Research and Data Analysis

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Image of report cover 9.113Childhood Adversity and Medical Costs for Adolescents in Washington State

This research brief highlights results from a study examining the relationship between adverse experiences and healthcare costs of adolescents enrolled in Medicaid in Washington State. The brief focuses on findings about the association between adverse childhood experiences and medical service costs. A companion research brief highlights findings about the association between child adversity and behavioral health costs. Taken together, these two reports highlight the relationship between childhood adversity and increased healthcare costs.

 

Image of report cover 3.46Childhood Adversity and Behavioral Health Costs for Adolescents in Washington State

This research brief highlights results from a study examining the relationship between adverse experiences and healthcare costs of adolescents enrolled in Medicaid in Washington State. The brief focuses on findings about the association between adverse experiences and behavioral health service costs. RDA published a companion research brief that highlights findings about the association between childhood adversity and medical costs. Taken together, these two briefs highlight the relationship between childhood adversity and increased healthcare costs.

 

Image of report cover 6.61Home Visiting Services for TANF Families with Young Children: First Year Outcomes

This report examines outcomes for families who enrolled in the TANF Home Visiting program between May 2015, when the program began, and October 2016. Outcomes for participating families during the 12 months following enrollment are compared to outcomes for similar families receiving TANF who did not enroll in home visiting. Parents enrolled in TANF Home Visiting were more likely than comparison TANF families to engage in WorkFirst activities that prepared them for work, including education and training. Parents enrolled in TANF Home Visiting were also more likely to use Working Connections Child Care subsidies. Future follow up studies will be necessary to understand long-term impacts of this program.

Image of report cover 11.2432017 Foster Parent Survey: DSHS Foster Parents Speak

This report describes the results of the sixth annual DSHS Foster Parent Survey. Between September 2016 and August 2017, DSHS surveyed 1,350 foster parents about their satisfaction with the support and training provided by Children’s Administration and private agencies. The majority of foster parents continue to express satisfaction with the support and training they receive, and with the social workers assigned to their cases. There was a statistically significant decline in the percentage of foster parents who agreed that social workers always or usually listen to their input (78%, compared to 81% in 2016). Responses about the quality of training continue to be very positive – 87% agreed that their training was somewhat adequate or more than adequate. Foster parents continue to emphasize that training is enhanced by the participation of experienced foster parents and opportunities to interact with one another.

Image of report cover 9.114Geographic Distribution of Patients in Washington State’s Medication Assisted Treatment – Prescription Drug and Opioid Addiction Project

Opioid use disorder (OUD) continues to be a public health emergency that is receiving increased attention through legislative action. One such action, the Medication Assisted Treatment – Prescription Drug and Opioid Addiction (MAT-PDOA) program, is a three year, federally funded initiative to increase access to MAT and was awarded to Washington State’s Department of Social and Health Services in August 2015. With this funding, Washington was able to expand access to MAT with buprenorphine in three office based setting. Some patients, however, travel lengthy distances to receive MAT with buprenorphine for OUD. This report describes the geographic distribution of patients treated for OUD by the Washington State MAT-PDOA clinical sites in the first two years of funding.

Image of report cover 11.2442017 DSHS Employee Survey

The 2017 survey found widespread increases in employee engagement at DSHS since the last major survey in 2015. Positive responses increased for nearly all survey questions, and again DSHS exceeded the statewide target for the Executive Branch’s “Employer of Choice” measure. Of the 20 standard questions asked in 2015 and 2017, 18 had the highest percentage of positive responses since the current version of the survey began in 2006. The response rate in 2017 was 85%, the highest level of participation since the survey began in 2002. The survey results also show opportunities for positive change, and in some cases, important challenges. Implementation of the Governor Inslee’s “Building a Modern Work Environment” initiative and survey questions about that initiative have sparked much interest and discussion. Many of the opportunities and challenges are specific to Administrations and major units, and are the subject of action planning at every level of the organization. The Employee Survey is an important component of Governor Inslee’s Results Washington initiative for performance management and continuous improvement. Employee Survey results are used as the primary outcome measure for the goal to “Increase Washington as an employer of choice” under Goal 5: Effective, efficient and accountable government.

Image of report cover 8.34The Changing Patterns of Long-Term Services and Supports Use in Washington State

The policy brief examines changing patterns of Long-term services and supports (LTSS) use in Washington State, including client demographics, duration of use of Medicaid-paid LTSS services, and client transitions between LTSS service modalities. Compared to earlier cohorts, more clients are now starting their LTSS service experience receiving in-home care, rather than nursing facility services. Compared to earlier cohorts starting their LTSS service experience in home- and community-based services settings, fewer clients now transition to nursing facility care.

 

Image of report cover 7.112State and County Estimates of the ECLIPSE Eligible Population

The Early Childhood Intervention and Prevention Services (ECLIPSE) program serves children ages zero to five years old who are at risk of child abuse and neglect and may be experiencing behavioral health issues due to exposure to complex trauma. This report uses a statistical risk profile based on the characteristics of the Childhaven ECLIPSE population to estimate the potential population of eligible children statewide. We find that there are several thousand children statewide with family risk characteristics comparable to children currently served by the ECLIPSE program.

 

Image of report cover 3.45First Episode Psychosis

This report describes the demographic characteristics and social service histories of a cohort of individuals with psychotic disorders and a subgroup of individuals experiencing their first episode of psychosis. Through examination of Washington State administrative data, we found that almost 40,000 DSHS clients enrolled in Medicaid had psychotic disorder diagnoses in State Fiscal Year 2015. Among them, we identified 3,062 individuals who received a psychotic disorder diagnosis for the first time during the year. One in three of these first episode psychosis (FEP) clients received their initial psychotic disorder diagnosis in an emergency department. During the two years before being diagnosed, more than half of the FEP clients had at least one emergency room visit, one in five (21%) were involved with the child welfare system, and one in five (22%) experienced homelessness or housing instability. Seventy-five percent of the FEP clients had identified mental health treatment needs during the two years before being diagnosed with psychotic disorders, but only 44 percent received any publicly funded mental health services.

 

 

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