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Evaluation

Report on Type 1 Residential Providers and the SFY 2008 Out-of-Home Service Population
This report on a cohort of 1,644 youth served by Type 1 Residential Treatment Providers (RTPs) in SFY 2008 was prepared for the May 7, 2010, meeting of "Children’s Mental Health: Visioning for the Future." The study provides information on the age, race, gender, diagnoses, lengths of stay, and types and costs of services associated with children and adolescents placed in Type 1 RTPs licensed by OhioMHAS.

Recovery Emphasis on Ohio Behavioral Health Care Organizations' Inpatient Units
This was an implementation study of the Recovery Rights Initiative (RRI) on two units each at state hospitals in Toledo and Athens. The RRI, which began in October 2006, consisted of three broad programmatic interventions evaluated by OSU College of Social Work faculty Theresa Early, PhD, and Keith Warren, PhD. Results of the evaluation suggest that continuity of care improved as a consequence of the RRI.

A Snapshot of Transition-Age Youth Served by Public Mental Health Providers in Ohio During SFY 2008
Records for 107,737 consumers between the ages of 14-24.9 were extracted from the MACSIS data base for analysis of service access and payment source, age and gender distributions, service access and custody status, and diagnostic patterns. This report provides a snapshot of service use and characteristics of transition-age youth in SFY 2008.

When Child-Caring Agencies Share Data: Mental Health Service Use By Children and Adolescents in Out-of-Home Placement Between July 1, 2002 and June 30, 2008
Data from State Fiscal Years 2003 through 2008 were analyzed to determine trends in the use of mental health services by youth in foster care and Residential Treatment Centers (RTCs). The report includes information about average length of stay at RTCs.

Hospitalization of Children and Adolescents with Medicaid Coverage in SFY 2007
Staff queried the Ohio Medicaid Information System (MIS) to determine frequencies of psychiatric hospitalization among children and adolescents in 2007. Geographic distributions and lengths of stay were also calculated.

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Current Status of Admission Records for Mental Health Consumers: Analysis of Behavioral Health Database As a Representative Sample
The purpose of this analysis was to investigate whether the 310,000+ admission records for individuals identified as mental health consumers in the behavioral health database are representative of individuals for which mental health service claims were processed in 2007.

ACT Peer Support Specialist Training Evaluation Report
In October 2004, CMS/Medicaid awarded a $300,000 system change grant to the Ohio Department of Mental Health (ODMH) to integrate consumer peer support into evidence-based practices, such as Assertive Community Treatment (ACT). Peer support specialist training was delivered to approximately 90 individuals between October 1, 2004, and September 30, 2007. Following the training, 59 trainees agreed to participate in a one-year study of their experiences and perceptions. The ACT Peer Support Specialist Training Evaluation Report describes employment outcomes, motivations for training and employment and perceptions of empowerment and quality of life at six and 12 months post training.

Telemedicine Evaluation Report 2007
In an effort to determine recommendations for reintroducing rules surrounding telemedicine, OhioMHAS coordinated the evaluation of offering behavioral health counseling and pharmacological management services via telemedicine. This report addresses access, satisfaction and clinical quality issues from the perspectives of consumers, providers and administrators.

Estimate of Unmet Need among Ohio's High School Students: A study based on 2003 YRBS Dataset
This study uses three indices of risk and a measure of met need for contact with a mental health professional to determine unmet need among adolescents. The study is based on analysis of the 2003 Youth Risk Behavior Survey, and results can be inferred to include the entire population of Ohio high school students.

Safety Net Survey 2004 - Executive Summary
Safety Net Survey 2002 - Executive Summary (large file)
Safety Net Survey 2002 - Final Report (large file)
Much of the administration and planning of public mental health services in Ohio takes place under the auspices of local behavioral healthcare authorities. To better understand service gaps and pressures on the decentralized system of care, ODMH surveyed the state's 50 behavioral healthcare authorities on access and capacity issues affecting service delivery.

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Safety Net Survey 2004 Advocacy Report - Access Issues
Safety Net Survey 2004 Advocacy Report - Fiscal Issues
Results of the 2004 Safety Net Survey are reported in two advocacy documents prepared for the Ohio Association of County Behavioral Healthcare Authorities (OACBHA). The Access Issues Report provides in-depth information on gaps in the array of clinical services, wait times for access to care, current capacity to meet demand and estimates of caseload size. The Fiscal Issues Report covers revenue trends in Medicaid and non-Medicaid funding, service system expenditures, agency and board stability and rankings of financial stressors.

Mutual System Performance Agreement Final Report (large file)
In 2006, the Safey Net Survey was combined with the Mutual System Performance Agreement. All 50 boards participated in the data collection, which was renamed The Community Plan Survey. For certain access and capacity measures, such as wait time for services and case load sizes, this data collection comprised the third such analysis in six years. Trend analyses on some measures of access and capacity are available in The Community Plan Survey.

Partial Hospitalization Study Report (large file)
The purpose of this report was to better understand costs associated with intensive service utilization, specifically the cost of treatment for children and adolescents in residential care. This figure was not readily available because residential care agencies currently bill partial hospitalization (PH) service for treatment programs serving clients in both residential and community settings.The study included a phone survey to collect descriptive information about the PH treatment programs for residential and community clients.