1. Louis de la Parte Florida Mental Health Institute Integrated Data Systems and Program Evaluation University of South Florida Diane Haynes

2. Louis de la Parte Florida Mental Health Institute PSRDC stands for Policy and Services Research Data Center PSRDC is a technical section within the Department of Mental Health Law & Policy, which is a part of the Louis de la Parte Florida Mental Health Institute at the University of South Florida, Tampa FL

3. Louis de la Parte Florida Mental Health Institute Data Sources (secondary and primary) Secondary Houses data for Pinellas Data Collaborative (County), Criminal Justice Mental Health & Substance Abuse Technical Assistance Centers (Statewide) Statewide Agency Administrative data (AHCA Medicaid Claims, DCF SAMHIS & SMH, Baker Act Initiations, DCF Child Welfare) Primary Faculty obtained external funded projects (survey’s, evaluations)

4. Louis de la Parte Florida Mental Health Institute Various Type of Administrative Data Criminal Justice ♦Florida Dept. of Corrections ♦Florida Dept. of Law Enforcement ♦Florida Dept. of Juvenile Justice Behavioral Health ♦Substance Abuse ♦Mental Health Physical Health Pharmacy

5. Louis de la Parte Florida Mental Health Institute Other Types of Administrative Data ♦County EMS ♦County HHS ♦County CJIS ♦County JWB ♦County Mental Health Court ♦County Drug Court Types of Studies/Analysis Mental health, substance abuse, criminal justice Adults, Youths, Children

6. Louis de la Parte Florida Mental Health Institute Subpopulation of those in the Criminal Justice System (Jail/Prison) They cycle in and out of the criminal justice system More likely to use costly crisis behavioral health services rather than lower cost outpatient services More likely to end up homeless Substance Abuse Criminal Justice Mental Health

7. Louis de la Parte Florida Mental Health Institute Mental Health Courts Focus on diversion of this sub-population from the normal criminal justice system path Through coordination by case management allows access to appropriate, comprehensive, targeted, integrated services Is voluntary option Create an integrated collaboration of community providers to provide services

8. Louis de la Parte Florida Mental Health Institute Integrated Access to Services Other Community Support Mental Health Services Social Services Substance Abuse Services Jails, Courts Access to Appropriate Services

9. Louis de la Parte Florida Mental Health Institute Sharing of Administrative Data Allowing access to administrative data through MOUs, & Data Agreements ♦ Mental Health ♦ Substance Abuse ♦ Criminal Justice ♦ Health & Human Services ♦ Homeless Coalition

10. Louis de la Parte Florida Mental Health Institute Program Evaluations Using administrative secondary data Initial Baseline Formative or process (Also Uses Primary Survey Data) Outcome Cost Benefit Analysis

11. Louis de la Parte Florida Mental Health Institute Initial Baseline Results Estimated number of individuals who are incarcerated and would meet the criteria to enter the mental health court program (MHCP) was found to be 3% or 423 of the individuals being arrested (14,072) Of those 423, 152 are also dealing with a substance abuse problem Re-arrest rate after being released from jail was 33.9% within 6 months and 44.3% within 12 months after released.

12. Louis de la Parte Florida Mental Health Institute Informative or Process Evaluation Results Implementation was as planned, with strong commitment on the part of key stakeholders, management, and staff. Part of the satisfaction is the ability of the program to be flexible to meeting each individual client’s needs. There is an increased need of awareness of the program, especially for private attorneys was identified The number of clients surpassed the estimations, to the point of the case manager / client ratio has passed what was set in the manual which was 20 clients per case manager.

13. Louis de la Parte Florida Mental Health Institute Outcome Evaluation Results The re-arrest rate for 6 months after the program for those who completed the program was 17% compared to the baseline of 33.9%, and the rate for 12 months after the program was 22% compared to 44.3%. The average number of days to re-arrest for those in the study group who were re- arrested was 96 days, while for the comparison group the average number of days to re-arrest was 52 days.

14. Louis de la Parte Florida Mental Health Institute Cost Analysis Evaluation Results The average cost per individual who was in the program and graduated was $792.38. The cost of incarceration for the study group in the prior year was $61,932.40 compared to this year was $19,919.00 Even if you include the cost of the MHC program ($32,020.76), there is still a cost savings of $9,992.64 for 40 individuals

15. Louis de la Parte Florida Mental Health Institute Cost Table Example 1 Per ClientPer Year Contact Type Average Number Per Ind. Average Total Cost Number of ClientsCost Per Year Court Hearing10$397.2460$17,528.79 Group After Court1$15.802$31.60 In Person3$75.1945$2,823.59 Placement Review1$31.601 Survey Answer1$3.951 Telephone16$260.7059$11,593.33 Caretaker/Guardian1$7.901 Total Average Cost $792.38 $32,020.76

16. Louis de la Parte Florida Mental Health Institute Cost Table Example 2 Type of Service Received Number of Individuals and Costs 1 Year Before Program (N = 22)1 Year After Starting Program ( N = 38) Average Cost & Days of Svc Per Client Nbr Ind. & Total Per Year Average Cost & Days of Svc Per Client Nbr. Ind. & Total Per Year Non Crisis Services61$2,537.0414$35,518.6020$3,104.6235$108,661.70 Crisis Services3$921.1418$15,769.5914$5,209.6224$124,595.83 MH outpatient8$230.725$1,153.584$878.6122$19,329.37 MH Inpatient1$538.908$4,311.200$0.000 MH Emergency2$461.251 5$2,532.2721$53,177.65 MH Case Management25$1,609.043$4,827.1218$2,656.3931$82,348.14 SA Outpatient12$202.975$1,014.864$282.143$846.34 SA Inpatient2$538.021 1$52,808.911 SA Emergency0$0.000 0 0 SA Case Management0$0.000 12$903.815$4,519.05 PH Outpatient52$2,194.0813$28,523.046$809.402$1,618.80 PH Inpatient6$3,511.702$7,023.401$17,573.001 PH Emergency3$531.639$4,784.642$490.4231,417,24 PH Case Management0$0.000 0 0

17. Louis de la Parte Florida Mental Health Institute Conclusion Access to Administrative data from multiple sources can bring added benefit to evaluations Administrative data is already collected Across multiple sources can give a more complete picture of individuals in the program and the program itself.

18. Louis de la Parte Florida Mental Health Institute Any Questions?

19. Louis de la Parte Florida Mental Health Institute Contact Diane Haynes. MA, MPA Statistical Data Analyst 13301 Bruce B. Downs Blvd., MHC 2621 Florida Mental Health Institute (FMHI) Department of Mental Health Law & Policy College of Behavioral and Community Sciences University of South Florida Tampa, FL 33612 Voice: 813 974-2056 Fax: 813 974-6411 dhayne2@usf.edu