Research and Data Analysis

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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.

 

Image of report cover 11.2412017 Social and Health Services Client Survey

Between October 2016 and April 2017, the Washington State Department of Social and Health Services and the Washington State Health Care Authority surveyed 1,229 clients who received services between April 2015 and March 2016. These clients were asked about their satisfaction with social and health services and recommendations for change. As in previous years, the great majority of clients expressed satisfaction with services and their interactions with staff. Considering all programs together, ratings either stayed the same or improved on all questions. There were statistically significant increases in ratings of overall helpfulness, ease of getting to program offices, getting services as quickly as needed, and program staff explaining things clearly. The survey identified opportunities for improvement in certain programs, such as getting services quickly (Mental Health) and being able to talk to a live person when needed (Community Services). Suggestions for process improvement indicated interest in expanding online services, streamlining application processes, and finding easier ways to connect with staff.

Image of report cover 4.101Sustainability of Screening, Brief Intervention, and Referral to Treatment in Healthcare Settings

This report examines the post-grant experiences of clinics that implemented Screening, Brief Intervention, and Referral to Treatment (SBIRT) under the Washington SBIRT-Primary Care Integration (WASBIRT-PCI) project. SBIRT is an evidence-based, universal public health approach to identify, prevent, and reduce substance use disorders. Project sites were asked to describe the barriers and facilitators to maintaining SBIRT at their healthcare facilities. Under WASBIRT-PCI, nineteen healthcare facilities implemented the SBIRT program and currently ten continue to offer the evidence-based practice with varying degrees of fidelity. Common barriers were staff turnover, insufficient support or “buy-in” for the program from staff and leadership, lack of funding to maintain program staff, limited training opportunities, insufficient reimbursement to deliver SBIRT, and lack of performance monitoring to ensure fidelity to the program.

Image of report cover 7.111Independent Living Services for Foster Youth: Findings from the NYTD-Reported Services for Washington State 2015

This study examined Independent Living (IL) services for youth in foster care in Washington State in 2014-2015. These services are designed to assist youth in making the transition from foster care to self-sufficiency and include educational support, employment preparation, financial assistance, and life skills training. A total of 1,649 youth aged 16 to 21 years participated in at least one IL service provided by IL services contractors, social workers, and tribal partners between October 1, 2014 and September 30, 2015. This represented 30 percent of all eligible youth in the state (5,604). Youth receiving IL services were concentrated in large urban counties; these counties also served a higher proportion of their eligible youth than rural and remote counties. We found that the youth in foster care received significantly more IL services than the youth not in foster care at every age. Demographic differences among IL participants largely reflected different risk factors faced by the youth, their preferences, and changing needs as the youth grew older. However, some services that dropped off for older youth could have been beneficial to them.

Image of report cover 3.44Becoming Employed Starts Today (BEST): Baseline Characteristics and Program Services

This report provides demographic and employment information for those participants enrolled in the Becoming Employed Starts Today (BEST) program during the first year of its five-year implementation period. BEST offers evidence-based supported employment services to individuals with severe mental illnesses and co-occurring substance disorders in an effort to reduce long-term unemployment and improve participant well-being. Of the 102 participants who enrolled in the first year of the program, 57% were unemployed for the entirety of the year prior to joining the program. Participants in Grant and Clark counties receive intensive supported employment services and other types of mental health outpatient services to manage their behavioral health needs. Preliminary comparisons of pre- and post-enrollment employment rates indicate that participant employed increased by 23%, with 53% of all participants having some form of employment following enrollment in the program. Future analyses will focus on longer-term outcomes and will include a statically matched comparison group to control for other sources of changeSBIRT in select health care settings from 2011 to 2016. During this time, WASBIRT-PCI successfully screened 75,635 unique patients, 31 percent of whom were enrolled in Medicaid. This report describes the prevalence of at-risk substance use and mental health disorders among the Medicaid and non-Medicaid patients screened under the program.

 

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