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MHSA FULL SERVICE PARTNERSHIP OUTCOMES ASSESSMENT. California Department of Mental Health Performance Outcomes & Quality Improvement http://www.dmh.ca.gov/poqi/. Revised: November 17, 2006. Training Overview. Background Context of the Initial Evaluation of Full Service Partners

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Mhsa full service partnership outcomes assessment

MHSA FULL SERVICE PARTNERSHIP OUTCOMES ASSESSMENT

California Department of Mental Health

Performance Outcomes & Quality Improvement

http://www.dmh.ca.gov/poqi/

Revised: November 17, 2006


Training overview
Training Overview

Background

  • Context of the Initial Evaluation of Full Service Partners

    Full Service Partnership Outcomes Assessment

  • FSP Forms & Methodology

    County “Certification”

    DMH Staff Contact Information


Context For the Initial Evaluation of Full Service Partners


Full service partnership outcomes assessment background
Full Service Partnership Outcomes Assessment Background

  • Current outcomes are also guided by previous legislation and reporting requirements such as Realignment, Children’s System of Care, Medi-Cal and the Federal Block Grant.

  • In addition, Recovery-based system transformational agendas such as the President’s New Freedom Commission on Mental Health report “Achieving the Promise: Transforming Mental Health Care in America” was also influential.


Full service partnership outcomes assessment background1
Full Service Partnership Outcomes Assessment Background

  • With its emphasis on Accountability, the Mental Health Services Act (MHSA) greatly expands our need for data at multiple levels

  • In response to these increased demands, DMH convened the Performance Measurement Advisory Committee (PMAC)

  • DMH and the PMAC developed methods to measure the impact of MHSA services on individuals modeled after the successful AB2034 Program

  • What we will discuss today is the first component of a comprehensive statewide system being developed to measure outcomes at the Individual, System and Public/Community impact levels as they relate to the MHSA


PERFORMANCE MEASUREMENT

Community Reaction / Evaluation / Satisfaction with regard to mental health system

Mental Health System Structure / Capacity in Community

Large-Scale Community Indicators

Mental Health Promotion, Mental Illness Prevention & Awareness

PUBLIC / COMMUNITY- IMPACT LEVEL

(Evaluation of Global Impacts and Community-Focused Strategies)

MENTAL HEALTH SYSTEM ACCOUNTABILITY LEVEL

(Evaluation ofCommunity Integrated Services and Supports – Program/System-Based Measurement)

Monitoring / Quality Assurance / Oversight

(multi-stakeholder process)

Staff / Provider Evaluation / Satisfaction with regard to mental health system

Client / Family Satisfaction / Evaluation of Services and Supports

INDIVIDUAL CLIENT LEVEL

(Evaluation of Community Integrated Services and Supports – Individual Client Tracking)

Individual Client Outcomes Tracking

Client and Services Tracking

Levels are not intended to be hierarchical. Each level is important for a comprehensive approach to performance measurement.


MHSA Full Service PartnershipForms & Methodology


Child / Youth

Ages 0-15

Transition Age Youth

Ages 16-25

Separate forms developed for each of the four age groupings

Adults

Ages 26-59

Older Adults

Ages 60+


Mhsa full service partnership forms
MHSA FULL SERVICE PARTNERSHIP FORMS

Designed to gather:

History/Baseline data:

Partnership Assessment Form (PAF) –Completed ONCE, when partnership is established

Follow-Up data:

Key Event Tracking Form (KET) –Completed when change occurs in key areas

Quarterly Assessment (3M) –Completed every 3 months


Partnership assessment form collects baseline and historical data about
PARTNERSHIP ASSESSMENT FORMCollects baseline and historical data about:

  • Residential History(includes hospitalization & incarceration):Where the partner is sleeping now, where he/she was sleeping last night and where he/she has been living for the past 12 months

  • Education: Highest level of education, current and past school attendance and grades, current and past participation in other types of educational settings

  • Employment: Current and past participation in various employment settings, average hourly wages and average hours worked per week now and over the past 12 months

  • Sources of Financial Support: Current and historical source of financial support

  • Legal Issues/Designations: Current and historical involvement with the legal and criminal justice system, foster care status, custody status of children

  • Emergency Intervention: Number of physical health-related and mental-health/substance abuse-related emergency interventions over the past 12 months

  • Health Status: Whether the partner has or had access to a primary care physician over the past 12 months

  • Substance Abuse: Whether the partner has a co-occurring mental health/substance use problem and whether they are receiving treatment for their substance use issues.

  • ADL/IADL - Older Adults Only: Gathers information about current functional ability in certain key areas.


Key event tracking form completed when there are changes in any of the following key areas
KEY EVENT TRACKING FORMCompleted when there are changes in any of the following key areas:

Administrative Information:Such as changes in partnership status (discontinuations or interruptions) or changes in FSP or other program participation

Residential (includes hospitalization and incarceration):Such as whenever a partner moves from a residential setting or moves from one physical location to another

Education:Such as when a partner completes a grade, is suspended or expelled or when he/she enrolls or stops attending other types of educational settings

Employment:Such as changes in hours, hourly wages, or type of employment settings

Legal Issues/Designations:Such as when a partner is arrested, removed or placed on probation or parole, or placed or removed from conservatorship or payee status

Emergency Interventions:Whenever a partner received any type of physical or mental health/substance abuse related emergency intervention


Quarterly assessment form completed every 3 months to assess
QUARTERLY ASSESSMENT FORMCompleted every 3 months to assess:

Education: Assesses current attendance level and grades, and whether the partner is currently receiving any type of special education

Sources of Financial Support: Assesses current sources of financial support

Legal Issues/Designations: Assesses current custody arrangements for children of the partner

Health Status: Assesses current access to a primary care physician

Substance Abuse: Assesses whether the partner is currently considered to have a co-occurring mental illness and substance use problem and whether the partner is current receiving substance abuse services

ADL / IADL – Older Adults Only: Assesses current level of functioning in certain key areas


Timeline: Form Administration

Quarterly Assessment Form (3M): Completed every 3 months

Partnership Assessment Form (PAF):Completed ONCE - when a partnership is established

QUARTERLY ASSESSMENT

QUARTERLY ASSESSMENT

QUARTERLY ASSESSMENT

QUARTERLY ASSESSMENT

QUARTERLY ASSESSMENT

QUARTERLY ASSESSMENT

Key Event Tracking (KET): Completed each time a change takes place

*

*

*

*

KET due: Begins Work

6

3

9

12

18, etc.

15

# Months in Services

KET due: Residential Move

KET due: Residential Move

KET due: ER Visit


Partnership assessment form
Partnership Assessment Form

FSP Outcomes Assessments

  • Key Event Tracking

  • Quarterly Assessment



Go to the DMH Performance Outcomes & Quality Improvement (POQI) Webpage at: www.dmh.ca.gov/poqi





DMH On-Line FORMS Data Collection & Reporting (DCR) System


The dcr system
The DCR System FORMS

Phase 1: Available January 1, 2006

  • Allows data submission and batched data return

  • Provides basic HTML interface with some error checking and validation functionality

    Phase 2: Available Spring 2007

  • Allows editing of submitted data

  • Allows query and reporting capability

  • Performs County Client Number verification against CSI data

  • Provides real time data download capability

  • Performs stringent data validations during data entry

  • Provides user friendly interface

  • Allows XML schema based integration

  • Provides “tickler” mechanism to track when reviews/assessments are due



County certification requirements
County Certification Requirements FORMS

  • Attend Full Service Partnership (FSP) Outcomes Assessment Training (2-3 hours)

  • FSP Program ID Code Assignment (1/2 hour)

  • County Director identifies Approver Designee

  • Approver Designees receive training (1-2 hours)

    All training is conducted via conference call. More training information, including scheduling, is located at:http://www.dmh.ca.gov/POQI/trainingMHSA.asp



Dmh performance outcomes contacts poqi support poqi support@dmh ca gov
DMH Performance Outcomes Contacts FORMS POQI Support: [email protected]

Marti Johnson, Research Program SpecialistPhone: (916) 654-3115Email: [email protected]

Alice Chen, Research AnalystPhone: (916) 654-3560Email: [email protected]

Minerva Reyes, Research AnalystPhone: (916) 654-3685Email: [email protected]

Candace Cross-Drew, Research Program SpecialistPhone: (916) 653-4582Email: [email protected]

Traci Fujita Sauer, Research Program

SpecialistPhone: (916) 653-3300Email: [email protected]

Brenda Golladay Grealish, Research Program SpecialistPhone: (916) 654-3291Email: [email protected]

Christine Beck, Acting Chief, Performance Outcomes & Quality ImprovementPhone: (916) 654-4612

Email: [email protected]

Stephanie Oprendek, Acting Chief, Evaluation Statistics, and SupportPhone: (916) 653-3517

Email: [email protected]


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