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Section II: Supporting Good Decision-Making

Table 3. 16-State Study of Mental Health Performance indicator results: 2001
  Feasibility Performance
  Number of States Reporting Median Score Low Score High Score
Outcome Indicators        
   O1-A. Percent of Consumers Reporting Improved Outcomes From Services 12 69.4% 57.5% 83.9%
   O1-C. Percent of Parents Agreeing that Outcomes were Good 9 57% Average on YSS, 46% on YSS-F
   O2. Improvement in School Behavior   Added questions to the YSS and YSS-F
   O3. Percent Employed (Full or Part Time) 11 23.1% 13.8% 37.5%
   O4. Improvement of Functioning   Reviewed Methods Comparing Different Instruments
   O5a. Reduction in Symptoms   Reviewed Methods Comparing Different Instruments
   O6. Patient Injuries: per 1000 Patient Days 8 0.51 0.02 7.75
   O7. Patient Elopements per 1000 Patient Days 12 0.27 0.02 0.77
   O8a. Mortality: Standardized Mortality Ratio (SMR) 9 2.20 0.60 3.20
   O8b. Mortality: Average Years of Life Lost 8 27.35 13.50 31.80
   O9. Recovery   Developing Measures for Future Use
   O10. Reduced Substance Abuse Impairment   Reviewed Methods of Measuring and Reporting
Living Situation    
   O11a. Percent Living Independently: Private Residence 10 86.3% 50.4% 91.0%
   O11b. Percent Living in 24 Hour Residential 10 6.3% 3.1% 37.3%
   O11c. Percent Living in Institutional Settings (Hosp, SNF, ICF) 9 3.1% 0.3% 8.7%
   O11d. Percent Homeless/Shelter 10 2.6% 1.2% 6.2%
   O12. Criminal Justice Involvement: Arrests 5 9.5% 6.1% 13.7%
Appropriateness/Quality Indicators    
   Q1. Percent of Consumers Agreeing they Participated in Treatment Planning 11 72.3% 64.1% 87.0%
   Q2. Percent of Consumers Linked to Primary Health Services (from MHSIP) 9 Developed and Tested Consumer Survey Questions
   Q3. Percent Contacted within 7 Days of Hospital Discharge 10 41.9% 20.0% 79.4%
   Q4a. Percent of Consumers Agreeing the Services were Appropriate 13 79.4% 72.0% 90.1%
   Q4c. Child/Adolescent Satisfaction with Services "7 65% Average on YSS, 64% on YSS-F
Use of Evidence-Based Services    
   Q5. Percent Receiving Assertive Community Treatment   Developed and Tested Fidelity Measure
   Q6. Percent Receiving Supported Employment   Developed and Tested Fidelity Measure
   Q7. Percent Receiving Supported Housing 5 4.6% 1.4% 7.7%
   Q8a. Percent Receiving Atypical Medications in State Hosp. 9 73.5% 24.3% 93.4%
   Q8b. Percent Receiving Atypical Medications in Community 4 57.6% 44.4% 69.5%
   9. Percent Children Living in "Family Like Settings   Added questions to the YSS and YSS-F
   Q10. Percent Children in Therapeutic Foster Care   Added questions to the YSS and YSS-F
   Q11. Percent of Parents Involved in Treatment for their Children 9 58% Average on YSS, 73% on YSS-F
   Q12a. Percent Readmitted within 30 Days to Any State Psychiatric Hospital 16 8.2% 0.3% 13.6%
   Q12b. Percent Readmitted within 180 Days to Any State Psychiatric Hospital 16 18.1% 3.1% 29.2%
   Q13a. Use of Seclusion: Hours in Seclusion per 1000 Patient Hours 12 0.42 0.02 6.21
   Q13b. Use of Seclusion: Percent of Clients Secluded 12 6.3% 1.5% 25.7%
   Q14a. Use of Restraints: Hours in Restraint per 1000 Patient Hours 11 0.50 0.02 2.44
   Q14b. Use of Restraints: Percent of Clients Restrained 11 9.97% 1.0% 14.0%
   Q15. Medication Errors per 1000 Inpatient Consumers 5 81.22 36.30 459.26
   Q16. Children/Family Perception of the Cultural Sensitivity of Providers 7 78% Average on YSS, 82% on YSS-F
Access Indicators    
   A1a. Rate of Community Mental Health Service Utilization per 100,000 Pop 16 1,686 852 3,282
   A1b. Rate of State-Operated Inpatient Mental Health Service Utilization per 100,000 Pop 16 69.5 14.0 439.0
   A2a. Percent of Consumers Reporting Satisfaction with Access to Services 13 81.8% 68.2% 92.2%
   A2c. Percent of Parents Agreeing that Access was Good 9 68% Average on YSS, 74% on YSS-F
Structure/Plan Management Indicators    
   S1. Consumer/family participation in policy and planning   Surveyed States to Develop Future Measures
   S2a. Ave. Resources Expended on All Clients 10 $3,167 $2,425 $4,006
   S2b. Ave. Resources Expended per Inpatient Clients 10 $12,415 $8,480 $33,166
   S2c. Ave. Resources Expended per Outpatient Clients 9 $1,852 $654 $3,076
   S2d. Ave. Resources Expended per Day Treatment Clients 6 $5,824 $2,773 $8,940
   S2e. Ave. Resources Expended per Crisis Service Clients 3 $631 $422 $699
States reported using standardized definitions; however, differences in state policies, priorities and service populations may make results noncomparable.

Source: NASMHPD Research Institute, Inc., 2002.

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