Puerto Rico Mental Health National Outcome Measures (NOMS): … del Sistema de... · 2018. 6. 19. · Dev 17 School Attendance (Improved) 161 45.7% 9,799 36.0% 32 STATE MENTAL HEALTH

2008 CMHS Uniform Reporting System Output Table

URS Year 7 Reporting

US FY 2008 Puerto Rico U.S. Rate StatesUtilization Rates/Number of Consumers Served

Penetration Rate per 1,000 population 6,332,983 5.81 20.69 58Community Utilization per 1,000 population 5,661,497 4.97 19.23 56State Hospital Utilization per 1,000 population 174,574 0.45 0.59 51Other Psychiatric Inpatient Utilization per 1,000 376,529 0.39 1.48 40

Adult Employment StatusEmployment Status (percent in Labor Force) 679,081 45% 39% 55Employment Status (percent with Employment Data) 679,081 16% 21% 55

Adult Consumer Survey measuresPositive About Outcomes 78% 73% 52

Child/Family Consumer Survey measuresPositive About Outcomes 75% 64% 52

Readmission Rates: (Civil "non-Forensic" clients)State Hospital Readmissions: 30 Days 13,268 10.9% 9.2% 47State Hospital Readmissions: 180 Days 30,596 20.9% 21.2% 48State Hospital Readmissions: 30 Days: Adults 12,016 10.9% 9.3% 46State Hospital Readmissions: 180 Days: Adults 27,972 20.9% 21.7% 45State Hospital Readmissions: 30 Days: Children 1,228 8.2% 37State Hospital Readmissions: 180 Days: Children 2,568 17.1% 42

Living SituationLiving Situation: Private Residence 3,666,906 88.6% 80.8% 52Living Situation: Homeless/Shelter 133,656 0.9% 2.9% 50Living Situation: Jails/Prisons 90,587 0.6% 2.0% 49

Implementation of Evidence-Based PracticesSupported Housing 62,811 3% 33Supported Employment 38,948 2% 39Assertive Community Treatment 56,921 2% 40Family PsychoEducation 25,042 0.58% 2% 19Dual Diagnosis Treatment 44,824 4% 24Illness Self Management 146,909 9.61% 9% 22Medications Management 253,382 23% 17

Child/Adolescent EBP ServicesTherapeutic Foster Care 16,267 2% 29Multi Systemic Therapy 8,074 1% 21Functional Family Therapy 6,955 0.1% 2% 15

Change in Social ConnectednessAdult Improved Social Connectedness 80% 73% 49Child/Family Improved Social Connectedness 84% 86% 47

Puerto Rico Mental Health National Outcome Measures (NOMS):CMHS Uniform Reporting System:

3/4/2009

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 NOMs p.1

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 NOMS Chart p.2

SAMHSA Mental Health Block Grant NOMS:BY Quartile: 2008 URS Data

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Utilization R

ate per 1000

population

Adult Perception of O

utcomes

Child Perception of O

utcomes

Adult Em

ployment

Rate

Adults Living in

PrivateR

esidence

Adults H

omeless

Adults Living in

Jail/Prison

% A

rrested During

T2

% A

rrested T1 with

a Rearrest by T2

Adult R

ating ofPositive SocialC

onnectedness

Adult R

ating ofIm

provedFunctioning

% R

eportingIm

proved SchoolA

ttendance

30 Day

Readm

issions

180 Day

Readm

issions

25th to Median

0 to 25th Pct

Puerto Rico

Median

2008 CMHS Uniform Reporting System Output Table 3/4/2009

STATE: Puerto Rico URS Year 7 ReportingBasic Measures State Number Rate US FY 2008 Rate StatesIndicator 1 Penetration Rate per 1,000 population 22,909 5.81 6,332,983 20.69 58Indicator 2 Community Utilization per 1,000 population 19,588 4.97 5,661,497 19.23 56Indicator 3 State Hospital Utilization per 1,000 population 1,768 0.45 174,574 0.59 51Indicator 4 Medicaid Funding Status 17,967 87% 3,274,788 59% 47Indicator 5 Employment Status (percent employed) 2,387 16% 679,081 21% 55Indicator 6 State Hospital Adult Admissions 1,452 0.82 151,981 0.95 51Indicator 7 Community Adult Admissions 5,102 0.45 3,573,676 0.97 46Indicator 8 State Hospital LOS Discharged Adult Patients 29 days 45 days 50Indicator 9 State Hospital LOS Resident Adult Patients - days 76 days 50Indicator 10 Percent of Client who meet SMI definition 18% 68% 54Indicator 11 Adults with Co-occurring MH/SA Disorders 18% 23% 45Indicator 12 Children with Co-occurring MH/SA Disorders 13% 6% 44 Adult Consumer Survey measuresIndicator 13 Positive About Access 87% 86% 52Indicator 14 Positive About Quality and Appropriateness 91% 88% 52Indicator 15 Positive About Outcomes 78% 73% 52Indicator 16 Positive on Participation in Treatment Planning 83% 84% 52Indicator 17 Positive General Satisfaction with Services 91% 89% 52 Child/Family Consumer Survey measuresIndicator 18 Positive About Access 86% 84% 51Indicator 19 Positive About General Satisfaction 86% 83% 52Indicator 20 Positive About Outcomes 75% 64% 52Indicator 21 Positive on Participation in Treatment Planning 86% 87% 52Indicator 22 Positive Cultural Sensitivity of Providers 95% 93% 51 Consumer Living SituationsIndicator 23 Private Residence 20,014 89% 3,666,906 81% 52Indicator 24 Jail/Correctional Facility 132 1% 90,587 2% 49Indicator 25 Homeless or Shelter 208 1% 133,656 3% 50 Hospital ReadmissionsIndicator 26 State Hospital Readmissions: 30 Days 116 11% 13,268 9% 47Indicator 27 State Hospital Readmissions: 180 Days 223 21% 30,596 21% 48Indicator 28 Readmission to any psychiatric hospital: 30 Days - 47,301 16% 28 State Mental Health FinanceIndicator 29 SMHA Expenditures for Community MH $21,846,279,405 70% 51Indicator 30 SMHA Revenues from State Sources $13,670,730,381 45% 51Indicator 31 Total SMHA Expenditures $31,116,017,304 51

Developmental Measures State Number Rate US FY 2008 Rate StatesDev 1 Percent Adults with SMI and Children with SED 6,440 28% 4,193,176 66% 57 Adult Evidence Based PracticesDev 2 Assertive Community Treatment 56,921 2.3% 51Dev 3 Supported Housing 62,811 3.3% 33Dev 4 Supported Employment 38,948 1.8% 39Dev 5 Family Psychoeducation 15 0.6% 25,127 1.8% 19Dev 6 Integrated Dual Diagnosis Treatment (MH/SA) 44,998 3.9% 24Dev 7 Illness Self-Management and Recovery 248 9.6% 147,089 9.4% 22Dev 8 Medications Management - 253,463 22.5% 17 Child Evidence Based PracticesDev 9 Therapeutic Foster Care 16,267 2.1% 29Dev 10 Multisystemic Therapy 8,074 1.2% 21Dev 11 Functional Family Therapy 5 0.1% 6,955 1.6% 15 Use of New Generation MedicationsDev 12 New Generation Meds: State Hospitals 22,864 73.7% 19Dev 13 New Generation Meds: Community MH 106,434 46.1% 17Dev 14 New Generation Meds: Total System 92,769 49.7% 14 Outcome MeasuresDev 15 Adult Criminal Justice Contacts 9 3.6% 43,110 12.2% 39Dev 16 Juvenile Justice Contacts 25 2.8% 5,704 6.0% 36Dev 17 School Attendance (Improved) 161 45.7% 9,799 36.0% 32

STATE MENTAL HEALTH MEASURES:CMHS Uniform Reporting System: Measures DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Sum p.3

2008 CMHS Uniform Reporting System Output Table 3/4/2009

State URS Contact Person FY 2006 Mental Health Block Grant Expenditures -Angelita Negrón Reyes or Felicita Cintrón FY 2006 SMHA Community MH Expenditures -

FY 2006 Per Capita Community MH Expenditures -Phone: 787-763-2423 or 787-763-7575 FY 2006 Community Percent of Total SMHA Spending -Email: [email protected] or [email protected] FY 2006 Total SMHA Mental Health Expenditures

FY 2006 Per Capita Total SMHA Mental Health Expenditures -

22,909 Total Clients Served by SMHA System 5.81 Total Utilization rate per 1,000 population19,588 Clients Served in Community Settings 4.97 Community Utilization rate per 1,000 population1,768 Clients Served in State Hospitals 0.45 Hospital Utilization rate per 1,000 population

Gender Age:56% Female 14.5% Age 0 to 1244% Male 21.9% Age 13-17

1.6% Age 18 to 20Race/Ethnicity: 55.9% Age 21 to 64

- American Indian/Alaskan Native 4.4% Age 65 to 74- Asian 1.6% Age 75 and over- Black or African American - Age Not Available- Native Hawaiian/Pacific Islander- White Living Situation (with known status)- Multi-Racial 88.6% Private Residence

100.0% Hispanic or Latino 1.9% Foster Home100.0% Race not available 1.0% Residential Care

- Crisis ResidenceEmployment Adult With Known Status: 0.3% Children's Residential Treatment

16% Percent Employed 6.8% Institutional Setting63% Percent Not In Labor Force 0.6% Jail/Correctional Facility20% Percent Unemployed 0.9% Homeless or Shelter

- Other Living SituationMedicaid Funding Status of Consumers - Living Situation Not Available

- Medicaid Only13% SMHA Funds Only (Non-Medicaid) Consumer Perception of Care: (Children/Adolescents):

87.0% Both Medicaid and Other Funds 86% Access to Services86% Quality/Appropriateness of Services

Consumer Perception of Care: (Adults): 75% Outcomes from Services87% Access to Services 86% Participation in Treatment Planning91% Quality/Appropriateness of Services 95% Cultural Sensitivity of Providers78% Outcomes from Services83% Participation in Treatment Planning Outcome Measures Developmental91% Overall Satisfaction with Care 3.6% Adults Arrested this Year

Implementation of Evidence-Based Practices 2.8% Youth Arrested this year- Assertive Community Treatment- Supported Housing 45.7% Improved School Attendance- Supported Employment

0.58% Family Psychoeducation- Integrated Dual Diagnosis Treatment (MH/SA)

9.6% Illness Self-Management and Recovery State Hospital Readmissions (Civil Status Patients)- Medications Management 11% State Hospital Readmissions: 30 Days- Therapeutic Foster Care 21% State Hospital Readmissions: 180 Days- MultiSystemic Therapy - Readmission to any psychiatric hospital: 30 Days

0.1% Family Functional Therapy

The Community Mental Health Block Grant is administered by the Center for Mental Health Services within the Substance Abuse and Mental Health Services Administration of the US Department of Health and Human Services

Statewide Mental Health Agency Data*

Mental Health Community Services Block Grant:CMHS Uniform Reporting System: 2008 State Report

* Based on 2008 URS data provided by US States and Territories per annual reporting guidelines.

Puerto Rico

PO Box 21414San Juan, Puerto Rico 00928-1414

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 StateSum p.4


Basic Measures North South Midwest West SouthWest RateStates

RespondingIndicator 1 Penetration Rate (per 1000 population) 28.91 19.90 21.36 17.04 16.59 20.69 58Indicator 2 Community Utilization (per 1000 population) 25.81 19.40 18.55 16.46 16.06 19.23 56Indicator 3 State Hospital Utilization (per 1000 population) 0.47 0.86 0.58 0.29 0.67 0.59 51Indicator 4 Medicaid Funding Status of Clients Served 56.8% 58.3% 64.9% 67.5% 50.5% 58.9% 47Indicator 5 Employment Status (% employed) 24% 20% 22% 12% 24% 16% 55Indicator 6 State Hospital Admission Rate 15.47 9.53 14.72 20.01 8.85 0.96 51Indicator 7 Community Admission Rate 0.01 0.00 0.01 0.02 0.01 1.01 46Indicator 8 State Hospital Median LOS Discharged Adults 53 16 27 78 21 45.4 50Indicator 9 State Hospital Median LOS Resident Adults 68 41 54 104 51 1,033 50Indicator 10 Percent of Client who meet SMI definition 57% 74% 77% 85% 61% 68.5% 54Indicator 11 Adults with Co-occurring MH/SA Disorders 24% 16% 18% 25% 19% 22.7% 45Indicator 12 Children with Co-occurring MH/SA Disorders 5% 4% 7% 11% 4% 5.6% 44 Adult Consumer Survey MeasuresIndicator 13 Positive About Access 87% 85% 81% 87% 87% 86% 52Indicator 14 Positive About Quality and Appropriateness 90% 88% 85% 87% 87% 88% 52Indicator 15 Positive About Outcomes 74% 73% 70% 72% 73% 73% 52Indicator 16 Positive on Participation in Treatment Planning 87% 79% 75% 88% 81% 84% 52Indicator 17 Positive General Satisfaction with Services 89% 90% 82% 89% 89% 89% 52 Child/Family Consumer Survey MeasuresIndicator 18 Positive About Access 81% 87% 83% 85% 77% 84% 51Indicator 19 Positive About General Satisfaction 80% 87% 82% 86% 81% 83% 52Indicator 20 Positive About Outcomes 64% 68% 83% 64% 67% 64% 52Indicator 21 Positive on Participation in Treatment Planning 88% 86% 89% 88% 84% 87% 52Indicator 22 Positive Cultural Sensitivity of Providers 87% 91% 89% 95% 90% 93% 51 Consumer Living SituationsIndicator 23 Living Situation: Private Residence 76% 83% 82% 79% 85% 80.8% 52Indicator 24 Living Situation: Jails/Prisons 3.3% 1.0% 1.1% 3.0% 1.5% 2.0% 49Indicator 25 Homeless Status of Clients 3.3% 2.3% 2.8% 4.5% 2.6% 2.9% 50 Hospital ReadmissionsIndicator 26 State Hospital readmissions: 30 Days 7.6% 8.7% 12.9% 6.9% 8.2% 9.2% 47Indicator 27 State Hospital readmissions: 180 Days 18.6% 22.1% 22.7% 16.2% 20.2% 21.2% 48Indicator 28 Readmission to any psychiatric hospital: 30 Days 20.7% 11.1% 12.7% 8.5% 11.4% 15.7% 28 Mental Health FinanceIndicator 29 Percent of SMHA Expenditures for Community MH 66% 66% 70% 87% 71% 70% 51Indicator 30 Percent of SMHA Revenues from State Sources 66% 38% 33% 23% 43% 45% 51Regional groupings of States based on SAMHSA's Block Grant Regions.

STATE MENTAL HEALTH INDICATORS BY REGION:CMHS Uniform Reporting System: URS Year 7 Indicators DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 RegSum p.5

2008 CMHS Uniform Reporting System Output Tables

ACCESS DOMAIN: TABLE 1: DEMOGRAPHIC CHARACTERISTICS OF PERSONS SERVED BY

Puerto Rico

n % n % State Territories USAge

3,329 14.5% 897,914 14.2% 4.8 4.9 16.9 575,024 21.9% 813,273 12.8% 16.6 37.6 57

18 to 20 373 1.6% 300,746 4.7% 2.2 23.5 5721 to 64 12,817 55.9% 4,020,003 63.5% 5.7 6.8 22.4 5865 to 74 1,008 4.4% 175,757 2.8% 3.4 8.9 5875 and over 358 1.6% 114,633 1.8% 1.6 6.1 56

- - 10,658 0.2% 3122,909 100% 6,332,983 100% 5.8 5.8 20.7 58

- (1) Gender

12,939 56.5% 3,246,076 51.3% 6.3 6.1 20.9 589,970 43.5% 3,039,387 48.0% 5.3 5.5 20.2 58

- - 47,520 0.8% - 3622,909 100% 6,332,983 100% 5.8 5.8 20.7 58

- -

- - 74,947 1.2% - 25.5 53- - 86,497 1.4% - 6.5 54- - 1,252,828 19.8% - 32.3 54- - 12,925 0.2% - 26.2 49- - 4,011,883 63.3% - 16.6 56

* * 103,190 1.6% - 36.8 10- - 122,205 1.9% - 28.0 45

22,909 100.0% 668,508 10.6% 3522,909 100% 6,332,983 100% 5.8 20.7 58

- -

22,909 100.0% 748,165 12.4% - 16.7 49- - 4,662,129 77.5% 19.1 49- - 601,698 10.0% 51

22,909 100% 6,011,992 100% 5.8 20.4 52Are Client Counts Unduplicated? Number States w/ Unduplicated Counts 39

Note:This table uses data from URS/DIG Table 2a, Table 2b and from the US Census Bureau. All denominators use US Census data from 2007. US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.Regional groupings of States based on SAMHSA's Block Grant Regions.

State Notes:

TOTAL

STATE:

Male

THE STATE MENTAL HEALTH AUTHORITY, FY 2008

Total Served State

States Reporting

US

13 to 17

Hispanic Origin

AsianBlack/African American

Not Hispanic or Latino

TOTAL

Hispanic or Latino

TOTAL

Race/EthnicityAmerican Indian/Alaskan Native

Not AvailableMulti-Racial

Native Hawaiian/Pacific IslanderWhiteHispanic

Not Available

TOTALNot Available

0 to 12

Penetration Rates (rate per 1,000 population)

Female

Duplicated between Hospitals & CommunityDuplicated between Community Programs

None

* Reported under Hispanic Orgin

2A: Age

Gender

None

Race:

Overall:

None

None

NoneGender

Hispanic Status Unknown

2B: Age

None

NoneRace:

Overall: None

DRAFTPuerto Rico

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Acc1 p.6

Rate of Mental Health Service Utilization By Age (data from Access Domain: Table1): URS Year 7: Rate per 1000 population

4.8

16.6

2.2

5.73.4

1.6

5.84.9

0.0 0.0

6.8

0.0 0.0

5.8

16.9

37.6

23.522.4

8.9

6.1

20.7

0

5

10

15

20

25

30

35

40

0 to 12 13 to 17 18 to 20 21 to 64 65 to 74 75 and over TOTAL

Rat

e pe

r 100

0 po

pula

tion

Puerto Rico

Territories

US

Rate of Mental Health Service Utilization By Race & Ethnicity: (data from Access Domain: Table 1) URS Year 7: Rate per 1000 population

0.0 0.0 0.0 0.0 0.0 0.0 0.0

5.8

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

25.5

6.5

32.3

26.2

16.6

28.0

16.7

20.7

0

5

10

15

20

25

30

35

AmericanIndian/Alaskan

Native

Asian Black/AfricanAmerican

NativeHawaiian/Pacific

Islander

White Multi-Racial Hispanic orLatino

TOTAL

Rat

e pe

r 100

0 po

pula

tion

Puerto Rico

Territories

US


2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Acc1Chart p.8

State Mental Health Service Utilization, Percent of State Population Served: By Quartile URS 2008

0%

2%

4%

6%

8%

10%

12%

14%

Tota

l

Fem

ale

Mal

e

0 to

12

13 to

17

18 to

20

21 to

64

65 to

74

75 a

nd o

ver

Am

eric

an In

dian

/ A

lask

an N

ativ

e

Asi

an

Bla

ck/

Afri

can

Am

eric

an

Nat

ive

Haw

aiia

n/P

acifi

c Is

land

er

Whi

te

Mul

ti-R

acia

l

His

pani

c O

rigin

Rat

e

Gender Age Race/Ethnicity

PuertoRicoMedian


ACCESS DOMAIN: TABLE 1a: DEMOGRAPHIC CHARACTERISTICS OF PERSONS SERVED BYTHE STATE MENTAL HEALTH AUTHORITY, FY 2008

Puerto Rico

Age Gender Total

American Indian/

Alaskan Native Asian

Black/ African

American

Native Hawaiian/

Pacific Islander White

Latino (reported by

"race" or "ethnicity") Multi-Racial

Race Not Available

0 to12 3,329 - - - - - 3,329 - 3,329 Female 1,907 - - - - - 1,907 - 1,907 Male 1,422 - - - - - 1,422 - 1,422 NA - - - - - - - - -

13 to 17 5,024 - - - - - 5,024 - 5,024 Female 3,214 - - - - - 3,214 - 3,214 Male 1,810 - - - - - 1,810 - 1,810 NA - - - - - - - - -

18 to 20 373 - - - - - 373 - 373 Female 157 - - - - - 157 - 157 Male 216 - - - - - 216 - 216 NA - - - - - - - - -

21 to 64 12,817 - - - - - 12,817 - 12,817 Female 6,817 - - - - - 6,817 - 6,817 Male 6,000 - - - - - 6,000 - 6,000 NA - - - - - - - - -

65 to 74 1,008 - - - - - 1,008 - 1,008 Female 592 - - - - - 592 - 592 Male 416 - - - - - 416 - 416 NA - - - - - - - - -

75 and over 358 - - - - - 358 - 358 Female 252 - - - - - 252 - 252 Male 106 - - - - - 106 - 106 NA - - - - - - - - -

Unknown Age - - - - - - - - - Female - - - - - - - - - Male - - - - - - - - - NA - - - - - - - - -

TOTAL 22,909 - - - - - 22,909 - 22,909 Female 12,939 - - - - - 12,939 - 12,939 Male 9,970 - - - - - 9,970 - 9,970 NA - - - - - - - - -

STATE:

Total Clients Served

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Acc1det p.9

Age Gender Total

American Indian/


Black/ African

American

Native Hawaiian/


pLatino

(reported by "race" or

"ethnicity") Multi-RacialRace Not Available

0 to12 14.5% 14.5% 14.5%Female 14.7% 14.7% 14.7%Male 14.3% 14.3% 14.3%NA

13 to 17 21.9% 21.9% 21.9%Female 24.8% 24.8% 24.8%Male 18.2% 18.2% 18.2%NA

18 to 20 1.6% 1.6% 1.6%Female 1.2% 1.2% 1.2%Male 2.2% 2.2% 2.2%NA

21 to 64 55.9% 55.9% 55.9%Female 52.7% 52.7% 52.7%Male 60.2% 60.2% 60.2%NA

65 to 74 4.4% 4.4% 4.4%Female 4.6% 4.6% 4.6%Male 4.2% 4.2% 4.2%NA

75 and over 1.6% 1.6% 1.6%Female 1.9% 1.9% 1.9%Male 1.1% 1.1% 1.1%NA

Unknown AgeFemaleMaleNA

TOTAL - - - - - 100.0% - 100.0%Female 56.5% 56.5% 56.5%Male 43.5% 43.5% 43.5%NA

Note: For each age group, the top line provides the percentage of that age group from the total number served of that race.For each gender, the percentage is of the total of that gender and race that were served.The denominators are found in the bottom four rows of the previous table.

Percent Served


Age Gender Total

American Indian/


Black/ African

American

Native Hawaiian/


Hispanic or Latino

(reported by "race" or

"ethnicity") Multi-RacialRace Not Available

0 to12 4.75Female 5.57 -Male 3.97 -NA

13 to 17 16.60Female 21.69 -Male 11.71NA

18 to 20 2.16Female 1.84Male 2.48NA



75 and over 1.56Female 1.86Male 1.14NA

Unknown AgeFemaleMaleNA

TOTAL 5.81Female 6.31Male 5.27NA

Note:This Table uses data from URS/DIG Table 2a, Table 2b and from the US Census Bureau.

State Notes:

Rate per 1,000 Population

US Totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

None

NoneRace:

Gender

None

None

2B: Age

None

All denominators use US Census data from 2007.

None

NoneRace:

None2A: Age

Gender

Overall:

Overall:



ACCESS DOMAIN: TABLE 2: PERSONS SERVED IN COMMUNITY MENTAL HEALTHPROGRAMS BY AGE AND GENDER, FY 2008

Puerto Rico

n % n % State USAge

0 to 17 8,318 42% 1,516,588 27% 8.3 21.0 55 18 to 20 325 2% 280,968 5% 1.9 22.8 55 21 to 64 9,927 51% 3,565,252 63% 4.4 20.6 56 65 and Over 1,018 5% 270,923 5% 1.9 7.3 55 Not Available - - 27,765 0% 25 TOTAL 19,588 100% 5,661,497 100% 5.0 19.2 56 - (1)

GenderFemale 11,610 59% 2,917,417 52% 5.7 19.5 56 Male 7,978 41% 2,698,221 48% 4.2 18.6 56 Not Available - - 45,859 1% 33 TOTAL 19,588 100% 5,661,497 100% 5.0 19.2 56 - - -

Note:

US totals are based on states reporting.

This table uses data from URS/DIG Table 3.

State Notes:Gender:

Age:

Overall:

STATE: Served in Community

States Reporting

Penetration Rates (rate per 1,000 population)State US

None

None

None

US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

Penetration Rate of Use of Community MH Services by Age and Gender: URS Year 7: Rate

per 1000 population

-

5

10

15

20

25

0 to

17

18 to 20 21 to 64

65 a

ndO

ver

Fem

ale Mal

e

Age Gender TOTAL

Puerto Rico US

DRAFT



ACCESS DOMAIN: TABLE 3: PERSONS SERVED IN STATE PSYCHIATRIC HOSPITALSBY AGE AND GENDER, FY 2008

Puerto Rico

n % n % State USAge

0 to 17 - - 15,055 9% 0.23 38 18 to 20 36 2% 8,689 5% 0.21 0.70 51 21 to 64 1,616 91% 143,384 82% 0.72 0.83 51 65 and Over 116 7% 7,391 4% 0.22 0.20 50 Not Available - - 55 0% 9 TOTAL 1,768 100% 174,574 100% 0.45 0.59 51

- - Gender

Female 747 42% 62,941 36% 0.36 0.42 51 Male 1,021 58% 111,504 64% 0.54 0.77 51 Not Available - - 129 0% 16 TOTAL 1,768 100% 174,574 100% 0.45 0.59 51

- -

Note:US totals are based on states reporting.This table uses data from URS/DIG Table 3.US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:Gender:

Age:

Overall:

Served in State Psychiatric Hospitals STATE:

State US

None

None

States Reporting


None

DRAFT



ACCESS DOMAIN: TABLE 4: PERSONS SERVED BY SMHA SYSTEM THROUGH MEDICAID AND OTHER FUNDING SOURCES BY RACE AND GENDER, FY 2008

Puerto Rico

Medicaid Only

Non-Medicaid

Only

Both-Medicaid & Other

Total Served w/ Known Funding

StatusMedicaid

Only

Non-Medicaid

Only


Medicaid Only

Non-Medicaid

Only

Both-Medicaid &

Other

Total Served w/ Known

Funding StatusMedicaid

Only

Non-Medicaid

Only


American Indian/Alaskan Native - - - - - 41,080 22,623 8,047 71,750 57% 32% 11% 46 Asian - - - - - 41,623 29,950 9,358 80,931 51% 37% 12% 46 Black/African American - - - - - 581,747 363,495 130,408 1,075,650 54% 34% 12% 46 Native Hawaiian/Pacific Islander - - - - - 3,192 5,874 2,813 11,879 27% 49% 24% 39 White - - - - - 1,522,663 1,525,453 454,267 3,502,383 43% 44% 13% 47 Hispanic - * * * * * 49,892 40,832 8,454 99,178 50% 41% 9% 8 Multi-Racial - - - - - 66,254 45,341 11,976 123,571 54% 37% 10% 34 Not Available - 2,676 17,967 20,643 13% 87% 281,355 254,695 61,657 597,707 47% 43% 10% 42 TOTAL - 2,676 17,967 20,643 13% 87% 2,587,807 2,288,263 686,981 5,563,051 47% 41% 12% 47

- - - - 1 - 1 2 Hispanic Origin

Hispanic or Latino - 2,676 17,967 20,643 13% 87% 313,107 257,010 101,866 671,983 47% 38% 15% 43 Not Hispanic or Latino - - - - - 1,730,997 1,722,493 475,356 3,928,846 44% 44% 12% 41 Not Available - - - - - 338,222 246,134 74,295 658,651 51% 37% 11% 37 TOTAL - 2,676 17,967 20,643 13% 87% 2,382,327 2,225,637 651,518 5,259,482 45% 42% 12% 43

1 - 1 2

GenderFemale - 1,460 10,522 11,982 12% 88% 1,376,015 1,127,943 359,701 2,863,659 48% 39% 13% 47 Male - 1,216 7,445 8,661 14% 86% 1,206,945 1,135,391 318,439 2,660,775 45% 43% 12% 47 Not Available - - - - - 4,848 24,930 8,841 38,619 13% 65% 23% 23

TOTAL - 2,676 17,967 20,643 13% 87% 2,587,807 2,288,263 686,981 5,563,051 47% 41% 12% 47

Note:This table uses data from DIG Tables 5a, and 5b (Hispanic Origin).Duplication -Type of Medicaid Data Reported

Data based on Medicaid Paid Claims -Data based on Medicaid Eligibility, not Claims -

STATE:

Race/Ethnicity

State Notes5a Age None

* Reported Under Hispanic Origin

State

States Reporting

% Servedn ServedUS Averages

% Servedn Served

5b Overall None

None

None5a Overall

5a Gender

Persons Served by Medicaid Funding Status: URS Year 7: State

Medicaid Only

0.00%

Non-Medicaid

Only12.96%

Both-Medicaid &

Other87.04%

DRAFT

Persons Served by Medicaid Funding Status: URS Year 7: US

Medicaid Only47%

Non-Medicaid

Only41%

Both-Medicaid &

Other12%



ACCESS DOMAIN: TABLE 5: DEMOGRAPHIC CHARACTERISTICS OF ADULTS WITH SMI AND CHILDRENWITH SED SERVED BY THE STATE MENTAL HEALTH AUTHORITY, FY2008

Puerto Rico

n % n % State Territories USAge

1,361 21.1% 593,086 14.1% 1.9 4.9 11.1 562,498 38.8% 564,698 13.5% 8.3 8.7 26.1 56

18 to 20 46 0.7% 172,560 4.1% 0.3 0.7 13.5 5621 to 64 2,236 34.7% 2,668,157 63.6% 1.0 1.9 14.9 5765 to 74 246 3.8% 118,557 2.8% 0.8 1.1 6.0 5775 and over 53 0.8% 66,511 1.6% 0.2 0.4 3.5 56

- - 9,607 0.2% 266,440 100% 4,193,176 100% 1.6 2.0 13.7 57

Gender3,444 53.5% 2,131,810 50.8% 1.7 1.9 13.7 572,996 46.5% 2,032,144 48.5% 1.6 2.1 13.5 57

- - 29,222 0.7% 366,440 100% 4,193,176 100% 1.6 2.0 13.7 57

- - 46,776 1.1% - 15.9 52- - 65,656 1.6% - 4.9 54- - 885,817 21.1% - 22.9 54- - 10,573 0.3% - 21.4 48- - 2,609,039 62.2% - 10.8 55

* * 52,755 1.3% - 18.8 10- - 93,393 2.2% - 21.4 44

6,440 100.0% 403,676 9.6% -6,440 100% 4,193,176 99% 1.6 13.7 57

- 25,491

6,440 100.0% 490,232 12.4% - 10.9 49- - 3,059,788 77.4% 12.5 49- - 402,714 10.2% 51

6,440 100% 3,952,736 100% 1.6 13.4 51 2

Note:This table uses data from URS/DIG Table 14a, All denominators use US Census data from 2007. US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.Regional groupings of States based on SAMHSA's Block Grant Regions.

State Used Federal SMI Definition? No

State Used Federal SED Definition? No

State Notes:

None

NoneGender

None14b Age

Race

Overall None

None

Race

Overall

None

TOTAL

14a Age

Gender None

None

* Reported under Hispanic Origin

TOTALNot Available

0 to 12

States Reporting


Black/African American

Not Hispanic or Latino

American Indian/Alaskan Native

TOTAL

Hispanic or LatinoHispanic Origin

Asian

Not AvailableMulti-Racial

Native Hawaiian/Pacific Islander

Hispanic Status Unknown

Not Available

US

13 to 17

Male

TOTAL

WhiteHispanic

Race/Ethnicity

STATE: Total Served with SMI/SED State

Female

DRAFT


Rate of Mental Health Service Utilization By Age: URS 2008: Rate per 1000population

11.1

26.1

13.514.9

6.0

3.5

13.7

4.9

8.7

0.71.9

1.10.4

2.01.9

8.3

0.31.0 0.8 0.2

1.6

0

5

10

15

20

25

30

0 to 12 13 to 17 18 to 20 21 to 64 65 to 74 75 and over TOTAL

Rat

e pe

r 100

0 po

pula

tion

US Territories

Puerto Rico

Rate of Mental Health Service Utilization By Race & Hispanic Origin: URS2008: Rate per 1000 population

15.9

4.9

22.921.4

10.8

21.4

10.9

13.7

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 0.0 0.0 0.0 0.0 0.0 0.01.6

0

5

10

15

20

25


Native


NativeHawaiian/Pacific

Islander

White Multi-Racial Hispanic orLatino

TOTAL

Rat

e pe

r 100

0 po

pula

tion

US Territories

Puerto Rico



ACCESS DOMAIN: TABLE 6: ADULTS WITH SERIOUS MENTAL ILLNESS AND CHILDREN WITH SERIOUSEMOTIONAL DISTURBANCES AS A PERCENT OF POPULATION SERVEDBY AGE, GENDER, RACE, AND ETHNICITY, FY 2008

STATE: Puerto Rico

SMI/SED Total Served SMI/SED Total Servedn n % n n %

Age0 to 12 1,361 3,329 40.9% 593,086 897,913 66.1% 56 13 to 17 2,498 5,024 49.7% 564,698 813,269 69.4% 56 18 to 20 46 373 12.3% 172,560 300,738 57.4% 56 21 to 64 2,236 12,817 17.4% 2,668,157 4,019,959 66.4% 57 65 to 74 246 1,008 24.4% 118,557 175,756 67.5% 57 75 and over 53 358 14.8% 66,511 114,633 58.0% 56

- - 9,607 10,554 91.0% 26 6,440 22,909 28.1% 4,193,176 6,332,938 66.2% 57 - - - 116

Gender3,444 12,939 26.6% 2,131,810 3,246,055 65.7% 57 2,996 9,970 30.1% 2,032,144 3,039,363 66.9% 57

- - 29,222 47,515 61.5% 36 6,440 22,909 28.1% 4,193,176 6,332,938 66.2% 57

- - - 5

- - 46,776 74,944 62.4% 52 - - 65,656 86,491 75.9% 54 - - 885,817 1,252,805 70.7% 54 - - 10,573 12,878 82.1% 48 - - 2,609,039 4,011,881 65.0% 55

* * * 52,755 101,952 51.7% 10 - - 93,393 122,204 76.4% 44

6,440 22,909 28.1% 403,676 628,665 64.2% 52 6,440 22,909 28.1% 4,193,176 6,332,938 66.2% 57 25,491 41,118

6,440 22,909 28.1% 490,232 748,139 65.5% 49 - - 3,059,788 4,662,062 65.6% 49 - - 402,714 599,974 67.1% 40

6,440 22,909 28.1% 3,952,736 6,011,947 65.7% 51 - - 2 1,772

Note:

State Used Federal SMI Definition? No

State Used Federal SED Definition? No

State Notes:

None

Not Available

Not AvailableNot Hispanic or Latino

None

None

Overall

Hispanic or Latino

None

None

None

TOTAL

Race

Overall

14a Age

Gender

Race

14b Age

Gender

This Table uses data from URS/DIG Table 2a, Table 2b, Table 14a, Table 14b, and from the US Census Bureau.

None

-

-

None

-

-

Diagnoses included in State SED definition:

Diagnoses included in State SMI definition:


Asian

Not AvailableTOTAL

Hispanic or LatinoWhite

US

American Indian/Alaskan Native

States Reporting

State

TOTAL

MaleNot AvailableTOTAL

All denominators use US Census data from 2007. US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

Race/Ethnicity

Hispanic Origin

Female

Multi-Racial

Black/African AmericanNative Hawaiian/Pacific Islander

DRAFT



APPROPRIATENESS DOMAIN: TABLE 1: NUMBER OF ADMISSIONS DURING THE YEAR TO STATE HOSPITALINPATIENT AND COMMUNITY-BASED PROGRAMS, FY 2008

Puerto Rico

Admissions During Year

Total Served At Start of

YearTotal Served During Year

Admissions During Year

Total Served At Start of

YearTotal Served During Year State US

1,452 316 1,768 168,084 45,008 174,574 0.82 0.96 52Children - - - 16,024 2,015 15,042 - 1.07 38Adults 1,452 316 1,768 151,981 42,908 159,464 0.82 0.95 51Age NA - - - 79 85 14 - 5.64 3

- - - - - 54 570 948 1,518 435,795 37,357 375,748 0.38 1.16 38

Children - - - 62,603 3,306 49,465 - 1.27 30Adults 570 948 1,518 373,166 34,031 286,801 0.38 1.30 37Age NA - - - 26 20 41 - 0.63 6 39,441

24 11 35 22,333 9,582 22,453 0.69 0.99 33Children 24 11 35 15,990 5,035 16,300 0.69 0.98 32Adults - - - 6,302 4,530 5,737 - 1.10 24Age NA - - - 41 17 - - - 1

- - - - - 416 9,098 10,590 19,588 5,127,311 2,593,396 5,063,434 0.46 1.01 46

Children 3,996 4,422 8,318 1,551,774 633,017 1,365,831 0.48 1.14 46Adults 5,102 6,168 11,270 3,573,676 1,958,950 3,674,969 0.45 0.97 46Age NA - - - 1,861 1,429 3,026 - 0.62 12

19,608 Note:Admission Rate = number of admissions divided by total served during the year.US Admissions During Year uses data from states reporting data only. States are only included in "US Total Served" if they also reported data on admissions.US Total Served During Year is calculated using data in URS/DIG Table 3, State Total Served During Year is calculated using data from URS/DIG Tables 3.This table uses data from URS/DIG Tables3 and 6.

State Notes:

Gender

Overall

None

None

None

Community

Residential

None

Other Inpatient

Inlcludes the General Psychiatric Hospital and the two forensic Hospitals

None

Residential Treatment Centers

Admission Rate

Community Programs

USState

None

STATE:

State Psychiatric Hospitals

6 Hospital

Other Inpatient

3 Age

Overall

None

States Reporting

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 App1 p.18


APPROPRIATENESS DOMAIN: TABLE 2: LENGTH OF STAYS IN STATE PSYCHIATRIC HOSPITALS,OTHER PSYCHIATRIC INPATIENT AND RTCs FORCHILDREN SETTINGS, FY 2008

Puerto Rico

Average Median Average Median Average Median Average Median Average Median Average Median- - - - - - 113 36 59 48 1,014 674 5

Children - - - - - - 71 50 63 53 267 250 35

Adults 112 29 - - - - 157 45 104 76 1,698 1,033 50

NA - - - - - - 16 3 12 13 37 28 1

- - - - - - 12 7 11 6 122 119 4

Children - - - - - - 11 7 22 19 309 319 24

Adults 920 - - - - - 46 9 31 26 417 392 33

NA - - - - - - 1 1 0 - - - 1

- - - - - - 89 85 47 44 175 158 2

Children 189 - - - - - 166 140 122 116 451 482 28

Adults - - - - - - 291 195 91 80 774 643 19

NA - - - - - - 11 11 - - - - -

Note:Resident clients are clients who were receiving services in inpatient settings at the end of the reporting period.This table uses data from URS/DIG Table 6.

State Notes:

Residential Treatment Centers

State

Discharged ClientsResident Clients w/ LOS Over 1 year

Length of Stay (Days)

Other Inpatient

Residential

Community

Discharged Clients

Length of Stay (Days)

Other Inpatient

State Hospitals

Overall

None

None

None

Inlcludes the General Psychiatric Hospital and the two forensic Hospitals

None

Hospital

Resident Clients w/ LOS 1 yr or less

Resident Clients w/ LOS Over 1 year

States Reporting

STATE:

Resident Clients w/ LOS 1 yr or less

US

State Hospital Length of Stay: Adult Patients, 2008

11229 0 0 0 0

15745 104 76

1,698

1,033

0200400600800

1,0001,2001,4001,6001,800

Average Median Average Median Average Median Average Median Average Median Average Median

Discharged Clients Resident Clients w/LOS 1 yr or less

Resident Clients w/LOS Over 1 year

Discharged Clients Resident Clients w/LOS 1 yr or less

Resident Clients w/LOS Over 1 year

Length of Stay (Days) Length of Stay (Days)

State US

DRAFT



PERCENT OF ADULTS AND CHILDREN SERVED WHO MEET THE FEDERALDEFINITION FOR SMI AND SED AND PERCENT OF ADULTS AND CHILDRENSERVED WHO HAVE CO-OCCURRING MH/AOD DISORDERS, FY 2008

STATE: Puerto Rico

18% 68% 71% 54

46% 69% 73% 54

18% 23% 20% 45

13% 6% 4% 44

25% 25% 21% 44

11% 8% 5% 40

Note:This table uses data from URS/DIG Table 12.

Do All Adults Served by SMHA meet the Federal Definitions of SMI?Do All Children Served by SMHA meet the Federal Definitions of SED?

State Notes:None

NoNo

State Average US AverageAdults and Children who meet the Federal Definitions of SMI/SED

Percent of Children served through the SMHA who meet the Federal definition for SED

Percent of Children served through the SMHA who had a co-occurring MH and AOD disorder who meet the Federal definition for SED

APPROPRIATENESS DOMAIN: TABLE 3:

Percent of Children through the SMHA who had a co-occurring MH and AOD disorder

Percent of Adults served through the SMHA who had a co-occurring MH and AOD disorder

Co-occurring MH and Substance Abuse Consumers

Percent of Adults served through the SMHA who had a co-occurring MH and AOD disorder who meet the Federal definition for SMI

States Reporting

States ReportingUS Median

State Average US Average US Median

Percent of Adults served through the SMHA who meet the Federal definition for SMI

DRAFT



APPROPRIATENESS DOMAIN: TABLE 4: LIVING SITUATION OF CONSUMERS SERVED BY STATEMENTAL HEALTH AGENCY SYSTEMS, FY 2008

STATE: Puerto Rico

Living Situation

Percent in Living

Situation

Percent with Known Living

Situation Living Situation

Percent in Living

Situation


Situation

Private Residence 20,014 87.4% 88.6% 3,666,906 68.0% 80.8% 52Foster Home 423 1.8% 1.9% 87,728 1.6% 1.9% 50Residential Care 223 1.0% 1.0% 188,557 3.5% 4.2% 49Crisis Residence - - 59,581 1.1% 1.3% 28Children's Residential Tx 59 0.3% 0.3% 16,459 0.3% 0.4% 39Institutional Setting 1,528 6.7% 6.8% 159,793 3.0% 3.5% 51Jail/Correctional Facility 132 0.6% 0.6% 90,587 1.7% 2.0% 49Homeless or Shelter 208 0.9% 0.9% 133,656 2.5% 2.9% 50Other Living Situation - - - 132,890 2.5% 2.9% 44Living Situation NA 322 1.4% 857,937 15.9% 45Total 22,909 100.0% 100.0% 5,394,097 100.0% 100.0% 55When is Living Situation Measured: At Admission At Discharge Updated Quarterly

Puerto Rico - - -U.S. 38 21 4 30

Note:This table uses data from URS/DIG Table 15.US totals based on states reporting.

State Notes:15 The large 1 year data change on living situation data is due to the Puerto Rico Mental Health and Anti Drugs Services Administration create a

Department to provide services to homeless people; also the municipality of Bayamón offer services through a federal grant to this population.

State US

States Reporting

-

Other Time Period

Living Situation of MH Consumers Served by State, URS Year 7

88.6%

Private Residence

Foster Home

Residential Care

Crisis Residence

Children's ResidentialTx

Institutional Setting

Jail/CorrectionalFacility

Homeless or Shelter

Other Living Situation

Living Situation of MH Consumers Served U.S. Average, URS Year 7

9%4.2%

1.3%0.4%3.5%2.0%2.9%2.9%

80.8%

Private Residence

Foster Home

Residential Care

Crisis Residence

Children's ResidentialTx


Jail/CorrectionalFacility

Homeless or Shelter

Other LivingSituation

DRAFT



APPROPRIATENESS DOMAIN: TABLE 4a: LIVING SITUATION OF CONSUMERS SERVED BY STATEMENTAL HEALTH AGENCY SYSTEMS, FY 2008

STATE: Puerto Rico

Living Situation

Percent in Living

Situation


SituationLiving

Situation

Percent in Living

Situation


Situation

20,014 87.4% 88.6% 3,666,906 68.0% 80.8% 52Foster Home 423 1.8% 1.9% 87,728 1.6% 1.9% 50Residential Care 223 1.0% 1.0% 188,557 3.5% 4.2% 49Crisis Residence - 59,581 1.1% 1.3% 28Children's Residential Tx 59 0.3% 0.3% 16,459 0.3% 0.4% 39

1,528 6.7% 6.8% 159,793 3.0% 3.5% 51Jail/Correctional Facility 132 0.6% 0.6% 90,587 1.7% 2.0% 49Homeless or Shelter 208 0.9% 0.9% 133,656 2.5% 2.9% 50Other Living Situation - 132,890 2.5% 2.9% 44Living Situation NA 322 1.4% 857,937 15.9% 45Total 22,909 100.0% 100.0% 5,394,097 100.0% 100.0% 55

Living Situation

Percent in Living

Situation


SituationLiving

Situation

Percent in Living

Situation


Situation

8,080 96.7% 97.9% 988,716 70.9% 84.9% 51Foster Home 66 0.8% 0.8% 64,044 4.6% 5.5% 49Residential Care 27 0.3% 0.3% 21,460 1.5% 1.8% 40Crisis Residence - 10,520 0.8% 0.9% 20Children's Residential Tx 59 0.7% 0.7% 14,700 1.1% 1.3% 38

4 0.0% 0.0% 20,951 1.5% 1.8% 46Jail/Correctional Facility 19 0.2% 0.2% 18,257 1.3% 1.6% 45Homeless or Shelter - 6,094 0.4% 0.5% 42Other Living Situation - 20,458 1.5% 1.8% 41Living Situation NA 98 1.2% 229,021 16.4% 42Total 8,353 100.0% 100.0% 1,394,221 100.0% 100.0% 53

Living Situation

Percent in Living

Situation


SituationLiving

Situation

Percent in Living

Situation


Situation

11,934 82.0% 83.3% 2,676,322 67.1% 79.5% 52Foster Home 357 2.5% 2.5% 23,240 0.6% 0.7% 43Residential Care 196 1.3% 1.4% 167,017 4.2% 5.0% 49Crisis Residence - 48,829 1.2% 1.4% 28Residential Tx - 1,711 0.0% 0.1% 20

1,524 10.5% 10.6% 138,765 3.5% 4.1% 51Jail/Correctional Facility 113 0.8% 0.8% 72,315 1.8% 2.1% 49Homeless or Shelter 208 1.4% 1.5% 127,429 3.2% 3.8% 50Other Living Situation - 112,073 2.8% 3.3% 44Living Situation NA 224 1.5% 621,782 15.6% 45Total 14,556 100.0% 100.0% 3,989,484 100.0% 100.0% 55

Note:This table uses data from URS/DIG Table15.State Notes appear on the previous page.

US



Private Residence

Private Residence


Private Residence

Adults over age 18States

Reporting

States ReportingAll Persons Served

States ReportingChildren under age 18

State US

State US

State

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 App4Age p.22


APPROPRIATENESS DOMAIN: TABLE 5: PERSONS WHO WERE HOMELESS BY AGE, GENDERAND RACE, FY 2008

Puerto Rico

State USn % n %

Age0 to 17 - - 6,094 5% 0.5% 42 18 to 64 198 95% 125,507 94% 1.5% 4.0% 50 65 and Over 10 5% 1,922 1% 0.7% 0.9% 48 Not Available - - 133 0% 4.1% 12 TOTAL 208 100.0% 133,656 100% 0.9% 2.9% 50

GenderFemale 71 34% 52,445 39% 0.6% 2.2% 50 Male 137 66% 81,071 61% 1.4% 3.7% 50 Not Available - - 141 0% 1.8% 19 TOTAL 208 100.0% 133,656 100% 0.9% 2.9% 50

RaceAmerican Indian/Alaskan Native - - 1,623 1% 3.3% 47 Asian - - 1,053 1% - 1.8% 42 Black/African American - - 43,717 33% 4.6% 49 Native Hawaiian/ Pacific Islander - - 244 0% - 3.2% 29 White - - 71,160 53% 2.5% 48 Hispanic or Latino * * 1,015 1% * 1.9% 4 Multi-Racial - - 2,725 2% 5.9% 32 Not Available 208 100% 12,119 9% 7.2% 4.1% 41 TOTAL 208 100.0% 133,656 100% 7.2% 7.7% 50

Hispanic OriginHispanic or Latino 208 100% 13,834 11% 0.9% 2.4% 46 Not Hispanic or Latino - - 97,820 79% - 2.9% 45 Not Available - - 12,103 10% 3.7% 33 TOTAL 208 100.0% 123,757 100% 0.9% 2.9% 46

When is Living Situation Measured: At Discharge

PR -U.S. 38 21


State Notes:

Homeless or Living in Shelters

STATE: Percent of Total Consumers

Served Homeless or Living In Shelters

USStates

ReportingState FY 2008

- - -

At Admission Updated Quarterly Other Time Period

4 30


The large 1 year data change on living situation data is due to the Puerto Rico Mental Health and Anti Drugs Services Administration create a Department to provide services to homeless people; also the municipality of Bayamón offer services through a federal grant to this population.

DRAFT


Percent of Persons Served in MH Programs, who were Homeless, By Age: Year 7

0.0%

1.5%

0.7%0.5%

4.0%

0.9%

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

10.0%

0 to 17 18 to 64 65 and Over

Puerto Rico

US

Percent of Persons Served in MH Programs, who were Homeless, By Gender: Year 7

0.6%1.4%

2.2%

3.7%

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

10.0%

Female Male

Puerto Rico US

Percent of Persons Served who were Homeless by Race: Year 7

0.0% 0.0% 0.0% 0.0% 0.0%

0.9%

0.0%

7.2%

3.3%

1.8%

4.6%

3.2%2.5%

1.9%

5.9%

7.7%

0.0%1.0%2.0%3.0%4.0%5.0%6.0%7.0%8.0%9.0%


Native



White Hispanic orLatino

Multi-Racial TOTAL

Puerto Rico US



APPROPRIATENESS DOMAIN: TABLE 6: LIVING IN PRIVATE RESIDENCE BY AGE, GENDERAND RACE, FY 2008

Puerto Rico

State USn % n %

Age0 to 17 8,080 40% 988,716 27% 97.9% 84.9% 51 18 to 64 10,891 54% 2,526,741 69% 84.0% 80.0% 52 65 and Over 1,043 5% 149,581 4% 76.6% 70.9% 52 Not Available - - 1,868 0% - 57.4% 22 TOTAL 20,014 100.0% 3,666,906 100% 88.6% 80.8% 52

GenderFemale 11,794 59% 1,970,001 54% 91.8% 84.2% 52 Male 8,220 41% 1,691,060 46% 84.4% 77.3% 52 Not Available - - 5,845 0% - 74.4% 30 TOTAL 20,014 100.0% 3,666,906 100% 88.6% 80.8% 52

RaceAmerican Indian/Alaskan Native - - 37,692 1% - 77.0% 49 Asian - - 46,343 1% - 81.2% 49 Black/African American - - 727,361 20% - 76.2% 50 Native Hawaiian/ Pacific Islander - - 6,552 0% - 84.7% 43 White - - 2,368,847 65% - 82.6% 51 Hispanic or Latino * * 46,881 1% * 89.6% 5 Multi-Racial - - 76,220 2% - 164.5% 8 Not Available 20,014 100% 357,010 10% 691.3% 120.7% 42 TOTAL 20,014 100.0% 3,666,906 100% 691.3% 212.4% 51

Hispanic OriginHispanic or Latino 20,014 100% 489,311 14% 88.6% 84.4% 46 Not Hispanic or Latino - - 2,701,321 79% - 81.4% 47 Not Available - - 246,024 7% - 74.4% 37 TOTAL 20,014 100.0% 3,436,656 100% 88.6% 81.2% 48


State Notes:

State FY 2008 USStates

Reporting Living In Private Residence

* Reported under Hispanic Origin Category

STATE: Percent of Total Consumers

Served Living In Private Residence


DRAFT



APPROPRIATENESS DOMAIN: TABLE 7: LIVING IN JAILS AND OTHER CORRECTIONAL SETTINGS, BY AGE,GENDER AND RACE, FY 2008

Puerto Rico

n % n % State US AverageAge

0 to 17 19 14% 18,257 20% 0.2% 1.6% 45 18 to 64 108 82% 71,731 79% 0.8% 2.3% 49 65 and Over 5 4% 584 1% 0.4% 0.3% 38 Not Available - - 15 0% - 0.5% 6 TOTAL 132 100.0% 90,587 100% 0.6% 2.0% 49

GenderFemale 36 27% 20,318 22% 0.3% 0.9% 47 Male 96 73% 69,932 77% 1.0% 3.2% 49 Not Available - - 337 0% - 4.3% 13 TOTAL 132 100.0% 90,587 100% 0.6% 2.0% 49

RaceAmerican Indian/Alaskan Native - - 968 1% - 2.0% 35 Asian - - 1,401 2% - 2.5% 28 Black/African American - - 27,635 31% - 2.9% 45 Native Hawaiian/ Pacific Islander - - 171 0% - 2.2% 18 White - - 44,626 49% - 1.6% 46 Hispanic or Latino * * 276 0% * 0.5% 4 Multi-Racial - - 1,793 2% - 3.9% 31 Not Available 132 100% 13,714 15% 4.6% 4.6% 42 TOTAL 132 100.0% 90,584 100% 4.6% 5.2% 51

Hispanic OriginHispanic or Latino 132 100% 15,711 18% 0.6% 2.7% 42 Not Hispanic or Latino - - 61,492 72% - 1.9% 44 Not Available - - 8,748 10% - 2.6% 31 TOTAL 132 100.0% 85,951 100% 0.6% 2.0% 45


State Notes:

STATE:



State 2008 US States Responding

Percent of Consumer Living in Jails and Other

Correctional Settings

Living In Jails and other Correctional Settings

Percent of MH Consumers Living in Jails and Other Correctional Settings: By Race, URSYear 7

0.0% 0.0% 0.0% 0.0% 0.0%0.6%

0.0%

4.6%

2.0%2.5%

2.9%

2.2%

1.6%

0.5%

3.9%

5.2%

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%


Native



White Hispanic orLatino

Multi-Racial TOTAL

State

US Average

DRAFT



APPROPRIATENESS DOMAIN: TABLE 8: EVIDENCE-BASED PRACTICES REPORTED BY SMHAS: FY 2008

Puerto Rico

EBP ServiceSMI/SED

Population EBP ServiceSMI/SED

Population PR US Average PR U.S.States

Reporting

Adult EBP ServicesSupported Housing - 62,811 1,890,091 3.3% - 1 33 Supported Employment - 38,948 2,211,079 1.8% - 10 39 Assertive Community Treatment - 56,921 2,518,566 2.3% - 21 40

Family PsychoEducation 15 2,581 25,042 1,411,321 0.6% 1.8% Yes 3 19 Dual Diagnosis Treatment - 44,824 1,141,765 3.9% - 8 24 Illness Self Management 248 2,581 146,909 1,567,282 9.6% 9.4% Yes 6 22 Medications Management - 253,382 1,124,244 22.5% - 1 17

Child/Adolescent EBP ServicesTherapeutic Foster Care - 16,267 762,837 2.1% - 6 29 Multi Systemic Therapy - 8,074 653,464 1.2% - 9 21 Functional Family Therapy 5 3,859 6,955 424,562 0.1% 1.6% Yes 8 15

Note:US totals are based on states reporting.This table uses data from URS/DIG Tables 16 and 17US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:T16

T17

Penetration Rate: % of Puerto Rico U. S. Measuring Fidelity

Data provided by the Treatment Administration (Children, Adolescents and Adults) and Internal Services Administration

Data provided by the Treatment Administration (Children, Adolescents and Adults) and Internal Services Administration.

STATE:

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP overview p.27


APPROPRIATENESS DOMAIN: TABLE 9: EVIDENCE-BASED PRACTICES 1:ASSERTIVE COMMUNITY TREATMENT, BY AGE, GENDER AND RACE,FY 2008

Puerto Rico

n % n % State US State USAge

18 to 20 - - 1,201 2% 46 114,679 1.0% 42 21 to 64 - - 47,109 83% 2,236 1,828,953 2.6% 43 65 to 74 - - 2,217 4% 246 79,909 2.8% 43 75 and Over - - 404 1% 53 41,885 1.0% 42 Not Available - - 5,879 10% - 444,836 - 1.3% 25 TOTAL - - 56,921 100% 2,581 2,518,566 2.3% 51 111 8,304

GenderFemale - - 23,340 41% 1,005 1,169,527 2.0% 45 Male - - 27,806 49% 1,576 922,096 3.0% 45 Not Available - - 5,693 10% - 473,194 - 1.2% 30 TOTAL - - 56,921 100% 2,581 2,518,566 2.3% 51

(82) - 46,251 Race

American Indian/Alaskan Native - - 492 1% - 19,759 - 2.5% 40 Asian - - 759 1% - 47,702 - 1.6% 42 Black/African American - - 13,509 24% - 413,814 - 3.3% 41 Native Hawaiian/ Pacific Islander - - 230 0% - 5,669 - 4.1% 40 White - - 31,471 55% - 1,304,890 - 2.4% 42 Hispanic or Latino - - 793 1% 2,581 8,103 9.8% 8 Multi-Racial - - 740 1% - 39,581 - 1.9% 34 Not Available - - 8,922 16% - 823,908 - 1.1% 45 TOTAL - - 56,921 100% 2,581 2,518,566 2.3% 51

-5 144,860Hispanic Origin

Hispanic or Latino - - 5,632 10% 2,581 303,358 1.9% 36 Not Hispanic or Latino - - 33,899 60% - 1,292,702 - 2.6% 36 Not Available - - 10,110 18% - 697,236 - 1.5% 36 TOTAL - - 56,921 100% 2,581 2,518,566 2.3% 51

(7,280) - (225,270) Fidelity

Measures Fidelity 24,953 43% 1,317,666 - 1.9% 21 Does Not Measure Fidelity - 33,549 57% 2,581 1,385,644 2.4% 30

1. State Measures Fidelity of EBP? States Measuring Fidelity = 21

2. What Fidelity Measure is Used?

3. Who Conducts Fidelity Measure?

4. How often is Fidelity Measured?

SAMHSA Toolkit used = 18

EBP Training = 22

Note:US totals are based on states reporting.This table uses data from URS/DIG Table 16US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:Data provided by the Treatment Administration (Children, Adolescents and Adults) and Internal Services Administration.

6. Have staff been specifically trained to implement the EBP?

5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation?

-

-

-

-

STATE: Penetration Rate: % of Consumers Receiving

EBP/Estimated SMI Adults with SMI in

States Reporting EBP

Assertive Community Treatment

-

-

State US States Reporting

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP1ACT p.28


APPROPRIATENESS DOMAIN: TABLE 10: EVIDENCE-BASED PRACTICES 2:SUPPORTED EMPLOYMENT, BY AGE, GENDER AND RACE, FY 2008

Puerto Rico


18 to 20 - - 1,152 3% 46 84,511 1.4% 28 21 to 64 - - 27,008 69% 2,236 1,525,184 1.8% 30 65 to 74 - - 2,810 7% 246 60,707 4.6% 25 75 and Over - - 78 0% 53 24,782 0.3% 15 Not Available - - 6,831 18% - 491,006 - 1.4% 18 TOTAL - - 38,948 97% 2,581 2,211,079 1.8% 39 1,069 24,889

GenderFemale - - 15,333 39% 1,005 968,870 1.6% 32 Male - - 16,180 42% 1,576 775,097 2.1% 31 Not Available - - 7,507 19% - 439,278 - 1.7% 13 TOTAL - - 38,948 100% 2,581 2,211,079 1.8% 39

72 (27,834)Race

American Indian/Alaskan Native - - 258 1% - 16,705 - 1.5% 25 Asian - - 388 1% - 45,761 - 0.8% 27 Black/African American - - 5,615 14% - 302,635 - 1.9% 29 Native Hawaiian/ Pacific Islander - - 191 0% - 4,935 - 3.9% 15 White - - 20,502 53% - 1,093,062 - 1.9% 29 Hispanic or Latino - - 94 0% 2,581 8,268 1.1% 7 Multi-Racial - - 647 2% - 30,348 - 2.1% 23 Not Available - - 11,331 29% - 719,596 - 1.6% 32 TOTAL - - 38,948 100% 2,581 2,211,079 1.8% 39

78 10,231Hispanic Origin


-4162 - (213,705)

FidelityMeasures Fidelity - 31,013 2,581 2,138,979 1.4% 10 Does Not Measure Fidelity - - - - - 29



3. Who Conducts Fidelity Measure?4. How often is Fidelity Measured?


EBP Training = 12

Note:US totals are based on states reporting.This table uses data from URS/DIG Table 16US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:

STATE:

5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation?6. Have staff been specifically trained to implement the EBP? -

Penetration Rate: Percent of Consumers

Receiving EBP/Estimated SMI


Supported Employment Adults with SMI in States

Reporting EBP State US States Reporting

-

-

-

--

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP2SE p.29


APPROPRIATENESS DOMAIN: TABLE 11: EVIDENCE-BASED PRACTICES 3:SUPPORTED HOUSING BY AGE, GENDER AND RACE, FY 2008

Puerto Rico


18 to 20 - - 938 1% 46 75,094 1.2% 26 21 to 64 - - 51,521 82% 2,236 1,375,741 3.7% 26 65 to 74 - - 1,588 3% 246 59,560 2.7% 26 75 and Over - - 290 0% 53 30,413 1.0% 22 Not Available - - 8,456 13% - 344,639 - 2.5% 13 TOTAL - - 62,811 100% 2,581 1,890,091 3.3% 33

-9,412 -46 -424,377Gender

Female - - 27,167 43% 1,005 845,744 3.2% 26 Male - - 26,117 42% 1,576 683,331 3.8% 27 Not Available - - 8,227 13% - 369,052 - 2.2% 13 TOTAL - - 62,811 98% 2,581 1,890,091 3.3% 33

(1,300) 8,036Race

American Indian/Alaskan Native - - 477 1% - 12,482 - 3.8% 22 Asian - - 639 1% - 41,014 - 1.6% 22 Black/African American - - 13,465 21% - 278,835 - 4.8% 25 Native Hawaiian/ Pacific Islander - - 264 0% - 5,685 - 4.6% 17 White - - 34,150 54% - 921,838 - 3.7% 26 Hispanic or Latino - - 205 0% 2,581 4,708 4.4% 8 Multi-Racial - - - - 41,149 - 7 Not Available - - 12,910 21% - 592,781 - 2.2% 28 TOTAL - - 62,811 99% 2,581 1,890,091 3.3% 33

-701 8,401Hispanic Origin


-3,778 -91,024

FidelityMeasures Fidelity - 58,049 2,581 2,521,268 2.3% 1 Does Not Measure Fidelity - - - - - - 32

1. State Measures Fidelity of EBP? - States Measuring Fidelity = 12. What Fidelity Measure is Used?3. Who Conducts Fidelity Measure?4. How often is Fidelity Measured?

- SAMHSA Toolkit used = 3

- EBP Training = 4


State Notes:


Supported Housing


STATE: Penetration Rate: Percent of

Consumer Receiving EBP/Estimated SMI

Adults with SMI in States Reporting EBP

5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation?6. Have staff been specifically trained to implement the EBP?

---

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP3SH p.30


APPROPRIATENESS DOMAIN: Table 12: EVIDENCE-BASED PRACTICES 4:THERAPEUTIC FOSTER CARE BY AGE, GENDER RACE, FY 2008

Puerto Rico


0 to 12 - - 4,485 28% 1,361 275,034 1.6% 21 13 to 17 - - 5,354 33% 2,498 262,982 2.0% 20 18 to 20 - - 327 2% - 43,747 - 0.7% 11 Not Available - - 5,722 35% - 162,519 - 3.5% 10 TOTAL - - 16,267 98% 3,859 762,837 2.1% 29

-6101 -181074Gender

Female - - 4,419 27% 2,439 226,945 1.9% 20 Male - - 5,889 36% 1,420 376,933 1.6% 21 Not Available - - 5,959 37% - 116,665 - 5.1% 9 TOTAL - - 16,267 100% 3,859 762,837 2.1% 29

(42,294)Race

American Indian/Alaskan Native - - 573 4% - 8,561 - 6.7% 12 Asian - - 38 0% - 7,791 - 0.5% 9 Black/African American - - 2,182 13% - 136,789 - 1.6% 19 Native Hawaiian/ Pacific Islander - - 31 0% - 599 - 5.2% 6 White - - 6,381 39% - 294,284 - 2.2% 19 Hispanic or Latino - - 40 0% 3,859 4,286 0.9% 4 Multi-Racial - - 376 2% - 19,978 - 1.9% 12 Not Available - - 6,604 41% - 237,021 - 2.8% 21 TOTAL - - 16,267 100% 3,859 762,837 2.1% 29

-42 (53,528)Hispanic Origin

Hispanic or Latino - - 1,002 6% 3,859 112,293 0.9% 15 Not Hispanic or Latino - - 7,371 45% - 297,637 - 2.5% 16 Not Available - - 6,539 40% - 183,441 - 3.6% 15 TOTAL - - 16,267 92% 3,859 762,837 2.1% 29

-1,355 -169,466

1. State Measures Fidelity of EBP? States Measuring Fidelity = 62. What Fidelity Measure is Used?3. Who Conducts Fidelity Measure?4. How often is Fidelity Measured?


EBP Training = 8


State Notes:

---

State US

Penetration Rate: Percent of Consumer Receiving

EBP/Estimated SED States Reporting

STATE:

Children with SED in States Reporting EBP

Therapeutic Foster Care for Children

-


5. Is the SAMHSA EBP Toolkit used to guide EBP Implementation?6. Have staff been specifically trained to implement the EBP? -

-

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP4TFC p.31


APPROPRIATENESS DOMAIN: Table 13: EVIDENCE-BASED PRACTICES 5:MULTI-SYSTEMIC THERAPY (MST) BY AGE, GENDER AND RACE,FY 2008

Puerto Rico


0 to 12 - - 1,998 25% 1,361 237,815 0.8% 16 13 to 17 - - 3,564 44% 2,498 231,134 1.5% 15 18 to 20 - - 184 2% - 43,776 - 0.4% 6 Not Available - - 1,536 19% - 137,603 - 1.1% 9 TOTAL - - 8,074 90% 3,859 653,464 1.2% 21

-2,328 -140,739Gender

Female - - 2,001 25% 2,439 198,081 1.0% 15 Male - - 3,944 49% 1,420 318,535 1.2% 16 Not Available - - 2,129 26% - 110,888 - 1.9% 10 TOTAL - - 8,074 100% 3,859 653,464 1.2% 21

-25,960Race

American Indian/Alaskan Native - - 28 0% - 3,598 - 0.8% 10 Asian - - 51 1% - 6,135 - 0.8% 7 Black/African American - - 1,199 15% - 117,964 - 1.0% 13 Native Hawaiian/ Pacific Islander - - 27 0% - 596 - 4.5% 6 White - - 3,561 44% - 254,579 - 1.4% 15 Hispanic or Latino - - 102 1% 3,859 7,564 1.3% 4 Multi-Racial - - 306 4% - 17,420 - 1.8% 9 Not Available - - 2,785 34% - 296,583 - 0.9% 17 TOTAL - - 8,074 100% 3,859 653,464 1.2% 21

(15) 50,975Hispanic Origin

Hispanic or Latino - - 352 4% 3,859 89,302 0.4% 10 Not Hispanic or Latino - - 1,814 22% - 204,714 - 0.9% 10 Not Available - - 2,992 37% - 181,778 - 1.6% 13 TOTAL - - 8,074 64% 3,859 653,464 1.2% 21

-2,916 -177,670



3. Who Conducts Fidelity Measure?4. How often is Fidelity Measured?


EBP Training = 10


State Notes:

STATE:


Multisystemic Therapy (MST) State

-

Penetration Rate: Percent of Consumer Receiving EBP/Estimated SED States

Reporting

-

US


6. Have staff been specifically trained to implement the EBP? -


-

-

-

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP5MST p.32


APPROPRIATENESS DOMAIN: Table 14: EVIDENCE-BASED PRACTICES 6:FUNCTIONAL FAMILY THERAPY BY AGE, GENDER AND RACE,FY 2008

Puerto Rico


0 to 12 - - 1,670 24% 1,361 135,921 1.2% 9 13 to 17 5 100% 3,413 49% 2,498 145,216 0.2% 2.4% 9 18 to 20 - - 42 1% - 36,062 - 0.1% 6 Not Available - - 1,625 23% - 105,971 - 1.5% 6 TOTAL 5 100% 6,955 97% 3,859 424,562 0.1% 1.6% 15

-1830.00 -107363.00Gender

Female - - 2,106 30% 2,439 121,370 1.7% 10 Male 5 100% 3,079 44% 1,420 198,529 0.4% 1.6% 10 Not Available - - 1,770 25% - 76,569 - 2.3% 5 TOTAL 5 100% 6,955 100% 3,859 424,562 0.1% 1.6% 15

-28,094Race

American Indian/Alaskan Native - - 18 0% - 1,796 - 1.0% 4 Asian - - 31 0% - 5,536 - 0.6% 5 Black/African American - - 2,453 35% - 66,900 - 3.7% 7 Native Hawaiian/ Pacific Islander - - 11 0% - 610 - 1.8% 4 White - - 1,710 25% - 124,395 - 1.4% 8 Hispanic or Latino 5 100% 293 4% 3,859 7,470 0.1% 3.9% 2 Multi-Racial - - 246 4% - 15,060 - 1.6% 5 Not Available - - 2,203 32% - 165,569 - 1.3% 12 TOTAL 5 100% 6,955 100% 3,859 424,562 0.1% 1.6% 15

10 -37,226Hispanic Origin

Hispanic or Latino 5 100% 415 6% 3,859 73,611 0.1% 0.6% 7 Not Hispanic or Latino - - 3,468 50% - 77,087 - 4.5% 6 Not Available - - 2,135 31% - 140,952 - 1.5% 9 TOTAL 5 100% 6,955 87% 3,859 424,562 0.1% 1.6% 15

(937) (132,912)



EBP Training = 8


State Notes:



Yes

Yes


Project and clinical DirectorMonthly

Provided by UCC

STATE:


Functional Family Therapy

Yes


Penetration Rate: Percent of Consumer Receiving EBP/Estimated SED

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP6FFT p.33


APPROPRIATENESS DOMAIN: Table 15: EVIDENCE-BASED PRACTICES 7:FAMILY PSYCHOEDUCATION BY AGE, GENDER AND RACE FY 2008

Puerto Rico


18 to 20 - - 270 1% 46 32,373 0.8% 9 21 to 64 10 67% 5,110 20% 2,236 604,452 0.4% 0.8% 11 65 to 74 5 33% 212 1% 246 21,668 2.0% 1.0% 9 75 and Over - - 51 0% 53 9,877 0.5% 6 Not Available - - 19,484 78% - 730,130 - 2.7% 10 TOTAL 15 100% 25,127 100% 2,581 1,411,321 0.6% 1.8% 19

-12821.00Gender

Female 11 73% 2,710 11% 1,005 375,762 1.1% 0.7% 11 Male 4 27% 2,745 11% 1,576 291,844 0.3% 0.9% 11 Not Available - - 19,257 77% - 639,779 - 3.0% 8 TOTAL 15 100% 25,127 98% 2,581 1,411,321 0.6% 1.8% 19

(415) - -103936.00Race

American Indian/Alaskan Native - - 78 0% - 5,549 - 1.4% 5 Asian - - 56 0% - 27,259 - 0.2% 6 Black/African American - - 307 1% - 111,847 - 0.3% 7 Native Hawaiian/ Pacific Islander - - 93 0% - 186 - 50.0% 3 White - - 3,991 16% - 350,263 - 1.1% 9 Hispanic or Latino 15 100% 18 0% 2,581 10,320 0.6% 0.2% 3 Multi-Racial - - 410 2% - 19,347 - 2.1% 5 Not Available - - 20,174 80% - 772,061 - 2.6% 15 TOTAL 15 100% 25,127 100% 2,581 1,411,321 0.6% 1.8% 19

- -114489.00Hispanic Origin

Hispanic or Latino - - 410 2% 2,581 70,097 0.6% 5 Not Hispanic or Latino - - 4,274 17% - 251,995 - 1.7% 5 Not Available - - 6,526 26% - 675,924 - 1.0% 12 TOTAL 15 100% 25,127 45% 2,581 1,411,321 0.6% 1.8% 19

15 -13,917 -413305.00


SAMHSA Toolkit used = 3EBP Training = 7

Note:US totals are based on states reporting.This table uses data from URS/DIG Tables 16 and 17.US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:

US States Reporting


Family Psychoeducation Adults with SMI in States

Reporting EBP

Yes

Yes

State

Monthly

STATE:

to guide EBP Implementation?p yto implement the EBP?

Provided by SAMHSAClinical Director and Coordinator

Yes

Penetration Rate: Percent of Consumer Receiving EBP/Estimated SMI

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP7FPE p.34


APPROPRIATENESS DOMAIN: TABLE16: EVIDENCE-BASED PRACTICES 8:INTEGRATED TREATMENT FOR DUAL DIAGNOSIS BY AGE, GENDER ANDRACE, FY 2008

Puerto Rico


18 to 20 - - 998 2% 46 43,589 2.3% 14 21 to 64 - - 26,951 60% 2,236 731,477 3.7% 17 65 to 74 - - 313 1% 246 25,894 1.2% 14 75 and Over - - 50 0% 53 10,274 0.5% 12 Not Available - - 16,686 37% - 325,433 - 5.1% 9 TOTAL - - 44,998 100% 2,581 1,141,765 3.9% 24

- - -5098Gender

Female - - 12,919 29% 1,005 447,749 2.9% 16 Male - - 15,263 34% 1,576 347,966 4.4% 16 Not Available - - 12,482 28% - 234,726 - 5.3% 9 TOTAL - - 44,998 90% 2,581 1,141,765 3.9% 24

(4,334) - -111324Race

American Indian/Alaskan Native - - 448 1% - 8,630 - 5.2% 13 Asian - - 98 0% - 27,622 - 0.4% 10 Black/African American - - 5,710 13% - 116,347 - 4.9% 13 Native Hawaiian/ Pacific Islander - - 41 0% - 1,107 - 3.7% 9 White - - 18,817 42% - 483,772 - 3.9% 15 Hispanic or Latino - - 362 1% 2,581 4,495 8.1% 1 Multi-Racial - - 878 2% - 25,396 - 3.5% 12 Not Available - - 18,644 41% - 367,488 - 5.1% 18 TOTAL - - 44,998 100% 2,581 1,141,765 3.9% 24

- - -106908Hispanic Origin

Hispanic or Latino - - 3,076 7% 2,581 114,954 2.7% 12 Not Hispanic or Latino - - 20,511 46% - 439,738 - 4.7% 13 Not Available - - 15,262 34% - 271,233 - 5.6% 14 TOTAL - - 44,998 86% 2,581 1,141,765 3.9% 24

(6,149) -315840


2. What Fidelity Measure is Used?3. Who Conducts Fidelity Measure?



EBP Training = 8


State Notes:Data provided by the Treatment Administration (Children, Adolescents and Adults) and Internal Services Administration



--

-

-

STATE:

-

Adults with SMI in States Reporting EBP

-


Penetration Rate: Percent of Consumer Receiving EBP/Estimated SMI

Integrated Treatment for Dual Diagnosis

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP8Dual p.35


APPROPRIATENESS DOMAIN: TABLE 17: EVIDENCE-BASED PRACTICES 9:ILLNESS SELF-MANAGEMENT AND RECOVERY, BY AGE, GENDER AND RACEFY 2008

Puerto Rico


18 to 20 - - 6,140 4% 46 41,783 14.7% 10 21 to 64 88 35% 128,042 87% 2,236 752,797 3.94% 17.0% 15 65 to 74 48 19% 3,741 3% 246 24,732 19.51% 15.1% 13 75 and Over - - 1,236 1% 53 10,360 11.9% 9 Not Available 112 45% 7,930 5% - 730,130 - 1.1% 11 TOTAL 248 100% 147,089 100% 2,581 1,567,282 9.61% 9.4% 22

- -7480Gender

Female 97 39% 76,701 52% 1,005 470,894 9.65% 16.3% 15 Male 95 38% 61,274 42% 1,576 355,114 6.03% 17.3% 14 Not Available 56 23% 8,279 6% - 639,896 - 1.3% 12 TOTAL 248 100% 147,089 99% 2,581 1,567,282 9.61% 9.4% 22

(835) - -101378Race

American Indian/Alaskan Native - - 486 0% - 6,615 - 7.3% 8 Asian - - 1,212 1% - 27,562 - 4.4% 9 Black/African American - - 31,548 21% - 148,713 - 21.2% 10 Native Hawaiian/ Pacific Islander - - 78 0% - 1,064 - 7.3% 6 White - - 97,766 66% - 480,218 - 20.4% 12 Hispanic or Latino 248 100% 453 0% 2,581 7,416 9.61% 6.1% 3 Multi-Racial - - 3,184 2% - 22,923 - 13.9% 8 Not Available - - 12,358 8% - 774,759 - 1.6% 15 TOTAL 248 100% 147,089 100% 2,581 1,567,282 9.61% 9.4% 22

(4) -98012Hispanic Origin

Hispanic or Latino - - 26,987 18% 2,581 113,119 23.9% 9 Not Hispanic or Latino - - 105,496 72% - 472,556 - 22.3% 9 Not Available - - 11,754 8% - 678,505 - 1.7% 11 TOTAL 248 100% 147,089 98% 2,581 1,567,282 9.61% 9.4% 22


2. What Fidelity Measure is Used?3. Who Conducts Fidelity Measure?4. How often is Fidelity Measured?


EBP Training = 10


State Notes:

Yes

STATE:


Yes

Provided by SAMHSAClinical Director and CoordinatorMonthly


Yes

State US

Penetration Rate: Percent of Consumer Receiving EBP/Estimated SMI States

Reporting

Illness Self-Management and Recovery Adults with SMI in States Reporting EBP

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP9Illn p.36


APPROPRIATENESS DOMAIN: TABLE 18: EVIDENCE-BASED PRACTICES 10:MEDICATIONS MANAGEMENT, BY AGE,GENDER AND RACE, FY 2008

Puerto Rico


18 to 20 - - 9,530 4% 46 62,757 15.2% 13 21 to 64 - - 209,955 83% 2,236 812,126 25.9% 14 65 to 74 - - 7,469 3% 246 32,416 23.0% 13 75 and Over - - 2,890 1% 53 17,096 16.9% 12 Not Available - - 23,619 9% - 195,088 - 12.1% 4 TOTAL - - 253,463 100% 2,581 1,124,244 - 22.5% 17

-4,761Gender

Female - - 131,390 52% 1,005 508,610 - 25.8% 13 Male - - 97,334 38% 1,576 393,601 - 24.7% 13 Not Available - - 18,986 7% - 104,854 - 18.1% 4 TOTAL - - 253,463 98% 2,581 1,124,244 - 22.5% 17

(5,753) -117,179Race

American Indian/Alaskan Native - - 2,506 1% - 11,751 - 21.3% 11 Asian - - 3,970 2% - 32,542 - 12.2% 11 Black/African American - - 33,454 13% - 129,502 - 25.8% 11 Native Hawaiian/ Pacific Islander - - 174 0% - 1,117 - 15.6% 9 White - - 171,353 68% - 555,073 - 30.9% 12 Hispanic or Latino - - 676 0% 2,581 - - - 4 Multi-Racial - - 6,942 3% - 24,602 - 28.2% 8 Not Available - - 34,339 14% - 241,776 - 14.2% 13 TOTAL - - 253,463 100% 2,581 1,124,244 - 22.5% 17

(49) -127,881Hispanic Origin

Hispanic or Latino - - 63,409 25% 2,581 191,844 - 33.1% 8 Not Hispanic or Latino - - 127,758 50% - 316,316 - 40.4% 8 Not Available - - 23,657 9% - 140,884 - 16.8% 8 TOTAL - - 253,463 85% 2,581 1,124,244 - 22.5% 17



3. Who Conducts Fidelity Measure?



EBP Training = 2


State Notes:

-

State


-

-

-

-


-

STATE:

US

Penetration Rate: Percent of Consumer Receiving EBP/Estimated SMI States

Reporting

Medications Management Adults with SMI in States Reporting EBP

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP10MedM p.37


APPROPRIATENESS DOMAIN: TABLE 19: Atypical Medication Use 1:USE OF NEW GENERATION "ATYPICAL" MEDICATIONS IN STATEHOSPITALS BY AGE, GENDER AND RACE, FY 2008

Puerto Rico


18 to 20 - - 780 3% - 989 - 78.9% 17 21 to 64 - - 20,923 92% - 28,234 - 74.1% 19 65 to 74 - - 819 4% - 1,275 - 64.2% 18 75 and Over - - 342 1% - 484 - 70.7% 14 Not Available - - - - - - - - TOTAL - - 22,864 100% - 31,036 - 73.7% 19

54Gender

Female - - 7,390 32% - 9,836 - 75.1% 19 Male - - 15,463 68% - 21,188 - 73.0% 19 Not Available - - 11 0% - 12 - 91.7% 2 TOTAL - - 22,864 100% - 31,036 - 73.7% 19

RaceAmerican Indian/Alaskan Native - - 124 1% - 273 - 45.4% 17 Asian - - 274 1% - 328 - 83.5% 18 Black/African American - - 9,439 41% - 12,851 - 73.4% 18 Native Hawaiian/ Pacific Islander - - 57 0% - 63 - 90.5% 4 White - - 9,987 44% - 13,853 - 72.1% 19 Hispanic or Latino - - 637 3% - 735 - 86.7% 7 Multi-Racial - - 66 0% - 113 - 58.4% 6 Not Available - - 2,280 10% - 2,801 - 81.4% 11 TOTAL - - 22,864 100% - 31,036 - 73.7% 19

19Hispanic Origin - -

Hispanic or Latino - - 1,451 6% - 1,977 - 73.4% 13 Not Hispanic or Latino - - 9,816 43% - 15,222 - 64.5% 14 Not Available - - 759 3% - 1,141 - 66.5% 6 TOTAL - - 22,864 53% - 18,340 - 73.7% 19

States Using Clinical Guideline = 01. State Uses Clinical Guideline?

2. What guideline is used?Note:US totals are based on states reporting.This table uses data from URS/DIG Table 18.US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:

STATE:

State US

Penetration Rate: Percent of Consumer with

Schizophrenia receiving Atypical Medications States

Reporting

None

Adults with Schizophrenia in


Use of New Generation "Atypical" Medications in State Hospitals by Persons with

Schizophrenia

-

-

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP11Atyp p.38


APPROPRIATENESS DOMAIN: TABLE 20: Atypical Medication Use 2:USE OF NEW GENERATION "ATYPICAL" MEDICATIONS IN COMMUNITYPROGRAMS BY AGE, GENDER AND RACE, FY 2008

Puerto Rico


18 to 20 - - 3,441 3% - 4,904 - 70.2% 17 21 to 64 - - 98,979 93% - 212,132 - 46.7% 17 65 to 74 - - 2,972 3% - 10,275 - 28.9% 17 75 and Over - - 1,033 1% - 3,249 - 31.8% 15 Not Available - - 9 0% - 57 - 15.8% 1 TOTAL - - 106,434 100% - 230,774 - 46.1% 17

- 157 Gender

Female - - 48,324 45% - 99,252 - 48.7% 17 Male - - 58,110 55% - 131,511 - 44.2% 17 Not Available - - - - - - - - TOTAL - - 106,434 100% - 230,774 - 46.1% 17

RaceAmerican Indian/Alaskan Native - - 1,135 1% - 2,101 - 54.0% 17 Asian - - 1,965 2% - 3,527 - 55.7% 16 Black/African American - - 29,596 28% - 70,529 - 42.0% 17 Native Hawaiian/ Pacific Islander - - 336 0% - 515 - 65.2% 12 White - - 53,750 51% - 124,185 - 43.3% 17 Hispanic or Latino - - 3,321 3% - 4,241 - 78.3% 3 Multi-Racial - - 3,990 4% - 7,011 - 56.9% 11 Not Available - - 12,341 12% - 18,659 - 66.1% 13 TOTAL - - 106,434 100% - 230,774 - 46.1% 17 6

Hispanic Origin - - Hispanic or Latino - - 8,291 8% - 19,217 - 43.1% 15 Not Hispanic or Latino - - 44,876 42% - 122,667 - 36.6% 14 Not Available - - 2,639 2% - 5,593 - 47.2% - TOTAL - - 106,434 52% - 230,774 - 46.1% 15

1. State Uses Clinical Guideline? States Using Clinical Guideline = 02. What guideline is used?


State Notes:None

-

STATE:

-



Schizophrenia receiving Atypical Medications

Use of New Generation "Atypical" Medications in Community Programs by

Persons with Schizophrenia Adults with

Schizophrenia in States Reporting EBP

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP12Atyp p.39


APPROPRIATENESS DOMAIN: TABLE 21: Atypical Medication Use 3:USE OF NEW GENERATION "ATYPICAL" MEDICATIONS IN MH SYSTEMS(HOSPITALS AND COMMUNITY) BY AGE,GENDER AND RACE, FY 2008

Puerto Rico


18 to 20 - - 2,402 3% - 4,101 - 58.6% 13 21 to 64 - - 86,856 94% - 171,981 - 50.5% 14 65 to 74 - - 2,720 3% - 7,985 - 34.1% 12 75 and Over - - 791 1% - 2,552 - 31.0% 12 Not Available - - - - - - - - TOTAL - - 92,769 100% - 186,641 - 49.7% 14

22Gender

Female - - 39,236 42% - 78,325 - 50.1% 13 Male - - 53,522 58% - 108,276 - 49.4% 14 Not Available - - 10 0% - 12 - 83.3% 1 TOTAL - - 92,769 100% - 186,641 - 49.7% 14

1 28Race

American Indian/Alaskan Native - - 755 1% - 1,480 - 51.0% 12 Asian - - 1,605 2% - 2,710 - 59.2% 11 Black/African American - - 28,660 31% - 61,466 - 46.6% 11 Native Hawaiian/ Pacific Islander - - 319 0% - 516 - 61.8% 7 White - - 40,487 44% - 89,920 - 45.0% 12 Hispanic or Latino - - 3,357 4% - 4,206 - 79.8% 2 Multi-Racial - - 3,969 4% - 6,686 - 59.4% 9 Not Available - - 13,617 15% - 19,626 - 69.4% 10 TOTAL - - 92,769 100% - 186,641 - 49.7% 14 31

Hispanic OriginHispanic or Latino - - 8,499 9% - 16,817 - 50.5% 11 Not Hispanic or Latino - - 42,712 46% - 114,665 - 37.2% 12 Not Available - - 3,059 3% - 6,008 - 50.9% - TOTAL - - 92,769 59% - 186,641 - 49.7% 14

1. State Uses Clinical Guideline? States Using Clinical Guideline = 0

2. What guideline is used?


State Notes:

-

None

STATE:

Adults with Schizophrenia in


Use of New Generation "Atypical" Medications in MH Systems by Persons with

Schizophrenia

-

State US


Schizophrenia receiving Atypical Medications States

Reporting

DRAFT

2008CMHS Uniform Reporting System (URS) Tables 3/4/2009 EBP13Atyp p.40


OUTCOMES DOMAIN: TABLE 1: EMPLOYMENT STATUS OF ADULT MENTAL HEALTH CONSUMERS SERVED IN THECOMMUNITY BY AGE AND GENDER, FY 2008

Puerto Rico

Mental Health Consumers Employed

MH Consumers who were

Unemployed

Adults Served in

Labor Force*

Adults Served with Known Employment

Status**States

Reporting

Age18 to 20 64 74 138 371 46% 38% 17% 18% 4321 to 64 2,138 2,618 4,756 12,770 45% 40% 17% 23% 4665 and Over 185 227 412 1,366 45% 26% 14% 7% 42Not Available - - - - - 55% - 20% 18TOTAL 2,387 2,919 5,306 14,507 45% 39% 16% 21% 55

GenderFemale 1,080 1,204 2,284 7,783 47% 40% 14% 21% 54Male 1,307 1,715 3,022 6,724 43% 39% 19% 22% 54Not Available - - - - - 22% - 17% 26

TOTAL 2,387 2,919 5,306 14,507 45% 39% 16% 21% 55

What Populations are Reported: All Clients All Clients = 33 Some = 12

At Admission At Discharge Updated Monthly Updated Quarterly Other Time Period

Puerto Rico Yes Yes - -U.S. 38 22 1 5 25

Note:*Adults Served in Labor Force is the sum of MH consumers employed plus unemployed.**Adults Served with Known Employment Status excludes persons for whom employment status was unknown.MH Consumers Employed as % of Total Adults Served uses Adults Served as the denominator.MH Consumers Employed as % of Adults served in Labor Force uses persons employed or Unemployed as the denominator.This table uses data from URS/DIG Table 4.

State Notes:Age

Gender

Overall None

None

None

-

When is Employment Status Measured?

StateSTATE:

US MH Consumers

Employed as % of Served in Community

State MH Consumers

Employed As a % of Those in Labor Force

US MH Consumers


State MH Consumers


DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Out1 p.41


OUTCOMES DOMAIN: TABLE 1a: EMPLOYMENT STATUS OF ADULT MENTAL HEALTH CONSUMERS SERVED IN THECOMMUNITY BY DIAGNOSIS, FY 2008

Puerto Rico

Mental Health Consumers Employed

MH Consumers who were

Unemployed

Adults Served in

Labor Force*

Adults Served with Known Employment

Status**States

Reporting

PR % of Consumers

with Dx

US % of Consumers

with Dx

DiagnosisSchizophrenia and Related Disorders 34 427 461 2,742 7% 27% 1% 11% 43 18.8% 14.5%

Bipolar and Mood Disorders 408 295 703 5,951 58% 40% 7% 22% 43 41.2% 44.7%

Other Psychoses 8 49 57 327 14% 29% 2% 15% 42 2.2% 3.1%

All Other Diagnoses 1,909 2,118 4,027 4,976 47% 48% 38% 30% 41 34.2% 29.7%

No Diagnosis and Deferred Diagnosis 28 30 58 511 48% 52% 5% 35% 38 3.6% 8.0%

TOTAL 2,387 2,919 5,306 14,507 45% 42% 16% 23% 43 100.0% 100.0%

Note:*Adults Served in Labor Force is the sum of MH consumers employed plus unemployed.**Adults Served with Known Employment Status excludes persons for whom employment status was unknown.MH Consumers Employed as % of Total Adults Served uses Adults Served as the denominator.MH Consumers Employed as % of Adults served in Labor Force uses persons employed or Unemployed as the denominator.This table uses data from URS/DIG Table 4a.

STATE:

US MH Consumers


State MH Consumers


US MH Consumers


State MH Consumers


Puerto Rico

State Notes: None

Employment Rates by Primary Diagnosis: 2008

0%5%

10%15%20%25%30%35%40%45%

Schizophreniaand Related

Disorders

Bipolar andMood Disorders

OtherPsychoses

All OtherDiagnoses

No Diagnosisand Deferred

Diagnosis

TOTAL

State Percent Employed

U.S. Percent Employed

Primary Diagnosis of Clients Served: 2008

18.8% 14.5%

41.2% 44.7%

2.2% 3.1%

34.2% 29.7%

3.6% 8.0%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

State US

Schizophrenia and Related Disorders Bipolar and Mood DisordersOther Psychoses All Other DiagnosesNo Diagnosis and Deferred Diagnosis

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Out1aDx p.42


CONSUMER SURVEY RESULTS, FY 2008STATE: Puerto Rico

Puerto Rico US Average Puerto Rico US Average

86% 84% 51 87% 86% 52

86% 83% 52 91% 88% 52

75% 64% 52 78% 73% 52

86% 87% 52

95% 93% 51

83% 84% 52

91% 89% 52

Note: U.S. Average Children & Adult rates are only calculated for states that used a version of the MHSIP Consumer Survey

This table uses data from URS/DIG Table 11.Puerto Rico US Puerto Rico US

1. Which Consumer Survey was used? YSS-F YSS-F = 40 - 28 Item MHSIP = 27Other MHSIP = 1Other Survey = 0

2. Did you use a Spanish translation? Yes 22 Yes 26

How many responses are the results based on? Response Rate 98% 45% 95.8% 49.5% Number of Surveys Attempted (sent out) 1,114 152,862 44 337 223,355 43 Number of Surveys Contacts Made 1,114 145,184 40 337 229,522 39 Complete Surveys 1,093 64,300 48 323 150,665 47

3. Populations covered in survey? - Sample = 39 Sample Sample = 41

All Consumers = 9 All Consumers = 74. Sample Approach

Random Sample Conducted? - 12 - 7Stratified Sample Conducted? - 13 - 13Convenience Sample Conducted? Yes 18 Yes 22

Other Sample - 9 - 8

5. Who is Sampled?Current Clients Yes 48 Yes 51Former Clients - 18 - 17

All Adults or Children Served 31 33SMI Adults or SED Children 17 17Persons Covered by Medicaid 8 10

OUTCOMES DOMAIN: TABLE 2:

1. Percent Reporting Positively About Access.

3. Percent Reporting Positively About Outcomes.

2. Percent Reporting Positively About Qualityand Appropriateness for Adults / Reporting Positively about Satisfaction for Children.

4. Percent of Family Members Reporting on Participation In treatment Planning.

7. Percent of Adults Reporting on Positively about General Satisfaction with Services.

IndicatorsChildren Adults

States Reporting

States Reporting

In order to the sample be representative, the selected sample was directly proportional from the population served in MHASSA during the fiscal year 2007-2008 using the Cochran's (1977) sample size formula for continuous data.

State Notes:

6. Percent of Adults Reporting on Participation In Treatment Planning.

5. Percent of Family Members Reporting High Cultural Sensitivity of Staff.

6. Please describe the populations included in your sample: (e.g., all adults, only adults with SMI, etc.)

States Reporting

States Reporting

All Children - All Adults

DRAFT


URS Year 7 Child Consumer Survey Results

95%

86%

75%

86%86%93%

87%

64%

83%84%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Postive on Access (51states

Postive onSatisfaction (52 states

Postive on Outcomes(52 states

Participation inTreatment Planning

(52 states

High Rating of CulturalSensitivity of Staff (51

states

Puerto RicoUS Average

URS Year 7 Adult Consumer Survey Results

87% 91%78% 83%

91%86% 88%

73%

84% 89%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Postive on Access (52states

Postive on Quality (52states

Postive on Outcomes (52states

Participation in TreatmentPlanning (52 states

Overall Satisfaction (52states

Puerto Rico US Average



OUTCOMES DOMAIN: TABLE 3: CONSUMER SURVEY RESULTS, BY RACE/ETHNICITY, FY 2008

Puerto Rico

State US Average State US Average State US Average State US Average State US Average State US Average State US Average StatesTotal 87% 86% 91% 88% 78% 73% 83% 84% 91% 88% 80% 73% 74% 71% 41

American Indian/Alaskan Native - 84% - 86% - 71% - 83% - 87% - 75% - 71% 34Asian - 90% - 87% - 76% - 88% - 90% - 76% - 72% 33

Black/African American - 88% - 89% - 77% - 84% - 90% - 77% - 75%

38

Native Hawaiian/Pacific Islander - 83% - 83% - 75% - 78% - 86% - 77% - 75%

25

White - 86% - 88% - 73% - 84% - 89% - 72% - 71% 38

Multi-Racial - 82% - 85% - 70% - 83% - 86% - 69% - 69% 27

Other 70% 86% 80% 84% 78% 74% 76% 85% 81% 88% 73% 74% 86% 71% 38

Hispanic 88% 87% 92% 89% 78% 75% 84% 88% 92% 90% 80% 75% 73% 73% 34

State US Average State US Average State US Average State US Average State US Average State US Average State US Average StatesTotal 86% 84% 86% 84% 75% 65% 86% 87% 95% 93% 84% 86% 77% 66% 38

American Indian/Alaskan Native - 80% - 82% - 66% - 85% - 91% - 86% - 66% 28Asian - 87% - 90% - 71% - 92% - 95% - 88% - 71% 35Black/African American - 86% - 86% - 64% - 88% - 93% - 87% - 63%

16

Native Hawaiian/Pacific Islander - 85% - 82% - 71% - 87% - 92% - 91% - 71%

25

White - 82% - 81% - 62% - 87% - 91% - 85% - 63% 34

Multi-Racial - 82% - 84% - 61% - 87% - 95% - 85% - 63% 31

Other 81% 87% 84% 89% 71% 70% 81% 89% 92% 95% 85% 87% 74% 71% 32Hispanic 86% 87% 86% 88% 75% 70% 86% 89% 95% 95% 84% 88% 77% 71% 25

Note:This table uses data from URS/DIG Table 11a.

State Notes:

Family of Children Survey Indicators

1. Percent Reporting Positively About Access

for Children

2. Percent Reporting Positively About General Satisfaction with Services

3. Percent Reporting Positively About

Outcomes

4. Percent of Reporting on Positive on Participation In

Treatment Planning.

5. Percent of Reporting High Cultural Sensitivity of Staff.

Race/Ethnicity

4. Percent of Adults Reporting on Participation In

Treatment Planning.

STATE:

5. Percent of Adults Positively about General Satisfaction

with Services.

Consumer Survey Indicators

Race/Ethnicity

1. Percent Reporting Positively About Access

for Adults

2. Percent Reporting Positively About Quality and Appropriateness for

Adults

3. Percent Reporting Positively About

Outcomes

For more information contact Elizabeth de Santiago at (787) 763-75775 xt. 2468 or by e-mail at [email protected]

6. Percent of Families Positive About Social

Connectedness

7. Percent of Families Positive About Improved

Functioning

Optional New Items

6. Percent of Adults Positive About Social Connectedness

7. Percent of Adults Positive About Improved Functioning

Optional New Items

DRAFT



OUTCOME DOMAIN: TABLE 4: CRIMINAL JUSTICE: ARRESTS OVER THE LAST 2 YEARS, URS 2008

Puerto Rico

ArrestedNot

Arrested No DataPercent Arrested Arrested

Not Arrested No Data

Percent Arrested Arrested


Percent Arrested Arrested


Percent Arrested

All Consumers (New and Continuing Clients Combined)Total 57 1,076 105 5% 34 1,111 93 3% 48,814 400,836 158,546 10.9% 65,801 530,803 68,364 11% 40

Children 46 835 81 5% 25 869 68 3% 5,704 89,273 55,624 6.0% 9,219 137,789 24,335 6% 36 Male 40 564 56 7% 19 593 48 3% 3,514 50,443 30,319 6.5% 5,786 77,656 13,396 7% 36 Female 6 220 18 3% 5 224 15 2% 1,694 31,887 22,733 5.0% 2,854 52,734 8,863 5% 36 Not Available 51 7 - 1 52 5 2% 496 6,943 2,572 6.7% 579 7,399 2,076 7% 36

Adults 11 241 24 4% 9 242 25 4% 43,110 311,563 102,922 12.2% 56,582 393,014 44,029 13% 39 Male 4 72 4 5% 5 71 4 7% 22,508 114,033 36,084 16.5% 29,268 144,849 13,431 17% 39 Female 6 145 16 4% 3 146 18 2% 17,133 165,955 50,430 9.4% 23,146 214,051 16,972 10% 39 Not Available 1 24 4 4% 1 25 3 4% 3,453 31,575 16,408 9.9% 4,168 34,114 13,626 11% 39

For Consumers In Service At least 12 MonthsTotal 12 336 44 3% 10 340 42 3% 29,150 287,672 47,242 9% 31,453 326,766 34,255 9% 38

Children 7 233 24 3% 5 238 21 2% 2,146 43,710 9,734 5% 2,982 52,286 8,730 5% 32 Male 6 156 19 4% 4 159 18 2% 1,187 23,942 4,745 5% 1,774 29,018 4,505 6% 25 Female 1 63 4 2% 1 65 2 2% 595 13,861 2,920 4% 774 17,147 2,432 4% 8 Not Available 14 1 - - 14 1 - 364 5,907 2,069 6% 434 6,121 1,793 7% 7

Adults 5 103 20 5% 5 102 21 5% 27,004 243,962 37,508 10% 28,471 274,480 25,525 9% 38 Male 1 31 3 3% 3 29 3 9% 12,908 85,686 9,383 13% 13,601 97,458 5,311 12% 34 Female 3 58 14 5% 1 58 16 2% 10,705 127,211 13,508 8% 11,141 144,389 7,039 7% 35 Not Available 1 14 3 7% 1 15 2 6% 3,391 31,065 14,617 10% 3,729 32,633 13,175 10% 14

For Consumers Who Started Services This YearTotal 45 740 61 6% 24 771 51 3% 19,664 113,164 111,304 15% 34,348 204,037 34,109 14% 33

Children 39 602 57 6% 20 631 47 3% 3,558 45,563 45,890 7% 6,237 85,503 15,605 7% 31 Male 34 408 37 8% 15 434 30 3% 2,327 26,501 25,574 8% 4,012 48,638 8,891 8% 27 Female 5 157 14 3% 4 159 13 2% 1,099 18,026 19,813 6% 2,080 35,587 6,431 6% 10 Not Available 37 6 1 38 4 3% 132 1,036 503 11% 145 1,278 283 10% 8

Adults 6 138 4 4% 4 140 4 3% 16,106 67,601 65,414 19% 28,111 118,534 18,504 19% 32 Male 3 41 1 7% 2 42 1 5% 9,600 28,347 26,701 25% 15,667 47,391 8,120 25% 32 Female 3 87 2 3% 2 88 2 2% 6,428 38,744 36,922 14% 12,005 69,662 9,933 15% 31 Not Available 10 1 10 1 62 510 1,791 11% 439 1,481 451 23% 8

Source of Data:

PR US PR US PR US PR US PR US PR US

Adults Yes 23 - 5 - 4 - 5 - - 5

Children Yes 26 - 5 - 4 - 1 - - 3

Measure:

Adults Yes 27 - 7

Children Yes 26 - 6

MH Programs Covered:

- 12 - 3 Yes 23 - 12 - 3 Yes 22

Data Report Region:

Adults Yes 34 - 3

Children Yes 34 - 2Note:US totals are based on states reporting.

This table uses data from URS/DIG Table 19aUS totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.State Notes:

STATE:

State US Averages

States Reporting

Arrested During T1 (more than 1 year ago) Arrested During T2 (This Year) Arrested During T1 (more than 1 year ago) Arrested During T2 (This Year)


Arrest Other

Local Criminal Justice Agency

Other Children

OtherRecommended Survey Items Other Consumer Survey Mental Health MIS State Criminal Justice Agency

All Children

The Whole State Parts of the State

Adults with SMI only Other Adults All Adults Children With SED only

DRAFT



OUTCOME DOMAIN: TABLE 5: CRIMINAL JUSTICE: ARRESTS OVER THE LAST 2 YEARSby GENDER, FY 2008

Puerto Rico

Arrested T1

# with Rearrest in

T2Percent

Rearrested

Percent W/ No

Rearrest

Not Arrested

T1# with Arrest

in T2Percent Arrested

Percent W/ No

Rearrest Arrested T1

# with Rearrest in

T2Percent

Rearrested

Percent W/ No

RearrestNot

Arrested T1

# with Arrest in

T2Percent Arrested

Percent W/ No

Rearrest

All Consumers (New and Continuing)Total 57 18 32% 68% 1,076 12 1% 99% 48,814 18,983 41% 59% 400,836 23,291 6% 94% 36

Children 46 12 27% 73% 835 9 1% 99% 5,704 2,007 38% 62% 89,273 3,394 4% 96% 32 Male 40 11 28% 72% 564 5 1% 99% 3,514 1,192 36% 64% 50,443 2,176 5% 95% 32 Female 6 1 17% 83% 220 4 2% 98% 1,694 539 34% 66% 31,887 1,052 4% 96% 32 Not Available - - 51 100% 496 276 73% 27% 6,943 166 3% 97% 32

Adults 11 6 55% 45% 241 3 1% 99% 43,110 16,976 41% 59% 311,563 19,897 7% 93% 33 Male 4 2 50% 100% 72 3 4% 96% 22,508 9,280 43% 57% 114,033 9,601 9% 93% 33 Female 6 3 50% 17% 145 100% 17,133 5,116 32% 69% 165,955 9,622 6% 90% 33 Not Available 1 1 100% 24 100% 3,453 2,580 77% 24% 31,575 674 2% 116% 33

For Consumers In Service At least 12 MonthsTotal 12 5 42% 58% 336 4 1% 99% 29,150 12,163 44% 56% 287,672 14,565 5% 95% 34

Children 7 2 29% 71% 233 2 1% 99% 2,146 1,024 51% 49% 43,710 1,371 3% 97% 27 Male 6 2 33% 67% 156 1 1% 99% 1,187 537 49% 51% 23,942 855 4% 96% 28 Female 1 - 100% 63 1 2% 98% 595 226 42% 58% 13,861 365 3% 97% 26 Not Available - - 14 100% 364 261 74% 26% 5,907 151 3% 97% 16

Adults 5 3 60% 40% 103 2 2% 98% 27,004 11,139 43% 57% 243,962 13,194 6% 94% 8 Male 1 1 100% 200% 31 2 6% 94% 12,908 5,326 43% 57% 85,686 6,172 7% 94% 32 Female 3 1 33% 58 100% 10,705 3,241 32% 68% 127,211 6,375 5% 94% 25 Not Available 1 1 100% 14 100% 3,391 2,572 78% 23% 31,065 647 2% 98% 31

For Consumers Who Started Services This YearTotal 45 13 30% 70% 740 8 1% 99% 19,664 6,820 37% 63% 113,164 8,726 8% 92% 30

Children 39 10 26% 74% 602 7 1% 99% 3,558 983 30% 70% 45,563 2,023 5% 95% 26 Male 34 9 27% 73% 408 4 1% 99% 2,327 655 30% 70% 26,501 1,321 5% 95% 26 Female 5 1 20% 80% 157 3 2% 98% 1,099 313 30% 70% 18,026 687 4% 96% 24 Not Available - - 37 100% 132 15 60% 40% 1,036 15 6% 94% 22

Adults 6 3 50% 50% 138 1 1% 99% 16,106 5,837 38% 62% 67,601 6,703 10% 90% 10 Male 3 1 33% 67% 41 1 2% 98% 9,600 3,954 43% 57% 28,347 3,429 13% 87% 28 Female 3 2 67% 33% 87 100% 6,428 1,875 31% 69% 38,744 3,247 9% 76% 23 Not Available - - 10 100% 62 8 15% 85% 510 27 6% 1295% 26

Source of Data:


Adults Yes 23 - 5 - 4 - 5 - - 5

Children Yes 26 - 5 - 4 - 1 - - 3

Measure:

Adults Yes 27 - 7

Children Yes 26 - 6


- 12 - 3 Yes 23 - 12 - 3 Yes 22

Data Report Region:

Adults Yes 34 - 3

Children Yes 34 - 2




Arrest Other

State Criminal Justice AgencyRecommended Survey Items Other Consumer Survey


Local Criminal Justice Agency Other

States Reporting

Arrested During T1 (more than 1 year ago) Persons Not Arrested In T1 Arrested During T1 (more than 1 year ago) Persons Not Arrested In T1

STATE:

State US Averages

Other Children All ChildrenAdults with SMI only Other Adults All Adults Children With SED only

Mental Health MIS

DRAFT



OUTCOME DOMAIN: TABLE 5a: CONSUMER/FAMILY ASSESSMENT OF THE IMPACT OF MH SERVICES ON CRIMINAL JUSTICE CONTACTS FY 2008

Puerto Rico

# Reduced Encounters

# Stayed the Same # Increased

Not Applicable No Response

Total Responses % Improved

% Stayed the Same % Got Worse

# Reduced Encounters

# Stayed the Same # Increased Not Applicable No Response


% Stayed the Same % Increased

All Consumers (New and Continuing)Total 114 32 9 900 191 1,238 74% 21% 6% 25,972 82,607 8,938 76,072 23,406 149,345 22% 70% 8% 33

Children 94 26 6 700 144 962 75% 21% 5% 3,813 9,935 1,574 27,968 9,730 52,206 25% 65% 10% 30 Male 67 15 5 476 97 660 77% 17% 6% 2,398 5,788 1,007 16,664 5,934 31,775 26% 63% 11% 28 Female 21 9 1 187 34 244 68% 29% 3% 1,232 4,045 499 10,589 3,578 19,893 21% 70% 9% 27 Not Available 6 2 - 37 13 58 75% 25% 183 102 68 715 218 538 52% 29% 19% 12

Adults 20 6 3 200 47 276 69% 21% 10% 22,159 72,672 7,364 48,104 13,676 97,139 22% 71% 7% 31 Male 5 3 1 61 10 80 56% 33% 11% 11,902 35,977 3,746 18,814 5,546 42,585 23% 70% 7% 31 Female 14 3 2 118 30 167 74% 16% 11% 10,181 36,654 3,605 28,920 7,657 53,612 20% 73% 7% 31 Not Available 1 - - 21 7 29 100% 76 41 13 370 473 942 58% 32% 10% 12

For Consumers In Service At least 12 MonthsTotal 35 17 4 267 77 392 63% 30% 7% 15,665 54,464 4,547 46,334 10,568 91,832 21% 73% 6% 30

Children 25 14 2 184 47 264 61% 34% 5% 1,620 5,403 882 12,206 3,595 23,640 20% 68% 11% 28 Male 15 7 1 125 33 181 65% 30% 4% 1,090 3,310 598 7,694 2,286 14,948 22% 66% 12% 28 Female 9 7 1 50 9 68 53% 41% 6% 518 2,085 282 4,442 1,253 8,550 18% 72% 10% 28 Not Available 1 - - 9 5 15 100% 12 8 2 70 56 142 55% 36% 9% 17

Adults 10 3 2 83 30 128 67% 20% 13% 14,045 49,061 3,665 34,128 6,973 68,192 21% 73% 5% 28 Male 3 2 - 24 6 35 60% 40% 7,266 23,745 1,734 13,729 2,760 30,106 22% 73% 5% 28 Female 7 1 2 46 19 75 70% 10% 20% 6,731 25,286 1,924 20,129 3,913 37,462 20% 74% 6% 28 Not Available - - - 13 5 18 - - - 48 30 7 270 300 624 56% 35% 8% 20

For Consumers Who Started Services This YearTotal 79 15 5 633 114 846 80% 15% 5% 10,307 28,143 4,391 29,738 12,838 57,513 24% 66% 10% 28

-Children 69 12 4 516 97 698 81% 14% 5% 2,193 4,532 692 15,762 6,135 28,566 30% 61% 9% 27

Male 52 8 4 351 64 479 81% 13% 6% 1,308 2,478 409 8,970 3,648 16,827 31% 59% 10% 26 Female 12 2 - 137 25 176 86% 14% 714 1,960 217 6,147 2,325 11,343 25% 68% 8% 26 Not Available 5 2 - 28 8 43 71% 29% 171 94 66 645 162 396 52% 28% 20% 14

Adults 10 3 1 117 17 148 71% 21% 7% 8,114 23,611 3,699 13,976 6,703 28,947 23% 67% 10% 25 Male 2 1 1 37 4 45 50% 25% 25% 4,636 12,232 2,012 5,085 2,786 12,479 25% 65% 11% 25 Female 7 2 - 72 11 92 78% 22% 3,450 11,368 1,681 8,791 3,744 16,150 21% 69% 10% 25 Not Available 1 - - 8 2 11 100% 28 11 6 100 173 318 62% 24% 13% 12

Source of Data:


Adults Yes 23 - 5 - 4 - 5 - - 5

Children Yes 26 - 5 - 4 - 1 - - 3

Measure:

Adults Yes 27 - 7

Children Yes 26 - 6


- 12 - 3 Yes 23 - 12 - 3 Yes 22

Data Report Region:

Adults Yes 34 3

Children Yes 34 2US totals are based on states reporting.


All Children

Mental Health MIS State Criminal Justice Agency Local Criminal Justice Agency Other

-

-

The Whole State

Other Consumer SurveyRecommended Survey Items

Arrest

Adults with SMI only Other Adults All Adults Children With SED only


Parts of the State

Other

Other Children

STATE:

States Reporting

US AveragesOver the Past 12 Months of Services (or Since Beginning Services) My Involvement with the Police Has…

State

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Out5a p.48


OUTCOME DOMAIN: TABLE 6: CONSUMER/FAMILY ASSESSMENT OF THE IMPACT OF MH SERVICES ON SCHOOL ATTENDANCE: URS 2008

Puerto Rico

# Greater (Improved)

# Stayed the Same

# Fewer Days (gotten worse) Not Applicable

No Response

Total Responses

% Improved


# Greater (Improved)

# Stayed the Same

# Fewer Days (gotten worse) Not Applicable No Response



All Children (New and Continuing)Total Children 161 162 29 429 229 962 46% 46% 8% 9,799 14,221 3,202 11,395 10,719 47,990 36% 52% 12% 32

GenderMale 103 82 22 286 167 660 50% 40% 11% 5,990 8,714 1,893 6,404 6,520 29,180 36% 53% 11% 30 Female 45 77 6 117 47 244 35% 60% 5% 3,557 5,312 1,212 4,387 3,977 18,193 35% 53% 12% 30 Not Available 13 3 1 26 15 58 76% 18% 6% 252 195 97 604 222 617 46% 36% 18% 24

For Children In Service At least 12 MonthsTotal Children 58 86 8 97 63 264 38% 57% 5% 4,824 7,263 1,881 4,544 4,094 21,502 35% 52% 13% 30

GenderMale 31 31 6 65 48 181 46% 46% 9% 2,992 4,595 1,127 2,476 2,613 13,601 34% 53% 13% 29 Female 23 53 2 27 11 68 29% 68% 3% 1,662 2,556 678 1,573 1,428 7,738 34% 52% 14% 29 Not Available 4 2 - 5 4 15 67% 170 112 76 495 53 163 47% 31% 21% 21

For Children Who Started Services This YearTotal Children 103 76 21 332 166 698 52% 38% 11% 4,975 6,958 1,321 6,851 6,625 26,488 38% 52% 10% 29

GenderMale 72 51 16 221 119 479 52% 37% 12% 2,998 4,119 766 3,928 3,907 15,579 38% 52% 10% 27 Female 22 24 4 90 36 176 44% 48% 8% 1,895 2,756 534 2,814 2,549 10,455 37% 53% 10% 27 Not Available 9 1 1 21 11 43 82% 9% 9% 82 83 21 109 169 454 44% 45% 11% 18

Source of Data:PR US PR US PR US PR US PR US PR US

Yes 28 - 4 - 3 - 1 - - 1Measure: School Attendance

Yes 26 - 7MH Programs Covered: Both

- 12 - 5 Yes 18Data Report Region

Yes 30 -

Note:US totals are based on states reporting.This table uses data from URS/DIG Table 19bUS totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.State Notes:

State US Averages

States Reporting

Over the Past 12 Months of Services (or Since Beginning Services) My Child's School Attendance Has…

The Whole State


STATE:

Other Children

Parts of the State

Children with SED only

OtherLocal Schools/ Education

AgenciesState Education

DepartmentRecommended Survey

Items Other Survey Mental Health MIS

Other

DRAFT



OUTCOME DOMAIN: TABLE 6a: SCHOOL ATTENDANCE: OVER THE LAST 2 YEARS

Puerto Rico

Suspended Not Suspended No DataPercent

Suspended SuspendedNot

Suspended No DataPercent

Suspended Suspended Not


Suspended Suspended Not


SuspendedAll Children (New and Continuing)Total 92 766 104 11% 56 816 90 6% 10,422 37,775 8,628 22% 34,487 24,137 8,001 59% 34

Male 75 507 78 13% 46 552 62 8% 7,615 21,324 5,954 26% 20,351 14,113 5,372 59% 31 Female 14 212 18 6% 8 218 18 4% 2,613 15,291 2,574 15% 13,274 9,065 2,554 59% 31 Not Available 3 47 8 - 2 46 10 - 194 1,160 100 14% 862 959 75 47% 24

For Consumers In Service At least 12 MonthsTotal 25 203 36 11% 23 207 34 10% 3,791 13,701 2,683 22% 5,347 20,175 4,889 21% 31

Male 21 131 29 14% 20 136 25 13% 2,790 7,853 1,692 26% 3,935 11,761 3,009 25% 30 Female 4 59 5 6% 3 59 6 5% 872 4,997 943 15% 1,282 7,546 1,831 15% 30 Not Available - 13 2 - - 12 3 - 129 851 48 13% 130 868 49 13% 22

For Consumers Who Started Services This YearTotal 67 563 68 11% 33 609 56 5% 6,631 24,074 5,945 22% 29,140 3,962 3,112 88% 30

Male 54 376 49 13% 26 416 37 6% 4,825 13,471 4,262 26% 16,416 2,352 2,363 87% 28 Female 10 153 13 6% 5 159 12 3% 1,741 10,294 1,631 14% 11,992 1,519 723 89% 28 Not Available 3 34 6 8% 2 34 7 - 65 309 52 17% 732 91 26 89% 18

Source of Data:PR US PR US PR US PR US PR US PR US

Yes 28 - 4 - 3 - 1 - - 1

Measure: School Attendance

Yes 26 - 7

MH Programs Covered: Both

- 12 - 5 Yes 18

Data Report Region

Yes 30 -


This table uses data from URS/DIG Table 19b

US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.State Notes:

Suspended During T2 (This Year)

STATE:

State US Averages

States Reporting

Suspended During T1 (more than 1 year ago) Suspended During T2 (This Year) Suspended During T1 (more than 1 year ago)

Children with SED only

OtherRecommended Survey

Items Other Survey Mental Health MIS

Other

Local Schools/ Education Agencies

State Education Department


Other Children


DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Out6a p.50


OUTCOME DOMAIN: TABLE 6b: SCHOOL ATTENDANCE: SUSPENDED OVER THE LAST 2 YEARS

Puerto Rico

Suspended T1

# with Suspension

in T2Percent

Suspended

Percent with No

Suspension

Not Suspended

T1

# with Suspension

in T2Percent

Suspended

Percent with No

SuspensionSuspended

T1

# with Suspension

in T2Percent

Suspended

Percent with no

Suspension

Not Suspended

T1

# with Suspend

in T2

Percent Suspend

ed

Percent with No

SuspensionAll Children (New and Continuing)Total 92 32 36% 64% 766 20 3% 97% 10,422 5,631 56% 44% 37,775 3,448 9% 91% 29

Male 75 28 38% 62% 507 14 3% 97% 7,615 4,314 58% 42% 21,324 2,378 11% 89% 27 Female 14 3 21% 79% 212 5 2% 98% 2,613 1,277 50% 49% 15,291 1,038 7% 93% 27 Not Available 3 1 33% 67% 47 1 2% 98% 194 40 50% 56% 1,160 32 9% 91% 21

For Consumers In Service At least 12 MonthsTotal 25 15 63% 38% 203 6 3% 97% 3,791 2,519 71% 29% 13,701 1,314 10% 90% 27

Male 21 13 65% 35% 131 5 4% 96% 2,790 1,951 72% 28% 7,853 948 12% 88% 26 Female 4 2 50% 50% 59 1 2% 98% 872 554 66% 34% 4,997 355 7% 93% 26 Not Available - - 13 100% 129 14 88% 44% 851 11 10% 91% 20

For Consumers Who Started Services This YearTotal 67 17 26% 74% 563 14 3% 97% 6,631 3,112 48% 52% 24,074 2,134 9% 91% 26

Male 54 15 28% 72% 376 9 2% 98% 4,825 2,363 50% 50% 13,471 1,430 11% 89% 25 Female 10 1 10% 90% 153 4 3% 97% 1,741 723 43% 57% 10,294 683 7% 93% 25 Not Available 3 1 33% 67% 34 1 3% 97% 65 26 41% 59% 309 21 9% 91% 14

Source of Data:


Yes 28 - 4 - 3 - 1 - - 1

Measure: School Attendance

Yes 26 - 7

MH Programs Covered: Both

- 12 - 5 Yes 18

Data Report Region

Yes 30 -


This table uses data from URS/DIG Table 19b

US totals are calculated uniquely for each data element based on only those states who reported numerator (clients served) data.

State Notes:For more information contact Elizabeth de Santiago at (787) 763-75775 xt. 2468 or by e-mail at [email protected]

Children with SED only Other Children


STATE: State US Averages

State Education Department OtherLocal Schools/ Education

AgenciesRecommended Survey Items Other Survey Mental Health MIS

Suspended During T1 (more than 1 year ago) Persons Not Suspended In T1 Suspended During T1 (more than 1 year ago) Persons Not Suspended In T1

Other

States Reporting

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Out6b p.51


CHANGE IN SOCIAL CONNECTEDNESS AND FUNCTIONING, FY 2008

STATE: Puerto Rico

Puerto Rico US Average US MedianStates

Reporting Puerto Rico US Average US MedianStates

Reporting

84% 86% 83% 47 80% 73% 71% 49

77% 65% 61% 50 74% 71% 71% 50

This table uses data from URS/DIG Table 9.Note: U.S. Average & Median rates are calculated only for states that used the recommended Social Connectedness & Functioning questions.

Adult Social Connectedness and Functioning Measures State U.S.

1. Did you use the recommended new Social Connectedness Questions? Yes 43

2: Did you use the recommended new Functioning Domain Questions? Yes 44

Yes 42

Child/Family Social Connectedness and Functioning Measures State U.S.

4: Did you use the recommended new Social Connectedness Questions? Yes 43

5: Did you use the recommended new Functioning Domain Questions? Yes 44

Yes 42

OUTCOMES DOMAIN: TABLE 7:

1. Percent Reporting Improved Social Connectedness From Services

Indicators

-

-

-

AdultsChildren

2. Percent Reporting Improved Functioning From Services

-

State Notes:

6. Did you collect these as part of your YSS-F Survey?


-

If No, what measure did you use?

If No, what source did you use?

If No, what source did you use?



3. Did you collect these as part of your MHSIP Adult Consumer Survey?


-

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Out7SC p.52


OUTCOMES DOMAIN: TABLE 8: READMISSION WITHIN 30 DAYS BY AGE, GENDER AND RACE, FY 2008

Puerto Rico

n Readmissions

n Discharges %

n Readmissions n Discharges %

States Resp.



States Resp.

Age0 to 12 - - - 307 3,380 9.1% 18 - - - 1113 to 17 - - - 921 11,605 7.9% 25 - - 12 398 3.0% 418 to 20 4 46 8.7% 697 7,426 9.4% 37 9 42 21.4% 41 875 4.7% 1521 to 64 111 967 11.5% 11,001 117,488 9.4% 46 5 213 2.3% 569 15,597 3.6% 3465 to 74 1 46 2.2% 240 2,856 8.4% 32 - 23 - 8 308 2.6% 575 and Over - 7 - 78 1,261 6.2% 20 - 3 - 3 73 4.1% 3Not Available - - - 24 120 20.0% 2 - - - 8 56 14.3% 1TOTAL 116 1,066 10.9% 13,268 144,136 9.2% 47 14 281 5.0% 641 17,318 3.7% 36

- - - - Gender

Female 61 610 10.0% 4,919 54,116 9.1% 43 - 150 3,136 4.8% 27Male 55 456 12.1% 7,274 77,766 9.4% 44 14 281 5.0% 490 14,170 3.5% 33Not Available - - - 1,075 12,254 8.8% 3 - - - 1 12 8.3% 1TOTAL 116 1,066 10.9% 13,268 144,136 9.2% 47 14 281 5.0% 641 17,318 3.7% 36

- - - - Race

American Indian/Alaskan Native - - - 189 1,919 9.8% 19 - - - 7 156 4.5% 3Asian - - - 88 1,169 7.5% 22 - 7 295 2.4% 5Black/African American - - - 3,961 36,359 10.9% 37 - 246 6,627 3.7% 22Native Hawaiian/Pacific Islander - - - 1 38 2.6% 1 - - - 12 144 8.3% 3White - - - 7,273 84,197 8.6% 44 - 299 7,880 3.8% 29Hispanic * * * 346 3,704 9.3% 10 - * 27 1,163 2.3% 6Multi-Racial - - - 47 822 5.7% 12 - - - 5 224 2.2% 3Race Not Available 116 1,066 10.9% 1,358 15,928 8.5% 27 14 281 5.0% 38 829 4.6% 8TOTAL 116 1,066 10.9% 13,268 144,136 9.2% 47 14 281 5.0% 641 17,318 3.7% 36

-5Hispanic Origin

Hispanic or Latino 116 1,066 10.9% 908 10,823 8.4% 25 14 281 5.0% 41 1,505 2.7% 10Not Hispanic or Latino - - - 5,273 65,363 8.1% 29 - 255 6,783 3.8% 19Not Available - - - 1,117 10,284 10.9% 15 - 127 1,908 6.7% 10TOTAL 116 1,066 10.9% 13,268 144,136 9.2% 47 14 281 5.0% 641 17,318 3.7% 36

- - - - - -

Note:US totals are based on states reporting.This table uses data from URS/DIG Table 20.

State Notes:

State

STATE: Readmission within 30 days to state psychiatric hospitals:

"Civil" (Non-Forensic) Patients Readmission within 30 days to state psychiatric hospitals: Forensic

Patients State US

Forensics included in "non forensic" data?

US

No


None

DRAFT



OUTCOMES DOMAIN: TABLE 9: READMISSION WITHIN 180 DAYS BY AGE, GENDER AND RACE, FY 2008

Puerto Rico

n Readmissions

n Discharges %


States Resp.



States Resp.

Age0 to 12 - - - 650 3,380 19.2% 20 - - 1 11 9.1% 113 to 17 - - - 1,918 11,605 16.5% 31 - 30 398 7.5% 818 to 20 5 46 10.9% 1,491 7,426 20.1% 42 9 42 21.4% 114 875 13.0% 2421 to 64 210 967 21.7% 25,816 117,488 22.0% 45 7 213 3.3% 1,819 15,597 11.7% 4065 to 74 8 46 17.4% 523 2,856 18.3% 35 - 23 31 308 10.1% 1575 and Over - 7 - 142 1,261 11.3% 26 - 3 7 73 9.6% 6Not Available - - - 56 120 46.7% 2 - 21 56 37.5% 1TOTAL 223 1,066 20.9% 30,596 144,136 21.2% 48 16 281 5.7% 2,023 17,318 11.7% 42

- - - - - - Gender

Female 142 610 23.3% 11,723 54,116 21.7% 45 422 3,136 13.5% 32Male 81 456 17.8% 16,342 77,766 21.0% 44 16 281 5.7% 1,600 14,170 11.3% 42Not Available - - - 2,537 12,254 20.7% 5 - 1 12 8.3% 1TOTAL 223 1,066 20.9% 30,596 144,136 21.2% 48 16 281 5.7% 2,023 17,318 11.7% 42

- - 6 - - - Race

American Indian/Alaskan Native - - - 370 1,919 19.3% 21 - 22 156 14.1% 8Asian - - - 226 1,169 19.3% 32 - 31 295 10.5% 10Black/African American - - - 9,192 36,359 25.3% 41 - - 841 6,627 12.7% 31Native Hawaiian/ Pacific Islander - - - 2 38 5.3% 2 - 37 144 25.7% 3White - - - 16,850 84,197 20.0% 44 881 7,880 11.2% 36Hispanic or Latino * * * 691 3,704 18.7% 12 * * * 96 1,163 8.3% 10Multi-Racial - - - 106 822 12.9% 16 - 20 224 8.9% 6Not Available 223 1,066 20.9% 3,171 15,928 19.9% 32 16 281 5.7% 95 829 11.5% 14TOTAL 223 1,066 20.9% 30,596 144,136 21.2% 48 16 281 5.7% 2,023 17,318 11.7% 42

12 - Hispanic Origin

Hispanic or Latino 223 1,066 20.9% 2,104 10,823 19.4% 27 16 281 5.7% 131 1,505 8.7% 16Not Hispanic or Latino - - - 12,832 65,363 19.6% 29 857 6,783 12.6% 24Not Available - - - 2,460 10,284 23.9% 15 301 1,908 15.8% 10TOTAL 223 1,066 20.9% 30,596 144,136 21.2% 48 16 281 5.7% 2,023 17,318 11.7% 42

-13200 -57666

Forensics included in "non forensic" data?

Note:


This table uses data from URS/DIG Table 20.

State Notes:

STATE: Readmission within 180 days to state psychiatric hospitals:

"Civil" (Non-Forensic) Patients State US

None


No

State

Readmission within 180 days to state psychiatric hospitals: Forensic Patients

US

DRAFT



OUTCOMES DOMAIN: TABLE 10: READMISSION WITHIN 30 AND 180 DAYS TO ANY PSYCHIATRIC INPATIENT BED IN THE SMHA SYSTEMBY AGE, GENDER AND RACE, FY 2008

Puerto Rico

n Readmissionsn

Discharges %n

Readmissions n Discharges % States Resp.



States Resp.

Age0 to 12 - - - 1,919 12,276 15.6% 20 - - - 3,519 12,276 28.7% 2213 to 17 - - - 3,454 26,836 12.9% 22 - - - 6,721 26,836 25.0% 2218 to 20 - - - 2,546 17,302 14.7% 25 4,768 17,302 27.6% 2521 to 64 - - - 38,436 235,380 16.3% 26 74,586 235,380 31.7% 2665 to 74 - - - 647 5,677 11.4% 24 1,432 5,677 25.2% 2475 and Over - - - 267 3,016 8.9% 22 - - - 534 3,016 17.7% 22Not Available - - - 32 280 11.4% 4 - - - 17 280 6.1% 4TOTAL - - - 47,301 300,767 15.7% 28 91,577 300,767 30.4% 28

GenderFemale - - - 20,690 138,714 14.9% 26 40,793 138,714 29.4% 26Male - - - 26,501 160,412 16.5% 27 50,567 160,412 31.5% 27Not Available - - - 110 1,641 6.7% 5 - 213 1,641 13.0% 5TOTAL - - - 47,301 300,767 15.7% 28 91,577 300,767 30.4% 28

- - - - - - (4) - Race

American Indian/Alaskan Native - - - 682 4,938 13.8% 21 - - - 1,365 4,938 27.6% 21Asian - - - 508 3,247 15.6% 21 - - - 980 3,247 30.2% 21Black/African American - - - 13,854 74,611 18.6% 24 - - - 26,849 74,611 36.0% 24Native Hawaiian/ Pacific Islander - - - 17 169 10.1% 8 - - - 62 169 36.7% 8White - - - 26,589 182,959 14.5% 25 - - - 51,161 182,959 28.0% 25Hispanic or Latino - - - 1,323 6,832 19.4% 7 - - - 2,650 6,832 38.8% 7Multi-Racial - - - 2,542 12,264 20.7% 17 - - 4,507 12,264 36.7% 17Not Available - - - 1,698 15,209 11.2% 18 3,748 15,209 24.6% 18TOTAL - - - 47,301 300,767 15.7% 28 91,577 300,767 30.4% 28

-88 -538 -255 -538Hispanic Origin

Hispanic or Latino - - - 3,652 26,207 13.9% 15 - - - 7,878 26,207 30.1% 15Not Hispanic or Latino - - - 9,485 87,573 10.8% 18 - - - 19,905 87,573 22.7% 18Not Available - - - 1,803 20,861 8.6% 11 4,179 20,861 20.0% 11TOTAL - - - 47,301 300,767 15.7% 28 91,577 300,767 30.4% 28

-59615 -166126

State Hospitals included in Table? NoForensics included in Table? No

Note:US totals are based on states reporting.This table uses data from URS/DIG Table 21.

State Notes:

State Readmission within 180 days to any psychiatric hospitals

US

None

STATE:

Readmission within 30 days to any psychiatric hospitals State US

DRAFT



STRUCTURE DOMAIN: TABLE 1: STATE MENTAL HEALTH AGENCY CONTROLLEDEXPENDITURES FOR MENTAL HEALTH, FY 2006

Puerto RicoState % Total US %Total

Expenditures State Expenditures Expenditures US Expenditures

State Hospitals-Inpatient $8,547,699,317 27%

Other 24-Hour Care $5,801,277,824 19%

Ambulatory/Community $16,045,001,581 52%

TOTAL $31,116,017,304

Note:Total also includes additional SMHA Expenditures for research, training, administration, and other central and regional office expenditures.Data from NRI's Funding Sources and Expenditures of State Mental Health Agencies, FY 2006 report, Table 18 "SMHA-Controlled Expenditures for Mental Health Services".U.S. Totals are based on 51 states reporting.

More information on the State Mental Health Agency's Revenues & Expenditures as well as State Footnotes can be found on the NRI website:

STATE:

http://www.nri-inc.org/projects/Profiles/RevenuesExpenditures.cfm

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 Struc1 p.56


STATE MENTAL HEALTH AGENCY CONTROLLEDREVENUES BY FUNDING SOURCE, FY 2006

STATE: Puerto Rico

State Revenues% Total(State)

% Total (US) State Revenues

% Total(State)

% Total (US)

26.8% 52.4%

1.8%

0.0% 0.3%

-16.0% 3.4%

65.6% 35.4%

4.1% 6.7%

100% 100%

Data from NRI's Funding Sources and Expenditures of State Mental Health Agencies, FY 2005 report. State Mental Health Agency Controlled Expenditures and Revenues, Tables 24, 25, and 26.This Table does not show Revenues for state central office including Research, Training, and Administration expenses.


Note:

TOTAL


State Hospital

Other Federal (non-SAMHSA)

Other SAMHSA

STRUCTURE DOMAIN: TABLE 2:

Community MH Block Grant

Medicaid

Other

State

Ambulatory/Community

DRAFT


STRUCTURE DOMAIN: TABLE 3. STATE MENTAL HEALTH AGENCY CONTROLLEDEXPENDITURES PER MENTAL HEALTH CLIENT, FY 2008

Puerto RicoState Expenditures US Expenditures

Expenditures Clients Served Per Client Expenditures Clients Served Per Client

State Hospitals-Inpatient 1,768 $6,270,237,263 153,964 $40,725

Community MH Expenditures 19,588 $18,514,884,962 5,060,152 $3,659

TOTAL 22,909 $31,116,017,304 5,728,061 $5,432

Note:Total also includes additional SMHA expenditures for research, training, administration, and other central and regional office expenditures.Data from NRI's Funding Sources and Expenditures of State Mental Health Agencies, FY 2006 report, Table 7 "SMHA-Controlled Expendituresfor Mental Health Services".U.S. Totals are based on 51 states reporting.


STATE:



DRAFT



STRUCTURE DOMAIN: TABLE 3: FEDERAL MENTAL HEALTH BLOCK GRANTEXPENDITURES FOR NON-DIRECT SERVICEACTIVITIES, FY 2008

STATE: Puerto Rico

30.0%

Planning Council 3.2%

17.0%

7.4%

42.5%

100.0%

Note:This table uses data from URS/DIG Table 8.

State Notes:

Administration

Technical Assistance Activities

Data Collection/Reporting

State Non Direct BG Expenditures % Total US % Total

Other Activities

None

Total

DRAFT


STRUCTURE DOMAIN: TABLE 4:#REF! HEALTH BLOCK GRANT, FY 2008

STATE: Puerto Rico Programs = 1 $0

Agency Name Address Agency DirectorPhone

NumberMental Health Block Grant

Mental Health and Anti-Addiction Services Administration PO Box 21414 San Juan, PR 00928-1414 José L.Galarza Arbona

787-763-7575 787-764-3670


MENTAL HEALTH PROGRAMS FUNDED BY THE FEDERAL MENTALDRAFT



General Notes: PR, FY2008

Table Number General Notes

DRAFT

2008 CMHS Uniform Reporting System (URS) Tables 3/4/2009 GeneralNotes p.60

Documents

Puerto Rico Mental Health National Outcome Measures (NOMS): … del Sistema de... · 2018. 6. 19. · Dev 17 School Attendance (Improved) 161 45.7% 9,799 36.0% 32 STATE MENTAL HEALTH