% 32% 31%

- 64% 68%


these areas may indicate how youth are able to positively contribute to their families and communities. The


Motivation to Not Use Substances: Youth who reported motivation to not use substances at…





# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate


State Average


State Average


State Average


State Average - 80% 77% 83% 80%

Outcome of Services: Parent/Guardian perception of treatment outcomes as a result of services their youth received


- 94% 94% 95% 88%

Cultural Sensitivity: Parent/Guardian perception of staff sensitivity to cultural beliefs


- 89% 87% 88% 86%

Access to Services: Parents/Guardians who reported the ease and convenience of treatment services their youth

received


- 89% 93% 93% 90%


Impact of treatment services is measured by surveying parent/guardian perception of the quality of services

received including the following: general satisfaction with services, access to services, cultural sensitivity,

outcome of services, and participation in treatment planning. Additionally, impacts are measured by

improvements in social connectedness and overall functioning.

The following information represents data from those parents/guardians who agreed or strongly agreed at the

time of successful discharge.

General Satisfaction with Services: Parents/Guardians who reported overall satisfaction with treatment services their

youth received


- 41% 40% 80% 66%

- 60% 60% 60% 60%

- 243 250 250 194

- 100 99 200 129

- 60% 60% 60% 60%


- 177 180 423 285

- 31% 34% 82% 73%


- 562 527 518 390

Family Outcome Tool Return Rate Information for SUD Treatment Services







State Average

Social Connectedness: Parent/Guardian perception of their youth's support system in the community at…


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge

- 21% 22% 20% 23%

- 31% 27% 14% 6%

Hospital Admissions for Mental Health Care: Parents/Guardians who reported their youth had hospital admission(s)

for mental health care within 30 days of…


- 28% 29% 24% 29%

- 21% 29% 23% 7%

Emergency Department: Parents/Guardians who reported their youth had emergency department visit(s) within 30

days of…


- 14% 9% 9% 9%

- 10% 10% 6% 0%







Illness, Injury, or Surgery: Parents/Guardians who reported their youth spent night(s) in a facility for illness, injury, or

surgery within 30 days of…


- 62% 58% 59% 52%

- 78% 76% 81% 80%


Functioning: Parent/Guardian perception of their youth's mental health and social well-being at…

- 85% 85% 79% 68%

- 92% 94% 95% 82%




- 76% 79% 82% 82%

Participation in Treatment Planning: Parent/Guardian perception of participation in treatment planning





State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Before Program

End of Program

10% 15% 19%

- 79% 77% 87% 91%

Ability to Control Use: Parents/Guardians who reported their youth's ability to control their substance use…

FY17 FY18

- 6%

FY19 FY20 FY21

- 61% 48% 57% 57%

- 14% 17% 18% 18%

Missing School/Work: Parents/Guardians who reported their youth missing school/work due to their substance use




- 85% 87% 89% 87%

- 98% 93% 97% 88%



attempts, and other domains as shown in the tables below. Improvements in these areas may indicate the

effectiveness of treatment services. The following section includes data at admission into services and at


General Health: Parents/Guardians who reported their youth's general health as good, very good, or excellent at…


- 28% 27% 22% 35%

- 31% 28% 14% 9%

Suicide Attempts: Parents/Guardians who reported suicide attempt(s) by their youth within 30 days of…

- 58% 44% 42% 37%

- 49% 38% 14% 6%

Correctional Facility: Parents/Guardians who reported their youth had spent night(s) in a correctional facility within

30 days of…


- 34% 22% 17% 12%

- 77% 33% 13% 64%

Inpatient Substance Use Disorder Treatment Services: Parents/Guardians who reported their youth received

inpatient treatment services for substance use disorders within 30 days of…





State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


services at…


Motivation to Not Use Substances: Parents/Guardians who reported their youth had motivation to not use substances

at…


- 63% 60% 73% 66%

- 14% 14% 15% 18%

Trouble as a Result of Substance Use: Parents/Guardians who reported their youth getting in trouble at home, school,

work, or in the community as a result of substance use within 30 days of…



Public safety information includes trouble as a result of substance use. A reduction in this area may indicate

how youth are able to positively contribute to their families and communities. The following section includes

data at admission into services and at successful discharge from services.

- 13% 28% 24% 32%

- 40% 50% 54% 51%

- 48% 56% 44%

50% 55% 57%

41%

- 69%



Outpatient

Treatment Services



# of Admissions


Return Rate

Target Return Rate

# of Discharges


Return Rate

Target Return Rate

State Average

Treatment Completed


Incarcerated

Other

- 2% 2% 2% 2%

- 9% 11% 11% 10%


Program- 6% 12% 12% 5%

26%

- 10% 10% 12% 7%

- 44% 45% 44% 50%



This information is collected in STARS for youth discharged from outpatient treatment services.


- 15% 67% 85% 82%

- 60% 60% 60% 60%

- 59 96 107 67

- 9 64 91 55

- 60% 60% 60% 60%


- 96 196 194 144

- 45% 70% 82% 83%


- 215 279 236 173

Statewide Program Outcomes for Outpatient Treatment ServicesOutpatient Treatment Services include the following: Level 0.5 Early Intervention, Level 1.0 Outpatient

Treatment Services, and Level 2.1 Intensive Outpatient Treatment Services. These services provide outpatient

counseling to individuals diagnosed with substance use disorders. This is a reflection of the 16 agencies who

provide contracted outpatient treatment services to youth.

Outcome Tool Return Rate Information for Outpatient Treatment Services



FY17 FY18 FY19 FY20 FY21Outpatient Treatment Return

Rates

Outpatient Treatment Discharge

Reasons




State Average


State Average


State Average


State Average


State Average



State Average

Admission

Discharge


State Average

Admission

Discharge

- 66% 74% 73% 70%

- 54% 87% 83% 83%



- 76% 84% 81% 81%

- 50% 95% 90% 83%




- 75% 88% 88% 89%



- 50% 87% 83% 83%



- 100% 90% 90% 94%



- 75% 88% 88% 94%



- 75% 93% 92% 94%





empowered, motivated, have positive family relationships, and feel they have the ability to change may be

more likely to have positive treatment outcomes.








State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

- 31% 24% 20% 32%

- 0% 6% 10% 17%




- 42% 30% 34% 32%

- 0% 0% 3% 5%



- 52% 52% 54% 57%

- 50% 28% 34% 42%




- 60% 61% 62% 68%

- 33% 44% 41% 42%











State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge

- 46% 31% 24% 23%

- 60% 3% 0% 3%



- 25% 11% 9% 11%

- 70% 8% 0% 3%




- 18% 10% 9% 9%

- 27% 3% 2% 0%




- 20% 14% 12% 8%

- 26% 5% 0% 3%



- 13% 5% 4% 6%

- 12% 0% 0% 6%








of…





State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge



State Average

Admission

Discharge


State Average

Before Program

End of Program

FY19 FY20 FY21

88% 93% 97% 88%


FY17 FY18

FY18 FY19

56%


FY18 FY20 FY21

- 18% 5% 0% 0%



- 44% 51% 42% 56%

-

FY19

- 19% 19% 19% 16%

- 0% 0% 0% 0%

- 0% 0% 0% 0%



55%

FY17

- 42% 43% 44% 41%

- 53% 53%



- 80% 85% 88% 88%

- 67% 95% 98% 97%

- 25% 18% 20% 22%

- 34% 8% 5% 4%


FY17








FY21FY20




State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge



State Average

Admission

Discharge

59%

- 35% 61% 61% 63%


FY17

- 55% 79% 85% 69%

- 42% 40% 41% 34%

- 18% 17% 17% 2%

FY18 FY19

Trouble as a result of Substance Use: Youth who reported getting in trouble at home, school, work, or in the



- 18% 17% 19% 17%

- 11% 10% 11% 15%

FY20 FY21







- 42% 39% 44% 51%

- 45% 76% 80%


services at…

FY17

FY18 FY19 FY20 FY21



Outpatient Service Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate


State Average


State Average


State Average


State Average


State Average



- 100% 89% 91% 75%

- 100% 89% 85% 80%


- 100% 100% 100% 100%




- 100% 100% 100% 75%


received








youth received


- 100% 100% 96% 100%

The following information represents data from those parents/guardians who agreed or strongly agreed at


- 3% 13% 75% 75%

- 60% 60% 60% 60%

- 59 95 102 67

- 2 12 76 50

- 60% 60% 60% 60%


- 33 88 174 120

- 15% 32% 75% 69%


- 215 278 232 173

Family Outcome Tool Return Rate Information for Outpatient Treatment Services








State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge

- 7% 20% 20% 14%

- 0% 13% 4% 0%




- 17% 22% 16% 13%

- 100% 11% 4% 0%


days of…


- 10% 9% 7% 8%

- 0% 0% 0% 0%










- 63% 63% 68% 59%

- 100% 89% 87% 75%



- 83% 87% 85% 86%

- 100% 100% 100% 75%







State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Before Program

End of Program 86% 91%


FY17 FY18

FY20

-

- 86% 89% 93%

- 100% 95% 77%

- 21% 27% 21% 11%

- 0% 0% 0% 8%








- 38% 30%


FY17 FY18 FY19 FY20

19%

FY21

0%-

19%


30 days of…

95%

FY21

35% 36%

- 100%

0%

13% 4% 0%

0%

90%

100%

- 23% 21% 24% 50%

- 67% 11% 15% 0%

FY19 FY20 FY21



FY17 FY18 FY19


- 14% 22% 17% 13%

- 100% 33% 13% 0%


inpatient treatment services for substance use disorders within 30 days of…





State Average

Admission

Discharge


State Average

Admission

Discharge


State Average

Admission

Discharge

FY18 FY19 FY20 FY21


services at…

FY20 FY21


at…

FY17

82%





- 35% 39% 52% 38%

- 33% 11% 15% 0%

Trouble as a result of Substance Use: Parents/Guardians who reported their youth getting in trouble at home, school,



- 100% 78% 85% 92%

FY17 FY18 FY19

- 15% 38% 31% 43%

- 0% 67% 70%

- 34% 53% 55% 54%



Psychiatric Residential

Treatment Facility (PRTF)

Services



PRTF Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

State Average

Treatment Completed


Incarcerated

Other

PRTF Discharge Reasons

- 2% 0% 0% 0%

- 3% 3% 1% 3%


Program- 5% 5% 6% 3%

13%

- 12% 5% 11% 10%

- 58% 70% 67% 72%


Discharge Reasons for PRTF Services

This information is collected in STARS for youth discharged from PRTF services.


- 68% 72% 84% 66%

- 60% 60% 60% 60%

- 157 159 149 128

- 106 115 125 85

Statewide Program Outcomes for PRTF ServicesPsychiatric Residential Treatment Facilities (PRTF) provide residential treatment with medically monitored

intensive treatment for youth with severe substance use disorders. This is a reflection of the 3 agencies who

provide contracted PRTF services to youth.

Outcome Tool Return Rate Information for PRTF Services




- 60% 60% 60% 60%


- 155 149 251 165

- 55% 59% 87% 76%


- 283 253 287 216



PRTF Services

State Average

PRTF Services

State Average

PRTF Services

State Average

PRTF Services

State Average

PRTF Services

State Average


PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

- 61% 59% 65% 65%

- 83% 83% 82% 83%



- 82% 84% 82% 80%

- 90% 95% 93% 91%

This following two sections include data at admission into services and at successful discharge from services



- 91% 93% 89% 93%



- 84% 83% 82% 85%



- 88% 88% 88% 88%



- 80% 78% 83% 87%



- 89% 95% 93% 92%





empowered, motivated, have positive family relationships, and feel they have the ability to change are more

likely to have positive treatment outcomes.





Impact of PRTF Services



State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

- 14% 12% 10% 10%

- 13% 13% 8% 3%

Utilization of High Cost Services for PRTF Services


visits, hospital admissions for mental health care, or detention in a correctional facility. Participation in

treatment services may help reduce the frequency of youth utilization of high cost services. The following

section includes data at admission into services and at successful discharge from services.


of…


- 48% 53% 48% 44%

- 22% 13% 14% 12%




- 69% 68% 60% 65%

- 10% 20% 18% 14%



- 72% 68% 64% 61%

- 62% 55% 62% 54%




- 73% 76% 74% 81%

- 74% 71% 74% 72%










PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

- 11% 12% 14% 13%

- 9% 11% 12% 12%





- 32% 29% 28% 42%

- 37% 41% 31% 11%



- 86% 83% 84% 80%

- 95% 95% 97% 89%

Quality of Life Information for PRTF Services







- 63% 54% 54% 49%

- 64% 41% 29% 8%



- 26% 24% 21% 25%

- 30% 20% 18% 12%




- 28% 26% 22% 34%

- 27% 29% 18% 10%





PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Before Program

End of Program

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge



19% 22% 25% 19%

- 45% 48% 44%

26% 33% 23% 11%

48%

-

- 40% 35% 33% 34%

- 9% 6% 10% 13%

Public Safety Information for PRTF Services






- 26% 42% 47% 39%

- 42% 65% 65% 70%


- 67% 65% 46% 49%

-



- 18% 18% 18% 26%

- 90% 91% 90% 96%





- 0% 0% 2% 2%

- 1% 1% 0% 0%




services at…



PRTF Services

State Average

Admission

Discharge

- 65% 67% 64% 66%

- 24% 22% 21% 21%

Trouble as a result of Substance Use: Youth who reported getting in trouble at home, school, work, or in the





PRTF Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

PRTF Services

State Average

PRTF Services

State Average

PRTF Services

State Average

PRTF Services

State Average

PRTF Services

State Average - 75% 78% 82% 82%



- 79% 75% 81% 80%



- 94% 93% 93% 87%



- 88% 84% 84% 87%


received


- 89% 92% 92% 89%

Impact of PRTF Services






youth received


The following information represents data from those parents/guardians who agreed or strongly agreed at


- 62% 56% 84% 62%

- 60% 60% 60% 60%

- 157 155 148 127

- 98 87 124 79

- 60% 60% 60% 60%


- 144 92 249 165

- 50% 37% 87% 76%


- 287 249 286 217

Family Outcome Tool Return Rate Information for PRTF Services






Social Connectedness: Parent/Guardian perceptions of their youth's support system in the community at…

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

- 27% 24% 20% 30%

- 32% 29% 18% 8%




- 33% 35% 28% 43%

- 18% 32% 29% 10%


days of…


- 16% 8% 10% 11%

- 10% 11% 8% 0%

Utilization of High Cost Services for PRTF Services


visits, hospital admissions for mental health care, or detention in a correctional facility. Participation in

treatment services may help reduce the frequency of youth utilization of high cost services. The following

section includes data at admission into services and at successful discharge from services.




- 61% 55% 54% 48%

- 78% 75% 79% 80%



- 85% 84% 76% 60%

- 92% 93% 93% 83%

This following two sections include data at admission into services and at successful discharge from services





PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Before Program

End of Program

PRTF Services

State Average

Admission

Discharge

- 12% 19% 20% 23%

- 41% 48% 49% 44%


at…


- 6%

- 78% 76% 85% 91%



- 78% 70% 71% 61%

- 10% 18% 19% 20%

11% 10% 15%




- 31% 27% 23% 47%

- 32% 32% 19% 10%



- 85% 86% 89% 82%

- 98% 92% 97% 91%

Quality of Life Information for PRTF Services







- 68% 56% 55% 53%

- 50% 41% 18% 8%


30 days of…




PRTF Services

State Average

Admission

Discharge

PRTF Services

State Average

Admission

Discharge

Public Safety Information for PRTF Services




- 75% 77% 82% 80%

- 13% 15% 14% 20%

Trouble as a result of Substance Use: Parents/Guardians who reported their youth getting in trouble at home, school,



- 54% 60% 40% 31%

- 68% 74% 47% 47%


services at…



MH Treatment Services


All Clients Served*

Adults

Adults

Youth


White


Asian

18 and below 33%

19-64 60%

65 and above 7% Two or More Races

Other

Accreditation Information

Administrative Score

MH Chart Score

Total Accreditation Score

5,516

12,370

Youth

11,346

6,526

94.7%

94.2%

93.8%

3%

16,862

*All clients served includes the following funding sources: private

pay, insurance, and other funding sources.

** Publicly funded includes only clients served through state and

federal funding, including Medicaid.

3%

17%

State Avg.

Mental Health (MH) Treatment Services ProfileState InformationPrinted September 2021

RaceMH

ClientsState Pop.

72%

1%

3%

American Indian and

Alaska Native

Native Hawaiian and Other

Pacific Islander0.1%

17%

85%

2%

1%

18,896

3%

Publicly Funded**

Age MH Clients Pop. State Pop.

24%

NA

9%

0%58%

Accreditation Review

The DBH accredits 11 CMHCs utilizing

the standards set forth in Administrative

Rules of South Dakota (ARSD 67:62).

Clients Served

In FY21, the Division of Behavioral Health (DBH) accredited

11 Community Mental Health Centers (CMHCs) that cover

catchment areas across the state of South Dakota. The target

population for services is adults with a Serious Mental Illness

(SMI) and youth with Serious Emotional Disturbance (SED).

This state profile page reflects adult and youth clients who were

publicly funded in FY21, which runs from June 2020 - May

2021.

The demographic information includes all clients

funded through state and federal funds, including

Medicaid and targeted services for justice-involved

youth..


Adult MH Treatment Services




Comprehensive Assistance

with Recovery and

Empowerment (CARE)

Services

and

Individualized

and Mobile Programs of

Assertive Community

Treatment (IMPACT)

Services




# of Admissions


Return Rate

Target Return Rate

First 6 Month Outcome Tool Return Rate

# of First 6 Month Updates


Return Rate

Target Return Rate

Most Recent Outcome Tool Return Rate

# of Most Recent Updates


Return Rate

Target Return Rate

FY18 FY19 FY20 FY21

1,082 1,118 1,101 1,002 1,017

394 436 492

5,952 6,855 7,496

36% 39% 45% 71% 82%

60% 60% 60% 60% 60%

36% 50% 56% 79% 86%

60% 60% 60% 60% 60%

714 830

57%

CARE/IMPACT Service Return

Rates

10,915 10,593

Statewide Program Outcomes for CARE and IMPACT ServicesComprehensive Assistance with Recovery and Empowerment (CARE) and Individualized and Mobile

Programs of Assertive Community Treatment (IMPACT) Services provide counseling, case management

services, and psychiatric medication management for adults with Serious Mental Illness (SMI). This is a

reflection of 11 agencies who provide CARE services and 6 agencies who provide IMPACT services.

60% 60% 60%

8,677

1,285

898 1,178 1,252

60%60%

FY17

5,340

8,678

3,970

75% 84% 95%

10,686

70%

1,581 1,681 1,664 1,427

1,200 1,219

Outcome Tool Return Rate Information for CARE and IMPACT Services

The Data and Outcomes Work Group members set a goal for all contracted agencies to meet or exceed a

60% outcome tool return rate.



State Primary MH Disorders

CARE and IMPACT Services

State Average

National Average

Federally Required

88% 91% 90% 89% 90%


including the following: general satisfaction with services, access to services, quality and appropriateness

of services, outcome of services, and participation in treatment planning. Additionally, impacts are

measured by improvements in social connectedness and overall functioning. Impact of treatment services is

relevant because clients who feel empowered, motivated, have positive family relationships, and feel they

have the ability to change may be more likely to have positive treatment outcomes.

The following information represents data from those clients who agreed or strongly agreed at the time of

most recent update.



Impact of CARE and IMPACT Services

28% 30% 31%

Number/Percent of Clients with

Schizophrenia Spectrum Disorder

(Includes Schizoaffective Disorder)

1,371 1,408 1,389 1,342 1,345

12% 11% 11% 11% 11%


Bipolar Disorders

1,003 1,038 1,070 1,036 1,029


Anxiety, Stress and Trauma Disorders

(Includes Post Traumatic Stress

Disorder)

2,293 2,263 2,728 2,793 2,864

26% 25%

Number/Percent of Clients with Other

Disorders (Including Personality

Disorders, etc.)

97%96%97%96%95%

Primary Diagnostic Information for MH Services


800 810 732 713

9% 9% 8%


Depressive Disorders

3,284

The DBH monitors data and outcomes for publicly funded behavioral health treatment services. The table

below reflects information entered into the State Treatment Activity Reporting System (STARS) by

Community Mental Health Centers (CMHCs) for publicly funded clients receiving MH treatment services.

Due to updating from ICD9 diagnostic codes, data may not match previously published statistics as data

was re-downloaded from STARS which is an active database.

3,671 3,651 3,512

36%

751

3,379

38% 40% 38% 37%

15% 14% 14% 14%16%

8% 8%




State Average

National Average

Federally Required


State Average

National Average

Federally Required


State Average

National Average

Federally Required


State Average

National Average

Federally Required


State Average

Admission

First 6 Month Update

Most Recent Update

National Average

National Average

Federally Required

74% 79% 77% 76% 79%

61% 61% 67% 62% 61%

80% 80% 81% 78% 75%

The following two sections include data at admission into services, at the first 6 month update, and at the

most recent update of services as a means to demonstrate improvement in social connectedness and

functioning.



73%74%78%76%77%

93% 95% 96% 95% 96%

82% 87% 86% 85% 87%



74% 77% 77% 75% 73%

68% 83% 80% 75% 80%

FY20 FY21

94% 83% 96% 95% 96%

88% 91% 90% 89% 91%




FY17 FY18 FY19

86% 89% 88% 87% 89%



94% 96% 96% 96% 96%




State Average

Admission


Most Recent Update

National Average

National Average

Federally Required


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update

Hospital Admissions for Mental Health Care: Clients who reported hospital admission(s) for mental health care

within 6 months of…


23%

7% 5% 7% 6% 5%

20% 8% 9% 10% 12%

10% 10% 9% 9% 8%

28% 24% 23% 23% 24%

9% 6% 7% 7% 5%

Emergency Department: Clients who reported emergency department visit(s) within 6 months of…


14% 9% 10% 10% 12%

9% 9% 9% 7% 6%

Utilization of High Cost Services for CARE and IMPACT Services


visits, hospital admissions for mental health care, detoxification services, inpatient substance use disorder

treatment services, or detention in a correctional facility. Participation in treatment services may help

reduce the frequency of client utilization of high cost services.

Illness, Injury, or Surgery: Clients who reported night(s) spent in a facility for illness, injury, or surgery within 6

months of…


74% 79% 77% 76% 80%

10% 11% 12% 12% 11%

53% 48% 58% 54% 53%

76% 66% 77% 76% 72%



74% 62% 74% 72% 71%

29% 25% 26% 24%




State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update

FY20 FY21

5% 6% 6% 8%

Quality of Life Information for CARE and IMPACT ServicesQuality of life is measured in several key life domains including the following: general health, suicide

attempts, employment status, and homelessness as shown in the tables below. Improvements in these areas

may indicate the effectiveness of treatment services.

7% 8% 8%

21% 22%

4% 4% 5%

16%



1% 1%

6% 6%

22% 22%

9% 5%

FY17 FY18 FY19

FY21

2%

2% 1% 1% 2% 1%

6% 2% 2% 2% 4%

Detoxification Services: Clients who reported night(s) spent in a facility for detoxification within 6 months of…


6% 5% 5% 6% 7%

6% 7% 7% 9%

1%

32%

Inpatient Substance Use Disorder Treatment Services: Clients who reported inpatient treatment services for

substance use disorders within 6 months of…


Correctional Facility: Clients who reported night(s) spent in a correctional facility within 6 months of…

FY17 FY18 FY19 FY20

1%

2% 3%

56% 56% 56% 56% 57%

60% 59% 58% 58% 59%

60%

11%

Suicide Attempts: Clients who reported suicide attempt(s) within 6 months of…

15% 15% 17% 17%

3% 2% 3% 4% 4%

18%

65% 59% 58% 59%

5% 2% 2%




State Average

Admission


Most Recent Update

National Average

National Average

Federally Required


State Average

Admission


Most Recent Update

National Average

National Average

Federally Required


State Average

Admission


Most Recent Update

National Average

National Average

Federally Required * This data was not released by SAMHSA by the time this report was compiled.

4%

4% 4% 4% 3% N/A*

23% 9% 9% 10% 11%

7% 2% 2% 2% 3%

13% 4% 4% 3% 4%

Public Safety Information for CARE and IMPACT Services

Public safety information includes history of arrest. A reduction in this area may indicate how clients are

able to positively contribute to their families and communities.



2% 1% 1% 1% 2%

Homelessness: Clients who reported homelessness at...


4% 4% 4% 4%

4% 4%

29%

36% 32% 32% 33% 33%

26% 24% 24% 25% 34%


FY17

35%

25% 21% 22% 22% 24%

2% 2% 2% 2% 3%

FY18 FY19 FY20 FY21

34%

4% 4% 4%

29% 27%



CARE Services



CARE Return Rates


# of Admissions


Return Rate

Target Return Rate




Return Rate

Target Return Rate




Return Rate

Target Return Rate

CARE Services

State Average

Federally Required

95% 95% 97% 96% 98%

Impact of CARE Services








most recent update.



36% 50% 55% 79% 86%

60% 60% 60% 60% 60%

10,425 10,123 10,239 8,227 8,223

3,723 5,030 5,599 6,470 7,042

36% 39% 45% 71% 81%

60% 60% 60% 60% 60%




1,063 1,093 1,087 979 996

382 426 484 693 811

58% 70% 76% 85% 95%

60% 60% 60% 60% 60%

1,531 1,636 1,609 1,358 1,264

884 1,150 1,215 1,149 1,198

Statewide Program Outcomes for CARE ServicesComprehensive Assistance with Recovery and Empowerment (CARE) services may include outpatient

counseling, case management services, and psychiatric medication management for adults with serious

mental illness (SMI). This is a reflection of the 11 agencies who provide CARE services.

Outcome Tool Return Rate Information for CARE Services



CARE Services

State Average

Federally Required

CARE Services

State Average

Federally Required

CARE Services

State Average

Federally Required

CARE Services

State Average

Federally Required

CARE Services

State Average

Admission


Most Recent Update

Federally Required

CARE Services

State Average

Admission


Most Recent Update

Federally Required

58% 53% 52%

74% 62% 74% 72% 70%

76% 65% 76% 75% 72%

94% 96% 96% 95% 96%



61% 61% 67% 61% 60%

76% 75% 77% 74% 72%

80% 80% 78% 75%79%



functioning.


FY17 FY18 FY19

94% 83% 96% 95% 97%



94% 96% 96% 96% 96%





73% 76% 77% 75% 73%



FY20 FY21

53% 48%



CARE Services

State Average

Admission


Most Recent Update

CARE Services

State Average

Admission


Most Recent Update

CARE Services

State Average

Admission


Most Recent Update

CARE Services

State Average

Admission


Most Recent Update

14% 9% 9% 10% 12%

1% 2% 1%

6%



9%

11%

5% 5% 6% 6% 5%

FY17

1%

28% 24% 23% 23% 23%

10% 11% 12% 13% 11%

10% 10% 9% 9% 8%

9% 9% 7%


28% 25% 25% 24% 23%

20% 7% 8% 9%

FY18 FY19 FY20 FY21

8% 5%

Utilization of High Cost Services for CARE Services






months of…


2%

6% 7% 5%

6% 5% 5% 6% 7%

6% 2% 2% 2% 3%






CARE Services

State Average

Admission


Most Recent Update

CARE Services

State Average

Admission


Most Recent Update

CARE Services

State Average

Admission


Most Recent Update

CARE Services

State Average

Admission


Most Recent Update

CARE Services

State Average

Admission


Most Recent Update

Federally Required

34%



Not reported by level of care

34% 29% 28% 29% 36%

16% 15% 15% 17% 17%

12% 5% 5% 6% 8%

3% 2% 3% 4% 4%

27% 24% 25% 26%

22% 22% 21%

18% 6%



55% 55% 56% 56% 57%

64% 58% 58% 59% 60%

59% 58% 58% 57% 58%

3%

7% 7% 9%



FY18 FY19 FY20 FY21

Quality of Life Information for CARE Services




FY17

10% 5% 4% 4% 4%

32% 21%

6% 6% 7% 8% 8%

2% 1% 1% 1% 2%




Correctional Facility: Clients who reported night(s) spent in a correctional facility within 6 months of…

4% 2% 2% 2%



CARE Services

State Average

Admission


Most Recent Update

Federally Required

CARE Services

State Average

Admission


Most Recent Update

Federally Required

13%

FY21

2% 2% 2% 2%


2%

3% 4% 3% 4%


Public Safety Information for CARE Services



2% 1% 1% 1%



7% 0% 2% 2% 3%

2%

23% 9% 8% 10% 11%

FY17 FY18 FY19 FY20



IMPACT Services



IMPACT Return Rates


# of Admissions


Return Rate

Target Return Rate




Return Rate

Target Return Rate




Return Rate

Target Return Rate

50% 66% 79% 86% 100%

60% 60% 60% 60%

310 353 385 454

63%

60%

490 470 447 450 455

247

40% 57% 91% 90%

60% 60% 60% 60% 60%

19 25 14 23 21

12 10 8 21 19

67% 74% 100%

60% 60% 60% 60% 60%

50 45 55 69 21

14 28 37 51 21

Statewide Program Outcomes for IMPACT ServicesIndividualized and Mobile Programs of Assertive Community Treatment (IMPACT) services provide

intensive outpatient counseling, case management services, and psychiatric medication management for

adults with Serious Mental Illness (SMI). This is a reflection of the 6 agencies who provide IMPACT

services.

Outcome Tool Return Rate Information for IMPACT




28% 62%



IMPACT Services

State Average

Federally Required

IMPACT Services

State Average

Federally Required

IMPACT Services

State Average

Federally Required

IMPACT Services

State Average

Federally Required

IMPACT Services

State Average

Federally Required

88% 92% 95% 91% 91%



80% 82% 85% 83% 70%



92% 82% 96% 94% 89%



93% 96% 96% 93% 91%



91% 92% 95% 95% 86%

Impact of IMPACT Services








most recent update.





IMPACT Services

State Average

Admission


Most Recent Update

Federally Required

IMPACT Services

State Average

Admission


Most Recent Update

Federally Required

IMPACT Services

State Average

Admission


Most Recent Update

IMPACT Services

State Average

Admission


Most Recent Update 13%


27% 31% 24%

21% 19%

9%

FY20 FY21

21% 29%

19% 19%

FY17 FY18 FY19

14% 12% 15%

FY20 FY21

82% 67% 75% 74% 75%

79% 70% 84% 85% 82%

4% 8% 4% 7% 10%

6% 8% 10% 10% 8%

19%

8% 5% 10% 6% 5%

Utilization of High Cost Services for IMPACT Services






months of…


73% 72% 77% 74% 76%

83% 83% 84% 79% 79%

85% 85% 87% 84% 82%

82% 68% 80% 78% 81%


FY17 FY18 FY19



functioning.





IMPACT Services

State Average

Admission


Most Recent Update

IMPACT Services

State Average

Admission


Most Recent Update

IMPACT Services

State Average

Admission


Most Recent Update

IMPACT Services

State Average

Admission


Most Recent Update

IMPACT Services

State Average

Admission


Most Recent Update 69% 66%

12% 25% 32% 28%

31% 5% 6% 8%

73% 69% 69%

66% 66% 71%

71% 67% 67%

Quality of Life Information for IMPACT Services






63% 69%

78% 70%

28%

4% 8% 5% 5% 7%

0% 2% 3% 4% 5%

2%




FY20 FY21

8% 12% 11% 9%

2% 0%

11% 19% 10%

12%

6% 2% 2% 4% 8%

22%

4% 5% 12%3% 6%

1% 2% 2%



0% 0%

Correctional Facility: Clients who report night(s) spent in a correctional facility within 6 months of…

FY17 FY18 FY19

2% 0%

42% 42% 46% 37% 46%

13% 19% 20% 19% 17%

FY19 FY20 FY21

12%18%



FY17 FY18



IMPACT Services

State Average

Admission


Most Recent Update

IMPACT Services

State Average

Admission


Most Recent Update

Federally Required

IMPACT Services

State Average

Admission


Most Recent Update

Federally Required

IMPACT Services

State Average

Admission


Most Recent Update

Federally Required

19% 9% 12% 11%

FY18 FY19 FY20 FY21

18%


FY17

18% 16% 16%

FY18 FY19 FY20 FY21

FY21

14% 15% 15%

18%

6% 1% 5% 3% 0%

5% 3% 5% 4% 7%

20% 18% 13% 15% 27%

6% 3%


FY17

22%

4% 4%

Public Safety Information for IMPACT Services



History of Arrest: Clients who reported an arrest(s) within 30 days of…


11% 1% 2% 2% 4%

2% 1% 3% 2% 2%

15%



FY17 FY18 FY19 FY20

13%

0% 8% 9% 10% 12%


33%


Youth MH Treatment Services

Children, Youth, and

Family (CYF)

Treatment Services



# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

# of Most recent Updates


Return Rate

Target Return Rate

CYF Treatment Return Rates

- 60% 60% 60% 60%

1,575

- 848 1,024 1,401 1,831

- 18% 20% 40% 55%


- 4,708 5,174 3,467 3,341

- 34% 33% 54% 64%

- 60% 60% 60% 60%

- 915 1,102 1,093 950

- 310 367 586 610

- 60% 60% 60% 60%


- 747 912 1,197 1,239

- 45% 55% 76% 86%


- 1,645 1,645 1,433

Outcome Tool Return Rate Information for CYF Treatment Services

The Data and Outcomes Work Group members set a goal for all contracted agencies to meet or

exceed a 60% outcome tool return rate.


Statewide Program Outcomes for Children, Youth, and Family (CYF) Treatment

Services

Children, Youth, and Family (CYF) Treatment Services are specialized outpatient services provided to

youth living with Serious Emotional Disturbance (SED). Services may include case management,

psychiatric care, individual, group, and/or family counseling. This is a reflection of the 11 agencies

who provide CYF treatment services.



State MH Primary Disorders

8%

Number/Percent of Youth with

Developmental Disorders (Includes

Asperger's Syndrome Disorders)

159 166 136 93 72

3% 3% 2%


Conduct and Impulse-Control

Disorders (Includes ODD)

598 685 652 569

1% 1%

467

11% 11% 10% 9%

808

17% 16% 15% 14% 13%

0.5% 0.3% 0.3% 0.3% 0.3%


ADHD Disorders950 999 964 918

0% 0% 0%0%


Bipolar Disorders

25 21 17 17 18

59% 62% 64%


Schizophrenia Spectrum Disorder

(Includes Schizoaffective Disorder)

14 16 18 13 18

0%

0% 0%


Anxiety, Trauma, and Stress

Disorders (Includes Post-

Traumatic Stress Disorder)

3,156 3,655 3,822 3,935 3,881

57% 57%

13%


Other Disorders (Including

Personality Disorder, etc.)

32 34 30 24 24

1% 1% 0%


Depressive Disorders

617 791 831 784 765

11% 12% 13% 12%

Primary Diagnostic Information for CYF Treatment Services

The DBH monitors data and outcomes for publicly funded behavioral health treatment services. The

table below reflects information entered into the State Treatment Activity Reporting System (STARS)

by Community Mental Health Centers (CMHCs) for publicly funded youth receiving MH treatment

services. Due to updating from ICD 9 diagnostic codes to ICD 10 diagnostic codes, data may not

match previously published statistics as data was re-downloaded from STARS which is an active

database.




CYF Treatment Services

State Average

National Average

Federally Required


State Average

National Average

Federally Required


State Average

National Average

Federally Required


State Average

National Average

Federally Required


State Average

National Average

Federally Required

- 91% 92% 88% 89%

- 89% 87% 88% 89%



- 76% 77% 78% 72%

- 73% 72% 72% 75%



- 95% 96% 96% 96%

- 93% 93% 94% 95%



- 95% 92% 95% 95%

- 87% 85% 87% 89%



- 92% 91% 91% 91%

- 88% 87% 88% 89%



Impact of CYF Treatment Services

Impact of treatment services is measured by surveying youth perception of the quality of services

received including the following: general satisfaction with services, access to services, cultural

sensitivity, outcome of services, and participation in treatment planning. Additionally, impacts are

measured by improvements in social connectedness and overall functioning. Impact of treatment

services is relevant because youth who feel empowered, motivated, have positive family relationships,

and feel they have the ability to change may be more likely to have positive treatment outcomes.

The following information represents data from those youth who agreed or strongly agreed at the time

of most recent update.




State Average

Admission


Most Recent Update

National Average

National Average

Federally Required


State Average

Admission


Most Recent Update

National Average

National Average

Federally Required

State Average

Admission

First 6 month Update

Most Recent Update

State Average

Admission


Most Recent Update

- 61% 61% 63% 66%

- 59% 58% 57% 58%




-

-

- 72% 72% 72% 73%


The GAIN-SS is used as a simple measure of change after intervals of a month or more. The following

tables report the information gathered at admission, the first 6 month update, and at the most recent

update of services. These results can be used at the group level as an outcome measure by monitoring

over time.




64% 67% 62% 70%

- 77% 80% 80% 80%

71% 72% 69% 70%



- 76% 76% 78% 73%

- 75% 73% 72% 75%

- 56% 60% 60% 60%

- 69% 72% 71% 70%

- 78% 89% 90% 87%

- 87% 86% 88% 88%

- 65% 80% 79% 78%

- 76% 87% 86% 87%

The following two sections include data at admission into services, at the first 6 month update, and at

the most recent update of services as a means to demonstrate improvement in social connectedness

and functioning.





State Average

Admission


Most Recent Update

State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update

- 15% 14% 11% 13%

- 7% 9% 7% 6%

- 0% 7% 5% 5%

- 16% 16% 15% 15%

0% 9% 6% 6%

Hospital Admissions for Mental Health Care: Youth who reported hospital admission(s) for mental health

care within 6 months of…


- 7% 9% 9% 8%

-

0% 2% 3% 2%

- 25% 7% 7% 5%

26% 5% 4% 4%

Emergency Department: Youth who reported emergency department visit(s) within 6 months of…


-

-

- 24% 29% 26% 25%

Utilization of High Cost Services for CYF Treatment Services

High cost services include the following: treatment for illness, injury, or surgery, emergency

department visits, hospital admissions for mental health care, inpatient substance use disorder

treatment services, or detention in a correctional facility. Participation in treatment services may

reduce the frequency of youth utilization of high cost services.

Illness, Injury, or Surgery: Youth who reported night(s) spent in a facility for illness, injury, or surgery within

6 months of…


- 16% 20% 20% 19%

- 19% 17% 17% 18%




- 7% 7% 6% 7%

- 7% 9% 13% 9%


- 12% 13% 12% 11%

Substance Disorder: Measures Substance Use Disorder (SUD) symptoms at…




State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


Federally Required

- 19% 18% 16% 16%

- 18% 14% 12% 13%

Employment Status: Youth who are 15 years or older who reported employment at…


- 10% 12% 10% 11%

- 0% 9% 8% 9%

79%

84% 87% 88% 89%

Suicide Attempts: Youth who reported suicide attempt(s) within 6 months of…


-

-

- 21% 21% 20% 20%

- 31% 8% 6% 6%

89% 89% 89% 87%

Quality of Life Information for CYF Treatment Services


attempts, employment status, and homelessness as shown in the tables below. Improvements in these

areas may indicate the effectiveness of treatment services.



- 41% 3% 3% 4%

- 0% 3% 5% 2%

- 84% 83% 82%

Correctional Facility: Youth who reported night(s) spent in a correctional facility within 6 months of…


- 1% 1% 1% 1%

- 0% 1% 1% 1%

3% 3% 2% 3%




-




State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update

National Average

National Average

Federally Required; National Data includes adults and youth

* This data was not released by SAMHSA by the time this report was compiled.

- 4% 3% 1% N/A*

- 3% 4% 5% 4%

- 0% 2% 2% 2%

Federally Required

Public Safety Information for CYF Treatment Services

Public safety information includes history of arrest. A reduction in this area may indicate how youth

are able to positively contribute to their families and communities.



-

-

- 0% 3% 2% 1%

Homelessness: Youth who reported homelessness at...


0% 0% 0% 0%

- 0% 0% 0% 0%

0% 0% 0% 0%



# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate



Return Rate

Target Return Rate


State Average

National Average

Federally Required


State Average

National Average

Federally Required

CYF Treatment Return Rates

- 98% 98% 98% 98%

- 87% 85% 87% 89%

Access to Services: Parents/Guardians who reported the ease and convenience of treatment services their

youth received


- 97% 97% 95% 96%

- 88% 87% 88% 89%


Impact of treatment services is measured by surveying parent/guardian perception of the quality of

services received including the following: general satisfaction with services, access to services,

cultural sensitivity, outcome of services, and participation in treatment planning. Additionally,

impacts are measured by improvements in social connectedness and overall functioning.

General Satisfaction with Services: Parents/Guardians who reported overall satisfaction with treatment

services their youth received


The following information represents data from those parents/guardians who agreed or strongly

agreed at the time of most recent update.

- 60% 60% 60% 60%

- 1,482 1,867 2,324 2,888

- 20% 23% 44% 58%


- 7,520 8,118 5,291 5,010

- 30% 31% 53% 69%

- 60% 60% 60% 60%

- 1,898 2,088 2,006 1,625

- 569 648 1,064 1,121

- 60% 60% 60% 60%


- 1,179 1,723 2,209 1,104

- 40% 57% 78% 45%


- 2,924 3,003 2,817 2,477

Family Outcome Tool Return Rate Information for CYF Treatment Services

The Data and Outcomes Work Group members set a goal for all contracted agencies to meet or

exceed a 60% outcome tool return rate.





State Average

National Average

Federally Required


State Average

National Average

Federally Required


State Average

National Average

Federally Required


State Average

Admission


Most Recent Update

National Average

National Average

Federally Required


State Average

Admission


Most Recent Update

National Average

National Average

Federally Required


- 76% 75% 75% 74%

- 75% 73% 72% 75%

- 65% 59% 62% 64%

- 75% 73% 72% 73%


- 0% 95% 94% 93%

- 87% 86% 88% 88%

- 86% 87% 86% 87%

- 93% 94% 93% 93%

The following two sections include data at admission into services, at the first 6 month update, and at

the most recent update of services as a means to demonstrate improvement in social connectedness

and functioning.



- 97% 97% 96% 96%

- 89% 87% 88% 89%



- 71% 76% 76% 74%

- 73% 72% 72% 75%

Outcome of Services: Parent/Guardian perception of treatment outcomes as a result of services their youth

received


- 90% 99% 99% 98%

- 93% 93% 94% 95%






State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update

- 1% 2% 2% 2%

- 0% 3% 3% 2%

Correctional Facility: Parents/Guardians who reported their youth had spent night(s) in a correctional facility



- 1% 0% 1% 0%

- 0% 0% 0% 1%

- 4% 3% 3% 3%

2% 1% 1% 2%


inpatient treatment services for substance use disorders within 6 months of…


-

- 10% 9% 7% 8%

- 3% 4% 4% 4%

- 3% 4% 3% 3%

Emergency Department: Parents/Guardians who reported their youth had emergency department visit(s)



-

-

- 9% 8% 8% 8%

Hospital Admissions for Mental Health Care: Parents/Guardians who reported their youth had hospital

admission(s) for mental health care within 6 months of….


- 5% 5% 5% 4%

- 1% 5% 5% 3%


High cost services include the following: treatment for illness, injury, or surgery, emergency

department visits, hospital admissions for mental health care, inpatient substance use disorder


reduce the frequency of youth utilization of high cost services.

Illness, Injury, or Surgery: Parents/Guardians who reported their youth spent night(s) in a facility for illness,

injury, or surgery within 6 months of…


2% 1% 2% 1%

- 4% 4% 4% 4%

2% 2% 3% 2%




State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update


State Average

Admission


Most Recent Update

Federally Required


State Average

Admission


Most Recent Update

Federally Required


Homelessness: Parents/Guardians who reported their youth's homelessness at…


0% 0% 0% 0%-

-

-

0% 0% 0% 0%

0% 0% 0% 0%

-

6% 6% 6% 5%

6% 7% 6% 5%

Suicide Attempts: Parents/Guardians who reported suicide attempt(s) by their youth within 6 months of…


Employment Status: Parents/Guardians who reported their youth's employment at…


- 4% 4%

- 95% 96% 95% 95%

-

- 7% 7% 6% 7%

-

96% 97% 95% 98%

4% 3%

- 2% 3% 3% 2%


General Health: Parents/Guardians who reported their youth's general health as good, very good, or excellent


- 95% 94% 94% 93%


attempts, employment status, and homelessness as shown in the tables below. Improvements in these

areas may indicate the effectiveness of treatment services.




State Average

Admission


Most Recent Update

National Average

National Average

Federally Required; National Data includes adults and youth


- 1% 3% 2% 2%

- 4% 3% 1% N/A*

- 2% 2% 5% 2%

- 1% 1% 1% 1%


Public safety information includes history of arrest. A reduction in this area may indicate how youth

are able to positively contribute to their families and communities.

History of Arrest: Parents/Guardians who reported arrest(s) of their youth within 30 days of…



Targeted Services for Justice-Involved Adults


9

57% CBISA

5%

31% MRT

0.5% MRT Telehealth

`

6%

2%

99

Clients Served

Clients Served Totals

CBISA Telehealth 237

929

Other

2,193

Race

White


Asian

Native Hawaiian and Other Pacific

Islander

American Indian or Alaska Native

Two or More Races

0.2%

NA

Targeted Services for Justice-Involved Adults Profile



State Pop.

3%

1%

Totals

0%

9%

85%

2%

The demographic information includes clients who were funded

through state and federal funds, including Medicaid.

South Dakota is committed to providing quality

services to justice-involved adults by funding

evidence-based services to address substance use

disorder (SUD) and criminal thinking behavioral

health needs. Services are available in person or

via telehealth to ensure access statewide.

This state profile page reflects publicly funded

clients in FY21, which runs from June 2020 -

May 2021.




CBISA Treatment Services…………………………………………………………………….161

Outcome Tool Return Rate Information for CBISA……………………………….………………………………………163

Discharge Reasons for CBISA…………………………………………………...………………………….163

Primary Diagnostic Information for CBISA………………………………………………….………………………….164

Impact of CBISA…………………………………………...…………..………………………………….164

Utilization of High Cost Services for CBISA…………………………………….………………………………..165

Quality of Life Information for CBISA……………………………………………………………..………………………166

Public Safety Information for CBISA…………………………………………………………………..………………..168

Curriculum Fidelity for CBISA………………………….……………………………………..………168

MRT Treatment Services………………………………………..…………………...…………..170

Outcome Tool Return Rate Information for MRT…………………………….………………………………….….172

Discharge Reasons for MRT……………………………………….………………………………………….173

Impact of MRT…………………………………………...…..………….…………………………….173

Texas Christian University (TCU) Criminal Thinking Sub-Scales for MRT…………….…..174

Utilization of High Cost Services for MRT……………………..…………………………………………………..175

Quality of Life Information for MRT………………………………………………….……………………………………176

Public Safety Information for MRT………………………………………………..……………………………………..178

Curriculum Fidelity for MRT…….…………………………….………………………………………………..178

Appendix F: Targeted Services for Justice-Involved Adults………………………………………………………………335

Table of Contents



CBISA Treatment

Services



CBISA Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

State Average


43% 60%

60%

Other 7%

948

9%

680

1,037 983

12%

60%

60% 60%


60% outcome tool return rate for FY21.

60%

FY18

2,185

9%


760

60%

87% 85%

14%

16%

CBISA is a cognitive behavioral approach to teach participants strategies to avoid substance misuse. The

curriculum emphasizes skill-building activities to assist with cognitive, social, emotional, and coping skills

development.

1,931 1,740

15%

330

85%

60%

The Division of Behavioral Health (DBH) set a benchmark of a 55% successful completion rate for CBISA

treatment services.

802

5%

84% 88%

60%

Outcome Tool Return Rate Information for CBISA

FY17

14%

9%

4%

1,971

60%

This information is collected in the State Treatment Activity Reporting System (STARS) for clients discharged

from CBISA treatment services.

Discharge Reasons for CBISA

60%

48%

FY20 FY21

1,077

566

11%

Transferred to Another Facility

or Program5% 6% 6%

779

FY19

2,244

1,831 1,914

75%

702

Left Against Professional

12%

2,188 2,272

71%

6% 8% 9% 7%

FY18 FY19 FY20

48% 51% 47% 44%

Incarcerated 16%


FY21

7%

47%

15%

CBISA Discharge Reasons

Treatment Completed

24%

CBISA Telehealth discharge numbers are included in overall CBISA discharge numbers

Program Outcomes for CBISA

18%

FY17



State Average

Primary SUD Diagnosis

CBISA

State Average

-

0%

85





improvements in social connectedness and overall functioning. Impact of treatment services is relevant

because clients who feel empowered, motivated, have positive family relationships, and feel they have the

ability to change may be more likely to have positive treatment outcomes.

60%

20%

58%

95%

CBISA Telehealth Discharge

Reasons

Left Against Professional 3%

FY20

FY17

11%

11%

15%

FY17

11% 12%

93% 95% 94% 96%

FY21

FY19FY18

8%

7%

Treatment Completed



776

2%



FY20FY19

16% 13%



Primary Amphetamine Use

Disorder

4% 3%5%

-

3%

109

40

18%




Primary Other Use Disorder

117 86

-

890

-

80Number/Percent of Clients with a

Primary Opioid Use Disorder 5%-

7%

34%

423

5%

8%

27%

FY17

9%

FY21

- 35%

0%

399

0%


or Program10%

955

35% 35% 38%

792

335350

FY21

43%- 39%

57% 45% 50%

39%

867

2%

Primary Diagnostic Information for CBISA

FY20

950

The DBH monitors data and outcomes for publicly funded behavioral health treatment services. The table

below reflects information entered into STARS by contracted providers for publicly funded clients receiving

CBISA treatment services. This does not include individuals who received only an assessment.

3%

FY19

1%

- 794

- 19%

1045

41%

5%

FY18

8%

Incarcerated

Other

36

Impact of CBISA

FY18

2%

70

3%

-

12%



CBISA

State Average

CBISA

State Average

CBISA

State Average

CBISA

State Average

CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

FY17

FY20

FY19

FY18

84%

81% 82% 83%

FY19 FY20

FY19

84%

94% 94%

5%

84%

- 7% 4%

- 5% 3%

4%

94%

Utilization of High Cost Services for CBISA

FY18

93%

1%



treatment services, or detention in a correctional facility. Participation in treatment services may help reduce

the frequency of client utilization of high cost services. Data from FY17 and June through December FY18

are not reported due to a change in the reporting process. The following section includes data at admission


FY21

95%

FY17


87% 92% 94%

93% 98% 92% 94% 95%



FY21

95%

FY20 FY21


95%

84%

93%


days of…

94%

4%

FY20

FY20

-

FY19

FY21

95%

93%90%

84%

95% 95%


FY18

FY19

FY18

FY21

Quality and Appropriateness of Services: Perception of the quality and appropriateness of treatment services

received

91%

FY19

92% 91%

-

93% 95%


FY18 FY21

94%

FY17

95%95%

FY18

FY17 FY20

The following two sections includes data at admission into services and at successful discharge from services


FY17

FY17



CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge


FY18

FY20 FY21

6%

7%



5% 5%

21%

2% 1%

10%

-

15%


attempts, employment status, homelessness, and other domains as shown in the tables below. Improvements

in these areas may indicate the effectiveness of treatment services. The following section includes data at


1%

2%

FY17

-

90%

89%

52%


FY17

1%2%

FY20

3%

FY21

FY18

FY21

93% 93%

FY18

90%

3%

1%

FY19

3%

- 69%

FY19

5%

2%

FY18

-

FY19

2%


3%



3%

4%

FY17

-

FY17

5%

FY20

49%

90%89%

Quality of Life Information for CBISA

FY19

-

FY20

0%

FY20

5%

FY21

FY21

FY18

7%

FY19

-

FY17

56%

FY18

5%

-

2%

4%

2% 2%

-

FY19 FY20

FY21

2%

6%

93%-


FY17

4%

4%

-

-



CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

6 Months Post-Treatment

CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

CBISA

State Average

Before Program

End of Program


CBISA

State Average

Admission

Discharge


Because of low return rates on CBISA 6-Month survey, data may not accurately reflect this population.

98%

7%


FY17

48%

5%

50%


FY21


78%

47%

86%

FY20

FY17

94%

FY18 FY19

86%87%

8% 6%

61%



FY18

1%


FY21

98%

50%

3% 2% 2%

FY21

8%

98%

94%


FY17 FY18

94% 93%

97%

2%


98%

67%

FY17

12%


87%

54%

FY18

77%

FY20

FY20

95%

57% 53%

90%

12% 10%

3%

FY20 FY21

FY19

99%

11%

FY19


-

9%

64%57% 67%

37%

61%

48%

97%

FY18

FY19

-

92% 93%

87%

2% 2%

-

77%

69%

FY17 FY18 FY19

-

-

FY21

-

5%

FY20

-

FY20

2%

85%


7%

FY19

- 2%

FY21

45%

2%

5%

FY17

85%

-




CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

CBISA

State Average

Admission

Discharge

CBISA Trainings 3




-

FY19

3

88%

FY20

3

53%

Public Safety Information for CBISA


FY17

4%

FY21FY18

-

7%

4%

15%18%

9% 10%

FY17 FY18 FY19 FY20

89%

52%

20% 18%

FY18

58%

89% 92%


services at…

FY21FY20FY17

10%24%

Curriculum Fidelity for CBISA

- 55% 60%

-

FY19

7%

FY21



5%

The University of Cincinnati Corrections Institute (UCCI) certified the DBH Training Team to provide

training of the CBISA curriculum.

CBISA Training FY17 FY18 FY20 FY21

CBISA Curriculum Trainings

3 2

FY19

4%

- 17% 16%




MRT Treatment Services



MRT Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

TCU Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

838

60% 60% 60%

FY18

792

84%

83%

FY21

Pre-Test Return Rate

Texas Christian University (TCU) Criminal Thinking Sub-Scales

60%60%

169

67%

60%


1,001

202

45%

289 254

60%

88%

1,067 940

43%

FY17 FY18 FY19

187

416

91%

FY20

965 734

56%

289 350 448

76%

649

343

87%

60%

55%

131

457

80%

290

60%

409

434589 843

FY19

60%

1,067

94%

FY20

711

Outcome Tool Return Rate Information for MRT

85%

496


284 341

Program Outcomes for MRT

904

461

220

FY17

328

65% 69% 52%

84%

81%

819589

60% 60%

898

60%

Post-Test Return Rate

60%

287

64%


60% outcome tool return rate for FY20.

FY21

MRT combines education, group and individual activities, and structured exercises to assist participants in

addressing negative thought and behavior patterns. The program promotes higher moral reasoning by

increasing self-image and promoting a productive identity. MRT includes 12 steps focusing on issues such as

honesty, trust, acceptance, healing, relationships, and setting goals.

414823

60% 60% 60%

60% 60%

60%



State Average

MRT

State Average

MRT

State Average

The information is collected in the State Treatment Activity Reporting System (STARS) for clients discharged

from MRT treatment services.


43%53%

11%9%

Treatment Completed

Other

State Average


or Program

5% 10% 7%

Treatment Completed

10%

FY21

22%



8%

0%

12%

6%



or Program

Other

18%

17% 25%

61% 33%

3%

8%

93% 93%92%

7% 3%Incarcerated

17%

FY18

91%

FY17

Impact of MRT

FY18

FY19




improvements in social connectedness and overall functioning. Impact of treatment services is relevant

because clients who feel empowered, motivated, have positive family relationships, and feel they have the

ability to change may be more likely to have positive treatment outcomes.

FY20

9%

0% 0%

FY19 FY20

3%

MRT Telehealth Discharge

Reasons

21%

31%

10%

7%

4%

40%

3%

Left Against Professional

Advice

FY20FY18

0%

50%

13%

32%

0%

FY21

3%

51%

33%

42%

17%

5%

The Division of Behavioral Health (DBH) set a benchmark of a 48% successful completion rate for MRT

treatment services.

46%

3%

FY17 FY19

4% 5%14%

FY17 FY18 FY19

Discharge Reasons for MRT

10%

40%

14%

Incarcerated

18% 13%

FY17


89%

MRT Telehealth discharge numbers are included in overall MRT discharge numbers

FY21

88% 96% 93% 96% 89%

5%

MRT Discharge Reasons

23% 25%

FY20

6%

11%Left Against Professional

Advice

FY21




MRT

State Average

MRT

State Average

MRT

State Average

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Pre-Test

Post-Test

Reduction

MRT

State Average

Pre-Test

Post-Test

Reduction

FY20

FY21

Entitlement: Sense of ownership and privilege, misidentifying wants as needs

89% 94%

82%

FY17 FY18


FY21

FY18

1.6

18.2

16.7

FY19

92%

87%

FY17

94%

FY17 FY18

90%

FY19

90% 91%

84%

92% 93%

FY21

15.2 14.8

16.1

FY21

18.0

16.1

Justification: Justifies actions based on external circumstances or actions of others

93%



TCU Criminal Thinking Sub-Scales from Pre-Test to Post-Test

94% 91%

95%

85%

FY19 FY20

92%

Quality and Appropriateness of Services: Perception of the quality and appropriateness of treatment services

received

FY18

83% 83%

84%

FY20 FY21

93%

92%

82%

FY20

FY19FY17

FY19 FY21

88%

1.7 0.9 1.1

17.9

FY19

94%


-

FY20

94%


82%

FY20

The TCU Criminal Thinking Sub-Scales is the tool used at admission into and at discharge from MRT

treatment services. The sub-scales were developed to assess cognitive functioning expected to be related to

criminal conduct. A reduction in any of the six sub-scales from pre-test to post-test may indicate a reduction

in criminal thinking.

FY17

92%

FY18FY17

FY21

FY18

1.8

15.9

2.21.8

15.8 15.3

16.116.5

17.9

96%

FY19FY18FY17

1.9

18.5


20.2

94%

1.4

16.7

-

17.8

16.6

89%

1.7

16.4

93%

FY20



MRT

State Average

Pre-Test

Post-Test

Reduction

MRT

State Average

Pre-Test

Post-Test

Reduction

MRT

State Average

Pre-Test

Post-Test

Reduction

MRT

State Average

Pre-Test

Post-Test

Reduction

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

6%

21.5 21.5

5%

17.2

24.1

21.7

23.9

FY17

9%

FY20


days of…

FY19

Cold Heartedness: Callousness and lack of emotional involvement in relationships

21.4

1.3

6% 4%

19.1

5% 4%

FY17

Power Orientation: Need for power, control, and retribution

FY21

- 5%

2.0

5%

4%

3%

FY20

FY21

Utilization of High Cost Services for MRT

FY17

FY19

3%

Personal Irresponsibility: Unwillingness to accept ownership for criminal actions

FY19 FY20

FY17 FY18

21.9

1.8 2.4 2.5

FY18FY17

Criminal Rationalization: Negative attitude toward the law and authority figures

23.2

17.3

23.1

FY18

1.9

-

23.7 23.3 23.5

0.4

20.0

FY20

FY19

19.9

2.4

19.1 19.1

22.0

FY19

-

2.4

4%

FY21FY18

0.8

1.9

21.1

23.0 24.4

FY21

21.7

24.3

FY21

FY20 FY21

24.5

1.9 2.2

1.7

FY17

1.8

23.3 19.2

21.1

16.6

1.4


16.7 16.8



treatment services, or detention in a correctional facility. Participation in treatment services may help reduce

the frequency of client utilization of high cost services. Data from FY17 and June through December FY18

are not reported due to a change in the reporting process. The following section includes data at admission


FY19

23.5

6%

21.6

4%

4%

FY18

1.9 2.1

18.4

FY18

24.5 24.8

19.3 19.0

FY20

19.6

1.31.0

-



MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

7%


-

-

2%

FY19


reporting process.

FY18

2%

- 85%

FY20

2%2%

FY17

- 4%



5%

84% 92%

FY17 FY20

- 1%

FY19 FY20FY17

90%

FY18

- 92%

85%

4%

33%

14%

86% 86%

FY18 FY19 FY20

8% 5% 3%

FY21

1%

3%

- 11%

6%

FY21


10%

2%

1%


1%

FY20 FY21

3% 2% 2%

-

FY17

7%

FY20


attempts, employment status, homelessness, and other domains as shown in the tables below. Improvements

in these areas may indicate the effectiveness of treatment services. The following section includes data at

admission into services and at discharge from services.

-

1%

25%

1%

FY17

-

-

47%

FY18 FY19

1%

FY21




Quality of Life Information for MRT

3%

7%

FY21

FY17

3%

FY19

4%

FY18 FY19

FY21

71% 49%

10% 8% 8%

FY18

-



MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Before Program

End of Program

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

69%

-

FY17 FY21

FY17

51%63%

53%

3%

FY17

2%

FY19

3%

FY18 FY19 FY20

70%

-

96%

98%

-

FY20

-

-

60%

2%

FY19

FY19 FY20 FY21

78%

50%

FY19FY18

90%

2%

11% 10%

FY21


services at…

FY20

FY17

99%

1%

FY18

3%

85%

-


2% 3%

100%

89%

FY18 FY19

-

8%

FY21

99%

49%

-

FY21

47%


58%

88% 87%

78%

61%

FY21

91% 94% 94%

FY17

FY17

FY20

10%

67%

FY18

60%

FY18


5%

-

-

48% 56%


59% 71%

-


2%

-

2%

FY20





MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT Trainings

Advanced MRT Trainings

11%

Public Safety Information for MRT

FY17 FY18

2

FY19 FY20 FY21

FY17

Public safety information includes history of arrest and trouble as the result of substance use. Reductions in



1 1

FY20

5%

4%

- 11%

FY19

MRT Curriculum Trainings

18%

FY20

14%

Correctional Counseling, Inc. (CCI) provides both MRT trainings and advanced MRT trainings for continued

skill development.

Curriculum Fidelity for MRT

1 2 1 2

MRT Training FY17 FY18 FY19

1



2 2

FY21

- 24%

FY21


FY18

18%

- 5% 5%


9%17% 10%

12%

4%

- 18%


Targeted Services for Justice-Involved Youth


FFT

ART*

MRT*

UJS

DOC

Clients Served Totals

433

58

263

44

141

430


American Indian and Alaska Native

Two or More Races

Source of Referrals

*Other Sources

MRT Telehealth

18%

Asian

0.1%

70%

TotalsRace

TotalsSource

276



7%

1%

Clients ServedDemographic Information

1%

ART Telehealth 19

Other

Native Hawaiian and Other Pacific

Islander

White

3%

Targeted services for justice-involved youth were established in

2015 by Senate Bill 73. The Department of Social Services (DSS)

worked with the Department of Corrections (DOC) and the Unified

Judicial System (UJS) to identify and implement community-based

treatment services for justice-involved and at-risk youth. Those

services include Functional Family Therapy (FFT), Aggression

Replacement Training (ART), and Moral Reconation Therapy

(MRT). As of FY19, substance use disorder services are also

available. Additional Services include Systems of Care (SOC) and

Family Support Program (FSP). Outcomes for these programs are

monitored separately from this document.

This state profile page reflects JJRI publicly funded clients in FY21,

which runs from June 2020 - May 2021.

The demographic information includes clients funded

through state and federal funds, including Medicaid.

*Other sources includes any referral received

outside of UJS or DOC such as schools, parents,

Child Protection Services, or diversion programs

*MRT and ART Telehealth clients served are counted

in the overall MRT and ART total.



FFT Treatment Services

Youth Information……………………………………………………………………………….

Outcome Tool Return Rate Information for FFT…………………………………………………….……….

Discharge Reasons for FFT………………………………………………………………………………………

Impact of FFT……………………………………………………………………………………………..

Utilization of High Cost Services for FFT………………………………………………………………..

Quality of Life Information for FFT……………………………………………………………………………………………………..

Public Safety Information for FFT……………………………………………………………………………………………………………………………………

Family Information……………………………………………………………………………

Family Outcome Tool Return Rate Information for FFT…………………………………………………………………………………………………………

Impact of FFT…………………………………………………………………………………………………………………..

Utilization of High Cost Services for FFT……………………………………………………………………………………………………………………………….

Quality of Life Information for FFT…………………………………………………………………………………………………………………………

Public Safety Information for FFT…………………………………………………………………………………………………………………………..

Curriculum Fidelity for FFT………………………………………………………………….

ART Treatment Services

Youth Information……………………………………………………………………………….

Outcome Tool Return Rate Information for ART………………………………………………………………………………………………………

Discharge Reasons for ART………………………………………………………………………………………………………………….

Impact of ART…………………………………………………………………………………………………………………..

Utilization of High Cost Services for ART……………………………………………………………………………………………………………

Quality of Life Information for ART……………………………………………………………………….………………………………………………………….

Public Safety Information for ART………………………………………………………………………………………..………………………………………….

AQ Sub-Scales for ART………………………………………………………………..…..…………………………………….

HIT Sub-Scales for ART……………………………………………………………………………...…………………………………..


Family Outcome Tool Return Rate Information for ART……………………………………………………………………………

Impact of ART…………………………………………………………………………………………………………………………….

Utilization of High Cost Services for ART……………………………………………………………………………………………………………………

Quality of Life Information for ART…………………………………………………………………………………...………………………………………………………

Public Safety Information for ART………………………………………………………………………………………………………………………………………………

Curriculum Fidelity for ART………………………………………………………………….


Youth Information……………………………………………………………………………………………………….

Outcome Tool Return Rate Information for MRT………………………………………………………………………………………………………

Discharge Reasons for MRT………………………………………………………………………………………………………………………….

Impact of MRT…………………………………………………………………………………………………………………..

Utilization of High Cost Services for MRT……………………………………………………………………………………………………………

Quality of Life Information for MRT……………………………………………………………………….………………………………………………………….

Public Safety Information for MRT………………………………………………………………………………………..………………………………………….

HIT Sub-Scales for MRT…………………………………….……………………………………………………………………..


196

197

198

198

207

208

209

209

210

Table of Contents

183

184

185

186

188

189

190

191

191

191

193

194

195

195

200

201

202

202

203

201

204

204

205

206

207

212

213

213

214




Family Outcome Tool Return Rate Information for MRT………………………………………………………………………………………………………

Impact of MRT…………………………………………………………………………………………………………………………….

Utilization of High Cost Services for MRT……………………………………………………………………………………………………………………

Quality of Life Information for MRT…………………………………………………………………………………...………………………………………………………

Public Safety Information for MRT………………………………………………………………………………………………………………………………………………

Curriculum Fidelity for MRT………………………………………………………………….218

215

215

215

216

217

218

351

Supporting Data

Appendix G: Targeted Services for Justice-Inolved Youth….......................................



FFT Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

TOM Return Rates

# of Discharges


Return Rate

Target Return Rate

199 217

- 151 275 177 190

Program Outcomes for FFT


FFT is a family-based therapy that focuses on building skills to improve family relationships, reduce

behavioral issues and improve school performance. FFT is a clinical model that increases a family’s

motivation to change and tailors interventions to each family’s unique risk and protective factors.

Outcome Tool Return Rate Information for FFT


outcome tool return rate.

FY17 FY19

- 448 470


211 308 128 82

- 69 141 107 61

-

- 60% 60%


59% 89% 88%

60% 60%

- 33% 46%

-

74%

60% 60%


314 353 538 448

270 329 522 350 377

86%

84%

439

Therapist Outcome Measure (TOM) Return Rate


60% 60%

- 34%

FY20 FY21FY18

93% 97% 80% 84%

80% 80% 80% 80% 80%



COM-A Return Rates



Return Rate

Target Return Rate

FFT Completion Rate

State Average

FFT

State Average

Completion Outcomes

Living at Home

In School/Working

No New Violations

FFT

State Average

General Change

Communication Skills

Adolescent Behavior

Parenting Skills

Supervision Levels

Levels of Conflict

FY21FY19FY18 FY20

85% 86% 86% 85% 74%

85%

91% 90% 88% 89% 87%

81%

90%

92% 92% 90%

89%

92%

98%

84% 85%

91%

*No New Violations means the youth did not have a new offense and/or did not violate probation or aftercare during the

course of FFT treatment services. Violations prior to admission into FFT treatment services do not count as new

violations.

90% 87%

90%

Discharge Reasons for FFT

FY17

199

FY18 FY19

FY21

The Division of Behavioral Health (DBH) has set a benchmark of a 70% completion rate for FFT treatment

services.

FY20 FY21

Program Outcome Tools

314

97%93%

FY18 FY19 FY20

96% 98%

61%63% 68% 71% 58%

The Program Outcome Tools and TOM information are derived from the Tri-Yearly Performance Evaluation

(TYPE) report. This information is collected from the FFT therapist and entered into the Clinical Service

System (CSS) on all families who complete FFT treatment services.

FY17

81%

96%

90%

93% 90% 90% 92% 92%

96%93%

TOM - Completed Services

FY17

94%

84%

95%

76% 81% 82%


353 308 199 198

Client Outcome Measure-Adolescent (COM-A) Return Rate


The TOM is completed by the therapist when the family is discharged from FFT treatment services. The TOM

measures changes in behavior and functioning of the youth and family. Higher percentages indicates better

outcomes and positive increases in the indicated areas.

282 331 299 164 140

90% 94% 97% 82% 71%

80% 80% 80% 80% 80%



FFT

State Average

General Change


Adolescent Behavior

Parenting Skills

Supervision Levels

Levels of Conflict

FFT

State Average

Federally Required

FFT

State Average

Federally Required

FFT

State Average

Federally Required

FFT

State Average

Federally Required

FFT

State Average

Federally Required

77%

FY20

84%

FY21

FY18

-

FY20

- 80% 83% 77% 79%

82%

FY17

FY19

FY21

79%

17%


- 86% 84%

95%

FY17 FY18 FY19 FY20

18%

85% 90%

- 94% 89% 92%

FY21

FY17 FY18

- 82% 89% 85%

FY19

94%

TOM - Attempted Services: The FFT therapists complete this survey on all families who attended at least one session

but did not complete services.


14%

35% 17% 21% 16% 15%

34% 17% 19% 13%

16%

16% 13%

35% 17% 20% 16%

27% 16%

Impact of FFT





empowered, motivated, have positive family relationships, and feel they have the ability to change may be more


FY17

The following information represents data from those youth who agreed or strongly agreed at the time of



FY21

FY18 FY19 FY20





27% 16% 14%

31% 16% 19% 12% 15%

11%



FFT

State Average

Admission

Discharge

Federally Required

FFT

State Average

Admission

Discharge

Federally Required

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

FY18 FY19

-

66%

62% 66% 71%

- 48% 50%

69%

85% 79% 78%

-

77% 82%

-

FY21

60%

80% 84%






78%

65%-

65%


-

Substance Disorder Screener

FY19

FY21

-

70%

89%

74%

-

63%

FY17 FY18

FY20 FY21

-


Externalizing Disorder Screener FY20

58% 53%

FY17

Substance Disorder: Measures substance use disorder (SUD) symptoms at…

FY19

66%

FY18

FY17 FY21

57%

16% 18%

-

FY20

90% 84% 89%

FY17

55% 49% 52%

12% 14%

8% 5% 11% 3%

Externalizing Disorder: Measures attention deficits, hyperactivity, impulsivity, conduct problems, and/or other impulse

control disorders at…

FY18 FY19 FY20



Internalizing Disorder: Measures somatic complaints, depression, anxiety, trauma, suicide, and other serious mental

illness at…



State Average

Admission

Discharge

FFT

State Average

General Change


Adolescent Behavior

Parenting Skills

Supervision Levels

Levels of Conflict

FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

Crime/Violence: Measures interpersonal violence, drug-related crimes, property crimes, and interpersonal/violent crimes

at…


hospital admissions for mental health care, inpatient substance use disorder treatment services, or detention in

a correctional facility. Participation in treatment services may help reduce the frequency of youth utilization of

high cost services.

25% 32%22%

10%-

9% 7% 11%

5%

83% 89%

1%

Crime/Violence Screener FY18

FY19 FY20 FY21

-

80% 81% 80% 85% 74%

84% 85% 81%

89% 84%

FY20 FY21

79% 86% 84%

FY17 FY18 FY19 FY20

85% 84%

86% 91% 84%

86%

20% 19% 23%

FY17

28%

FY19 FY20 FY21

The COM-A is completed by the adolescent when the family completes FFT treatment services. The COM-A

measures changes in behavior and functioning of the youth and family. Higher percentages indicates better

outcomes and positive increases in the indicated areas.

COM-A

FY17 FY18

Utilization of High Cost Services for FFT

Illness, Injury, or Surgery: Youth who reported night(s) spent in a facility for illness, injury, or surgery within 6 months

of…

FY17 FY18 FY19

8% 9% 8%

- 9% 0%

- 8%

- 13% 15% 17% 21%

- 10% 17% 19% 21%

- 10% 12% 11% 5%


Hospital Admissions for Mental Health Care: Youth who reported hospital admission(s) for mental health care within

6 months of…


83%

80% 86%

FY21

79% 87% 80%

- 7%

86% 83% 88%



FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

FFT

State Average

Discharge

Federally Required

FFT

State Average

Discharge

Federally Required

97%99%

- 0% 1% 0% 0%

FY20 FY21

16%- 36% 22% 18%

- 8% 8% 5% 7%

- 4% 5%

- 25% 26%

-

2% 3%

FY20 FY21


FY17


13% 22% 16%

-

Employment Status: Youth who reported employment at…


- 16% 11% 15% 11%

86%

FY18 FY19


employment status, and homelessness. Improvements in these areas may indicate the effectiveness of treatment

services.

89% 87% 89% 85%

FY21

19% 22% 22%

Inpatient Substance Use Disorder Treatment Services: Youth who reported inpatient treatment services for substance

use disorders within 6 months of…


23%

FY17

26% 23%

-


FY17 FY18 FY19

92%

FY17 FY18 FY19

3%

Quality of Life Information for FFT


FY20

FY18 FY19 FY20 FY21

-



FFT

State Average

Admission

Discharge

Federally Required

FFT

State Average

Public safety information includes history of arrest and legal violations. Reductions in these areas may indicate

how youth are able to positively contribute to their families and communities.

FY17 FY18 FY19 FY20

3% 2% 1% 3% 0%

Public Safety Information for FFT



- 14% 16% 11% 13%

- 6% 5% 8% 8%

Legal Violations that Resulted in Youth Not Completing FFT: This information is reported by the FFT therapist

FY21



FFT Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

COM-P Return Rates



Return Rate

Target Return Rate

FFT

State Average

Federally Required


314 353 308 199 198


youth received

285 326 305 166 151

91% 92% 99% 83% 76%

80% 80% 80% 80% 80%







FY19 FY21



FY17 FY21FY18 FY19 FY20

Family Outcome Tool Return Rate Information for FFT



- 448

-

486

97

Client Outcome Measure-Parent (COM-P)

- 91% 91% 91% 92%

- 21% 55% 81% 71%

- 60% 60%

FY20

280 192 192

- 22% 58% 88% 84%

60% 60%


45 151 112 62

60% 60%

Impact of FFT

FY17 FY18

219 228

- 60% 60%

- 211 277 138 87

-



FFT

State Average

Federally Required

FFT

State Average

Federally Required

FFT

State Average

Federally Required

FFT

State Average

Federally Required

FFT

State Average

Admission

Discharge

Federally Required

FFT

State Average

Admission

Discharge

Federally Required


Access to Services: Parents/Guardians who reported the ease and convenience of treatment services their youth received

FY17


-


93%

56%

- 80% 79% 78% 80%

86% 86% 87%

91%

- 58% 59% 60%

FY20 FY21


- 91%



85%

FY18 FY19

- 99% 98% 96% 98%

79% 79% 79%

FY17 FY18 FY19

80%

- 96% 89% 93%


95% 93%

100% 99% 98% 100%


-

FY17 FY20 FY21

FY18 FY19 FY20 FY21

-





FFT

State Average

General Change


Adolescent Behavior

Parenting Skills

Supervision Levels

Levels of Conflict

FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

84%80%

FY21

14% 18% 20%

FY17

2%


for mental health care within 6 months of…


months of…

7% 8% 8% 10%

86%

92% 81%88% 92% 87%


10%

5% 6% 7%

- 4% 2%

FY21


surgery within 6 months of…

FY17

-

FY18 FY19 FY20

- 21% 19% 20% 20%

92%

7%

20%





high cost services.

93% 87%

FY21

3%

FY18

-

FY19

88%

-

9% 10% 11%-

FY17 FY18 FY19 FY20

81% 86% 77%

88% 92% 90% 91% 88%

81% 88% 85%

FY20

86% 80%

86% 88% 84% 87% 82%

The Client Outcome Measure-Parent (COM-P) is completed by the parents/guardians when the family

completes FFT treatment services. The COM-P measures changes in behavior and functioning of the youth and

family. Higher percentages indicates better outcomes and positive increases in the indicated areas.

COM-P



FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

FFT

State Average

Admission

Discharge

FFT

State Average

Discharge

Federally Required

FFT

State Average

Discharge

Federally Required

6% 6%

11%

95%

FY20

18%

Inpatient Substance Use Disorder Treatment Services: Parents/Guardians who reported their youth received inpatient

treatment services for substance use disorders within 6 months of…

Correctional Facility: Parents/Guardians who reported their youth had spent night(s) in a correctional facility within 6

months of…

6%

FY17 FY18 FY19

93%



89%

0%

FY18

6% 6%

3%

9%-

FY18 FY19 FY20 FY21

FY19 FY20 FY21



16%

FY20

FY17

FY21

16% 15%

- 7%

FY19FY17 FY20 FY21

12%


-

12%

10%

23%

FY18

15%

5%

- 1% 2% 2%

- 94%


FY17 FY18 FY19



services.

17%

- 29%

95%

-

7%

1% 0%

- 91% 94% 87%

FY17

FY21

26% 21% 22%-

- 0%



FFT

State Average

Admission

Discharge

Federally Required

State Average Totals

Completed Cases

Non-Completed Cases

*This data does not include clients actively receiving services

State Average Totals

Completed Cases

Non-Completed Cases

*This data does not include clients actively receiving services

FFT Trainings

The DBH has set a goal of seven days or less from the date of referral for the family to have their first FFT

session. This is measured by counting the number of days from the date the referral was entered into the CSS to

the date of the first session recorded. More timely engagement and entry into services may result in improved

client outcomes.

Referral to First Session

FFT: Days from Referral to First

Session*FY17 FY18 FY19 FY20 FY21

4.94 2.55 2.85 2.46 2.24

3.88 2.19 2.09 2.64 2.07

11.90 15.14

17.84 16.25 16.27 15.67 12.94



FFT Curriculum Trainings

FFT, LLC provides trainings to agencies providing FFT.

FFT Training

FFT: Days from Referral to First

Contact*

FY21

18 2

12% 12%

8% 2%

14%

2 3 1

Average Length of Time from Referral to First Session with the Family for FFT

-

FY21

3%

Curriculum Fidelity for FFT


14.40 13.36 13.48

Public safety information includes history of arrest. A reduction in this area may indicate how youth are able to

positively contribute to their families and communities.

FY17 FY18 FY19 FY20

Referral to First Contact

Average Length of Time from Referral to First Contact with the Family for FFT

The DBH has set a goal of two days or less from the date of referral for the therapist to first contact the family.

This is measured by counting the number of days from the date the referral was entered into the CSS to the date

of the first contact recorded. More timely engagement and entry into services may result in improved client

outcomes.

- 5%

15%

FY20FY17 FY18 FY19



ART Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

HIT Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

- 70% 85% 84% 84%

60%

- 60% 60% 60% 60%

14

- 60% 60% 60% 60%

-

60% 60%


- 69 46 32 25

- 48 39 27 21


- 109 84 74 46

- 78 72 63 38

- 72% 86% 85% 83%

How I Think (HIT) Questionnaire Return Rates


33 42

FY20 FY21

17

-


ART is designed to alter behaviors of chronically aggressive youth by using guided group discussions to

correct anti-social thinking. ART uses repetitive learning techniques to teach coping skills for managing anger

and impulsiveness. ART includes three interventions; social skills, anger control, and moral reasoning.



- 50

Program Outcomes for ART

FY18 FY19

27

86% 64%

-

46 19

- 60%

FY17

28%

11


50 42

- 1020

43

60%60% 60%

Outcome Tool Return Rate Information for ART

80

-

85

60%


39% 53%

-

43% 58% 59%



AQ Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

ART Completion Rate

State Average

ART

State Average

Federally Required

ART

State Average

Federally Required

ART

State Average

Federally Required

The DBH has set a benchmark of a 70% completion rate for ART treatment services.












67%

FY17

-

100%

FY18 FY19

95% 92%

100%

FY20 FY21


- 69 46 32 25

- 47 37 29 19

- 68% 80% 91% 76%

- 60% 60% 60% 60%


- 109 84 74 46

- 74 64 50 35

- 68% 76% 68% 76%

- 60% 60% 60% 60%

Aggression Questionnaire (AQ) Return Rates


FY18

- 100% 85% 100% 100%

FY19

FY20 FY21

FY17

-

FY20 FY21

FY19 FY20 FY21

FY17

FY19

75% 77% 64%

Impact of ART

92% 100%

52%

88%

Discharge Reasons for ART

FY17 FY18

FY18

-



ART

State Average

Federally Required

ART

State Average

Federally Required

ART

State Average

Admission

Discharge

Federally Required

ART

State Average

Admission

Discharge

Federally Required

State Average

Admission

Discharge

State Average

Admission

Discharge









illness at…



88%

89% 83% 67%


75%

100%

FY21

-

Externalizing Disorder Screener FY17

FY20

67%

FY19 FY20

71%

-

- 94%

- 63% 75% 70% 71%

75% 64%

95%

FY21



100%

- 94% 90% 92%

Internalizing Disorder Screener

-

FY18

94%

52% 47%

FY19 FY20 FY21

FY19

FY17

90%

FY20

FY18 FY19

FY18 FY19 FY21

92% 67%

FY17

56% 58%

FY20FY17 FY18

- 57% 67%

87%

FY17

76% 84%

-

- 77%

54% 49%

FY18 FY19 FY20

60% 33%

FY17

FY21

-

FY18 FY21

50%

0%



State Average

Admission

Discharge

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

-

- 4% 0%


8%

8%

7%

-


6 months of…

0%

FY17

3%

0%


Crime/Violence Screener FY18

-

FY17

- 6% 10% 8%

8%

16% 20% 0%

FY21

9%




high cost services.


of…

18% 32%

FY20

4% 0%

0%

FY20 FY21

13% 5%

FY21

13% 6%

- 10%

-

Substance Disorder Screener FY17 FY18 FY19

Utilization of High Cost Services for ART

4%

25%

31%

FY17 FY18

24% 48%

FY18 FY19 FY20 FY21

FY19 FY20

- 25%

27%

FY19 FY20

0%

16%

- 7%

FY17

9% 0% 0%

FY21

FY18

8%

FY19

FY19

0%

FY20 FY21

- 3% 9% 10% 0%

16%

-



FY17 FY18

- 0% 5%




ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

ART

State Average

Discharge

Federally Required

ART

State Average

Discharge

Federally Required



services.

FY18


FY17

- 84%

- 6%

FY19 FY20 FY21


FY17


0% 29% 0% 0%

- 19% 20% 15% 17%


FY17 FY18

100% 100% 100%



33%

- 17% 39% 24% 25%

9%

Quality of Life Information for ART

FY19 FY20

0% 0%

-

FY17

13% 0%

FY19 FY20 FY21FY18

41% 28%

0% 0%

FY18 FY19 FY20 FY21

45%

-

FY21

91% 91% 88%

-

-

94%



ART

State Average

Admission

Discharge

Federally Required

ART

State Average

Percent Improved

ART

State Average

Percent Improved

ART

State Average

Percent Improved

ART

State Average

Percent Improved

ART

State Average

Percent Improved

ART

State Average

Percent Improved

Overall AQ Change


54%- 62%



67%

AQ Sub-Scales for ART

Hostility: Represents attitudes of bitterness, social alienation, and paranoia

76%

Anger: Aspects of anger related to arousal and sense of control

Physical Aggression: Physical force when expressing anger or aggression


7% 4%

Public Safety Information for ART


FY17 FY18

- 10%

FY21

7% 0%

FY19 FY20

FY17

70% 60% 65%

Verbal Aggression: Quarrelsome and hostile speech

3%

- 6% 9%

- 60% 53% 66% 43%


- 63%


59%

FY18 FY19 FY20 FY21

- 68% 57% 63%


- 65% 57% 72% 52%

- 60% 63% 56% 50%

The AQ is a brief measure to assess for anger and aggression including the following five scales: physical

aggression, verbal aggression, anger, hostility, and indirect aggression. The AQ is completed at admission into

services and at completion of services. The below data reflects the percentage of youth who improved in each

domain.

Indirect Aggression: Tendency to express anger in actions that avoid direct confrontation



ART

State Average

Percent Improved

ART

State Average

Percent Improved

ART

State Average

Percent Improved

HIT Sub-Scales for ART


FY21

- 82% 46% 72% 72%


- 75% 47% 81% 78%

- 76%

FY20

71%

The HIT measures four categories of self-serving cognitive distortions including the following: self-centered,

blaming others, minimizing/mislabeling, and assuming the worst. The questionnaire is useful in assessment,

treatment planning, tracking therapeutic progress, and individual or program level outcome evaluation. The

HIT is completed at admission into services and at completion of services. The below data reflects the

percentage of youth who improved in each domain.

58% 77%

FY17 FY18 FY19

Overt: Reflects behaviors that usually involve direct confrontation of a victim

Overall: Derived from all eight of the subscores that make up the overt and covert scales

Covert: Reflects antisocial behaviors that typically do not involve direct confrontation of a victim



ART Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

ART

State Average

Federally Required

ART

State Average

Federally Required

ART

State Average

Federally Required

FY20 FY21

- 100% 100% 100% 100%



- 100% 93% 100% 67%

Impact of ART





The following information represents data from those parents/guardians who agreed or strongly agreed at time

of successful discharge.


youth received


100% 93% 100% 100%


FY17 FY18 FY19

-

- 14% 48% 79% 62%

-

- 12 40 41 26

Family Outcome Tool Return Rate Information for ART

FY21

-

- 3 16 10 10

59%-

FY20

60% 60% 60%

6% 35% 50%

60% 60% 60% 60%

1750 46 20

60%

85 84 52 42


FY17 FY18 FY19


-

-





ART

State Average

Federally Required

ART

State Average

Federally Required

ART

State Average

Admission

Discharge

Federally Required

ART

State Average

Admission

Discharge

Federally Required

ART

State Average

Admission

Discharge

- 4% 5% 5% 5%

- 0% 11% 0% 0%





high cost services.




- 61% 58% 60% 63%

- 92% 84% 93% 89%

- 100% 88% 87% 88%

- 100% 94% 100% 100%




a means to show improvement in social connectedness and functioning.





- 100% 96% 93% 67%



- 93% 84% 94% 90%



ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

ART

State Average

Admission

Discharge

- 24% 15% 7% 10%

- 0% 22% 0% 0%

- 92% 98% 98% 87%

- 100% 100% 80% 100%






services.



- 21% 44% 33% 18%

- 0% 22% 20% 0%

- 12% 13% 5% 0%

- 0% 0% 0% 0%


months of…





- 13% 10% 7% 9%

- 0% 0% 0% 0%




- 8% 18% 11% 23%

- 0% 11% 0% 0%


months of…




ART

State Average

Discharge

Federally Required

ART

State Average

Discharge

Federally Required

ART

State Average

Admission

Discharge

Federally Required

ART Trainings

- 16% 22% 14% 9%

- 0% 11% 0% 0%

FY19 FY20 FY21

1 2 2 2






- 0% 0% 0% 0%

- 0% 10% 0% 0%





Curriculum Fidelity for ART

ART Curriculum Trainings

Education and Treatment Alternatives (ETA) provides ART trainings for agencies providing ART services.

ART Training FY17 FY18

1



MRT Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

HIT Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

MRT Completion Rate

State Average


- 64 64 39 55

- 44 40 30 36

- 69% 63% 77% 65%

- 60% 60% 60% 80%


- 161 191 166 203

- 95 116 123 153

- 59% 61% 74% 75%

- 60% 60% 60% 80%

How I Think (HIT) Questionnaire Return Rates





88%

60% 60% 60%

40 64 32 28

-

-


FY19 FY20 FY21

MRT is an evidence-based program combining education and structured exercises to assist participants in

addressing negative thought and behavior patterns. MRT includes 12 steps which focus on issues such as

honesty, trust, acceptance, healing relationships, and setting goals.

Program Outcomes for MRT

Outcome Tool Return Rate Information for MRT

FY17 FY18

73%36%

The DBH has set a benchmark of a 70% completion rate for MRT treatment services.

41% 45%


52%

21 18

22%


69 43 55

191 49 75

-

-

- 60%

47%

60% 60% 60%

- 115


25

15% 41% 64%

- 60%

6

-

26

66%

-



MRT

State Average

Federally Required

MRT

State Average

Federally Required

MRT

State Average

Federally Required

MRT

State Average

Federally Required

MRT

State Average

Federally Required

MRT

State Average

Admission

Discharge

Federally Required


-


FY19 FY20 FY21

- 100% 94% 75% 100%


- 100%



- 100% 100%



- 100% 89% 100% 100%

89%

89%90%74%

94% 100%

87%-

100%



100%

100%

94% 92% 75%


Impact of MRT

FY17 FY18 FY19 FY20










FY21

- 100%

75%

FY17

89% 75%


FY18



MRT

State Average

Admission

Discharge

Federally Required

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge

State Average

Admission

Discharge


at…

Crime/Violence Screener

- 41% 24% 37% 24%

- 0% 17% 14% 33%



- 37% 24% 19% 20%

- 40% 0% 7% 33%

FY20

56%

50%



Externalizing Disorder Screener

- 59% 57% 68% 68%

- 20% 33% 43% 67%


FY17 FY18

100%





illness at…


FY20 FY21

76% 79%

FY21


FY18FY17

50%

FY19 FY20FY17 FY18

FY18

FY19 FY20

62% 66%

-

63%

-

FY17 FY18

100%

- 56%

FY17

79%

67%20%

FY21

FY19 FY20

FY19

-

FY21

FY19

94% 83%

FY21



MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge



- 54% 30%

- 50% 16% 9% 50%




4%

- 17% 21% 8% 0%


FY19 FY20

- 4% 8% 8% 5%

- 0% 11% 0% 25%

5% 8% 50%


6 months of…

- 0% 5% 6%





high cost services.


of…

FY17 FY18

FY17

FY17

FY21

FY18

12% 5% 9%

- 0% 0% 0% 0%

37% 23%

FY19 FY20 FY21

- 14%

FY19

FY21

FY20

FY18

- 15% 15% 13% 9%

- 0%



MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Discharge

Federally Required

MRT

State Average

Discharge

Federally Required

MRT

State Average

Admission

Discharge

Federally Required

FY20 FY21

- 0% 0% 0% 0%





FY17 FY18

- 17% 11% 0% 25%



- 100% 100% 100% 100%






services.

- 31% 16% 17% 13%

- 0% 10% 0% 0%



- 67% 35% 33% 50%


FY17 FY18 FY19

- 11% 14% 11% 9%

FY19 FY20 FY21

- 94% 93% 92% 89%



MRT

State Average

Percent Improved

MRT

State Average

Percent Improved

MRT

State Average

Percent Improved

HIT Sub-Scales for MRT

- 74% 71% 58% 84%



- 74% 74% 62% 88%

- 69% 79% 66% 87%


Overall: Derived from all eight of the subscores that make up the overt and covert scales

Overt: Reflects behaviors that usually involve direct confrontation of a victim

Covert: Reflects antisocial behaviors that typically do not involve direct confrontation of a victim

The HIT measures four categories of self-serving cognitive distortions including the following: self-centered,

blaming others, minimizing/mislabeling, and assuming the worst. The questionnaire is useful in assessment,

treatment planning, tracking therapeutic progress, and individual or program level outcome evaluation. The

HIT is completed at admission into services and at completion of services. The below data reflects the

percentage of youth who improved in each domain.



MRT Return Rates

# of Admissions


Return Rate

Target Return Rate



Return Rate

Target Return Rate

MRT

State Average

Federally Required

MRT

State Average

Federally Required

MRT

State Average

Federally Required

Impact of MRT





- 100% 83% 87% 100%

-

Family Outcome Tool Return Rate Information for MRT

FY17

- 100% 100% 92% 100%



1 20 22 18

- 3% 31% 69% 64%

- 60% 60% 60% 60%




youth received


- 100% 100% 100% 100%




- 40 64 32 28

FY18 FY19 FY20 FY21


- 115 191 49 75

- 14% 32% 82% 71%

- 60% 60% 60% 60%



- 16 62 40 53



MRT

State Average

Federally Required

MRT

State Average

Federally Required

MRT

State Average

Admission

Discharge

Federally Required

MRT

State Average

Admission

Discharge

Federally Required

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge




high cost services.

- 0% 6% 8% 7%

- 65% 69% 62% 68%

- 50% 53% 68% 95%


- 0% 0% 10% 0%

- 0% 0% 0% 0%


months of…


- 6% 8% 10% 10%

- 100% 100% 100% 100%







- 88% 90% 90% 80%



- 50% 55% 67% 95%



FY17 FY18

- 100% 100% 70% 44%

FY19 FY20 FY21





MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Admission

Discharge

MRT

State Average

Discharge

Federally Required

- 0% 0%

FY19 FY20 FY21

40% 33%

100%


months of…


- 53% 29% 24% 29%




- 0% 33% 0% 0%

- 29% 8%

6% 4% 10% 4%




services.




-

FY18 FY19 FY20

- 100% 100%

- 11% 7% 10% 2%

FY21

- 100% 98% 95% 96%



100%


FY17 FY18

4% 10%

- 0% 0% 0% 0%

- 0% 0% 10% 0%

- 0% 33% 10% 0%


FY17



MRT

State Average

Discharge

Federally Required

MRT

State Average

Admission

Discharge

Federally Required

MRT Trainings

Advanced MRT Trainings

- 0% 0% 0% 0%


- 0% 33% 10% 0%





- 24% 14% 9% 10%

FY19 FY20 FY21


1

FY17 FY18



Correctional Counseling, Inc. (CCI) provides both MRT trainings and advanced MRT trainings for continued

skill development.

MRT Training FY17 FY18 FY19 FY20 FY21

1 2 2 1 1

1 12 2


Appendix A: Stakeholder Survey

State FY17 FY18 FY19 FY20 FY21

Not Familiar - 17 0 0 0

Somewhat Familiar - 48 14 10 16

Familiar - 177 93 60 123

Very Familiar - 141 324 300 393

Total Responses - 383 431 370 532


Disagree - 13 18 13 16

Undecided - 25 14 17 29

Agree - 330 387 334 466



Disagree - 20 22 10 28

Undecided - 56 46 43 71

Agree - 291 350 306 415



Disagree - 25 29 17 23

Undecided - 40 33 23 37

Agree - 302 355 318 452



Disagree - 25 27 22 40

Undecided - 40 57 34 61

Agree - 302 329 298 407



Disagree - 9 11 6 9

Undecided - 23 14 15 21

Agree - 338 391 339 486


Positive Outcomes

Location of Services

Group Times

Staff Respectfulness

Client Support

Appendix A : Stakeholder Survey Summary

State Information Printed September 2021

Survey Responses

Familiarity of Services

September 2021 | 219 vv

Appendix A: Stakeholder Survey


Disagree - 18 19 6 20

Undecided - 36 39 29 61

Agree - 314 355 315 427



Disagree - 16 16 8 16

Undecided - 33 34 21 51

Agree - 314 357 319 439



Disagree - 24 24 9 27

Undecided - 34 30 21 37

Agree - 313 358 325 449



Disagree - 26 34 27 46

Undecided - 51 42 39 58

Agree - 279 323 279 392



Disagree - 14 13 7 6

Undecided - 66 55 43 97

Agree - 272 321 288 384



Disagree - 14 23 7 24

Undecided - 43 28 32 41

Agree - 313 364 322 449


Agency Responsivity

Staff Communication

Utilization of Evidence-Based or Emerging/Promising Practices

Quality of Services

Trained Staff

Staff Competencies


APPENDIX B: ADULT SUD TREATMENT SERVICES

Clients Served*

Age FY17 FY18 FY19 FY20 FY21

18 and Below 818 566 665 819 559

19 to 64 5,900 8,303 10,585 10,757 10,518

65 and above 64 93 111 117 112

Clients Served Total 6,782 8,962 11,361 11,693 11,189

State Population*


18 and Below 215,498 214,808 217,912 216,741 217,233

19 to 64 511,483 513,102 520,520 515,756 516,927

65 and above 138,473 141,756 143,804 152,161 152,507

State Population 865,454 869,666 882,236 884,658 886,667

Clients Served*

Race FY17 FY18 FY19 FY20 FY21

White 3,798 4,862 6,100 6,079 5,595

Black or African American 271 366 422 468 448

American Indian and Alaska Native 2,509 2,845 3,705 4,093 3,692

Asian 20 35 45 54 45

Native Hawaiian and Other Pacific Islander 14 16 39 19 17

Two or More Races 7 588 721 702 559

Other 163 250 329 278 833


State Population*


White 737,366 738,346 749,018 748,421 750,120

Black or African American 17,309 18,263 18,527 20,347 20,393


Asian 12,981 13,045 13,234 13,270 13,300


Two or More Races 19,905 20,872 21,174 22,116 22,167

Other - - - - -State Population 865,454 869,666 882,236 884,658 886,667

* Demographic information includes both adult and youth individuals.

Appendix B: Adult SUD Treatment Services

State Information

June-May



Discharge Reasons

State Average FY17 FY18 FY19 FY20 FY21

5,234 5,597 6,869 8,033 8,606

1,098 1,223 1,176 1,250 1,439

474 362 428 403 391

299 246 352 391 337

256 213 265 234 277

273 285 370 400 395

Total 7,634 7,926 9,460 10,711 11,445

National Average FY17 FY18 FY19 FY20 FY21

629,869 621,777 562,602 599,042 473,746

380,634 419,959 362,563 826,106 628,615

95,228 96,865 93,722 91,774 67,634

215,860 228,146 321,271 371,370 319,763

28,153 29,358 26,270 23,938 13,992

53,242 60,084 70,797 103,547 85,989

Total 1,402,986 1,456,189 1,437,225 2,015,777 1,589,739

State Primary SUD Diagnosis FY17 FY18 FY19 FY20 FY21

3,389 3,137 3,234 4,232 3,654

50% 51% 56% 59% 58%

559 743 577 604 508

8% 12% 10% 8% 8%

1,175 1,227 1,420 1,921 1,898

17% 20% 25% 27% 30%

253 209 225 276 210

4% 3% 4% 4% 3%

132 221 234 248 93

2% 4% 4% 3% 1%

Total 6,730 6,139 5,786 7,228 6,273


Number who agree or strongly agree 462 310 1,092 1,362 1,027

Total clients 494 328 1,155 1,443 1,087

State Average 94% 95% 95% 94% 94%

Primary Diagnostic Information for SUD Treatment Services

Transferred to Another Facility or Program

Incarcerated

Other

Substance Use Disorder Treatment Discharge Reasons for SUD Treatment Services

Treatment Completed

Left Against Professional Advice


Number/Percent of clients with a Primary Cannabis

Use Disorder

Number/Percent of clients with a Primary

Amphetamine Use Disorder

Number/Percent of clients with a Primary Opioid

Use Disorder

Number/Percent of clients with Other Primary Use

Disorder


General Satisfaction with Services


Incarcerated

Other

Treatment Completed



Number/Percent of clients with a Primary Alcohol

Use Disorder





Total clients 467 428 1,136 1,416 1,079

State Average 90% 92% 92% 93% 94%



Total clients 474 431 1,148 1,428 1,077

State Average 93% 94% 94% 95% 95%


Number who agree or strongly agree 420 385 1,032 1,290 988

Total clients 468 425 1,139 1,414 1,069

State Average 90% 91% 91% 91% 92%



Total clients 478 425 1,157 1,440 1,090

State Average 91% 91% 93% 93% 93%

State Admission FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 1,357 1,047 2,400 3,357 2,867

Total clients 1,857 1,409 3,224 4,507 3,846

Admission State Average 73% 74% 74% 74% 75%

State Discharge

Number who agree or strongly agree 414 382 1,015 1,285 977

Total clients 487 444 1,174 1,463 1,100

Discharge State Average 85% 86% 86% 88% 89%



Total clients 1,859 1,388 3,244 4,511 3,869


State Discharge


Total clients 486 443 1,172 1,463 1,099


Functioning

Access to Services

Quality and Appropriateness of Services

Outcome of Services

Participation in Treatment Planning

Social Connectedness




Number of clients who reported nights/times - 134 276 350 325

Total clients - 1,377 3,105 4,342 3,752

Admission State Average - 10% 9% 8% 9%

State Discharge


Total clients - 429 1,146 1,410 1,074

Discharge State Average - 8% 5% 5% 4%



Total clients - 1,411 3,202 4,456 3,813


State Discharge


Total clients - 432 1,166 1,410 3,790




Total clients - 1,386 3,122 4,364 3,769


State Discharge


Total clients - 426 1,148 1,415 1,074




Total clients - 1,397 3,176 4,427 3,790


State Discharge


Total clients - 434 1,150 1,425 1,080


Illness, Injury, or Surgery

Hospital Admissions for Mental Health Care

Detoxification Services

Emergency Department






Total clients - 1,387 2,742 3,618 3,672


State Discharge


Total clients - 426 931 1,072 1,076



Number of clients who reported nights/times - 681 1,304 1,804 1,367

Total clients - 1,325 3,016 4,264 3,752


State Discharge


Total clients - 422 1,118 1,351 927



Number of clients who reported nights/times 1,640 3,000 3,532 4,175 3,286

Total clients 1,972 3,735 4,414 5,249 4,186


State Discharge

Number of clients who reported nights/times 461 892 1,218 1,512 1,046

Total clients 507 979 1,353 1,638 1,162




Total clients - 1,422 3,197 4,482 3,825


State Discharge


Total clients - 440 1,156 1,434 1,083


General Health

Suicide Attempts

Correctional Facility


Inpatient Substance Use Disorder Treatment Services




Number of clients who are employed 1,625 1,633 1,719 1,857 1,590

Total clients 3,556 4,887 5,065 5,666 5,217

Admission Agency Average 46% 33% 34% 33% 30%

State Discharge


Total clients 3,556 4,887 5,065 5,666 5,217

Discharge Agency Average 55% 44% 46% 45% 45%

National Average at Admission


Total clients 1,461,182 1,703,496 1,610,102 2,024,530 1,495,359


National Average at Discharge


Total clients 1,432,468 1,512,923 1,471,440 2,015,777 1,589,739



Number of clients who are homeless 103 294 244 370 379

Total clients 3,479 4,343 4,538 5,111 4,789


State Discharge


Total clients 3,479 4,343 4,538 5,121 4,816



Number of clients who are homeless 225,984 248,695 249,944 251,546 203,222

Total clients 1,461,182 1,703,496 1,610,102 2,024,530 1,495,359



Number of clients who are homeless 149,883 154,662 151,170 172,634 149,907

Total clients 1,432,468 1,512,923 1,471,440 2,015,777 1,589,739



Number of clients who reported nights/times 444 797 982 1,208 836

Total clients 1,968 3,708 4,387 5,226 3,920


State Discharge

Number of clients who reported nights/times 51 60 67 110 79

Total clients 506 982 1,354 1,638 1,109


Employment Status

Homelessness

Missing School/Work





Total clients 918 1,964 1,289 1,528 1,166


State Discharge

Number of clients who reported nights/times 924 1,839 1,311 1,554 1,164

Total clients 942 1,870 1,333 1,584 1,188




Total clients 7,838 3,674 4,392 5,239 3,847


State Discharge

Number of clients who reported nights/times 1,728 769 1,181 1,435 1,091

Total clients 1,993 972 1,350 1,637 1,230




Total clients 1,946 3,736 4,449 5,277 3,947


State Discharge

Number of clients who reported nights/times 412 796 1,097 1,367 949

Total clients 498 982 1,362 1,655 1,112


Motivation to Not Use Substances

Engagement in Treatment Services

Ability to Control Use




Number of clients who were arrested 426 1,359 675 702 533

Total clients 3,074 7,689 4,542 5,125 4,846


State Discharge

Number of clients who were arrested 451 819 490 445 360

Total clients 3,074 7,689 4,542 5,125 4,804



Number of clients who were arrested 318,740 357,460 261,501 716,998 472,390

Total clients 1,710,947 1,877,958 1,610,102 2,024,530 1,495,359



Number of clients who were arrested 393,747 412,540 354,895 744,092 556,520

Total clients 1,630,087 1,757,042 1,471,440 2,015,777 1,589,739




Total clients 1,974 3,699 4,399 5,234 3,936


State Discharge


Total clients 508 971 1,355 1,642 1,109



History of Arrest

Trouble as a Result of Substance Use



Discharge Reasons


1,273 1,424 1,454 1,614 1,425

849 948 888 957 885

208 235 298 284 238

186 147 154 164 156

203 170 181 144 137

231 260 349 375 320

Total 2,940 3,184 3,324 3,538 3,161


Number who agree or strongly agree 251 197 689 741 511

Total clients 266 210 721 770 531

State Average 94% 94% 96% 96% 96%



Total clients 264 271 713 756 529

State Average 91% 94% 93% 95% 96%



Total clients 264 274 719 757 526

State Average 93% 95% 95% 96% 95%



Total clients 263 271 715 750 525

State Average 90% 92% 91% 93% 94%



Total clients 266 184 722 763 535

State Average 92% 94% 94% 94% 95%



Treatment Completed


Substance Use Disorder Treatment ServicesDischarge Reasons for Outpatient Treatment Services


Access to Services


Outcome of Services



Incarcerated

Other





Total clients 1,312 1,077 2,251 2,844 2,352


State Discharge


Total clients 274 283 737 778 533




Total clients 1,315 1,077 2,266 2,860 2,367


State Discharge


Total clients 273 284 734 778 532




Total clients - 1,050 2,173 2,778 2,316


State Discharge


Total clients - 276 721 756 526




Total clients - 1,072 2,237 2,840 2,350


State Discharge


Total clients - 274 731 769 533





Functioning






Total clients - 1,058 2,186 2,789 2,324


State Discharge


Total clients - 274 722 758 525




Total clients - 1,069 2,215 2,821 2,341


State Discharge


Total clients - 277 721 760 527




Total clients - 1,059 2,189 2,789 2,228


State Discharge


Total clients - 275 700 755 527



Number of clients who reported nights/times - 501 877 1,020 756

Total clients - 1,010 2,105 2,710 2,306


State Discharge


Total clients - 269 689 720 461










Total clients 1401 2763 3067 3290 2396


State Discharge


Total clients 282 568 788 839 535




Total clients - 1079 2234 2849 2353


State Discharge


Total clients - 281 722 760 527



Number of clients who are employed 1463 1461 1546 1632 1354

Total clients 3221 3502 3615 3719 3265


State Discharge


Total clients 3221 3502 3615 3719 3265




Total clients 3101 3187 3323 3405 3073


State Discharge


Total clients 3101 3187 3323 3405 3073


Quality of Life Informtion for Outpatient Treatment Services

General Health

Suicide Attempts

Employment Status

Homelessness





Total clients 1,401 2,751 3,043 3,266 2,395


State Discharge


Total clients 281 573 790 841 538


Before Program FY17 FY18 FY19 FY20 FY21


Total clients 508 1,138 749 777 586

Before Program State Average 47% 43% 43% 44% 46%

End of Program

Number of clients who reported nights/times 507 1,059 766 799 584

Total clients 519 1,079 780 807 595

End of Program State Average 98% 98% 98% 99% 98%



Total clients 5,595 2,709 3,045 3,275 2,368


State Discharge


Total clients 1,109 563 789 842 621




Total clients 1,378 2,763 3,093 3,308 2,411


State Discharge


Total clients 277 569 795 852 540





Missing School/Work





Total clients 1,813 3,235 3,326 3,406 3,074


State Discharge


Total clients 1,813 3,235 3,326 3,406 3,065




Total clients 1,404 2,757 3,051 3,273 2,409


State Discharge


Total clients 282 573 792 844 537


Public Safety Informtion for Outpatient Services

History of Arrest




Discharge Reasons


89 96 94 90 71

18 11 11 10 8

19 18 10 14 7

0 1 0 0 2

0 1 0 0 0

1 1 0 2 0

Total 127 128 115 116 88



Total clients 72 30 89 110 66

State Average 99% 100% 100% 97% 98%




State Average 96% 98% 98% 95% 97%




State Average 97% 98% 98% 97% 98%




State Average 91% 90% 93% 90% 92%




State Average 96% 96% 97% 96% 98%


Substance Use Disorder Treatment Services

Impact of Day Treatment Services


Outcome of Services


Treatment Completed



Incarcerated

Access to Services

Other


Discharge Reasons for Day Treatment Services







State Discharge








State Discharge






Total clients - 7 88 120 76


State Discharge








State Discharge





Functioning


Utilization of High Cost Services for Day Treatment Services








State Discharge








State Discharge








State Discharge








State Discharge












Total clients 109 162 146 173 12


State Discharge


Total clients 72 129 126 135 12






State Discharge






Total clients 127 128 115 116 88


State Discharge


Total clients 127 128 115 116 88




Total clients 128 209 115 116 88


State Discharge


Total clients 128 209 115 116 88


Homelessness

Quality of Life Informantion for Day Treatment Services

General Health

Suicide Attempts

Employment Status





Total clients 108 160 146 173 79


State Discharge


Total clients 73 129 127 135 66




Total clients 137 258 122 134 65


End of Program


Total clients 139 250 123 134 66




Total clients 436 161 145 173 81


State Discharge


Total clients 292 129 126 135 71




Total clients 109 155 146 173 79


State Discharge


Total clients 73 124 127 135 66


Missing School/Work








Total clients 127 129 115 116 88


State Discharge


Total clients 127 129 115 116 88




Total clients 109 162 146 173 79


State Discharge


Total clients 73 129 127 135 66



Public Safety Information for Day Treatment Services

History of Arrest



Discharge Reasons


184 198 299 306 286

113 118 242 246 282

136 73 172 130 140

27 45 21 26 39

22 17 39 42 41

23 12 24 30 28

Total 505 463 797 780 816




State Average 87% 92% 87% 83% 90%




State Average 79% 88% 87% 87% 93%




State Average 84% 88% 88% 88% 94%




State Average 87% 91% 88% 87% 95%




State Average 79% 91% 89% 88% 93%

Impact of Low-Intensity Residental Treatment Services


Access to Services


Discharge Reasons Low-Intensity Residential Treatment Services

Treatment Completed




Incarcerated

Outcome of Services


Other

Substance Use Disorder Treatment Services





Total clients 288 144 393 485 390


State Discharge






Total clients 289 147 396 489 394


State Discharge






Total clients - 136 368 447 373


State Discharge






Total clients - 140 382 472 384


State Discharge







Functioning

Utilization of High Cost Services for Low-Intensity Residential Treatment Services





Total clients - 136 373 458 375


State Discharge






Total clients - 137 376 464 376


State Discharge






Total clients - 138 370 452 376


State Discharge






Total clients - 129 351 440 367


State Discharge












Total clients 305 455 551 605 401


State Discharge






Total clients - 145 380 476 379


State Discharge






Total clients 523 463 478 538 457


State Discharge


Total clients 523 463 478 538 457




Total clients 520 463 478 538 457


State Discharge


Total clients 520 463 478 538 457


Quality of Life Information for Low-Intensity Residential Treatment Services

General Health

Suicide Attempts

Employment Status

Homelessness





Total clients 304 440 550 609 402


State Discharge






Total clients 75 142 129 143 84


End of Program


Total clients 81 134 131 154 92




Total clients 1,203 442 554 609 387


State Discharge


Total clients 160 69 143 158 96




Total clients 303 448 560 615 405


State Discharge




Missing School/Work








Total clients 506 470 478 538 486


State Discharge


Total clients 506 470 478 538 457




Total clients 304 442 552 609 402


State Discharge




Public Safety Information for Low-Intensity Residential Treatment Services

History of Arrest




Discharge Reasons


284 343 381 502 645

70 83 82 110 157

14 23 10 26 43

7 13 11 14 24

3 3 4 2 8

1 4 7 8 12

Total 379 469 495 662 889



Total clients 89 59 189 338 330

State Average 93% 97% 95% 95% 92%



Total clients 85 77 183 331 324

State Average 91% 88% 91% 92% 91%



Total clients 89 79 189 340 327

State Average 93% 94% 94% 94% 93%



Total clients 86 77 183 335 320

State Average 88% 88% 88% 88% 89%



Total clients 89 53 190 342 328

State Average 91% 92% 93% 94% 89%

Impact of Inpatient Treatment Services


Access to Services


Outcome of Services



Substance Use Disorder Treatment ServicesDischarge Reasons for Inpatient Treatment Services

Treatment Completed



Incarcerated

Other





Total clients 117 116 386 777 764


State Discharge


Total clients 91 81 193 350 336




Total clients 116 91 387 758 768


State Discharge


Total clients 91 80 193 350 337




Total clients - 112 385 743 738


State Discharge






Total clients - 114 390 761 746


State Discharge




Functioning

Utilization of High Cost Services for Inpatient Treatment Services








Total clients - 111 385 744 744


State Discharge






Total clients - 110 393 756 750


State Discharge






Total clients - 110 383 750 752


State Discharge











Total clients 121 310 535 889 781


State Discharge


Total clients 96 190 256 412 339




Total clients - 116 387 764 757


State Discharge






Total clients 382 744 742 985 1,097


State Discharge


Total clients 382 744 742 985 1,097




Total clients 370 556 507 755 889


State Discharge


Total clients 370 556 507 755 889


Quality of Life Information for Inpatient Treatment Services

General Health

Suicide Attempts

Employment Status

Homelessness





Total clients 119 308 534 886 779


State Discharge


Total clients 95 186 254 412 339




Total clients 172 380 253 392 350


End of Program


Total clients 177 361 263 404 353




Total clients 460 309 535 890 773


State Discharge


Total clients 380 188 253 412 355




Total clients 120 310 535 887 784


State Discharge


Total clients 94 190 257 414 339


Missing School/Work








Total clients 396 465 509 757 889


State Discharge


Total clients 396 465 509 757 889




Total clients 121 309 536 889 781


State Discharge


Total clients 96 188 254 413 339


Public Safety Information for Inpatient Treatment Services

History of Arrest




Discharge Reasons


- 28 38 107 121

- 26 62 113 108

- 4 13 14 23

- 2 2 51 33

- 5 3 13 14

- 3 3 10 6

Total - 68 121 308 305




State Average 92% 75% 86% 92% 96%




State Average 85% 67% 89% 91% 90%




State Average 92% 67% 91% 93% 95%




State Average 92% 60% 89% 94% 93%




State Average 100% 100% 91% 92% 94%

Treatment Completed




Incarcerated

Other


Substance Use Disorder Treatment ServicesDischarge Reasons for Intensive Meth Treatment Services

Impact of Intensive Meth Treatment Services

Access to Services


Outcome of Services




State Admission


Total clients 36 19 102 280 262


State Discharge






Total clients 35 19 101 282 261


State Discharge








State Discharge








State Discharge




Functioning

Utilization of High Cost Services for Intensive Meth Treatment Services










State Discharge








State Discharge








State Discharge






Total clients 36 56 115 292 596


State Discharge






Quality of Life Information for Intensive Meth Treatment Services

General Health








State Discharge





Number of clients who are employed - 21 10 21 29



State Discharge





Number of clients who are homeless - 17 12 40 57



State Discharge






Total clients 36 46 114 292 265


State Discharge




Suicide Attempts

Employment Status

Homelessness

Missing School/Work







End of Program






Total clients 132 53 113 292 238


State Discharge






Total clients 36 53 115 294 268


State Discharge










Number of clients who were arrested - 10 18 47 29



State Discharge






Total clients 36 47 114 290 265


State Discharge





Matrix Training - - 1 2 3

Matrix key Supervisor Training - - 1 2 2


State QA Average - - 16.5/20 17/20 -

Performance Measures for IMT Treatment Services

IMT Trainings

IMT QA Reviews

Public Safety Information for Intensive Meth Treatment Services

History of Arrest




Discharge Reasons


41 38 40 69 49

24 34 36 53 62

10 7 7 8 16

4 1 3 6 0

1 3 4 1 2

0 0 1 0 1

Total 80 83 91 137 130




State Average 100% 100% 100% 95% 85%




State Average 100% 100% 100% 98% 85%




State Average 100% 100% 100% 95% 95%




State Average 100% 100% 88% 93% 95%




State Average 100% 100% 100% 98% 90%

Outcome of Services


Impact of Pregnant Women and Women with Dependant Children Program


Access to Services


Substance Use Disorder Treatment ServicesDischarge Reasons Pregnant Women and Women with Dependant Children Program

Treatment Completed




Incarcerated

Other







State Discharge








State Discharge








State Discharge








State Discharge





Functioning

Utilization of High Cost Services for Pregnant Women and Women with Dependant Children Program









State Discharge








State Discharge








State Discharge








State Discharge












Total clients 64 118 135 219 181


State Discharge








State Discharge






Total clients 81 135 132 162 129


State Discharge


Total clients 81 135 132 162 128






State Discharge




Quality of Life Information for Pregnant Women and Women with Dependant Children Program

General Health

Suicide Attempts

Employment Status

Homelessness





Total clients 64 115 135 219 180


State Discharge








End of Program






Total clients 256 114 135 219 181


State Discharge






Total clients 64 114 135 219 181


State Discharge






Missing School/Work








State Discharge






Total clients 64 115 135 219 181


State Discharge




Public Safety Information for Pregnant Women and Women with Dependant Children Program

History of Arrest



APPENDIX C: YOUTH SUD TREATMENT SERVICE

Clients Served*


18 and Below - 566 665 819 559

19 to 64 - 8,303 10,585 10,757 10,518

65 and above - 93 111 117 112

Clients Served Total - 8,962 11,361 11,693 11,189

State Population*


18 and Below - 214,808 217,912 216,741 217,233

19 to 64 - 513,102 520,520 515,756 516,927

65 and above - 141,756 143,804 152,161 152,507

State Population - 869,666 882,236 884,658 886,667

Clients Served*


White - 4,862 6,100 6,079 5,595

Black or African American - 366 422 468 448

American Indian and Alaska Native - 2,845 3,705 4,093 3,692

Asian - 35 45 54 45

Native Hawaiian and Other Pacific Islander - 16 39 19 17

Two or More Races - 588 721 702 559

Other - 250 329 278 833


State Population*


White - 738,346 749,018 748,421 750,120

Black or African American - 18,263 18,527 20,347 20,393


Asian - 13,045 13,234 13,270 13,300


Two or More Races - 20,872 21,174 22,116 22,167

Other - - - -State Population - 869,666 882,236 884,658 886,667


Appendix C: Youth SUD Treatment Services

State Information

June-May

September 2021 | 265


Discharge Reasons


- 277 295 320 328

- 132 102 89 81

- 59 41 56 40

- 30 45 41 21

- 12 6 6 5

- 31 40 29 29

Total - 541 529 541 504


131 200 121 152 110

26% 36% 29% 33% 28%

315 319 262 271 203

63% 58% 63% 59% 52%

30 19 19 35 51

6% 3% 5% 8% 13%

3 7 6 1 1

1% 1% 1% 0% 0%

12 11 11 11 12

2% 2% 3% 2% 3%

Total 504 548 414 461 390


Number who agree or strongly agree - 54 139 200 107


State Average - 89% 95% 93% 92%




State Average - 80% 81% 85% 88%




State Average - 89% 88% 88% 89%

Cultural Sensitivity

Outcome of Services

Youth Substance Use Disorder Treatment ServicesDischarge Reasons for SUD Treatment Services

Treatment Completed



Access to Services


Incarcerated

Other

Number/Percent of clients with a Primary Alcohol Use

Disorder

Number/Percent of clients with a Primary Cannabis

Use Disorder

Number/Percent of clients with a Primary

Amphetamine Use Disorder

Number/Percent of clients with a Primary Opioid Use

Disorder

Number/Percent of clients with a Primary Other

Substance Use Disorder








State Average - 82% 84% 83% 84%




State Average - 90% 91% 88% 92%



Total clients - 196 338 455 289


State Discharge






Total clients - 1,151 337 483 289


State Discharge


Total clients - 363 146 208 102




Functioning




Number of responses greater than 1 - 102 205 298 231

Total clients - 151 295 430 307


State Discharge






Total clients - 151 295 430 307


State Discharge






Total clients - 151 295 430 307


State Discharge






Total clients - 151 295 430 307


State Discharge




GAIN Short Screener (Gain-SS) Scoring









Total clients - 175 313 472 302


State Discharge






Total clients - 182 317 483 305


State Discharge






Total clients - 182 314 473 297


State Discharge






Total clients - 181 171 227 294


State Discharge













Total clients - 183 310 485 314


State Discharge






Total clients - 200 341 491 342


State Discharge






Total clients - 196 329 495 409


State Discharge





Number of clients who are employed - 1,633 1,719 1,857 1,590

Total clients - 4,887 5,065 5,666 5,217


State Discharge

Number of clients who are employed - 2,133 2,333 2,549 2,330

Total clients - 4,887 5,065 5,666 5,217




General Health

Suicide Attempts

Employment Status





Total clients - 541 529 541 409


State Discharge


Total clients - 541 529 541 409




Total clients - 204 347 492 344


State Discharge






Total clients - 137 153 206 120

Before Program State Average - 21% 27% 25% 34%

End of Program


Total clients - 141 150 202 121

End of Program State Average - 90% 92% 92% 93%



Total clients - 202 347 424 295


State Discharge




Homelessness

Missing School/Work







Total clients - 204 347 493 345


State Discharge






Total clients - 543 529 541 400


State Discharge


Total clients - 543 529 541 400




Total clients - 204 346 492 344


State Discharge






History of Arrest







State Average - 89% 93% 93% 90%




State Average - 89% 87% 88% 86%




State Average - 94% 94% 95% 88%




State Average - 80% 77% 83% 80%




State Average - 76% 79% 82% 82%





State Discharge







Outcome of Services


Access to Services






Total clients - 453 151 312 192


State Discharge








State Discharge








State Discharge








State Discharge




Functioning











State Discharge








State Discharge








State Discharge








State Discharge




Suicide Attempts

General Health










State Discharge








End of Program








State Discharge








State Discharge




Missing School/Work










State Discharge








Discharge Reasons


- 116 132 102 96

- 73 61 47 50

- 26 29 27 14

- 16 34 27 9

- 6 5 5 4

- 24 33 25 19

Total - 261 294 233 192




State Average - 75% 93% 92% 94%




State Average - 75% 88% 88% 94%




State Average - 100% 90% 90% 94%




State Average - 50% 87% 83% 83%




State Average - 75% 88% 88% 89%


Incarcerated

Other

Outcome of Services



Access to Services






Treatment Completed





Total clients - 102 179 213 123


State Discharge






Total clients - 612 179 214 122


State Discharge








State Discharge -








State Discharge







Functioning








State Discharge








State Discharge






Total clients - 175 168 227 151


State Discharge






Total clients - 182 173 231 155


State Discharge













Total clients - 182 170 228 151


State Discharge






Total clients - 181 171 227 150


State Discharge






Total clients - 183 170 236 158


State Discharge






Total clients - 105 181 217 170


State Discharge






Total clients - 196 176 235 160


State Discharge


General Health

Suicide Attempts










Number of clients who are employed - 1457 1546 1,632 1,354

Total clients - 3492 3615 3,719 3,265


State Discharge

Number of clients who are employed - 1849 1933 2,036 1,828

Total clients - 3492 3615 3,719 3,265




Total clients - 261 294 313 201


State Discharge


Total clients - 261 294 313 201




Total clients - 109 185 217 171


State Discharge








End of Program






Total clients - 109 185 218 160


Missing School/Work


Employment Status

Homelessness




State Discharge






Total clients - 109 185 218 172


State Discharge






Total clients - 262 294 313 192


State Discharge


Total clients - 262 294 313 192




Total clients - 109 184 217 171


State Discharge






History of Arrest







State Average - 100% 100% 96% 100%




State Average - 100% 100% 100% 75%




State Average - 100% 100% 100% 100%




State Average - 100% 89% 91% 75%




State Average - 100% 89% 85% 80%





State Discharge




Outcome of Services





Access to Services








State Discharge








State Discharge








State Discharge








State Discharge




Functioning











State Discharge








State Discharge








State Discharge








State Discharge






General Health

Suicide Attempts








State Discharge








State Discharge








State Discharge








State Discharge





Missing School/Work









State Discharge




Public Safety Information for Outpatient Treatment ServicesTrouble as a Result of Substance Use



Discharge Reasons


- 161 163 153 149

- 59 41 34 26

- 33 12 24 20

- 14 11 13 7

- 6 1 0 0

- 7 6 3 6

Total - 280 234 227 208




State Average - 89% 95% 93% 92%




State Average - 80% 78% 83% 87%




State Average - 88% 88% 88% 88%




State Average - 84% 83% 82% 85%




State Average - 91% 93% 89% 93%


Discharge Reasons for PRTF Treatment Services

Impact of PRTF Treatment Services

Treatment Completed




Incarcerated

Other

Outcome of Services



Access to Services







State Discharge






Total clients - 539 158 269 167


State Discharge








State Discharge








State Discharge




Functioning











State Discharge








State Discharge








State Discharge








State Discharge







Utilization of High Cost Services for PRTF Treatment Services








State Discharge








State Discharge








State Discharge








State Discharge




Quality of Life Information for PRTF Treatment Services

General Health

Suicide Attempts







Total clients - 744 742 985 1,097


State Discharge


Total clients - 744 742 985 1,097




Total clients - 281 235 228 208


State Discharge


Total clients - 281 235 228 208






State Discharge








State Discharge








State Discharge



Missing School/Work


Homelessness

Employment Status









State Discharge






Total clients - 281 235 228 208


State Discharge


Total clients - 281 235 228 208






State Discharge





History of Arrest


Public Safety Information for PRTF Treatment Services





State Average - 89% 92% 92% 89%




State Average - 88% 84% 84% 87%




State Average - 94% 93% 93% 87%




State Average - 79% 75% 81% 80%




State Average - 75% 78% 82% 82%





State Discharge




Impact of PRTF Treatment Services




Outcome of Services


Access to Services







State Discharge








State Discharge








State Discharge








State Discharge






Utilization of High Cost Services for PRTF Treatment Services


Functioning







State Discharge








State Discharge








State Discharge








State Discharge




Missing School/Work

Suicide Attempts

Quality of Life Information for PRTF Treatment Services

General Health








State Discharge








State Discharge








State Discharge








State Discharge





Public Safety Information for PRTF Treatment Services





APPENDIX D: ADULT MENTAL HEALTH TREATMENT SERVICES

Clients Served*


18 and Below 5,291 5,887 5,732 5,950 5,516

19 to 64 10,317 10,555 10,568 10,377 10,145

65 and above 1,174 1,249 1,612 1,215 1,201


State Population*


18 and Below 215,498 214,808 217,912 216,741 217,233

19 to 64 511,483 513,102 520,520 515,756 516,927

65 and above 138,473 141,756 143,804 152,161 152,507


Clients Served*


White 12,151 12,514 12,718 12,612 12,198



Asian 111 128 125 123 116


Two or More Races 756 935 1,074 683 530

Other 564 601 395 635 567


State Population*


White 737,366 738,346 749,018 748,422 750,120

Black or African American 17,309 18,263 18,527 20,347 20,393


Asian 12,981 13,045 13,234 13,270 13,300


Two or More Races 19,905 20,872 21,174 22,116 22,167

Other - - - - -



Appendix D: Adult Mental Health Treatment Services

State Information

June-May



State Mental Health Disorders FY17 FY18 FY19 FY20 FY21

3,284 3,671 3,651 3,512 3,379

38% 40% 38% 37% 36%

751 800 810 732 713

9% 9% 8% 8% 8%

2,293 2,263 2,728 2,793 2,864

26% 25% 28% 30% 31%

1,371 1,408 1,389 1,342 1,345

16% 15% 14% 14% 14%

1,003 1,038 1,070 1,036 1,029

12% 11% 11% 11% 11%

Total 8,702 9,180 9,648 9,415 9,330



Total clients 3,102 1,617 2,789 2,943 1,075

Agency Average 95% 96% 97% 96% 97%

National FY17 FY18 FY19 FY20 FY21


Total clients 136,253 110,132 185,735 186,863 84,692

State Average 88% 91% 90% 89% 90%



Total clients 3,107 2,131 2,759 2,906 1,065

Agency Average 94% 96% 96% 96% 96%

National FY17 FY18 FY19 FY20 FY21


Total clients 136,253 110,132 185,735 186,863 84,692

State Average 86% 89% 88% 87% 89%

Number/Percent of Clients with Schizophrenia

Spectrum Disorder (Includes Schizoaffective Disorder)

Agency Mental Health Diagnosis

Number/Percent of Clients with Depressive Disorders

Number/Percent of Clients with Anxiety, Stress, and

Trauma Disorders (Includes Post Traumatic Stress

Disorder)

Number/Percent of Clients with Other Disorders

(Including Personality Disorders, etc.)

Number/Percent of Clients with Bipolar Disorders

Impact of CARE and IMPACT Services


Access to Services

Treatment Program Outcomes for CARE and IMPACT Services




Number who agree or strongly agree 2,808 1,728 2,581 2,695 989

Total clients 3,002 2,073 2,686 2,829 1,028

Agency Average 94% 83% 96% 95% 96%

National


Total clients 136,253 110,132 185,735 186,863 84,692

State Average 88% 91% 90% 89% 91%



Total clients 2,819 1,949 2,476 2,689 984

Agency Average 74% 77% 77% 75% 73%

National


Total clients 136,253 110,132 185,735 186,863 84,692

State Average 68% 83% 80% 75% 80%



Total clients 3,096 1,439 2,793 2,937 1,075

Agency Average 93% 95% 96% 95% 96%

National


Total clients 136,253 110,132 185,735 186,863 84,692

State Average 81.6% 87% 86% 85% 87%



Total clients 600 1,478 1,861 2,217 2,326

Admission Average 61% 61% 67% 62% 61%

State First 6 month update


Total clients 2,275 3,260 3,358 3,696 1,925

First 6 month update Average 77% 76% 78% 74% 73%

State Most Recent update

Number who agree or strongly agree 692 1,745 2,217 2,316 809

Total clients 869 2,171 2,751 2,951 1,079

Most Recent Average 80% 80% 81% 78% 75%

National Average


Total clients 136,253 110,132 185,735 186,863 84,692


Outcome of Services





National Average 74.4% 78.8% 76.6% 76% 79%



Total clients 578 1,466 1,899 2,209 2,320




Total clients 2,269 3,256 3,392 3,696 1,928




Total clients 867 2,170 2,782 2,952 1,082


National Average


Total clients 136,253 110,132 185,735 186,863 84,692

National Average 73.8% 78.5% 76.6% 76% 80%



Total clients 738 1,451 2,043 2,201 2,303




Total clients 261 3,278 3,473 3,682 1,912




Total clients 2,234 2,197 2,820 2,942 1,082




Total clients 740 1,457 2,053 2,223 2,334




Total clients 262 3,311 3,514 3,729 1,930



Functioning

Utilization of High Cost Treatment Services for CARE and IMPACT Services






Total clients 2,252 2,206 2,844 2,967 1,085






Total clients 736 1,455 2,047 2,206 2,309




Total clients 260 3,278 3,484 3,698 1,923




Total clients 2,230 2,197 2,830 2,952 1,083




Total clients 745 1,466 2,055 2,222 2,332




Total clients 262 3,309 3,633 3,716 1,927




Total clients 2,244 2,203 2,838 2,959 1,086


State Admission


Total clients 740 1,551 2,049 2,213 2,326




Total clients 261 3,349 3,492 3,699 1,918




Total clients 2,242 2,224 2,829 2,955 1,085







State Admission


Total clients 740 1,462 2,059 2,226 2,345




Total clients 261 3,315 3,526 3,729 1,934




Total clients 2,251 2,211 2,845 2,960 1,082


State Admission

Number of clients 347 835 1,204 1,312 1,364

Total clients 624 1,493 2,146 2,348 2,391



Number of clients 149 1,983 2,100 2,261 1,172

Total clients 231 3,347 3,599 3,825 1,944



Number of clients 1,290 1,309 1,677 1,752 638

Total clients 2,146 2,217 2,883 3,017 1,089


State Admission

Number of clients 121 218 312 374 407

Total clients 745 1,458 2,061 2,238 2,363




Total clients 258 3,302 3,506 3,730 1,938




Total clients 2,250 2,206 2,846 2,963 1,086



Quality of Life Information for CARE and IMPACT Services

General Health

Suicide Attempts



State Admission


Total clients 11,138 11,306 11,150 11,037 10,874



Number of clients who are employed 78 965 994 1,101 688

Total clients 230 3,370 3,629 3,861 1,954




Total clients 2,151 2,226 2,896 3,032 1,091


National Average


Total clients 838,510 699,316 758,207 764,240 776,983

National Average 25% 21% 22% 22% 24%

State Admission

Number of clients who reported being homeless 422 394 407 404 365

Total clients 10,664 10,654 10,473 10,345 10,140




Total clients 231 3,380 3,616 3,849 1,950




Total clients 2,154 2,224 2,886 3,027 1,090


National Average

Number of clients who reported being homeless 185,220 204,448 212,934 216,194 208,974

Total clients 4,777,881 5,336,962 5,459,870 5,298,040 5,257,156

National Average 4% 4% 4% 4% 4%

Homelessness

Employment Status





Total clients 722 1,461 2,116 2,298 2,334




Total clients 252 3,278 3,550 3,780 1,881




Total clients 2,235 2,199 2,867 2,998 1,045


National Average

Number of clients who were arrested 188,000 220,083 218,395 36,939 N/A*

Total clients 4,700,000 5,502,082 5,459,870 1,195,050 N/A*

National Average 4% 4% 4% 3% N/A*


Public Safety Information for CARE and IMPACT Information

History of Arrest





Total clients 2,884 2,260 2,625 2,746 1,031

State Average 95% 95% 97% 96% 98%



Total clients 2,891 1,991 2,592 2,708 1,021

State Average 94% 96% 96% 96% 96%



Total clients 2,789 1,934 2,522 2,636 984

State Average 94% 83% 96% 95% 97%



Total clients 2,621 1,822 2,331 2,510 944

State Average 73% 76% 77% 75% 73%



Total clients 2,878 1,344 2,628 2,741 1,031

State Average 94% 96% 96% 95% 96%

State Admission


Total clients 589 1,442 1,808 2,129 2,258




Total clients 2,118 3,051 3,137 3,437 1,843

First 6 month update State Average 76% 75% 77% 74% 72%



Total clients 807 2,029 2,587 2,751 1,035

Most Recent State Average 79% 80% 80% 78% 75%


Impact of CARE Services


Access to Services


Outcome of Services




State Admission


Total clients 567 1,430 1,844 2,120 2,251




Total clients 2,112 3,047 3,168 3,437 1,848




Total clients 804 2,028 2,618 2,755 1,038


State Admission


Total clients 712 1,414 1,987 2,111 2,234




Total clients 245 3,070 3,249 3,433 1,833




Total clients 2,082 2,051 2,648 2,745 1,038




Total clients 714 1,422 1,998 2,136 2,269




Total clients 246 3,100 3,284 3,471 1,850




Total clients 2,099 2,059 2,670 2,766 1,042


Functioning

Utilization of High Cost Services for CARE Services







Total clients 712 1,422 1,995 2,119 2,244




Total clients 244 3,075 3,263 3,448 1,845




Total clients 2,803 2,050 2,658 2,755 1,040




Total clients 719 1,429 1,996 2,130 2,262




Total clients 246 3,096 3,402 3,460 1,848




Total clients 2,091 2,056 2,665 2,757 1,042




Total clients 714 1,510 1,992 2,123 2,258




Total clients 245 3,135 3,265 3,446 1,839




Total clients 2,090 2,074 2,657 2,754 1,041









Total clients 715 1,426 2,000 2,133 2,274




Total clients 245 3,104 3,296 3,472 1,855




Total clients 2,097 2,064 2,673 2,760 1,040



Number of clients 339 795 1,161 1,250 1,315

Total clients 613 1,440 2,084 2,250 2,320



Number of clients 142 1,822 1,939 2,077 1,113

Total clients 222 3,119 3,354 3,547 1,861



Number of clients 1,182 1,207 1,557 1,610 609

Total clients 1,993 2,066 2,705 2,810 1,045




Total clients 718 1,423 2,002 2,146 2,292




Total clients 242 3,088 3,274 3,466 1,856




Total clients 2,095 2,059 2,673 2,763 1,042



Quality of Life Information for CARE Services

General Health

Suicide Attempts




Number of clients who are employed

Total clients

Admission State Average


Number of clients who are employed 76 918 954 1,055 673

Total clients 221 3,140 3,381 3,579 1,871




Total clients 1,997 2,074 2,716 2,820 1,047



Number of clients who are homeless

Total clients




Total clients 222 3,150 3,369 3,570 1,868




Total clients 2,000 2,072 2,708 2,818 1,046




Total clients 710 1,426 2,056 2,203 2,267




Total clients 241 59 3,315 3,511 1,850




Total clients 2,078 0 2,691 2,790 1,037




Homelessness

Public Safety Information for CARE Services

History of Arrest





Employment Status





Total clients 218 106 164 197 44

State Average 91% 92% 95% 95% 86%



Total clients 216 140 167 198 44

State Average 93% 96% 96% 93% 91%



Total clients 213 139 164 193 44

State Average 92% 82% 96% 94% 89%



Total clients 198 127 145 179 40

State Average 80% 82% 85% 83% 70%



Total clients 218 95 165 196 44

State Average 88% 92% 95% 91% 91%

State Admission






Total clients 157 209 221 259 82




Total clients 62 142 164 200 44


Impact of IMPACT Services


Access to Services


Outcome of Services





State Admission






Total clients 157 209 224 259 80




Total clients 63 142 164 197 44


State Admission






Total clients 16 208 224 249 79




Total clients 152 146 172 197 44


State Admission






Total clients 16 211 230 258 80




Total clients 153 147 174 201 43


Functioning

Utilization of High Cost Services for IMPACT Services





State Admission






Total clients 16 203 221 250 78




Total clients 147 147 172 197 43


State Admission






Total clients 16 213 231 256 79




Total clients 153 147 173 202 44


State Admission






Total clients 16 214 227 253 79




Total clients 152 150 172 201 44













Total clients 16 211 230 257 79




Total clients 154 147 172 200 42












Total clients 153 146 178 207 44








Total clients 16 214 232 264 82




Total clients 155 147 173 200 44



Quality of Life Information for IMPACT Services

General Health

Suicide Attempts





Total clients








Total clients 154 147 180 212 44



Number of clients who are homeless

Total clients








Total clients 154 147 178 209 44








Total clients 11 205 235 269 31




Total clients 157 146 176 208 8


Public Safety Information IMPACT Services

History of Arrest

Employment Status



Homelessness






APPENDIX E: YOUTH MH TREATMENT SERVICES

Agency Clients Served*


18 and Below - 5,887 5,732 5,950 5,403

19 to 64 - 10,555 10,568 10,377 9,93865 and above - 1,249 1,612 1,215 1,177


State Population*


18 and Below - 214,808 217,912 216,741 217,233

19 to 64 - 513,102 520,520 515,756 516,927

65 and above - 141,756 143,804 152,161 152,507


Agency Clients Served*


White - 12,514 12,718 12,612 11,949

Black or African American - 516 537 550 528


Asian - 128 125 123 114


Two or More Races - 935 1,074 683 519

Other - 601 395 635 555


State Population*


White - 738,346 749,018 748,422 750,120

Black or African American - 18,263 18,527 20,347 20,393


Asian - 13,045 13,234 13,270 13,300


Two or More Races - 20,872 21,174 22,116 22,167

Other - - - -State Population - 869,666 882,236 884,659 886,667


Appendix E: Youth MH Treatment Services

June-May

State Information



State Mental Health Disorders FY17 FY18 FY19 FY20 FY21

617 791 831 784 765

11% 12% 13% 12% 13%

32 34 30 24 24

1% 1% 0% 0% 0%

3,156 3,655 3,822 3,935 3,881

57% 57% 59% 62% 64%

14 16 18 13 18

0% 0% 0% 0% 0%

25 21 17 17 18

0% 0% 0% 0% 0%

950 999 964 918 808

17% 16% 15% 14% 13%

598 685 652 569 467

11% 11% 10% 9% 8%

159 166 136 93 72

3% 3% 2% 1% 1%

Total 5551 6367 6470 6353 6053



Total clients - 170 380 459 325

State Average - 92% 91% 91% 91%

National

Number who agree or strongly agree - 39,045 67,209 97,061 37,651

Total clients - 44,269 77,341 109,922 42,210

National Average - 88% 87% 88% 89%



Total clients - 133 388 459 322

State Average - 95% 92% 95% 95%

National


Total clients - 44,269 77,341 109,922 42,210



Access to Services


Number/Percent of youth with ADHD Disorders

Agency Mental Health Diagnosis

Number/Percent of Youth with Depressive Disorders

Number/Percent of youth with Other Disorders (Including

Personality Disorders etc.)

Number/Percent of youth with Anxiety, Trauma, and

Stress Disorders (Includes Post-Traumatic Stress Disorder)

Number/Percent of youth with Developmental Disorders

(Includes Asperger's Syndrome Disorders)

Number/Percent of youth with Schizophrenia Spectrum

Disorder ( Includes Schizoaffective Disorder)

Number/Percent of youth with Bipolar Disorders

Number/Percent of youth with Conduct and Impulse-

Control Disorders (Includes ODD)





Total clients - 162 377 445 312

State Average - 95% 96% 96% 96%

National


Total clients - 44,269 77,341 109,922 42,210




Total clients - 169 383 459 324

State Average - 76% 77% 78% 72%

National


Total clients - 44,269 77,341 109,922 42,210

National Average - 73% 72.3% 72% 75%



Total clients - 169 380 459 325

State Average - 91% 92% 88% 89%

National


Total clients - 44,269 77,341 109,992 42,210




Outcome of Services




Number who agree or strongly agree - 396 849 1,152 1,132

Total clients - 609 1,055 1,462 1,446




Total clients - 600 725 890 874

First 6 month update State Average - 76% 87% 86% 87%



Total clients - 167 388 462 327

Most Recent State Average - 78% 89% 90% 87%

National Average


Total clients - 44,269 77,341 109,992 42,210




Total clients - 615 1,024 1,449 1,436




Total clients - 607 708 883 869




Total clients - 169 384 460 324


National Average


Total clients - 44,269 77,341 109,992 42,210



Functioning





Total clients - 503 1,024 1,414 1,392




Total clients - 503 673 838 798




Total clients - 162 390 470 309




Total clients - 502 1,017 1,413 1,392




Total clients - 503 674 838 798




Total clients - 162 390 469 308




Total clients - 499 1,015 1,411 1,390




Total clients - 503 674 838 798




Total clients - 162 390 469 306










Total clients - 500 1,016 1,411 1,390




Total clients - 502 673 838 797




Total clients - 162 390 469 306




Total clients - 153 1,046 1,435 1,423












Total clients - 554 1,047 1,442 1,432




Total clients - 565 709 876 872




Total clients - 159 393 464 325










Total clients - 548 1,047 1,439 1,432




Total clients - 566 707 867 866








Total clients - 555 1,051 1,439 1,432




Total clients - 565 709 870 868




Total clients - 196 397 463 325




Total clients - 140 1,065 1,456 1,449
















Number of clients who reported nights/times - 542 919 1,222 1,153

Total clients - 642 1,110 1,499 1,460




Total clients - 618 752 913 879




Total clients - 171 401 476 329




Total clients - 556 1,058 1,447 1,436




Total clients - 565 706 870 867




Total clients - 159 393 465 325


Suicide Attempts


General Health





Total clients




Total clients - 610 754 917 881




Total clients - 171 402 476 330




Total clients - 6,063 6,213 6,110 5,682




Total clients - 621 753 912 876




Total clients - 169 400 475 330




Employment Status

Homelessness






Total clients - 30 1,094 1,488 1,454










National Average

Number of clients who were arrested - 220,083 60,556 6,188 N/A*

Total clients - 5,502,082 2,018,517 454,838 N/A*

National Average - 4% 3% 1% N/A*


History of Arrest






Total clients - 224 700 832 548

State Average - 97% 97% 95% 96%

National


Total clients - 44,269 77,341 109,992 42,210




Total clients - 225 707 833 549

State Average - 98% 98% 98% 98%

National


Total clients - 44,269 77,341 109,992 42,210




Total clients - 198 691 810 524

State Average - 90% 99% 99% 98%

National


Total clients - 44,269 77,341 109,992 42,210




Total clients - 213 696 833 548

State Average - 71% 76% 76% 74%

National


Total clients - 44,269 77,341 109,992 42,210




Access to Services

Outcome of Services






Total clients - 221 696 828 541

State Average - 97% 97% 96% 96%

National


Total clients - 44,269 77,341 109,992 42,210



Number who agree or strongly agree - 784 1,861 2,566 2,586

Total clients - 908 2,131 2,973 2,970




Total clients - 973 1,198 1,404 1,501




Total clients - 211 706 835 550


National Average


Total clients - 44,269 77,341 109,992 42,210




Total clients - 881 1,681 2,913 2,923



Number who agree or strongly agree - 726 852 997 1,087

Total clients - 971 1,170 1,391 1,489




Total clients - 211 698 833 547


Functioning





National Average


Total clients - 44,269 77,341 109,992 42,210






Total clients - 914 2,169 2,975 2,993




Total clients - 968 1,207 1,399 1,493




Total clients - 223 701 831 550




Total clients - 918 2,176 2,995 3,007




Total clients - 978 1,218 1,406 1,504




Total clients - 221 707 836 553




Total clients - 917 2,173 2,980 3,003




Total clients - 970 1,209 1,403 1,495




Total clients - 223 704 832 550










Total clients - 916 2,171 2,981 3,001




Total clients - 969 1,208 1,399 1,493




Total clients - 222 703 831 549




Total clients - 922 2,185 2,998 3,012




Total clients - 975 1,214 1,402 1,498




Total clients - 223 706 835 553




Total clients - 928 2,183 3,021 3,005




Total clients - 984 1,226 1,426 1,505




Total clients - 225 707 846 201



General Health







Total clients - 952 2,149 2,957 2,962




Total clients - 961 1,207 1,395 1,489




Total clients - 222 699 833 553




Total clients




Total clients - 1,103 1,231 1,433 1,515




Total clients - 266 713 849 554





Suicide Attempts

Employment Status





Total clients - 6,063 6,213 6,110 5,834




Total clients - 985 1,228 1,432 1,510




Total clients - 224 711 849 553




Total clients - 927 2,187 1,488 3,018




Total clients - 976 1,225 1,419 1,492




Total clients - 223 707 846 199


National Average

Number of clients who were arrested - 220,083 60,556 6,188 N/A*

Total clients - 5,502,082 2,018,517 454,838 N/A*

National Average - 4% 3% 1% N/A*


History of Arrest

Homelessness



APPENDIX F: TARGETED SERVICES FOR JUSTICE-INVOLVED ADULTS

State Population


18 and Below - - - - 6

19 to 64 - 2,780 2,674 2,152 3,111

65 and above - 14 8 8 8


State Population


White 1,650 1,575 1,522 1,156 1,768


American Indian and Alaska Native 767 993 950 821 982

Asian 7 3 5 12 15



Other 64 76 79 57 76State Population 2,789 2,794 2,702 2,160 3,125

CBISA Discharge Reasons


718 989 1,085 1,031 804

217 326 311 400 442

182 177 188 265 249

75 129 130 102 75

234 324 229 198 133

110 130 179 199 122

Total 1,536 2,075 2,122 2,195 1,825

CBISA Telehealth Discharge Reasons


21 34 59 66 47

4 7 3 17 10

4 9 20 50 25

3 4 7 8 9

2 5 9 5 2

3 0 0 0 1

Total 37 59 98 146 94

Appendix F: Targeted Services for Justice-Involved Adults

State Information

June to May


Treatment Completed

Treatment Completed



Incarcerated

Other


Discharge Reasons for CBISA

Incarcerated



Other




- 794 776 792 955

- 35% 35% 35% 38%

- 423 399 350 335

- 19% 18% 16% 13%

- 890 867 950 1045

- 39% 39% 43% 41%

- 109 117 86 80

- 5% 5% 4% 3%

- 40 36 70 85

- 2% 2% 3% 3%

Total - 2256 2195 2233 2529



Total clients 308 180 626 646 428

State Average 93% 95% 94% 96% 95%



Total clients 305 237 624 641 429

State Average 93% 98% 92% 94% 95%



Total clients 304 237 607 638 428

State Average 94% 95% 94% 95% 95%



Total clients 307 240 628 645 425

State Average 93% 95% 94% 94% 93%



Total clients 303 236 624 642 426

State Average 87% 92% 94% 95% 95%

Number/Percent of clients with a Primary Cannabis Use

Disorder

Number/Percent of clients with a Primary Amphetamine

Use Disorder

Number/Percent of clients with a Primary Opioid Use

Disorder

Number/Percent of clients with a Primary Other Use

Disorder


Outcome of Services


Access to Services


Impact of CBISA

Primary Diagnostic Information for CBISA

Number/Percent of clients with a Primary Alcohol Use

Disorder





Total clients - 725 1,648 2,473 1,845


State Discharge


Total clients 316 244 636 657 435




Total clients - 726 1,657 2,490 1,852


State Discharge


Total clients 316 244 634 656 435




Total clients - 705 1,608 2,411 1,824


State Discharge


Total clients - 243 628 648 434




Total clients - 719 1,639 2,448 1,845


State Discharge


Total clients - 243 635 654 430




Functioning


Utilization of High Cost Services for CBISA





Total clients - 707 1,616 2,417 1,827


State Discharge






Total clients - 718 1,626 2,432 1,839


State Discharge


Total clients - 244 636 653 434




Total clients - 742 1,609 2,407 1,827


State Discharge


Total clients - 243 626 647 433




Total clients - 521 1,438 2,227 1,757


State Discharge


Total clients - 236 620 628 395









Number of clients who reported nights/times - 1,992 2,232 2,593 1,679

Total clients - 2,244 2,475 2,925 1,874


State Discharge


Total clients - 515 699 729 435




Total clients - 719 1,639 2,470 1,847


State Discharge


Total clients - 440 632 651 430



Number of clients who are employed 589 1,020 1,010 995 692

Total clients 1,245 2,118 2,114 2,217 1,882


State Discharge

Number of clients who are employed 710 1,365 1,421 1,351 1,152

Total clients 1,245 2,118 2,114 2,217 1,882


State 6 Months Post-Treatment


Total clients 104 201 168 110 66

6 Months Post-Treatment State Average 87% 86% 85% 94% 86%



Total clients - 2,119 2,110 2,214 1,882


State Discharge


Total clients - 2,119 2,110 2,214 1,882


Quality of Life Information for CBISA

Homelessness

Employment Status

Suicide Attempts

General Health





Total clients - 2,239 2,325 2,807 1,830


State Discharge


Total clients - 518 666 699 427




Total clients 1,751 1,040 694 690 418


State Discharge

Number of clients who reported nights/times 1,746 999 704 694 421

Total clients 1,778 1,010 715 706 430


State 6 Months Post-Treatment


Total clients 216 203 168 89 68

6 Months Post-Treatment State Average 95% 87% 94% 97% 97%



Total clients - 2,219 2,478 2,905 1,538


State Discharge


Total clients - 514 707 726 435


State 6 Months Post Treatment



6 Months Post Treatment State Average - 69% 87% 94% 93%



Total clients - 2,245 2,482 2,941 1,891


State Discharge


Total clients - 520 706 735 438




Missing School/Work





Total clients 898 2,118 2,116 2,217 1,882


State Discharge


Total clients - 2,118 2,116 2,217 1,882




Total clients - 2,238 2,324 2,809 1,833


State Discharge


Total clients - 519 668 700 427



CBISA Trainings 3 3 3 2 3


History of Arrest

Public Safety Information for CBISA

Curriculum Fidelity for CBISA

CBISA Curriculum Trainings



MRT Discharge Reasons


277 350 487 411 323

73 87 85 108 99

145 159 121 218 179

32 53 46 54 22

95 151 96 39 33

35 86 87 116 51

Total 657 886 922 946 707

MRT Telehealth Discharge Reasons


6 9 37 15 20

2 7 2 6 4

1 5 20 18 12

2 6 0 3 1

0 0 2 3 1

1 1 0 0 1

Total 12 28 61 45 39



Total clients 124 77 293 348 172

State Average 88% 96% 93% 96% 89%



Total clients 127 105 293 348 171

State Average 89% 92% 93% 93% 91%



Total clients 124 103 291 345 170

State Average 88% 93% 93% 94% 91%



Total clients 123 103 293 350 170

State Average 89% 94% 93% 94% 92%

Incarcerated

Other

Impact of MRT


Outcome of Services

Moral Reconation Therapy (MRT)


Treatment Completed




Access to Services


Treatment Completed




Incarcerated

Other





Total clients 121 69 294 350 168

State Average 87% 94% 92% 93% 90%



Total clients - 348 744 1,075 531


State Discharge


Total clients 131 105 301 354 176




Total clients - 350 746 1,076 532


State Discharge


Total clients 131 105 299 355 175



Pre-Test 20.2 16.7 16.4 16.6 16.7

Total Number of Responses 531 819 838 834 383

Post-Test 18.5 15.8 15.3 15.2 14.8



Pre-Test 17.9 18.2 17.8 17.9 18.0


Post-Test 16.1 16.5 16.1 16.1 15.9


Entitlement



Functioning

Justification

TCU Criminal Thinking Sub-Scales from Pre-Test to Post-Test




Pre-Test 18.4 21.9 21.5 21.5 21.1


Post-Test 16.6 20.0 19.6 19.3 19.0



Pre-Test 21.6 24.5 24.5 24.3 24.8


Post-Test 19.9 23.5 23.2 23.0 24.4



Pre-Test 23.9 23.7 23.3 23.5 24.1


Post-Test 23.1 21.7 22.0 21.1 21.7



Pre-Test 23.3 19.1 19.1 19.1 19.2


Post-Test 21.4 17.2 17.3 16.7 16.8




Total clients - 336 736 1,058 528


State Discharge


Total clients - 105 299 350 172




Total clients - 345 746 1,075 526


State Discharge



Criminal Rationalization


Power Orientation

Cold Heartedness

Personal Irresponsibility




Total clients - 104 300 347 173




Total clients - 338 738 1,060 526


State Discharge






Total clients - 339 743 1,068 527


State Discharge


Total clients - 105 303 350 172




Total clients - 337 735 1,056 525


State Discharge


Total clients - 105 302 349 172




Total clients - 295 674 1,016 519


State Discharge


Total clients - 102 389 340 171










Total clients - 1,032 1,160 1,274 535


State Discharge


Total clients - 277 348 386 176




Total clients - 342 744 1,075 527


State Discharge


Total clients - 105 302 350 173




Total clients - 281 900 981 572


State Discharge


Total clients - 281 900 981 572




Total clients - 992 893 981 658


State Discharge


Total clients - 992 893 981 658



Homelessness

Employment Status

Suicide Attempts

General Health





Total clients - 1,026 1,015 1,158 488


State Discharge


Total clients - 277 310 358 165




Total clients - 558 338 356 164


State Discharge


Total clients - 543 345 381 174




Total clients - 1,024 1,170 1,269 371


State Discharge


Total clients - 275 350 387 179




Total clients - 1,030 1,164 1,280 538


State Discharge


Total clients - 276 350 390 176





Missing School/Work





Total clients - 940 893 995 572


State Discharge


Total clients - 940 893 995 572




Total clients - 1,030 1,019 1,162 488


State Discharge


Total clients - 277 312 358 165



MRT Training 1 2 2 1 2

Advanced MRT Trainings 1 2 2 1 1


State Average Score 79% 91% 90% 88% -

QA Reviews for the MRT Curriculum


History of Arrest






9


APPENDIX G: TARGETED SERVICES FOR JUSTICE-INVOLVED YOUTH

Clients Served

Services FY17 FY18 FY19 FY20 FY21

FFT 755 714 655 480 433

ART 29 118 93 94 58

ART Telehealth - - 10 12 19

MRT 75 248 259 295 263

MRT Telehealth - 13 28 29 44

Adolescent EBP - - - 65 88

Adolescent EBP Telehealth - - - 19 5

Clients Served Total 859 1,080 1,007 869 754

State Population

Referrals FY17 FY18 FY19 FY20 FY21

UJS 382 423 549 466 276

DOC 132 127 158 141 141

Other 471 550 415 374 430

Total Referrals Received 985 1,100 1,122 981 847

Clients Served


White 550 637 624 543 529


American Indian and Alaska Native 185 274 221 218 137

Asian 4 8 6 8 4



Other 35 42 39 31 20Clients Served Total 859 1,080 1,007 869 754

Completion Rates:


Number of clients who completed 346 353 308 199 196

Total clients 552 522 435 341 319

State Average 63% 68% 71% 58% 61%

Program Outcome Tools:


353 308 199 196

93% 344 302 192 192

93% 338 289 191 187

76% 286 254 161 164

Completion Outcomes - Total Completers

Living at Home

In School/Working

No New Violations

Appendix G: Targeted Services for Justice Involved-Youth

State Information

June - May


Discharge Reasons for FFT



Therapist Outcome Measure (TOM) -Completed Services


General Change

226 318 272 176 188

Number of therapists with TOM-Completed 246 344 302 192 208


229 311 272 177 191


Adolescent Behavior

221 299 254 164 169


Parenting Skills

221 312 268 172 177


Supervision Levels

208 295 260 163 154


Levels of Conflict

224 310 266 170 181


Number of therapists who reported a 3 or greater








Therapist Outcome Measure (TOM) -Attempted Services


General Change

76 37 43 34 32


75 38 42 28 31


59 36 36 28 25


68 36 41 25 27


59 35 36 24 25


76 38 46 34 27





State Average - 85% 90% 86% 84%




State Average - 82% 89% 85% 95%




State Average - 94% 94% 89% 92%




State Average - 79% 84% 77% 82%

Supervision Levels




Access to Services


Outcome of Services


Adolescent Behavior



Levels of Conflict


Impact of FFT

Parenting Skills







State Average - 80% 83% 77% 79%



Total clients - 157 324 247 183


State Discharge






Total clients - 156 319 245 182


State Discharge






Total clients - 110 336 250 165


State Discharge






Total clients - 110 336 250 165


State Discharge







Functioning







Total clients - 110 336 250 165


State Discharge






Total clients - 110 336 250 165


State Discharge




Client Outcome Measure- Adolescent:


General Change

266 305 252 169 147

Number of clients with COM-Adolescent 309 337 299 189 174


255 300 237 163 147


Adolescent Behavior

266 291 248 166 144


Parenting Skills

248 289 236 165 140


Supervision Levels

247 272 238 160 129


Levels of Conflict

261 288 242 161 146


Number of clients who reported a 3 or greater












Total clients - 126 332 241 173


State Discharge






Total clients - 127 329 244 182


State Discharge






Total clients - 126 329 243 178


State Discharge






Total clients - 128 331 242 175


State Discharge








Utilization of High Cost Treatment Services for FFT





Total clients - 129 329 246 182


State Discharge






Total clients - 158 352 262 184


State Discharge






Total clients - 131 329 241 183


State Discharge




State Discharge






Employment Status

General Health

Suicide Attempts



State Discharge






Total clients - 155 337 262 183


State Discharge





Number of clients who did not complete FFT 17 10 6 12 1

Total clients 552 619 538 439 395

State Average 3% 2% 1% 3% 0%

History of Arrest

Legal Violations that Resulted in Youth Not Completing FFT:

Homelessness







State Average - 91% 91% 91% 92%




State Average - 99% 98% 96% 98%




State Average - 100% 99% 98% 100%




State Average - 80% 79% 79% 79%




State Average - 95% 93% 91% 91%


Number who agree or strongly agree - 100 1,124 917 644

Total clients - 117 1,312 1,068 742


State Discharge





Impact of FFT

Outcome of Services



Access to Services





Number who agree or strongly agree - 68 1,090 938 607

Total clients - 117 1,851 1,559 1,078


State Discharge




Client Outcome Measure-Parent: (COM-P)


General Change

366 404 331 220 191

Number of parents with COM-Parent (COM-P) 416 435 380 238 221


368 400 329 218 180


Adolescent Behavior

333 364 306 205 171


Parenting Skills

364 399 341 217 194


Supervision Levels

339 383 322 204 177


Levels of Conflict

357 381 320 206 182




Total clients - 114 335 260 182


State Discharge




Functioning



Number of parents who reported a 3 or greater










Total clients - 116 342 269 187


State Discharge






Total clients - 115 339 266 183


State Discharge






Total clients - 116 339 263 183


State Discharge






Total clients - 114 339 264 183


State Discharge












Total clients - 117 350 283 188


State Discharge








State Discharge




State Discharge




State Discharge





Employment Status

Homelessness

Suicide Attempts

General Health





Total clients - 117 348 282 187


State Discharge




State Referral to First Contact FY17 FY18 FY19 FY20 FY21

Completed Cases 4.94 2.55 2.85 2.46 2.24

Non-Completed Cases 3.88 2.19 2.09 2.64 2.07

State Referral to First Session FY17 FY18 FY19 FY20 FY21

Completed Cases 14.40 13.36 13.48 11.90 15.14

Non-Completed Cases 17.84 16.25 16.27 15.67 12.94


FFT Initial Training 18 2 2 3 1

Number of Clinicians Trained 69 9 16 17 0

Treatment Pacing:

Public Safety Information for FFTHistory of Arrest

Curriculum Fidelity for FFT

FFT Trainings



Completion Rates:


Number of clients who completed - 65 46 39 11


State Average - 75% 77% 64% 52%




State Average - 88% 95% 92% 100%




State Average - 100% 85% 100% 100%




State Average - 92% 100% 100% 67%




State Average - 94% 90% 92% 67%




State Average - 87% 89% 83% 67%





State Discharge



Discharge Reasons for ART

Impact of ART


Access to Services


Outcome of Services










State Discharge








State Discharge








State Discharge








State Discharge





Functioning










State Discharge








State Discharge








State Discharge








State Discharge






Illness, Injury, or Surgery:









State Discharge








State Discharge








State Discharge








State Discharge





General Health



Suicide Attempts



State Discharge




State Discharge








State Discharge




Employment Status

Homelessness


History of Arrest




Clients who indicated a decrease in behavior - 33 33 18 15

Clients who indicated an increase in behavior - 19 14 12 8

Clients who indicated no change in behavior - 3 2 3 1

Percent Improved - 63% 70% 60% 65%


























AQ Sub-Scales for ART

Indirect Aggression

Physical Aggression

Verbal Aggression

Anger

Hostility

Overall AQ Change


















HIT Sub-Scales for ART

Overall

Overt

Covert






State Average - 100% 93% 100% 100%




State Average - 100% 93% 100% 67%




State Average - 100% 100% 100% 100%




State Average - 93% 84% 94% 90%




State Average - 100% 96% 93% 67%





State Discharge




Access to Services


Outcome of Services



Impact of ART








State Discharge








State Discharge








State Discharge








State Discharge




Functioning











State Discharge








State Discharge








State Discharge








State Discharge




General Health

Suicide Attempts






State Discharge




State Discharge








State Discharge





ART Trainings 1 2 2 2 1

Employment Status

Homelessness


History of Arrest

Curriculum Fidelity for ART

ART Trainings



Completion Rates:


Number of clients who completed - 62 64 58 36


State Average - 47% 52% 41% 45%




State Average - 100% 94% 92% 75%




State Average - 100% 89% 100% 100%




State Average - 100% 89% 100% 100%




State Average - 100% 94% 75% 100%




State Average - 100% 89% 75% 75%





State Discharge



Outcome of Services




Impact of MRT


Access to Services








State Discharge








State Discharge








State Discharge








State Discharge




Functioning











State Discharge








State Discharge








State Discharge








State Discharge















State Discharge








State Discharge








State Discharge








State Discharge







General Health

Suicide Attempts



State Discharge




State Discharge








State Discharge














Overt

Homelessness

Employment Status


History of Arrest

HIT Sub-Scales for MRT

Overall








Covert






State Average - 100% 83% 87% 100%




State Average - 100% 100% 100% 100%




State Average - 100% 100% 92% 100%




State Average - 50% 55% 67% 95%




State Average - 100% 100% 70% 44%





State Discharge




Outcome of Services



Impact of MRT


Access to Services








State Discharge








State Discharge








State Discharge








State Discharge




Functioning











State Discharge








State Discharge








State Discharge








State Discharge







General Health

Suicide Attempts



State Discharge




State Discharge








State Discharge





MRT Training 1 2 2 1 1

Advanced MRT Trainings 1 2 2 1 1

History of Arrest

Employment Status

Homelessness



MRT Trainings


Annual Report - dss.sd.gov

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