LOUISIANA Community Mental Health Services Block Grant ...

ADULT – GOALS TARGETS AND ACTION PLANS
Name of Performance Indicator:
Evidence Based - Adults with SMI Receiving Integrated Treatment of Co-Occurring Disorders (MISA) (Percentage)
(1) (2) (3) (4) (5)
Fiscal Year FY 2008 Actual FY 2009 Actual FY 2010 Actual FY 2011 Target
Performance
Indicator
2.96% 5.09% 3.15% 3.15%
Numerator 1,037 1,921 1194
Denominator 35,002 37,735 37,885
Table Descriptors:
Goal: Adults served by the Office of Mental Health will be provided with appropriate recovery/
resiliency-oriented mental health services.
Target: The percentage of adults with SMI receiving Integrated Treatment of Co-Occurring Disorders -
Mental Illness / Substance Abuse (MISA) will be maintained or increase
Population: Adults diagnosed with a Serious Mental Illness
Criterion: 1:Comprehensive Community-Based Mental Health Service Systems
Indicator: The percentage of adults with SMI who receive Integrated Treatment of Co-Occurring
Disorders. NOMS Indicator #3
Measure: Numerator: Number of adults with SMI who receive Integrated Treatment of Co-Occurring
Disorders; Mentally ill / Substance abuse (MISA) services.
Denominator: Number of adults with SMI served (unduplicated).
Sources of Survey of Regions & Districts, Survey of Hospitals OMHIIS, JPHSA, PIP
Information:
Special Issues: Information from surveys is based on Region & LGE report, and EBP's are not evaluated for
fidelity. The fidelity of this EBP is improving. With the passage of legislation creating the
Office of Behavioral Health, this number is expected to increase. A factor that may influence
the result is that MHSD did not collect data for EBPs. FY 2010 Actual = 1194/ 37,855 X 100
= 3.15%.
Significance: Evidence-based practices have been shown to be effective and efficient treatment modalities
that lead to positive outcomes.
Action Plan: The consolidation of the offices of Mental Health and Addictive Disorders into the Office of
Behavioral Health will improve the identification and treatment of co-occurring disorders. The
EBPs that have been offered and that were reported on the surveys have not all been held to
fidelity. It is believed that an improved emphasis on fidelity is resulting in better data, and
education on the EBPs, proper treatment focus, and accurate measurement will continue to be a
focus. Data collected from OMHIIS will be qualitatively better than that collected on the
Survey of Regions and Districts/ Hospitals. This data source will be utilized starting in
FY2011, so that EBP data will not rely solely on the Surveys. The Block Grant indicators are
monitored through the Committee on Programs and Services of the Louisiana Mental Health
Planning Council. The Planning Council Committee on Programs and Services is responsible for
monitoring and evaluation of the mental health system and for recommending service system
improvements to the Council.
PART C LOUISIANA FY 2010 PAGE 178
SECTION III: ADULT PLAN
ADULT PERFORMANCE INDICATORS, GOALS, TARGETS, & ACTION PLANS