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Requested Services..………….………………………………...……………..4
Referring Agency........................................................................................6
Service Delivery…………………….……………….………….……………….9
CALOCUS Administration……………..…………….……………………….13
Services Provided………………………….....……………………………….16
V. Wraparound Services……………………………………………….………...25
VI. ChAMPS………………………………………………………………………….26
VII. Conclusion………………………………...…………………………...............33
2
FY2009 Amended Implementation Plan Report
District of Columbia Department of Mental Health
Referrals from CFSA, within the public mental health system, are screened by a co-
located DMH staff person in collaboration with the CFSA – Office of Clinical Practice,
Behavioral Studies Unit, and routed to Choice Providers via the Access Helpline. In
FY2009, a total of 350 children and youth were referred through this process. As shown
below, the majority of referrals were directed to Progressive Life, First Home Care and
Universal Healthcare, receiving 104 (30%), 88 (25%) and 82 (23%) referrals
respectively. Family Matters received 46 (13%), and Community Connections received
30 (9%) referrals.
Progressive Life,
104, 30% First Home Care,
88, 25%
(Total Children/Youth = 350)
The following chart shows multiple variables. First, it illustrates with bars, the number of
referral in quarters one and two combined. Then the bars show the number of referrals
in quarters three and four respectively. In addition to the number of referrals sent to
each Choice Provider quarterly, it shows the percentage increase/decrease. The line
with the square labels shows the percentage increase/decrease from quarters one and
two combined, to quarter three for each provider. The line with circular labels shows the
percentage increase/decrease from the first three quarters of FY 2009 to the fourth.
Last, the chart gives the total number of referrals for quarters one and two combined
(192), quarter three (310), and quarter four (350). This chart also shows the percentage
increase/decrease from the combined first and second quarters to the third quarter
(61% increase), and from the first three quarters to the last (11% increase).
3
FY 2009 Referrals - CFSA OCP/BSU
400 160%
150%
350 140%
Percentage Increase
300 120%
Number Referred
250 100%
200 80%
74%
68%
150 61% 60%
57%
100 40%
30%
22% 24%
50 20%
11%
5% 5%
0 0% 0%
CC FM FHC PLC UHMS Total
Qs1&2 12 23 40 57 60 192
Q3 30 36 67 99 78 310
Q4 30 46 88 104 82 350
% Increase(Qs1&2 - Q3) 150% 57% 68% 74% 30% 61%
% Increase (Qs 1,2&3 - Q4) 0% 22% 24% 5% 5% 11%
Requested Services:
The referral instrument documents the services a referring social worker would like
his/her client to receive. The following illustrates by provider, the frequency of those
requested services.
Community Connections:
FY 2009 Frequency of Requested Services
There were no
children/youth referred
10
9
to Community
Connections in Quarter
Number of Requests
8
7
6
four. In total for FY
5 2009, there were 18
4 requests for Individual
3
2 Therapy, one for
1 Family Therapy, 12 for
0
Q1 Q2 Q3 Q4 Medication
Ind. Therapy
Fam. Therapy
9
0
9
1
Management, and
Med. Som. 1 6 5 there were eight total
DCCSA Transfers 0 8
DC CSA transfers.
4
Family Matters:
FY 2009 Frequency of Requested Services
In FY 2009, Family
Matters received
16
14
referrals containing
29 requests for
Number of Requests
12
10 Individual Therapy,
8
three for Family
6
4
Therapy, 17 requests
2 for Medication
0
Q1 Q2 Q3 Q4
Management, and
Ind. Therapy 2 15 3 9 accepted nine DC
2 1
Fam. Therapy
Med Som 8 3 6
CSA transfer
DCCSA Transfers 9 children/youth.
20
requests for
15 Individual Therapy,
10
12 requests for
Family Therapy, 21
5
requests for
0 Medication
Q1 Q2 Q3 Q4
Ind. Therapy 23 15 23 9
Management, four
Fam. Therapy 4 3 3 2 for CBI, and there
Med Som 5 8 1 7 were four DC CSA
DCCSA Transfers 4
CBI 1 3
transfers
children/youth.
Progressive Life:
In FY2009, there
FY 2009 Frequency of Requested Services were 87 requests for
35 Individual Therapy.
30 There were 12
requests for Family
Number of Requests
25
5
Universal Healthcare:
FY 2009 Frequency of Requested Services Of the referrals directed
to Universal Healthcare
30 in FY 2009, there were
25 61 requests for
Number of Requests
20
Individual Therapy and
15
15 requests for Family
Therapy. There were
10
three requests for Sex
5
Abuse Therapy and two
0
Q1 Q2 Q3 Q4 for Play Therapy. There
Ind. Therapy 28 19 12 2 were 19 requests for
Fam. Therapy 3 8 2 2 Medication
Sex Abuse Therapy 3
Play Therapy 1 1
Management, and there
Med Som 4 14 1 were six DC CSA
DCCSA Transfers 6 transfers.
Referring Agency:
In addition to those children/youth who were referred by CFSA, and those being
transitioned away from the DC CSA, a total of 17 private foster care agencies made
referrals through the Office of Clinical Practice’s Behavioral Studies Unit at CFSA. The
majority of referrals to Choice Provider Network were from CFSA social workers, 58%
(204 of 350 total referrals). The following chart shows the originating agency
distribution of OCP-routed referrals. Consumers transitioning from the DC CSA
comprised nine percent (31 referrals). Of the remaining referring agencies,
Foundations had the next highest referral rate at eight percent (28 referrals) during
FY2009.
FY 2009 Total Number of Referrals by Source
Seraaj 9
PSI 5
Progressive Life 2
Pressley 3
NCCF 7
MPPI 6
LSS 7
LAYC 1
Kidspeace 5
HCG 6
Foundations 28
First Home Care 1
Family Matters 3
DCCSA Transfers 31
Child Choice 7
CFSA 204
Catholic Charities 10
Boystown 1
Board of Children 1
6
II. Provider Reported Diagnostic Assessment Data:
This section reflects data submitted to the Mental Health Authority in FY2009 by four of
the five Choice Providers. Community Connections is excluded from this report as a
result. In FY 2009, a total of 413 children and youth received services through one of
the reporting Choice Provider agencies: Family Matters, First Home Care, Progressive
Life and Universal Healthcare Management Services. Family Matters reported
receiving 49 (12%) referrals; First Home Care reported 132 (32%) referrals; Progressive
Life reported 144 (35%); and Universal Healthcare reported 88 (21%) referrals.
Total Diagnostic Assessments Completed by Agency (FY 2009)
First Home
Progressive Care, 132, 32%
Life, 144, 35%
Similar to the chart above, the chart below further disaggregates the total number of
Diagnostic Assessments each Choice Provider reported having completed, by each
quarter of FY2009.
Total D/As by Agency and FY2009 Quarter
160
140
Number Served
120
100
Total , 144
Total , 132
80
Total , 88
60
Total , 49
40
20
0
Family Matters First Home Care Progressive Life Universal Healthcare
Q1 2 15 29 22
Q2 15 34 4 31
Q3 19 54 57 28
Q4 13 29 54 7
Total 49 132 144 88
7
This chart shows the total number of Diagnostic Assessments completed by all
reporting Choice Providers in FY2009 by month.
70 71
60
Number of D/As
57
52
50
40 41
35 AVG=34 35 36
32
30
20 20
17
10 10
7
0
Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul-09 Aug- Sep-
08 08 08 09 09 09 09 09 09 09 09
Affiliated Agency
300
Number of Children/Youth
250
200
150
100
50
0
Private
CFSA DYRS TFC CSS Placement Not Identified
Agency
Q1 62 1 2 3
Q2 55 16 13
Q3 113 3 1 30 11
Q4 54
Total 284 4 18 1 30 27
8
Service Delivery:
The service delivery timeframe is derived from the difference between a child/youth’s
date of enrollment with a provider, and the date of the child/youth’s diagnostic interview.
The following chart illustrates the average elapsed time for service delivery, each
month, by provider for FY2009. Among reporting Choice Providers, the average
number of days between a consumer’s enrollment with a provider and the
administration of his/her diagnostic interview was 23 days.
FY 2009 - Average Days Between Enrollment and
Diagnostic Interview
30
AVG=23 Days
25
24
23 23
# Days
20 22
15
10
0
Family Matters First Home Care Progressive Life Universal
Choice Provider
This is further disaggregated by provider and by quarter in the chart displayed below.
40
35
Number of Days
30
AVG=23 Days
25
20
15
10
0
Family Matters First Home Care Progressive Life Universal
Q1 24 42 30 14
Q2 20 15 19 25
Q3 32 22 24 29
Q4 17 13 7 15
9
The FY2009 Service Delivery Timeframe chart below shows the number of days
between consumers’ enrollment and diagnostic interview for each reporting provider for
each month of FY2009. It also includes an average line for each month in the fiscal
year. There were four months in FY2009 in which the average number of days for
service delivery exceeded the overall FY2009 average. They include October 2008 (48
days), January 2009 (26 days), April 2009 (25 days), and May 2009 (32 days). In
October 2008, each reporting provider with the exception of Universal Healthcare (17
days), The months in FY2009 in which service delivery occurred fastest were December
2008 (14 days), March 2009 (15 days), and particularly noteworthy were August and
September 2009 which averaged 10 and 12 days respectively.
FY2009 Service Delivery Timeframe
Number of Days Between Enrollment and Diagnostic Interview
80
70
Family Matters
60
Number of Days
30
20
10
0
Universal Progressive Life
-10 Healthcare
Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep-
08 08 08 09 09 09 09 09 09 09 09 09
Family Matters 72 0 0 34 28 -2 17 47 33 25 19 8
First Home Care 45 56 25 19 14 11 22 23 21 15 13 11
Progressive Life 57 12 22 29 4 23 33 23 15 9 7 6
Universal 17 12 11 23 22 29 28 37 24 21 0 23
Average 48 20 14 26 17 15 25 32 23 18 10 12
Family Matters:
The average number of days between enrollment and diagnostic interview at Family
Matters for FY2009 was 23 days, equal to the overall FY2009 average. In October
2008, Family Matters had outliers that skewed the overall average of that month at 72
days. January 2009, May 2009 and June 2009 also had monthly averages that far
exceeded the Family Matters agency average and the overall FY2009 average, at 34,
47, and 33 average days respectively. Also noteworthy in March 2009, there were
instances where diagnostic interviews were conducted prior to receipt of the referring
documentation, resulting in negative two average days for March.
10
Family Matters
Average Days Between Enrollment and Diagnostic Interview
80
70
Number of Days 60
50
40
30
20
10
-10
Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep-
AVG
08 08 08 09 09 09 09 09 09 09 09 09
Family Matters 72 0 0 34 28 -2 17 47 33 25 19 8 23
FY 2009
50
Number of Days
40
30
20
10
0
Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep-
AVG
08 08 08 09 09 09 09 09 09 09 09 09
First Home Care 45 56 25 19 14 11 22 23 21 15 13 11 23
FY 2009
11
reporting providers by one day. In October 2008, Progressive Life enrolled two
children/youth who did not participate in a diagnostic interview until the end of
December 2008 resulting in 57 days average shown below. Outside of October 2008,
there were only two months, January and April 2009 that exceed the FY2009 average of
23 days and the agency average of 24 days at 29 and 33 days respectively.
Progressive Life
Average Days Between Enrollment and Diagnostic Interview
60
50
Number of Days
40
30
20
10
0
Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep-
AVG
08 08 08 09 09 09 09 09 09 09 09 09
Progressive Life 57 12 22 29 4 23 33 23 15 9 7 6 24
FY 2009
Universal Healthcare
Average Days Between Enrollment and Diagnostic Interview
40
35
Number of Days
30
25
20
15
10
0
Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep-
AVG
08 08 08 09 09 09 09 09 09 09 09 09
Universal 17 12 11 23 22 29 28 37 24 21 0 23 22
FY 2009
12
CALOCUS Administration:
The Child and Adolescent Level of Care System (CALOCUS) instrument was
administered by three of the reporting Choice Providers: Family Matters, First Home
Care and Universal Healthcare Management Services. The overall FY2009 average
CALOCUS score was 17. No scores were reported for children/youth enrolled with
Progressive Life. Family Matters had the highest Calocus administration percentage at
78%, followed by First Home Care at 68% and Universal Healthcare 49%. Family
Matters also reported the lowest average Calocus score of 15, followed by Universal
Healthcare and First Home Care (18 and 19 days, respectively). The following chart
shows each reporting provider’s average Calocus score (in bars) and the each agency’s
average administration rate (in lines) for each quarter and also the FY2009 overall
averages in aggregate and by provider.
% C a lo c u s S c o re R e p o rte d
100%
A v e ra g e S c o re
16
14
80%
12
10 60%
8
40%
6
4
20%
2
FY2009 AVG Calocus = 17 0 0%
Q1 Q2 Q3 Q4 FY2009 AVG
AVG FM Calocus Score 14 19 15 12 15
AVG FHC Calocus Score 19 19 19 19 19
AVG PLC Calocus Score
AVG UHMS Calocus Score 18 18 17 18
% FM w/Calocus 100% 92% 44% 77% 78%
% FHC w/Calocus 83% 92% 76% 21% 68%
% PLC w/Calocus
% UHMS w/Calocus 62% 64% 68% 0% 49%
For FY 2009, Choice Providers submitted claims for services for 4,216 total
children/youth. Serving the largest number and half of the total number served, was
First Home Care, whose eCura Claims data showed services billed for 2,126
children/youth in FY2009. Second was Community Connections at 1,317 (31%)
13
children/youth served, followed by Universal Healthcare at 527 (13%). Progressive Life
and Family Matters each served three percent at 126 and 120 children/youth
respectively as shown below.
The chart below shows the total served by the entire Choice Provider Network by
FY2009 quarter. It also displays the percentage increase in the number of
children/youth served from quarter to quarter. From the first to second quarter, and also
from the second to the third quarter, the number of children/youth served increased by
16%. From the third to the fourth quarter, the number of children/youth served
increased by 2%.
1200
Number of Children/Youth
1000
800
16% 16% 2%
600 Increa
400 1 1
8 9 1 2
200 3 9 8 0
2 2 3 9
0
Q1 Q2 Q3 Q4
FY09 Quarter
14
The chart below further disaggregates the total number of children/youth served by the
Choice Provider Network, within the MHRS structure by FY2009 quarter.
FY 2009 Number Children/Youth Served
2500
2126
2000
Number Served
1500 1317
1000
527
500
120 126
0
Community First Home Progressive
Family Matters Universal
Connections Care Life
Q1 352 13 422 18 27
Q2 320 19 500 21 132
Q3 301 46 596 58 182
Q4 344 42 608 29 186
TTL 1317 120 2126 126 527
15
Percentage Quarterly Claims Increase/Decrease - FY 2009
100% 80%
80% 59% 64%
60%
32% 27%
40% 14% 16%16%
13% 16% 16%
20% 2% 2% 2%
0%
-20% -6% -10%
-10%
-40%
-60%
-80%
-100%
-120% -100%
Services Provided:
4000
Total Number of Children/Youth Receiving Each Service
3596
3500
Number of Children/Youth
3000
2500
2000
1500
848 923
1000
596
500 271
157
61
0
DA Community Counseling CBI Med Som Team Mtg CTV
Support Tx
Service Types: FY 2009
The chart above represents the total number of children/youth for which each type of
service claims were submitted in FY2009 by the five choice providers in aggregate.
This includes each child/youth for which a claim for a particular service was submitted,
by service category. The most utilized service across Choice Providers was Community
16
Support, as 3,596 children/youth received Community Support services, particularly
noteworthy as the overwhelmingly most requested service by referring social workers
through the OCP/BSU process has consistently been Individual Therapy; however, only
21% of children/youth actually received Therapy/Counseling, while 91% of
children/youth received Community Support, which was not a service requested by any
social workers referring through the OCP/BSU process. Medication Management was
second highest utilized service, 923 children/youth, and more aligned with referral data
reported by the CFSA OCP/BSU. Counseling was actually the third most utilized
service at 848 children/youth. A total of 596 children/youth received Community Based
Intervention. There were a total of 271 claims submitted for Diagnostic Assessments
completed as part of the Choice Provider Network. Last, providers submitted claims for
Team Meetings and CTV services for 117 and 39 children/youth respectively. The chart
below further separates this service utilization information by FY2009 quarter.
FY 2009 Overall Number of Children/Youth Receiving
Each Service by Quarterly eCura Billing Claims
1200
1000
Number Served
800
600
400
200
0
Community
DA Counseling CBI Med Som Tx Team Mtg CTV
Support
Q1 60 736 146 113 205 26 0
Q2 62 871 209 136 222 45 9
Q3 105 944 225 167 217 46 30
Q4 44 1045 268 180 279 40 22
The chart below illustrates the percentage increase or decrease in service utilization
from the first to second quarter, from the second to the third quarter, and from the third
to the fourth quarter. There was a three percent increase in the number of Diagnostic
Assessments billed for from the first to the second quarter, a 69% increase from the
second quarter to the third, but a 58% decrease from the third to the fourth quarter.
Community Support experienced an 18% increase from the first to the second quarter,
an eight percent increase from the second to the third quarter, and an 11% increase
from the third to the fourth quarter of FY2009. There was a 43% increase in the number
of children/youth who received Counseling from the first to the second quarter, an eight
percent increase from the second to the third quarter, and a 19% increase from the
third to the fourth quarter. CBI saw a 20% increase from the first to the second quarter,
followed by a 23% increase from the second to the third quarter, and an eight percent
17
increase from the third to the fourth quarter of FY2009. There was also an eight
percent increase in the number of children/youth who received Medication
Management services from the first to the second quarter, which was followed by a two
percent decrease from the second to the third quarters. Medication Management saw
a 29% increase from the third to the fourth quarter of FY2009. For Team Meetings and
CTV services, the comparatively low number of children/youth receiving these services
impacts the percentage increase/decrease. Team Meetings increased by 73% from the
first to the second quarters, from 26 to 45 Team Meetings. In the third quarter, there
was a two percent increase, and a 13% decrease from the third to the fourth quarter.
There were no CTV services billed for in the first quarter. There was a 233% increase
in CTV services from the second quarter to the third, representing an increase of nine
children/youth in the second quarter to 30 in the third. This was followed by a 27%
decrease from the third to the fourth quarter, dropping 30 in the third to 22 in the fourth
quarter of FY2009.
200%
Percentage Change
150%
100%
69% 73%
43%
50% 29%
18% 19% 20% 23%
3% 8%11% 8% 8% 8% 2%
0%
-2%
-13%
-27%
-50%
-58%
-100%
Diagnostic Community Counseling CBI Med Som Tx Team Mtg CTV
Assessment Support
Service Type
The 271 total Diagnostic Assessments billed for in eCura appears to be discordant as
the provider reported monthly data shows a total of 413 completed Diagnostic
Assessments. This difference is attributable to the unavailability of claims data in eCura
for Diagnostic Assessments that were invoiced and counted as a part providers’
monthly data submissions, but were not included in the overall total of Diagnostic
Assessments billed for in eCura. This is because providers have up to 90 days in which
a claim for a service can be submitted for payment after it is rendered. As a result,
there are claims that were submitted after September 30, 2009 and are consequently
not reflected in the totals of this report. The following chart shows the distribution of
Diagnostic Assessments across the Choice Provider Network by provider and FY2009
quarter.
18
Diagnostic Assessments
80
70
60
Number Completed
50
40
30
20
10
0
Community First Home Progressive Universal
Family Matters Total
Connections Care Life Healthcare
Q1 2 39 17 2 60
Q2 39 10 17 66
Q3 1 22 15 36 74
Q4 0 4 21 1 18 44
The chart below represents the number of children/youth who received counseling
services by provider and FY2009 quarter.
Counseling
180
160
140
Number Served
120
100
80
60
40
20
0
Community Universal
Family Matters First Home Care Progressive Life
Connections Healthcare
Q1 3 10 128 0 5
Q2 4 5 146 7 47
Q3 3 150 9 63
Q4 16 27 156 20 49
19
This chart represents the number of children/youth who received Community Based
Intervention by provider and FY2009 quarter.
CBI
160
140
120
Number Served
100
80
60
40
20
0
Community Universal
Family Matters First Home Care Progressive Life
Connections Healthcare
Q1 25 88
Q2 28 108
Q3 29 138
Q4 34 146
The chart below displays the number of children/youth who received Medication
Management services for each provider by FY2009 quarter.
Med Som Tx
160
140
Number Served
120
100
80
60
40
20
0
Community Universal
Family Matters First Home Care Progressive Life
Connections Healthcare
Q1 71 7 117 5 5
Q2 63 2 130 6 21
Q3 39 130 5 43
Q4 74 12 150 43
20
The following chart shows the number of children/youth who had Team Meetings by
provider and FY2009 quarter.
Team Meetings
45
40
35
Number Served
30
25
20
15
10
5
0
Community Universal
Family Matters First Home Care Progressive Life
Connections Healthcare
Q1 6 20
Q2 8 35 2
Q3 1 42 3
Q4 37 3
The following chart illustrates the number of children/youth who received DCCSA
Consumer Transition Vouchers (CTV services) by Choice Provider and FY2009 quarter.
10
Number of Vouchers
0
Community Universal
Family Matters First Home Care Progressive Life
Connections Healthcare
Q1
Q2 5 4
Q3 8 5 6 11
Q4 11 7 4
CTV payments are billable in three parts. CTVs facilitate infrastructure building for
Choice Providers enrolling transitioning children/youth from the DCCSA. The first CTV
21
payment is billable at time of enrollment (no service required). The second CTV
payment is billable after face-to-face contact with the consumer. The third is billable
after 30 days, with an additional face-to-face contact.
22
The chart below shows the distribution of referral activity for each month of FY2009.
Co-located DMH staff responded to an overall average of 15 referrals per month in
FY2009.
32
30
25
24
20
AVG=15 19
18
15 16
14
13 13
10
10 10
8
5
2
0
Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09
There has been a gradual increase in the number of families referred. Also, particular
effort is being made currently to deepen the general understanding of CPS social
workers of the co-located DMH staff resource, i.e. access and appropriate utilization.
As shown below, CPS social workers request services for families is divided among
children and adults at the overall FY 2009 monthly average of seven children/youth
versus nine adults served.
25 26
20
13 13
12
10 11 10
8 8 7 8 7 8
5 6 6 6
5
4
3 3 3
0 2 2
0
Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09
23
The chart below further illustrates the proportion of children/youth to adults receiving
services through the co-located DMH staff persons in FY2009.
90%
81% 80% 81%
85%
80% 75%
68% 70%
67% 67%
70%
62% 67%
57%
60%
50%
43% 40%
38% 39%
40%
32% 30% 33%
25% 31% 33%
30% 23%
19%
20%
10%
0%
0%
Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 AVG
The vast majority of service requests from CFSA CPS social workers were for mental
status assessments, also referred to as mental health screenings, and case
consultations. As shown in the following chart, mental health screenings accounted for
36% of the service requests received, while case consultations accounted for 63%. The
outstanding one percent is attributed to inappropriate requests for service. Co-located
staff averaged seven screenings and eight case consultations per month in FY2009.
FY 2009 Mental Health Screenings and Case Consultations
30 120%
25 100%
20 80%
15 60%
10 40%
5 20%
0 0%
Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep-
AVG
08 08 08 09 09 09 09 09 09 09 09 09
Screenings 0 3 2 7 1 8 7 3 4 9 12 24 7
Consultations 2 10 11 6 7 8 10 7 5 9 13 12 8
% Screenings 0% 23% 14% 54% 13% 50% 37% 30% 40% 50% 50% 75% 36%
% Consultations 100 77% 79% 46% 88% 50% 53% 70% 50% 50% 54% 38% 63%
24
V. DC City-wide Pilot and School-based Wraparound Services:
10
Number in Placement
35%
8 30% their respective biological or
25% adoptive homes, five (19%)
6
20% were placed in foster care,
4 15% four (15%) were placed in
2
10% both group homes and
5%
residential treatment centers,
0 0%
Biological/
Group Hospital/
and the last two (8%) were
Adoptive Foster Care Residential
Home
Home Detention either hospital or detention-
# Youth 11 5 4 4 2 oriented placements.
% Youth 42% 19% 15% 15% 8%
25
VI. Children and Adolescents Mobile Psychiatric Services (ChAMPS)
Children and
FY2009 ChAMPS Summary Adolescents Mobile
800 Psychiatric
700 Services
(ChAMPS) is a
600 crisis emergency
500 service operated by
Anchor Mental
400
Health of Catholic
687
300 Charities, providing
onsite mobile
200
338 396 response and crisis
100 beds for children,
adolescents and
0
their families in
Unduplicated Total Calls Received Total Deployments
Children
crisis. Mental
health crisis
intervention is
provided in the community, at school or home to help manage extreme emotional
behaviors and to avoid unnecessary visits to the emergency room, police intervention
and placement
disruption. The
ChAMPS team
officially launched FY2009 Total ChAMPS Calls By Quarter
th 300
on the 28 of
October 2008 and
has experienced 250 262
a steady increase
in overall monthly 200
195
call volume. 175
150
There were 338
total unduplicated
100
children served
by ChAMPS in
50
FY2009. The 55
overall total 0
number of calls
Q1 Q2 Q3 Q4
received in
FY2009 was 687. 687 Total Calls Received
There were 396
(58%) calls resulting in ChAMPS mobile crisis response team deployment in FY2009.
26
In the first
Percent Change in Quarterly ChAMPS Call Volume quarter, 55 calls
300%
were received,
followed by 195
250% calls in the
255%
200% second quarter,
resulting in a
150%
255% increase in
100% calls received
from the first to
50%
34%
the second
0% quarter. There
-32%
-50%
were 262 calls
1st to 2nd Quarter 2nd to 3rd Quarter 3rd Qtr to 4th Qtr received in the
third quarter
resulting in a 34% increase in calls received from the second to the third quarter. In the
fourth quarter, ChAMPS received 175 calls, down from 262 in the previous quarter,
leading to a 32% decrease in calls from the third to the fourth quarter. The chart below
shows the total number of calls to ChAMPS received each month. The average number
of calls received by ChAMPS each month was 57 calls. The pattern shows a general
upward trend in calls received, spiking in April 2009 at 109 calls. The pattern trends
downward through August 2009, elevating to near peak levels in September 2009.
108
100
93 92
Number of Calls
80
81
AVG=57 Calls 77
60
61
48
40
37 35
27
20
22
6
0
Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09
27
The ChAMPS Crisis Team
FY2009 Total Deployments By Quarter
does not deploy a unit for
140 91% 100% every call received. Calls
90% are screened to determine
120
80% whether ChAMPS
28
33 deployed calls each month. The chart that follows shows the number of actual
deployments for each month in FY2009 represented by the bars. The line plot shows
the percentage of deployments for each FY2009 month, with an overall deployment rate
for FY2009 of 58%.
Percentage of Deployments
80%
Number of Deployments
69%
66%
63% 70%
40
# Deployments AVG = 33 59% 54%
57%
60%
20%
10
10%
6 27 17 22 51 44 28 44 32 30 24 52
0 0%
Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09
29
The chart below shows the average response time in minutes for each FY2009 month.
30 31
AVG=25 Minutes
27 27
25
26
Minutes Elapsed
25 25 25
24
23 23
22
20 21
15
10
0
Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09
35%
20
30%
Percentage
Number
15 25%
20%
10 15%
10%
5
5%
0 0%
Q1 Q2 Q3 Q4
Total Calls Resulting in 14 21 12 20
Hospitalization
Total Cases Requiring FD12 1 12 11 15
% Calls Resulting in 28% 18% 10% 37%
Hospitalization
% FD12 Cases 2% 10% 9% 28%
Of all deployed calls in FY2009, 17% (67 calls) resulted in hospitalization. Ten percent
(39 calls) of deployed calls during this period required FD12 status designation. The
bars on the chart below represent the number of calls resulting in hospitalization or
FD12 status designation for each month. The line plot illustrates the corresponding
percentages of calls resulting in hospitalization or FD12 status designation, on the
secondary Y axis for each FY2009 month.
30
FD12s and Hospitalizations on Deployed Calls - FY 2009
14 45%
40%
12
Percentage of Incidents
35%
Number of Incidents
10
30%
8 25%
6 20%
15%
4
10%
2
5%
0 0%
Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep-
AVG
08 08 08 09 09 09 09 09 09 09 09 09
Total Calls Resulting in 1 4 9 1 8 12 4 3 5 6 3 11 6
Hospitalization
Total Cases Requiring FD12 0 1 0 0 7 5 5 3 3 3 3 9 3
% Calls Resulting in 17% 15% 41% 3% 10% 15% 4% 3% 8% 13% 9% 12% 8%
Hospitalization
% FD12 Cases 0% 4% 0% 0% 14% 11% 11% 7% 9% 10% 13% 17% 8%
100%
93%
90% 89%
82% 83%
80% 78% 78%
70% 70%
67% AVG=75%
63% 63%
60% 58%
Percent
50%
40%
35%
30%
20%
10%
0%
Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09
Month
31
There are also four crisis
FY2009 Quarterly Placement Patterns
beds available to provide
140 Number of Children/Youth respite for youth and families
120 as an alternative to placement
100 disruption for children who do
80 not meet the threshold for
60 acute care. However,
40 utilization was very low
20 throughout FY2009, since
0
Q1 Q2 Q3 Q4
alternative respite options
28 82 127 45
with family members,
Biological Parents
Kinship Care 3 18 25 13
established foster care
Foster Care 6 11 29 36 emergency respite is often
Treatment Foster Care 0 10 2 1 the first choice of families in
Homeless 0 2 0 0 crisis. ChAMPS is
restructuring the crisis beds
operation to increase utilization of the available crisis beds to further impact the number
of children/youth in crisis able to remain in their current placements. The chart on the
left shows quarterly placement patterns for FY2009. The total number of children/youth
served in FY2009 by ChAMPS having CFSA association is 150. The monthly average
CFSA ChAMPS children/youth each month was 13.
30
29
25
22
20 20
AVG=13
17
15
13
11 11
10 10
7
6
5
4
0 0
Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09
32
VII. Conclusion
350
350
300
250
200
150
150
100
50
15
0
OCP-BSU Referrals Provider Diagnostic ChAMPS City-wide Wraparound
Assessment/Intake Program
Data
Program
33