1 Mayview Regional Service Area Plan Quality Improvement/Outcomes (QIO) Committee QIO Data Report Allegheny HealthChoices, Inc. April 7, 2010

April 2010 Report People who have completed at least 2 CFST satisfaction surveys. Do experiences and opinions change the longer people are living in the community? Includes the following sections: – Response rate – Satisfaction with services – Housing – Income, employment, and education – Physical and mental health – Quality of life 2 Allegheny HealthChoices, Inc.

Response Rate The earliest and most recent surveys for individuals who had completed at least two interviews since their discharge. 3 Allegheny HealthChoices, Inc. Number of Surveys People have Completed, by County County # of people who have completed 0 surveys # of people who have completed 1 survey # of people who have completed 2 surveys # of people who have completed 3 surveys # of people who have completed 4 surveysTotal AL BE LW 44 8 WA Total

Response Rate 169 people completed 2 or more surveys (59%). Allegheny HealthChoices, Inc. 4

Satisfaction With Services Allegheny HealthChoices, Inc. 5

Needed Services and Supports In their most recent interview, 47 people (28%) said that they needed services and supports that they weren’t receiving. When asked what else they needed, there were several themes in the responses: – Money – Prefer a different housing arrangement – Different psychiatrist – Additional or different groups and activities – Assistance with transportation – Housing Allegheny HealthChoices, Inc. 6

Housing 7 Allegheny HealthChoices, Inc.

Housing Allegheny HealthChoices, Inc. 8 Few changes in housing opinions from the first survey to the most recent survey.

Work, Volunteer, and Education Allegheny HealthChoices, Inc. 9

Money/Income 60% - Somewhat or very satisfied with the amount of money they have. 33% - Somewhat or very dissatisfied with their level of income. Overall percentages were similar from people’s first interview to their most recent interview. Allegheny HealthChoices, Inc. 10

Supports: Transportation Increase in the number of people who rated their transportation as excellent. About the same rated transportation as poor. Allegheny HealthChoices, Inc. 11

Supports: Family and Friends Support from friends increased (64% responded yes). Family support was similar between the surveys. – 60% receive as much support from their family as they would like – 15% would like additional help connecting with their family. Allegheny HealthChoices, Inc. 12

Supports: Spiritual Activities The number of people participating in spiritual activities decreased from 44% to 37%. 26% expressed an interest in finding spiritual activities. Allegheny HealthChoices, Inc. 13

Supports: Drop-in Centers, Clubhouse, Social Rehab, Psych Rehab, and Peer Mentors 46% report that they go to these programs (an increase). Peer mentors continue to play a role in people’s lives (59%). 15% reported wanting a peer. Allegheny HealthChoices, Inc. 14

Physical Health Allegheny HealthChoices, Inc % report receiving regular physical health check-ups, mostly from PCP. 50% report that there is communication between their physical health and behavioral health providers, 30% don’t know. 50% report having regular dental care.

Physical and Mental Heath Ratings Majority of people report their mental health, physical health, and access to physical health care as average or excellent. Overall, percentages for excellent, average, and poor mental & physical health were consistent between surveys. Allegheny HealthChoices, Inc. 16

Other Health Topics Allegheny HealthChoices, Inc % (76 people) did not want help with any of these topics. 31% (53 people) want help losing weight, and about 23% want help with nutrition, quitting smoking, and/or exercise.

Substance Abuse Allegheny HealthChoices, Inc. 18 Majority report no issues with substance abuse. 11% (19 people) said they did have substance abuse issues. – 12 of these people report that their use of street drugs or alcohol is having a negative impact on their lives.

Quality of Life Allegheny HealthChoices, Inc. 19 Increase in percent that feel life is better since leaving Mayview (82% to 87%). Freedom factor

Social Life / Independence Allegheny HealthChoices, Inc % rated their social life as poor, an increase from 20%. 69% average or excellent. 85% of people rated their ability to have fun and relax as excellent or average. 87% of people rated their level of independence as average or excellent. 60% rated their ability to take care of themselves as excellent, an increase from 43%. 53% rated their self-esteem as excellent, an increase from 33%.

What would make life better? When asked what one thing would make their lives better now, several themes emerged: – Finding a significant other – Employment – Finding a home – Getting a car – Having more money – Relationships with family – Stop hearing voices – Dentures, walkers, other health needs And my two favorite answers: – “Finding out how they make the holes in Swiss cheese.” – “If I married a rich man.” Allegheny HealthChoices, Inc. 21

Take-Aways Work continues to be an area of focus PH/BH Coordination – Dental – Vision – Communication – Stigma – Advocating for yourself Use positive deviance approach for PH/BH coordination and understanding substance abuse (those with no issues) System responsibility to allow/enable people to make the best informed choices for themselves Teaching people how to inform others in the community to reduce stigma Focus on making improvements to the entire system Recovery focus for MH system and workers Making system flexible and adaptive Add follow-up question to income question – enough to buy what I need There was an increase in the # of people who ranked social life as poor Allegheny HealthChoices, Inc. 22