Annual Report · 0.2% Native Hawaiian and Other Pacific Islander 197 0.8% 0.3% DOC- Parole Agents...

34
Criminal Justice Initiative Treatment Services Carroll Institute 2019 Annual Report

Transcript of Annual Report · 0.2% Native Hawaiian and Other Pacific Islander 197 0.8% 0.3% DOC- Parole Agents...

Page 1: Annual Report · 0.2% Native Hawaiian and Other Pacific Islander 197 0.8% 0.3% DOC- Parole Agents 136 Asian Other Criminal Justice Initiative (CJI) Treatment Services Profile Carroll

Criminal Justice Initiative Treatment Services

Carroll Institute

2019Annual Report

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Fiscal Year 2019 (FY19) Program Activity

50%

11%

35%

0.3%

0%

3%

Quality Assurance (QA) Scores

CBISA QA Scores

410

56%

RaceCBISA

0.2%

0%

Native Hawaiian and Other Pacific

Islander

197

0.8% 0.3%DOC- Parole Agents 136

Asian

Other

Criminal Justice Initiative (CJI) Treatment Services Profile

Carroll InstitutePrinted September 2019

DOC- Prison

QA reviews are conducted to ensure

fidelity and effectiveness of evidence-

based programming.

Agency CJI Totals

1,555

2,680

635

Black or African American

35%

Demographic Information

QA Scores# QAs

CompletedAverage Score

3 1.85

3%

White

Source of Referrals

Clients Served Agency CJI Totals

Clients Served

5%

Two or More Races

Source Agency CJI Totals

UJS- Probation 203 3,135

American Indian or Alaska Native

CJI represents South Dakota's commitment to the adult criminal justice involved population with behavioral health

needs. CJI offers quality, evidence-based services targeting substance use disorders (SUD) and criminal thinking.

CJI offers Cognitive Behavioral Interventions for Substance Abuse (CBISA), Moral Reconation Therapy (MRT), and

Level 3.1 Clinically-Managed Low-Intensity Residential Services. Additionally, CBISA and MRT are offered via

telehealth to serve clients unable to access services through traditional means.

CJI is a collaboration between the Department of Social Services (DSS), Unified Judicial System (UJS), Department of

Corrections (DOC), and community agencies.

Carroll Institute (CI) provides CBISA and Level 3.1 Clinically-

Managed Low-Intensity Residential Services in the Second Judicial

Circuit to CJI funded clients.

This profile page reflects CJI publicly funded clients in FY19,

which runs from June 2018-May 2019.

The demographic information includes CJI clients who were

funded through state and federal funds, including Medicaid.

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CJI Treatment Services

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CJI Treatment Services

CJI Treatment Services

CJI CBISA Treatment Services………………………………………………………………………5

Outcome Tool Return Rate Information for CBISA………………………………………………………..7

Discharge Reasons for CBISA………………………………………………………………7

Primary Diagnostic Information for CBISA……………………………………………………………….8

Impact of CBISA………………………………………………….……………………………….8

Utilization of High Cost Services for CBISA………………………………………………..9

Quality of Life Information for CBISA……………………………………………………………………….11

Public Safety Information for CBISA……………………………………………………………………….13

Curriculum Fidelity for CBISA…………………………………………………………………13

Appendix A: Criminal Justice Initiative Treatment Services………………………………………………….15

Table of Contents

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CJI Treatment Services

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CJI Treatment Services

CJI CBISA Treatment

Services

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CJI Treatment Services

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CJI Treatment Services

CBISA Return Rates

# of Admissions

# of Tools Submitted

Return Rate

Target Return Rate

# of Successful Discharges

# of Tools Submitted

Return Rate

Target Return Rate

State Average

#DIV/0!

Program Outcomes for CBISA

FY21

1%

#DIV/0!

18%

51%

366219

#DIV/0!

#DIV/0!

FY20 FY21

#DIV/0!

#DIV/0!

Transferred to Another Facility

or Program5% 9%

51% #DIV/0!

#DIV/0!

#DIV/0!

Incarcerated

35%

FY17

14%

#DIV/0!

49%

19%

#DIV/0!#DIV/0!

#DIV/0!

6% 8%

#DIV/0!15% 11%

6%

16%

24%

Treatment Completed

Transferred to Another Facility

or Program

14%

8%

#DIV/0!

Incarcerated

1%

48%

#DIV/0!

47%

#DIV/0!

9%

Other 7%

Terminated by Facility

#DIV/0!

9%

44%

3% #DIV/0!

FY19FY18

60%

Discharge Outcome Tool Return Rate

52% #DIV/0!

#DIV/0!

133 166

#DIV/0!

60%

48%

CBISA Discharge Reasons

Discharge Reasons for CBISA

6%

60%

#DIV/0!

Other 6%

The Division of Behavioral Health (DBH) set a benchmark of a 55% successful completion rate for CBISA

treatment services.

16%

#DIV/0!

60%

15%

Terminated by Facility

40 85

15%Left Against Professional

Advice

5%

60% 60%

113

60%60%

16%

60%

#DIV/0!

#DIV/0!

14%

Left Against Professional

Advice

12%

69%

Initial Outcome Tool Return Rate

FY19 FY20

#DIV/0!

60%

395

233113

19%

59%

#DIV/0!Treatment Completed

21

The Data and Outcomes Work Group members set a goal for all contracted agencies to meet or exceed a

60% outcome tool return rate for FY19.

Outcome Tool Return Rate Information for CBISA

FY17 FY18

CBISA is a cognitive behavioral approach to teach participants strategies to avoid substance misuse. The

curriculum emphasizes skill-building activities to assist with cognitive, social, emotional, and coping skills

development.

3%

Agency Average

252

This information is collected in the State Treatment Activity Reporting System (STARS) for clients discharged

from CBISA treatment services.

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CJI Treatment Services

Primary SUD Diagnosis

CBISA

Agency Average

State Average

CBISA

Agency Average

State Average

CBISA

Agency Average

State Average

8

-

-

-

FY17 FY18

-

-

-

-

42

FY16FY15

Primary Diagnostic Information for CBISA

-

The DBH monitors data and outcomes for publicly funded behavioral health treatment services. The table

below reflects information entered into STARS by contracted providers for CJI funded clients receiving

CBISA treatment services. This does not include individuals who received only an assessment.

Number/Percent of Clients with a

Primary Alcohol Use Disorder

#DIV/0!

#DIV/0!93%

-

133

147

FY18 FY19

137

15

FY17

6% 12%

-

-

--

-

#DIV/0!

FY20

Number/Percent of Clients with a

Primary Cannabis Use Disorder

49

95%

FY19

FY21

38%

-

95%

Quality and Appropriateness of Services: Perception of the quality and appropriateness of treatment services

received

31%

94%

-

-

Number/Percent of Clients with a

Primary Other Use Disorder

129

- -

-

43%

Number/Percent of Clients with a

Primary Amphetamine Use

Disorder

95%

93%

FY18

#DIV/0!

-

1%- 7%

FY20

Impact of CBISA

90%

92% #DIV/0!

FY19

98%

FY18FY17

93%

FY21

The following information represents data from those clients who agreed or strongly agreed at the time of

successful discharge.

2%

91%

#DIV/0!

FY17

- -

-

FY21

90%

FY19

94% #DIV/0!

FY20

92% 94%

#DIV/0!

#DIV/0!

94%

#DIV/0!

6%

-

-

-

Number/Percent of Clients with a

Primary Opioid Use Disorder

19

-

-

5

General Satisfaction with Services: Overall satisfaction with treatment services received

Access to Services: Perception of the ease and convenience of treatment services received

Impact of treatment services is measured by surveying client perception of the quality of services received

including the following: general satisfaction with services, access to services, quality and appropriateness of

services, outcome of services, and participation in treatment planning. Additionally, impacts are measured by

improvements in social connectedness and overall functioning. Impact of treatment services is relevant

because clients who feel empowered, motivated, have positive family relationships, and feel they have the

ability to change may be more likely to have positive treatment outcomes.

#DIV/0!

#DIV/0!

100%

94%

40%

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CJI Treatment Services

CBISA

Agency Average

State Average

CBISA

Agency Average

State Average

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

92%

7%

#DIV/0!

-

Participation in Treatment Planning: Perception of participation in treatment planning

#DIV/0!

FY19

FY19

94%

#DIV/0!87%

90%

-

90%

Utilization of High Cost Services for CBISA

4%

#DIV/0!95%

#DIV/0!

93%

#DIV/0!

85%

77%

FY20

94%

95%

78%

FY18 FY21FY19

#DIV/0!

83%

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

- 5%

#DIV/0!

Illness, Injury, or Surgery: Clients who reported night(s) spent in a facility for illness, injury, or surgery within 30

days of…

84%

#DIV/0!

#DIV/0!

FY21

FY20

80%81%

- 84%

FY20

FY18

#DIV/0!

FY18

#DIV/0!

7% #DIV/0!-

The following two sections include data at admission into services and at successful discharge from services

as a means to demonstrate improvement in social connectedness and functioning.

#DIV/0!

#DIV/0!

FY19

0%

FY21

#DIV/0!

92%

93% 95%

High cost services include the following: treatment for illness, injury, or surgery, emergency department

visits, hospital admissions for mental health care, detoxification services, inpatient substance use disorder

treatment services, or detention in a correctional facility. Participation in treatment services may help reduce

the frequency of client utilization of high cost services. Data from FY17 and June through December FY18

are not reported due to a change in the reporting process. The following section includes data at admission

into services and at successful discharge from services.

5%

87%

FY20

Outcome of Services: Perception of treatment outcomes as a result of services received

95% 94%

93%

FY18

91%

FY20

Functioning: Perception of their mental health and social well-being at…

95%

#DIV/0!

FY17

FY17

FY21

#DIV/0!

#DIV/0!

92%

#DIV/0!

Social Connectedness: Perception of their support system in the community at…

94%

#DIV/0!

#DIV/0!81%

95%

14%

#DIV/0!

FY21

9%

#DIV/0!

-

-

FY17

82%

90%

FY17

#DIV/0!

FY18

#DIV/0!

FY17

#DIV/0! #DIV/0!

-

FY19

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CJI Treatment Services

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge #DIV/0!

2%

-

#DIV/0!

#DIV/0!

#DIV/0!

18%

#DIV/0!

3%

2%

#DIV/0!

FY17

5%-

4% #DIV/0!

FY17

#DIV/0!

-

FY20

17%

Inpatient Substance Use Disorder Treatment Services: Clients who reported inpatient treatment services for

substance use disorders within 30 days of…

#DIV/0!

FY18

Correctional Facility: Clients who reported night(s) spent in a correctional facility within 30 days of…

#DIV/0!

-

#DIV/0!

#DIV/0! #DIV/0!

Hospital Admissions for Mental Health Care: Clients who reported hospital admission(s) for mental health care

within 30 days of…

FY21

FY17

#DIV/0!

FY20 FY21

#DIV/0!

7%

7%

0%

-

Detoxification Services: Clients who reported night(s) spent in a facility for detoxification within 30 days of…

2%

4%

FY21

#DIV/0!

#DIV/0!

#DIV/0!

-

#DIV/0!

5%

2%

FY19

#DIV/0!

Emergency Department: Clients who reported emergency department visit(s) within 30 days of…

6%

FY17

#DIV/0!

-

6%

6%

#DIV/0!0%

4%

4%

0%

#DIV/0!4%

FY19FY18

5%

#DIV/0!

FY17

0%-

-

-

3%

FY18

#DIV/0!-

FY21FY20

-

-

#DIV/0!

FY20

#DIV/0!

#DIV/0!

7%

1%

FY18 FY19

#DIV/0!5%

FY18

#DIV/0!

3% #DIV/0!

8%

-

#DIV/0!

#DIV/0!

#DIV/0!-

-

0% #DIV/0!

#DIV/0!

-

FY19

7%

#DIV/0!

FY19

2%

61%

21%

0%

FY21

-

50%

56%

#DIV/0!

#DIV/0!

-

#DIV/0!

FY20

69%

-

15%

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CJI Treatment Services

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Admission

Discharge

6 Months Post-Treatment

State Average

Admission

Discharge

6 Months Post-Treatment

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

#DIV/0!

5%

7%

FY17

Quality of Life Information for CBISA

Quality of life is measured in several key life domains including the following: general health, suicide

attempts, employment status, homelessness, and other domains as shown in the tables below. Improvements

in these areas may indicate the effectiveness of treatment services. The following section includes data at

admission into services and at successful discharge from services.

85%

#DIV/0!

95%

#DIV/0!

Suicide Attempts: Clients who reported suicide attempt(s) within 30 days of…

#DIV/0!

65%

48%

FY21

-

Federally Required; Discharge data includes successful and unsuccessful discharges

2%

#DIV/0!

#DIV/0!

0%

Homelessness: Clients who reported homelessness at...

1%

FY17

#DIV/0!

Data from FY17 and June through December FY18 are not reported for suicide attempt(s) due to a change in

the reporting process.

FY20

FY21

- #DIV/0!

-

Federally Required; Discharge data includes successful and unsuccessful discharges

89%

87%

FY21

95% #DIV/0!

#DIV/0!

-

#DIV/0!

- #DIV/0!

#DIV/0!

#DIV/0!

2%

#DIV/0!

0%

#DIV/0!

FY20

#DIV/0!

-

#DIV/0!

#DIV/0!

42% 37%

48%

#DIV/0!

FY20

FY18

General Health: Clients who reported their general health as good, very good, or excellent at…

93%

FY19

90%

90%

64%

#DIV/0!

7%-

#DIV/0!

5%

-

#DIV/0!

FY19

2%

6%

#DIV/0!

89%

#DIV/0!

#DIV/0!

47%

#DIV/0!

#DIV/0!

FY20

#DIV/0!

FY18

#DIV/0!1%

#DIV/0!

67%

87%

FY19

58%

FY17 FY18

9% #DIV/0!

52%

8% #DIV/0!

100%

#DIV/0!

FY21

#DIV/0!

86%

88%

FY18 FY19

- 7%

#DIV/0!

9%

Employment Status: Clients who reported employment at…

57%

96%-

-

-

FY17

35%

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CJI Treatment Services

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Before Program

End of Program

6 Months Post-Treatment

State Average

Before Program

End of Program

6 Months Post-Treatment

CBISA

Agency Average

Admission

Discharge

6 Months Post-Treatment

State Average

Admission

Discharge

6 Months Post-Treatment

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

-

92%

-

97%

FY18

#DIV/0!

#DIV/0!

Missing School/Work: Clients who reported missing school/work due to their substance use within 30 days of…

11%

74%

#DIV/0!

#DIV/0!

#DIV/0!

78%

-

FY20

87% #DIV/0!

Ability to Control Use: Clients who reported the ability to control their substance use…

50% 57%

48%

69%

72%

67%

-

FY21

78%

FY20

12%

4%

100%

#DIV/0!

63%

54%

55%

#DIV/0!

60%

#DIV/0!#DIV/0!

85%

#DIV/0!

Motivation to Not Use Substances: Clients who reported motivation to not use substances at…

#DIV/0!

#DIV/0!

#DIV/0!

FY17

#DIV/0!

98%

82%-

87%

100%

79%

-

#DIV/0!

86%

FY19

-

FY18

#DIV/0!#DIV/0!

FY17

-

#DIV/0!

#DIV/0!

#DIV/0!

-

#DIV/0!

#DIV/0! #DIV/0!

90%

89%

99%

#DIV/0!

FY21

50%

95%

FY19

-

89%

90%

FY18

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!-

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

0%

FY19

FY20

#DIV/0!

100%

84%

16%

98%

60%

2%3%

#DIV/0!

FY17 FY21

57%

#DIV/0!

-

-

95%

-

17%

#DIV/0!

#DIV/0!

#DIV/0!

FY17

FY19FY18

Engagement in Treatment Services: Clinicians who reported clients had positive or optimal engagement in treatment

services at…

FY21FY20

94%

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CJI Treatment Services

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

CBISA

Agency Average

Admission

Discharge

State Average

Admission

Discharge

Agency Average

State Average

Agency Average

State Average

52%

35% #DIV/0!

12%

Federally Required; Discharge data includes successful and unsuccessful discharges

169

Average Length of Time from Program Start to Successful Completion for CBISA

7%

Public safety information includes history of arrest and trouble as a result of substance use. Reductions in

these areas may indicate how clients are able to positively contribute to their families and communities. The

following section includes data at admission into services and at successful discharge from services.

9%

19%

FY19FY18

22%

FY18

Trouble as a Result of Substance Use: Clients who reported getting in trouble at home, school, work, or in the

community as a result of substance use within 30 days of…

FY17

-

26

#DIV/0! #DIV/0!

16%56%

13

24% #DIV/0!

#DIV/0!

Public Safety Information for CBISA

0% 8%

-

0

Curriculum Fidelity for CBISA

4%

FY20 FY21

0

#DIV/0!

FY20

-

#DIV/0!

29%

155

The estimated length of time to successfully complete CBISA treatment services is approximately 210 days/30

weeks. The DBH monitors this as a measure of program fidelity. The following data reflects the average

number of days for clients to complete CBISA services.

133

CBISA: Days from Start to

Completion

#DIV/0!

#DIV/0!16%

FY19

FY21

FY19

-

4%

The CJI Sustainability Workgroup established expectations that clients are to begin CBISA treatment services

within 30 days of referral. More timely engagement and entry into services may result in improved client

outcomes.

FY21

FY21

0

0

FY20

2335

FY17

#DIV/0!

FY18CBISA: Days from Referral to

Program Start

27

History of Arrest: Clients who reported arrest(s) within 30 days of…

FY17

FY17

Average Length of Time from Referral to Program Start for CBISA

17%

-

#DIV/0!

FY20

-

#DIV/0!

#DIV/0!#DIV/0!

17

#DIV/0!

#DIV/0!

20%

165-

-

FY18

FY19

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CJI Treatment Services

CBISA Trainings

Agency Average Score

Number of QAs Completed

State Average Score

CBISA Training

1.84

The DBH QA Team conducts reviews of CBISA facilitators to ensure program fidelity. Facilitators are

expected to operate at a proficient level, as indicated by a score of at least 1.61 on a 2.00 scale.

FY17

FY18 FY20

1.76 1.97

FY21CBISA QA Results

0.00

3

The University of Cincinnati Corrections Institute (UCCI) certified the DBH Training Team to provide

training of the CBISA curriculum.

FY20

3 0

3

FY19

CBISA Curriculum Trainings

0.001.86

QA Reviews for the CBISA Curriculum

3

1.78

3 0

FY19

1.85

3

FY17

FY18 FY21

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Clients ServedAge FY17 FY18 FY19 FY20 FY21

18 and Below - - -19 to 64 - 362 35565 and above - 3 -Clients Served Total - 365 355 0 0

State PopulationAge FY17 FY18 FY19 FY20 FY21

18 and Below - - - 0 019 to 64 - 2,780 2,674 0 065 and above - 14 8 0 0

State Population - 2,794 2,682 0 0Agency Clients Served

Race FY17 FY18 FY19 FY20 FY21White 166 191 178Black or African American 22 26 40American Indian and Alaska Native 68 131 124Asian 2 1 1Native Hawaiian and Other Pacific Islander 1 4 3Two or More Races 18 0 0Other 11 12 9

Clients Served Total 288 365 355 0 0State Population

Race FY17 FY18 FY19 FY20 FY21White 1,650 1,575 1,522 0 0Black or African American 115 138 137 0 0American Indian and Alaska Native 767 993 950 0 0Asian 7 3 5 0 0Native Hawaiian and Other Pacific Islander 10 9 9 0 0Two or More Races 176 0 0 0 0Other 64 76 79 0 0

State Population 2,789 2,794 2,702 0 0

Appendix A: Criminal Justice Initiative Treatment Services

Carroll Institute

June to May

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

CBISA Discharge Reasons

Agency Average FY17 FY18 FY19 FY20 FY21

113 133 166

46 59 80

19 3 10

13 44 32

32 54 46

14 10 4

Total 237 303 338 0 0

State Average FY17 FY18 FY19 FY20 FY21

718 989 1,085 0 0

217 326 311 0 0

182 177 188 0 0

75 129 130 0 0

234 324 229 0 0

110 130 179 0 0

Total 1,536 2,075 2,122 0 0

Discharge Reasons for CBISA

CJI Cognitive Behavioral Interventions for Substance Abuse (CBISA)

Other

Incarcerated

Transferred to Another Facility or Program

Terminated by Facility

Left Against Professional Advice

Treatment Completed

Other

Incarcerated

Transferred to Another Facility or Program

Left Against Professional Advice

Treatment Completed

Terminated by Facility

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Primary SUD Diagnosis FY15 FY16 FY17 FY18 FY19

- - - 137 147

- - - 40% 43%

- - - 49 42

- - - 6% 12%

- - - 133 129

- - - 31% 38%

- - - 15 19

- - - 2% 6%

- - - 8 5

- - - 7% 1%

Total - - - 342 341

State Primary SUD Diagnosis FY15 FY16 FY17 FY18 FY19

- - - 794 776

- - - 35% 35%

- - - 423 399

- - - 19% 18%

- - - 890 867

- - - 39% 39%

- - - 109 117

- - - 5% 5%

- - - 40 36

- - - 2% 2%

Total - - - 2256 2195

Primary SUD Diagnoses Information for CBISA

Number/Percent of clients with a Primary Alcohol

Use Disorder

Number/Percent of clients with a Primary Opioid Use

Disorder

Number/Percent of clients with a Primary Cannabis

Use Disorder

Number/Percent of clients with a Primary Alcohol

Use Disorder

Number/Percent of clients with a Primary Cannabis

Use Disorder

Number/Percent of clients with a Primary

Amphetamine Use Disorder

Number/Percent of clients with a Primary Opioid Use

Disorder

Number/Percent of clients with a Primary Other Use

Disorder

Number/Percent of clients with a Primary

Amphetamine Use Disorder

Number/Percent of clients with a Primary Other Use

Disorder

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 102 14 78

Total clients 111 14 83

Agency Average 92% 100% 94% #DIV/0! #DIV/0!

State FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 287 171 586 0 0

Total clients 308 180 626 0 0

State Average 93% 95% 94% #DIV/0! #DIV/0!

Agency FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 174 18 75

Total clients 185 20 82

Agency Average 94% 90% 91% #DIV/0! #DIV/0!

State FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 284 232 574 0 0

Total clients 305 237 624 0 0

State Average 93% 98% 92% #DIV/0! #DIV/0!

Agency FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 263 18 77

Total clients 292 19 83

Agency Average 90% 95% 93% #DIV/0! #DIV/0!

State FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 285 226 570 0 0

Total clients 304 237 607 0 0

State Average 94% 95% 94% #DIV/0! #DIV/0!

Agency FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 261 18 78

Total clients 299 19 85

Agency Average 87% 95% 92% #DIV/0! #DIV/0!

State FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 285 229 591 0 0

Total clients 307 240 628 0 0

State Average 93% 95% 94% #DIV/0! #DIV/0!

Impact of CBISA

Outcome of Services

Quality and Appropriateness of Services

Access to Services

General Satisfaction with Services

September 2019 | 18 ii

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 66 11 79

Total clients 73 12 84

Agency Average 90% 92% 94% #DIV/0! #DIV/0!

State FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree 264 218 585 0 0

Total clients 303 236 624 0 0

State Average 87% 92% 94% #DIV/0! #DIV/0!

Agency Admission FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree - 75 179

Total clients - 96 231

Admission Agency Average - 78% 77% #DIV/0! #DIV/0!

Agency Discharge

Number who agree or strongly agree 123 19 71

Total clients 148 21 84

Discharge Agency Average 83% 90% 85% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree - 588 1,354 0 0

Total clients - 725 1,648 0 0

Admission State Average - 81% 82% #DIV/0! #DIV/0!

State Discharge

Number who agree or strongly agree 285 228 577 0 0

Total clients 316 244 636 0 0

Discharge State Average 90% 93% 91% #DIV/0! #DIV/0!

Social Connectedness

Participation in Treatment Planning

September 2019 | 19 ii

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Admission FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree - 77 187

Total clients - 95 233

Admission Agency Average - 81% 80% #DIV/0! #DIV/0!

Agency Discharge

Number who agree or strongly agree 145 20 79

Total clients 152 21 84

Discharge Agency Average 95% 95% 94% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number who agree or strongly agree - 607 1,398 0 0

Total clients - 726 1,657 0 0

Admission State Average - 84% 84% #DIV/0! #DIV/0!

State Discharge

Number who agree or strongly agree 295 233 605 0 0

Total clients 316 244 634 0 0

Discharge State Average 93% 95% 95% #DIV/0! #DIV/0!

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 13 15

Total clients - 95 221

Admission Agency Average - 14% 7% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 0 7

Total clients - 23 79

Discharge Agency Average - 0% 9% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 47 65 0 0

Total clients - 705 1,608 0 0

Admission State Average - 7% 4% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 11 30 0 0

Total clients - 243 628 0 0

Discharge State Average - 5% 5% #DIV/0! #DIV/0!

Utilization of High Cost Services for CBISA

Illness, Injury, or Surgery

Functioning

September 2019 | 20 ii

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 8 15

Total clients - 98 232

Admission Agency Average - 8% 6% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 0 5

Total clients - 21 81

Discharge Agency Average - 0% 6% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 40 77 0 0

Total clients - 719 1,639 0 0

Admission State Average - 6% 5% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 7 22 0 0

Total clients - 243 635 0 0

Discharge State Average - 3% 3% #DIV/0! #DIV/0!

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 3 8

Total clients - 78 223

Admission Agency Average - 4% 4% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 0 0

Total clients - 23 79

Discharge Agency Average - 0% 0% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 33 63 0 0

Total clients - 707 1,616 0 0

Admission State Average - 5% 4% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 4 5 0 0

Total clients - 244 627 0 0

Discharge State Average - 2% 1% #DIV/0! #DIV/0!

Hospital Admissions for Mental Health Care

Emergency Department

September 2019 | 21 ii

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 4 16

Total clients - 99 227

Admission Agency Average - 4% 7% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 0 3

Total clients - 20 81

Discharge Agency Average - 0% 4% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 34 86 0 0

Total clients - 718 1,626 0 0

Admission State Average - 5% 5% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 6 13 0 0

Total clients - 244 636 0 0

Discharge State Average - 2% 2% #DIV/0! #DIV/0!

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 7 45

Total clients - 95 247

Admission Agency Average - 7% 18% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 0 2

Total clients - 20 78

Discharge Agency Average - 0% 3% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 55 115 0 0

Total clients - 742 1,609 0 0

Admission State Average - 7% 7% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 5 10 0 0

Total clients - 243 626 0 0

Discharge State Average - 2% 2% #DIV/0! #DIV/0!

Inpatient Substance Use Disorder Treatment Services

Detoxification Services

September 2019 | 22 ii

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 43 78

Total clients - 70 157

Admission Agency Average - 61% 50% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 0 13

Total clients - 20 77

Discharge Agency Average - 0% 17% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 360 803 0 0

Total clients - 521 1,438 0 0

Admission State Average - 69% 56% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 49 92 0 0

Total clients - 236 620 0 0

Discharge State Average - 21% 15% #DIV/0! #DIV/0!

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 202 273

Total clients - 232 309

Admission Agency Average - 87% 88% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 22 69

Total clients - 23 73

Discharge Agency Average - 96% 95% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 1,992 2,232 0 0

Total clients - 2,244 2,475 0 0

Admission State Average - 89% 90% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 466 649 0 0

Total clients - 515 699 0 0

Discharge State Average - 90% 93% #DIV/0! #DIV/0!

Quality of Life Information for CBISA

General Health

Correctional Facility

September 2019 | 23 ii

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 7 20

Total clients - 98 232

Admission Agency Average - 7% 9% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 0 0

Total clients - 19 79

Discharge Agency Average - 0% 0% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 49 116 0 0

Total clients - 719 1,639 0 0

Admission State Average - 7% 7% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 38 15 0 0

Total clients - 440 632 0 0

Discharge State Average - 9% 2% #DIV/0! #DIV/0!

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who are employed 67 110 128

Total clients 158 314 346

Admission Agency Average 42% 35% 37% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who are employed 82 182 226

Total clients 158 314 346

Discharge Agency Average 52% 58% 65% #DIV/0! #DIV/0!

Agency 6 Months Post Treatment

Number of clients who are employed 18 16 10

Total clients 19 18 10

6 Months Post Treatment Agency Average 95% 89% 100% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who are employed 589 1,020 1,010 0 0

Total clients 1,245 2,118 2,114 0 0

Admission State Average 47% 48% 48% #DIV/0! #DIV/0!

State Discharge

Number of clients who are employed 710 1,365 1,421 0 0

Total clients 1,245 2,118 2,114 0 0

Discharge State Average 57% 64% 67% #DIV/0! #DIV/0!

State 6 Months Post Treatment

Number of clients who are employed 90 172 143 0 0

Total clients 104 201 168 0 0

6 Months Post Treatment State Average 87% 86% 85% #DIV/0! #DIV/0!

Employment Status

Suicide Attempts

September 2019 | 24 ii

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who are homeless - 4 3

Total clients - 313 346

Admission Agency Average - 1% 1% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who are homeless - 18 27

Total clients - 313 346

Discharge Agency Average - 6% 8% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who are homeless - 41 33 0 0

Total clients - 2,119 2,110 0 0

Admission State Average - 2% 2% #DIV/0! #DIV/0!

State Discharge

Number of clients who are homeless - 104 109 0 0

Total clients - 2,119 2,110 0 0

Discharge State Average - 5% 5% #DIV/0! #DIV/0!

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 38 49

Total clients - 230 308

Admission Agency Average - 17% 16% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 0 3

Total clients - 23 74

Discharge Agency Average - 0% 4% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 261 256 0 0

Total clients - 2,239 2,325 0 0

Admission State Average - 12% 11% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 16 15 0 0

Total clients - 518 666 0 0

Discharge State Average - 3% 2% #DIV/0! #DIV/0!

Missing School/Work

Homelessness

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times 130 25 49

Total clients 272 46 81

Admission Agency Average 48% 54% 60% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times 268 44 83

Total clients 276 44 83

Discharge Agency Average 97% 100% 100% #DIV/0! #DIV/0!

Agency 6 Months Post Treatment

Number of clients who reported nights/times 36 16 9

Total clients 38 19 10

6 Months Post Treatment Agency Average 95% 84% 90% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times 871 520 396 0 0

Total clients 1,751 1,040 694 0 0

Admission State Average 50% 50% 57% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times 1,746 999 704 0 0

Total clients 1,778 1,010 715 0 0

Discharge State Average 98% 99% 98% #DIV/0! #DIV/0!

State 6 Months Post Treatment

Number of clients who reported nights/times 206 177 158 0 0

Total clients 216 203 168 0 0

6 Months Post Treatment State Average 95% 87% 94% #DIV/0! #DIV/0!

Ability to Control Use

September 2019 | 26 ii

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 137 176

Total clients - 219 245

Admission Agency Average - 63% 72% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 18 76

Total clients - 22 88

Discharge Agency Average - 82% 86% #DIV/0! #DIV/0!

Agency 6 Months Post Treatment

Number of clients who reported nights/times - 15 8

Total clients - 19 9

6 Months Post Treatment Agency Average - 79% 89% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 1,488 1,921 0 0

Total clients - 2,219 2,478 0 0

Admission State Average - 67% 78% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 437 636 0 0

Total clients - 514 707 0 0

Discharge State Average - 85% 90% #DIV/0! #DIV/0!

State 6 Months Post Treatment

Number of clients who reported nights/times - 139 140 0 0

Total clients - 202 161 0 0

6 Months Post Treatment State Average - 69% 87% #DIV/0! #DIV/0!

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 132 232

Total clients - 230 313

Admission Agency Average - 57% 74% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 23 58

Total clients - 23 74

Discharge Agency Average - 100% 78% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 1,240 1,484 0 0

Total clients - 2,245 2,482 0 0

Admission State Average - 55% 60% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 464 647 0 0

Total clients - 520 706 0 0

Discharge State Average - 89% 92% #DIV/0! #DIV/0!

Engagement in Treatment Services

Motivation to Not Use Substances

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who were arrested 51 37 54

Total clients 91 314 346

Admission Agency Average 56% 12% 16% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who were arrested - 109 100

Total clients - 314 346

Discharge Agency Average - 35% 29% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who were arrested 464 153 189 0 0

Total clients 898 2,118 2,116 0 0

Admission State Average 52% 7% 9% #DIV/0! #DIV/0!

State Discharge

Number of clients who were arrested - 502 430 0 0

Total clients - 2,118 2,116 0 0

Discharge State Average - 24% 20% #DIV/0! #DIV/0!

Agency Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 49 58

Total clients - 227 304

Admission Agency Average - 22% 19% #DIV/0! #DIV/0!

Agency Discharge

Number of clients who reported nights/times - 0 6

Total clients - 23 74

Discharge Agency Average - 0% 8% #DIV/0! #DIV/0!

State Admission FY17 FY18 FY19 FY20 FY21

Number of clients who reported nights/times - 384 371 0 0

Total clients - 2,238 2,324 0 0

Admission State Average - 17% 16% #DIV/0! #DIV/0!

State Discharge

Number of clients who reported nights/times - 22 30 0 0

Total clients - 519 668 0 0

Discharge State Average - 4% 4% #DIV/0! #DIV/0!

Trouble as a Result of Substance Use

History of Arrest

Public Safety Information for CBISA

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APPENDIX A: CRIMINAL JUSTICE INITIATIVE TREATMENT SERVICES

State Average FY17 FY18 FY19 FY20 FY21

35 26 23 0 0

State Average FY17 FY18 FY19 FY20 FY21

- 165 169 0 0

State Average FY17 FY18 FY19 FY20 FY21

CBISA Training 3 3 3 0 0

State Average FY17 FY18 FY19 FY20 FY21

State Average Score 1.78 1.84 1.86 0.00 0.00

Days from referral to program start- CBISA

Days from start to completion- CBISA

Curriculum Fidelity for CBISA

CBISA Curriculum Trainings

QA Reviews of the CBISA Curriculum

September 2019 | 29 ii

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