WISe Quality Management Plan, Quarterly Report for Quarter 1, 2018 – Statewide WA Behavioral Health System
Generated on 05/07/18
All assessments included in this plan were completed between 2015-01-02 and 2018-03-31, using data entered as of 2018-03-31.
Recommendations for Wraparound with Intensive Services
At intake, a client is recommended for Wraparound with Intensive Services (WISe) if Criterion 1, and either Criterion 2 or Criterion 3 are met:
Criterion 1. Behavioral/Emotional Needs
- Rating of 3 on “Psychosis” OR
- Rating of 2 on “Psychosis” and 2 or 3 on any other Behavioral/Emotional Needs item OR
- 2 or more ratings of 3 on any Behavioral/Emotional Needs items OR
- 3 or more ratings of 2 or 3 on any Behavioral/Emotional Needs items
Note: Behavioral/emotional needs items we plan to include in our screener: Psychosis; Attention/Impulse; Mood Disturbance; Anxiety; Disruptive Behavior; Adjustment to Trauma; Emotional Control
Criterion 2. Risk Factors
- Rating of 3 on “Danger to Others” or “Suicide Risk” OR
- One rating of 3 on any Risk Factor item OR 2+ ratings of 2 or 3 on any Risk Factor item
Note: Risk factors included: Suicide Risk; Non-Suicidal Self-Injury; Danger to Others; or Runaway.
Criterion 3. Serious Functional Impairment
- 2 or more ratings of 3 on “Family”, “School”, “Interpersonal” or “Living Situation” OR
- 3 ratings of 2 on “Family”, “School”, “Interpersonal” and “Living Situation”
WISe Recommendation Rates
The plot shows the number and percentage of all clients that were recommended for WISe services, out of all those who were screened in that year. Each point on the graph indicates the percent or count of persons in a given quarter who are recommended for WISe services, based upon the algorithm above. Please note that “Counts by Quarter” are affected by the date in the current quarter when the report is run. Reports run before a quarter is complete will routinely undercount the Recommendation Count.
Percentages By Quarter
Percentages By Quarter, Comparing Years
Counts By Quarter
Recommendation Against WISe Algorithm Rates
The following plot represents the number and percentage of all clients that the algorithm recommended into WISe, but whose referral clinician recommended a program other than WISe–against the algorithm–out of all those who were screened in that year. Each point on the graph indicates the percent or count of persons in a given quarter whose referral clinician recommended against the algorithm.
Percentage By Quarter
Percentage By Quarter, Comparing Years
Counts By Quarter
Screener Timeliness
The following graphs report by cohort year and quarter on the percent of clients who received an on-time screener (within 10 business days of referral). Each point on the graph indicates the percent of persons in a given quarter who received an on-time screener.
Note that there may be fewer cohort years represented than exist in the date, as this report does not display any information calculated off of groups of clients smaller than 10. While there are clients being served in these cohorts, those reports are suppressed.
By Quarter
By Quarter, Contrasting Year
Full Assessment Timeliness
The following graphs report by cohort year and quarter on the percent of clients who received an on-time assessment (within 30 days of the last initial screener). Each point on the graph indicates the percent of persons in a given quarter who received an on-time full assessment.
Note that there may be fewer cohort years represented than exist in the date, as this report does not display any information calculated off of groups of clients smaller than 10. While there are clients being served in these cohorts, those reports are suppressed.
By Quarter
By Quarter, Contrasting Year
Continuing in WISe
The following graphs report by cohort year and quarter on the percent and number of clients who continued in care (i.e. received both a screener and a full assessment). Each point on the graph indicates the percent of persons in a given quarter who ‘continued in care’ based upon this logic.
Note that there may be fewer cohort years represented than exist in the data, as this report does not display any information calculated off of groups of clients smaller than 10. While there are clients being served in these cohorts, those reports are suppressed.
Please note that the ‘Percent Continuing in Care’ by Quarter, and by Quarter, Contrasting Year graphs require 30 days beyond the end of a quarter to generate accurate estimates. So the results for this graph do not include the children and youth screened in to WISe during the most recent quarter (there is a one-quarter lag in these results).
By Quarter
By Quarter, Contrasting Year
Cross System Involvement at Entry
The following charts detail the percent of screener assessments that belong to clients who entered services in the given year. The last initial screener from each client episode was used to determine the client’s cross-system involvements for said episode. The sum of percentages may exceed 100 percent, as clients may be involved with multiple systems at entry into services.
Note that there may be fewer cohort years represented than exist in the data, as this report does not display any information calculated off of groups of clients smaller than 10. While there are clients being served in these cohorts, those reports are suppressed.
2015
2016
2017
2018
Referral Source at Entry
The following charts details for each cohort year the percent and number of screener assessments that belong to clients who were referred from the indicated cross-system sources. The last initial screener from each client episode was used, to indicate one referral source per episode.
Note that there may be fewer cohort years represented than exist in the data, as this report does not display any information calculated off of groups of clients smaller than 10. While there are clients being served in these cohorts, those reports are suppressed.
Note that clients who did not have referral source information recorded in their most recent screener are excluded from these calculations.
2015
2016
2017
2018
Treatment Needs at Entry
The graphs below report point-in-time (at Initial assessment) and comparison-across-time (between Initial and reassessment) percentages of clients experiencing particular actionable needs (items rated as a ‘2’ or ‘3’) on the CANS.
These calculations are based off of the Treatment needs at entry are identified among items in the “Behavioral/Emotional Needs”, “Life Functioning”, and “Risk Behavior” domains. The figure below identifies the top six actionable needs at initial intake in the Behavioral and Emotional Needs and Risk Factors Domain AND the top four actionable needs at initial intake in the Life Domain Functioning. If there is a tie between two top six/top four treatment needs in these domains, both items are included in the figure, which sometimes causes than ten items to be displayed. If applicable, the figure shows what percentage of clients continue to have actionable needs on these same items as of a later reassessment.
Note that there may be fewer assessment periods represented in this series of graphs than just above. This is a consequence of the fact that this report does not display any information calculated off of groups of clients smaller than 10. While there are clients being served at these later periods, those reports are suppressed.
Across All Clients
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
2018 Cohort
Initial
3mo
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Discharged After Reassessment
The figures below focus on only clients discharged from care as of the indicated reassessment.
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
30mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
33mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2018 Cohort
Initial
3mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
30mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
33mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Continuing After Reassessment
The figures below focus on only clients continuing in care as of the indicated reassessment.
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
2018 Cohort
Initial
3mo
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Useful Strengths at Entry
These graphs report percentages of clients experiencing particular useful and centerpiece strengths (those rated as a ‘0’ or ‘1’ on the CANS in the Youth Strengths domain) at Initial assessment and, if applicable, the percentage of client scores on these same items at a later reassessment.
Across All Clients
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
2018 Cohort
Initial
3mo
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Discharged After Reassessment
The figures below focus on only clients discharged from care as of the indicated reassessment.
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
30mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
33mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2018 Cohort
Initial
3mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
30mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
33mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Continuing After Reassessment
The figures below focus on only clients continuing in care as of the indicated reassessment.
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
2018 Cohort
Initial
3mo
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Intensity of Actionable Needs and Strengths
The following graphs show the average intensity of actionable needs and strengths at entry compared to values in future periods, calculated as the averaged sums of all scores of 2 and 3 across items–in the domains of Youth Strengths, Behavioral and Emotional Needs, Life Domain Functioning, and Risk Behaviors.
Across All Clients
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
2018 Cohort
Initial
3mo
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Discharged After Reassessment
The figures below focus on only clients discharged from care as of the indicated reassessment.
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
30mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
33mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2018 Cohort
Initial
3mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
30mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
33mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Continuing After Reassessment
The figures below focus on only clients continuing in care as of the indicated reassessment.
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
2018 Cohort
Initial
3mo
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Number of Actionable Needs
These graphs report an average number of all actionable needs at entry–i.e. the number of items which are scored with either a ‘2’ or ‘3’ on the CANS–in the domains of Behavioral and Emotional Needs, Life Domain Functioning, and Risk Behaviors. These graphs show scores at Initial assessment and, if applicable, the average number of actionable needs at a later reassessment period for the subset of clients assess at that time.
The actionable needs at entry represents the average number of all strengths and needs items which are scored with either a ‘2’ or ‘3’.
Comparison Across Time
By Month
By Quarter
By Month, Contrasting Year
By Quarter, Contrasting Year
Comparisons Across Assessments, by Cohort
These graphs also report an average number of all actionable needs at entry–i.e. the number of items which are scored with either a ‘2’ or ‘3’ on the CANS–in the domains of Behavioral and Emotional Needs, Life Domain Functioning, and Risk Behaviors. These graphs contrast cohorts between initial and reassessments, where cohorts are grouped by those who were discharged or continuing in care at the given assessment and the year of the client’s episode start date.
Across All Clients
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
2018 Cohort
Initial
3mo
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Discharged After Reassessment
The figures below focus on only clients discharged from care as of the indicated reassessment.
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
30mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
33mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2018 Cohort
Initial
3mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
30mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
33mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
Continuing After Reassessment
The figures below focus on only clients continuing in care as of the indicated reassessment.
2015 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2016 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
2017 Cohort
Initial
3mo
6mo
9mo
12mo
15mo
2018 Cohort
Initial
3mo
all Cohort
Initial
3mo
6mo
9mo
12mo
15mo
18mo
21mo
24mo
27mo
30mo
33mo
36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.
>36mo
A graph cannot be generated, because in the given cohort year and sample, fewer than 10 clients were assessed.