Report to the Legislature January 2015

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1 Report to the Legislature January 2015 ~ MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AND PROGRAMS PROVIDED BY WISCONSIN COUNTIES AND REGIONS CY 2012 and CY 2013 ~ SUMMARY REPORT ~ Pursuant to Wis. Stats (7)(d) ~ Division of Mental Health and Substance Abuse P (03/2015)

2 Wisconsin Mental Health, 2012 and

3 Table of Contents INTRODUCTION... 4 Wisconsin Act Scope of Report... 4 Data Tables... 4 Data Notes and Limitations... 5 Appendices... 6 Comments... 6 MENTAL HEALTH & SUBSTANCE ABUSE SERVICES... 7 Table 1: Count & Per Capita Mental Health Served, by County/Region & Statewide, CY 12 & CY Table 2: Count & Per Capita Substance Abuse Served, by County/Region & Statewide, CY 12 & CY Table 3: Count of Mental Health Served, by Service Type, by County/Region & Statewide, CY Table 4: Count of Mental Health Served, by Service Type, by County/Region & Statewide, CY Table 5: Count of Substance Abuse Served, by Service Type, by County/Region & Statewide, CY Table 6: Count of Substance Abuse Served, by Service Type, by County/Region & Statewide, CY APPENDIX I: Integrated Home and Mental Health & Substance Abuse Programs, by County/Region (as of August 2013) APPENDIX II: Mental Health Service Types, by SPC Code APPENDIX III: Substance Abuse Service Types, by SPC Code APPENDIX IV: Mental Health & Substance Abuse Service Definitions Wisconsin Mental Health, 2012 and

4 INTRODUCTION Wisconsin Act Wisconsin Act 251 created (7)(d) of the statutes directing the Department of Health (DHS) to prepare a report describing mental health services and programs provided by counties and multi-county regions across Wisconsin. DHS submits this report in fulfillment of this requirement. Scope of Report Under Wis. Stat , counties are directed to provide or contract for public information, prevention, assessment, inpatient, residential, partial hospitalization, outpatient, emergency and supportive transitional services within the limits of available state, federal and county funds. are to be provided for persons having mental health, substance use and developmental disability needs. Counties are required to report to DHS the mental health and substance abuse services they deliver to clients for whom they are responsible to provide care, regardless of payment source. County agencies may provide services in their own facilities and clinics or they may contract with private agencies to provide services. Clients included in this report may also receive additional services from private providers that work independently from counties, but such services are not reported by counties and thus are not included in this report. This report has been completed using data available to DHS, including data reported by counties through the Program Participation System (PPS). PPS is a statewide client information system that contains data on mental health and substance abuse services authorized by county departments of community programs and human services departments. Counties report the services provided to clients in PPS by Service Program Category (SPC). PPS data are also used to meet federal reporting requirements associated with the community mental health and substance abuse prevention and treatment block grants received by the Department. The time period for the client data in this report is calendar years (CY) 2012 and CY 2014 data will not be available until mid-2015 so it will be included in the next report (January 2017). The time period precedes the allocation of new state funding for several mental health initiatives that occurred in Data regarding these new initiatives will also be included in the next report. Data Tables This report provides listings of services delivered to consumers across the state as reported by counties and regions through PPS. Summary tables of services provided to consumers include: Table 1: Count and per capita number of consumers receiving mental health services in each county/region and statewide across Wisconsin during CY 2012 and CY 2013 (along with the population and percent living in poverty in each county or region); Wisconsin Mental Health, 2012 and

5 Table 2: Count and per capita number of consumers receiving substance abuse services in each county/region and statewide across Wisconsin during CY 2012 and CY 2013 (along with the population and percent living in poverty in each county/region); Table 3: Count of consumers who received mental health services by service type, in each county/region and statewide across Wisconsin, during CY 2012; Table 4: Count of consumers who received mental health services by service type, in each county/region and statewide across Wisconsin, during CY 2013; Table 5: Count of consumers who received substance abuse services by service type, in each county/region and statewide across Wisconsin, during CY 2012; and Table 6: Count of consumers who received substance abuse services by service type, in each county/region and statewide across Wisconsin, during CY Data Notes and Limitations Important notes and limitations about the data included in this report: This report includes data on both mental health and substance abuse services. Many people with mental health needs have co-occurring substance abuse needs and many agencies now have joint units of staff to address these needs. Therefore, substance abuse services for persons having substance use needs alone or co-occurring needs are also included in this report. Counts of persons receiving services during CY 2012 or CY 2013 are those data received as of December The counts are provided to give the reader a general idea of the service volume in counties. Counts and per capita rates of persons served will vary across counties and years based upon community needs, available funds, and completeness of data submissions. Service type categories in Tables 3-6 are summary level categories. included in a service type category are detailed in Appendix II (mental health) and Appendix III (substance abuse). A significant state data system platform change occurred during the period when DHS migrated to PPS. In addition, at least 25 percent of counties were in varying stages of implementing new county data systems during the time period. In some cases, counties resources were stretched thin and could have led to less than complete data submission. Clients are counted only once (unduplicated) within a service category or grouping regardless of how many times they received that service. However, an individual client may be counted in more than one service category or grouping. For example, if a client received both medication management services and individual counseling services, he/she would be counted once for each service received. Wisconsin Mental Health, 2012 and

6 rendered to fewer than 25 people are simply shown in the tables as <25 to protect client confidentiality and comply with federal Health Insurance Portability and Accountability Act (HIPAA) requirements. Coordinated Service Teams (CST) data during this time period was reported through a data system separate from PPS. However, there is some overlap between the two data systems. As a result, a small number of children may be counted twice in this report. This issue will be avoided in the next report because CST data was migrated to the PPS system in Appendices The following appendices are included at the end of this report: Appendix I indicates which of the various integrated home and community mental health and substance abuse programs (CSP, Crisis, CCS, CRS and CST) were available in each county or region as of August 2013 and are therefore within the scope of this report. Appendix II lists mental health services and SPC codes that are included in each service type category in Tables 3 and 4. Appendix III lists substance abuse services and SPC codes that are included in each service type category in Tables 5 and 6. Appendix IV provides definitions for each of the mental health and substance abuse services organized by SPC code. Comments The Department encourages suggestions to make this report more useful. Questions, comments or suggestions about this report may be directed to: Kay Cram, c/o Department of Health (DHS), Division of Mental Health and Substance Abuse, 1 W. Wilson St., PO Box 7851, Madison, WI Wisconsin Mental Health, 2012 and

7 MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES Table 1: Count and Per Capita Mental Health (MH) Served, by County/Region and Statewide, CY 2012 and CY 2013 (1) Reporting Unit Name (2) Total Population (2010) (3) Percent in Poverty (2012) (4) Count of MH Served (2012) (5) Per Capita MH Served (2012) (6) Count of MH Served (2013) (7) Per Capita MH Served (2013) Adams 20, % Ashland 16, % Barron 45, % Bayfield 15, % Brown 248, % 2, , Buffalo 13, % Burnett 15, % Calumet 48, % Chippewa 62, % Clark 34, % Columbia 56, % Crawford 16, % Dane * 488, % 3, , Dodge 88, % 1, , Door * 27, % Douglas 44, % Dunn 43, % Eau Claire 98, % Florence 4, % Fond du Lac 101, % 2, , Forest/Oneida/Vilas 66, % 1, , Grant/Iowa 74, % 1, , Green 36, % Green Lake 19, % Iron 5, % Jackson 20, % Jefferson 83, % 1, , Juneau 26, % Kenosha 166, % 1, , Kewaunee * 20, % La Crosse 114, % 1, , Lafayette 16, % Langlade/Lincoln/Marathon 182, % 3, , Manitowoc 81, % Marinette 41, % 1, , Marquette 15, % Menominee 4, % Milwaukee * 947, % 13, , Monroe 44, % Oconto 37, % Outagamie 176, % 2, , Ozaukee 86, % Wisconsin Mental Health, 2012 and

8 Table 1, continued: Count and Per Capita Mental Health (MH) Served, by County/Region and Statewide, CY 2012 and CY 2013 (1) Reporting Unit Name (2) Total Population (2010) (3) Percent in Poverty (2012) (4) Count of MH Served (2012) (5) Per Capita MH Served (2012) (6) Count of MH Served (2013) (7) Per Capita MH Served (2013) Pepin 7, % Pierce 41, % Polk 44, % Portage 70, % Price 14, % Racine 195, % 1, , Richland 18, % Rock 160, % 1, , Rusk 14, % Sauk 61, % 1, , Sawyer 16, % Shawano * 41, % 1, Sheboygan 115, % St. Croix 84, % 1, , Taylor * 20, % Trempealeau 28, % Vernon 29, % Walworth * 102, % Washburn 15, % Washington * 131, % 3, , Waukesha 389, % 1, , Waupaca 52, % Waushara 24, % Winnebago 166, % 4, , Wood * 74, % 1, TOTAL WISCONSIN 5,686, % 65, , (1) Reporting Unit Name: County or Region (group of counties). (2) Population (2010): County population, from Wisconsin Taxpayers Alliance (via (3) Percent in Poverty (2012): Percent of county population from US Census - Small Area Income and Poverty Estimates (SAIPE) (SAIPE Interactive Data Tool: (4) Count of MH Served (2012): Number of consumers who received mental health services during (5) Per Capita MH Served (2012) = [(4) Count of MH Served (2012) / (2) Population (2010) * 1,000]. (6) Count of MH Served (2013): Number of consumers who received mental health services during (7) Per Capita MH Served (2013) = [(6) Count of MH Served (2013) / (2) Population (2010) * 1,000]. Note: The Wisconsin state map used in this report came from and is used with permission from Ellen Rohr, Linking Your Past Research Service, Brookfield, Wisconsin. (*) Counties with 200 or more consumers in 2012 and a 25% or greater decrease in per capita consumers served from 2012 to 2013 were contacted to ascertain perceived reasons for the decrease. Reasons provided by the counties for the numbers reported included: a decline in the need or requests for publicly-supported services; delays in submitting services data while implementing new local data systems; or delays in submitting data due to time-consuming and costly programming changes to local data systems to meet changing state and federal data requirements. Wisconsin Mental Health, 2012 and

9 Table 2: Count and Per Capita Substance Abuse (SA) Served, by County/Region and Statewide, CY 2012 and CY 2013 (1) Reporting Unit Name (2) Total Population (2010) (3) Percent in Poverty (2012) (4) Count of SA Served (2012) (5) Per Capita SA Served (2012) (6) Count of SA Served (2013) (7) Per Capita SA Served (2013) Adams 20, % Ashland 16, % Barron * 45, % Bayfield 15, % Brown 248, % 1, , Buffalo 13, % Burnett 15, % Calumet 48, % Chippewa 62, % Clark 34, % Columbia 56, % Crawford 16, % Dane * 488, % 5, , Dodge 88, % Door 27, % Douglas * 44, % Dunn 43, % Eau Claire 98, % Florence 4, % Fond du Lac 101, % 1, , Forest/Oneida/Vilas 66, % Grant/Iowa 74, % Green 36, % Green Lake 19, % Iron 5, % Jackson 20, % Jefferson 83, % Juneau 26, % Kenosha 166, % 1, Kewaunee * 20, % La Crosse 114, % , Lafayette 16, % Langlade/Lincoln/Marathon 182, % 2, , Manitowoc 81, % Marinette 41, % Marquette 15, % Menominee 4, % Milwaukee 947, % 4, , Monroe 44, % Oconto 37, % Outagamie 176, % Ozaukee 86, % Wisconsin Mental Health, 2012 and

10 Table 2, continued: Count and Per Capita Substance Abuse (SA) Served, by County/Region and Statewide, CY 2012 and CY 2013 (1) Reporting Unit Name (2) Total Population (2010) (3) Percent in Poverty (2012) (4) Count of SA Served (2012) (5) Per Capita SA Served (2012) (6) Count of SA Served (2013) (7) Per Capita SA Served (2013) Pepin 7, % Pierce 41, % Polk 44, % Portage 70, % Price 14, % Racine 195, % 1, , Richland * 18, % Rock 160, % 1, , Rusk 14, % Sauk 61, % Sawyer 16, % Shawano 41, % Sheboygan * 115, % St. Croix 84, % Taylor 20, % Trempealeau 28, % Vernon 29, % Walworth * 102, % Washburn 15, % Washington 131, % 1, Waukesha 389, % 1, , Waupaca 52, % Waushara 24, % Winnebago 166, % 1, , Wood 74, % TOTAL WISCONSIN 5,686, % 40, , (1) Reporting Unit Name: County or Region (group of counties). (2) Population (2010): County population, from Wisconsin Taxpayers Alliance (via (3) Percent in Poverty (2012): Percent of county population from US Census - Small Area Income and Poverty Estimates (SAIPE) (SAIPE Interactive Data Tool: (4) Count of SA Served (2012): Number of consumers who received substance abuse services during (5) Per Capita SA Served (2012) = [(4) Count of SA Served (2012) / (2) Population (2010) * 1,000] (6) Count of SA Served (2013): Number of consumers who received substance abuse services during (7) Per Capita SA Served (2013) = [(6) Count of SA Served (2013) / (2) Population (2010) * 1,000] Note: The Wisconsin state map used in this report came from and is used with permission from Ellen Rohr, Linking Your Past Research Service, Brookfield, Wisconsin. (*) Counties with 200 or more consumers in 2012 and a 25% or greater decrease in per capita consumers served from 2012 to 2013 were contacted to ascertain perceived reasons for the decrease. Reasons provided by the counties for the numbers reported included: a decline in the need or requests for publicly-supported services; delays in submitting services data while implementing new local data systems; or delays in submitting data due to time-consuming and costly programming changes to local data systems to meet changing state and federal data requirements. Wisconsin Mental Health, 2012 and

11 County/Region Support Program (CSP) Comprehensive (CCS) Recovery (CRS) Coordinated Teams (CST) Crisis Intervention / Emergency Outpatient Emergency Detention (ED) Inpatient Residential Partial Day Court Medication Management Intake Assessment Case Management Outpatient Supportive Other Table 3: Count of Mental Health Served, by Service Type, by County/Region and Statewide, CY 2012 Statewide Adams <25 55 <25 < < Ashland 67 <25 46 < <25 <25 <25 <25 Barron 61 < < <25 Bayfield 38 <25 <25 <25 31 <25 <25 <25 < <25 <25 <25 Brown < <25 Buffalo <25 <25 <25 <25 <25 <25 <25 <25 <25 <25 Burnett <25 < <25 Calumet <25 38 < <25 Chippewa 44 <25 < <25 <25 28 <25 <25 <25 <25 Clark <25 32 < < <25 Columbia 68 <25 < <25 <25 41 < <25 <25 Crawford <25 <25 < <25 <25 Dane Dodge < <25 Door <25 < Douglas 100 <25 <25 <25 27 <25 < <25 <25 <25 Dunn 36 <25 <25 <25 <25 <25 < <25 <25 Eau Claire <25 <25 < <25 Florence <25 <25 47 Fond du Lac 124 < Forest/Oneida/Vilas < <25 Grant/Iowa 45 <25 < <25 <25 <25 < <25 <25 Green <25 <25 52 < Green Lake <25 < <25 25 < <25 < Iron 28 <25 <25 < <25 Jackson <25 <25 <25 <25 <25 <25 <25 41 <25 <25 Jefferson < < Juneau 72 <25 < < Kenosha < Kewaunee <25 <25 <25 79 <25 <25 <25 < <25 La Crosse < <25 <25 <25 < <25 Lafayette <25 <25 <25 < <25 < <25 <25 Lang/Linc/Marathon < Manitowoc 55 <25 < Marinette <25 < < Marquette 30 <25 <25 < <25 <25 <25 < <25 Menominee <25 < <25 < Milwaukee <25 Monroe <25 <25 < Oconto <25 < <25 36 < Outagamie < < <25 Ozaukee <25 26 <25 <25 <25 Pepin <25 <25 <25 <25 <25 <25 <25 Pierce <25 <25 < Polk 33 <25 <25 <25 40 < <25 <25 Portage 41 < < <25 Price 52 <25 97 <25 <25 <25 <25 29 <25 <25 Racine 128 < < <25 Richland 83 <25 < Rock < Rusk <25 73 <25 <25 <25 <25 < <25 Sauk < <25 Sawyer 54 <25 <25 <25 55 <25 32 Shawano 35 < < <25 Sheboygan < < St. Croix <25 < Taylor <25 80 <25 <25 <25 97 < <25 <25 Trempealeau 57 <25 <25 <25 <25 <25 48 <25 39 <25 Vernon 66 <25 <25 <25 <25 <25 <25 <25 95 <25 Walworth <25 <25 < <25 <25 Washburn <25 <25 <25 <25 <25 < Washington <25 < <25 Waukesha < < < <25 Waupaca < Waushara < < < <25 <25 Winnebago < <25 Wood <25 < <25 Wisconsin Mental Health, 2012 and

12 County/Region Support Program (CSP) Comprehensive (CCS) Recovery (CRS) Coordinated Teams (CST) Crisis Intervention / Emergency Outpatient Emergency Detention (ED) Inpatient Residential Partial Day Court Medication Management Intake Assessment Case Management Outpatient Supportive Other Table 4: Count of Mental Health Served, by Service Type, by County/Region and Statewide, CY 2013 Statewide Adams < <25 < <25 Ashland 39 <25 58 < <25 <25 Barron < <25 <25 Bayfield 33 <25 <25 <25 <25 <25 <25 < <25 <25 <25 Brown <25 Buffalo <25 <25 <25 <25 <25 <25 <25 <25 Burnett < <25 <25 <25 40 <25 38 Calumet <25 48 < <25 Chippewa 38 <25 < <25 <25 <25 <25 <25 Clark 32 < <25 29 < <25 < <25 Columbia 66 <25 < <25 < <25 Crawford <25 <25 <25 < < <25 <25 Dane < Dodge <25 Door Douglas 43 <25 < <25 Dunn 33 <25 <25 <25 <25 < < <25 Eau Claire <25 < <25 69 <25 Florence <25 <25 < Fond du Lac 135 < < Forest/Oneida/Vilas 39 < < <25 Grant/Iowa 43 <25 <25 74 <25 < <25 <25 Green <25 42 < Green Lake <25 < <25 < <25 < Iron 28 <25 <25 < Jackson <25 <25 <25 <25 <25 <25 <25 40 <25 Jefferson < <25 Juneau 74 < <25 < Kenosha <25 42 < < Kewaunee <25 <25 25 <25 <25 <25 <25 <25 <25 <25 La Crosse < < Lafayette <25 <25 < < Lang/Linc/Marathon < < Manitowoc Marinette <25 <25 < Marquette 33 < <25 <25 <25 < <25 Menominee <25 73 <25 <25 <25 < <25 52 <25 Milwaukee < < <25 Monroe 32 < <25 <25 <25 < Oconto < < Outagamie < <25 Ozaukee Pepin <25 <25 <25 <25 <25 <25 <25 <25 Pierce <25 < < Polk <25 <25 34 <25 < <25 <25 Portage <25 36 < < < <25 Price <25 <25 <25 <25 34 <25 <25 <25 Racine 117 < <25 Richland 70 < <25 < <25 Rock Rusk <25 58 <25 <25 <25 <25 97 <25 <25 Sauk < < <25 Sawyer <25 <25 43 <25 Shawano < <25 Sheboygan <25 38 <25 < <25 < St. Croix 87 <25 <25 <25 < Taylor <25 <25 <25 <25 89 < <25 Trempealeau 49 <25 <25 <25 <25 < <25 Vernon 67 <25 38 <25 <25 28 <25 27 < Walworth <25 <25 <25 < < Washburn <25 <25 <25 <25 <25 < Washington <25 < < <25 Waukesha <25 73 < < < <25 Waupaca < < <25 Waushara < <25 <25 < <25 < <25 <25 Winnebago Wood <25 <25 < <25 < <25 Wisconsin Mental Health, 2012 and

13 County/Region Support Program (CSP) Comprehensive (CCS) Recovery (CRS) Crisis Intervention / Emergency Outpatient Detoxification Inpatient Residential Partial Day Court Intake Assessment Case Management Outpatient Medication Treatment Supportive Other Table 5: Count of Substance Abuse Served, by Service Type, by County/Region and Statewide, CY 2012 Statewide <25 Adams <25 <25 < Ashland <25 <25 <25 < Barron <25 <25 < < <25 <25 Bayfield <25 <25 < <25 <25 <25 Brown < <25 < <25 42 <25 36 <25 Buffalo <25 <25 <25 <25 <25 <25 Burnett <25 < <25 Calumet <25 <25 < <25 Chippewa <25 <25 54 Clark <25 <25 <25 <25 < <25 Columbia <25 <25 <25 <25 < < <25 <25 <25 Crawford <25 < <25 <25 Dane <25 Dodge <25 < <25 <25 Door <25 < < Douglas <25 < <25 < < <25 Dunn <25 73 < <25 <25 Eau Claire <25 < <25 Florence <25 <25 <25 <25 Fond du Lac < < Forest/Oneida/Vilas 56 < <25 Grant/Iowa <25 44 < Green < < <25 Green Lake <25 <25 < <25 Iron < Jackson <25 <25 53 <25 Jefferson 48 < Juneau <25 <25 < <25 Kenosha < <25 <25 <25 Kewaunee <25 <25 <25 < La Crosse 34 <25 < Lafayette <25 <25 < Lang/Linc/Marathon Manitowoc <25 <25 Marinette <25 < < <25 Marquette <25 < <25 <25 Menominee <25 <25 < Milwaukee Monroe <25 <25 < Oconto <25 < Outagamie Ozaukee 385 <25 <25 Pepin <25 <25 <25 Pierce <25 < Polk < Portage < Price <25 <25 < Racine 79 < <25 Richland <25 < <25 <25 Rock Rusk <25 <25 47 <25 <25 Sauk < <25 <25 < Sawyer < <25 Shawano 45 <25 < Sheboygan < < <25 St. Croix < Taylor <25 < Trempealeau <25 < Vernon <25 <25 64 Walworth Washburn <25 <25 <25 46 Washington Waukesha < < Waupaca 36 < <25 29 <25 Waushara <25 <25 <25 < Winnebago <25 <25 < <25 <25 Wood < Wisconsin Mental Health, 2012 and

14 County/Region Support Program (CSP) Comprehensive (CCS) Recovery (CRS) Crisis Intervention / Emergency Outpatient Detoxification Inpatient Residential Partial Day Court Intake Assessment Case Management Outpatient Medication Treatment Supportive Other Table 6: Count of Substance Abuse Served, by Service Type, by County/Region and Statewide, CY 2013 Statewide 42 <25 < Adams < Ashland <25 < <25 Barron <25 <25 < < <25 Bayfield <25 <25 < <25 <25 Brown <25 <25 <25 < < <25 Buffalo <25 <25 <25 <25 <25 Burnett <25 <25 <25 35 Calumet <25 <25 <25 < <25 Chippewa <25 <25 42 Clark <25 <25 <25 <25 < Columbia <25 <25 <25 <25 < < <25 Crawford <25 < Dane Dodge <25 < <25 Door 132 < Douglas 121 < <25 55 <25 Dunn <25 <25 70 < <25 Eau Claire <25 < Florence <25 <25 25 Fond du Lac Forest/Oneida/Vilas 65 < Grant/Iowa 27 < Green <25 < < <25 Green Lake <25 < Iron < Jackson <25 <25 <25 57 Jefferson 66 < Juneau <25 < < <25 Kenosha <25 < < <25 <25 Kewaunee <25 < <25 La Crosse < Lafayette <25 < Lang/Linc/Marathon 153 < Manitowoc < <25 Marinette 253 < Marquette <25 <25 < <25 <25 Menominee <25 <25 < < <25 Milwaukee Monroe <25 <25 < < Oconto <25 < <25 Outagamie 130 < Ozaukee Pepin <25 <25 <25 <25 <25 Pierce <25 <25 < Polk <25 <25 < < <25 <25 Portage 50 < <25 Price <25 <25 < <25 Racine Richland < <25 Rock < <25 < < Rusk <25 <25 < Sauk < < Sawyer <25 < <25 Shawano Sheboygan < St. Croix <25 <25 38 < Taylor <25 <25 < <25 77 Trempealeau <25 <25 < <25 Vernon <25 66 Walworth 33 < Washburn <25 <25 <25 46 Washington Waukesha Waupaca <25 <25 < <25 Waushara <25 <25 < <25 Winnebago <25 <25 < <25 Wood < Wisconsin Mental Health, 2012 and

15 APPENDIX I: Integrated Home and Mental Health and Substance Abuse Programs, by County/Region (as of August 2013) Reporting Unit Name Support Program (CSP) Crisis Program Comprehensive (CCS) Recovery (CRS) Coordinated Service Teams (CST) Adams Certified Certified Ashland Certified Certified Provisional X Barron Certified Certified Certified X Bayfield Certified Brown Certified Certified Certified Buffalo Certified X Burnett Certified Certified Calumet Certified Certified Certified Chippewa Certified Certified Certified X Clark Certified X Columbia Certified Certified Certified X Crawford Certified Dane Certified Certified Certified Dodge Certified Certified Certified Certified Door Certified Certified X Douglas Certified Dunn Certified Provisional X Eau Claire Certified Certified Certified X Florence Fond du Lac Certified Certified X Forest/Oneida/Vilas Certified Certified Certified Provisional Grant/Iowa Certified X Green Certified Certified Certified X Green Lake Certified Certified Certified Iron Certified Jackson Certified Certified Provisional Jefferson Certified Certified Certified Certified X Juneau Certified Certified Certified Kenosha Certified Certified Certified X Kewaunee Certified Certified Certified X La Crosse Certified Certified Certified Certified Lafayette Certified Certified Langlade/Lincoln/Marathon Certified Certified Certified Certified Manitowoc Certified Certified Certified Marinette Certified Certified Certified X Marquette Certified Certified X Menominee Certified Certified Milwaukee Certified Certified Certified Monroe Certified Certified Certified Oconto Certified X Outagamie Certified Certified Certified Provisional Ozaukee Certified Certified Certified X Wisconsin Mental Health, 2012 and

16 Integrated Home and Mental Health and Substance Abuse Programs, by County/Region (as of August 2013), continued Reporting Unit Name Support Program (CSP) Crisis Program Comprehensive (CCS) Recovery (CRS) Coordinated Service Teams (CST) Pepin Certified Pierce Certified Provisional Polk Certified Certified Portage Certified Certified Certified X Price Certified Certified Racine Certified Certified X Richland Certified Certified Certified Rock Certified Certified X Rusk Certified Certified Sauk Certified Certified Certified Provisional Sawyer Certified X Shawano Certified Certified X Sheboygan Certified Certified Certified Certified X St. Croix Certified Certified Taylor Trempealeau Certified X Vernon Certified Certified X Walworth Certified Certified Certified Provisional Washburn Certified X Washington Certified Certified Certified Certified X Waukesha Certified Certified Certified Certified X Waupaca Certified Certified Waushara Certified Certified Certified X Winnebago Certified Certified Certified Wood Certified Certified Certified X Wisconsin Mental Health, 2012 and

17 APPENDIX II: Mental Health Service Types, by SPC Code Mental Health Service Types Support Program (CSP) 509 SPC Code(s) Comprehensive (CCS) 510, Recovery (CRS) 511, Coordinated Teams (CST) NA Service(s) Crisis Intervention or Emergency Outpatient 501, Crisis Intervention Emergency Detention Emergency Room Hospital Setting 205 Shelter Care Inpatient 503 Inpatient 703, 705 Detoxification (Hospital, Social Setting) 925 Institution for Mental Disease Residential 202, 204 Adult Family Home, Group Home 203 Foster Home Residential Care Center, County Based Residential Facility 504, 506 (CBRF) 505 DD Center/Nursing Home Partial Day 704, 706 Day Treatment (medical, non-medical) Court 301 Court Intake and Studies Medication Management Intake Assessment 603 Case Management Juvenile Probation and Supervision Outpatient 507 Counseling/Therapeutic Resources , Individual Counseling, Intensive In-Home Group Counseling Family or Couple Counseling Supportive 104, Supportive Home Care 106 Housing/Energy Assistance 107 Specialized Transportation and Escort 108 Work Related 110 Daily Living Skills Training 601, 602 Outreach, Information/Referral 605 Advocacy and Defense Resources 606 Health Screening and Accessibility 615 Supported Employment Other 102 Adult Day Care 103, Respite Care 112 Interpreter /Adaptive Equipment 403 Recreation/Alternative Activities 406 Protective Payment/Guardianship 408 Prevention/Organization/Awareness Wisconsin Mental Health, 2012 and

18 APPENDIX III: Substance Abuse Service Types, by SPC Code Substance Abuse Service Types SPC Code(s) Service(s) Support Program (CSP) 509 Comprehensive (CCS) 510, Recovery (CRS) 511 Crisis Intervention/Emergency Outpatient 501, Crisis Intervention Emergency Outpatient Detoxification Medically Managed Inpatient Detoxification Medically Monitored Residential Detoxification Ambulatory Detoxification Detox (Social Setting, Residential Intoxication 705, Monitoring) Inpatient Medically Managed Inpatient Medically Monitored Hospital Treatment 925 Institution for Mental Disease Residential Medically Monitored CBRF Treatment 504 Residential Care Center (children) , Transitional Residential 202, 204 Adult Family Home, Group Home 205 Shelter Care Partial Day , 706 Day Treatment (medical, non-medical) Court 301 Court Intake and Studies Intake Assessment 603 Case Management 604 Outpatient 507, , , Outpatient, Regular (general, indiv, family, group) , , Outpatient, Intensive (general, indiv, group) , Outpatient, In-home (regular, intensive) Medication Treatment Medication Management Methadone or Narcotic Detoxification Methadone Maintenance/Narcotic Treatment Suboxone Management Supportive 101 Child Care 104, , 106 Home Supports 107 Specialized Transportation and Escort 108 Work Related 110 Daily Living Skills Training Drug Testing 601 Outreach 602, Information and Referral 606 Health Screening and Accessibility 615 Supported Employment Other 112 Interpreter /Adaptive Equipment Specialized Medical Supplies 403 Recreation/Alternative Activities 406 Protective Payment/Guardianship 408 Prevention/Organization/Awareness Other medical services Wisconsin Mental Health, 2012 and

19 APPENDIX IV: Mental Health and Substance Abuse Service Definitions Definition of Service Program Category (SPC), by SPC Code 101 CHILD DAY CARE CRISIS/RESPITE The provision of services to children that includes care in settings such as: 1) a day care center; 2) the home of another; or 3) in their own home. The purpose of these services is to meet crisis or respite needs, prevent or remedy abuse or neglect, alleviate stress in the family, or preserve the family unit. strive to facilitate the child s social, physical, cognitive and emotional growth. Includes resource recruitment and development and regulation/certification activities. 102 ADULT DAY CARE The provision of services to adults in a certified natural or supportive service (day center) setting for the purpose of providing an enriched social experience, protection and supervision during part of the day to enhance or maintain the integrity of families under stress, prevent abuse and neglect and/or prevent their placement into alternate living arrangements. Typical services may include, but are not limited to, personal care and supervision. Benefits include the provision of food. Management functions which may be performed include, but are not limited to, resource recruitment and development, and regulation/certification. Includes transportation specifically for access to this program. Includes certified adult care when provided in a senior center. Senior center activities not provided as part of a certified adult day care program should be classified under Recreation/Alternative Activities. Excludes day center services for adults with developmental disabilities, which are classified within the Day Center /Treatment Program. Excludes in-home services provided primarily for the purpose of improving the daily living skills of developmentally disabled adults, which are classified within the Daily Living Skills Training Program. 103 RESPITE CARE The provision of services to clients who are either caregivers or their dependents for the purposes of providing the primary caregiver temporary relief, relieving the primary caregiver of the stress of giving continuous support, providing the dependent client adequate care and supervision in a home-like environment (unlicensed) and reducing the need for placement of the dependent person outside of the home. to the primary caregiver may include case planning, monitoring and review. for the dependent person may include personal care and supervision. The Respite Care Program includes only care that is delivered in the home of the primary caregiver, dependent person, friend or relative, the home of the respite care provider or in those freestanding facilities which primarily serve as respite care centers. Excludes certified child care for the purpose of respite, which should be classified as Child Day Care. Excludes monitoring of care except in those instances when this is done by a client s case manager as an integral part of the Case Management/Service Coordination Program. Excludes all types of in-home care or training that is not directly related to relief for the primary caregiver. 104 SUPPORTIVE HOME CARE The provision of services to maintain clients in independent or supervised living in their home or the home of their friends or relatives who help them meet their daily living needs, address their needs for social contact, ensure their well-being, and/or reduce the likelihood that they will be placed into alternate living arrangements. may include, but are not limited to, household care, personal care and supervision. Includes supervised apartment living, senior companion activities, telephone reassurance, and friendly visiting. Includes payments to maintain an individual in the independent living arrangement. Counseling/psychotherapy in a person s own home is part of the Counseling/Therapeutic Resources Program. Excludes nonemergency 24-hour care in an adult s or child s own home for the purpose of respite, which should be classified as Respite Care. Excludes home and financial management training activities, which should be classified as Daily Living Skills Training. 106 HOUSING/ENERGY ASSISTANCE The provision of services to clients in a natural or supportive service setting for the purpose of enabling persons to obtain safe, healthful, and affordable housing. may include, but are not limited to, advocacy, assessment/diagnosis, and referral. Includes working with landlords and others to upgrade substandard housing, improving safety and preventing/reducing health hazards, assessing housing needs, locating appropriate housing, referral to existing resources for housing repairs, and making arrangements Wisconsin Mental Health, 2012 and

20 for moving (as well as payment of moving expenses). Includes repairs and remodeling, winterization/weatherization, and the costs of fuel or utilities. Placement of persons into independent living from alternate living settings is classified under programs for those settings. Unskilled routine home maintenance tasks are part of the Supportive Home Care Program. 107 SPECIALIZED TRANSPORTATION AND ESCORT The provision of transportation and transportation-related supervision to the elderly, handicapped, or other persons with limited ability to access needed community resources (other than human services). Includes provision of tickets or cash for their purchase designed to provide safe, comfortable, and accessible conveyance. Limited to that transportation which assists in improving a person s general mobility and ability to perform daily tasks such as shopping, visiting with friends, competitive employment, etc., independently. Excludes transportation which is provided principally to access services purchased or provided by a county social or human services department, 51 Board, or county aging unit, which should be classified under the program or programs to which the transportation provides access. 108 WORK-RELATED SERVICES The provision of services in integrated community work settings, specialized facilities (e.g., sheltered workshops), or other settings for purposes of enabling clients to participate in work, develop work and related abilities, improve work performance, and/or remove obstacles to gainful employment. may include, but are not limited to: education/training; transportation (when work related); marketing of products; assessment/diagnosis; case planning, monitoring and review when done by work-related service providers; and supervision. Management functions that may be performed include, but are not limited to, resource recruitment, development and contracting. Includes wages paid for work performed, training stipends, incentives for employer to provide on-the-job supervision, or items needed for employment. Includes sheltered employment, work activities, supervision of work in community settings, Job Training Partnership Act (JTPA), and displaced homemaker s services. Excludes Supported Employment as defined in SPC of that name. 110 DAILY LIVING SKILLS TRAINING The provision of services to clients whose health or well-being is at risk of deteriorating or for whom development is delayed due to inadequate knowledge or skills in routine daily living tasks. are intended to improve a client s or caretaker s ability to perform routine daily living tasks and utilize community resources. that are educationally focused and are not primarily designed to provide substitute task performance include, but are not limited to: education/training; assessment/diagnosis; and case planning, monitoring and review. Management functions include, but are not limited to, resource recruitment and development. Includes intensive in-home services that teach parenting skills to parents of children with special parenting needs. Includes the teaching of child rearing skills, training on the preparation and management of a household budget, maintenance and care of the home and preparation of food. Includes services provided primarily in a natural setting such as those performed by a home trainer for children age 0-2, and skill training for clients of all ages living in natural settings. Includes daily living skill training for parents and other family members, foster parents, adult family home members, and persons involved in apartment living programs. Excludes intensive home and community treatment services. Excludes recreational activities. Also excludes household care and personal care, which should be classified under the Supportive Home Care Program. 112 INTERPRETER SERVICES AND ADAPTIVE EQUIPMENT The provision of services and material benefits to clients whose ability to access, participate and function in their community or homes is limited by physical, sensory or speech impairments, or lack of ability to effectively communicate in English, in order to maximize their opportunities to fully participate and function effectively in all aspects of community life, and to improve the community by making it fully accessible to all of its members. include the purchase or direct provision of bilingual interpreters for persons with limited English skills or interpreters capable of facilitating communication for persons with hearing impairments and others. Material benefits include cash for the purchase or provision of these services or items such as medically related equipment, adaptive aids or communication devices. Management functions include resource recruitment and development associated with locating qualified interpreters. Includes interpreter services directly associated with familiarizing immigrants with Western culture in general and the life styles of their particular resettlement communities. Includes reader services for persons who are blind or visually impaired and other forms of communication assistance for persons with brain injuries or speech Wisconsin Mental Health, 2012 and

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