Cuyahoga County Behavioral Health Needs Assessment. Prepared by The Center for Community Solutions February 4, 2011
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1 Cuyahoga County Behavioral Health Needs Assessment Prepared by The Center for Community Solutions February 4, 2011
2 Needs Assessment Objectives Generate most current available demographic data available for the six comparison counties of Franklin, Hamilton, Lorain, Lucas, Montgomery, and Summit. Compare Cuyahoga to other counties for general demographics, and for specific comparative risk factors. Using the Cuyahoga demographic data and national prevalence data, calculate local Cuyahoga prevalence rates for mental disorders and alcohol and other drug (AOD) disorders. Using Board MACSIS claims data and Behavioral Health (BH Mod) data, compare local prevalence rates to local service rates to establish unmet needs. 2
3 Demographic / Risk Factor Comparison Summary
4 Demographic Comparison Summary Compared to the average of comparison counties and cities: Cuyahoga had a higher proportion of African Americans and Hispanics. Cuyahoga had higher poverty rates for both children and seniors, and Cleveland had higher poverty rates for all age groups. A higher proportion of Cuyahoga and Cleveland families with children were headed by a single female. 4
5 Demographic Comparison Summary (continued) Compared to the average of comparison counties and cities: Although Cuyahoga had a similar proportion of adults with a college degree, Cleveland had a lower proportion than the comparison city average. Cleveland also had the lowest high school graduation rate among comparison cities. A higher proportion of Cuyahoga and Cleveland adults were not in the labor force, and both the county and city had higher unemployment rates among those who were in the labor force. 5
6 Demographic Comparison Summary (continued) Compared to the average of comparison counties: Cuyahoga had a higher infant mortality rate and a higher percentage of low-weight births (under 5.5 lbs.), but a lower suicide rate. 6
7 Estimated Prevalence of Mental Disorders Cuyahoga County, Average
8 Sources of National Prevalence Rates of Mental Disorders Adults: National Institute of Mental Health The Numbers Count: Mental Disorders in America (2010) National Comorbidity Survey Replication Epidemiological Catchment Survey Children: Mental Health: A Report of the Surgeon General (1999) 8
9 Children Ages 5 to 17 Cuyahoga County Percent of Population Estimated Number: All Income Levels, Average Estimated Number: Below 200 Percent of Federal Poverty Level, Average Anxiety Disorders 13.0% 29,538 12,170 Mood Disorders 6.2% 14,087 5,804 Disruptive Disorders 10.3% 23,403 9,643 Any Disorder 20.9% 47,488 19,566 9
10 Adults 18 to 64 Cuyahoga County Percent of Population Estimated Number: All Income Levels, Average Estimated Number: Below 200 Percent of Federal Poverty Level, Average Mood Disorders 8.1% 63,928 17,723 Schizophrenia 1.1% 8,707 2,414 Anxiety Disorders 10.2% 80,961 22,445 Personality Disorders 9.1% 72,042 19,972 Impulse Control Disorders 7.6% 60,102 16,662 Any Disorder 15.6% 123,622 34,271 10
11 Adults 65 and Over Cuyahoga County Percent of Population Estimated Number: All Income Levels, Average Estimated Number: Below 200 Percent of Federal Poverty Level, Average Mood Disorders 8.1% 15,860 5,428 Schizophrenia 1.1% 2, Anxiety Disorders 10.2% 20,085 6,875 Personality Disorders 9.1% 17,873 6,117 Impulse Control Disorders 7.6% 14,910 5,104 Any Disorder 15.6% 30,669 10,497 11
12 Prevalence of Any Mental Disorder by Age and Income, Cuyahoga County 250, , , , ,000 64, to 64 5 to 17 50,000 0 All Income Levels Under 200% of FPL 12
13 Prevalence of Any Mental Disorder, Ages 5 and Over Average Cuyahoga and Comparison Counties All Income Levels Under 200% of FPL Cuyahoga 64, ,778 Comparison County Average 28,163 97,892 Franklin 50, ,558 Hamilton 35, ,850 Lorain 12,083 47,288 Lucas 22,426 68,488 Montgomery Summit 25,542 23,242 83,386 84, , , , , ,000 13
14 Estimated Prevalence of Alcohol or Other Drug Disorders Cuyahoga County, Average
15 Source of National Prevalence Rates for Alcohol and Drug Disorders U.S. Dept. of HHS: Substance Abuse and Mental Health Services Administration (SAMHSA): National Survey on Drug Use and Health (2009) 15
16 Past Year Dependence or Abuse by Income Level Ages 12 and Over, Average Cuyahoga County Percent of Population Estimated Number: All Income Levels Estimated Number: Below 200 Percent of Federal Poverty Level ILLICIT DRUGS 2.8% 31,125 9,365 Marijuana and Hashish 1.7% 8,309 5,509 Cocaine 0.6% 6,957 2,093 Heroin 0.1% 1, Hallucinogens 0.1% 1, Inhalants 0.1% 1, Nonmedical Use of Psychotherapeutics 0.9% 9,521 2,865 ALCOHOL 7.5% 82,024 24,681 BOTH ILLICIT DRUGS AND ALCOHOL 1.3% 13,915 4,187 ILLICIT DRUGS OR ALCOHOL 9.0% 99,235 29,859 16
17 Past Year Dependence or Abuse by Income Level Ages 12 and Over, Average Cuyahoga County 120,000 Illicit Drugs Alcohol Illicit Drugs or Alcohol 100,000 80,000 60,000 82,024 99,235 40,000 20, ,125 All Income Levels 29,859 24,681 9,365 Under 200% of FPL 17
18 Past Year Alcohol or Other Drug Dependence or Abuse Average Cuyahoga and Comparison Counties All Income Levels Under 200% of FPL Cuyahoga 29,794 94,418 Comparison County Average 14,450 47,120 Franklin 27,450 83,480 Hamilton 17,634 63,547 Lorain 5,551 22,420 Lucas 11,628 33,216 Montgomery Summit 12,897 11,540 40,001 40, ,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 90, ,000 18
19 Estimated Prevalence of Co-Occurring MH and AOD Disorders
20 Co-Occurring MH and AOD Disorders Average 20.4 percent of those with serious mental illness and 16.3 percent of those with moderate mental illness had a cooccurring substance abuse or dependency disorder; this yields a prevalence rate of 2.8 percent of the population over 18 who had dual disorders. In Cuyahoga County, an estimated 27,516 persons over 18 in the county had both moderate or serious mental disorders and a co-occurring substance disorder; an estimated 7,984 of these had incomes below 200% of poverty. 20
21 Cuyahoga County Consumers And Estimates of Unmet Need FY 2007 to FY 2010
22 Consumers Served by Cuyahoga County MH and ADA Boards Mental Health Services Only Alcohol /Drug Services Only Both MH and AOD Services FY ,076 7,573 2,483 FY ,932 7,449 2,430 FY ,269 7,219 2,488 FY ,754 6,637 2,479 22
23 Consumers Served per Year MH Only AOD Only Both MH and AOD 40,000 33,076 34,932 36,269 37,754 30,000 20,000 10, ,573 7,449 7,219 6,637 2,483 2,430 2,488 2,479 FY 2007 FY 2008 FY 2009 FY
24 Persons Needing Mental Health Services and Consumers Served, Cuyahoga County Number in Need Under 200% of FPL Average Consumers Served: FY 07 to FY 10 Average Percent Served Number Unserved Ages 5 to 17 19,566 12, % 6,682 Ages 18 to 64 34,271 22, % 12,021 Ages 65 and Over 10,497 1, % 8,809 All Ages 64,335 36, % 27,512 24
25 Persons Needing Mental Health Services and Consumers Served, Cuyahoga and Comparison Counties Persons in Need Under 200% of FPL Mental Health Consumers Cuyahoga 36,823 64,335 Comparison County Average 19,694 28,163 Franklin 35,466 50,683 Hamilton 20,349 35,004 Lorain 12,083 10,254 Lucas 19,096 22,426 Montgomery 13,844 25,542 Summit 19,152 23, ,000 20,000 30,000 40,000 50,000 60,000 70,000 25
26 Mental Health Consumers Served As a Percent of Persons in Need, Ohio, Cuyahoga and Comparison Counties State of Ohio 67.0% Cuyahoga 57.2% Comparison County Average 72.5% Franklin 70.0% Hamilton 58.1% Lorain 84.9% Lucas 85.2% Montgomery 54.2% Summit 82.4% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% 26
27 Persons Needing Alcohol/Drug Services and Consumers Served, Cuyahoga County Number in Need Under 200% of FPL Average Consumers Served: FY 07 to FY 10 Average Percent Served Number Unserved Ages 12 to 17 3, % 2,532 Ages 18 to 25 9,419 2, % 7,407 Ages 26 and Over 16,735 6, % 9,836 All Ages 29,859 9, % 20,172 27
28 Persons Needing AOD Services and Consumers Served, Cuyahoga and Comparison Counties Persons in Need Under 200% of FPL AOD Consumers Cuyahoga 9,687 29,794 Comparison County Average 6,565 14,450 Franklin 12,212 27,450 Hamilton 5,454 17,634 Lorain 2,361 5,551 Lucas 4,411 11,628 Montgomery 7,364 12,897 Summit 7,590 11, ,000 10,000 15,000 20,000 25,000 30,000 35,000 28
29 Alcohol and Other Drug Consumers Served As a Percent of Persons in Need, Ohio, Cuyahoga and Comparison Counties State of Ohio 41.0% Cuyahoga 32.5% Comparison County Average 46.5% Franklin 44.5% Hamilton 30.9% Lorain 42.5% Lucas 37.9% Montgomery 57.1% Summit 65.8% 0.0% 20.0% 40.0% 60.0% 80.0% 29
30 Demographic Profile of Cuyahoga County Mental Health Consumers
31 Mental Health Consumers by Age FY 2007 to FY 2010 Average 0-5 1, , , , , , , ,000 4,000 6,000 8,000 10,000 12,000 31
32 Mental Health Consumers by Gender FY 2007 to FY 2010 Average All Ages 48.8% 51.2% Under % 59.8% Male 18 to % 56.9% Female 65 and Over 31.9% 68.1% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 32
33 Mental Health Consumers by Race and Ethnicity FY 2007 to FY 2010 Average White African American Other/ Multiple Unknown Hispanic (Any Race) All Ages 2.8% 5.5% 10.2% 38.8% 52.9% Under % 6.3% 11.1% 28.6% 62.1% 18 to % 4.8% 10.2% 43.6% 48.8% 65 and Over 1.8% 3.6% 7.2% 30.0% 60.9% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 33
34 Diagnostic Profile of Cuyahoga County Mental Health Consumers
35 Cuyahoga County ADAMHS Mental Health Consumers Age 0-17, by Diagnosis FY Average Adjustment Disorder 3,333 Anxiety Disorder 753 Attention Deficit Behavior Disorder 5,079 Childhood Disorder Conduct Disorder 2,946 2,876 Major Affective 2,119 Mental Retardation Organic Psychosis 2 64 Other Psychosis 311 Personality Disorder Schizophrenia Target Diagnosis Non-Psychotic 1 1,399 Target Diagnosis Non-Psychotic 2 5,159 Target Diagnosis Other 1, ,000 2,000 3,000 4,000 5,000 6,000 35
36 Percentage Distribution of MH Consumers Age 0-17 by Diagnosis, FY Average Cuyahoga, Ohio, and Comparison County Average Cuyahoga County Comparison County Average Ohio Adjustment Problems Childhood Disorders Conduct Disorders Major Affective Mental Retardation Non-Psychotic Organic Psychoses Other Psychoses Personality Disorder Schizophrenia Other 0.1% 0.1% 0.1% 0.0% 0.0% 0.0% 1.6% 3.0% 2.9% 0.1% 0.1% 0.1% 0.4% 0.3% 0.3% 17.5% 16.9% 16.0% 18.5% 12.1% 11.7% 13.5% 15.1% 14.4% 13.7% 9.6% 10.5% 21.2% 28.3% 28.8% 36.0% 36.0% 39.8% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 36
37 Cuyahoga County ADAMHS Mental Health Consumers Age 18-64, by Diagnosis FY Average Adjustment Disorder Anxiety Disorder Attention Deficit Behavior Disorder Childhood Disorder Conduct Disorder Major Affective Mental Retardation Organic Psychosis Other Psychosis Personality Disorder Schizophrenia Target Diagnosis Non-Psychotic 1 Target Diagnosis Non-Psychotic 2 Target Diagnosis Other ,818 1,534 1,703 2,720 2,203 6,635 10, ,000 4,000 6,000 8,000 10,000 12,000 37
38 Percentage Distribution of MH Consumers Age by Diagnosis, FY Average Cuyahoga, Ohio, and Comparison County Average Cuyahoga County Comparison County Average Ohio Adjustment Problems Childhood Disorders Conduct Disorders Major Affective Mental Retardation Non-Psychotic Organic Psychoses Other Psychoses Personality Disorder Schizophrenia Other 0.5% 0.4% 0.4% 1.1% 1.7% 1.7% 0.2% 0.2% 0.2% 0.2% 0.0% 0.0% 0.8% 1.2% 1.1% 5.8% 6.5% 4.8% 9.3% 9.6% 12.5% 13.8% 12.0% 13.7% 16.5% 14.6% 12.6% 16.7% 15.9% 29.9% 45.9% 46.8% 46.7% -20.0% 0.0% 20.0% 40.0% 60.0% 38
39 Cuyahoga County ADAMHS Mental Health Consumers Age 65 and Over, by Diagnosis FY Average Adjustment Disorder 100 Anxiety Disorder 227 Attention Deficit Behavior Disorder Childhood Disorder Conduct Disorder Major Affective 806 Mental Retardation 4 Organic Psychosis 242 Other Psychosis 374 Personality Disorder 31 Schizophrenia 438 Target Diagnosis Non-Psychotic Target Diagnosis Non-Psychotic 2 3 Target Diagnosis Other ,000 39
40 Percentage Distribution of MH Consumers Age 65 and Over by Diagnosis, FY Average Cuyahoga, Ohio, and Comparison County Average Cuyahoga County Comparison County Average Ohio Adjustment Problems Childhood Disorders Conduct Disorders Major Affective Mental Retardation Non-Psychotic Organic Psychoses Other Psychoses Personality Disorder Schizophrenia Other 0.0% 0.0% 0.0% 0.0% 0.5% 0.4% 0.1% 0.1% 0.1% 1.8% 0.9% 0.5% 0.6% 3.8% 5.8% 4.4% 4.9% 9.7% 8.8% 10.0% 10.8% 8.6% 10.7% 13.4% 19.7% 20.4% 17.5% 17.3% 26.6% 25.2% 34.7% 36.9% 35.5% 0.0% 20.0% 40.0% 60.0% 40
41 Cuyahoga County SMD/SED Consumer Characteristics
42 Number of SMD/SED Consumers in Cuyahoga County FY 2007 FY ,000 15,000 15,146 15,994 15,988 16,198 10,000 9,769 10,076 10,750 11,724 SED SMD 5,
43 Percentage of SMD/SED Consumers Cuyahoga, Ohio, and Comparison Counties FY 2007 FY 2010 Average Ohio 44.7% 61.2% Cuyahoga 66.1% 75.4% Comp County Average 51.5% 62.8% Franklin 47.4% 60.5% Hamilton 63.1% 73.9% SMD (Ages 18+) Lorain 44.4% 58.7% SED (Ages 0 to 17) Lucas Montgomery 49.8% 58.5% 60.0% 59.5% Summit 44.3% 65.8% 0.0% 20.0% 40.0% 60.0% 80.0% 43
44 Percentage of SMD/Non-SMD Adult Consumers by Age Group Cuyahoga County FY 2007 FY 2010 Average % 20.1% % 41.8% SMD Non-SMD % 44.1% % 7.9%.0% 20.0% 40.0% 60.0% 44
45 Percentage of SMD/Non-SMD Consumers 18 and Over by Gender Cuyahoga County FY 2007 FY 2010 Average Male 43.7% 39.7% SMD Non-SMD Female 56.3% 60.3%.0% 20.0% 40.0% 60.0% 80.0% 45
46 Percentage of SMD/Non-SMD Consumers 18 and Over by Race and Ethnicity Cuyahoga County, FY 2007 FY 2010 Average White 44.0% 46.4% African American 46.0% 48.2% Other/Multiple 3.0% 2.2% SMD Non-SMD Unknown Race 4.8% 5.3% Hispanic (Any Race) 9.8% 9.6%.0% 20.0% 40.0% 60.0% 46
47 Percentage of SMD/Non-SMD Consumers 18 to 64 by Diagnosis Cuyahoga County, FY 2007 FY 2010 Average Adjustment Disorder Anxiety Disorder Attention Deficit Beh Disorder Childhood Disorder Conduct Disorder Major Affective Mental Retardation Organic Psychosis Other Psychosis Personality Disorder Schizophrenia Target Diag Non-Psychotic 1 Target Diag Non-Psychotic 2 Target Diag Other 8.0% 4.7% 11.7% 1.1% 3.1%.3% 1.3%.7% 3.1%.8% 1.4%.2%.1% 9.0% 5.4% 1.9% 2.7% 9.1% 7.4% 1.6% 4.1% 5.5% 19.3% 22.6% 22.4% 28.4% 41.0% SMD 57.7% Non-SMD.0% 20.0% 40.0% 60.0% 80.0% 47
48 Percentage of SMD/Non-SMD Consumers 65 and Over by Diagnosis Cuyahoga County, FY 2007 FY 2010 Average Adjustment Disorder Anxiety Disorder Attention Deficit Beh Disorder Childhood Disorder Conduct Disorder Major Affective Mental Retardation Organic Psychosis Other Psychosis Personality Disorder Schizophrenia Target Diag Non-Psychotic 1 Target Diag Non-Psychotic 2 Target Diag Other 2.8%.0%.4%.0%.1%.3%.2%.1%.8% 1.6% 2.7%.1%.5% 1.6% 15.5% 14.4% 10.9% 25.6% 15.6% 10.9% 26.1% 11.1% 29.9% 14.8% 15.2% 21.5% 9.7% SMD 55.7% Non-SMD.0% 20.0% 40.0% 60.0% 80.0% 48
49 Percentage of SED/Non-SED Consumers Under 18 by Age Group Cuyahoga County, FY 2007 FY 2010 Average % 17.0% % 51.3% SED Non-SED % 43.4%.0% 20.0% 40.0% 60.0% 49
50 Percentage of SED/Non-SED Consumers Under18 by Gender Cuyahoga County FY 2007 FY 2010 Average Male 60.3% 58.3% SED Non-SED Female 39.7% 41.7%.0% 20.0% 40.0% 60.0% 80.0% 50
51 Percentage of SED/Non-SED Consumers Under 18 by Race and Ethnicity Cuyahoga County, FY 2007 FY 2010 Average White 28.1% 30.1% African American 58.3% 63.3% Other/Multiple 3.1% 2.7% SED Non-SED Unknown Race 5.4% 8.9% Hispanic (Any Race) 10.4% 13.1%.0% 20.0% 40.0% 60.0% 80.0% 51
52 Percentage of SED/Non-SED Consumers Under 18 by Diagnosis Cuyahoga County, FY 2007 FY 2010 Average Adjustment Disorder Anxiety Disorder Attention Deficit Beh Disorder Childhood Disorder Conduct Disorder Major Affective Mental Retardation Organic Psychosis Other Psychosis Personality Disorder Schizophrenia Target Diag Non-Psychotic 1 Target Diag Non-Psychotic 2 Target Diag Other.5%.4%.0%.0% 2.5% 1.5%.1%.1%.5%.1% 5.6% 5.4% 13.5% 10.5% 10.8% 8.3% 8.4% 6.3% 23.3% 24.0% 21.8% 18.8% 17.0% 28.7% 28.3% SED Non-SED 28.9% 39.9% 40.5%.0% 10.0% 20.0% 30.0% 40.0% 50.0% 52
53 Mental Health Services Received
54 Mental Health Services Received by Age of Consumer Cuyahoga County, FY 2007 FY 2010 Average Community Support Counseling Diagnosis / Assessment Emergency Medication / Somatic Partial Hospitalization Residential Vocational / Employment Other 5.6% 9.2% 2.9% 4.5% 3.8% 7.8% 1.6%.6% 1.8%.0% 3.0%.9% 1.2%.0% 2.0%.2% 2.2%.7% 3.1% 2.1% 13.5% 22.3% 23.1% 35.7% 34.9% 37.6% 59.8% 51.9% 63.6% 66.1% 44.6% 61.5% 56.5% 49.1% All Ages Age 0-17 Age Age % 73.9%.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 54
55 Mental Health Services Received By SED Status of Consumers Under 18 Cuyahoga County, FY 2007 FY 2010 Average Community Support 14.7% 63.2% Counseling 35.9% 75.4% Diagnosis / Assessment 58.2% 72.2% Emergency 2.2% 4.9% Medication / Somatic 14.3% 41.1% Partial Hospitalization.2% 10.1% Residential Vocational / Employment.1%.0%.0%.0% SED Non-SED Other.9%.0%.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 55
56 Mental Health Services Received By SMD Status of Consumers 18 to 64 Cuyahoga County, FY 2007 FY 2010 Average Community Support 32.2% 80.1% Counseling 22.3% 22.4% Diagnosis / Assessment 33.0% 40.9% Emergency 11.9% 16.6% Medication / Somatic 44.6% 83.9% Partial Hospitalization 2.2%.6% Residential 4.2%.7% SMD Non-SMD Vocational / Employment 2.4% 1.2% Other 4.4%.8%.0% 20.0% 40.0% 60.0% 80.0% 100.0% 56
57 Mental Health Services Received By SMD Status of Consumers 65 and Over Cuyahoga County, FY 2007 FY 2010 Average Community Support 41.3% 85.1% Counseling 5.1% 7.0% Diagnosis / Assessment 21.5% 28.0% Emergency 1.9% 11.9% Medication / Somatic 49.4% 48.3% Partial Hospitalization.8%.1% Residential Vocational / Employment 1.1%.2%.2%.3% SMD Non-SMD Other 2.5% 1.0%.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 57
58 Demographic Profile of Cuyahoga County AOD Consumers
59 Alcohol / Drug Consumers by Age FY 2007 to FY 2010 Average , , , ,000 2,000 3,000 4,000 5,000 59
60 Alcohol / Drug Consumers by Gender FY 2007 to FY 2010 Average All Ages 41.2% 58.8% Under % 73.2% 18 to % 57.4% Male Female 65 and Over 32.9% 67.1% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 60
61 Alcohol / Drug Consumers by Race and Ethnicity FY 2007 to FY 2010 Average White African American Other/ Multiple Unknown Hispanic (Any Race) All Ages 1.4% 4.6% 8.4% 41.2% 52.8% Under % 3.8% 8.3% 32.3% 60.6% 18 to % 4.7% 8.4% 42.1% 52.0% 65 and Over 0.0% 4.5% 3.7% 28.9% 66.7% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 61
62 AOD Consumer Substance Characteristics
63 AOD Consumers by Major Substances Used Cuyahoga County, FY 2007 FY ,000 5,000 4,976 4,997 4,633 4,000 3,000 3,929 3,273 4,197 3,084 4,107 2,641 Alcohol Cannabis Cocaine 2,000 1,124 1,293 1,478 Opiates 1,
64 AOD Consumers by Substance Behavior Cuyahoga County, FY 2007 FY % 41.0% 44.9% 42.1% 40.0% 30.4% 32.2% 33.1% Alcohol Only 30.0% Other Drug Only 20.0% 20.2% 17.2% 19.2% Alcohol and Other Drug Substance Unspecified 10.0% 8.4% 5.7% 5.6%.0%
65 AOD Consumers by Substance Behavior Cuyahoga County, FY 2007 FY % 41.0% 44.9% 42.1% 40.0% 30.4% 32.2% 33.1% Alcohol Only 30.0% Other Drug Only 20.0% 20.2% 17.2% 19.2% Alcohol and Other Drug Substance Unspecified 10.0% 8.4% 5.7% 5.6%.0%
66 Substance Behavior by Age of Consumer Cuyahoga County, FY 2007 FY 2009 Average Alcohol Only 1.8% 6.9% 22.7% Other Drug Only 11.6% 30.1% 53.5% Alcohol and Other Drug 25.8% 32.4% 43.7% Substance Unspecified 12.4% 19.3% 39.9%.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 66
67 Substance Behavior by Gender of Consumer Cuyahoga County, FY 2007 FY 2009 Average Alcohol Only Other Drug Only 7.0% 6.0% 31.4% 32.6% Male Female Alcohol and Other Drug 40.1% 44.5% Substance Unspecified 3.6% 6.5%.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% 50.0% 67
68 Substance Behavior by Consumer Race and Ethnicity Cuyahoga County, FY 2007 FY 2009 Average White African American Other or Multiple Race Unknown Race Hispanic (Any Race) Alcohol Only 8.6% 5.0% 6.0% 6.6% 6.0% Other Drug Only 27.4% 29.4% 33.6% 35.1% 33.6% Alcohol and Other Drug 36.9% 42.0% 43.6% 42.4% 47.3% Substance Unspecified 19.9% 17.8% 19.3% 21.4% 18.1% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% 50.0% 68
69 Alcohol / Drug Addiction Services Received
70 Alcohol/Drug Services Received by Age of Consumer Cuyahoga County, FY 2007 FY 2010 Average Assessment Case Mangement Counseling Crisis Detoxification Intensive Outpatient Lab MARP Medical / Somatic Methadone Residential 5.5% 1.1%.4%.0% 2.8% 10.4% 12.6%.1%.0% 8.8% 6.7% 8.3%.0% 8.0%.6% 6.1% 12.2% 23.0% 24.0% 34.5% 33.6% 29.7% 35.8% 44.7% 49.4% 45.9% 46.2% 56.8% 60.2% 72.4% 66.8% 78.0% 69.9% % 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 70
71 Alcohol/Drug Services Received By Consumer s Substance Behavior Cuyahoga County, FY 2007 FY 2010 Average Assessment Case Mangement Counseling Crisis Detoxification Intensive Outpatient Lab MARP Medical / Somatic Methadone Residential.7% 1.4% 1.5% 2.1% 11.5% 11.6% 10.2% 3.0% 8.7%.2% 1.6%.8%.0% 1.1% 5.3% 2.7%.5% 4.1%.8% 7.4% 9.7% 2.4% 26.6% 21.4% 40.4% 47.4% 55.1% 58.4% 37.1% 43.3% 44.3% 48.0% 52.0% 32.8% 27.1% 27.9% 36.4% 43.0% 27.7% 30.2% 18.9% 61.8% Alcohol Only 72.7% Both Alc & Oth Drug 79.3% Other Drug Only Substance Unspecified 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% 71
72 Geographic Distribution of Persons in Need and Consumers
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82 Additional Research
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84 By the Numbers: Developing a Common Understanding for the Future of Behavioral Health Care. January, 2011 Prepared by: The Mental Health Advocacy Coalition and The Center for Community Solutions 84
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