Systems Performance Data Report Second Quarter Fiscal Year 2013 2014



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Bu e County Behavioral Health Systems Performance Data Report Second Quarter Fiscal Year 213 214 Contact Informa on: Sésha Zinn, Psy.D. Systems Performance Research and Evalua ons Manager Bu e County Behavioral Health (53)891 328 szinn@bu ecounty.net

List of Terms and Acronyms Used: AA Alcoholics Anonymous AB 19 California Assembly Bill 19 Used here in reference to an individual in post release community supervision or local parole who may benefit from the behavioral health services available in their county AOD Alcohol or Drug BCBH Bu e County Behavioral Health BCDBH Bu e County Department of Behavioral Health Consumer The Department s term for client CPD Chico Police Department CPS Child Protec ve Services CSU Crisis Stabiliza on Unit DV Domes c Violence FY Fiscal Year Grp Group HAP Hospital Alterna ve Program Hrs Hours Hspl Hospital IMD Ins tu on for Mental Disease LOS Length of Stay Meds Medica on MH Mental Health MHS Mental Health Services MHSA Mental Health Services Act Mins Minutes N = Refers to the total number of units (i.e., number of consumers) NA Narco cs Anonymous OOC Out of County PHF Psychiatric Health Facility QTR Quarter SNF Skilled Nursing Facility Svs Service TBS Therapeu c Behavioral Services TL Talk Line TTL Total Unk Unknown WIN Working Innova ons Network XFR Transfer # Number LPS Lanterman Petris Short

The following pages contain new data reflec ng Bu e County Department of Behavioral Health programs: Page 4 BCDBH PHF and Inpa ent Services Dashboard: These charts provide a breakdown of consumer counts and associated costs for BCDBH PHF and Inpa ent services from 7/1/213 9/3/213. Page 5 6 BCDBH Intensive Service U liza on by Quarter: The charts from both pages provide counts for youth and adult clients u lizing intensive services from the First Quarter FY 211/212 to the Fourth Quarter FY 212/213. These charts are grouped by quarter and year, displaying quarterly views for comparison of each fiscal year. Page 7 BCDBH Crisis Calls Dashboard: These charts display characteris cs of crisis calls received by the Crisis Hotline for the past 6 full weeks. The first represent the number of calls received each week, broken into youth and adult counts. The bo om three charts refer to characteris cs of calls by day of the week and me of the day. Page 8 1 Northern Valley Talk Line Quarterly Report: These charts display the cumula ve call volume, calls by me of day, calls by day of the week, reasons given for call, and the resources given/outcome of the call from 7/1/213 9/3/213.

BCDBH PHF and Inpatient Services: A list of totals relating to client counts and associated costs Date Range: 7/1/213 through 9/3/213 BCDBH Clients Who Received a PHF Service: Breakdown by Age Group and Gender 6 Total Cost of PHF Services Provided: Breakdown by Age Group and Gender 6K Client Count by Gender 5 4 3 2 1 26 18 16 26 26 15 1 2 1 18-29 3-49 5-64 65-74 75 and Above Age Range Male Female Service Cost Totals by Gender 5K 4K 3K 2K 1K K $172,27 $21,25 $377,545 $74,865 $169,855 $6,44 $6,375 $52,325 $25,76 18-29 3-49 5-64 Age Range 65-74 75 and Above Male Female Client Count: 131 Total Estimated Costs: $1,14,685 Before Medi-Cal and other revenue offsets Count of Inpatient BCDBH-Funded Days by Program Type Estimated Total Cost of BCDBH-Funded Days by Program Type 2.4K 4K 2.K 1.6K 35K 3K 25K Days 1.2K.8K.4K.K 417 Adult 1,126 In-County Residential, IMD, SNF OOC/PHF Service Data rpt Developed by Fiscal Analysis/Systems Performance Units on 4/3/212 2,95 Out-of-County Residential, IMD, SNF 98 Youth 2K 15K 1K 5K K $384,764 Adult Confidential Patient Information See California Welfare and Institutions Code Section 5328 $88,1 In-County Residential, IMD, SNF $291,159 Out-of-County Residential, IMD, SNF $8,71 Total Funded Days: 3,736 Total Estimated Costs: $844,626 Youth Before Medi-Cal and other revenue offsets 4

BCDBH Intensive Service Utilization for Youth Clients by Quarter from FY 21 through FY 213 Data Extraction Date: 1-21-213 BCDBH Youth Client Counts for Medication, Crisis, and CSU Services by Quarter BCDBH Youth Client Countss of Out of County Hospitalization (OOC) Readmits* by Quarter BCDBH Youth Client Counts of placements in Group Homes and Out of County Hospitalization (OOC) at Admission by Quarter BCDBH Youth Client Counts for Therapeutic Behavioral Services (TBS) and Hospital Alternative Program (HAP) by Quarter BCDBH Systems Performance Unit 5

BCDBH Intensive Service Utilization for Adult Clients by Quarter from FY 21 through FY 213 Data Extraction Date: 1-21-213 BCDBH Adult Client Counts for Mobile Crisis, PHF, CSU, and Out of County BCDBH Adult Client Counts of PHF, Out of County Hospitalization (OOC) Readmits*, Hospitalization (OOC) by Quarter and WIN by Quarter BCDBH Adult Client Counts of Residential Treatment and Institutes of Mental Disease (IMD)/Skilled Nursing Facilities (SNF) by Quarter BCDBH Adult Client Counts of Clients under temporary Lanterman Petris Short (LPS), or Murphy Conservatorship by Quarter BCDBH Systems Performance Unit 6

2 Data run date: 1/1/214 BCDBH Crisis Calls Dashboard Crisis Calls logged from Sunday 11/24/13 through Saturday 1/4/214 Number of Crisis Calls Received by Week for the past 6 full weeks Total # of Calls = 595 16 12 8 4 78 Youth 5 111 19 Youth 22 Youth 14 Adult 73 Adult 89 Adult 95 12 Youth 1 97 Youth 7 Youth 6 Adult 11 Adult 9 Adult 74 11/24/213 12/1/213 12/8/213 12/15/213 12/22/213 12/29/213 8 Count of Calls Received By Day of the Week (for 6 Weeks) Sun Mon Tue Wed Thu Fri Sat 63 117 73 118 89 76 59 2 4 6 8 1 12 Average Call Duration (mins) by Day Sun 12.1 Mon 1.7 Tue 1. Wed 8. Thu 9.1 Fri 9.9 Sat 9. 2 4 6 8 1 12 14 8 7 6 5 4 3 2 1 11 7 6 8 6 6 7 9 12:AM 1:AM Count of Crisis Calls Received By hour of the day (for 6 Weeks) 2:AM 3:AM 4:AM 5:AM 6:AM 7:AM 24 49 66 8:AM 9:AM 1:AM 11:AM 58 56 52 5 35 37 12:PM 1:PM 2:PM 3:PM 3 21 16 13 12 7 9 4:PM 5:PM 6:PM 7:PM 8:PM 9:PM 1:PM 11:PM BCDBH Crisis Call Dashboard Ver. 1.2 3/26/13 Systems Performance and Evaluation Unit. 7

Northern Valley Talk Line Quarterly Report ~ FY 13 14 Cumulative Call Volume July Sept 213 Total Recorded 2792 Call Averages & Time Gender New Frequent Total Hang Ups 49 Average calls per day 3 Female 55 123 178 Dropped 1 Average length of call (Mins) 14 Male 45 85 13 XFR to Crisis 1 Total Talk Time (Hrs) 662 No Answer 2 Waiting in Queue 759 1 28 38 Outreach 58 CPS reports Unk 374 Completed calls 2362 CPD called 12 Warm Line Call Volume FY 213 14 Q1 1 988 985 819 8 6 4 619 524 543 485 597 518 668 586 612 599 613 615 523 528 533 537 668 596 71 834 827 Received Completed Hang Ups 2 93 57 76 69 87 69 76 77 72 19 151 149 FY 12 13 Average: 63 received, 547 completed, 81 hang ups o July 213 Calls: 819 received, 71 completed, 19 hang ups o Aug 213 Calls: 988 received, 834 completed, 151 hang ups o Sept 213 Calls: 985 received, 827 completed, 149 hang ups 8

7 6 Calls by time of day/shift 636 6 562 5 447 4 38 3 2 167 1 4:3 5: 5: 6: 6: 7: 7: 8: 8: 9: 9: 9:3 Calls by day of the week 5 45 4 35 443 394 389 42 379 361 424 3 25 2 15 1 5 Monday Tuesday Wednesday Thursday Friday Saturday Sunday 9

Addiction, 31, % Outreach, 58, 1% Agorophobia, 4, % Schizophrenia, 51, 1% Depression, 12, 2% Fear/Anxiety, 176, Check 3% out TL, 19, 2% Grief, 81, 1% Reason(s) given for call Other, 87, 1% Hung up, 411, 7%No Answer, 17, % XFR, 4, % Health, 523, 8% Talk/Lonely, 2187, 35% Relationships, 153, 17% Vent, 1366, 22% Crisis, 3, % BCBH General, 5, % Iversen, 5, % Resources given/ Outcome of call AA/NA, 5, % BCBH AOD, 2, % Catalyst/DV, 2, % Other, 8, 2% Employment, 1, % Counseling, 4, % Hung up, Doctor, 6, % 442, 1% Self Care, 1666, 37% Reflective listening, 2284, 51% 1