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Welcome to the Data Driven Decision report, often referred to as the

D3

. This report reflects

data for the Fiscal year 2012/2013 and also includes a four year comparison of data starting

with Fiscal Year 2009/2010. The data in this report is generated from our Electronic Medical

Record system. It reflects services entered in the system, regardless of payer source.

(Medi-Cal, Uninsured clients, Medicare, etc...)

The function of this report is to provide different levels of aggregation to drive decision making.

This report is organized into four levels of aggregation. (Figure 1)

Figure 1

All Behavioral

Health Data

System of Care

Service Area

Program

Groups

This data is an aggregate of the entire

Behavioral Health Bureau

This section provides data for the Systems of

Care, such as AOD, Children

s,

Adult’s

, etc...,

which are an aggregate of services from the

Service Areas and program groups

Also known as Functional Groups, data

displayed in this section takes a closer look

at our type of service areas. Such as all

Access to Treatment, Adoption Preservation

etc.

Programs have been combined in to

Program Groups, such as Interim

Residential Services includes all Interim

programs such as Interim Soledad House,

Interim Bridge etc. This is a more

specific

(4)

All Behavioral Health Services Data Review ... 8

System of Care – Access to Treatment ... 12

System of Care – Children System of Care (CSOC) ... 14

System of Care – Adult System of Care (ASOC) ... 16

System of Care – Crisis, Hospital and TAR ... 18

System of Care – Alcohol and Other Drug Services (AOD) ... 20

Gateway Services/Access to Treatment (Service Area Data Review)

... 23

Service Area - Access to Treatment ... 24

Service Area - Services to Improve Employability... 26

Service Area - Clinic Integration ... 28

Services for Children (Service Area Data Review) ... 31

Service Area - Adoption Preservation

... 32

Service Area - Children’s Early Intervention Services ... 34

Service Area - Student Mental Health Services ... 36

Service Area - Children Involved with Social Services ... 38

Service Area - Children at Risk of Placement ... 40

Service Area - Children in Out of Home Placement ... 42

Service Area - Transition Age Youth (TAY) ... 44

Service Area - Juvenile Justice System ... 46

Services for Adults (Service Area Data Review)

... 49

Service Area - Adult Homeless Services ... 50

Service Area - Adult Mentally Ill Residential Placement ... 52

Service Area - Adults Involved Criminal Justice ... 54

Service Area - Adult System of Care (ASOC) ... 56

Service Area - Supportive Housing for Mentally Ill ... 58

Service Area - Dual Diagnosis Treatment ... 60

Crisis, Hospital and TAR (Service Area Data Review)

... 63

Service Area – Crisis ... 64

Service Area – Acute Services ... 66

Alcohol and Other Drug Services (Service Area Data Review)

... 69

Service Area - Alcohol and Drug Services – Outpatient ... 70

All Behavioral Health Services Data

Systems of Care

(5)

Program/Program group - Gateway/Access to Treatment Services –

... 75

Access Promotores... 76

Access to Treatment ... 78

CHS Family Counseling Center ... 80

CHS HIV/AIDS Community Partnership ... 82

The Village Project, Inc. ... 84

Access CALWORKS ... 86

Access MHSA Clinic Integration ... 88

Program/Program group - Services for Children

... 91

Kinship Adoption Preservation FSP ... 92

Kinship Center ... 94

CS MCSTART ... 96

CS School Readiness ... 98

DTH Families First and Foremost ... 100

DTH MCSTART ... 102

Access School Based Services ... 104

CS Education Related Services ... 106

Pajaro Vly Prevention + Student Assist ... 108

CS FAST Dependency Unit ... 110

CS Family Preservation ... 112

CS Family Reunification FSP ... 114

Aspira ... 116

CS Salinas Home Partners ... 118

CS TBS Coordination... 120

EMQ Families First TBS ... 122

Jana D Todd JDT Consults ... 124

CS Children's Residential Treatment ... 126

CS STOP ... 128

Crossroad Santa Cruz Community ... 130

CS MHSA TIP AVANZA FSP ... 132

CS Transitional Aged Youth ... 134

CS JJ CALA MH Court FSP ... 136

CS JJ CALA MH Court SD ... 138

CS JJ Esperanza ... 140

CS JJ JSORT ... 142

CS JJ Re-Entry Youth Center ... 144

(6)

CS JJ SAMHSA MHSA ... 146

CS JJ Silver Star Resource ... 148

CS JJ Youth Center ... 150

CS JJ Youth Center DJJ2 ... 152

CS JJ Youth Diversion Seaside ... 154

CS JJ YouthBuild ... 156

Peacock Acres, Inc. ... 158

Rancho Cielo, Inc. ... 160

Program/Program group – Services for Adults

... 163

AS MCHOME 2034 Grant ... 164

7th Avenue Center, LLC ... 166

Adult System of Care (ASOC) ... 168

Beverly Living Centers ... 170

California Psychiatric Transitions ... 172

Country Villa Merced Behavioral Health ... 174

Crestwood Behavioral Health ... 176

Drake House/Front Street Inc ... 178

Metropolitan State Hospital ... 180

NAPA Board and Care ... 182

Psynergy Programs, Inc., Cielo Vista ... 184

AS Creating New Choices FSP ... 186

AS Older Adult FSP ... 188

Interim Manzanita House ... 190

Interim MHSA Lupine Garden FSP ... 192

Interim Residential Services ... 194

Interim Sunflower Garden ... 196

DTH Co-occurring Disorder FSP... 198

DTH Co-occurring Disorder SD ... 200

DTH Santa Lucia ... 202

Door to Hope Nueva Esperanza ... 204

Interim Bridge House ... 206

Interim Co-occurring Integrated Care ... 208

Program/Program group – Crisis, Hospital and TAR

... 211

Crisis Team ... 212

CS CHERISH ... 214

(7)

NMC Inpatient Psychiatric Unit ... 220

TAR ... 222

Program/Program Group - Alcohol and Drug Services

... 225

ZADP BH Criminal Justice ... 226

ZADP BH Drug Court ... 228

ZADP BH SA/HIV (old OFR) DSES ... 230

ZADP CHS Methadone Clinic ... 232

ZADP Door to Hope Outpatient ... 234

ZADP Sun Street Outpatient ... 236

ZADP Valley Health Methadone... 238

ZADP Valley Health Narcotic ... 240

ZADP Door to Hope Residential ... 242

ZADP Genesis Perinatal - Residential ... 244

ZADP Genesis Residential ... 246

ZADP Sun Street Center Pueblo del Mar ... 248

ZADP Sun Street Residential ... 250

Data Descriptions ... 252

Programs Contributing to Functional Service Groups ... 256

(8)

Service Area - Monterey County Behavioral Health System of Care 1

Monterey County Behavioral Health System of Care provides services to all age groups. As a safety new provider, Monterey County Behavioral Health strives to align the services we provide with the needs of the general Medi-cal population. We strive to provide community based services that equitably engage our community members.

Number of Clients Discharged: 3,059

Number of New Clients: 2,636

Average Age: 28

Average Service Value per Client: $7,234.83

Total Service Value: $52,676,770.03

Number of Clients Served: 7,281

Gender 54% MALE 46% Female 0% Language of Preference 78% English 21% Spanish 1% Other 39%

Treatment Goals Reached/Partially Reached

7%

Transferred To Another Treatment Facility

54%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served Diagnosis Type % of Clients with this

type of diagnosis 16% Depressive Disorders 15% Psychotic 14%

Bipolar / Mood Disorders

13%

Substance Related Disorders

10% Anxiety Disorders Of the clients served, 38 % had a substance use diagnosis. Of the Clients assessed* 68% are victims of trauma.

*3,849 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 19,198 7% 60% Collateral 8,707 3% 19% Crisis Intervention 1,947 1% 14% Group Counseling 35,492 8% 21% Linkage/Brokerage 73,493 15% 69% Medication Support 18,037 3% 29%

Mental Health Counseling 74,530 51% 52%

Methadone Treatment 57,151 1% 2%

Other 23,789 10% 47%

(9)

39% : of clients demonstrated symptoms of anxiety

37% : of the clients assessed needed treatment for depression 36% : of the clients assessed neeeded treatment for family problems

26% : of the clients assessed need support around making friends or developing relationships with peers 24% : of the clients assessed need support relating to interpersonal problems including social isolation 24% : of the clients assessed have needs relating to developing positive recreational activities 23% : of clients demonstrated an inability to identify and manage their anger when frustrated 23% : of the clients assessed presented with needs relating to impulsivity and hyperactivity 21% : of the individuals assessed have challenges relating to sleep

17% : of the individuals assessed have legal problems

Health Equities 0 400 800 1,200 1,600 2,000 2,400 1-5 6-15 16-25 26-50 51-100 101+ 861 642 290 474 400 558 1,194 949 465 589 409 450 2,055 1,591 755 1,063 809 1,008 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 49 33 7 5 6 56 27 5 4 9 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0M 4M 8M 12M 16M 20M 24M 0 1000 2000 3000 4000 5000 6000 7000 8000 17,711,578 16,450,672 17,204,952 22,318,266 7,840 7,784 7,022 7,281 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

24 11 6 47 12 23 11 6 48 12 22 11 6 48 12 22 11 5 49 14

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(10)
(11)

Systems of Care

Access to Treatment

Children System of Care (CSOC)

Adult System of Care (ASOC)

Crisis, Hospital and Other

(12)

System of Care - Access to Treatment 1

Access to Treatment programs are primary entry point for eligible county residents of Monterey County seeking mental healthservices. After an initial assessment, treatment services are typically provided in group settings and/or individual counseling sessionsthat focus on skill-building and support. In addition, specialty counseling services for LGBTQ, HIV/AIDS, and persons with cultural/linguistic needs, are provided by Behavioral Health and/or our community partners.

Number of Clients Discharged: 1,310

Number of New Clients: 1,200

Average Age: 27

Average Service Value per Client: $1,433.54

Total Service Value: $2,723,731.26

Number of Clients Served: 1,900

Gender 43% MALE 57% Female 0% Language of Preference 66% English 34% Spanish 1% Other 41%

Treatment Goals Reached/Partially Reached

13%

Transferred To Another Treatment Facility

46%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served Diagnosis Type % of Clients with this

type of diagnosis 25% Depressive Disorders 22% Adjustment Disorders 17% Anxiety Disorders 12%

Bipolar / Mood Disorders

7%

Disruptive Behavior Disorder

Of the clients served, 19 % had a substance use diagnosis. Of the Clients assessed* 70% are victims of trauma.

*1,272 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 2,824 39% 72% Collateral 175 1% 4% Crisis Intervention 12 0% 0% Group Counseling 1,324 9% 12% Linkage/Brokerage 3,882 17% 73% Medication Support 849 4% 9%

Mental Health Counseling 3,271 26% 34%

Other 1,439 4% 35%

(13)

45% : of the clients assessed needed treatment for depression 45% : of clients demonstrated symptoms of anxiety

34% : of the individuals assessed have challenges relating to sleep 30% : of the clients assessed neeeded treatment for family problems

24% : of the clients assessed need support relating to interpersonal problems including social isolation 22% : of the clients assessed have needs relating to developing positive recreational activities

20% : of the clients assessed need support around making friends or developing relationships with peers 19% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

19% : of clients demonstrated an inability to identify and manage their anger when frustrated 13% : of the clients assessed have needs relating to medical problems

Health Equities 0 200 400 600 800 1,000 1,200 1-05 6-15 16-25 26-50 51-100 101+ 403 222 36 24 4 1 659 431 88 21 10 1 1,062 653 124 45 14 2 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 60 21 4 3 12 64 17 4 2 14 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.2M 0.4M 0.6M 0.8M 1.0M 0 400 800 1200 1600 2000 2400 672,412 778,500 664,936 836,895 1,946 2,294 1,679 1,900 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 60 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

28 10 1 52 9 23 10 1 55 11 17 11 1 52 19 16 8 1 54 21

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(14)

System of Care - Adult System of Care (ASOC) 3

Monterey County Behavioral Health staff collaborates with local agencies to provide a range of services to adults ages 18 years and older with serious and persistent mental illness. The overarching goal is to help consumers establish and/or maintain independence, self-sufficiency and recovery through the provision of integrated health care services that includespsychiatric, mental health, physical health and case management services. These services are provided at locations in three (3)regional clinics (Monterey Peninsula, Salinas, and Soledad/King City). The primary goal is to maintain clients in the least restrictive environment to enhance quality of life.

Number of Clients Discharged: 143

Number of New Clients: 140

Average Age: 45

Average Service Value per Client: $12,168.78

Total Service Value: $18,764,262.52

Number of Clients Served: 1,542

Gender 51% MALE 49% Female Language of Preference 88% English 10% Spanish Other2% 17%

Treatment Goals Reached/Partially Reached

4%

Transferred To Another Treatment Facility

80%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served Diagnosis Type % of Clients with this

type of diagnosis

58%

Psychotic

33%

Bipolar / Mood Disorders

5% Depressive Disorders 1% Anxiety Disorders 1% OTHER Of the clients served, 45 % had a substance use diagnosis. Of the Clients assessed* 65% are victims of trauma.

*1,093 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 3,113 2% 65% Collateral 1,230 0% 19% Crisis Intervention 530 0% 8% Group Counseling 12,238 4% 28% Linkage/Brokerage 29,107 12% 90% Medication Support 12,887 4% 89%

Mental Health Counseling 39,730 74% 69%

Other 6,596 4% 70%

Residence Bed Day 23,503 0% 15%

(15)

47% : of the clients assessed needed treatment for depression 47% : of clients demonstrated symptoms of anxiety

40% : of the clients assessed have a need for the treatment of psychosis

35% : of the clients assessed need support relating to interpersonal problems including social isolation 33% : of the clients assessed neeeded treatment for family problems

32% : of the clients assessed have needs relating to developing positive recreational activities

28% : of the clients assessed need support around making friends or developing relationships with peers

26% : of the individuals assessed have a need to develop the skills necessary to live independently in the community 26% : of the individuals assessed need treatment relating to self-mutilation

25% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

Health Equities 0 50 100 150 200 250 300 350 400 1-05 6-15 16-25 26-50 51-100 101+ 49 93 71 113 89 86 96 178 104 219 173 271 145 271 175 332 262 357 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 30 49 9 8 3 32 46 8 9 5 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0M 2M 4M 6M 8M 10M 12M 0 200 400 600 800 1000 1200 1400 1600 1800 7,758,883 6,519,524 7,323,997 11,512,112 1,673 1,579 1,546 1,542 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 5 10 15 20 25 30 35 40 45 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

31 7 7 39 16 33 7 7 41 13 33 8 7 43 9 35 8 6 42 9

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(16)

System of Care - Children System of Care (CSOC) 5

County Behavioral Health staff provides services designed to strengthen families with children with serious mental health needs, ranging from assessment, individual, group and family treatment, and psychiatry services. Supportive services are also offered to parents/caregivers of children and youth ages 0 through 25 to better understand their child’s mental health condition, which promotes optimal mental health treatment outcomes.

Number of Clients Discharged: 842

Number of New Clients: 891

Average Age: 11

Average Service Value per Client: $8,687.31

Total Service Value: $21,283,909.25

Number of Clients Served: 2,450

Gender 64% MALE 36% Female 0% Language of Preference 74% English 26% Spanish 1% Other 32%

Treatment Goals Reached/Partially Reached

2%

Transferred To Another Treatment Facility

65%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served Diagnosis Type % of Clients with this

type of diagnosis

25%

Infancy / Childhood / Adolescent

21%

Disruptive Behavior Disorder

16% Anxiety Disorders 13% Depressive Disorders 11% Adjustment Disorders Of the clients served, 23 % had a substance use diagnosis. Of the Clients assessed* 69% are victims of trauma.

*1,738 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 12,869 14% 77% Collateral 7,055 7% 41% Crisis Intervention 23 0% 0% Group Counseling 13,307 10% 21% Linkage/Brokerage 36,933 24% 87% Medication Support 4,199 2% 24%

Mental Health Counseling 29,019 36% 72%

Other 10,497 7% 53%

Residence Bed Day 632 0% 0%

(17)

43% : of the clients assessed neeeded treatment for family problems 30% : of clients demonstrated symptoms of anxiety

30% : of clients demonstrated an inability to identify and manage their anger when frustrated

30% : of the clients assessed need support around making friends or developing relationships with peers 27% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

26% : of the individuals assessed have legal problems

26% : of the clients assessed have a need for treatment relating to oppositional defiant behaviors 25% : of the clients assessed needed treatment for depression

21% : of the clients assessed have needs relating to developing positive recreational activities 20% : of the individuals assessed have a need for treatment relating to school achievement

Health Equities 0 100 200 300 400 500 600 1-05 6-15 16-25 26-50 51-100 101+ 105 128 87 167 148 95 293 345 269 391 240 182 398 473 356 558 388 277 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 65 19 5 2 9 70 14 5 2 9 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0M 1M 2M 3M 4M 5M 6M 7M 8M 0 400 800 1200 1600 2000 2400 2800 7,301,382 7,201,372 6,932,659 7,177,636 2,446 2,306 2,292 2,450 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

21 13 5 44 17 19 13 5 46 16 21 14 4 47 14 20 13 4 47 16

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(18)

System of Care - Crisis Hospital and TAR 9

Crisis intervention services are provided by a team of County Behavioral Health staff who intervene in situations where an individual's mental or emotional condition results in behavior that may pose an imminent danger to him/herself or to another. Psychiatric inpatient treatment in a hospital setting is provided to individuals who are gravely disabled or likely to do serious harm. Short-term crisis residential services, an alternative to hospitalization, is available for individuals age 18 and above who are experiencing an acute psychiatric episode or crisis, and who do not meet the criteria for acute psychiatric inpatient care. This service is provided by a local agency. State hospitals provide mental health services for individuals on a forensic commitment, as well as for individuals who are under conservatorship and require a secure treatment setting. These facilities also provide specialized rehabilitation, education, and psychiatric services for individuals committed under the legal classification Incompetent to Stand Trial .

Number of Clients Discharged: 1,070

Number of New Clients: 847

Average Age: 35

Average Service Value per Client: $3,680.87

Total Service Value: $4,601,083.88

Number of Clients Served: 1,250

Gender 49% MALE 51% Female 0% Language of Preference 83% English 15% Spanish 2% Other 87%

Treatment Goals Reached/Partially Reached

3%

Transferred To Another Treatment Facility

11%

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served Diagnosis Type % of Clients with this

type of diagnosis 33% Depressive Disorders 27% Psychotic 23%

Bipolar / Mood Disorders

6% Adjustment Disorders 4% Anxiety Disorders Of the clients served, 49 % had a substance use diagnosis. Of the Clients assessed* 71% are victims of trauma.

*421 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 84 1% 2% Collateral 84 0% 1% Crisis Intervention 1,382 15% 77% Group Counseling 4 0% 0% Linkage/Brokerage 492 2% 3% Medication Support 102 1% 2%

Mental Health Counseling 464 2% 5%

Other 5,226 79% 56%

Residence Bed Day 1,633 0% 22%

(19)

60% : of the clients assessed needed treatment for depression 51% : of clients demonstrated symptoms of anxiety

42% : of the clients assessed neeeded treatment for family problems

41% : of the clients assessed need support relating to interpersonal problems including social isolation 39% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

35% : of the clients assessed have a need for the treatment of psychosis

35% : of the clients assessed have needs relating to developing positive recreational activities 34% : of clients demonstrated an inability to identify and manage their anger when frustrated

34% : of the clients assessed need support around making friends or developing relationships with peers 30% : of the individuals assessed have challenges relating to sleep

Health Equities 0 100 200 300 400 500 600 700 800 900 1-05 6-15 16-25 26-50 51-100 101+ 399 186 28 21 13 1 402 130 29 27 11 3 801 316 57 48 24 4 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 48 37 8 5 3 48 37 5 4 5 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.2M 0.4M 0.6M 0.8M 1.0M 1.2M 1.4M 1.6M 0 200 400 600 800 1000 1200 1400 495,111 761,690 1,167,878 1,546,614 1,292 1,262 1,266 1,250 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 60 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

18 10 11 52 9 16 11 12 53 9 15 11 14 51 8 15 11 13 50 10

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(20)

System of Care - Alcohol and Drug Services (AOD) 2

Services consist of intensive structured recovery support for Monterey County residents age 18 years and above with a primary addiction to alcohol/other drugs. Intravenous drug users and HIV+ clients receive priority admission. Narcotic maintenance services are available to Medi-Cal eligible adults with a primary addiction to heroin or other opiates to stabilize and decrease their addiction. These services are provided by local agencies.

Number of Clients Discharged: 582

Number of New Clients: 446

Average Age: 33

Average Service Value per Client: $4,677.06

Total Service Value: $5,303,783.12

Number of Clients Served: 1,134

Gender 58% MALE 41% Female 1% Language of Preference 93% English 7% Spanish 0% Other 40%

Treatment Goals Reached/Partially Reached

9%

Transferred To Another Treatment Facility

51%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served Diagnosis Type % of Clients with this

type of diagnosis

82%

Substance Related Disorders

3%

Infancy / Childhood / Adolescent

1% Anxiety Disorders 0% OTHER 0% Adjustment Disorders Of the clients served, 76 % had a substance use diagnosis. Of the Clients assessed* 75% are victims of trauma.

*178 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 308 3% 21% Collateral 163 1% 2% Group Counseling 8,619 45% 36% Linkage/Brokerage 3,079 11% 29%

Mental Health Counseling 2,046 10% 31%

Methadone Treatment 57,151 26% 18%

Other 31 0% 1%

Residence Bed Day 42,399 3% 37%

(21)

58% : of the clients assessed neeeded treatment for family problems

55% : of the clients assessed have a need for treatment for substance abuse disorders 50% : of clients demonstrated symptoms of anxiety

50% : of the clients assessed need support relating to interpersonal problems including social isolation 47% : of the individuals assessed have legal problems

45% : of the clients assessed have needs relating to developing positive recreational activities 44% : of the clients assessed needed treatment for depression

41% : of the clients assessed need support around making friends or developing relationships with peers 34% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

32% : of the individuals assessed need support to maintain their substance abuse recovery goals

Health Equities 0 50 100 150 200 250 300 350 1-05 6-15 16-25 26-50 51-100 101+ 106 95 44 63 68 165 109 91 60 78 79 176 215 186 104 141 147 341 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 44 40 7 4 5 48 37 6 3 6 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.2M 0.4M 0.6M 0.8M 1.0M 1.2M 1.4M 1.6M 0 200 400 600 800 1000 1200 1400 1600 1,483,790 1,189,586 1,115,482 1,245,009 1,531 1,260 1,124 1,134 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 60 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

24 11 9 47 9 25 10 10 48 8 28 10 8 48 6 26 10 7 51 7

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(22)
(23)

Gateway Services/Access to Treatment (Service Area Data Review)

Access to Treatment

Services to Improve Employability

(24)

Service Area - Access to Treatment 1

Access to Treatment programs are primary entry point for eligible county residents of Monterey County seeking mental healthservices. After an initial assessment, treatment services are typically provided in group settings and/or individual counseling sessionsthat focus on skill-building and support. In addition, specialty counseling services for LGBTQ, HIV/AIDS, and persons with cultural/linguistic needs, are provided by Behavioral Health and/or our community partners.

Number of Clients Discharged: 1,169

Number of New Clients: 1,118

Average Age: 26

Average Service Value per Client: $1,344.12

Total Service Value: $2,248,706.18

Number of Clients Served: 1,673

Gender 46% MALE 54% Female 0% Language of Preference 66% English 33% Spanish 1% Other 40%

Treatment Goals Reached/Partially Reached

15%

Transferred To Another Treatment Facility

45%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis 24% Depressive Disorders 22% Adjustment Disorders 16% Anxiety Disorders 12%

Bipolar / Mood Disorders

8%

Disruptive Behavior Disorder

Of the clients served, 18 % had a substance use diagnosis. Of the Clients assessed* 69% are victims of trauma.

*1,162 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 2,351 39% 72% Collateral 175 1% 5% Crisis Intervention 10 0% 0% Group Counseling 782 7% 8% Linkage/Brokerage 3,112 17% 70% Medication Support 738 5% 9%

Mental Health Counseling 2,966 28% 36%

Other 1,117 4% 31%

(25)

44% : of clients demonstrated symptoms of anxiety

44% : of the clients assessed needed treatment for depression 33% : of the individuals assessed have challenges relating to sleep 31% : of the clients assessed neeeded treatment for family problems

25% : of the clients assessed need support relating to interpersonal problems including social isolation 22% : of the clients assessed have needs relating to developing positive recreational activities

21% : of the clients assessed need support around making friends or developing relationships with peers 20% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

20% : of clients demonstrated an inability to identify and manage their anger when frustrated 13% : of the clients assessed have a need for treatment for substance abuse disorders

Health Equities 0 200 400 600 800 1,000 1-05 6-15 16-25 26-50 51-100 101+ 378 199 25 18 4 1 597 366 65 15 4 1 975 565 90 33 8 2 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 58 21 4 3 14 63 18 4 2 14 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.1M 0.2M 0.3M 0.4M 0.5M 0.6M 0.7M 0 200 400 600 800 1000 1200 1400 1600 1800 441,365 493,725 550,844 699,983 1,310 1,415 1,410 1,673 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 60 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

28 11 2 51 9 22 11 1 53 12 16 12 1 52 19 17 9 1 53 20

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(26)

Service Area - Services to Improve Employability 37

County Behavioral Health staff assists families who receive California Work Opportunity and Responsibility for Kids (CalWORKs) benefits to address behavioral health issues that interfere with their ability to work or participate in Welfare-To-Work activities. The State Department of Rehabilitation, County Behavioral Health and a local service provider combine staff and resources to provide vocational rehabilitation services to consumers with mental health disabilities by providing a comprehensive continuum of services to assist individuals in obtaining and maintaining competitive employment. A local service provider assists adults with psychiatric disabilities and transition age youth age 18 through 25 who have mental health disorders to be successful in the educational environment of their choice.

Number of Clients Discharged: 186

Number of New Clients: 154

Average Age: 31

Average Service Value per Client: $1,718.61

Total Service Value: $403,872.30

Number of Clients Served: 235

Gender 23% MALE 77% Female Language of Preference 84% English 15% Spanish Other0% 49%

Treatment Goals Reached/Partially Reached

5%

Transferred To Another Treatment Facility

46%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis 28% Depressive Disorders 27% Adjustment Disorders 24% Anxiety Disorders 15%

Bipolar / Mood Disorders

2%

Disruptive Behavior Disorder

Of the clients served, 23 % had a substance use diagnosis. Of the Clients assessed* 86% are victims of trauma.

*169 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 399 41% 77% Crisis Intervention 1 0% 0% Group Counseling 322 16% 19% Linkage/Brokerage 654 19% 75% Medication Support 108 4% 10%

Mental Health Counseling 303 18% 20%

Other 213 3% 38%

(27)

63% : of the clients assessed needed treatment for depression 56% : of the individuals assessed have challenges relating to sleep 51% : of clients demonstrated symptoms of anxiety

29% : of the clients assessed neeeded treatment for family problems 17% : of the clients assessed needed treatment for an eating disturbance

15% : of the clients assessed need support relating to interpersonal problems including social isolation 13% : of the clients assessed have needs relating to developing positive recreational activities

11% : of the clients assessed need support around making friends or developing relationships with peers 10% : of the clients assessed have needs relating to medical problems

9% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

Health Equities 0 20 40 60 80 100 120 140 1-05 6-15 16-25 26-50 51-100 46 22 11 5 91 40 10 4 6 137 62 21 9 6 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 61 25 4 3 7 64 17 3 2 14 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.00M 0.02M 0.04M 0.06M 0.08M 0.10M 0.12M 0.14M 0.16M 0.18M 0 50 100 150 200 250 300 350 400 450 155,932 171,031 93,885 115,333 399 444 268 235 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 60 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

27 9 0 49 15 23 9 1 48 18 16 9 0 50 24 9 8 1 54 28

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(28)

Service Area - Clinic Integration 8

County Behavioral Health staff provides mental health assessments , individual treatment, and group treatment services in primary care clinics for patients referred by their physician.

Number of Clients Discharged: 46

Number of New Clients: 39

Average Age: 49

Average Service Value per Client: $1,151.41

Total Service Value: $71,387.68

Number of Clients Served: 62

Gender 16% MALE 84% Female Language of Preference 2% English 98% Spanish 46%

Treatment Goals Reached/Partially Reached

54%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis 61% Depressive Disorders 24% Anxiety Disorders 6% Adjustment Disorders 2%

Bipolar / Mood Disorders

Of the clients served,0 % had a substance use diagnosis. Of the Clients assessed* 63% are victims of trauma.

*41 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 74 29% 58% Crisis Intervention 1 0% 1% Group Counseling 221 50% 62% Linkage/Brokerage 116 12% 79% Medication Support 3 1% 1%

Mental Health Counseling 2 1% 1%

Other 109 8% 70%

(29)

71% : of the clients assessed needed treatment for depression 68% : of clients demonstrated symptoms of anxiety

42% : of the clients assessed need support because language acts as a barrier to accessing services 37% : of the clients assessed have needs relating to medical problems

34% : of the individuals assessed have challenges relating to sleep 31% : of the clients assessed have needs relating to physical disability

25% : of the clients assessed have needs relating to developing positive recreational activities 5% : of the clients assessed indicated a need relating to cultural difficulties

5% : of the clients assessed neeeded treatment for family problems

2% : of clients demonstrated an inability to identify and manage their anger when frustrated

Health Equities 0 4 8 12 16 20 24 28 1-05 6-15 16-25 1 25 25 11 26 25 11 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 100 0 98 2

Hispanic / Latino Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.00M 0.02M 0.04M 0.06M 0.08M 0.10M 0.12M 0 100 200 300 400 500 600 700 72,775 113,744 20,332 21,669 346 610 56 62 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 20 40 60 80 100 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

31 7 1 60 1 23 8 1 66 3 13 4 2 79 4 6 5 2 84 3

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(30)
(31)

Services for Children (Service Area Data Review)

Adoption Preservation

Children's Early Intervention Services

Student Mental Health Services

Children Involved with Social Services

Children at Risk of Placement

Children in Out of Home Placement

Transition Age Youth (TAY)

(32)

Service Area - Adoption Preservation 22

Adoption Preservation services are designed to improve the child’s overall functioning , support the child’s parent/caregiver, reduce parental stress, and improve the family’s well-being. Kinship Center a local agency, provides mental health, case management, and psychiatry services to children and their families.

Number of Clients Discharged: 65

Number of New Clients: 45

Average Age: 8

Average Service Value per Client: $7,621.99

Total Service Value: $1,173,785.94

Number of Clients Served: 154

Gender 53% MALE 47% Female Language of Preference 76% English 24% Spanish 19%

Treatment Goals Reached/Partially Reached

1%

Transferred To Another Treatment Facility

80%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis

41%

Anxiety Disorders

19%

Infancy / Childhood / Adolescent

17%

Disruptive Behavior Disorder

6% Adjustment Disorders 6% Depressive Disorders Of the clients served,0 % had a substance use diagnosis. Of the Clients assessed* 79% are victims of trauma.

*34 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 1,447 21% 87% Collateral 922 13% 74% Group Counseling 623 7% 22% Linkage/Brokerage 879 8% 86% Medication Support 144 2% 18%

Mental Health Counseling 2,589 50% 85%

(33)

55% : of the clients assessed presented with needs relating to impulsivity and hyperactivity 37% : of clients demonstrated symptoms of anxiety

37% : of the clients assessed neeeded treatment for family problems

37% : of the clients assessed have a need for treatment relating to school behavior

29% : of the clients assessed have a need for treatment relating to oppositional defiant behaviors 25% : of clients demonstrated an inability to identify and manage their anger when frustrated

25% : of the clients assessed need support around making friends or developing relationships with peers 22% : of the individuals assessed have a need for treatment relating to school achievement

14% : of the clients assessed needed treatment for depression

14% : of the clients assessed need support relating to interpersonal problems including social isolation

Health Equities 0 5 10 15 20 25 30 35 40 1-05 6-15 16-25 26-50 51-100 101+ 10 9 10 11 18 4 11 11 17 22 22 9 21 20 27 33 40 13 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 58 29 4 4 4 60 22 6 6 5 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.1M 0.2M 0.3M 0.4M 0.5M 0.6M 0 20 40 60 80 100 120 140 160 180 565,431 453,895 498,914 448,908 155 137 169 154 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 60 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

19 14 3 48 17 18 15 4 46 17 20 15 4 50 11 17 14 4 53 12

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(34)

Service Area - Children's Early Intervention Services 5

County Behavioral Health staff provides developmental and mental health assessments , therapy and case

management to children age 0-8 and their families. Children ages 0-5 who have been prenatally exposed to alcohol or other drugs, or who are at high risk for developmental problems due to chronic neglect or exposure to violence, receive a comprehensive array of services which are provided by Behavioral Health staff in collaboration with several local agencies.

Number of Clients Discharged: 227

Number of New Clients: 280

Average Age: 3

Average Service Value per Client: $5,532.13

Total Service Value: $3,584,820.74

Number of Clients Served: 648

Gender 57% MALE 43% Female Language of Preference 70% English 30% Spanish 0% Other 34%

Treatment Goals Reached/Partially Reached

1%

Transferred To Another Treatment Facility

65%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis

80%

Infancy / Childhood / Adolescent

7%

Anxiety Disorders

6%

Disruptive Behavior Disorder

3% Adjustment Disorders 3% OTHER Of the clients served,0 % had a substance use diagnosis. Of the Clients assessed* 70% are victims of trauma.

*430 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 2,551 20% 74% Collateral 1,262 7% 27% Crisis Intervention 3 0% 0% Group Counseling 112 1% 3% Linkage/Brokerage 7,010 29% 90% Medication Support 1,032 6% 49%

Mental Health Counseling 4,076 37% 56%

Other 215 0% 13%

(35)

37% : of the clients assessed neeeded treatment for family problems 23% : of clients demonstrated symptoms of anxiety

21% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

12% : of the clients assessed need support around making friends or developing relationships with peers 12% : of clients demonstrated an inability to identify and manage their anger when frustrated

12% : of the individuals assessed have challenges relating to their living situation 10% : of the clients assessed have a need for treatment relating to school behavior 10% : of the individuals assessed have challenges relating to sleep

9% : of the individuals assessed have a need for treatment relating to school achievement

9% : of the clients assessed need support relating to interpersonal problems including social isolation

Health Equities 0 40 80 120 160 200 1-05 6-15 16-25 26-50 51-100 101+ 44 35 18 34 25 4 122 149 81 73 46 17 166 184 99 107 71 21 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 73 12 6 2 7 75 12 4 2 7 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.2M 0.4M 0.6M 0.8M 1.0M 1.2M 1.4M 0 100 200 300 400 500 600 700 964,844 993,674 1,057,517 1,200,334 488 504 542 648 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 60 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

24 10 5 46 15 20 11 3 51 14 20 12 3 49 16 18 9 3 53 17

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(36)

Service Area - Student Mental Health Services 6

County Behavioral Health staff serve students who are in special education who are referred by a school psychologist due to social/emotional concerns that are interfering with their academic performance, after being approved in an Individualized Education Program (IEP) meeting. The services include individual counseling, group counseling, teacher consultation and rarely family counseling. For these students, when considered by the IEP team to be in imminent risk of needing residential placement, MCBH also provides enhanced services similar to WRAP Around or TBS that we call Home Alternative to Residential Services (HART). MCBH also provides mental health services to Medi-Cal students in the general education provided at a limited number of school sites. These services are provided by trainees or interns. A local service provider offers mental health services to North Monterey County children attending schools in the Pajaro/Las Lomas area Santa Cruz County. A county wide nonprofit agency also provides services to students exposed to violence through bullying, or domestic violence.

Number of Clients Discharged: 161

Number of New Clients: 208

Average Age: 12

Average Service Value per Client: $7,553.22

Total Service Value: $3,882,352.66

Number of Clients Served: 514

Gender 75% MALE 24% Female 0% Language of Preference 68% English 30% Spanish 2% Other 20%

Treatment Goals Reached/Partially Reached

1%

Transferred To Another Treatment Facility

78%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis

22%

Anxiety Disorders

22%

Disruptive Behavior Disorder

13%

Depressive Disorders

13%

Infancy / Childhood / Adolescent

9%

Bipolar / Mood Disorders

Of the clients served, 1 % had a substance use diagnosis. Of the Clients assessed* 54% are victims of trauma.

*355 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 2,175 15% 79% Collateral 862 3% 44% Crisis Intervention 4 0% 0% Group Counseling 5,319 18% 23% Linkage/Brokerage 5,584 19% 82% Medication Support 5 0% 0%

Mental Health Counseling 5,800 33% 73%

Other 2,996 11% 68%

(37)

50% : of the clients assessed need support around making friends or developing relationships with peers 50% : of the clients assessed have a need for treatment relating to school behavior

47% : of the individuals assessed have a need for treatment relating to school achievement 45% : of clients demonstrated an inability to identify and manage their anger when frustrated 44% : of the clients assessed presented with needs relating to impulsivity and hyperactivity 43% : of clients demonstrated symptoms of anxiety

42% : of the clients assessed neeeded treatment for family problems

39% : of the clients assessed have problems with socially inappropriate behaviors

37% : of the clients assessed have a need for treatment relating to oppositional defiant behaviors 31% : of the clients assessed needed treatment for depression

Health Equities 0 20 40 60 80 100 120 140 1-05 6-15 16-25 26-50 51-100 101+ 21 38 30 51 59 29 48 63 34 74 42 25 69 101 64 125 101 54 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 48 27 5 3 17 56 18 4 2 20 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.4M 0.8M 1.2M 1.6M 2.0M 0 100 200 300 400 500 600 700 1,809,051 1,771,433 1,376,948 1,292,857 683 599 475 514 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 5 10 15 20 25 30 35 40 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

22 19 3 34 22 22 19 3 35 20 27 26 2 33 13 27 25 2 30 16

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(38)

Service Area - Children Involved with Social Service 35

County Behavioral Health staff provides extensive mental health and family assessments to all families involved with the County Dependency Court. Mental health treatment and case management services are provided to children and their families who are involved in the Dependency Court and Child Welfare system due to severe abuse and neglect. This includes children who may be adopted, children who are not being reunited with their families and therefore placed in long-term foster care, and children and their families who are working toward reunification after children have been removed from home.

Number of Clients Discharged: 213

Number of New Clients: 193

Average Age: 10

Average Service Value per Client: $9,464.70

Total Service Value: $4,173,931.90

Number of Clients Served: 441

Gender 47% MALE 53% Female Language of Preference 85% English 15% Spanish 52%

Treatment Goals Reached/Partially Reached

2%

Transferred To Another Treatment Facility

47%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis

29%

Adjustment Disorders

27%

Infancy / Childhood / Adolescent

24% Anxiety Disorders 9% OTHER 8% Depressive Disorders Of the clients served, 8 % had a substance use diagnosis. Of the Clients assessed* 93% are victims of trauma.

*365 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 4,333 23% 92% Collateral 2,653 15% 48% Crisis Intervention 3 0% 0% Group Counseling 567 2% 16% Linkage/Brokerage 11,109 33% 98% Medication Support 124 1% 9%

Mental Health Counseling 3,947 25% 53%

Other 1,316 2% 56%

(39)

68% : of the clients assessed neeeded treatment for family problems 34% : of clients demonstrated symptoms of anxiety

21% : of the clients assessed needed treatment for depression

21% : of the clients assessed need support around making friends or developing relationships with peers 20% : of the individuals assessed have challenges relating to their living situation

20% : of the clients assessed presented with needs relating to impulsivity and hyperactivity 19% : of the individuals assessed have a need for treatment relating to school achievement 15% : of clients demonstrated an inability to identify and manage their anger when frustrated

15% : of the clients assessed need support relating to interpersonal problems including social isolation 15% : of the clients assessed have needs relating to developing positive recreational activities

Health Equities 0 20 40 60 80 100 1-05 6-15 16-25 26-50 51-100 101+ 21 21 12 20 20 24 48 56 44 63 56 56 69 77 56 83 76 80 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 73 11 7 2 8 73 11 5 2 9 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.2M 0.4M 0.6M 0.8M 1.0M 1.2M 1.4M 0 100 200 300 400 500 1,308,792 1,323,254 1,368,581 1,254,573 492 426 425 441 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 60 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

23 12 13 41 11 19 10 12 45 14 18 10 9 51 12 14 10 9 51 15

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(40)

Service Area - Children at Risk of Placement 38

The goal of these residential treatment services is to return the youth to living at home or a lower level of care by reducing emotional/behavioral symptoms and to assist youth to develop age appropriate potential and functionality, including improved academic achievement. These services are provided by facilities located in California and out-of-state.

Number of Clients Discharged: 40

Number of New Clients: 44

Average Age: 11

Average Service Value per Client: $13,618.74

Total Service Value: $912,455.76

Number of Clients Served: 67

Gender 49% MALE 51% Female Language of Preference 79% English 21% Spanish 68%

Treatment Goals Reached/Partially Reached

32%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis

27%

Anxiety Disorders

19%

Disruptive Behavior Disorder

16%

Bipolar / Mood Disorders

15% Adjustment Disorders 10% Depressive Disorders Of the clients served, 9 % had a substance use diagnosis. Of the Clients assessed* 82% are victims of trauma.

*66 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 28 1% 32% Collateral 210 20% 11% Linkage/Brokerage 300 6% 83%

Mental Health Counseling 1,887 74% 91%

Other 10 0% 7%

(41)

66% : of the clients assessed neeeded treatment for family problems 47% : of clients demonstrated symptoms of anxiety

46% : of the individuals assessed have a need for treatment relating to school achievement 36% : of clients demonstrated an inability to identify and manage their anger when frustrated 36% : of the clients assessed presented with needs relating to impulsivity and hyperactivity 34% : of the clients assessed needed treatment for depression

34% : of the clients assessed need support around making friends or developing relationships with peers 30% : of the individuals assessed have challenges relating to their living situation

30% : of the clients assessed have a need for treatment relating to school behavior

26% : of the clients assessed need support relating to interpersonal problems including social isolation

Health Equities 0 2 4 6 8 10 12 14 16 1-05 6-15 16-25 26-50 51-100 101+ 3 6 1 6 5 3 5 8 10 9 9 2 8 14 11 15 14 5 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 53 27 3 0 17 64 18 4 1 12 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.1M 0.2M 0.3M 0.4M 0.5M 0.6M 0 10 20 30 40 50 60 70 80 585,695 301,731 288,998 321,305 77 56 55 67 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 5 10 15 20 25 30 35 40 45 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

22 12 14 39 13 27 11 13 30 20 16 16 13 33 22 24 6 15 40 15

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(42)

Service Area - Children in Out of Home Placement 19

The goal of these residential treatment services is to return the youth to living at home or a lower level of care by reducing emotional/behavioral symptoms and to assist youth to develop age appropriate potential and functionality, including improved academic achievement. These services are provided by facilities located in California and out-of-state.

Number of Clients Discharged: 58

Number of New Clients: 57

Average Age: 15

Average Service Value per Client: $11,391.70

Total Service Value: $1,879,631.14

Number of Clients Served: 165

Gender 69% MALE 31% Female Language of Preference 81% English 19% Spanish 20%

Treatment Goals Reached/Partially Reached

4%

Transferred To Another Treatment Facility

76%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis

39%

Disruptive Behavior Disorder

18% Depressive Disorders 12% Anxiety Disorders 10% Adjustment Disorders 10%

Bipolar / Mood Disorders

Of the clients served, 49 % had a substance use diagnosis. Of the Clients assessed* 81% are victims of trauma.

*140 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 365 5% 70% Collateral 217 2% 32% Crisis Intervention 6 0% 3% Group Counseling 661 6% 16% Linkage/Brokerage 3,135 31% 96% Medication Support 2,193 6% 20%

Mental Health Counseling 3,468 39% 65%

Other 551 11% 67%

(43)

61% : of the clients assessed neeeded treatment for family problems 45% : of the individuals assessed have legal problems

45% : of the clients assessed have a need for treatment relating to oppositional defiant behaviors 43% : of the clients assessed need support around making friends or developing relationships with peers 42% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

40% : of clients demonstrated an inability to identify and manage their anger when frustrated 34% : of the individuals assessed have a need for treatment relating to school achievement 33% : of the clients assessed have problems with socially inappropriate behaviors

32% : of the clients assessed have needs relating to developing positive recreational activities 31% : of the clients assessed need support relating to interpersonal problems including social isolation

Health Equities 0 10 20 30 40 50 1-05 6-15 16-25 26-50 51-100 101+ 4 14 7 17 2 12 15 25 22 31 6 10 19 39 29 48 8 22 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 48 35 5 3 9 66 19 6 1 8 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.1M 0.2M 0.3M 0.4M 0.5M 0.6M 0.7M 0 20 40 60 80 100 120 140 160 180 442,219 478,183 442,924 693,939 142 177 169 165 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

13 7 20 47 12 18 6 17 44 16 15 9 15 44 15 15 12 19 40 14

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

(44)

Service Area - Transition Age Youth 28

County Behavioral Health staff provides a continuum of services ranging from outreach and engagement to post-hospitalization services to youth ages 16 through 25 ( known as Transition Age Youth) with a mental health diagnosis or who are at risk of developing a diagnosis, and who are experiencing difficulties transitioning to

adulthood. Collaborative partners are: TAY, family members, community-based youth serving organizations, juvenile probation, education, and social services.

Number of Clients Discharged: 74

Number of New Clients: 84

Average Age: 20

Average Service Value per Client: $9,487.68

Total Service Value: $2,115,751.64

Number of Clients Served: 223

Gender 57% MALE 43% Female Language of Preference 78% English 20% Spanish 1% Other 13%

Treatment Goals Reached/Partially Reached

4%

Transferred To Another Treatment Facility

83%

Other

Discharge Disposition/Outcome

Top 5 primary diagnosis

of clients served

Diagnosis Type % of Clients with this type of diagnosis

23%

Depressive Disorders

23%

Bipolar / Mood Disorders

22% Psychotic 19% Anxiety Disorders 4% OTHER Of the clients served, 30 % had a substance use diagnosis. Of the Clients assessed* 70% are victims of trauma.

*172 clients assessed Breakdown of Services ProvidedNumber of Services Percent of Total Service Minutes Percent of Clients Assessment/Evaluation 638 7% 71% Collateral 189 1% 26% Crisis Intervention 6 0% 2% Group Counseling 1,661 26% 41% Linkage/Brokerage 3,436 26% 92% Medication Support 490 3% 46%

Mental Health Counseling 1,630 27% 76%

Other 740 9% 75%

(45)

57% : of the clients assessed needed treatment for depression 52% : of clients demonstrated symptoms of anxiety

43% : of the clients assessed neeeded treatment for family problems

37% : of the clients assessed need support relating to interpersonal problems including social isolation 35% : of clients demonstrated an inability to identify and manage their anger when frustrated

33% : of the clients assessed need support around making friends or developing relationships with peers 33% : of the clients assessed have needs relating to developing positive recreational activities

33% : of the individuals assessed have challenges relating to sleep

33% : of the clients assessed presented with needs relating to impulsivity and hyperactivity

24% : of the individuals assessed have a need to develop the skills necessary to live independently in the community

Health Equities 0 10 20 30 40 50 60 1-05 6-15 16-25 26-50 51-100 101+ 14 16 13 14 10 4 20 29 23 39 23 18 34 45 36 53 33 22 Count of Clients

Breakdown of Clients Served by Ethnicity Client Service Frequency

0 10 20 30 40 50 60 70 80 90 100 74 12 5 2 8 68 17 5 3 6 Hispanic /

Latino White AmericanAfrican Asian /Pacific Islander

Other

% of Clients % of Service Value

Hispanic/Latino Non-Hispanic

Four Year Trend

0.0M 0.1M 0.2M 0.3M 0.4M 0.5M 0.6M 0.7M 0 40 80 120 160 200 240 331,585 507,813 630,239 661,684 101 145 202 223 FY 09/10 FY 10 /11 FY 11/12 FY 12/13 Clients Services 0 10 20 30 40 50 60 Coastal

Region North CountyRegion Other Region Valley RegionSalinas South County

19 15 5 50 11 19 13 3 54 10 24 15 2 46 13 18 12 1 50 18

Percent of Clients Served by Region of Residence Total Service Minutes Compared to Total Client Count

References

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Integration of mental and behavioral health services into the primary care of persons at risk for disparities in health care and outcomes Enhancing patients’ adherence to

The Ventura County Behavioral Health Department provides outpatient public mental health services in clinics located in various cities throughout the County. The department

• The Community Behavioral Health Services (CBHS) Program is a carved-out managed care model for mental health and substance use disorder treatment in Colorado.. • Authorized by

Some health insurance plans require members to go through their primary care physician (PCP) or get “preauthorized” to get a referral for behavioral health treatment or specialty