Outpatient Competency Restoration - Hogg Foundation for Mental ...
Outpatient Competency Restoration - Hogg Foundation for Mental ...
Outpatient Competency Restoration - Hogg Foundation for Mental ...
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FY 2009-2010 Statistics: SB 867 <strong>Outpatient</strong> <strong>Competency</strong> <strong>Restoration</strong> Pilot Projects(Bexar, Travis, Dallas, and Tarrant Counties)Average Cost of <strong>Restoration</strong>Average CostType of <strong>Restoration</strong> Per Person, Per DayAverage Lengthof StayAverage Total Cost of <strong>Restoration</strong>Per PersonState Psychiatric Facility $401 1 89 days 2 $35,689 3OCR Pilots $140 4 102 Days 5 $14,280Return on Investment (ROI)ROI Formula: ROI = (Return / Investment) x 100ROI Definitions: Return = Costs Avoided; Investment = Dollars AppropriatedFour OCR pilot projects funded by an investment of $3 million in FY 2009 – 2010 (18 months) have served 415individuals through FY 2010 at a cost of $500,000 per site annually. (Sixty percent of these individuals werecharged with misdemeanors, 40% were charged with non-violent felonies.) Approximate cost of restoration of 415 individuals in state hospitals: $14,810,935(415 x $35,689 = $14,810,935) Approximate cost of restoration of 415 individuals using OCR: $5,926,200(415 x $14,280 = $5,926,200) Total costs averted <strong>for</strong> restoration of 415 individuals using OCR: $8,884,735($14,810,935 - $5,926,200 = $8,884,735) ROI <strong>for</strong> OCR Pilots = (8,884,735 / 3,000,000) x 100 = 296%Every dollar spent <strong>for</strong> OCR averted approximately $2.96 in state hospital costs.Using this ROI <strong>for</strong>mula, a $10 million investment in four existing and six additional OCR pilot sites could producean estimated $29.6 million in costs averted, generating savings of more than $19.6 million <strong>for</strong> the biennium. 6For More In<strong>for</strong>mation Contact:Colleen Horton, Policy Program Officer Sarah Kidder, Policy Fellow Dennis Borel, Executive Director<strong>Hogg</strong> <strong>Foundation</strong> <strong>for</strong> <strong>Mental</strong> Health <strong>Hogg</strong> <strong>Foundation</strong> <strong>for</strong> <strong>Mental</strong> Health Coalition of Texans with Disabilitiescolleen.horton@austin.utexas.edu sarah.kidder@austin.utexas.edu dborel@cotwd.org(512) 471-2988 (512) 471-7627 (512) 478-3361 Health and Human Services Commission, Department of State Health Services, State Hospitals Section, 2010 Management Plan StatewidePer<strong>for</strong>mance Indicators, 4th Quarter FY 2010, Measure 1A - Average Cost Per Patient Served.2 Health and Human Services Commission, Department of State Health Services, Continuity of Care Task Force, PowerPoint presentation onMarch 26, 2010.3 Note: These costs do not include the cost of time spent in a local jail waiting <strong>for</strong> a hospital bed. The length of wait in jails <strong>for</strong> a <strong>for</strong>ensichospital bed varies from 72 days to 6 months, according to the Texas Public Policy <strong>Foundation</strong>. <strong>Outpatient</strong> community restoration also wouldreduce local jail costs.4 Texas Department of State Health Services, December 8, 2010. In<strong>for</strong>mation provided to the <strong>Hogg</strong> <strong>Foundation</strong> <strong>for</strong> <strong>Mental</strong> Health.5 Ibid.6 Note: Actual savings likely are higher because the data available to date is <strong>for</strong> less than the full 2009/2010 biennium due to start-up time.January 15 th , 2011
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