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Childrens Mental Health Services. Part 1 DSHS Legislative Appropriation Request(s) for Children's Mental Health Services for FY2008-FY2009.

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Presentation on theme: "Childrens Mental Health Services. Part 1 DSHS Legislative Appropriation Request(s) for Children's Mental Health Services for FY2008-FY2009."— Presentation transcript:

1 Childrens Mental Health Services

2 Part 1 DSHS Legislative Appropriation Request(s) for Children's Mental Health Services for FY2008-FY2009

3 3 BASE REQUEST (Assumes 10% Reduction) Mental Health Services for Children (Goal 2, Objective 2, Strategy 2) Source: Texas Department of State Health Services FY Legislative Appropriations Request, pp , Retrieved 10/30/06. Note: Totals subject to rounding error. Funding SourceFY2008FY2009Biennium General Revenue Funds$38.3 Million $76.6 Million Federal Funds$18.4 Million $36.8 Million Total$56.8 Million $113.6 Million

4 4 RESTORATION OF BASE FUNDING Mental Health Services for Children (Goal 2, Objective 2, Strategy 2) Source: Texas Department of State Health Services FY Legislative Appropriations Request, p. 17, Retrieved 10/31/06. Note: Totals subject to rounding error. Funding SourceFY2008FY2009Biennium General Revenue Funds$4.3 Million $8.6 Million Federal Funds$4.0 Million $8.0 Million Total$8.3 Million $16.6 Million

5 5 EXCEPTIONAL ITEM REQUEST (HHSC) Eliminating the Waiting List for DSHS-Funded Childrens Community Mental Health Services Source: Texas Department of State Health Services Waiting List Summary Document Submitted to HHSC, 07/27/06. Note: Totals subject to rounding error. Options FY2008FY2009Biennium GR All Allocated FundsGR All Allocated FundsGR All Allocated Funds Keep Pace with Population Growth $.66 Million $1.3 Million $2.0 Million Reduce Waiting List$.56 Million $1.1 Million $1.7 Million Total$1.2 Million $2.4 Million $3.6 Million

6 6 EXCEPTIONAL ITEM REQUEST (DSHS) Mental Health Community Services (Crisis Redesign) Source: Texas Department of State Health Services FY Legislative Appropriations Request, p , Retrieved 11/01/06. Note: Totals subject to rounding error. Options FY2008FY2009Biennium GR All Allocated FundsGR All Allocated FundsGR All Allocated Funds Mental Health Services for Adults $20.4 Million $40.8 Million $61.1 Million Mental Health Services for Children $7.1 Million $14.1 Million $21.2 Million Total$27.5 Million $54.9 Million $82.3 Million

7 7 REQUEST SUMMARY Childrens Mental Health Services *Not counted in provider performance targets. ** Not necessarily unduplicated. Funding Source FY2008FY2009Biennium Requested Dollars Number Served Requested Dollars Number Served Requested Dollars Number Served** Base Request$56.8 Million20,706$56.8 Million20,706$113.6 Million41,412 Restoration of Base Funding $8.3 Million1,533$8.3 Million1,533$16.6 Million3,066 Eliminating Waiting List $1.2 Million241$2.4 Million483$3.6 Million483 Crisis Services Redesign* $7.1 Million3,184$14.1 Million3,202$21.2 Million6,386 Total$73.4 Million25,664$81.6 Million25,924$155.0 Million51,347

8 Part 2 The Projected Number of Children to be Served if the DSHS Legislative Appropriation Requests Are Actually Funded

9 9 BASE REQUEST & RESTORATION OF BASE FUNDING Mental Health Services for Children (Goal 2, Objective 2, Strategy 2) Source: Texas Department of State Health Services FY Legislative Appropriations Request, pp , Retrieved 10/30/06, and p. 17, Retrieved 10/31/06.

10 10 EXCEPTIONAL ITEM REQUEST (HHSC): Eliminating the Waiting List for DSHS-Funded Childrens Community Mental Health Services Source: Texas Department of State Health Services Waiting List Summary Document Submitted to HHSC, 07/27/06.

11 11 EXCEPTIONAL ITEM REQUEST (DSHS) Mental Health Community Services (Crisis Redesign) Mental Health Services for Children (Goal 2, Objective 2, Strategy 2) Sourrce: DSHS Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), Consumers Served with Crisis at Admit, run 9/19/06. Note: Estimates based on number of children served in crisis service package in FY06 adjusted for population growth (1.17% over biennium).

12 Part 3 The Extent to Which the Appropriation Request(s) in Part 2 Would Properly Serve the Total Number of Children Who Are in Need of Receiving Mental Health Services

13 13 PENETRATION RATE: Mental Health Services for Children and Eliminating the Waiting List for DSHS-Funded Childrens Community Mental Health Services Source: Texas Department of State Health Services FY Legislative Appropriations Request, pp , Retrieved 10/30/06; Texas Department of State Health Services Waiting List Summary Document Submitted to HHSC, 07/27/06. Note: Estimated Number of Children with Mental Illness in Texas assumes 11.8% of Texas projected population under age 18 from U.S. Census Bureau, Retrieved 10/30/06. MeasureFY2008FY2009 Estimated Number of Children with Mental Illness in Texas 778,557789,617 Projected Number of Children to be Served with Appropriation Request(s) 22,48022,722 Estimated Percent Served with Appropriation Request(s) 2.9%

14 Part 4 The Number of Children Served by DSHS-Funded Community Mental Health Centers and the State Mental Health Hospitals for the Last Two Fiscal Years

15 15 NUMBERS ACTUALLY SERVED: DSHS-Funded Community Mental Health Centers and State Mental Health Hospitals Source: DSHS-Funded Community Mental Health Centers = DSHS Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. State Mental Health Hospitals = DSHS Client Assignment and Registration System (CARE), 10/30/06. NOTE: Although the number of children receiving DSHS- funded community mental health services has been increasing (FY2005- FY2006), the number projected for FY2008- FY2009 in Part 2 is lower based on implementation of the Resiliency and Disease Management model that was designed to provide more intensive services to a slightly reduced population.

16 Part 5 Putting all this in context

17 17 Greater Percentage of Victims of Child Abuse/Neglect (as confirmed by Department of Family and Protective Services in FY2003) with Juvenile Justice Contact Had Criminal History in their Family, Had a Behavior Problem, and/or Had a Substance Abuse Issue Source: DFPS Child Protective Services and TYC client databases, from Ruggiero, K.M., and Mason, M. (2006). The role of behavioral health services among youth in Texas at risk for juvenile justice involvement: Multi-agency data-matching project for the Policy Academy on Co-Occurring Substance Abuse and Mental Health Disorders. Austin, TX. RISK INDICATOR WITH Texas Youth Commission Contact (n = 176) WITHOUT Texas Youth Commission Contact (n = 12,155) 1. Youths Family Members Had Been Victims/Perpetrators of Domestic Violence/Abuse 61.4%58.3% 2. Youths Family Members Had Criminal History 66.5%47.6% 3. Youths Family Members Had Difficulty Dealing with Stress 68.8%66.4% 4. Youths Family Members Had Substance Abuse Problems 47.7%39.6% 5. Youth Had Lack of Extended Family Support 11.9%15.2% 6. Youth Had Behavior Problem 60.8%18.3% 7. Youth Had Mental Health Issue 12.5%5.8% 8. Youth Had Substance Abuse Issue 19.3%3.3% > > >

18 18 But Less Than Half Received Behavioral Health Services Funded by the State Source: DFPS Child Protective Services, DSHS Mental Health and Substance Abuse, HHSC Child Medicaid, and TYC client databases, from Ruggiero, K.M., and Mason, M. (2006). The role of behavioral health services among youth in Texas at risk for juvenile justice involvement: Multi-agency data- matching project for the Policy Academy on Co-Occurring Substance Abuse and Mental Health Disorders. Austin, TX. RISK INDICATOR Percent With Behavioral Health Services 2. Youths Family Members Had Criminal History35.9% 6. Youth Had Behavior Problem38.3% 8. Youth Had Substance Abuse Issue41.2%

19 19 A Greater Percentage of Victims of Child Abuse/Neglect (as confirmed by DFPS in FY2003) with a Behavior Problem Had an Earlier Disciplinary Problem Identified by TEA Mostly Student Misconduct Source: FY2003 DFPS-TEA Data-Match, TEA, October 2006.

20 20 Parental Involvement with Criminal Justice System Youth Behavior Problem Youth Substance Abuse Issue May Become a Parent A Vicious Cycle? DFPS Youth Juvenile Justice Contact TEA Earlier Discipline Problem (Student Misconduct)

21 21 Data-Sharing Implications Children with serious emotional disturbances (including co-occurring) have the highest rate of school failure, and are at extreme risk for injury, death, employment and housing problems, criminal justice involvement, and increased state costs due to poorer treatment outcomes (Pennell et al., 2003). Therefore, it is imperative that State agencies create data systems that integrate child data to better understand child outcomes and to identify intervention points. Through the use of a data warehouse, State agencies can provide child data to be matched using tested algorithms to produce the greatest likelihood of integration between datasets. Once matched, de-identified data sets can be created to answer questions that unmatched data sets cannot address.


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