NorthSTAR Director’s Report DANSA Board Meeting Marsh Lane Dallas, Texas 1/14/04 John Theiss, Ph.D.

Four Observations and a Conclusion all-but-eliminated support services provided to consumers with major depression in the community, reduced community-support services to consumers with schizophrenia and bipolar disorder through aggressive restrictions on approval, including service denials (so far, from our data) to 4% of ACT consumers; eliminated access to new generation medications except through a state hospital admission; and significantly over-utilized state hospital bed-days in the same time period. So, clinically, a critic would see a program whose response to a crisis in financing has been to drift toward a crisis model of care

Support Services to Persons with Major Depression

Rehab to Persons with Schizophrenia and/or Bi-Polar Disorder

NorthSTAR Persons Received ACT

NorthSTAR Provides More ACT

New Gen Med Use Increases

NorthSTAR State-funded Atypical Meds Penetration Similar to Non-NorthSTAR

CARE Shows NorthSTAR SH Overuse VO and DANSA ended SFY 2003 with substantial apparent overuse of the State Hospital. A review of the CARE data used to generate the Trust Fund utilization information indicates that there are problems with the accuracy and adequacy of the information underlying the data. The state is working with DANSA and VO to identify these problems and determine the extent of any over use.

High Return on Investment

MH Provider Payments Increase

Increases # Served Each Year

NorthSTAR Serves a Higher Population Proportion

VO Consistently Exceeds DSCT

Increase # Served Each Quarter

Four Observations and a Conclusion all-but-eliminated support services provided to consumers with major depression in the community, reduced community-support services to consumers with schizophrenia and bipolar disorder through aggressive restrictions on approval, including service denials (so far, from our data) to 4% of ACT consumers; eliminated access to new generation medications except through a state hospital admission; and significantly over-utilized state hospital bed-days in the same time period. So, clinically, a critic would see a program whose response to a crisis in financing has been to drift toward a crisis model of care

Improved Distribution by Adult Pri Pop

Adult Pri Pop Looks More Like Texas