California Mental Health and

Substance Use System Needs

Assessment Appendices
February 2012

Submitted to the Department of Health Care Services

Completed by:

Technical Assistance Collaborative Human Services Research Institute

31 St James Ave, Suite 710 2336 Massachusetts Ave
Boston, MA 02116 Cambridge, MA 02140

Contact person: sfields@tacinc.org

Contents
Appendix A: Department of Health Care Services Data .................................................................................................... 9
Section I: Service Penetration ............................................................................................................................................ 10
Table 1a: Penetration Rates for Mental Health & SUD Services 2009 .............................................................................. 11
Table 1b: Penetration Rates for SMI Mental Health Services –County Level.................................................................... 14
Table 1c: Penetration Rates for Broad Definition Adult Mental Health Services – County Level ..................................... 16
Table 1d: Penetration Rates for SED Mental Health Services – County Level................................................................... 18
Table 1e: Penetration Rates for Alcohol or Drug Diagnosis Services – County Level........................................................ 20
Section II: Service Utilization.............................................................................................................................................. 22
Table 2: Medicaid Beneficiary Behavioral Health Expenditures 2009-2007 ..................................................................... 23
Table 2.1a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 ..................... 24
Table 2.1b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –DMC/SMHS
Services .............................................................................................................................................................................. 26
Table 2.1c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 – FFS ............ 27
Table 2.2a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 ..................... 28
Table 2.2b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –DMC/SMHS
Services .............................................................................................................................................................................. 30
Table 2.2c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 – FFS ............ 31
Table 2.3a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 ..................... 32
Table 2.3b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 – DMC/SMHS
Services .............................................................................................................................................................................. 34
Table 2.3c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 – FFS ............ 35
Table 2.4a: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2009.. 36
Table 2.4b: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2009 –
DMC/SMHS Services .......................................................................................................................................................... 37
Table 2.4c: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2009 –
FFS...................................................................................................................................................................................... 38
Table 2.5a: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2008.. 39
Table 2.5b: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2008 –
DMC/SMHS Services .......................................................................................................................................................... 40
Table 2.5c: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2008 –
FFS...................................................................................................................................................................................... 41
Table 2.6a: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2007.. 42
Table 2.6b: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2007 –
DMC/SMHS Services .......................................................................................................................................................... 43
Table 2.6c: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2007 –
FFS...................................................................................................................................................................................... 44
Table 2.7a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries – EPSDT 2009 ....... 45
Table 2.7b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –EPSDT
DMC/SMHS Services .......................................................................................................................................................... 46
Table 2.7c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –EPSDT FFS.. 47
Table 2.8a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries – EPSDT 2008 ....... 48
Table 2.8b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –EPSDT
DMC/SMHS Services .......................................................................................................................................................... 49
Table 2.8c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –EPSDT FFS.. 50
Table 2.9a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries – EPSDT 2007 ....... 51
Table 2.9b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 –EPSDT
DMC/SMHS Services .......................................................................................................................................................... 52
Table 2.9c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 –EPSDT FFS.. 53
Figure 1: Total Expenditures by Service Domain 2009 ..................................................................................................... 54
Figure 2: Total Expenditures by Service Domain 2008 ...................................................................................................... 54
Figure 3: Total Expenditures by Service Domain 2007 ...................................................................................................... 55
Figure 4: Total Expenditures –Adults 2009........................................................................................................................ 56
Figure 5: Total Expenditures –Adults 2008........................................................................................................................ 56
Figure 6: Total Expenditures –Adults 2007........................................................................................................................ 57
Figure 7: Total Expenditures –Youth 2009 ........................................................................................................................ 57
Figure 8: Total Expenditures – Youth 2008........................................................................................................................ 58
Figure 9: Total Expenditures – Youth 2007........................................................................................................................ 58
Table 3a: Behavioral Health Expenditures by Top Utilizers 2009 .................................................................................... 59
Table 3b: Behavioral Health Expenditures by Top Utilizers 2008.................................................................................... 60
Table 3c: Behavioral Health Expenditures by Top Utilizers 2007 .................................................................................... 61
Table 4: Characteristics of Current Participants in Behavioral Health Services 2009 ....................................................... 62
Table 5: Enrollment Rates by Eligibility Category 2007-2009............................................................................................ 64
Table 6a: Number of ED Admissions by Cohort 2009........................................................................................................ 65
Table 6b: Number of ED Admissions by Cohort 2008........................................................................................................ 65
Table 6c: Number of ED Admissions by Cohort 2007 ........................................................................................................ 65
Table 7a: Number of Encounters –2009............................................................................................................................ 66
Table 7b: Number of Encounters – 2008........................................................................................................................... 68
Table 7c: Number of Encounters –2007 ............................................................................................................................ 70
Table 8a: Special Analyses: Elapsed Time from Hospital Discharge to Receipt of Medicaid Outpatient Behavioral Health
Service 2009....................................................................................................................................................................... 72
Table 8b: Special Analyses: Elapsed Time from Hospital Discharge to Receipt of Medicaid Outpatient Behavioral Health
Service 2008....................................................................................................................................................................... 74
Table 8c: Special Analyses: Elapsed Time from Hospital Discharge to Receipt of Medicaid Outpatient Behavioral Health
Service 2007....................................................................................................................................................................... 76
Table 9a: Special Analyses: Hospital and Emergency Department Readmissions within 30 Days of Inpatient Discharge
for a Behavioral Health Condition 2009 ............................................................................................................................ 78
Table 9b: Special Analyses: Hospital and Emergency Department Readmissions within 30 Days of Inpatient Discharge
for a Behavioral Health Condition 2008 ............................................................................................................................ 79
Table 9c: Special Analyses: Hospital and Emergency Department Readmissions within 30 Days of Inpatient Discharge
for a Behavioral Health Condition 2007 ............................................................................................................................ 80
Table 10a: System at a Glance – Adults............................................................................................................................ 81
Table 10b: System at a Glance – Youth ............................................................................................................................. 81
Table 11a: Number of Months with Service Received – 2009 Adults ............................................................................... 82
Table 11b: Number of Months with Service Received – 2008 Adults ............................................................................... 82
Table 11c: Number of Months with Service Received – 2007 Adults................................................................................ 83
Table 11d: Number of Months with Service Received – 2009 Youth................................................................................ 83
Table 11e: Number of Months with Service Received – 2008 Youth ................................................................................ 84
Table 11f: Number of Months with Service Received – 2007 Youth................................................................................. 84
Section III: County-level Data............................................................................................................................................. 85
Table 12a: Current Participants in Behavioral Health Services – County Level 2009........................................................ 86
Table 12b: Current Participants in Behavioral Health Services – County Level 2008........................................................ 88
Table 12c: Current Participants in Behavioral Health Services – County Level 2007 ........................................................ 90
Table 13a: Special Analyses: Monthly Mental Health Inpatient Services by County 2009 ............................................... 92
Table 13b: Special Analyses: Monthly Mental Health Inpatient Services by County 2008 ............................................... 94
Table 13c: Special Analyses: Monthly Mental Health Inpatient Services by County 2007................................................ 96
Section IV: Methodology.................................................................................................................................................... 98
Table 14: Diagnostic Codes for Extracting Population....................................................................................................... 99
Table 15: Claims Level Data Requested........................................................................................................................... 101
Table 16: Eligibility Categories and Corresponding Aid Codes ........................................................................................ 110
Table 17: Diagnostic Conditions of the Broad Definition Behavioral Health Cohort....................................................... 111
Table 18: ICD9 Diagnosis Codes that Correspond with SMI, Substance Use, and SED.................................................... 111
Table 19: SMI and SED Qualifying Diagnoses Table (full details).................................................................................... 117
Table 20: DMC/SMHS Procedure codes ......................................................................................................................... 124
Table 21: Behavioral Health service categories by Domain............................................................................................ 126
Table 22: Aid Codes ........................................................................................................................................................ 128
Appendix B: California Alcohol & Drug Program Data................................................................................................... 142
Table 1a: System Snapshot – Admissions........................................................................................................................ 143
Table 1b: System Snapshot – Individuals......................................................................................................................... 146
Table 2: Days Waited to Enter Treatment (Best Practice Indicator) ............................................................................... 149
Table 3: Treatment Service Type (Service & Resource Indicators).................................................................................. 150
Table 3a: Treatment Service Type – Medi-Cal Beneficiary (Service & Resource Indicators)........................................... 153
Table 3b: Treatment Service Type –Non-Medi-Cal Beneficiary (Service & Resource Indicators) ................................... 156
Table 4: Length of Stay (Best Practice Indicator)............................................................................................................. 159
Table 5: Recurrent & Continuous Users .......................................................................................................................... 162
Table 6: Discharge Status (Resource Impact Indicator)................................................................................................... 165
Table 7: Substance Use Conditions (Service & Resource Indicators) .............................................................................. 167
Table 8: Referral Source (Service & Resource Indicators) ............................................................................................... 170
Table 9: Medi-Cal Beneficiary (System Indicator) ........................................................................................................... 173
Table 10: Medi-Cal Beneficiary by County (System Indicator) ........................................................................................ 176
Appendix C: Mental Health Client Services Information Data (CSI).............................................................................. 178
Table 1: System at a glance – Individuals ........................................................................................................................ 179
Table 1b: System at a glance – Adults ............................................................................................................................. 180
Table 1c: System at a Glance – Youth.............................................................................................................................. 181
Table 2a: System at a Glance – Service Utilization (% Received) .................................................................................... 182
Table 2b: System at a Glance – Service Utilization (% Received) – Adults ...................................................................... 183
Table 2c: System at a Glance – Service Utilization (% Received) – Youth ....................................................................... 184
Table 3: System at a glance – Service Utilization (Amount Received – Total Units) ....................................................... 185
Table 4a: Number of Individuals Receiving Evidence-Based Practices............................................................................ 186
Table 4b: Number of Adults Receiving Evidence-Based Practices................................................................................... 186
Table 4c: Number of Youth Receiving Evidence-Based Practices.................................................................................... 186
Table 5a: Number of Individuals Receiving Service Strategies ....................................................................................... 187
Table 5b: Number of Adults Receiving Service Strategies .............................................................................................. 187
Table 5c: Number of Youth Receiving Service Strategies ............................................................................................... 188
Table 6a: Number of Individuals Receiving Multiple Evidence-Based Practices ............................................................. 188
Table 6b: Number of Adults Receiving Multiple Evidence-Based Practices .................................................................... 188
Table 6c: Number of Youth Receiving Multiple Evidence-Based Practices ..................................................................... 189
Table 7a: Percent of Overall Recipients Receiving an EBP .............................................................................................. 189
Table 7b: Percent of Recipients Receiving an EBP – Adults............................................................................................. 189
Table 7c: Percent of Recipients Receiving an EBP – Youth.............................................................................................. 189
Table 8: EBP Recipients by County.................................................................................................................................. 190
2010 ................................................................................................................................................................................. 192
Table 9a: Arrivals & Snapshots – Adults .......................................................................................................................... 192
Table 9b: Arrivals & Snapshots – Youth........................................................................................................................... 192
Table 10a: Service Utilization – Adults ............................................................................................................................ 193
Table 10b: Service Utilization – Youth............................................................................................................................. 194
Table 11a: Transitions – Adults........................................................................................................................................ 195
Table 11b: Transitions – Youth ........................................................................................................................................ 195
2009 ................................................................................................................................................................................. 196
Table 12a: Arrivals & Snapshots – Adults ........................................................................................................................ 196
Table 12b: Arrivals & Snapshots – Youth......................................................................................................................... 196
Table 13a: Service Utilization – Adults ............................................................................................................................ 197
Table 13b: Service Utilization – Youth............................................................................................................................. 198
Table 14a: Transitions – Adults........................................................................................................................................ 199
Table 14b: Transitions – Youth ........................................................................................................................................ 199
2008 ................................................................................................................................................................................. 200
Table 15a: Arrivals & Snapshots – Adults ........................................................................................................................ 200
Table 15b: Arrivals & Snapshots – Youth......................................................................................................................... 200
Table 16a: Service Utilization – Adults ............................................................................................................................ 201
Table 16b: Service Utilization – Youth............................................................................................................................. 202
Table 17a: Transitions – Adults........................................................................................................................................ 203
Table 17b: Transitions – Youth ........................................................................................................................................ 203
2007 ................................................................................................................................................................................. 204
Table 18a: Arrivals & Snapshots – Adults ........................................................................................................................ 204
Table 18b: Arrivals & Snapshots – Youth......................................................................................................................... 204
Table 19a: Service Utilization – Adults ............................................................................................................................ 205
Table 19b: Service Utilization – Youth............................................................................................................................. 206
Table 20a: Transitions – Adults........................................................................................................................................ 207
Table 20b: Transitions – Youth ........................................................................................................................................ 207
Table 21a: Transitions - Received Evidence Based Practices –All 2009........................................................................... 208
Table 21b: Transitions - No Evidence Based Practices – All 2009.................................................................................... 208
Table 22a: Transitions - Received Evidence Based Practices – Adults 2009.................................................................... 209
Table 22b: Transitions - No Evidence Based Practices – Adults 2009 ............................................................................. 209
Table 23a: Transitions - Received Evidence Based Practices – Youth 2009 .................................................................... 210
Table 23b: Transitions - No Evidence Based Practices – Youth 2009 .............................................................................. 210
Table 24a: Transitions - Received Evidence Based Practices –All 2008........................................................................... 211
Table 24b: Transitions - No Evidence Based Practices – All 2008.................................................................................... 211
Table 25a: Transitions - Received Evidence Based Practices – Adults 2008.................................................................... 212
Table 25b: Transitions - No Evidence Based Practices – Adults 2008 ............................................................................. 212
Table 26a: Transitions - Received Evidence Based Practices –Youth 2008 ..................................................................... 213
Table 26b: Transitions - No Evidence Based Practices – Youth 2008 .............................................................................. 213
Table 27a: Transitions - Received Evidence Based Practices –All 2007........................................................................... 214
Table 27b: Transitions - No Evidence Based Practices – All 2007.................................................................................... 214
Table 28a: Transitions - Received Evidence Based Practices –Adults 2007 .................................................................... 215
Table 28b: Transitions - No Evidence Based Practices – Adults 2007 ............................................................................. 215
Table 29a: Transitions - Received Evidence Based Practices –Youth 2007 ..................................................................... 216
Table 29b: Transitions - No Evidence Based Practices – Youth 2007 .............................................................................. 216
Methodology.................................................................................................................................................................... 217
Table 30: Resource Associated Functional Level Scale.................................................................................................... 219
Appendix D: Mental Health & Substance Use Services Provider Data ......................................................................... 220
Table 1: Number of Providers by Consumer Service Demographic ................................................................................ 221
Section I: Top 10 Providers by Total Payment & Number of Individuals Served by Service Category ............................. 222
Table 2: SUD Day Treatment............................................................................................................................................ 223
Table 3: Mother-Child Habilitative & Rehabilitative Services.......................................................................................... 223
Table 4: Mental Health Case Management ..................................................................................................................... 223
Table 5: Mental Health Day Treatment ........................................................................................................................... 224
Table 6: Mental Health Day Treatment Rehabilitative .................................................................................................... 224
Table 7: Mental Health Inpatient..................................................................................................................................... 224
Table 8: Mental Health Medication Support ................................................................................................................... 225
Table 9: Mental Health Crisis Intervention...................................................................................................................... 225
Table 10: Mental Health Crisis Stabilization .................................................................................................................... 225
Table 11: Mental Health Outpatient................................................................................................................................ 226
Table 12: Methadone Maintenance ................................................................................................................................ 226
Table 13: Drug-Free Treatment ....................................................................................................................................... 226
Table 14: Crisis Residential .............................................................................................................................................. 227
Table 15: Adult Residential.............................................................................................................................................. 227
Section II: Number of Individuals Served by Provider by Service Category...................................................................... 228
Figure 1: SUD Day Treatment .......................................................................................................................................... 229
Figure 2: Mother-Child Habilitative & Rehabilitative Services ........................................................................................ 229
Figure 3: Mental Health Case Management.................................................................................................................... 230
Figure 4: Mental Health Day Treatment.......................................................................................................................... 230
Figure 5: Mental Health Day Treatment Rehabilitative................................................................................................... 231
Figure 6: Mental Health Inpatient ................................................................................................................................... 231
Figure 7: Mental Health Medication Support.................................................................................................................. 232
Figure 8: Mental Health Crisis Intervention..................................................................................................................... 232
Figure 9: Mental Health Crisis Stabilization..................................................................................................................... 233
Figure 10: Mental Health Outpatient .............................................................................................................................. 233
Figure 11: Methadone Maintenance ............................................................................................................................... 234
Figure 12: Drug-Free Treatment...................................................................................................................................... 234
Figure 13: Crisis Residential ............................................................................................................................................. 235
Figure 14: Adult Residential............................................................................................................................................. 235
Section III: Total Number of Units of Service by Provider by Service Category................................................................ 236
Figure 15: Substance Use Day Treatment ....................................................................................................................... 237
Figure 16: Mother-Child Habilitative & Rehabilitative Services ...................................................................................... 237
Figure 17: Mental Health Case Management.................................................................................................................. 238
Figure 18: Mental Health Day Treatment........................................................................................................................ 238
Figure 19: Mental Health Day Treatment Rehabilitation ................................................................................................ 239
Figure 20: Mental Health Inpatient ................................................................................................................................. 239
Figure 21: Medication Support ........................................................................................................................................ 240
Figure 22: Mental Health Crisis Intervention................................................................................................................... 240
Figure 23: Mental Health Crisis Stabilization................................................................................................................... 241
Figure 24: Mental Health Outpatient .............................................................................................................................. 241
Figure 25: Methadone Maintenance ............................................................................................................................... 242
Figure 26: Drug-Free Treatment...................................................................................................................................... 242
Figure 27: Crisis Residential ............................................................................................................................................. 243
Figure 28: Adult Residential............................................................................................................................................. 243
Section IV: Service Descriptions ....................................................................................................................................... 244
Table 16: Service Type Descriptions ................................................................................................................................ 245
Appendix A: Department of Health Care Services Data
Section I: Service Penetration

10
Table 1a: Penetration Rates for Mental Health & SUD Services 2009
Mental Health or Medicaid ADP DMH
SUD Prevalence Utilization Utilization Utilization
Characteristics N %1 N %2 N %3 N %4
Total 7,895,082 22% 564,480 7% 162,811 2% 635,942 8%
SMI
Total 1,178,513 4% 255,603 22% -- -- 407,672 35%
Age
18-20 31,870 2% 14,139 44% -- -- 29,780 93%
21-24 94,321 4% 11,708 12% -- -- 34,146 36%
25-34 305,097 6% 37,727 12% -- -- 83,937 28%
35-44 324,956 6% 47,630 15% -- -- 88,649 27%
45-54 246,083 5% 67,516 27% -- -- 97,807 40%
55-64 108,748 3% 52,510 48% -- -- 54,402 50%
65+ 67,438 2% 24,364 36% -- -- 18,951 28%
Gender
Male 494,204 4% 102,454 21% -- -- 192,193 39%
Female 684,308 5% 153,149 22% -- -- 214,544 31%
5
Race / Ethnicity
White-NH 526,102 4% 91,889 -- -- -- 134,079 --
African American-NH 98,255 6% 30,075 -- -- -- 37,966 --
Asian-NH 62,347 2% 3,959 -- -- -- 22,025 --
Pacific Islander-NH 2,167 2% 9,578 -- -- -- 1,443 --
Native-NH 10,578 7% 1,403 -- -- -- 3,966 --
Other6 26,440 6% 77,931 -- -- -- 58,853 --
Hispanic 452,625 5% 38,430 -- -- -- 63,322 --
Unknown/Not Reported -- -- 2,324 -- -- -- -- --
Mental Health Illness – Broad Definition Adults
Total 3,183,061 12% 62,679 2% -- -- N/A
Age
18-20 254,935 16% 10,852 4%
21-24 392,745 18% 4,673 1%
25-34 892,437 17% 9,821 1%
35-44 720,964 14% 9,214 1%
45-54 511,573 10% 10,252 2%
55-64 240,519 6% 8,124 3%
65+ 169,888 4% 9,736 6%

1
These percentages reflect the number of individuals of the total population with the given Characteristic that is diagnosed with a mental health
illness or substance use disorder. The total populations of each characteristic are included in the MH/SUD Prevalence source data. For example, for
all Californians within the age cohort “18-20,” 2% are diagnosed with a mental illness or substance use disorder.
2
These percentages represent the number of individuals with the given Characteristic category that utilize Medicaid services. For example, of the
31,870 individuals between the ages of 18-20 diagnosed with SMI, 44% (or 14,139 individuals) utilize Medicaid services.
3
These percentages represent the number of individuals within the given Characteristic category that utilize ADP services. For example, of the
270,604 12-17 year old Californians with an Alcohol or Drug Diagnosis, 3% (or 7,785 individuals) utilize ADP services.
4
These percentages represent the number of individuals with the given Characteristic category that utilize DMH services. For example, of the
494,204 individuals diagnosed with SMI that are male, 39% (or 192,193 individuals) utilize DMH services.
5
Percentages were not calculated for the Race/Ethnicity categories in Medicaid Utilization because the Race/Ethnicity categories across data sets
did not match-up
6
Multi-ethnic groups are not represented as a Race/Ethnic group on this table but are included in the MH/SUD Prevalence source data. Thus, they
have been included in the “Other” category in the Prevalence column of this table.
CA BHNA Appendix A: DHCS Data 11
 Mental Health or Medicaid ADP DMH
SUD Prevalence Utilization Utilization Utilization
Characteristics N %1 N %2 N %3 N %4
Gender
Male 1,453,244 11% 26,638 2% -- -- N/A
Female 1,729,818 12% 36,041 2% -- -- N/A
Race / Ethnicity
White-NH 1,252,828 10% 18,298 -- -- -- N/A
African American-NH 216,811 13% 7,147 -- -- -- N/A
Asian-NH 311,918 9% 1,533 -- -- -- N/A
Pacific Islander-NH 9,850 11% 2,396 -- -- -- N/A
Native-NH 19,833 13% 298 -- -- -- N/A
Other 60,142 14% 19,505 -- -- -- N/A
Hispanic 1,311,678 15% 12,936 -- -- -- N/A
Unknown/Not Reported 550 --
SED
Total 714,430 8% 99,660 14% -- -- 228,109 32%
Age
0-5 248,544 8% 7,067 3% -- -- 28,793 12%
6-11 230,033 7% 42,424 18% -- -- 73,000 32%
12-17 235,853 8% 50,079 21% -- -- 126,316 54%
Gender
Male 367,079 8% 67,209 18% -- -- 138,126 38%
Female 347,351 8% 32,451 9% -- -- 89,692 26%
Race / Ethnicity
White-NH 191,164 7% 25,276 -- -- -- 43,795 --
African American-NH 44,357 8% 10,151 -- -- -- 24,840 --
Asian-NH 69,175 7% 782 -- -- -- 5,213 --
Pacific Islander-NH 2,440 8% 466 -- -- -- 971 --
Native-NH 3,436 8% 442 -- -- -- 2,209 --
Other 23,787 7% 34,575 -- -- -- 30,255 --
Hispanic 380,071 8% 27,051 -- -- -- 69,078 --
Unknown/Not Reported -- -- 911 -- -- -- -- --
Alcohol or Drug Diagnosis
Total 2,819,078 9% 99,408 4% 162,811 6% N/A
Age
0-5 -- -- 611 -- --
6-11 -- -- 282 -- 29 --
12-17 284,963 8% 15,999 6% 7,785 3%
18-20 258,129 14% 16,892 7% 7,045 3%
21-24 389,624 18% 7,203 2% 12,717 3%
25-34 719,344 14% 4,745 1% 34,646 5%
35-44 518,227 9% 14,793 3% 29,688 6%
45-54 381,205 7% 15,296 4% 26,906 7%
55-64 189,905 5% 21,495 11% 8,573 5%
65+ 77,681 2% 14,526 19% 1,195 2%
Gender
Male 1,910,536 12% 52,439 3% 102,922 5% N/A

CA BHNA Appendix A: DHCS Data 12

 Mental Health or Medicaid ADP DMH
SUD Prevalence Utilization Utilization Utilization
Characteristics N %1 N %2 N %3 N %4
Female 908,542 6% 46,969 5% 59,889 7% N/A
Race / Ethnicity
White-NH 1,328,666 9% 36,747 3% 68,484 5% N/A
African American-NH 179,381 9% 14,764 8% 24,307 14% N/A
Asian-NH 144,033 4% 696 0% 3,556 2% N/A
Pacific Islander-NH 7,766 6% 1,204 16% 425 5% N/A
Native-NH 33,048 16% 1,096 3% 2,304 7% N/A
Other 0 -- 23,425 -- 3,331 -- N/A
Hispanic 1,047,818 10% 20,606 2% 57,614 5% N/A
Unknown/Not Reported 726 --

CA BHNA Appendix A: DHCS Data 13

Table 1b: Penetration Rates for SMI Mental Health Services –County Level
Medicaid ADP DMH
SMI Prevalence Utilization Utilization Utilization
Characteristics N %7 N %8 N %9 N %10
Statewide 1,178,513 4% 255,603 22% -- -- 355,279 30%
Large Counties (Over 800,000)
Alameda 65,175 4% 10,527 16% NR 20,844 32%
Contra Costa 44,323 4% 5,547 13% NR 11,927 27%
Fresno 54,841 6% 6,973 13% NR 6,418 12%
Los Angeles 525,468 5% 77,144 15% NR 97,026 18%
Orange 138,721 5% 13,241 10% NR 34,627 25%
Riverside 116,577 5% 9,211 8% NR 30,147 26%
Sacramento 74,268 5% 12,313 17% NR 231 0.3%
San Bernardino 113,970 6% 13,931 12% NR 22,601 20%
San Diego 152,305 5% 21,929 14% NR 20,971 14%
San Francisco 32,816 4% 10,034 31% NR 16,128 49%
Santa Clara 70,391 4% 8,788 12% NR 5,799 8%
Ventura 37,192 5% 3,825 10% NR 6,494 17%
Medium Counties (250,000-800,00)
Kern 52,127 7% 5,927 11% NR 7,830 15%
Marin 10,998 4% 1,416 13% NR 2,209 20%
Monterey 23,718 6% 2,085 9% NR 2,825 12%
Placer 15,078 4% 1,499 10% NR 1,192 8%
San Joaquin 37,978 6% 5,305 14% NR 7,978 21%
San Luis Obispo 14,273 5% 1,761 12% NR 2,086 15%
San Mateo 27,493 4% 3,466 13% NR 6,304 23%
Santa Barbara 20,727 5% 2,715 13% NR 2,923 14%
Santa Cruz 12,759 5% 1,675 13% NR 2,497 20%
Solano 19,880 5% 1,908 10% NR 2,864 14%
Sonoma 22,264 5% 2,892 13% NR 3,515 16%
Stanislaus 29,287 6% 3,466 12% NR 4,556 16%
Tulare 26,806 6% 2,919 11% NR 4,687 17%
Small Counties (90,000-250,000)
Butte 12,537 6% 2,901 23% NR 1,368 11%
El Dorado 8,181 5% 715 9% NR 987 12%
Humboldt 7,982 6% 1,564 20% NR 314 4%
Imperial 10,800 6% 1,101 10% NR 1,569 15%
Kings 10,769 7% 1,026 10% NR 2,188 20%
Madera 10,948 7% 915 8% NR 1,697 16%
Mendocino 4,988 6% 879 18% NR 1,239 25%
Merced 14,653 6% 2,422 17% NR 1,816 12%

7
These percentages reflect the percent of the total population of the given county has been diagnosed with SMI. The total populations of each
county are included in the MH/SUD Prevalence source data.
8
These percentages reflect the number of individuals within each county diagnosed with SMI (i.e. SMI prevalence) who utilize
Medicaid services.
9
These percentages reflect the number of individuals within each county diagnosed with SMI (i.e. SMI prevalence) who utilize ADP
services.
10
These percentages reflect the number of individuals within each county diagnosed with SMI (i.e. SMI prevalence) who utilize DMH
services.
CA BHNA Appendix A: DHCS Data 14
 Medicaid ADP DMH
SMI Prevalence Utilization Utilization Utilization
Characteristics N %7 N %8 N %9 N %10
Napa 7,058 5% 652 9% NR 436 6%
Nevada 4,484 5% 686 15% NR 603 13%
Shasta 10,526 6% 1,965 19% NR 2,167 21%
Sutter 5,317 6% 75 1% NR 4,527 85%
Yolo 10,199 5% 1,092 11% NR 4,380 43%
Yuba 4,716 6% 1,585 34% NR -- --
MBA (Under 90,000)
Alpine 60 6% 6 10% NR 16 27%
Amador 2,326 6% 244 10% NR 111 5%
Calaveras 2,291 5% 293 13% NR 71 3%
Colusa 1,284 6% 170 13% NR 123 10%
Del Norte 2,206 8% 336 15% NR 370 17%
Glenn 1,729 6% 207 12% NR 161 9%
Inyo 930 5% 147 16% NR 127 14%
Lake 4,008 6% 659 16% NR 344 9%
Lassen 2,996 9% 305 10% NR 137 5%
Mariposa 940 5% 174 19% NR 271 29%
Modoc 547 6% 120 22% NR 213 39%
Mono 647 5% 27 4% NR 133 21%
Plumas 959 5% 211 22% NR 449 47%
San Benito 2,732 5% 277 10% NR 714 26%
Sierra 156 5% 5 3% NR 77 49%
Siskiyou 2,470 5% 720 29% NR 979 40%
Tehama 3,720 6% 709 19% NR 1,956 53%
Trinity 776 5% 141 18% NR 322 41%
Tuolumne 3,230 6% 503 16% NR 735 23%
Unlabelled 2,055 --
Out of State 219 --

CA BHNA Appendix A: DHCS Data 15

Table 1c: Penetration Rates for Broad Definition Adult Mental Health Services – County Level
Broad Definition
Mental Health Medicaid ADP DMH
Prevalence Utilization Utilization Utilization
Characteristics N %11 N %12 N %13 N %14
Statewide 3,183,061 12% 246,673 8% -- -- -- --
Large Counties (Over 800,000)
Alameda 185,814 12% 11,593 6% NR NR
Contra Costa 121,879 12% 6,729 6% NR NR
Fresno 137,993 15% 10,196 7% NR NR
Los Angeles 1,419,709 14% 94,237 7% NR NR
Orange 387,068 13% 13,631 4% NR NR
Riverside 298,063 14% 11,675 4% NR NR
Sacramento 194,032 14% 16,640 9% NR NR
San Bernardino 291,429 14% 18,746 6% NR NR
San Diego 413,848 14% 25,007 6% NR NR
San Francisco 105,092 13% 10,958 10% NR NR
Santa Clara 203,646 11% 10,012 5% NR NR
Ventura 101,087 13% 5,432 5% NR NR
Medium Counties (250,000-800,000)
Kern 128,494 16% 9,400 7% NR NR
Marin 30,255 12% 1,505 5% NR NR
Monterey 62,055 15% 2,466 4% NR NR
Placer 40,606 12% 2,087 5% NR NR
San Joaquin 96,153 14% 6,866 7% NR NR
San Luis Obispo 39,573 15% 2,007 5% NR NR
San Mateo 80,654 11% 3,325 4% NR NR
Santa Barbara 56,401 14% 3,997 7% NR NR
Santa Cruz 35,063 14% 1,938 6% NR NR
Solano 53,743 13% 2,336 4% NR NR
Sonoma 61,170 13% 3,947 6% NR NR
Stanislaus 73,893 14% 4,905 7% NR NR
Tulare 65,226 15% 4,941 8% NR NR
Small Counties (90,000-250,000)
Butte 32,779 15% 3,527 11% NR NR
El Dorado 21,721 12% 1,183 5% NR NR
Humboldt 20,434 16% 1,802 9% NR NR
Imperial 27,315 16% 2,200 8% NR NR
Kings 27,938 19% 1,298 5% NR NR
Madera 26,170 18% 1,543 6% NR NR
Mendocino 12,476 15% 1,170 9% NR NR

11
These percentages reflect the percent of the total population of the given county that has been diagnosed with a broad definition mental health
illness. The total populations of each county included in the MH/SUD Prevalence source data.
12
These percentages reflect the number of individuals within each county diagnosed with a Broad Definition Mental Illness (i.e.
Broad Definition Mental Health prevalence) who utilize Medicaid services.
13
These percentages reflect the number of individuals within each county diagnosed with a Broad Definition Mental Illness (i.e.
Broad Definition Mental Health prevalence) who utilize ADP services.
14
These percentages reflect the number of individuals within each county diagnosed with a Broad Definition Mental Illness (i.e.
Broad Definition Mental Health prevalence) who utilize DMH services.
CA BHNA Appendix A: DHCS Data 16
 Broad Definition
Mental Health Medicaid ADP DMH
Prevalence Utilization Utilization Utilization
Characteristics N %11 N %12 N %13 N %14
Merced 36,326 15% 3,281 9% NR NR
Napa 18,397 13% 860 5% NR NR
Nevada 11,946 12% 858 7% NR NR
Shasta 26,022 14% 2,820 11% NR NR
Sutter 13,340 14% 339 3% NR NR
Yolo 28,266 14% 1,179 4% NR NR
Yuba 11,398 16% 2,084 18% NR NR
MBA (Under 90,000)
Alpine 149 14% 4 3% NR NR
Amador 6,024 16% 329 5% NR NR
Calaveras 5,938 13% 308 5% NR NR
Colusa 3,204 15% 215 7% NR NR
Del Norte 5,525 19% 431 8% NR NR
Glenn 4,264 15% 316 7% NR NR
Inyo 2,372 14% 202 9% NR NR
Lake 9,708 15% 980 10% NR NR
Lassen 7,841 23% 425 5% NR NR
Mariposa 2,431 14% 202 8% NR NR
Modoc 1,327 15% 192 14% NR NR
Mono 1,808 14% 37 2% NR NR
Plumas 2,476 12% 230 9% NR NR
San Benito 7,285 13% 392 5% NR NR
Sierra 414 13% 12 3% NR NR
Siskiyou 6,036 14% 759 13% NR NR
Tehama 9,127 15% 859 9% NR NR
Trinity 1,892 13% 162 9% NR NR
Tuolumne 8,458 15% 506 6% NR NR

CA BHNA Appendix A: DHCS Data 17

Table 1d: Penetration Rates for SED Mental Health Services – County Level
Medicaid ADP DMH
SED Prevalence Utilization Utilization Utilization
Characteristics N %15 N %16 N %17 N %18
Statewide 714,430 8% 99,661 14% -- -- 205,418 39%
Large Counties (Over 800,000)
Alameda 24,412 7% 3,193 13% NR 11,360 47%
Contra Costa 17,938 7% 2,028 11% NR 5,892 33%
Fresno 22,371 8% 2,619 12% NR 3,568 16%
Los Angeles 195,233 8% 32,925 17% NR 78,568 40%
Orange 54,934 7% 5,011 9% NR 14,763 27%
Riverside 46,853 8% 3,490 7% NR 11,060 24%
Sacramento 27,216 8% 4,761 17% NR 14,014 51%
San Bernardino 46,153 8% 7,764 17% NR 10,065 22%
San Diego 55,716 7% 6,644 12% NR 3,638 7%
San Francisco 8,436 7% 1,606 19% NR 2,577 31%
Santa Clara 30,097 7% 2,301 8% NR 3,552 12%
Ventura 15,127 7% 1,644 11% NR 11,360 75%
Medium Counties (250,000-800,00)
Kern 20,099 8% 3,386 17% NR 6,783 34%
Marin 3,457 7% 400 12% NR 923 27%
Monterey 8,758 8% 870 10% NR 2,093 24%
Placer 5,592 7% 711 13% NR 666 12%
San Joaquin 15,702 8% 1,352 9% NR 2,734 17%
San Luis Obispo 3,971 7% 664 17% NR 1,177 30%
San Mateo 10,801 7% 708 7% NR 1,024 9%
Santa Barbara 7,829 8% 754 10% NR 1,397 18%
Santa Cruz 4,389 7% 507 12% NR 1,684 38%
Solano 7,269 7% 431 6% NR 1,724 24%
Sonoma 7,471 7% 604 8% NR 1,774 24%
Stanislaus 11,477 8% 2,105 18% NR 4,413 38%
Tulare 11,552 8% 2,165 19% NR 5,398 47%
Small Counties (90,000-250,000)
Butte 3,818 8% 1,134 30% NR 1,038 27%
El Dorado 2,894 7% 440 15% NR 791 27%
Humboldt 2,149 8% 404 19% NR 29 1%
Imperial 4,142 8% 875 21% NR 1,798 43%
Kings 3,314 8% 520 16% NR 967 29%
Madera 3,549 8% 795 22% NR 951 27%
Mendocino 1,529 8% 444 29% NR 993 65%

15
These percentages reflect the percent of the total population of the given county that have been diagnosed with SED. The total populations of
each county included in the MH/SUD Prevalence source data.
16
These percentages reflect the number of individuals within each county with a SED diagnosis (i.e. SED prevalence) who utilize
Medicaid services.
17
These percentages reflect the number of individuals within each county with a SED diagnosis (i.e. SED prevalence) who utilize ADP
services.
18
These percentages reflect the number of individuals within each county with a SED diagnosis (i.e. SED prevalence) who utilize
DMH services.

CA BHNA Appendix A: DHCS Data 18

 Medicaid ADP DMH
SED Prevalence Utilization Utilization Utilization
Characteristics N %15 N %16 N %17 N %18
Merced 6,314 8% 1,096 17% NR 507 8%
Napa 2,281 7% 193 8% NR 329 14%
Nevada 1,340 7% 259 19% NR 324 24%
Shasta 3,194 8% 822 26% NR 879 28%
Sutter 1,995 8% 286 14% NR 1,555 78%
Yolo 3,780 7% 235 6% NR 1,228 32%
Yuba 1,687 8% 499 30% NR -- --
MBA (Under 90,000)
Alpine 18 8% 2 11% NR 12 67%
Amador 503 8% 93 18% NR 49 10%
Calaveras 665 8% 98 15% NR 21 3%
Colusa 525 8% 75 14% NR 94 18%
Del Norte 509 8% 140 28% NR 181 36%
Glenn 656 8% 162 25% NR 79 12%
Inyo 288 8% 66 23% NR 75 26%
Lake 1,124 8% 144 13% NR 153 14%
Lassen 495 8% 134 27% NR 31 6%
Mariposa 242 7% 55 23% NR 131 54%
Modoc 149 8% 147 99% NR 79 53%
Mono 185 8% 21 11% NR 109 59%
Plumas 269 7% 44 16% NR 197 73%
San Benito 1,168 7% 150 13% NR 318 27%
Sierra 41 7% 0 0% NR 24 59%
Siskiyou 735 8% 218 30% NR 595 81%
Tehama 1,224 8% 257 21% NR 668 55%
Trinity 198 8% 52 26% NR 231 117%
Tuolumne 719 8% 213 30% NR 256 36%
Unlabelled 936 --
Out of State 9 --

CA BHNA Appendix A: DHCS Data 19

Table 1e: Penetration Rates for Alcohol or Drug Diagnosis Services – County Level
Alcohol or Drug
Diagnosis Medicaid ADP DMH
Prevalence Utilization Utilization Utilization
Characteristics N %19 N %20 N %21 N %22
Statewide 2,819,078 9% 99,408 4% 162,811 6% -- --
Large Counties (Over 800,000)
Alameda 102,093 8% 4,132 4% 7,417 7% N/A
Contra Costa 72,763 8% 1,638 2% 2,803 4% N/A
Fresno 72,728 9% 4,662 6% 7,207 10% N/A
Los Angeles 739,317 9% 30,618 4% 41,709 6% N/A
Orange 220,453 8% 2,013 1% 8,772 4% N/A
Riverside 181,077 8% 3,464 2% 7,631 4% N/A
Sacramento 105,925 9% 5,864 6% 6,785 6% N/A
San Bernardino 162,895 9% 4,519 3% 6,208 4% N/A
San Diego 234,402 9% 5,322 2% 13,600 6% N/A
San Francisco 63,453 9% 4,186 7% 5,657 9% N/A
Santa Clara 114,164 8% 2,446 2% 6,224 5% N/A
Ventura 61,584 9% 1,919 3% 3,273 5% N/A
Medium Counties (250,000-800,00)
Kern 70,759 10% 2,617 4% 2,361 3% N/A
Marin 19,019 9% 447 2% 1,644 9% N/A
Monterey 33,692 10% 673 2% 744 2% N/A
Placer 24,127 8% 774 3% 1,053 4% N/A
San Joaquin 50,248 9% 2,293 5% 3,974 8% N/A
San Luis Obispo 23,846 10% 264 1% 1,386 6% N/A
San Mateo 46,990 8% 587 1% 3,438 7% N/A
Santa Barbara 32,984 9% 1,828 6% 2,939 9% N/A
Santa Cruz 21,949 10% 725 3% 1,491 7% N/A
Solano 32,389 9% 596 2% 1,799 6% N/A
Sonoma 37,598 9% 2,533 7% 3,663 10% N/A
Stanislaus 39,805 9% 1,404 4% 2,264 6% N/A
Tulare 34,549 10% 1,569 5% 3,370 10% N/A
Small Counties (90,000-250,000)
Butte 19,642 10% 1,700 9% 1,376 7% N/A
El Dorado 13,773 8% 532 4% 790 6% N/A
Humboldt 12,615 11% 1,028 8% 974 8% N/A
Imperial 16,119 10% 922 6% 1,252 8% N/A
Kings 16,561 13% 281 2% 330 2% N/A
Madera 12,746 10% 392 3% 743 6% N/A
Mendocino 7,662 10% 707 9% 632 8% N/A

19
These percentages reflect the percent of the total population of the given county that suffer from SUD. The total populations of each county
included in the MH/SUD Prevalence source data.
20
These percentages reflect the number of individuals within each county who have an alcohol or drug diagnoses with (i.e. Alcohol
or Drug Prevalence) who utilize Medicaid services.
21
These percentages reflect the number of individuals within each county who have an alcohol or drug diagnoses with (i.e. Alcohol
or Drug Prevalence) who utilize ADP services.
22
These percentages reflect the number of individuals within each county who have an alcohol or drug diagnoses with (i.e. Alcohol
or Drug Prevalence) who utilize DMH services.
CA BHNA Appendix A: DHCS Data 20
 Alcohol or Drug
Diagnosis Medicaid ADP DMH
Prevalence Utilization Utilization Utilization
Characteristics N %19 N %20 N %21 N %22
Merced 19,988 9% 839 4% 1,064 5% N/A
Napa 10,975 9% 255 2% 861 8% N/A
Nevada 7,637 8% 312 4% 680 9% N/A
Shasta 15,218 9% 1,403 9% 1,498 10% N/A
Sutter 6,839 9% 75 1% -- -- N/A
Yolo 16,240 9% 273 2% 707 4% N/A
Yuba 6,307 10% 682 11% -- -- N/A
MBA (Under 90,000)
Alpine 126 10% 2 2% 5 4% N/A
Amador 3,864 11% 70 2% 52 1% N/A
Calaveras 3,430 8% 82 2% 202 6% N/A
Colusa 1,800 9% 28 2% 123 7% N/A
Del Norte 3,448 13% 176 5% 174 5% N/A
Glenn 2,352 9% 75 3% 227 10% N/A
Inyo 1,545 9% 59 4% 128 8% N/A
Lake 5,015 9% 714 14% 708 14% N/A
Lassen 5,240 16% 169 3% 275 5% N/A
Mariposa 1,546 9% 128 8% 248 16% N/A
Modoc 905 10% 64 7% 83 9% N/A
Mono 1,244 10% 8 1% 38 3% N/A
Plumas 1,630 8% 84 5% 16 1% N/A
San Benito 4,530 9% 76 2% 276 6% N/A
Sierra 305 9% 9 3% 20 7% N/A
Siskiyou 3,619 9% 237 7% 119 3% N/A
Tehama 5,284 10% 217 4% 464 9% N/A
Trinity 1,235 9% 52 4% 107 9% N/A
Tuolumne 5,227 10% 196 4% 333 6% N/A
Unlabelled 349 --
Out of State 119 --

CA BHNA Appendix A: DHCS Data 21

 Section II: Service Utilization

CA BHNA Appendix A: DHCS Data 22

Table 2: Medicaid Beneficiary Behavioral Health Expenditures 2009-2007
Mental Health Substance Use Median Total BH Average Total BH
Total Behavioral Service Service Expenditure Per Expenditure Per
Year N Health Expenditure Expenditure Expenditure User User
2009 564,480 $3,809,008,639 $3,402,989,285 $406,019,354 $1,410 $6,748
2008 540,804 $3,412,409,924 $3,033,223,151 $379,186,773 $1,393 $6,310
2007 523,072 $3,167,469,868 $2,849,197,909 $318,271,959 $1,291 $6,056

CA BHNA Appendix A: DHCS Data 23

Table 2.1a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009
Any Use
Median Average
Total Expenditure Expenditure
Characteristics N %23 Expenditure Per User Per User
Total 564,480 100% $3,809,008,639 $1,410 $6,748
Demographics
Age
0-13 121,286 21% $643,313,125 $1,962 $5,304
14-17 74,104 13% $522,963,765 $2,215 $7,057
18-21 30,035 5% $192,246,065 $1,403 $6,401
22-26 24,875 4% $168,631,165 $929 $6,779
27-64 280,653 50% $1,989,894,079 $1,201 $7,090
65+ 33,458 6% $291,813,612 $731 $8,722
Gender
Male 274,044 49% $2,054,228,544 $1,678 $7,496
Female 290,436 51% $1,754,780,095 $1,207 $6,042
Race / Ethnicity
White-NH 169,138 30% $1,466,265,916 $1,448 $8,669
African American-NH 61,543 11% $573,417,157 $1,769 $9,317
Asian-NH 7,500 1% $59,324,940 $889 $7,910
Pacific Islander-NH 13,460 2% $107,636,912 $1,142 $7,997
Native-NH 3,154 1% $24,144,952 $1,394 $7,655
Other 186,747 33% $799,843,420 $1,375 $4,283
Hispanic 117,863 21% $736,079,849 $1,337 $6,245
Unknown/Not Reported 4,898 1% $42,252,237 $1,410 $8,626
24
Service Categories
Residential 388 0.1% $4,261,872 -- $10,984
Emergency 74,121 13% $63,955,698 -- $863
Hospital/Inpatient 67,576 12% $1,414,862,390 -- $20,937
Mental Health Treatment Outpatient 419,371 74% $1,660,470,323 -- $3,959
Mental Health Rehabilitation 215,199 38% $228,056,014 -- $1,060
Substance Use Services 91,833 16% $387,482,774 -- $4,219
Medicaid Eligibility Categories
CalWorks (TANF) 6,224 1% $26,626,870 $740 $4,278
SSI/SSP <65 229,264 41% $1,917,333,207 $1,563 $8,363
SSI/SSP ≥ 65 7,988 1% $57,509,586 $562 $7,199
Other Eligibility Categories for ≥65 9,317 2% $116,504,188 $313 $12,504
Foster Care 44,875 8% $396,082,149 $3,052 $8,826
AFDC 171,002 30% $642,983,256 $1,153 $3,760
Other Disabled 40,107 7% $384,008,371 $1,346 $9,575
Other Child/Family 35,660 6% $166,691,579 $1,184 $4,674
Unknown 172 0% $647,098 $595 $3,762
All Remaining Other Eligibility Categories 19,872 4% $100,629,494 $1,437 $5,064
Cohort
SMI 255,603 45% $2,160,752,687 $1,410 $8,454

23
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries
in 2009. For example, of the 564,480 beneficiaries, 21% (or 121,286 individuals) were aged 0-13.
24
Individuals may appear in more than one service category
CA BHNA Appendix A: DHCS Data 24
 Any Use
Median Average
Total Expenditure Expenditure
Characteristics N %23 Expenditure Per User Per User
SED 99,661 18% $801,650,998 $2,859 $8,044
Substance Use Only 61,613 11% $292,283,905 $950 $4,744
Other BH Adult 62,679 11% $220,060,092 $458 $3,511
Other BH Youth 84,925 15% $334,268,116 $1,672 $3,936
Special Populations
Co-Occurring Mental Health/SUD 99,408 18% $976,876,124 $1,924 $9,827
Service Utilization
No outpatient MH/SUD service received 28,840 5% $216,420,541 $2,302 $7,504

CA BHNA Appendix A: DHCS Data 25

Table 2.1b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –
DMC/SMHS Services
Any Use
Median Average
Total Expenditure Expenditure
Characteristics N %25 Expenditure Per User Per User
Total 478,946 100% $2,185,397,045 $1,634 $4,563
Demographics
Age
0-13 111,335 23% $586,771,400 $2,261 $5,270
14-17 69,645 15% $430,650,914 $2,315 $6,184
18-21 26,886 6% $132,494,767 $1,516 $4,928
22-26 21,289 4% $85,693,736 $1,053 $4,025
27-64 234,588 49% $897,935,072 $1,353 $3,828
65+ 15,171 3% $51,796,900 $1,406 $3,414
Gender
Male 234,067 49% $1,204,699,552 $1,925 $5,147
Female 244,879 51% $980,697,493 $1,402 $4,005
Race / Ethnicity
White-NH 126,577 26% $705,000,427 $1,952 $5,570
African American-NH 52,677 11% $296,598,361 $1,944 $5,631
Asian-NH 5,271 1% $22,149,217 $1,336 $4,202
Pacific Islander-NH 10,731 2% $48,068,493 $1,427 $4,479
Native-NH 2,281 0.5% $13,734,587 $2,255 $6,021
Other 181,620 38% $638,091,215 $1,358 $3,513
Hispanic 96,193 20% $441,738,637 $1,750 $4,592
Unknown/Not Reported 3,594 1% $20,013,958 $1,864 $5,569
Medicaid Eligibility Categories
CalWorks (TANF) 4,156 1% $14,507,707 $1,345 $3,491
SSI/SSP <65 193,197 40% $959,255,051 $1,755 $4,965
SSI/SSP ≥ 65 3,054 1% $10,080,128 $1,562 $3,301
Other Eligibility Categories for ≥65 2,378 0.5% $5,878,931 $689 $2,472
Foster Care 41,930 9% $349,312,334 $3,351 $8,331
AFDC 156,804 33% $512,827,089 $1,281 $3,270
Other Disabled 29,598 6% $133,990,948 $1,659 $4,527
Other Child/Family 31,857 7% $134,481,544 $1,414 $4,221
Unknown 81 0% $461,001 $1,664 $5,691
All Remaining Other Eligibility Categories 15,892 3% $64,609,471 $1,776 $4,066
Cohort
SMI 220,352 46% $958,718,155 $1,430 $4,351
SED 91,621 19% $682,455,050 $3,156 $7,449
Substance Use Only 44,581 9% $133,782,807 $1,553 $3,001
Other BH Adult 42,056 9% $93,596,324 $783 $2,226
Other BH Youth 80,337 17% $316,851,868 $1,817 $3,944
Special Populations
Co-Occurring Mental Health/SUD 78,489 16% $434,336,230 $2,605 $5,534
Service Utilization
No outpatient MH/SUD service received 28,603 6% $155,985,981 $1,891 $5,453

25
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries
who received DMC/SMHS Services in 2009. For example, of the 478,946 DMC/SMHS beneficiaries, 23% (or 111,335 individuals) were
aged 0-13.
CA BHNA Appendix A: DHCS Data 26
Table 2.1c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –
FFS
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %26 Expenditure Per User Per User
Total 162,105 100% $1,623,611,594 $248 $10,016
Demographics
Age
0-13 16,563 10% $56,541,725 $102 $3,414
14-17 13,817 9% $92,312,851 $444 $6,681
18-21 7,510 5% $59,751,298 $384 $7,956
22-26 8,003 5% $82,937,429 $298 $10,363
27-64 95,315 59% $1,091,959,007 $306 $11,456
65+ 20,855 13% $240,016,712 $142 $11,509
Gender
Male 79,268 49% $849,528,992 $274 $10,717
Female 82,837 51% $774,082,602 $221 $9,345
Race / Ethnicity
White-NH 75,227 46% $761,265,489 $246 $10,120
African American-NH 21,677 13% $276,818,796 $374 $12,770
Asian-NH 3,124 2% $37,175,723 $145 $11,900
Pacific Islander-NH 4,927 3% $59,568,419 $168 $12,090
Native-NH 1,486 1% $10,410,365 $328 $7,006
Other 15,686 10% $161,752,205 $630 $10,312
Hispanic 37,766 23% $294,341,212 $145 $7,794
Unknown/Not Reported 2,036 1% $22,238,279 $228 $10,923
Medicaid Eligibility Categories
CalWorks (TANF) 2,693 2% $12,119,163 $107 $4,500
SSI/SSP <65 82,133 51% $958,078,156 $339 $11,665
SSI/SSP ≥ 65 5,415 3% $47,429,458 $108 $8,759
Other Eligibility Categories for ≥65 7,374 5% $110,625,257 $167 $15,002
Foster Care 9,722 6% $46,769,815 $162 $4,811
AFDC 26,051 16% $130,156,167 $176 $4,996
Other Disabled 16,620 10% $250,017,423 $312 $15,043
Other Child/Family 6,799 4% $32,210,035 $121 $4,737
Unknown 108 0.1% $186,097 $198 $1,723
All Remaining Other Eligibility Categories 5,190 3% $36,020,023 $225 $6,940
Cohort
SMI 87,729 54% $1,202,034,532 $683 $13,702
SED 20,695 13% $119,195,948 $227 $5,760
Substance Use Only 23,189 14% $158,501,098 $197 $6,835
Other BH Adult 23,292 14% $126,463,768 $68 $5,429
Other BH Youth 7,200 4% $17,416,248 $68 $2,419
Special Populations
Co-Occurring Mental Health/SUD 47,194 29% $542,539,894 $348 $11,496
Service Utilization
No outpatient MH/SUD service received 4,884 3% $60,434,560 $4,312 $12,374

26
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries
who received FFS Services in 2009. For example, of the 162,105 individuals who received FFS services, 10% (or 16,563 individuals)
were aged 0-13.
CA BHNA Appendix A: DHCS Data 27
Table 2.2a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %27 Expenditure Per User Per User
Total 540,804 100% $3,412,409,924 $1,393 $6,310
Demographics
Age
0-13 101,820 19% $509,802,266 $1,809 $5,007
14-17 66,244 12% $458,743,092 $2,328 $6,925
18-21 38,358 7% $254,434,858 $1,807 $6,633
22-26 24,483 5% $159,473,079 $958 $6,514
27-64 274,295 51% $1,776,215,286 $1,196 $6,476
65+ 35,524 7% $253,344,297 $655 $7,132
Gender
Male 261,524 48% $1,846,009,470 $1,654 $7,059
Female 279,280 52% $1,566,400,454 $1,192 $5,609
Race / Ethnicity
White-NH 147,186 27% $1,247,046,105 $1,323 $8,473
African American-NH 53,100 10% $465,717,332 $1,666 $8,771
Asian-NH 6,880 1% $43,258,556 $706 $6,288
Pacific Islander-NH 10,246 2% $85,043,417 $1,024 $8,300
Native-NH 2,695 0.5% $19,421,966 $1,086 $7,207
Other 219,047 41% $940,638,754 $1,493 $4,294
Hispanic 96,815 18% $575,733,040 $1,188 $5,947
Unknown/Not Reported 4,647 1% $35,458,040 $1,230 $7,630
28
Service Categories
Residential 436 0.1% $2,754,766 -- $6,318
Emergency 68,060 13% $57,002,598 -- $838
Hospital/Inpatient 67,407 12% $1,337,497,299 -- $19,842
Mental Health Treatment Outpatient 406,328 75% $1,384,244,304 -- $3,407
Mental Health Rehabilitation 204,380 38% $222,266,674 -- $1,088
Substance Use Services 86,246 16% $362,393,833 -- $4,202
Medicaid Eligibility Categories
CalWorks (TANF) 5,860 1% $22,592,844 $684 $3,855
SSI/SSP <65 226,747 42% $1,696,865,345 $1,504 $7,484
SSI/SSP ≥ 65 7,392 1% $29,315,198 $472 $3,966
Other Eligibility Categories for ≥65 9,605 2% $117,801,574 $244 $12,265
Foster Care 45,617 8% $379,518,842 $2,853 $8,320
AFDC 158,968 29% $585,574,644 $1,157 $3,684
Other Disabled 35,584 7% $333,479,646 $1,293 $9,372
Other Child/Family 30,732 6% $151,794,533 $1,327 $4,939
Unknown 178 0% $626,214 $725 $3,518
All Remaining Other Eligibility Categories 20,121 4% $94,841,084 $1,390 $4,714
Cohort
SMI 252,183 47% $1,943,244,257 $1,409 $7,706
SED 88,143 16% $677,137,648 $2,684 $7,682

27
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries
in 2008. For example, of the 540,804 beneficiaries, 19% (or 101,280 individuals) were aged 0-13.
28
Individuals may appear in more than one service category
CA BHNA Appendix A: DHCS Data 28
 Any Use Median Average
Total Expenditure Expenditure
Characteristics N %27 Expenditure Per User Per User
Substance Use Only 58,026 11% $275,868,155 $1,124 $4,754
Other BH Adult 68,470 13% $247,184,874 $540 $3,610
Other BH Youth 73,982 14% $268,974,990 $1,541 $3,636
Special Populations
Co-Occurring Mental Health/SUD 94,082 17% $869,905,566 $2,118 $9,246
Service Utilization
No outpatient MH/SUD service received 33,605 6% $254,869,667 $2,477 $7,584

CA BHNA Appendix A: DHCS Data 29

Table 2.2b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –
DMC/SMHS Services
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %29 Expenditure Per User Per User
Total 460,047 100% $2,079,691,535 $1,642 $4,521
Demographics
Age
0-13 92,307 20% $467,870,886 $2,144 $5,069
14-17 62,204 14% $386,931,989 $2,465 $6,220
18-21 35,112 8% $197,503,388 $1,948 $5,625
22-26 20,923 5% $87,249,213 $1,106 $4,170
27-64 231,907 50% $884,864,397 $1,373 $3,816
65+ 17,573 4% $55,090,502 $1,277 $3,135
Gender
Male 223,582 49% $1,146,575,580 $1,936 $5,128
Female 236,465 51% $933,115,955 $1,410 $3,946
Race / Ethnicity
White-NH 107,162 23% $600,557,452 $1,916 $5,604
African American-NH 44,845 10% $250,022,978 $1,923 $5,575
Asian-NH 4,763 1% $21,272,690 $1,152 $4,466
Pacific Islander-NH 7,813 2% $37,899,849 $1,439 $4,851
Native-NH 1,853 0.4% $10,035,196 $1,907 $5,416
Other 214,577 47% $796,428,900 $1,477 $3,712
Hispanic 75,595 16% $345,244,096 $1,701 $4,567
Unknown/Not Reported 3,431 1% $18,213,173 $1,823 $5,308
Medicaid Eligibility Categories
CalWorks (TANF) 3,817 1% $11,968,148 $1,318 $3,135
SSI/SSP <65 193,357 42% $938,779,950 $1,726 $4,855
SSI/SSP ≥ 65 3,047 1% $9,413,056 $1,418 $3,089
Other Eligibility Categories for ≥65 2,410 1% $5,386,987 $707 $2,235
Foster Care 42,684 9% $336,639,301 $3,160 $7,887
AFDC 145,466 32% $473,707,748 $1,292 $3,256
Other Disabled 26,408 6% $116,927,293 $1,622 $4,428
Other Child/Family 26,788 6% $122,990,588 $1,659 $4,591
Unknown 79 0% $520,046 $2,274 $6,583
All Remaining Other Eligibility Categories 15,991 3% $63,358,418 $1,747 $3,962
Cohort
SMI 220,854 48% $980,612,996 $1,474 $4,440
SED 80,909 18% $585,853,187 $3,013 $7,241
Substance Use Only 41,793 9% $129,577,992 $1,836 $3,100
Other BH Adult 47,451 10% $126,911,455 $896 $2,675
Other BH Youth 69,040 15% $256,735,905 $1,719 $3,719
Special Populations
Co-Occurring Mental Health/SUD 74,478 16% $414,171,052 $2,837 $5,561
Service Utilization
No outpatient MH/SUD service received 33,374 7% $198,497,493 $2,150 $5,948

29
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries
who received DMC/SMHS Services in 2008. For example, of the 460,047 DMC/SMHS recipients, 20% (or 92,307 individuals) were
aged 0-13.
CA BHNA Appendix A: DHCS Data 30
Table 2.2c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –
FFS
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %30 Expenditure Per User Per User
Total 149,939 100% $1,332,718,389 $212 $8,888
Demographics
Age
0-13 14,448 10% $41,931,380 $90 $2,902
14-17 11,549 8% $71,811,103 $356 $6,218
18-21 8,496 6% $56,931,470 $346 $6,701
22-26 7,686 5% $72,223,866 $270 $9,397
27-64 87,114 58% $891,350,889 $262 $10,232
65+ 20,583 14% $198,253,795 $116 $9,632
Gender
Male 73,573 49% $699,433,890 $234 $9,507
Female 76,366 51% $633,284,499 $192 $8,293
Race / Ethnicity
White-NH 70,109 47% $646,488,653 $211 $9,221
African American-NH 19,070 13% $215,694,354 $318 $11,311
Asian-NH 2,970 2% $21,985,866 $136 $7,403
Pacific Islander-NH 4,290 3% $47,143,568 $130 $10,989
Native-NH 1,431 1% $9,386,770 $256 $6,560
Other 15,169 10% $144,209,854 $709 $9,507
Hispanic 34,837 23% $230,488,944 $124 $6,616
Unknown/Not Reported 1,881 1% $17,244,867 $142 $9,168
Medicaid Eligibility Categories
CalWorks (TANF) 2,570 2% $10,624,696 $98 $4,134
SSI/SSP <65 74,869 50% $758,085,395 $292 $10,125
SSI/SSP ≥ 65 4,729 3% $19,902,142 $97 $4,209
Other Eligibility Categories for ≥65 7,649 5% $112,414,587 $118 $14,697
Foster Care 9,525 6% $42,879,541 $164 $4,502
AFDC 24,217 16% $111,866,896 $153 $4,619
Other Disabled 14,381 10% $216,552,353 $276 $15,058
Other Child/Family 6,584 4% $28,803,945 $105 $4,375
Unknown 111 0.1 % $106,168 $428 $956
All Remaining Other Eligibility Categories 5,304 4% $31,482,666 $167 $5,936
Cohort
SMI 79,541 53% $962,631,261 $526 $12,102
SED 17,335 12% $91,284,461 $191 $5,266
Substance Use Only 22,259 15% $146,290,163 $204 $6,572
Other BH Adult 24,041 16% $120,273,419 $68 $5,003
Other BH Youth 6,763 5% $12,239,085 $57 $1,810
Special Populations
Co-Occurring Mental Health/SUD 43,716 29% $455,734,514 $333 $10,425
Service Utilization
No outpatient MH/SUD service received 4,369 3% $56,372,174 $5,700 $12,903

30
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries
who received FFS Services in 2008. For example, of the 149,939 individuals who received FFS services, 10% (or 14,448 individuals)
were aged 0-13.
CA BHNA Appendix A: DHCS Data 31
Table 2.3a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007

Any Use Median Average

Total Expenditure Expenditure
Characteristics N %31 Expenditure Per User Per User
Total 523,072 100% $3,167,469,868 $1,291 $6,056
Demographics
Age
0-13 83,781 16% $387,157,032 $1,623 $4,621
14-17 58,968 11% $379,490,917 $2,136 $6,436
18-21 46,387 9% $307,722,273 $1,902 $6,634
22-26 25,279 5% $162,976,358 $949 $6,447
27-64 269,066 51% $1,691,564,922 $1,138 $6,287
65+ 39,508 8% $238,242,365 $567 $6,030
Gender
Male 250,987 48% $1,690,558,371 $1,543 $6,736
Female 272,085 52% $1,476,911,497 $1,107 $5,428
Race / Ethnicity
White-NH 90,137 46% $640,753,920 $1,291 $7,109
African American-NH 37,676 19% $263,422,659 $1,460 $6,992
Asian-NH 1,302 1% $6,470,828 $1,071 $4,970
Pacific Islander-NH 5,609 3% $27,719,001 $781 $4,942
Native-NH 1,305 1% $8,426,765 $1,263 $6,457
Other 0 -- -- -- --
Hispanic 56,806 29% $280,766,990 $1,266 $4,943
Unknown/Not Reported 4,510 2% $30,269,039 $1,059 $6,712
Service Categories32
Residential 547 0.1% $2,906,368 -- $5,313
Emergency 65,302 12% $53,418,724 -- $818
Hospital/Inpatient 67,113 13% $1,321,482,746 -- $19,690
Mental Health Treatment Outpatient 388,962 74% $1,236,590,551 -- $3,179
Mental Health Rehabilitation 195,311 37% $205,984,563 -- $1,055
Substance Use Services 82,778 16% $313,558,067 -- $3,788
Medicaid Eligibility Categories
CalWorks (TANF) 6,067 1% $21,575,422 $443 $3,556
SSI/SSP <65 222,119 42% $1,603,622,323 $1,431 $7,220
SSI/SSP ≥ 65 7,367 1% $25,095,819 $338 $3,407
Other Eligibility Categories for ≥65 9,976 2% $102,362,584 $158 $10,261
Foster Care 44,840 9% $365,414,253 $2,695 $8,149
AFDC 150,521 29% $531,200,837 $1,093 $3,529
Other Disabled 34,069 7% $305,179,391 $1,190 $8,958
Other Child/Family 29,016 6% $131,168,586 $1,100 $4,521
Unknown 10 0% $20,976 $1,675 $2,098
All Remaining Other Eligibility Categories 19,087 4% $81,829,677 $1,129 $4,287
Cohort
SMI 249,829 48% $1,893,059,556 $1,388 $7,577

31
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries
in 2007. For example, of the 523,072 beneficiaries, 16% (or 83,781 individuals) were aged 0-13.
32
Individuals may appear in more than one service category
CA BHNA Appendix A: DHCS Data 32
 Any Use Median Average
Total Expenditure Expenditure
Characteristics N %31 Expenditure Per User Per User
SED 75,903 15% $541,937,699 $2,441 $7,140
Substance Use Only 56,330 11% $238,846,277 $1,053 $4,240
Other BH Adult 77,523 15% $287,046,307 $538 $3,703
Other BH Youth 63,487 12% $206,580,029 $1,345 $3,254
Special Populations
Co-Occurring Mental Health/SUD 91,331 17% $802,538,619 $2,034 $8,787
Service Utilization
No outpatient MH/SUD service received 32,096 6% $232,436,187 $2,397 $7,242

CA BHNA Appendix A: DHCS Data 33

Table 2.3b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 –
DMC/SMHS Services
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %33 expenditure Per User Per User
Total 437,620 100% $1,824,824,503 $1,540 $4,170
Demographics
Age
0-13 74,711 17% $344,449,357 $1,976 $4,610
14-17 54,994 13% $317,630,324 $2,288 $5,776
18-21 42,578 10% $238,225,851 $2,017 $5,595
22-26 21,005 5% $80,467,970 $1,111 $3,831
27-64 224,864 51% $790,517,914 $1,308 $3,516
65+ 19,443 4% $53,470,753 $1,130 $2,750
Gender
Male 211,844 48% $1,000,449,093 $1,817 $4,723
Female 225,776 52% $824,375,410 $1,333 $3,651
Race / Ethnicity
White-NH 68,819 44% $332,564,256 $1,718 $4,832
African American-NH 32,271 21% $150,091,337 $1,645 $4,651
Asian-NH 947 1% $3,387,827 $1,349 $3,577
Pacific Islander-NH 4,356 3% $13,751,831 $1,018 $3,157
Native-NH 1,032 1% $4,973,014 $1,676 $4,819
Other 0 -- -- -- --
Hispanic 45,630 29% $188,429,647 $1,701 $4,130
Unknown/Not Reported 3,263 2% $15,480,485 $1,578 $4,744
Medicaid Eligibility Categories
CalWorks (TANF) 3,391 1% $9,018,569 $1,131 $2,660
SSI/SSP <65 188,116 43% $827,331,303 $1,632 $4,398
SSI/SSP ≥ 65 2,845 1% $7,271,233 $1,201 $2,556
Other Eligibility Categories for ≥65 2,226 1% $4,497,638 $593 $2,021
Foster Care 41,716 10% $315,873,181 $2,980 $7,572
AFDC 136,241 31% $409,296,427 $1,222 $3,004
Other Disabled 24,715 6% $103,359,643 $1,556 $4,182
Other Child/Family 24,022 5% $96,469,325 $1,472 $4,016
Unknown 8 0% $15,282 $1,621 $1,910
All Remaining Other Eligibility Categories 14,340 3% $51,691,902 $1,554 $3,605
Cohort
SMI 218,199 50% $914,629,017 $1,437 $4,192
SED 69,292 16% $462,090,677 $2,758 $6,669
Substance Use Only 39,932 9% $109,890,985 $1,681 $2,752
Other BH Adult 52,184 12% $144,281,941 $942 $2,765
Other BH Youth 58,013 13% $193,931,883 $1,556 $3,343
Special Populations
Co-Occurring Mental Health/SUD 71,492 16% $355,734,082 $2,635 $4,976
Service Utilization
No outpatient MH/SUD service received 31,703 7% $183,457,945 $2,114 $5,787

33
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries
who received DMC/SMHS services in 2007. For example, of the 437,620 DMC/SMHS recipients, 17% (or 74,711 individuals) were
aged 0-13.
CA BHNA Appendix A: DHCS Data 34
Table 2.3c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 –
FFS
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %34 Expenditure Per User Per User
Total 150,329 100% $1,342,645,365 $158 $8,931
Demographics
Age
0-13 12,949 9% $42,707,675 $74 $3,298
14-17 9,844 7% $61,860,593 $184 $6,284
18-21 10,116 7% $69,496,422 $300 $6,870
22-26 8,208 5% $82,508,388 $204 $10,052
27-64 86,161 57% $901,047,008 $210 $10,458
65+ 22,991 15% $184,771,612 $87 $8,037
Gender
Male 72,476 48% $690,109,278 $186 $9,522
Female 77,853 52% $652,536,087 $136 $8,382
Race / Ethnicity
White-NH 33,903 23% $308,189,664 $154 $9,090
African American-NH 10,882 7% $113,331,322 $231 $10,415
Asian-NH 473 0.3% $3,083,001 $140 $6,518
Pacific Islander-NH 1,724 1% $13,967,170 $100 $8,102
Native-NH 475 0.3% $3,453,751 $256 $7,271
Other 0 -- -- -- --
Hispanic 16,608 25% $92,337,343 $79 $5,560
Unknown/Not Reported 1,872 3% $14,788,554 $113 $7,900
Medicaid Eligibility Categories
CalWorks (TANF) 3,121 2% $12,556,853 $62 $4,023
SSI/SSP <65 73,263 49% $776,291,020 $234 $10,596
SSI/SSP ≥ 65 4,895 3% $17,824,586 $76 $3,641
Other Eligibility Categories for ≥65 8,188 5% $97,864,946 $83 $11,952
Foster Care 9,842 7% $49,541,072 $139 $5,034
AFDC 23,898 16% $121,904,410 $129 $5,101
Other Disabled 14,024 9% $201,819,748 $220 $14,391
Other Child/Family 7,357 5% $34,699,261 $68 $4,716
Unknown 6 0% $5,694 $84 $949
All Remaining Other Eligibility Categories 5,735 4% $30,137,775 $109 $5,255
Cohort
SMI 78,520 52% $978,430,539 $428 $12,461
SED 14,729 10% $79,847,022 $145 $5,421
Substance Use Only 21,707 14% $128,955,292 $191 $5,941
Other BH Adult 28,567 19% $142,764,366 $54 $4,998
Other BH Youth 6,806 5% $12,648,146 $41 $1,858
Special Populations
Co-Occurring Mental Health/SUD 42,576 28% $446,804,537 $318 $10,494
Service Utilization
No outpatient MH/SUD service received 3,692 2% $48,978,242 $5,600 $13,266

34
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries
who received FFS services in 2007. For example, of the 150,329 individuals who received FFS services, 9% (or 12,949 individuals)
were aged 0-13.
CA BHNA Appendix A: DHCS Data 35
Table 2.4a: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries
2009
Median Average
Any Use
Total Expenditure Expenditure
Characteristics N %35 Expenditure Per User Per User
Total 52,837 100% $493,333,696 $3,282 $9,337
Demographics
Age
0-13 28,794 54% $228,641,632 $2,849 $7,941
14-17 19,384 37% $221,344,100 $4,146 $11,419
18-21 4,583 9% $43,018,124 $3,053 $9,386
22-26 67 0.1% $324,583 $795 $4,845
Gender
Male 29,467 56% $271,676,142 $3,265 $9,220
Female 23,370 44% $221,657,554 $3,305 $9,485
Race / Ethnicity
White-NH 21,031 40% $219,794,975 $3,754 $10,451
African American-NH 9,378 18% $95,231,510 $3,502 $10,155
Asian-NH 345 1% $4,019,854 $3,088 $11,652
Pacific Islander-NH 256 0.5% $3,286,718 $3,435 $12,839
Native-NH 420 1% $3,936,263 $2,658 $9,372
Other 7,724 15% $50,139,492 $2,733 $6,491
Hispanic 13,247 25% $110,094,790 $2,869 $8,311
Unknown/Not Reported 436 1% $6,830,094 $4,313 $15,665
Service Categories36
Residential 0 -- -- -- --
Emergency 4,835 9% $6,363,439 -- $1,316
Hospital/Inpatient 3,622 7% $68,283,254 -- $18,852
Mental Health Treatment Outpatient 47,586 90% $347,026,964 -- $7,293
Mental Health Rehabilitation 24,488 46% $42,386,175 -- $1,731
Substance Use Services 5,751 11% $14,668,620 -- $2,551
Cohort
SMI 1,996 4% $29,073,790 $5,824 $14,566
SED 27,209 51% $336,379,230 $4,603 $12,363
Substance Use Only 2,090 4% $10,516,208 $1,504 $5,032
Other BH Adult 2,110 4% $12,743,024 $2,198 $6,039
Other BH Youth 19,432 37% $104,621,444 $2,334 $5,384

35
This column represents the percentage of individuals who are in a given characteristic category of the total Foster Care Medicaid
Beneficiaries in 2009. For example, of the 52,837 foster care Medicaid beneficiaries, 54% (or 28,794 individuals) were aged 0-13.
36
Individuals may appear in more than one service category
CA BHNA Appendix A: DHCS Data 36
Table 2.4b: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries
2009 – DMC/SMHS Services
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %37 Expenditure Per User Per User
Total 47,958 100% $420,962,480 $3,670 $8,778
Demographics
Age
0-13 25,853 54% $202,212,774 $3,322 $7,822
14-17 17,879 37% $183,789,590 $4,455 $10,280
18-21 4,180 9% $34,781,785 $3,278 $8,321
22-26 43 0.1% $176,378 $1,278 $4,102
Gender
Male 26,351 55% $238,631,189 $3,725 $9,056
Female 21,607 45% $182,331,291 $3,600 $8,439
Race / Ethnicity
White-NH 18,570 39% $183,734,139 $4,337 $9,894
African American-NH 8,494 18% $80,745,361 $3,956 $9,506
Asian-NH 300 1% $3,030,607 $4,296 $10,102
Pacific Islander-NH 232 0.5% $2,399,753 $3,790 $10,344
Native-NH 331 1% $3,060,346 $3,381 $9,246
Other 7,635 16% $47,636,061 $2,725 $6,239
Hispanic 11,995 25% $95,148,936 $3,219 $7,932
Unknown/Not Reported 401 1% $5,207,277 $4,588 $12,986
Cohort
SMI 1,893 4% $21,601,381 $5,387 $11,411
SED 24,112 50% $280,806,065 $5,314 $11,646
Substance Use Only 1,661 3% $6,385,665 $1,855 $3,844
Other BH Adult 1,869 4% $12,019,682 $2,463 $6,431
Other BH Youth 18,423 38% $100,149,687 $2,506 $5,436

37
This column represents the percentage of individuals who are in a given characteristic category of the total Foster Care Medicaid
Beneficiaries who received DMC/SMHS services. For example, of the 47,958 foster care DMH/SMHS recipients, 54% (or 25,853 individuals)
were aged 0-13.
CA BHNA Appendix A: DHCS Data 37
Table 2.4c: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries
2009 – FFS
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %38 Expenditure Per User Per User
Total 11,156 100% $61,923,129 $196 $5,551
Demographics
Age
0-13 4,691 42% $21,821,567 $124 $4,652
14-17 5,232 47% $32,946,474 $339 $6,297
18-21 1,209 11% $7,047,030 $329 $5,829
22-26 21 0.2% $107,366 $418 $5,113
Gender
Male 6,935 62% $27,026,837 $162 $3,897
Female 4,221 38% $34,896,292 $284 $8,267
Race / Ethnicity
White-NH 5,304 48% $30,846,123 $239 $5,816
African American-NH 2,124 19% $12,314,147 $152 $5,798
Asian-NH 78 1% $906,183 $119 $11,618
Pacific Islander-NH 63 1% $823,140 $213 $13,066
Native-NH 96 1% $652,964 $227 $6,802
Other 338 3% $2,002,608 $473 $5,925
Hispanic 3,030 27% $12,842,743 $165 $4,239
Unknown/Not Reported 123 1% $1,535,221 $752 $12,481
Cohort
SMI 692 6% $6,763,454 $798 $9,774
SED 7,703 69% $47,559,043 $216 $6,174
Substance Use Only 863 8% $4,096,431 $243 $4,747
Other BH Adult 361 3% $207,409 $81 $575
Other BH Youth 1,537 14% $3,296,792 $88 $2,145

38
This column represents the percentage of individuals who are in a given characteristic category of the total Foster Care Medicaid
Beneficiaries who received FFS services in 2009. For example, of the 11,156 individuals who received FFS services, 42% (or 4,691
individuals) were aged 0-13.

CA BHNA Appendix A: DHCS Data 38

Table 2.5a: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries
2008
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %39 Expenditure Per User Per User
Total 51,209 100% $451,281,748 $2,891 $8,813
Demographics
Age
0-13 24,453 48% $171,411,222 $2,346 $7,010
14-17 17,413 34% $187,483,155 $3,648 $10,767
18-21 9,209 18% $91,466,003 $3,342 $9,932
22-26 123 0.2% $702,189 $676 $5,709
Gender
Male 28,414 55% $251,619,727 $2,889 $8,855
Female 22,795 45% $199,662,021 $2,894 $8,759
Race / Ethnicity
White-NH 17,822 35% $187,160,575 $3,319 $10,502
African American-NH 8,708 17% $78,655,006 $2,971 $9,032
Asian-NH 261 1% $2,916,802 $2,097 $11,175
Pacific Islander-NH 184 0% $1,593,403 $1,955 $8,660
Native-NH 321 1% $3,110,682 $1,768 $9,691
Other 12,555 25% $79,887,485 $2,632 $6,363
Hispanic 11,015 22% $92,709,907 $2,635 $8,417
Unknown/Not Reported 343 1% $5,247,888 $3,963 $15,300
40
Service Categories
Residential 1 0% $95 -- $95
Emergency 4,751 9% $6,145,911 -- $1,294
Hospital/Inpatient 3,364 7% $59,723,714 -- $17,754
Mental Health Treatment Outpatient 47,874 93% $327,609,039 -- $6,843
Mental Health Rehabilitation 23,876 47% $40,799,471 -- $1,709
Substance Use Services 5,870 11% $12,534,909 -- $2,135
Cohort
SMI 4,004 8% $60,996,146 $6,027 $15,234
SED 23,493 46% $272,428,153 $3,935 $11,596
Substance Use Only 2,425 5% $9,023,409 $1,783 $3,721
Other BH Adult 4,092 8% $26,941,567 $2,202 $6,584
Other BH Youth 17,195 34% $81,892,473 $1,991 $4,763

39
This column represents the percentage of individuals who are in a given characteristic category of the total Foster Care Medicaid
Beneficiaries in 2008. For example, of the 51,209 beneficiaries in 2008, 48% (or 24,453 individuals) were aged 0-13.
40
Individuals may appear in more than one service category
CA BHNA Appendix A: DHCS Data 39
Table 2.5b: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries
2008 – DMC/SMHS Services
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %41 Expenditure Per User Per User
Total 48,208 100% $398,353,286 $3,421 $8,263
Demographics
Age
0-13 22,757 47% $159,767,037 $2,925 $7,021
14-17 16,586 34% $160,898,588 $4,124 $9,701
18-21 8,761 18% $77,049,363 $3,752 $8,795
22-26 98 0.2% $471,672 $1,288 $4,813
Gender
Male 26,500 55% $226,239,327 $3,504 $8,537
Female 21,708 45% $172,113,959 $3,322 $7,929
Race / Ethnicity
White-NH 16,408 34% $160,343,874 $4,308 $9,772
African American-NH 8,095 17% $70,106,411 $3,669 $8,660
Asian-NH 235 0.5% $2,253,857 $2,765 $9,591
Pacific Islander-NH 161 0.3% $1,412,876 $2,778 $8,776
Native-NH 291 1% $2,557,487 $3,283 $8,789
Other 12,516 26% $77,005,052 $2,643 $6,153
Hispanic 10,172 21% $80,292,457 $3,245 $7,893
Unknown/Not Reported 330 1% $4,381,272 $4,924 $13,277
Cohort
SMI 3,906 8% $47,854,285 $5,999 $12,251
SED 21,809 45% $237,787,041 $4,848 $10,903
Substance Use Only 1,995 4% $7,519,918 $2,304 $3,769
Other BH Adult 3,881 8% $25,700,294 $2,701 $6,622
Other BH Youth 16,617 34% $79,491,748 $2,195 $4,784

41
This column represents the percentage of individuals who are in a given characteristic category of the total Foster Care Medicaid
Beneficiaries who received DMC/SMHS services in 2008. For example, of the 48,208 Foster Care DMC/SMHS recipients in 2008, 47% (or
22,757 individuals) were aged 0-13.
CA BHNA Appendix A: DHCS Data 40
Table 2.5c: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries
2008 – FFS
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %42 Expenditure Per User Per User
Total 10,815 100% $52,928,462 $192 $4,894
Demographics
Age
0-13 3,891 36% $11,644,185 $113 $2,993
14-17 4,313 40% $26,584,567 $314 $6,164
18-21 2,560 24% $14,416,640 $375 $5,631
22-26 44 0.4% $230,517 $172 $5,239
Gender
Male 6,752 62% $25,380,400 $174 $3,759
Female 4,063 38% $27,548,062 $229 $6,780
Race / Ethnicity
White-NH 5,146 48% $26,816,701 $201 $5,211
African American-NH 2,111 20% $8,548,595 $165 $4,050
Asian-NH 70 1% $662,945 $102 $9,471
Pacific Islander-NH 56 1% $180,527 $122 $3,224
Native-NH 99 1% $553,195 $135 $5,588
Other 416 4% $2,882,433 $657 $6,929
Hispanic 2,823 26% $12,417,450 $162 $4,399
Unknown/Not Reported 94 1% $866,616 $508 $9,219
Cohort
SMI 1,466 14% $13,141,861 $730 $8,964
SED 6,454 60% $34,641,112 $171 $5,367
Substance Use Only 959 9% $1,503,491 $284 $1,568
Other BH Adult 710 7% $1,241,273 $109 $1,748
Other BH Youth 1,226 11% $2,400,725 $91 $1,958

42
This column represents the percentage of individuals who are in a given characteristic category of the total Foster Care Medicaid
Beneficiaries received FFS services in 2008. For example, of the 10,815 individuals who received FFS services in 2008, 36% (or 3,891
individuals) were aged 0-13.

CA BHNA Appendix A: DHCS Data 41

Table 2.6a: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries
2007
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %43 Expenditure Per User Per User
Total 50,232 100% $433,470,123 $2,937 $8,629
Demographics
Age
0-13 20,619 41% $136,269,605 $2,404 $6,609
14-17 15,511 31% $160,232,419 $3,486 $10,330
18-21 13,420 27% $132,028,636 $3,368 $9,838
22-26 667 1% $4,869,526 $1,973 $7,301
Gender
Male 27,961 56% $243,259,376 $2,932 $8,700
Female 22,271 44% $190,210,747 $2,945 $8,541
Race / Ethnicity
White-NH 14,009 28% $131,499,410 $3,300 $9,387
African American-NH 7,694 15% $66,904,269 $2,925 $8,696
Asian-NH 117 0% $938,094 $2,766 $8,018
Pacific Islander-NH 125 0% $854,927 $2,765 $6,839
Native-NH 267 1% $2,008,087 $2,360 $7,521
Other 0 -- -- -- --
Hispanic 8,407 17% $66,595,093 $2,721 $7,921
Unknown/Not Reported 339 1% $4,303,406 $4,027 $12,694
Service Categories44
Residential 1 0% $9,459 -- $9,459
Emergency 4,748 9% $5,897,106 -- $1,242
Hospital/Inpatient 3,468 7% $66,554,978 -- $19,191
Mental Health Treatment Outpatient 46,817 93% $303,416,312 -- $6,481
Mental Health Rehabilitation 22,822 45% $41,764,081 -- $1,830
Substance Use Services 5,761 11% $12,085,773 -- $2,098
Cohort
SMI 5,852 12% $89,180,941 $6,032 $15,239
SED 20,524 41% $225,291,257 $3,916 $10,977
Substance Use Only 2,575 5% $10,069,853 $1,561 $3,911
Other BH Adult 6,364 13% $41,642,366 $2,382 $6,543
Other BH Youth 14,917 30% $67,285,706 $1,936 $4,511

43
This column represents the percentage of individuals who are in a given characteristic category of the total Foster Care Medicaid
Beneficiaries in 2007. For example, of the 50,232 beneficiaries in 2007, 41% (or 20,619 individuals) were aged 0-13.
44
Individuals may appear in more than one service category
CA BHNA Appendix A: DHCS Data 42
Table 2.6b: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries
2007 – DMC/SMHS Services
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %45 Expenditure Per User Per User
Total 47,037 100% $369,718,389 $3,196 $7,860
Demographics
Age
0-13 19,098 41% $122,782,666 $2,735 $6,429
14-17 14,665 31% $135,134,158 $3,674 $9,215
18-21 12,654 27% $107,943,214 $3,448 $8,530
22-26 612 1% $3,801,111 $2,181 $6,211
Gender
Male 25,948 55% $208,863,290 $3,240 $8,049
Female 21,089 45% $160,855,099 $3,141 $7,627
Race / Ethnicity
White-NH 12,846 27% $111,666,047 $3,760 $8,693
African American-NH 7,120 15% $57,353,353 $3,254 $8,055
Asian-NH 107 0.2% $833,585 $2,992 $7,791
Pacific Islander-NH 115 0% $655,053 $2,800 $5,696
Native-NH 242 1% $1,751,776 $2,630 $7,239
Other 0 -- -- -- --
Hispanic 7,787 17% $58,762,789 $3,061 $7,546
Unknown/Not Reported 324 1% $3,364,644 $4,168 $10,385
Cohort
SMI 5,711 12% $66,124,779 $5,400 $11,578
SED 18,944 40% $191,502,952 $4,343 $10,109
Substance Use Only 2,064 4% $7,282,892 $1,906 $3,529
Other BH Adult 5,986 13% $40,261,721 $2,605 $6,726
Other BH Youth 14,332 30% $64,546,045 $2,050 $4,504

45
This column represents the percentage of individuals who are in a given characteristic category of the total Foster Care Medicaid
Beneficiaries who received DMC/SMHS services in 2007. For example, of the 47,037 Foster Care DMC/SMHS recipients in 2007, 41% (or
19,098 individuals) were aged 0-13.
CA BHNA Appendix A: DHCS Data 43
Table 2.6c: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries
2007 – FFS
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %46 Expenditure Per User Per User
Total 11,068 100% $63,751,734 $156 $5,760
Demographics
Age
0-13 3,296 30% $13,486,939 $98 $4,092
14-17 3,670 33% $25,098,261 $182 $6,839
18-21 3,925 35% $24,085,422 $350 $6,136
22-26 168 2% $1,068,415 $139 $6,360
Gender
Male 6,879 62% $34,396,086 $149 $5,000
Female 4,189 38% $29,355,648 $180 $7,008
Race / Ethnicity
White-NH 3,461 31% $19,833,363 $131 $5,731
African American-NH 1,775 16% $9,550,916 $124 $5,381
Asian-NH 24 0% $104,509 $122 $4,355
Pacific Islander-NH 28 0% $199,874 $174 $7,138
Native-NH 66 1% $256,311 $167 $3,884
Other 0 -- -- -- --
Hispanic 1,868 17% $7,832,304 $135 $4,193
Unknown/Not Reported 88 1% $938,762 $471 $10,668
Cohort
SMI 2,179 20% $23,056,162 $891 $10,581
SED 5,534 50% $33,788,305 $132 $6,106
Substance Use Only 1,134 10% $2,786,961 $245 $2,458
Other BH Adult 1,125 10% $1,380,645 $96 $1,227
Other BH Youth 1,096 10% $2,739,661 $75 $2,500

46
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries who
received FFS services in 2007. For example, of the 11,068 individuals who received FFS services, 30% (or 3,296 individuals) were aged 0-13.

CA BHNA Appendix A: DHCS Data 44

Table 2.7a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries – EPSDT
2009
Any Use
Median Average
Total Expenditure Expenditure
Characteristics N %47 Expenditure Per User Per User
Total 28,903 100% $122,329,659 $607 $4,232
Demographics
Age
0-13 20,275 70% $70,701,595 $536 $3,487
14-17 8,526 29% $50,515,165 $828 $5,925
18-21 102 0% $1,117,894 $1,244 $10,960
22-26 0 -- -- -- --
Gender
Male 18,763 65% $78,193,267 $674 $4,167
Female 10,140 35% $44,136,392 $521 $4,353
Race / Ethnicity
White-NH 9,744 34% $48,134,471 $748 $4,940
African American-NH 2,081 7% $13,576,935 $759 $6,524
Asian-NH 311 1% $871,592 $290 $2,803
Pacific Islander-NH 161 1% $1,591,872 $408 $9,887
Native-NH 593 2% $2,604,418 $1,042 $4,392
Other 3,529 12% $18,773,236 $1,547 $5,320
Hispanic 11,796 41% $35,195,982 $373 $2,984
Unknown/Not Reported 417 1% $1,242,115 $498 $2,979
48
Service Categories
Residential 1 0% $1,170 -- $1,170
Emergency 1,282 4% $1,565,428 -- $1,221
Hospital/Inpatient 1,010 3% $22,040,811 -- $21,823
Mental Health Treatment Outpatient 9,793 34% $63,741,487 -- $6,509
Mental Health Rehabilitation 15,629 54% $12,100,917 -- $774
Substance Use Services 1,407 5% $2,174,328 -- $1,545
Cohort
SMI 53 0% $856,230 $2,325 $16,155
SED 19,202 19% $105,682,501 $959 $5,504
Substance Use Only 579 1% $1,419,299 $392 $2,451
Other BH Adult 42 0% $254,608 $1,108 $6,062
Other BH Youth 9,028 11% $14,124,180 $264 $1,564

47
This column represents the percentage of individuals who are in a given characteristic category of the total EPSDT Medicaid
Beneficiaries in 2009. For example, of the 28,903 beneficiaries, 70% (or 20,275 individuals) were aged 0-13.
48
Individuals may appear in more than one service category
CA BHNA Appendix A: DHCS Data 45
Table 2.7b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –
EPSDT DMC/SMHS Services
Any Use
Median Average
Total Expenditure Expenditure
Characteristics N %49 Expenditure Per User Per User
Total 18,299 100% $82,052,758 $619 $4,484
Demographics
Age
0-13 12,821 70% $49,827,776 $510 $3,886
14-17 5,424 30% $31,623,011 $1,098 $5,830
18-21 55 0% $609,130 $3,156 $11,075
22-26 0 0% -- -- --
Gender
Male 12,082 66% $54,132,957 $697 $4,480
Female 6,217 34% $27,919,801 $514 $4,491
Race / Ethnicity
White-NH 5,067 28% $30,960,325 $1,319 $6,110
African American-NH 1,529 8% $10,128,866 $928 $6,625
Asian-NH 223 1% $567,980 $250 $2,547
Pacific Islander-NH 110 1% $695,395 $287 $6,322
Native-NH 170 1% $1,471,185 $2,313 $8,654
Other 2,920 16% $13,437,512 $1,223 $4,602
Hispanic 8,143 44% $23,957,288 $300 $2,942
Unknown/Not Reported 138 1% $841,366 $989 $6,097
Cohort
SMI 38 0% $459,449 $3,374 $12,091
SED 12,677 69% $72,249,611 $1,156 $5,699
Substance Use Only 257 1% $446,100 $294 $1,736
Other BH Adult 16 0% $149,278 $2,474 $9,330
Other BH Youth 5,312 29% $8,755,479 $217 $1,648

49
This column represents the percentage of individuals who are in a given characteristic category of the total EPSDT Medicaid
Beneficiaries who received DMC/SMHS services in 2009. For example, of the 18,299 DMC/SMHS recipients, 70% (or 12,821
individuals) were aged 0-13.

CA BHNA Appendix A: DHCS Data 46

Table 2.7c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –EPSDT
FFS
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %50 Expenditure Per User Per User
Total 4,292 100% $20,691,889 $210 $4,821
Demographics
Age
0-13 2,513 59% $8,184,723 $176 $3,257
14-17 1,698 40% $12,161,403 $347 $7,162
18-21 80 2% $345,257 $122 $4,316
22-26 0 0% -- -- --
Gender
Male 2,831 66% $11,051,890 $187 $3,904
Female 1,461 34% $9,639,999 $280 $6,598
Race / Ethnicity
White-NH 1,778 41% $9,343,188 $242 $5,255
African American-NH 388 9% $2,344,907 $245 $6,044
Asian-NH 48 1% $205,479 $236 $4,281
Pacific Islander-NH 21 0% $800,912 $259 $38,139
Native-NH 77 2% $300,236 $521 $3,899
Other 429 10% $1,754,821 $277 $4,090
Hispanic 1,427 33% $5,799,317 $174 $4,064
Unknown/Not Reported 100 2% $130,743 $116 $1,307
Cohort
SMI 38 1% $307,118 $144 $8,082
SED 3,278 76% $17,953,236 $215 $5,477
Substance Use Only 374 9% $939,026 $392 $2,511
Other BH Adult 35 1% $32,038 $99 $915
Other BH Youth 567 13% $1,460,471 $121 $2,576

50
This column represents the percentage of individuals who are in a given characteristic category of the total EPSDT Medicaid Beneficiaries
who received FFS services in 2009. For example, of the 4,292 individuals who received FFS services, 59% (or 2,513 individuals) were aged 0-
13.

CA BHNA Appendix A: DHCS Data 47

Table 2.8a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries – EPSDT
2008
Any Use
Median Average
Total Expenditure Expenditure
Characteristics N %51 Expenditure Per User Per User
Total 16,285 100% $81,371,838 $558 $4,997
Demographics
Age
0-13 10,949 67% $43,414,853 $468 $3,965
14-17 5,186 32% $36,212,318 $968 $6,983
18-21 148 1% $1,742,455 $910 $11,773
22-26 0 0% -- -- --
Gender
Male 10,929 67% $53,035,594 $628 $4,853
Female 5,356 33% $28,336,244 $474 $5,291
Race / Ethnicity
White-NH 4,432 27% $31,728,245 $1,020 $7,159
African American-NH 1,452 9% $9,821,570 $657 $6,764
Asian-NH 386 2% $1,364,380 $259 $3,535
Pacific Islander-NH 101 1% $349,184 $195 $3,457
Native-NH 150 1% $736,497 $1,293 $4,910
Other 2,668 16% $15,792,450 $1,752 $5,919
Hispanic 6,891 42% $20,508,859 $259 $2,976
Unknown/Not Reported 193 1% $1,060,547 $170 $5,495
52
Service Categories
Residential 2 0% $3,064 -- $1,532
Emergency 1,059 7% $1,265,293 -- $1,195
Hospital/Inpatient 717 4% $15,482,820 -- $21,594
Mental Health Treatment Outpatient 8,257 51% $51,857,805 -- $6,280
Mental Health Rehabilitation 12,159 75% $9,136,238 -- $751
Substance Use Services 1,093 7% $2,671,314 -- $2,444
Cohort
SMI 68 0.4% $1,436,569 $2,842 $21,126
SED 11,248 69% $71,721,960 $1,043 $6,376
Substance Use Only 489 3% $1,804,892 $321 $3,691
Other BH Adult 65 0.4% $258,631 $132 $3,979
Other BH Youth 4,415 27% $6,149,786 $204 $1,393

51
This column represents the percentage of individuals who are in a given characteristic category of the total EPSDT Medicaid
Beneficiaries in 2008. For example, of the 16,285 beneficiaries, 67% (or 10,949 individuals) were aged 0-13.
52
Individuals may appear in more than one service category
CA BHNA Appendix A: DHCS Data 48
Table 2.8b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –
EPSDT DMC/SMHS Services
Any Use
Median Average
Total Expenditure Expenditure
Characteristics N %53 Expenditure Per User Per User
Total 14,535 100% $65,837,723 $699 $4,530
Demographics
Age
0-13 9,737 67% $37,288,902 $528 $3,830
14-17 4,715 32% $27,461,511 $1,124 $5,824
18-21 83 1% $1,087,310 $3,660 $13,100
22-26 0 0% -- -- --
Gender
Male 9,754 67% $45,189,554 $768 $4,633
Female 4,781 33% $20,648,169 $551 $4,319
Race / Ethnicity
White-NH 3,830 26% $23,921,655 $1,412 $6,246
African American-NH 1,293 9% $7,750,332 $859 $5,994
Asian-NH 369 3% $1,021,332 $249 $2,768
Pacific Islander-NH 79 1% $247,286 $268 $3,130
Native-NH 116 1% $679,576 $1,782 $5,858
Other 2,504 17% $14,205,499 $1,865 $5,673
Hispanic 6,240 43% $17,338,623 $284 $2,779
Unknown/Not Reported 104 1% $673,420 $515 $6,475
Cohort
SMI 57 0.4% $912,154 $5,927 $16,003
SED 10,133 70% $58,765,005 $1,279 $5,799
Substance Use Only 198 1% $397,879 $280 $2,009
Other BH Adult 25 0.2% $147,777 $1,574 $5,911
Other BH Youth 4,122 28% $5,614,908 $224 $1,362

53
This column represents the percentage of individuals who are in a given characteristic category of the total EPSDT Medicaid
Beneficiaries who received DMC/SMHS services in 2008. For example, of the 14,353 DMC/SMHS recipients, 67% (or 9,737
individuals) were aged 0-13.

CA BHNA Appendix A: DHCS Data 49

Table 2.8c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –EPSDT
FFS
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %54 Expenditure Per User Per User
Total 3,650 100% $15,534,115 $168 $4,256
Demographics
Age
0-13 2,119 58% $6,125,951 $146 $2,891
14-17 1,407 39% $8,750,807 $248 $6,219
18-21 122 3% $655,145 $107 $5,370
22-26 0 0% -- -- --
Gender
Male 2,431 67% $7,846,040 $159 $3,227
Female 1,219 33% $7,688,075 $196 $6,307
Race / Ethnicity
White-NH 1,443 40% $7,806,590 $228 $5,410
African American-NH 373 10% $2,071,238 $144 $5,553
Asian-NH 42 1% $343,048 $518 $8,168
Pacific Islander-NH 31 1% $101,898 $93 $3,287
Native-NH 67 2% $56,921 $256 $850
Other 432 12% $1,586,951 $256 $3,673
Hispanic 1,139 31% $3,170,236 $130 $2,783
Unknown/Not Reported 111 3% $387,127 $115 $3,488
Cohort
SMI 49 1% $524,415 $126 $10,702
SED 2,715 74% $12,956,955 $177 $4,772
Substance Use Only 354 10% $1,407,013 $339 $3,975
Other BH Adult 58 2% $110,854 $90 $1,911
Other BH Youth 474 13% $534,878 $108 $1,128

54
This column represents the percentage of individuals who are in a given characteristic category of the total EPSDT Medicaid Beneficiaries
who received FFS service in 2008. For example, of the 3,650 individuals who received FFS services, 58% (or 2,119 individuals) were aged 0-
13.
CA BHNA Appendix A: DHCS Data 50
Table 2.9a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries – EPSDT
2007
Any Use
Median Average
Total Expenditure Expenditure
Characteristics N %55 Expenditure Per User Per User
Total 13,932 100% $62,727,056 $550 $4,502
Demographics
Age
0-13 8,817 63% $29,371,242 $425 $3,331
14-17 4,873 35% $31,519,790 $1,000 $6,468
18-21 242 2% $1,836,024 $804 $7,587
22-26 0 0% -- -- --
Gender
Male 9,495 68% $42,856,958 $620 $4,514
Female 4,437 32% $19,870,098 $444 $4,478
Race / Ethnicity
White-NH 1,798 13% $13,836,358 $1,740 $7,695
African American-NH 596 4% $5,431,643 $1,378 $9,113
Asian-NH 29 0.2% $62,277 $471 $2,147
Pacific Islander-NH 27 0.2% $114,160 $262 $4,228
Native-NH 69 0.5% $346,432 $1,331 $5,021
Other 0 -- -- -- --
Hispanic 2,404 17% $8,155,611 $312 $3,393
Unknown/Not Reported 161 1% $582,399 $159 $3,617
56
Service Categories
Residential 1 0% $154 -- $154
Emergency 802 6% $830,443 -- $1,035
Hospital/Inpatient 653 5% $12,208,759 -- $18,696
Mental Health Treatment Outpatient 7,392 53% $40,304,762 -- $5,452
Mental Health Rehabilitation 10,077 72% $6,827,997 -- $678
Substance Use Services 674 5% $1,931,304 -- $2,865
Cohort
SMI 93 1% $1,439,914 $3,261 $15,483
SED 9,560 69% $54,183,790 $992 $5,668
Substance Use Only 333 2% $1,687,444 $326 $5,067
Other BH Adult 135 1% $382,980 $150 $2,837
Other BH Youth 3,811 27% $5,032,928 $197 $1,321

55
This column represents the percentage of individuals who are in a given characteristic category of the total EPSDT Medicaid
Beneficiaries in 2007. For example, of the 13,932 beneficiaries, 63% (or 8,817 individuals) were aged 0-13.
56
Individuals may appear in more than one service category
CA BHNA Appendix A: DHCS Data 51
Table 2.9b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 –
EPSDT DMC/SMHS Services
Any Use
Median Average
Total Expenditure Expenditure
Characteristics N %57 Expenditure Per User Per User
Total 12,290 100% $49,516,079 $685 $4,029
Demographics
Age
0-13 7,704 63% $24,676,937 $498 $3,203
14-17 4,441 36% $23,660,054 $1,165 $5,328
18-21 145 1% $1,179,088 $2,384 $8,132
22-26 0 -- -- -- --
Gender
Male 8,374 68% $35,100,146 $768 $4,192
Female 3,916 32% $14,415,933 $535 $3,681
Race / Ethnicity
White-NH 1,533 12% $10,733,213 $2,352 $7,001
African American-NH 491 4% $3,771,088 $2,231 $7,680
Asian-NH 27 0.2% $61,290 $583 $2,270
Pacific Islander-NH 19 0.2% $90,862 $711 $4,782
Native-NH 54 0.4% $229,184 $1,655 $4,244
Other 0 0% -- -- --
Hispanic 2,077 17% $6,579,453 $413 $3,168
Unknown/Not Reported 83 1% $468,186 $536 $5,641
Cohort
SMI 73 1% $811,239 $4,820 $11,113
SED 8,505 69% $43,617,936 $1,230 $5,129
Substance Use Only 150 1% $230,238 $240 $1,535
Other BH Adult 69 1% $362,012 $1,642 $5,247
Other BH Youth 3,493 28% $4,494,654 $212 $1,287

57
This column represents the percentage of individuals who are in a given characteristic category of the total EPSDT Medicaid
Beneficiaries who received DMC/SMHS services in 2007. For example, of the 12,290 DMC/SMHS recipients, 63% (or 7,704
individuals) were aged 0-13.
CA BHNA Appendix A: DHCS Data 52
Table 2.9c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 –
EPSDT FFS
Any Use Median Average
Total Expenditure Expenditure
Characteristics N %58 Expenditure Per User Per User
Total 3,302 100% $13,210,977 $140 $4,001
Demographics
Age
0-13 1,877 57% $4,694,305 $137 $2,501
14-17 1,239 38% $7,859,736 $159 $6,344
18-21 186 6% $656,936 $105 $3,532
22-26 0 0% -- -- --
Gender
Male 2,284 69% $7,756,812 $135 $3,396
Female 1,018 31% $5,454,165 $154 $5,358
Race / Ethnicity
White-NH 651 20% $3,103,145 $155 $4,767
African American-NH 265 8% $1,660,555 $108 $6,266
Asian-NH 7 0% $987 $118 $141
Pacific Islander-NH 11 0.3% $23,298 $116 $2,118
Native-NH 21 1% $117,248 $498 $5,583
Other 0 0% -- -- --
Hispanic 553 17% $1,576,158 $125 $2,850
Unknown/Not Reported 95 3% $114,213 $101 $1,202
Cohort
SMI 75 2% $628,675 $151 $8,382
SED 2,406 73% $10,565,854 $148 $4,391
Substance Use Only 235 7% $1,457,206 $335 $6,201
Other BH Adult 99 3% $20,968 $96 $212
Other BH Youth 487 15% $538,274 $100 $1,105

58
This column represents the percentage of individuals who are in a given characteristic category of the total EPSDT Medicaid
Beneficiaries who received FFS services in 2007. For example, of the 3,302 individuals who received FFS services, 57% (or 1,877
individuals) were aged 0-13.

CA BHNA Appendix A: DHCS Data 53

Figure 1: Total Expenditures by Service Domain 2009

0% Total Expenditures 2009

$4,261,872
$3,759,089,071
10%
$387,482,774 2%
$63,955,698
6%
$228,056,014

38%
$1,414,862,390 Residential
Emergency
Hospital/Inpatient
44% Mental Health Treatment Outpatient
$1,660,470,323
Mental Health Rehabilitation
Substance Use Services

Figure 2: Total Expenditures by Service Domain 2008

Total Expenditures 2008

$3,366,159,474
11% 2%
0% $57,002,598
$362,393,833
$2,754,766
6%
$222,266,674

40%
$1,337,497,299 Residential
Emergency
Hospital/Inpatient
41% Mental Health Treatment Outpatient
$1,384,244,304
Mental Health Rehabilitation
Substance Use Services

CA BHNA Appendix A: DHCS Data 54

Figure 3: Total Expenditures by Service Domain 2007

Total Expenditures 2007

$3,133,941,019
2%
10% 0%
$53,418,724
$313,558,067 $2,906,368
7%
$205,984,563

42%
Residential
$1,321,482,746
Emergency
Hospital/Inpatient
39%
$1,236,590,551 Mental Health Treatment Outpatient
Mental Health Rehabilitation
Substance Use Services

CA BHNA Appendix A: DHCS Data 55

Figure 4: Total Expenditures –Adults 2009

Total Expenditures - Adults 2009

$2,600,293,303
0%
$4,103,170 2%
$48,077,443
5%
14%
$139,616,524
$352,725,263

Residential
48%
Emergency
$1,251,090,603
31% Hospital/Inpatient
$804,680,300 Mental Health Treatment Outpatient
Mental Health Rehabilitation
Substance Use Services

Figure 5: Total Expenditures –Adults 2008

Total Expenditures - Adults 2008

$2,404,496,805
2%
$44,471,471
0%
$2,739,257

6% 14%
$150,371,556 $336,636,181

Residential
51% Emergency
$1,213,020,057
27% Hospital/Inpatient
$657,258,283 Mental Health Treatment Outpatient
Mental Health Rehabilitation
Substance Use Services

CA BHNA Appendix A: DHCS Data 56

Figure 6: Total Expenditures –Adults 2007

Total Expenditures - Adults 2007

$2,372,300,825
2%
0%
$44,348,028
$2,895,721
6%
$147,676,090 13%
$293,508,194

Residential
51% Emergency
$1,217,665,423
28% Hospital/Inpatient
$666,207,369
Mental Health Treatment Outpatient
Mental Health Rehabilitation
Substance Use Services

Figure 7: Total Expenditures –Youth 2009

Total Expenditures - Youth 2009

3%
$34,757,511
$1,158,795,768
0%
8% $158,702 1%
$88,439,490 $15,878,255

14%
$163,771,787

Residential
Emergency
Hospital/Inpatient
Mental Health Treatment Outpatient
74% Mental Health Rehabilitation
$855,790,023
Substance Use Services

CA BHNA Appendix A: DHCS Data 57

Figure 8: Total Expenditures – Youth 2008

Total Expenditures - Youth 2008

$961,662,669
0%
3% 1%
7% $15,509
$25,757,652 $12,531,127
$71,895,118

13%
$124,477,242

Residential
Emergency
Hospital/Inpatient
Mental Health Treatment Outpatient
76% Mental Health Rehabilitation
$726,986,021
Substance Use Services

Figure 9: Total Expenditures – Youth 2007

Total Expenditures - Youth 2007 $761,640,194

3% $10,647
8% $20,049,873 1%
$58,308,473 $9,070,696

13%
$103,817,323

Residential
Emergency
Hospital/Inpatient
Mental Health Treatment Outpatient
75% Mental Health Rehabilitation
$570,383,182
Substance Use Services

CA BHNA Appendix A: DHCS Data 58

Table 3a: Behavioral Health Expenditures by Top Utilizers 2009
% of Total 2009
Condition N Avg. per person Total Expenditure High Utilizer Expenditure59
TOP 20%
SMI 55,373 $33,796 $1,871,361,315 60%
SED 30,222 $22,070 $666,992,269 21%
Substance Use Only 7,735 $26,890 $207,994,839 7%
Other BH – Adult 5,034 $33,256 $167,409,785 5%
Other BH – Youth 14,533 $14,554 $211,512,492 7%
Total 112,897 $27,682 $3,125,270,700 60 100%
TOP 10%
SMI 32,513 $51,136 $1,662,587,084 63%
SED 14,916 $35,298 $526,498,315 20%
Substance Use Only 1,480 $108,367 $160,382,521 6%
Other BH – Adult 2,620 $55,494 $145,394,523 6%
Other BH – Youth 4,920 $25,429 $125,110,516 5%
Total 56,449 $46,413 $2,619,972,95961 100%
TOP 5%
SMI 18,081 $76,723 $1,387,234,435 66%
SED 6,441 $56,969 $366,934,666 18%
Substance Use Only 959 $157,195 $150,750,190 7%
Other BH – Adult 1,419 $86,661 $122,971,680 6%
Other BH – Youth 1,325 $44,645 $59,154,303 3%
Total 28,225 $73,943 $2,087,045,27462 100%

59
These figures represent the percentage of the total high utilizer expenditure of a given cohort. For example, amongst the top 20%
of utilizers in 2009, high utilizers diagnosed with SMI expended 60% of the total top 20% high utilizer expenditure.
60
This total represents 82% of the total expenditures for 2009.
61
This total represents 69% of the total expenditures for 2009.
62
This total represents 55% of the total expenditures for 2009.
CA BHNA Appendix A: DHCS Data 59
Table 3b: Behavioral Health Expenditures by Top Utilizers 2008
% of Total 2008
Condition N Avg. per person Total Expenditure High Utilizer Expenditure 63
TOP 20%
SMI 54,242 $30,645 $1,662,262,493 60%
SED 26,505 $21,212 $562,215,799 20%
Substance Use Only 8,631 $22,909 $197,728,687 7%
Other BH – Adult 6,686 $28,097 $187,859,383 7%
Other BH – Youth 12,097 $13,823 $167,219,141 6%
Total 108,161 $116,687 $2,777,285,50364 100%
TOP 10%
SMI 31,446 $46,606 $1,465,561,791 63%
SED 13,503 $33,260 $449,107,480 19%
Substance Use Only 1,604 $90,843 $145,712,818 6%
Other BH – Adult 3,352 $47,508 $159,245,875 7%
Other BH – Youth 4,176 $23,854 $99,615,154 4%
Total 54,081 $242,071 $2,319,243,11865 100%
TOP 5%
SMI 17,182 $70,752 $1,215,662,652 66%
SED 6,036 $53,134 $320,718,372 17%
Substance Use Only 997 $135,976 $135,567,787 7%
Other BH – Adult 1,684 $77,458 $130,439,785 7%
Other BH – Youth 1,142 $42,181 $48,170,301 3%
Total 27,041 $379,501 $1,850,558,89766 100%

63
These figures represent the percentage of the total high utilizer expenditures of a given cohort. For example, amongst the top 20%
of utilizers in 2009, high utilizers diagnosed with SMI expended 60% of the total top 20% high utilizer expenditure.
64
This total represents 81% of the total expenditures for 2008.
65
This total represents 68% of the total expenditures for 2008.
66
This total represents 54% of the total expenditures for 2008.
CA BHNA Appendix A: DHCS Data 60
Table 3c: Behavioral Health Expenditures by Top Utilizers 2007
% of Total 2007
Condition N Avg. per person Total Expenditure High Utilizer Expenditure 67
TOP 20%
SMI 56,246 $28,999 $1,631,062,449 63%
SED 22,438 $20,045 $449,775,336 17%
Substance Use Only 7,615 $21,625 $164,670,981 6%
Other BH – Adult 8,564 $26,155 $223,990,171 9%
Other BH – Youth 9,752 $12,951 $126,295,210 5%
Total 104,615 $24,813 $2,595,794,14768 100%
TOP 10%
SMI 32,536 $44,217 $1,438,635,141 66%
SED 10,853 $32,783 $355,789,981 16%
Substance Use Only 1,590 $77,087 $122,568,043 6%
Other BH – Adult 4,259 $44,449 $189,309,329 9%
Other BH – Youth 3,070 $23,808 $73,090,584 3%
Total 52,308 $41,665 $2,179,393,07869 100%
TOP 5%
SMI 17,526 $67,617 $1,185,051,740 68%
SED 4,749 $53,604 $254,563,152 15%
Substance Use Only 935 $119,670 $111,891,359 6%
Other BH – Adult 2,105 $72,966 $153,592,705 9%
Other BH – Youth 839 $43,977 $36,896,358 2%
Total 26,154 $66,605 $1,741,995,31470 100%

67
These figures represent the percentage of the total high utilizer expenditures of a given cohort. For example, amongst the top 20%
of utilizers in 2009, high utilizers diagnosed with SMI expended 63% of the total top 20% high utilizer expenditure.
68
This total represents 82% of the total expenditures for 2007.
69
This total represents 69% of the total expenditures for 2007.
70
This total represents 55% of the total expenditures for 2007.
CA BHNA Appendix A: DHCS Data 61
Table 4: Characteristics of Current Participants in Behavioral Health Services 2009
No Outpatient
Top 20% MH/SUD Top 10% MH/SUD Top 5% MH/SUD MH/SUD
Total Service Utilizers Service Utilizers Service Utilizers Service Received
Characteristics N %71 N %72 N %73 N %74 N %75
Medicaid Beneficiaries 564,480 100% 112,896 20% 56,449 10% 28,225 5% 28,840 5%
Demographics
Age
0-13 121,286 21% 25,988 21% 10,302 8% 3,731 3% 4,681 4%
14-17 74,104 13% 19,593 26% 9,718 13% 4,111 6% 4,759 6%
18-21 30,035 5% 6,436 21% 3,321 11% 1,503 5% 2,404 8%
22-26 24,875 4% 4,293 17% 2,632 11% 1,371 6% 1,885 8%
27-64 280,653 50% 50,251 18% 26,305 9% 14,590 5% 14,206 5%
65+ 33,458 6% 6,329 19% 4,169 12% 2,918 9% 905 3%
Gender
Male 274,044 49% 61,189 22% 30,861 11% 15,284 6% 13,340 5%
Female 290,436 51% 51,707 18% 25,588 9% 12,941 4% 15,500 5%
Race / Ethnicity
White-NH 169,138 30% 39,482 23% 21,914 13% 12,108 7% 4,853 3%
African American-NH 61,543 11% 15,491 25% 8,810 14% 4,821 8% 3,501 6%
Asian-NH 7,500 1% 1,407 19% 797 11% 454 6% 110 1%
Pacific Islander-NH 13,460 2% 2,697 20% 1,624 12% 934 7% 186 1%
Native-NH 3,154 1% 707 22% 356 11% 188 6% 63 2%
Other 186,747 33% 28,459 15% 11,237 6% 4,081 2% 15,848 8%
Hispanic 117,863 21% 23,544 20% 11,065 9% 5,265 4% 4,041 3%
Unknown/Not Reported 4,898 1% 1,110 23% 646 13% 374 8% 238 5%
Medicaid Eligibility
CalWorks (TANF) 6,224 1% 858 14% 415 7% 176 3% 752 12%
SSI/SSP <65 229,264 41% 51,216 22% 27,983 12% 15,172 7% 11,722 5%
SSI/SSP ≥ 65 7,988 1% 1,321 17% 847 11% 552 7% 152 2%
Other Eligibility
9,317 2% 2,124 23% 1,746 19% 1,386 15% 146 2%
Categories for ≥65
Foster Care 44,875 8% 14,541 32% 7,467 17% 3,327 7% 1,624 4%
AFDC 171,002 30% 25,014 15% 9,041 5% 3,113 2% 8,847 5%
Other Disabled 40,107 7% 8,166 20% 4,710 12% 2,830 7% 2,160 5%
Other Child/Family 35,660 6% 6,238 17% 2,805 8% 1,059 3% 1,843 5%
Unknown 172 0% 28 16% 12 7% 4 2% 1 1%
All Remaining Other 19,872 4% 3,391 17% 1,423 7% 606 3% 1,593 8%

71
This column represents the percentage of individuals who are in a given characteristic category of the total Medicaid Beneficiaries in 2009.
For example, of the 564,480 beneficiaries, 21% (or 121,286 individuals) were aged 0-13.
72
This column represents the percentage of individuals in the top 20% of high MH/SUD Service Utilizers that are in a given characteristic
category of the total Medicaid Beneficiaries in 2009. For example, of the 564,480 beneficiaries in 2009, 21% (or 25,988 individuals) of the top
20% high utilizers were aged 0-13.
73
This column represents the percentage of individuals in the top 10% of high MH/SUD Service Utilizers that are in a given characteristic
category of the total Medicaid Beneficiaries in 2009. For example, of the 564,480 beneficiaries in 2009, 8% (or 10,302 individuals) of the top
10% high utilizers were aged 0-13.
74
This column represents the percentage of individuals in the top 5% of high MH/SUD Service Utilizers that are in a given characteristic
category of the total Medicaid Beneficiaries in 2009. For example, of the 564,480 beneficiaries in 2009, 3% (or 3,731 individuals) of the top
5% high utilizers were aged 0-13.
75
This column represents the percentage of individuals who received no outpatient MH/SUD services that are in a given characteristic
category of the total Medicaid Beneficiaries in 2009. For example, of the 564,480 beneficiaries in 2009, 4% (or 4,681 individuals) were aged 0-
13.
CA BHNA Appendix A: DHCS Data 62
 No Outpatient
Top 20% MH/SUD Top 10% MH/SUD Top 5% MH/SUD MH/SUD
Total Service Utilizers Service Utilizers Service Utilizers Service Received
Characteristics N %71 N %72 N %73 N %74 N %75
Eligibility Categories
Cohort
SMI 255,603 45% 55,373 22% 32,513 13% 18,081 7% 14,680 6%
SED 99,661 18% 30,222 30% 14,916 15% 6,441 6% 4,464 4%
Substance Use Only 61,613 11% 7,735 13% 1,480 2% 959 2% 418 1%
Other BH Adult 62,679 11% 5,034 8% 2,620 4% 1,419 2% 4,335 7%
Other BH Youth 84,925 15% 14,533 17% 4,920 6% 1,325 2% 4,943 6%
Special Populations
Co-Occurring Mental
99,408 18% 24,601 25% 11,572 12% 6,771 7% 1,190 1%
Health/SUD

CA BHNA Appendix A: DHCS Data 63

Table 5: Enrollment Rates by Eligibility Category 2007-2009
2007 2008 2009
76
Eligibility Category N % N % N %
Main Eligibility Categories
CalWorks (TANF) 6,067 1% 5,860 1% 6,224 1%
SSI/SSP <65 222,119 42% 226,747 42% 229,264 41%
SSI/SSP ≥ 65 7,367 1% 7,392 1% 7,988 1%
Other Eligibility Categories for ≥65 9,976 2% 9,605 2% 9,317 2%
Foster Care 44,840 9% 45,617 8% 44,875 8%
AFDC 150,521 29% 158,968 29% 171,002 30%
Other Disabled 34,069 7% 35,584 7% 40,107 7%
Other Child/Family 29,016 6% 30,732 6% 35,660 6%
Unknown 10 0% 178 0% 172 0%
All Remaining Other Eligibility Categories 19,087 4% 20,121 4% 19,872 4%
Special Populations
New Enrollees77 276,542 51% 251,245 44%

76
Represents the percentage of individuals enrolled in Medicaid by eligibility category. For example, of the 523,072 Medicaid
beneficiaries in 2007, 1% (or 6,067 individuals) were eligible through CalWorks (TANF).
77
Defined as presenting for service in calendar year and not in calendar year prior. Percents are of the total N in the current year.
CA BHNA Appendix A: DHCS Data 64
Table 6a: Number of ED Admissions by Cohort 2009
Number of BH Admissions
0 1-2 3-4 5-6 7+ Total
78
Cohort N % N % N % N % N % N %
SMI 204,238 80% 34,643 14% 8,964 4% 3,468 1% 4,290 2% 255,603 100%
SED 89,966 90% 6,736 7% 1,627 2% 569 1% 763 1% 99,661 100%
Substance Use Only 51,821 84% 8,719 14% 713 1% 182 0% 178 0% 61,613 100%
Other BH – Adult 52,249 83% 9,325 15% 812 1% 165 0% 128 0% 62,679 100%
Other BH – Youth 78,878 93% 5,094 6% 686 1% 157 0% 110 0% 84,925 100%
Total 477,152 85% 64,517 11% 12,802 2% 4,541 1% 5,469 1% 564,481 100%

Table 6b: Number of ED Admissions by Cohort 2008

Number of BH Admissions
0 1-2 3-4 5-6 7+ Total
79
Cohort N % N % N % N % N % N %
SMI 201,140 80% 34,024 13% 9,254 4% 3,431 1% 4,334 2% 252,183 100%
SED 80,190 91% 5,402 6% 1,396 2% 507 1% 648 1% 88,143 100%
Substance Use Only 48,709 84% 7,848 14% 1,118 2% 198 0% 153 0% 58,026 100%
Other BH – Adult 58,227 85% 8,714 13% 1,201 2% 180 0% 148 0% 68,470 100%
Other BH – Youth 69,197 94% 3,905 5% 628 1% 145 0% 107 0% 73,982 100%
Total 457,463 85% 59,893 11% 13,597 3% 4,461 1% 5,390 1% 540,804 100%

Table 6c: Number of ED Admissions by Cohort 2007

Number of BH Admissions
0 1-2 3-4 5-6 7+ Total
Cohort N %80 N % N % N % N % N %
SMI 199,498 80% 34,904 14% 8,253 3% 3,225 1% 3,949 2% 249,829 100%
SED 69,600 92% 4,496 6% 983 1% 337 0% 487 1% 75,903 100%
Substance Use Only 47,552 84% 7,936 14% 605 1% 144 0% 93 0% 56,330 100%
Other BH – Adult 67,029 86% 9,257 12% 906 1% 193 0% 138 0% 77,523 100%
Other BH – Youth 60,018 95% 2,911 5% 383 1% 111 0% 64 0% 63,487 100%
Total 443,697 85% 59,504 11% 11,130 2% 4,010 1% 4,731 1% 523,072 100%

78
Represents the percentage of individuals with zero (0) behavioral health related emergency department admissions in 2009. For example,
of the 255,603 individuals with SMI in 2009, 80% (or 204,238 individuals) had zero admissions.
79
Represents the percentage of individuals with zero (0) behavioral health related emergency department admissions in 2008. For example,
of the 252,183 individuals with SMI in 2008, 80% (or 201,140 individuals) had zero admissions.
80
Represents the percentage of individuals with zero (0) behavioral health related emergency department admissions in 2007. For example,
of the 249,829 individuals with SMI in 2007, 80% (or 199,498 individuals) had zero admissions.
CA BHNA Appendix A: DHCS Data 65
Table 7a: Number of Encounters –2009
DMC/SMHS FFS
Number of Encounters Number of Encounters
0 1-3 4-10 11+ Total 0 1-3 4-10 11+ Total
81 82
Cohort N % N % N % N % N % N % N % N % N % N %
Residential
SMI 220,410 99.9% 2 0% 9 0% 55 0.02% 220,476 100% 44,936 100% 0 0% 0 0% 0 0% 44,936 100%
SED 91,640 100% 0 0% 1 0% 0 0.00% 91,641 100% 17,831 100% 0 0% 0 0% 0 0% 17,831 100%
Substance Use 44,608 99% 26 0% 31 0% 259 0.12% 44,924 100% 27,709 100% 0 0% 0 0% 0 0% 27,709 100%
Other BH – 0
42,261 100% 0% 2 0% 2 0.00% 42,265 100% 25,156 100% 0 0% 0 0% 0 0% 25,156 100%
Adult
Other BH – 0
80,371 100% 0% 0 0% 1 0.00% 80,372 100% 10,271 100% 0 0% 0 0% 0 0% 10,271 100%
Youth
Emergency
SMI 174,907 79% 38,438 17% 6,215 3% 916 0% 220,476 100% 39,140 87% 5,595 12% 193 0% 8 0% 44,936 100%
SED 82,169 90% 8,295 9% 1,028 1% 149 0% 91,641 100% 17,608 99% 222 1% 1 0% 0 0% 17,831 100%
Substance Use 42,638 95% 2,152 5% 111 0% 23 0% 44,924 100% 20,203 73% 7,316 26% 173 1% 17 0% 27,709 100%
Other BH –
37,190 88% 4,854 11% 201 0% 20 0% 42,265 100% 19,801 79% 5,343 21% 12 0% 0 0% 25,156 100%
Adult
Other BH –
75,399 94% 4,805 6% 162 0% 6 0% 80,372 100% 9,197 90% 1,074 10% 0 0% 0 0% 10,271 100%
Youth
Hospital/Inpatient
SMI 180,513 82% 23,269 11% 9,161 4% 7,533 3% 220,476 100% 35,203 78% 6,209 14% 1,360 3% 2,164 5% 44,936 100%
SED 83,342 91% 5,091 6% 1,895 2% 1,313 1% 91,641 100% 17,702 99% 120 1% 7 0% 2 0% 17,831 100%
Substance Use 43,283 96% 1,096 2% 210 0% 335 1% 44,924 100% 26,591 96% 980 4% 121 0% 17 0% 27,709 100%
Other BH –
38,971 92% 2,569 6% 484 1% 241 1% 42,265 100% 22,066 88% 1,780 7% 420 2% 890 4% 25,156 100%
Adult
Other BH –
76,314 95% 2,448 3% 783 1% 827 1% 80,372 100% 10,001 97% 236 2% 23 0% 11 0% 10,271 100%
Youth
Mental Health Treatment Outpatient
SMI 21,888 10% 50,222 23% 67,846 31% 80,520 37% 220,476 100% 11,265 25% 25,041 56% 4,707 10% 3,923 9% 44,936 100%
SED 4,334 5% 14,437 16% 19,021 21% 53,849 59% 91,641 100% 404 2% 14,798 83% 2,073 12% 556 3% 17,831 100%
Substance Use 37,845 84% 5,175 12% 1,146 3% 758 2% 44,924 100% 22,148 80% 5,293 19% 211 1% 57 0% 27,709 100%
Other BH –
7,149 17% 13,201 31% 11,614 27% 10,301 24% 42,265 100% 8,448 34% 15,141 60% 1,084 4% 483 2% 25,156 100%
Adult
Other BH –
6,019 7% 19,464 24% 19,282 24% 35,607 44% 80,372 100% 1,416 14% 8,476 83% 277 3% 102 1% 10,271 100%
Youth

81
Represents the percentage of individuals with who received DMC/SMHS services in 2009 who had zero (0) encounters in 2009 by service and cohort. For example, of the 220,476
individuals diagnosed with SMI receiving DMC/SMHS services, 99.9% (or 220,410 individuals) had zero encounters with Residential services.
82
Represents the percentage of individuals with received FFS services in 2009 who had zero (0) encounters in 2009 by service and cohort. For example, of the 44,936 individuals
diagnosed with SMI receiving FFS services, 100% (or 44,936 individuals) had zero encounters with Residential services.
CA BHNA Appendix A: DHCS Data 66
 DMC/SMHS FFS
Number of Encounters Number of Encounters
0 1-3 4-10 11+ Total 0 1-3 4-10 11+ Total
81 82
Cohort N % N % N % N % N % N % N % N % N % N %
Mental Health Rehabilitation
SMI 108,203 49% 57,597 26% 31,230 14% 23,446 11% 220,476 100% 44,923 100% 9 0% 3 0% 1 0% 44,936 100%
SED 44,009 48% 23,632 26% 13,223 14% 10,777 12% 91,641 100% 17,683 99% 130 1% 18 0% 0 0% 17,831 100%
Substance Use 41,585 93% 2,873 6% 328 1% 138 0% 44,924 100% 27,702 100% 2 0% 2 0% 3 0% 27,709 100%
Other BH –
24,842 59% 11,494 27% 3,698 9% 2,231 5% 42,265 100% 25,132 100% 20 0% 3 0% 1 0% 25,156 100%
Adult
Other BH –
45,962 57% 21,111 26% 8,505 11% 4,794 6% 80,372 100% 10,251 100% 20 0% 0 0% 0 0% 10,271 100%
Youth
Substance Use Services
SMI 191,049 87% 15,340 7% 2,724 1% 11,363 5% 220,476 100% 40,369 90% 4,067 9% 378 1% 122 0% 44,936 100%
SED 86,633 95% 2,655 3% 559 1% 1,794 2% 91,641 100% 17,620 99% 200 1% 6 0% 5 0% 17,831 100%
Substance Use 2,871 6% 5,890 13% 5,880 13% 30,283 67% 44,924 100% 5,095 18% 21,008 76% 1,181 4% 425 2% 27,709 100%
Other BH –
40,363 95% 1,438 3% 224 1% 240 1% 42,265 100% 23,857 95% 1,264 5% 33 0% 2 0% 25,156 100%
Adult
Other BH –
78,505 98% 1,212 2% 248 0% 407 1% 80,372 100% 9,961 97% 305 3% 5 0% 0 0% 10,271 100%
Youth

CA BHNA Appendix A: DHCS Data 67

Table 7b: Number of Encounters – 2008
DMC/SMHS FFS
Number of Encounters Number of Encounters
0 1-3 4-10 11+ Total 0 1-3 4-10 11+ Total
83 84
Cohort N % N % N % N % N % N % N % N % N % N %
Residential
SMI 220,847 99.9% 2 0% 8 0% 88 0% 220,945 100% 42,594 100% 0 0% 0 0% 0 0% 42,594 100%
SED 80,917 100% 0 0% 0 0% 1 0% 80,918 100% 16,157 100% 0 0% 0 0% 0 0% 16,157 100%
Substance Use 41,772 99% 14 0% 23 0% 296 1% 42,105 100% 27,458 100% 0 0% 0 0% 0 0% 27,458 100%
Other BH – Adult 47,676 100% 0 0% 1 0% 3 0% 47,680 100% 25,342 100% 0 0% 0 0% 0 0% 25,342 100%
Other BH –
69,063 100% 0 0% 0 0% 0 0% 69,063 100% 9,572 100% 0 0% 0 0% 0 0% 9,572 100%
Youth
Emergency
SMI 174,403 79% 39,684 18% 6,112 3% 746 0% 220,945 100% 38,093 89% 4,389 10% 108 0% 4 0% 42,594 100%
SED 73,167 90% 6,778 8% 867 1% 106 0% 80,918 100% 15,955 99% 202 1% 0 0% 0 0% 16,157 100%
Substance Use 39,713 94% 2,249 5% 131 0% 12 0% 42,105 100% 20,533 75% 6,766 25% 145 1% 14 0% 27,458 100%
Other BH – Adult 42,371 89% 5,047 11% 248 1% 14 0% 47,680 100% 20,408 81% 4,928 19% 6 0% 0 0% 25,342 100%
Other BH –
65,117 94% 3,805 6% 135 0% 6 0% 69,063 100% 8,733 91% 839 9% 0 0% 0 0% 9,572 100%
Youth
Hospital/Inpatient
SMI 179,838 81% 24,013 11% 9,332 4% 7,762 4% 220,945 100% 31,354 74% 6,489 15% 2,021 5% 2,730 6% 42,594 100%
SED 74,356 92% 3,915 5% 1,578 2% 1,069 1% 80,918 100% 16,045 99% 106 1% 4 0% 2 0% 16,157 100%
Substance Use 40,523 96% 1,105 3% 189 0% 288 1% 42,105 100% 26,455 96% 863 3% 114 0% 26 0% 27,458 100%
Other BH – Adult 43,972 92% 2,819 6% 559 1% 330 1% 47,680 100% 21,546 85% 2,096 8% 670 3% 1,030 4% 25,342 100%
Other BH –
65,947 95% 1,790 3% 640 1% 686 1% 69,063 100% 9,349 98% 177 2% 26 0% 20 0% 9,572 100%
Youth
Mental Health Treatment Outpatient
SMI 19,538 9% 52,239 24% 68,931 31% 80,237 36% 220,945 100% 12,157 29% 23,209 54% 4,375 10% 2,853 7% 42,594 100%
SED 3,324 4% 12,818 16% 17,199 21% 47,577 59% 80,918 100% 359 2% 13,374 83% 1,984 12% 440 3% 16,157 100%
Substance Use 34,926 83% 5,091 12% 1,224 3% 864 2% 42,105 100% 21,995 80% 5,232 19% 194 1% 37 0% 27,458 100%
Other BH – Adult 6,551 14% 14,634 31% 13,156 28% 13,339 28% 47,680 100% 8,828 35% 14,979 59% 1,180 5% 355 1% 25,342 100%
Other BH –
4,714 7% 17,365 25% 16,997 25% 29,987 43% 69,063 100% 1,095 11% 8,095 85% 277 3% 105 1% 9,572 100%
Youth
Mental Health Rehabilitation
SMI 109,154 49% 55,236 25% 30,973 14% 25,582 12% 220,945 100% 42,590 100% 3 0% 0 0% 1 0% 42,594 100%
SED 39,816 49% 20,752 26% 11,352 14% 8,998 11% 80,918 100% 16,022 99% 131 1% 4 0% 0 0% 16,157 100%
Substance Use 39,271 93% 2,307 5% 378 1% 149 0% 42,105 100% 27,451 100% 1 0% 2 0% 4 0% 27,458 100%

83
Represents the percentage of individuals with who received DMC/SMHS services in 2008 who had zero (0) encounters in 2008 by service and cohort. For example, of the 220,945
individuals diagnosed with SMI receiving DMC/SMHS services, 99.9% (or 220,847 individuals) had zero encounters with Residential services.
84
Represents the percentage of individuals with who received FFS services in 2008 who had zero (0) encounters in 2008 by service and cohort. For example, of the 42,594 individuals
diagnosed with SMI receiving FFS services, 100% (or 42,594 individuals) had zero encounters with Residential services.
CA BHNA Appendix A: DHCS Data 68
 DMC/SMHS FFS
Number of Encounters Number of Encounters
0 1-3 4-10 11+ Total 0 1-3 4-10 11+ Total
83 84
Cohort N % N % N % N % N % N % N % N % N % N %
Other BH – Adult 28,195 59% 11,739 25% 4,639 10% 3,107 7% 47,680 100% 25,312 100% 25 0% 4 0% 1 0% 25,342 100%
Other BH –
40,065 58% 18,164 26% 6,934 10% 3,900 6% 69,063 100% 9,553 100% 15 0% 1 0% 3 0% 9,572 100%
Youth
Substance Use Services
SMI 191,440 87% 15,567 7% 2,758 1% 11,180 5% 220,945 100% 38,290 90% 3,893 9% 322 1% 89 0% 42,594 100%
SED 77,275 95% 1,925 2% 373 0% 1,345 2% 80,918 100% 15,983 99% 163 1% 10 0% 1 0% 16,157 100%
Substance Use 2,754 7% 5,247 12% 5,162 12% 28,942 69% 42,105 100% 5,295 19% 20,577 75% 1,154 4% 432 2% 27,458 100%
Other BH – Adult 45,188 95% 1,792 4% 336 1% 364 1% 47,680 100% 24,124 95% 1,203 5% 14 0% 1 0% 25,342 100%
Other BH –
67,804 98% 855 1% 163 0% 241 0% 69,063 100% 9,381 98% 190 2% 0 0% 1 0% 9,572 100%
Youth

CA BHNA Appendix A: DHCS Data 69

Table 7c: Number of Encounters –2007
DMC/SMHS FFS
Number of Encounters Number of Encounters
0 1-3 4-10 11+ Total 0 1-3 4-10 11+ Total
85 86
Cohort N % N % N % N % N % N % N % N % N % N %
Residential
SMI 218,077 100% 6 0% 13 0% 147 0% 218,243 100% 42,339 100% 0 0% 0 0% 0 0% 42,339 100%
SED 69,303 100% 0 0% 0 0% 0 0% 69,303 100% 14,706 100% 0 0% 0 0% 0 0% 14,706 100%
Substance Use 39,699 99% 23 0% 44 0% 309 1% 40,075 100% 26,328 100% 0 0% 0 0% 0 0% 26,328 100%
Other BH – Adult 52,275 100% 2 0% 0 0% 2 0% 52,279 100% 27,036 100% 0 0% 0 0% 0 0% 27,036 100%
Other BH – Youth 58,028 100% 0 0% 0 0% 1 0% 58,029 100% 9,072 100% 0 0% 0 0% 0 0% 9,072 100%
Emergency
SMI 172,477 79% 38,951 18% 6,021 3% 794 0% 218,243 100% 37,774 89% 4,463 11% 97 0% 5 0% 42,339 100%
SED 63,156 91% 5,415 8% 640 1% 92 0% 69,303 100% 14,550 99% 155 1% 1 0% 0 0% 14,706 100%
Substance Use 37,983 95% 1,983 5% 96 0% 13 0% 40,075 100% 19,642 75% 6,549 25% 122 0% 15 0% 26,328 100%
Other BH – Adult 46,603 89% 5,426 10% 242 0% 8 0% 52,279 100% 22,218 82% 4,809 18% 9 0% 0 0% 27,036 100%
Other BH – Youth 55,220 95% 2,688 5% 114 0% 7 0% 58,029 100% 8,412 93% 660 7% 0 0% 0 0% 9,072 100%
Hospital/Inpatient
SMI 177,304 81% 25,297 12% 9,668 4% 5,974 3% 218,243 100% 30,519 72% 7,298 17% 1,853 4% 2,669 6% 42,339 100%
SED 64,073 92% 3,143 5% 1,168 2% 919 1% 69,303 100% 14,560 99% 130 1% 11 0% 5 0% 14,706 100%
Substance Use 38,691 97% 980 2% 146 0% 258 1% 40,075 100% 25,154 96% 1,020 4% 136 1% 18 0% 26,328 100%
Other BH – Adult 48,256 92% 3,119 6% 586 1% 318 1% 52,279 100% 22,637 84% 2,802 10% 533 2% 1,064 4% 27,036 100%
Other BH – Youth 55,186 95% 1,528 3% 604 1% 711 1% 58,029 100% 8,755 97% 262 3% 36 0% 19 0% 9,072 100%
Mental Health Treatment Outpatient
SMI 19,472 9% 48,437 22% 68,113 31% 82,221 38% 218,243 100% 12,583 30% 22,724 54% 4,171 10% 2,861 7% 42,339 100%
SED 2,746 4% 10,806 16% 15,356 22% 40,395 58% 69,303 100% 293 2% 12,288 84% 1,772 12% 353 2% 14,706 100%
Substance Use 33,660 84% 4,370 11% 1,173 3% 872 2% 40,075 100% 21,376 81% 4,731 18% 171 1% 50 0% 26,328 100%
Other BH – Adult 6,962 13% 14,858 28% 14,478 28% 15,981 31% 52,279 100% 9,403 35% 15,950 59% 1,289 5% 394 1% 27,036 100%
Other BH – Youth 4,115 7% 14,808 26% 14,436 25% 24,670 43% 58,029 100% 1,020 11% 7,672 85% 292 3% 88 1% 9,072 100%
Mental Health Rehabilitation
SMI 106,126 49% 54,124 25% 31,516 14% 26,477 12% 218,243 100% 42,338 100% 0 0% 1 0% 0 0% 42,339 100%
SED 34,592 50% 17,430 25% 9,619 14% 7,662 11% 69,303 100% 14,606 99% 92 1% 8 0% 0 0% 14,706 100%
Substance Use 37,290 93% 2,268 6% 354 1% 163 0% 40,075 100% 26,327 100% 1 0% 0 0% 0 0% 26,328 100%
Other BH – Adult 30,679 59% 12,861 25% 5,245 10% 3,494 7% 52,279 100% 26,988 100% 42 0% 6 0% 0 0% 27,036 100%
Other BH – Youth 34,088 59% 14,890 26% 5,895 10% 3,156 5% 58,029 100% 9,046 100% 22 0% 4 0% 0 0% 9,072 100%
Substance Use Services

85
Represents the percentage of individuals with who received DMC/SMHS services in 2007 who had zero (0) encounters in 2007 by service and cohort. For example, of the 218,243
individuals diagnosed with SMI receiving DMC/SMHS services, 99.9% (or 218,077 individuals) had zero encounters with Residential services.
86
Represents the percentage of individuals with who received FFS services in 2007 who had zero (0) encounters in 2007 by service and cohort. For example, of the 42,339 individuals
diagnosed with SMI receiving FFS services, 100% (or 42,339 individuals) had zero encounters with Residential services.
CA BHNA Appendix A: DHCS Data 70
 DMC/SMHS FFS
Number of Encounters Number of Encounters
0 1-3 4-10 11+ Total 0 1-3 4-10 11+ Total
85 86
Cohort N % N % N % N % N % N % N % N % N % N %
SMI 189,696 87% 14,461 7% 2,859 1% 11,227 5% 218,243 100% 38,110 90% 3,806 9% 342 1% 81 0% 42,339 100%
SED 67,210 97% 1,074 2% 228 0% 791 1% 69,303 100% 14,601 99% 99 1% 6 0% 0 0% 14,706 100%
Substance Use 2,790 7% 4,962 12% 4,994 12% 27,329 68% 40,075 100% 4,715 18% 20,014 76% 1,202 5% 397 2% 26,328 100%
Other BH – Adult 49,681 95% 1,725 3% 391 1% 482 1% 52,279 100% 25,777 95% 1,233 5% 23 0% 3 0% 27,036 100%
Other BH – Youth 57,315 99% 458 1% 104 0% 152 0% 58,029 100% 8,874 98% 195 2% 3 0% 0 0% 9,072 100%

CA BHNA Appendix A: DHCS Data 71

Table 8a: Special Analyses: Elapsed Time from Hospital Discharge to Receipt of Medicaid Outpatient Behavioral Health Service 2009
0-7 Days 8-14 Days 15-30 Days 30+ Days No Contact
Characteristics Total Discharge N N %87 N % N % N % N %
Total 161,836 113,311 70% 7,771 5% 6,645 4% 7,466 5% 26,643 16%
Demographics
Age
0-13 7,210 5,120 71% 381 5% 229 3% 213 3% 1,267 18%
14-17 10,098 6,685 66% 660 7% 507 5% 554 5% 1,692 17%
18-21 8,800 6,023 68% 398 5% 357 4% 400 5% 1,622 18%
22-26 13,299 9,792 74% 549 4% 468 4% 663 5% 1,827 14%
27-64 115,003 83,423 73% 5,383 5% 4,758 4% 5,342 5% 16,097 14%
65+ 7,415 2,268 31% 400 5% 326 4% 294 4% 4,127 56%
Gender
Male 88,824 64,712 73% 3,965 4% 3,291 4% 3,794 4% 13,062 15%
Female 73,012 48,599 67% 3,806 5% 3,354 5% 3,672 5% 13,581 19%
Race / Ethnicity
White-NH 50,322 32,157 64% 2,731 5% 2,337 5% 2,601 5% 10,496 21%
African American-NH 22,771 14,751 65% 1,324 6% 1,128 5% 1,434 6% 4,134 18%
Asian-NH 1,457 855 59% 82 6% 55 4% 52 4% 413 28%
Pacific Islander-NH 3,748 2,593 69% 190 5% 211 6% 157 4% 597 16%
Native-NH 539 316 59% 32 6% 48 9% 36 7% 107 20%
Other 60,702 49,282 81% 2,037 3% 1,681 3% 1,850 3% 5,852 10%
Hispanic 20,353 12,112 60% 1,275 6% 1,100 5% 1,262 6% 4,604 23%
Unknown/Not Reported 1,944 1,245 64% 100 5% 85 4% 74 4% 440 23%
Medicaid Eligibility Categories
CalWorks (TANF) 904 329 36% 46 5% 40 4% 41 5% 448 50%
SSI/SSP <65 110,453 84,020 76% 5,120 5% 4,408 4% 4,916 4% 11,989 11%
SSI/SSP ≥ 65 897 203 23% 49 5% 52 6% 29 3% 564 63%
Other Eligibility Categories for ≥65 3,494 698 20% 150 4% 115 3% 95 3% 2,436 70%
Foster Care 5,809 4,479 77% 299 5% 208 4% 188 3% 635 11%
AFDC 15,608 8,384 54% 1,053 7% 885 6% 1,019 7% 4,267 27%
Other Disabled 18,062 11,849 66% 753 4% 675 4% 830 5% 3,955 22%

87
Represents the percentage of individuals within a characteristic category with an elapsed time of 0-7 days between hospital discharge and receipt of Medicaid Behavioral
Health Outpatient services in 2009. For example, of the 7,210 individuals aged 0-13 in 2009 with a hospital discharge, 71% (or 5,120 individuals) had an elapsed time of 0-7 days
before receiving Medicaid BH Outpatient services.
CA BHNA Appendix A: DHCS Data 72
 0-7 Days 8-14 Days 15-30 Days 30+ Days No Contact
Characteristics Total Discharge N N %87 N % N % N % N %
Other Child/Family 3,643 2,120 58% 206 6% 168 5% 201 6% 948 26%
Unknown 1 0 0% 0 0% 0 0% 0 0% 1 100%
All Remaining Other Eligibility Categories 2,965 1,229 41% 95 3% 94 3% 147 5% 1,400 47%
Cohort
SMI 137,868 99,433 72% 6,592 5% 5,762 4% 6,507 5% 19,574 14%
SED 13,828 10,208 74% 872 6% 606 4% 593 4% 1,549 11%
Substance Use Only 1,280 396 31% 18 1% 17 1% 49 4% 800 63%
Other BH Adult 788 393 50% 25 3% 24 3% 27 3% 319 40%
Other BH Youth 3,302 1,536 47% 161 5% 124 4% 158 5% 1,323 40%
Special Populations
Co-Occurring Mental Health/SUD 44,961 33,425 74% 2,246 5% 1,973 4% 2,385 5% 4,932 11%

CA BHNA Appendix A: DHCS Data 73

Table 8b: Special Analyses: Elapsed Time from Hospital Discharge to Receipt of Medicaid Outpatient Behavioral Health Service 2008
0-7 Days 8-14 Days 15-30 Days 30+ Days No Contact
Characteristics Total Discharge N N %88 N % N % N % N %
Total 155,119 107,104 69% 7,602 5% 6,440 4% 7,482 5% 26,491 17%
Demographics
Age
0-13 4,830 3,270 68% 238 5% 158 3% 170 4% 994 21%
14-17 7,707 5,007 65% 534 7% 427 6% 448 6% 1,291 17%
18-21 7,313 4,802 66% 418 6% 331 5% 391 5% 1,371 19%
22-26 13,329 9,795 73% 583 4% 483 4% 579 4% 1,889 14%
27-64 113,616 81,517 72% 5,447 5% 4,665 4% 5,603 5% 16,384 14%
65+ 8,305 2,708 33% 382 5% 376 5% 291 4% 4,548 55%
Gender
Male 85,105 61,118 72% 3,878 5% 3,255 4% 3,817 4% 13,037 15%
Female 70,014 45,986 66% 3,724 5% 3,185 5% 3,665 5% 13,454 19%
Race / Ethnicity
White-NH 49,483 31,598 64% 2,660 5% 2,282 5% 2,663 5% 10,280 21%
African American-NH 21,468 13,521 63% 1,305 6% 1,119 5% 1,495 7% 4,028 19%
Asian-NH 1,408 867 62% 57 4% 54 4% 57 4% 373 26%
Pacific Islander-NH 3,696 2,590 70% 195 5% 161 4% 153 4% 597 16%
Native-NH 531 289 54% 46 9% 28 5% 41 8% 127 24%
Other 59,777 47,366 79% 2,143 4% 1,749 3% 1,831 3% 6,688 11%
Hispanic 17,067 9,852 58% 1,110 7% 974 6% 1,147 7% 3,984 23%
Unknown/Not Reported 1,689 1,021 60% 86 5% 73 4% 95 6% 414 25%
Medicaid Eligibility Categories
CalWorks (TANF) 709 248 35% 37 5% 35 5% 42 6% 347 49%
SSI/SSP <65 107,245 80,253 75% 5,126 5% 4,363 4% 5,097 5% 12,406 12%
SSI/SSP ≥ 65 1,171 424 36% 37 3% 43 4% 42 4% 625 53%
Other Eligibility Categories for ≥65 3,574 685 19% 113 3% 112 3% 61 2% 2,603 73%
Foster Care 4,651 3,452 74% 248 5% 198 4% 187 4% 566 12%
AFDC 13,992 7,516 54% 935 7% 801 6% 907 6% 3,833 27%
Other Disabled 17,578 11,411 65% 793 5% 651 4% 815 5% 3,908 22%

88
Represents the percentage of individuals within a characteristic category with an elapsed time of 0-7 days between hospital discharge and receipt of Medicaid Behavioral
Health Outpatient services in 2008. For example, of the 4,830 individuals aged 0-13 in 2008 with a hospital discharge, 68% (or 3,270 individuals) had an elapsed time of 0-7 days
before receiving Medicaid BH Outpatient services.
CA BHNA Appendix A: DHCS Data 74
 0-7 Days 8-14 Days 15-30 Days 30+ Days No Contact
Characteristics Total Discharge N N %88 N % N % N % N %
Other Child/Family 3,352 1,996 60% 202 6% 137 4% 181 5% 836 25%
Unknown 1 0 % 0 % 1 100% 0 % 0 %
All Remaining Other Eligibility Categories 2,846 1,119 39% 111 4% 99 3% 150 5% 1,367 48%
Cohort
SMI 135,139 95,987 71% 6,684 5% 5,730 4% 6,691 5% 20,047 15%
SED 10,007 7,177 72% 626 6% 480 5% 508 5% 1,216 12%
Substance Use Only 1,185 400 34% 20 2% 15 1% 35 3% 715 60%
Other BH Adult 517 185 36% 31 6% 15 3% 30 6% 256 50%
Other BH Youth 2,372 1,028 43% 133 6% 94 4% 99 4% 1,018 43%
Special Populations
Co-Occurring Mental Health/SUD 44,552 33,321 75% 2,193 5% 1,896 4% 2,402 5% 4,740 11%

CA BHNA Appendix A: DHCS Data 75

Table 8c: Special Analyses: Elapsed Time from Hospital Discharge to Receipt of Medicaid Outpatient Behavioral Health Service 2007
0-7 Days 8-14 Days 15-30 Days 30+ Days No Contact
Characteristics Total Discharge N N %89 N % N % N % N %
Total 118,807 69,007 58% 8,074 7% 6,651 6% 7,422 6% 27,653 23%
Demographics
Age
0-13 4,161 2,705 65% 233 6% 146 4% 163 4% 914 22%
14-17 5,579 3,482 62% 415 7% 350 6% 370 7% 962 17%
18-21 5,776 3,235 56% 409 7% 366 6% 411 7% 1,355 23%
22-26 10,134 6,141 61% 648 6% 553 5% 570 6% 2,222 22%
27-64 84,578 51,038 60% 5,930 7% 4,801 6% 5,605 7% 17,204 20%
65+ 8,550 2,406 28% 439 5% 435 5% 302 4% 4,968 58%
Gender
Male 62,485 37,890 61% 4,266 7% 3,281 5% 3,755 6% 13,293 21%
Female 56,322 31,117 55% 3,808 7% 3,370 6% 3,667 7% 14,360 25%
Race / Ethnicity
White-NH 23,239 13,049 56% 1,441 6% 1,209 5% 1,274 5% 6,266 27%
African American-NH 10,111 5,265 52% 752 7% 665 7% 854 8% 2,575 25%
Asian-NH 211 79 37% 8 4% 15 7% 8 4% 101 48%
Pacific Islander-NH 1,137 695 61% 72 6% 45 4% 61 5% 264 23%
Native-NH 273 174 64% 14 5% 11 4% 16 6% 58 21%
Other 0 -- -- -- -- -- -- -- -- -- --
Hispanic 7,281 3,712 51% 515 7% 421 6% 547 8% 2,086 29%
Unknown/Not Reported 1,367 716 52% 80 6% 90 7% 93 7% 388 28%
Medicaid Eligibility Categories
CalWorks (TANF) 665 153 23% 37 6% 24 4% 38 6% 413 62%
SSI/SSP <65 79,028 50,944 64% 5,574 7% 4,611 6% 4,998 6% 12,901 16%
SSI/SSP ≥ 65 1,016 242 24% 34 3% 46 5% 44 4% 650 64%
Other Eligibility Categories for ≥65 3,578 547 15% 132 4% 111 3% 65 2% 2,723 76%
Foster Care 4,247 2,981 70% 249 6% 247 6% 249 6% 521 12%
AFDC 12,161 5,389 44% 891 7% 739 6% 963 8% 4,179 34%
Other Disabled 12,485 6,403 51% 818 7% 608 5% 740 6% 3,916 31%

89
Represents the percentage of individuals within a characteristic category with an elapsed time of 0-7 days between hospital discharge and receipt of Medicaid Behavioral
Health Outpatient services in 2007. For example, of the 4,161 individuals aged 0-13 in 2007 with a hospital discharge, 66% (or 2,705 individuals) had an elapsed time of 0-7 days
before receiving Medicaid BH Outpatient services.
CA BHNA Appendix A: DHCS Data 76
 0-7 Days 8-14 Days 15-30 Days 30+ Days No Contact
Characteristics Total Discharge N N %89 N % N % N % N %
Other Child/Family 3,226 1,636 51% 237 7% 175 5% 190 6% 988 31%
Unknown 0 -- -- -- -- -- -- -- -- -- --
All Remaining Other Eligibility Categories 2,401 712 30% 102 4% 90 4% 135 6% 1,362 57%
Cohort
SMI 101,993 61,376 60% 7,241 7% 6,013 6% 6,711 7% 20,652 20%
SED 7,815 5,443 70% 543 7% 430 6% 442 6% 957 12%
Substance Use Only 1,473 306 21% 38 3% 28 2% 38 3% 1,063 72%
Other BH Adult 578 181 31% 40 7% 18 3% 27 5% 312 54%
Other BH Youth 1,780 674 38% 98 6% 59 3% 82 5% 867 49%
Special Populations
Co-Occurring Mental Health/SUD 31,155 19,414 62% 2,415 8% 1,935 6% 2,315 7% 5,076 16%

CA BHNA Appendix A: DHCS Data 77

Table 9a: Special Analyses: Hospital and Emergency Department Readmissions within 30 Days of Inpatient
Discharge for a Behavioral Health Condition 2009
Unique Individuals with Mental Health
Valid Inpatient Admission Inpatient Emergency Department
90 91 92
Characteristics N N % N %
Total 79,342 18,345 23% 4,841 6%
Demographics
Age
0-13 4,072 511 13% 234 6%
14-17 7,340 1,167 16% 481 7%
18-21 4,946 1,047 21% 279 6%
22-26 6,355 1,647 26% 463 7%
27-64 52,430 13,483 26% 3,316 6%
65+ 4,189 490 12% 68 2%
Gender
Male 41,071 10,348 25% 2,474 6%
Female 38,271 7,997 21% 2,367 6%
Race / Ethnicity
White-NH 26,987 5,868 22% 1,658 6%
African American-NH 12,921 3,575 28% 568 4%
Asian-NH 819 134 16% 28 3%
Pacific Islander-NH 1,752 390 22% 62 4%
Native-NH 384 75 20% 19 5%
Other 22,369 5,547 25% 1,967 9%
Hispanic 13,101 2,504 19% 491 4%
Unknown/Not Reported 1,009 252 25% 48 5%
Medicaid Eligibility
CalWorks (TANF) 707 78 11% 20 3%
SSI/SSP <65 48,363 13,341 28% 3,321 7%
SSI/SSP ≥ 65 657 57 9% 10 2%
Other Eligibility Categories for ≥65 1,831 240 13% 11 1%
Foster Care 3,600 700 19% 253 7%
AFDC 10,947 1,329 12% 518 5%
Other Disabled 8,438 1,920 23% 488 6%
Other Child/Family 2,540 351 14% 130 5%
Unknown 1 0 0% 0 0%
All Remaining Other Eligibility Categories 2,258 329 15% 90 4%
Cohort
SMI 63,799 16,289 26% 4,057 6%
SED 8,926 1,568 18% 637 7%
Substance Use Only 658 54 8% 9 1%
Other BH Adult 3,542 326 9% 60 2%
Other BH Youth 2,417 108 4% 78 3%
Special Populations
Co-Occurring Mental Health/SUD 23,159 8,222 36% 1,621 7%
Service Utilization
High MH/SUD Medicaid service utilizer 40,876 14,945 37% 3,291 8%

90 st
Admissions are based on the number of valid admissions (admissions with no discharge before Dec 1 and admissions less than 1 day
from prior discharge have been eliminated).
91
This represents the percent of individuals who had a valid admission followed by an inpatient readmission within 30 days of their
previous discharge. For example, of the 4,072 individuals aged 0-13 with a valid admission, 13% (or 511 individuals) had a hospital inpatient
readmission within 30 days of discharge for behavioral health reasons.
92
This represents the percent of individuals who had a valid admission followed by an emergency department readmission within 30 days
of their previous discharge. For example, of the 4,072 individuals aged 0-13 with a valid admission, 6% (or 234 individuals) had an
emergency department readmission within 30 days of discharge for behavioral health reasons.
CA BHNA Appendix A: DHCS Data 78
Table 9b: Special Analyses: Hospital and Emergency Department Readmissions within 30 Days of Inpatient
Discharge for a Behavioral Health Condition 2008
Unique Individuals with Mental Health
Valid Inpatient Admission Inpatient Emergency Department
93 94 95
Characteristics N N % N %
Total 88,486 17,624 20% 4,428 5%
Demographics
Age
0-13 3,477 273 8% 110 3%
14-17 6,142 874 14% 404 7%
18-21 4,962 867 17% 283 6%
22-26 6,901 1,611 23% 446 6%
27-64 60,187 13,473 22% 3,128 5%
65+ 6,798 525 8% 57 1%
Gender
Male 46,112 10,218 22% 2,302 5%
Female 42,374 7,406 17% 2,126 5%
Race / Ethnicity
White-NH 31,143 5,429 17% 1,482 5%
African American-NH 14,217 3,517 25% 474 3%
Asian-NH 890 106 12% 23 3%
Pacific Islander-NH 2,028 389 19% 74 4%
Native-NH 395 50 13% 17 4%
Other 25,855 5,781 22% 1,864 7%
Hispanic 12,870 2,150 17% 453 4%
Unknown/Not Reported 1,088 202 19% 41 4%
Medicaid Eligibility
CalWorks (TANF) 634 78 12% 21 3%
SSI/SSP <65 54,220 13,004 24% 3,100 6%
SSI/SSP ≥ 65 909 51 6% 8 1%
Other Eligibility Categories for ≥65 3,338 236 7% 6 0%
Foster Care 3,373 532 16% 228 7%
AFDC 10,823 1,151 11% 479 4%
Other Disabled 10,148 1,835 18% 388 4%
Other Child/Family 2,471 360 15% 132 5%
Unknown 1 0 0% 0 0%
All Remaining Other Eligibility Categories 2,569 377 15% 66 3%
Cohort
SMI 73,204 16,143 22% 3,829 5%
SED 7,324 1,056 14% 462 6%
Substance Use Only 838 45 5% 16 2%
Other BH Adult 4,846 289 6% 69 1%
Other BH Youth 2,274 91 4% 52 2%
Special Populations
Co-Occurring Mental Health/SUD 24,578 8,028 33% 1,434 6%
Service Utilization
High MH/SUD Medicaid service utilizer 46,573 14,279 31% 3,035 7%

93 st
Admissions are based on the number of valid admissions (admissions with no discharge before Dec 1 and admissions less than 1 day
from prior discharge have been eliminated).
94
This represents the percent of individuals who had a valid admission followed by an inpatient readmission within 30 days of their
previous discharge. For example, of the 3,477 individuals aged 0-13 with a valid admission, 8% (or 273 individuals) had a hospital inpatient
readmission within 30 days of discharge for behavioral health reasons.
95
This represents the percent of individuals who had a valid admission followed by an emergency department readmission within 30 days
of their previous discharge. For example, of the 3,477 individuals aged 0-13 with a valid admission, 3% (or 110 individuals) had an
emergency department readmission within 30 days of discharge for behavioral health reasons.
CA BHNA Appendix A: DHCS Data 79
Table 9c: Special Analyses: Hospital and Emergency Department Readmissions within 30 Days of Inpatient
Discharge for a Behavioral Health Condition 2007
Unique Individuals with Mental Health
Valid Inpatient Admission Inpatient Emergency Department
96 97 98
Characteristics N N % N %
Total 76,790 17,714 23% 4,171 5%
Demographics
Age
0-13 2,480 260 10% 100 4%
14-17 4,266 632 15% 269 6%
18-21 4,576 727 16% 250 5%
22-26 6,420 1,572 24% 402 6%
27-64 54,127 13,974 26% 3,072 6%
65+ 4,898 549 11% 78 2%
Gender
Male 39,776 10,250 26% 2,103 5%
Female 37,014 7,464 20% 2,068 6%
Race / Ethnicity
White-NH 14,103 2,851 20% 816 6%
African American-NH 7,518 2,053 27% 241 3%
Asian-NH 145 15 10% 8 6%
Pacific Islander-NH 637 123 19% 21 3%
Native-NH 157 33 21% 12 8%
Other 0 -- -- --
Hispanic 5,215 968 19% 210 4%
Unknown/Not Reported 903 199 22% 34 4%
Medicaid Eligibility
CalWorks (TANF) 633 69 11% 11 2%
SSI/SSP <65 48,558 13,309 27% 2,996 6%
SSI/SSP ≥ 65 734 49 7% 11 1%
Other Eligibility Categories for ≥65 1,816 218 12% 8 0%
Foster Care 2,981 533 18% 254 9%
AFDC 9,925 1,091 11% 363 4%
Other Disabled 7,802 1,778 23% 363 5%
Other Child/Family 2,278 329 14% 122 5%
Unknown 0 -- -- --
All Remaining Other Eligibility Categories 2,063 338 16% 43 2%
Cohort
SMI 64,970 16,539 25% 3,734 6%
SED 5,289 824 16% 323 6%
Substance Use Only 713 36 5% 3 0%
Other BH Adult 4,368 249 6% 65 1%
Other BH Youth 1,450 66 5% 46 3%
Special Populations
Co-Occurring Mental Health/SUD 22,303 7,929 36% 1,441 6%
Service Utilization
High MH/SUD Medicaid service utilizer 39,439 14,421 37% 2,814 7%

96 st
Admissions are based on the number of valid admissions (admissions with no discharge before Dec 1 and admissions less than 1 day
from prior discharge have been eliminated).
97
This represents the percent of individuals who had a valid admission followed by an inpatient readmission within 30 days of their
previous discharge. For example, of the 2,480 individuals aged 0-13 with a valid admission, 10% (or 260 individuals) had a hospital inpatient
readmission within 30 days of discharge for behavioral health reasons.
98
This represents the percent of individuals who had a valid admission followed by an emergency department readmission within 30 days
of their previous discharge. For example, of the 2,480 individuals aged 0-13 with a valid admission, 4% (or 100 individuals) had an
emergency department readmission within 30 days of discharge for behavioral health reasons.
CA BHNA Appendix A: DHCS Data 80
Table 10a: System at a Glance – Adults

Year CA Arrivals99 CA Snapshot100 Departures101

2009 15,468 134,223 14%
2008 15,611 128,288 14%
2007 14,630 125,258 13%

Table 10b: System at a Glance – Youth

Year CA Arrivals102 CA Snapshot103 Departures104

2009 11,222 82,847 14%
2008 10,884 76,998 14%
2007 10,378 73,221 14%

99
Average number of new adults entering the system each month.
100
Average number of adult consumers continuously serviced by the system.
101
This number represents the average percent that exit the system (those who do not receive a service for the three months following the
last month of service) in a given month. The denominator varies by month and includes those currently receiving services (continuously
served plus new arrivals receiving services in the three month window of the month).
102
Average number of new youth entering the system each month.
103
Average number of youth consumers continuously serviced by the system.
104
This number represents the average percent that exit the system (those who do not receive a service for the three months following the
last month of service) in a given month. The denominator varies by month and includes those currently receiving services (continuously
served plus new arrivals receiving services in the three month window of the month).
CA BHNA Appendix A: DHCS Data 81
Table 11a: Number of Months with Service Received – 2009 Adults

Number of Months N %105

1 82,987 29%
2 31,740 11%
3 22,702 8%
4 20,286 7%
5 18,089 6%
6 16,418 6%
7 13,899 5%
8 12,151 4%
9 10,735 4%
10 10,924 4%
11 12,769 5%
12 30,201 11%
Total 282,901 100%

Table 11b: Number of Months with Service Received – 2008 Adults

Number of Months N %106

1 79,315 29%
2 31,214 11%
3 22,700 8%
4 19,369 7%
5 16,867 6%
6 15,421 6%
7 13,293 5%
8 11,806 4%
9 10,895 4%
10 10,386 4%
11 11,637 4%
12 30,001 11%
Total 272,904 100%

105
Represents the percentage of adults out of all adults receiving services who received services for a given
number of months in 2009. For example, in 2009, 282,901 adults received services; of those, 29% (or 82,987
adults) received services for one month.
106
Represents the percentage of adults out of all adults receiving services who received services for a given
number of months in 2008. For example, in 2008, 272,904 adults received services; of those, 29% (or 79,315
adults) received services for one month.

CA BHNA Appendix A: DHCS Data 82

Table 11c: Number of Months with Service Received – 2007 Adults

Number of Months N %107

1 74,867 29%
2 29,184 11%
3 20,857 8%
4 18,065 7%
5 16,264 6%
6 14,842 6%
7 13,031 5%
8 11,631 4%
9 10,959 4%
10 11,201 4%
11 12,328 5%
12 29,735 11%
Total 262,964 100%

Table 11d: Number of Months with Service Received – 2009 Youth

Number of Months N %108

1 49,051 25%
2 25,072 13%
3 18,749 10%
4 15,134 8%
5 13,112 7%
6 12,888 7%
7 10,156 5%
8 8,689 5%
9 8,011 4%
10 7,914 4%
11 8,415 4%
12 15,998 8%
Total 193,189 100%

107
Represents the percentage of adults out of all adults receiving services who received services for a given
number of months in 2007. For example, in 2007, 262,964 adults received services; of those, 29% (or 74,867
adults) received services for one month.
108
Represents the percentage of youth out of all youth receiving services who received services for a given number
of months in 2009. For example, in 2009, 193,189 youth received services; of those, 25% (or 49,051 youth)
received services for one month.

CA BHNA Appendix A: DHCS Data 83

Table 11e: Number of Months with Service Received – 2008 Youth

Number of Months N %109

1 45,500 25%
2 23,672 13%
3 18,622 10%
4 14,841 8%
5 12,647 7%
6 11,964 7%
7 9,295 5%
8 8,181 5%
9 7,656 4%
10 7,363 4%
11 7,737 4%
12 15,186 8%
Total 182,664 100%

Table 11f: Number of Months with Service Received – 2007 Youth

Number of Months N %110

1 43,648 25%
2 22,839 13%
3 17,952 10%
4 14,119 8%
5 12,715 7%
6 11,309 7%
7 8,972 5%
8 7,974 5%
9 6,925 4%
10 7,119 4%
11 7,460 4%
12 13,228 8%
Total 174,260 100%

109
Represents the percentage of youth out of all youth receiving services who received services for a given number
of months in 2008. For example, in 2008, 182,664 youth received services; of those, 25% (or 45,500 youth)
received services for one month.
110
Represents the percentage of youth out of all youth receiving services who received services for a given number
of months in 2007. For example, in 2007, 174,260 youth received services; of those, 25% (or 43,648 youth)
received services for one month.

CA BHNA Appendix A: DHCS Data 84

 Section III: County-level Data

CA BHNA Appendix A: DHCS Data 85

Table 12a: Current Participants in Behavioral Health Services – County Level 2009
Total Average Average
Mental Substance
Counties N %111 Health Cost Use Cost
Large Counties (Over 800,000)
Alameda 26,507 2% $6,243 $995
Contra Costa 13,373 1% $5,829 $841
Fresno 20,144 2% $3,982 $708
Los Angeles 203,864 2% $6,773 $593
Orange 33,450 1% $5,100 $274
Riverside 23,503 1% $4,238 $533
Sacramento 34,912 2% $3,496 $892
San Bernardino 37,367 2% $4,477 $516
San Diego 49,733 2% $4,969 $521
San Francisco 20,358 3% $6,566 $1,355
Santa Clara 20,316 1% $7,272 $563
Ventura 11,186 1% $3,932 $574
Medium Counties (250,000-800,000)
Kern 17,348 2% $3,915 $401
Marin 3,604 1% $5,095 $459
Monterey 6,197 1% $5,724 $285
Placer 4,573 1% $2,572 $710
San Joaquin 14,052 2% $3,020 $621
San Luis Obispo 3,882 1% $4,477 $40
San Mateo 6,874 1% $6,288 $259
Santa Barbara 7,232 2% $4,513 $1,108
Santa Cruz 5,016 2% $10,311 $271
Solano 5,173 1% $3,905 $328
Sonoma 8,177 2% $4,956 $1,003
Stanislaus 11,387 2% $3,169 $463
Tulare 10,323 2% $4,581 $421
Small Counties (90,000-250,000)
Butte 9,771 4% $3,179 $823
El Dorado 2,708 2% $2,741 $782
Humboldt 5,434 4% $4,221 $629
Imperial 5,613 3% $2,171 $224
Kings 3,522 2% $2,398 $191
Madera 3,778 3% $2,689 $142
Mendocino 3,760 4% $3,501 $220
Merced 7,332 3% $1,596 $334

111
Represents the percentage of individuals within the population of a given county that participated in behavioral
health services in 2009. For example, in Alameda county in 2009, 2% of the population (or 26,507 individuals)
participated in behavioral health services.

CA BHNA Appendix A: DHCS Data 86

 Total Average Average
Mental Substance
Counties N %111 Health Cost Use Cost
Napa 1,527 1% $6,992 $214
Nevada 1,980 2% $5,190 $397
Shasta 6,940 4% $2,282 $580
Sutter 907 1% $1,025 $561
Yolo 2,645 1% $5,490 $218
Yuba 3,783 5% $2,896 $831
MBA (Under 90,000)
Alpine 16 1% $3,146 $83
Amador 509 1% $1,191 $543
Calaveras 800 2% $1,989 $384
Colusa 512 2% $6,707 $402
Del Norte 1,215 4% $1,521 $1,259
Glenn 906 3% $2,838 $276
Inyo 499 3% $3,205 $489
Lake 2,670 4% $2,285 $728
Lassen 882 3% $3,301 $267
Mariposa 853 5% $1,787 $478
Modoc 546 6% $10,632 $64
Mono 124 1% $1,939 $16
Plumas 573 3% $3,220 $315
San Benito 824 1% $2,579 $157
Sierra 43 1% $3,909 $54
Siskiyou 1,868 4% $6,318 $411
Tehama 2,122 3% $2,150 $473
Trinity 431 3% $4,333 $265
Tuolumne 1,757 3% $2,755 $130

CA BHNA Appendix A: DHCS Data 87

Table 12b: Current Participants in Behavioral Health Services – County Level 2008
Total Average Average
Mental Substance
Counties N %112 Health Cost Use Cost
Large Counties (Over 800,000)
Alameda 24,695 2% $5,725 $1,010
Contra Costa 12,151 1% $5,590 $1,008
Fresno 21,722 2% $2,755 $658
Los Angeles 195,358 2% $6,016 $541
Orange 32,852 1% $5,268 $272
Riverside 22,718 1% $3,137 $426
Sacramento 35,432 3% $3,691 $720
San Bernardino 34,060 2% $4,314 $545
San Diego 46,349 2% $4,838 $650
San Francisco 19,764 2% $5,662 $1,450
Santa Clara 20,561 1% $6,676 $543
Ventura 10,252 1% $3,720 $775
Medium Counties (250,000-800,000)
Kern 17,182 2% $4,440 $505
Marin 2,782 1% $6,845 $999
Monterey 5,717 1% $5,667 $235
Placer 4,384 1% $3,080 $589
San Joaquin 13,504 2% $2,888 $650
San Luis Obispo 4,442 2% $3,802 $186
San Mateo 6,010 1% $6,608 $528
Santa Barbara 8,105 2% $4,478 $317
Santa Cruz 4,938 2% $10,370 $313
Solano 6,875 2% $4,416 $178
Sonoma 7,938 2% $5,069 $1,080
Stanislaus 10,402 2% $3,347 $455
Tulare 11,162 3% $4,051 $333
Small Counties (90,000-250,000)
Butte 9,323 4% $2,856 $578
El Dorado 2,518 1% $3,118 $781
Humboldt 5,469 4% $2,733 $463
Imperial 5,611 3% $2,154 $268
Kings 3,497 2% $1,991 $180
Madera 3,625 2% $2,310 $229
Mendocino 3,851 4% $3,497 $241
Merced 6,769 3% $1,281 $387

112
Represents the percentage of individuals within the population of a given county that participate in behavioral
health services in 2008. For example, in Alameda county in 2008, 2% of the population (or 24,695 individuals)
participated in behavioral health services.

CA BHNA Appendix A: DHCS Data 88

 Total Average Average
Mental Substance
Counties N %112 Health Cost Use Cost
Napa 1,547 1% $6,832 $437
Nevada 1,705 2% $4,198 $144
Shasta 6,879 4% $2,101 $540
Sutter 830 1% $1,169 $749
Yolo 2,863 1% $3,845 $348
Yuba 3,679 5% $2,691 $611
MBA (Under 90,000)
Alpine 21 2% $2,066 $24
Amador 585 2% $1,116 $1,569
Calaveras 779 2% $2,257 $1,356
Colusa 550 3% $5,260 $249
Del Norte 1,458 5% $1,792 $283
Glenn 839 3% $3,738 $217
Inyo 481 3% $2,464 $210
Lake 2,757 4% $1,906 $324
Lassen 826 2% $3,473 $218
Mariposa 585 3% $3,424 $150
Modoc 315 3% $3,804 $1,017
Mono 131 1% $2,125 $4
Plumas 562 3% $3,942 $648
San Benito 710 1% $2,379 $215
Sierra 43 1% $14 $69
Siskiyou 1,964 4% $7,177 $308
Tehama 1,969 3% $2,576 $86
Trinity 444 3% $3,335 $84
Tuolumne 1,959 3% $2,701 $387

CA BHNA Appendix A: DHCS Data 89

Table 12c: Current Participants in Behavioral Health Services – County Level 2007
Total Average Average
Mental Substance
Counties N %113 Health Cost Use Cost
Large Counties (Over 800,000)
Alameda 24,040 2% $5,808 $758
Contra Costa 11,742 1% $5,201 $1,158
Fresno 20,716 2% $2,763 $655
Los Angeles 190,920 2% $5,599 $486
Orange 31,750 1% $5,704 $225
Riverside 24,259 1% $2,692 $346
Sacramento 34,181 2% $3,538 $571
San Bernardino 32,149 2% $3,885 $450
San Diego 41,157 1% $5,006 $462
San Francisco 18,713 2% $5,846 $1,067
Santa Clara 20,517 1% $6,580 $576
Ventura 9,648 1% $3,963 $527
Medium Counties (250,000-800,000)
Kern 16,840 2% $4,624 $463
Marin 2,638 1% $6,097 $656
Monterey 4,809 1% $5,577 $223
Placer 3,918 1% $2,877 $392
San Joaquin 12,734 2% $2,587 $598
San Luis Obispo 4,253 2% $3,494 $168
San Mateo 5,944 1% $5,750 $427
Santa Barbara 8,177 2% $5,394 $304
Santa Cruz 4,610 2% $10,016 $283
Solano 6,959 2% $4,397 $167
Sonoma 7,575 2% $5,313 $1,027
Stanislaus 10,183 2% $3,173 $361
Tulare 10,737 2% $3,292 $378
Small Counties (90,000-250,000)
Butte 8,966 4% $2,719 $649
El Dorado 2,193 1% $2,747 $359
Humboldt 5,656 4% $2,372 $582
Imperial 5,974 4% $1,969 $220
Kings 3,395 2% $1,897 $116
Madera 3,431 2% $2,346 $352
Mendocino 3,727 4% $2,573 $177
Merced 6,015 2% $1,464 $385

113
Represents the percentage of individuals within the population of a given county that participate in behavioral
health services in 2007. For example, in Alameda county in 2007, 2% of the population (or 24,040 individuals)
participated in behavioral health services.

CA BHNA Appendix A: DHCS Data 90

 Total Average Average
Mental Substance
Counties N %113 Health Cost Use Cost
Napa 1,420 1% $5,706 $122
Nevada 1,487 2% $3,126 $774
Shasta 6,976 4% $2,442 $459
Sutter 831 1% $1,178 $490
Yolo 3,053 2% $4,091 $220
Yuba 3,371 5% $2,532 $521
MBA (Under 90,000)
Alpine 48 4% $403 $77
Amador 554 1% $1,347 $134
Calaveras 702 2% $1,962 $133
Colusa 495 2% $4,410 $319
Del Norte 1,455 5% $1,744 $161
Glenn 857 3% $3,264 $312
Inyo 425 2% $2,590 $711
Lake 2,750 4% $2,326 $419
Lassen 853 2% $3,647 $87
Mariposa 493 3% $3,467 $711
Modoc 333 3% $2,217 $418
Mono 119 1% $5,398 $10
Plumas 542 3% $4,114 $428
San Benito 711 1% $3,226 $178
Sierra 23 1% $0 $12
Siskiyou 1,913 4% $7,578 $843
Tehama 1,839 3% $1,967 $155
Trinity 426 3% $3,635 $172
Tuolumne 1,757 3% $3,395 $1,219

CA BHNA Appendix A: DHCS Data 91

Table 13a: Special Analyses: Monthly Mental Health Inpatient Services by County 2009
Mental Health Inpatient
30 Day Readmission
Avg. Length of Stay Rate
114
County Admission Rate (days) N %115
Statewide 43,389 8 9,948 23%
Large Counties (Over 800,000)
Alameda 951 7 224 24%
Contra Costa 450 9 85 19%
Fresno 1,256 6 214 17%
Los Angeles 20,727 8 5,659 27%
Orange 4,361 13 924 21%
Riverside 358 14 20 6%
Sacramento 895 9 124 14%
San Bernardino 2,884 6 529 18%
San Diego 5,321 9 1,098 21%
San Francisco 668 6 181 27%
Santa Clara 344 8 77 22%
Ventura 440 7 38 9%
Medium Counties (250,000-800,000)
Kern 894 7 88 10%
Marin 184 10 32 17%
Monterey 130 6 15 12%
Placer 2 2 0 0%
San Joaquin 37 19 2 5%
San Luis Obispo -- -- -- --
San Mateo 505 7 187 37%
Santa Barbara 63 7 0 0%
Santa Cruz 238 8 64 27%
Solano 385 11 63 16%
Sonoma 3 4 0 0%
Stanislaus 1,112 5 148 13%
Tulare 308 11 42 14%
Small Counties (90,000-250,000)
Butte 125 7 3 2%
El Dorado -- -- -- --
Humboldt 2 2 0 0%
Imperial 2 1 0 0%
Kings 1 2 0 0%
Madera 1 5 0 0%
Mendocino -- -- -- --
Merced 4 1 0 0%
Napa 438 9 112 26%
Nevada -- -- -- --

114 st
Admission Rate is based on the number of valid admissions (admissions with no discharge before Dec 1 and admissions less than
1 day from prior discharge have been eliminated).
115
This represents the percent of individuals with a valid inpatient admission who experienced a mental health inpatient
readmission within 30 days of discharge in a given county. For example, in Alameda county, of the 951 individuals with a valid
inpatient admission, 24% (or 224 individuals) experienced a mental health inpatient readmission within 30 days of discharge.
CA BHNA Appendix A: DHCS Data 92
 Mental Health Inpatient
30 Day Readmission
Avg. Length of Stay Rate
County Admission Rate114 (days) N %115
Shasta 1 2 0 0%
Sutter -- -- -- --
Yolo 294 9 19 6%
Yuba 4 4 0 0%
MBA (Under 90,000)
Alpine -- -- -- --
Amador -- -- -- --
Calaveras -- -- -- --
Colusa -- -- -- --
Del Norte 0 6 -- --
Glenn -- -- -- --
Inyo -- -- -- --
Lake 0 3 -- --
Lassen -- -- -- --
Mariposa -- -- -- --
Modoc -- -- -- --
Mono -- -- -- --
Plumas 1 3 0 0%
San Benito -- -- -- --
Sierra -- -- -- --
Siskiyou -- -- -- --
Tehama -- -- -- --
Trinity -- -- -- --
Tuolumne -- -- -- --

CA BHNA Appendix A: DHCS Data 93

Table 13b: Special Analyses: Monthly Mental Health Inpatient Services by County 2008
Mental Health Inpatient
30 Day Readmission
Avg. Length of Stay Rate
County Admission Rate116 (days) N %117
Statewide 41,120 9 9,355 23%
Large Counties (Over 800,000)
Alameda 839 8 197 23%
Contra Costa 375 10 68 18%
Fresno 1,048 7 187 18%
Los Angeles 19,752 9 5,347 27%
Orange 4,560 13 948 21%
Riverside 822 8 142 17%
Sacramento 774 8 80 10%
San Bernardino 2,375 6 493 21%
San Diego 4,828 9 969 20%
San Francisco 595 7 190 32%
Santa Clara 282 8 47 17%
Ventura 467 8 54 12%
Medium Counties (250,000-800,000)
Kern 776 7 97 13%
Marin 201 10 31 15%
Monterey 107 6 20 19%
Placer 1 2 0 0%
San Joaquin 44 21 10 23%
San Luis Obispo -- -- -- --
San Mateo 204 6 42 21%
Santa Barbara 37 7 0 0%
Santa Cruz 358 7 91 25%
Solano 545 11 64 12%
Sonoma 57 6 6 11%
Stanislaus 770 5 100 13%
Tulare 226 14 29 13%
Small Counties (90,000-250,000)
Butte 190 8 8 4%
El Dorado 2 2 0 0%
Humboldt 2 5 0 0%
Imperial 2 7 0 0%
Kings -- -- -- --
Madera 1 4 0 0%
Mendocino 3 8 8 4%
Merced -- -- -- --
Napa 330 10 76 23%
Nevada 1 1 0 0%

116 st
Admission Rate is based on the number of valid admissions (admissions with no discharge before Dec 1 and admissions less than
1 day from prior discharge have been eliminated).
117
This represents the percent of individuals with a valid inpatient admission who experienced a mental health inpatient
readmission within 30 days of discharge in a given county. For example, in Alameda county, of the 839 individuals with a valid
inpatient admission, 23% (or 197 individuals) experienced a mental health inpatient readmission within 30 days of discharge.
CA BHNA Appendix A: DHCS Data 94
 Mental Health Inpatient
30 Day Readmission
Avg. Length of Stay Rate
County Admission Rate116 (days) N %117
Shasta 7 12 0 0%
Sutter -- -- -- --
Yolo 288 9 25 9%
Yuba 3 4 0 0%
MBA (Under 90,000)
Alpine -- -- -- --
Amador 1 2 0 0%
Calaveras 1 2 0 0%
Colusa 0 1 . .
Del Norte -- -- -- --
Glenn -- -- -- --
Inyo -- -- -- --
Lake -- -- -- --
Lassen -- -- -- --
Mariposa -- -- -- --
Modoc -- -- -- --
Mono -- -- -- --
Plumas 1 1 0 0%
San Benito -- -- -- --
Sierra -- -- -- --
Siskiyou -- -- -- --
Tehama -- -- -- --
Trinity -- -- -- --
Tuolumne 245 7 34 14%

CA BHNA Appendix A: DHCS Data 95

Table 13c: Special Analyses: Monthly Mental Health Inpatient Services by County 2007
Mental Health Inpatient
30 Day Readmission
Avg. Length of Stay Rate
County Admission Rate118 (days) N %119
Statewide 43,179 9 9,593 22%
Large Counties (Over 800,000)
Alameda 1,230 7 260 21%
Contra Costa 437 10 69 16%
Fresno 879 7 150 17%
Los Angeles 20,021 9 5,362 27%
Orange 4,782 13 997 21%
Riverside 1,320 7 263 20%
Sacramento 1,024 8 115 11%
San Bernardino 2,468 6 478 19%
San Diego 4,796 9 946 20%
San Francisco 959 8 251 26%
Santa Clara 313 10 39 12%
Ventura 363 8 47 13%
Medium Counties (250,000-800,000)
Kern 785 7 139 18%
Marin 143 7 27 19%
Monterey 190 6 16 8%
Placer 10 4 0 0%
San Joaquin 75 20 1 1%
San Luis Obispo 3 3 0 0%
San Mateo 239 6 56 23%
Santa Barbara 130 5 16 12%
Santa Cruz 395 7 95 24%
Solano 691 11 73 11%
Sonoma 316 7 42 13%
Stanislaus 56 7 2 4%
Tulare 442 9 50 11%
Small Counties (90,000-250,000)
Butte 219 8 4 2%
El Dorado 10 3 0 --
Humboldt 6 4 0 --
Imperial 4 2 0 --
Kings 9 3 0 --
Madera 10 5 0 --
Mendocino 10 4 1 10%
Merced 11 3 0 --
Napa 273 11 28 10%
Nevada 3 2 0 --

118 st
Admission Rate is based on the number of valid admissions (admissions with no discharge before Dec 1 and admissions less than
1 day from prior discharge have been eliminated).
119
This represents the percent of individuals with a valid inpatient admission who experienced a mental health inpatient
readmission within 30 days of discharge in a given county. For example, in Alameda county, of the 1,230 individuals with a valid
inpatient admission, 21% (or 260 individuals) experienced a mental health inpatient readmission within 30 days of discharge.
CA BHNA Appendix A: DHCS Data 96
 Mental Health Inpatient
30 Day Readmission
Avg. Length of Stay Rate
County Admission Rate118 (days) N %119
Shasta 38 3 1 3%
Sutter -- -- -- --
Yolo 233 9 32 14%
Yuba 10 3 1 10%
MBA (Under 90,000)
Alpine -- -- -- --
Amador 1 2 0 --
Calaveras 1 42 1 100%
Colusa 1 3 0 --
Del Norte -- -- -- --
Glenn 1 3 0 --
Inyo 1 4 0 --
Lake 3 4 0 --
Lassen 1 2 0 --
Mariposa -- -- -- --
Modoc -- -- -- --
Mono 1 3 0 --
Plumas -- -- -- --
San Benito 1 3 0 --
Sierra -- -- -- --
Siskiyou 2 2 0 --
Tehama 1 2 0 --
Trinity -- -- -- --
Tuolumne 262 8 31 12%

CA BHNA Appendix A: DHCS Data 97

Section IV: Methodology

98
 This section describes the methodology used to analyze Medi-Cal Claims data provided by the
Department of Health Care Services (DHCS) for the years 2007-2009. In order to ascertain the current
state of behavioral health service utilization in California, it was determined that access to Medi-Cal
claims level data was critical. This data would help the TAC/HSRI team to determine current need for
behavioral health services and evaluate the extent to which estimated need was met through
penetration rates. Through additional statistical analysis, this data would help to provide a deeper
understanding of how services are currently being delivered and how this pattern of service utilization
may impact the expansion population to serve the complex needs of Medi-Cal clients with behavioral
health issues.

The TAC/HSRI team requested from DHCS claims data for behavioral health clients enrolled in the Medi-
Cal program between 2007 and 2010. Because of data lag issues it was determined that 2010 would not
be used. Thus, the analysis included in this report and was restricted to 2007 – 2009. The extraction
algorithm used to download the claims files of all DHCS behavioral health clients across the 3 years is
shown in Table 14 below.

Table 14: Diagnostic Codes for Extracting Population

SAMHSA Diagnosis Codes to Identify Mental Health Population
Diagnostic Category First three Example Conditions included within Diagnostic Category
Digits of ICD-9
CM Diagnosis
Schizophrenia 295 Chronic and acute schizophrenia conditions
Major Depressive & 296 Manic, depressive and bipolar conditions
Affective Conditions
Other Psychoses 297, 298 Paranoid states, delusional conditions, and reactive psychoses
Childhood Psychoses 299 Infantile autism, disintegrative conditions, and childhood-like
schizophrenia
Neurotic and other 300, 311 Anxiety states; phobic, obsessive-compulsive, and other neurotic
Depressive Conditions conditions; and unspecified depressive conditions
Personality Conditions 301 Affective, schizoid, explosive, histrionic, antisocial, dependent, and
other personality conditions
Other Mental Conditions 302, 306, 310 Sexual deviations, physiological malfunctions arising from mental
factors, and non-psychotic mental conditions due to organic brain
damage
Special Symptoms & 307 Eating conditions, tics and repetitive movement conditions, sleep
Syndromes conditions and enuresis
Stress and Adjustment 308, 309 Acute reaction to stress, depressive reaction, separation conditions,
Reactions and conduct disturbance
Disorders of Conduct 312 Aggressive outbursts, truancy, delinquency, kleptomania, impulse
control condition, and other conduct disorders
Emotional Disturbances 313 Overanxious condition, shyness, relationship problems, and other
mixed emotional disturbances of childhood or adolescence such as
oppositional condition
Hyperkinetic Syndrome 314 Attention deficit with or without hyperactivity, and hyperkinesis

99
 with or without developmental delay
Pregnancy/Childbirth 648.40-648.44 Mental conditions associated with pregnancy or childbirth
Conditions
SAMHSA Diagnosis Codes to Identify Substance Abuse Population
Alcohol Abuse 291, 303, Alcoholic psychoses
305.0
Drug Abuse 292, 304, Drug psychoses and moon conditions, drug dependence
305.2-305.9
Tobacco Use Disorder 305.1 Tobacco use disorder
Pregnancy/Childbirth 760.71, 648.3- Substance abuse related pregnancy or childbirth
Conditions 648.34, 779.5

The requested Medi-Cal dataset was populated by clients with specific diagnosis codes (ICD9 Codes )
with a primary diagnosis identifying a behavioral health disorder such as schizophrenia, depressive
conditions, disorders of conduct, and substance use from SAMHSA’s diagnostic categories for substance
use. Additionally, pregnancy and childbirth mental conditions were also included (see Table 14).

DHCS also provided the TAC/HSRI team with a list of variables available from the data element list. The
team requested the following variables listed in Table 15 along with a brief indication as to which main
task in the work plan the variable would enable us to perform.

100
Table 15: Claims Level Data Requested
Data Element List
(Based on the ‘35’ Paid Claims File)
DATA ELEMENT Level of Data DESCRIPTION FROM MIS/DSS METADATA Data Requested for
Required TAC Work Plan
MAIN TASK (may then
be used for additional
task)
Header Elements
1. Unique Medicaid identifier X Medicaid ID that can be linked to eligibility file and possibly other files 2
4. DHCS Claim Type X Identifies the general type of service that was provided. 2
6. Beneficiary ID: County X Identifies the county of the patient. 2
7. Beneficiary ID: Aid Code X Aid Category identifies which aid code the claim was paid under. 2
10. Beneficiary ID: Person Number X Person Number identifies the individual person in the case. The 2
counties assign the codes.
12. Sex X Identifies the sex of the patient. 2, 4, 5
Identifies ethnicity of the patient. This coding scheme is used on 2, 4, 5
13. Race X
MEDS.
15. Provider Zip Code1 X Servicing address for billing provider. 4, 5
16. Provider Number1, 2 X Billing provider number. It identifies the provider of services. 4, 5
17. Hospital Reimbursement Rates X Hospital Reimbursement Rate identifies the percentage rate in which 3,4, 5
allowed charges will be adjusted to reflect the variance between
charges and actual cost for out-of-state and non-contract hospitals.
This variable may be available if dollar amounts are removed.
18. Patient Liability Amount X Patient Liability identifies the amount owed by the recipient for the 3, 5
services being billed for by the provider on this claim.
19. Provider County1 X County code of the billing provider. 4, 5
20. Physician Specialty X Identifies the primary specialty for Physicians. 4, 5
21. Vendor Code X Identifies the general type of provider. 4, 5
22. Discharge/Status Code X DHCS Discharge/Patient Status Code indicates status of patient on the 3, 5, 7
last day of service on inpatient claims.
25. Medicare Indicator X Medicare Indicator indicates that this was a Medicare Crossover Claim 2, 5
26. Admission Date Complete date Admission Date identifies the date the patient was admitted to the 2, 7
is allowed. hospital (Inpatient claims only).
27. Discharge Date Complete date Discharge Date identifies the date the patient was discharged to the 2, 7
is allowed. hospital (Inpatient claims only).

101
 Data Element List
(Based on the ‘35’ Paid Claims File)
DATA ELEMENT Level of Data DESCRIPTION FROM MIS/DSS METADATA Data Requested for
Required TAC Work Plan
MAIN TASK (may then
be used for additional
task)
Header Elements
29. Primary Diagnosis Code (ICD) X Primary Diagnosis Code identifies the diagnosis code for the principal 2, 5, 7
condition requiring medical attention.
30. Co-Insurance Amount X Co-Insurance Amount identifies the co-insurance amount billed to 2, 5, 7
Medi-Cal for Medicare services.
31. Total Medi-Cal Billed Amount X Total Medi-Cal Billed Amount indicates the amount Medi-Cal was billed 2, 5, 7
by the provider.
32. Total Medi-Cal Paid Amount1 X Total Medi-Cal Paid Amount indentifies the amount Medi-Cal paid to 3, 7, 8
the provider.
34. Federal Financial Participation X Indicates what FFP rate was used for payment. 3, 7
35. Adjustment Indicator X Adjustment Indicator identifies the record as an adjustment. 3, 7
36. Days Stay X Days Stay indicates the number of days that the patient stayed in the 3, 7
hospital (Inpatient claims only).
39. From Date of Service Complete date This is the earliest date of service for the period of service being 3,7
is allowed. reported by the provider in this claim.
40. To Date of Service Complete date This is the latest date of service for the period of service being reported 3,7
is allowed. by the provider in this claim.
41. Other Coverage Indicator X Other Coverage Indicator indicates that there was a non-Medicare 3,7
other health insurance for the claim.
43. Birth Date Complete date Birth Date identifies the Medi-Cal recipient’s date of birth. 3
is allowed for (for linking with DMH
all individuals. and / or ADP data)
44. Provider Type Code X Provider Type Code identifies the classification of the provider 4, 5
rendering health and medical services using the newer 3-digit coding.
45. Category of Service X Category of Service identifies the category of service the service 3, 5
(procedure) code falls into and that the provider is qualified to render
(using the newer 3-digit coding).
46. CCS/GHPP Indicator X CCS/GHPP Indicator indicates service authorized by the California 3, 5
Children’s Services (CCS) or Genetically Handicapped Persons Program
(GHPP).
102
 Data Element List
(Based on the ‘35’ Paid Claims File)
DATA ELEMENT Level of Data DESCRIPTION FROM MIS/DSS METADATA Data Requested for
Required TAC Work Plan
MAIN TASK (may then
be used for additional
task)
Header Elements
47. Provider Name1 X Identifies the name of the billing provider. 4, 5
Minor Consent Service Code identifies the recipient as a minor consent 2, 5
48. Minor Consent Service Code X
eligible and to identify the minor consent services needed.
50. FI Claim Type X Identifies the type of claim used for this billing and the type of edits 3, 5
that were applicable.
51. Prepaid Health Plan Code X Recipient Managed Care Plan Code (a.k.a. Prepaid Health Plan Code) 3, 5
identifies the prepaid health plan that the recipient is enrolled in.
52. Secondary Diagnosis Code X Secondary Diagnosis Code identifies patient’s secondary diagnosis, 2,5
which requires supplementary medical treatment.
53. Claim Emergency Indicator X Claim Emergency Indicator indicates whether the service was 2,5
performed in an emergency situation.
55. Admission Necessity Code X Inpatient Admission Necessity/Type Code indicates the necessity for 2,5
admission to an inpatient hospital.
56. Patient Status Code X DHCS Discharge/Patient Status Code indicates status of patient on the 2, 5, 7
last day of service on inpatient claims.
Admit Source identifies the reason a patient was admitted to a 2, 5, 7
62. Admit Source X
hospital.

103
 Data Element List
(Based on the ‘35’ Paid Claims File)
DATA ELEMENT Level of Data DESCRIPTION FROM MIS/DSS METADATA Data Requested for
Required TAC Work Plan
MAIN TASK (may then
be used for additional
task)
Header Elements
Detail Line Elements
64. Medi-Cal Billed Amount X Detailed Medi-Cal Allowed Amount (Previously named “Detail Medi-Cal 3, 5, 7
Amount Paid”) identifies the maximum amount payable for this service
by Medi-Cal.
65. Medi-Cal Paid Amount1 X Detail Medi-Cal Billed Amount identifies the amount billed for this 3, 7
service.
66. Medicare Billed Amount X Medicare Billed Amount identifies the amount billed to Medicare. 3,7
67. Medicare Paid Amount X Medicare Paid Amount identifies the amount paid by Medicare. 3, 7
68. Medicare Deduction Code X Medicare Deduction Code identifies the type of deductible amount 3, 7
reported in the data element MEDICARE DEDUCTIBLE AMOUNT for
Medicare claims.
69. Medicare Deductible Amount X Medicare Deductible Amount indicates the Medicare deductible 3, 7
amount billed to Medi-Cal for this service.
70. From Date of Service Complete date Detail From Date of Service identifies the start date of the service on 3, 7
is allowed. this detail.
71. To Date of Service Complete date Detail To Date of Service identifies the end date of the service on this 3, 7
is allowed. detail.
72. PCCM Indicator X Primary Care Case Management Indicator identifies if this is a Primary 3, 5
Care Case Management record.
73. Other Health Care Coverage X Other Coverage Indicator indicates that there was a non-Medicare 2, 7
other health insurance for the claim. It identifies the Other Health Care
Circumstances for each service rendered.
74. EPSDT Service Indicator X EPSDT Service Indicator identifies the kind of service for Early Periodic 2, 7
Screening, Diagnosis and Treatment (EPSDT) claims.
76. Place of Service X DHCS Place of Service identifies where service was rendered. 2, 7
77. Type of Service X Type of Service based on the procedure code/revenue code on 2, 7
claims/encounters.
78. Procedure Code X The procedure code being billed on the claim line. This procedure code 3, 7
field can contain CPT-4, HCPCS, Revenue Codes or State Codes.
104
 Data Element List
(Based on the ‘35’ Paid Claims File)
DATA ELEMENT Level of Data DESCRIPTION FROM MIS/DSS METADATA Data Requested for
Required TAC Work Plan
MAIN TASK (may then
be used for additional
task)
Header Elements
79. Procedure Indicator X Identifies the type of procedure code or drug code present in the 3, 7
procedure code field.
82. Units of Service X Units indicates number of units of service provided. 3, 7
84. CoPay Amount X The co-payment amount is to be collected by or obligated to the 3, 4, 5
provider at the time the service is rendered.
86. Prescribing Provider Number2 X Referring Prescribing Provider Number. 3, 4, 5
87. EPSDT Referral Code X EPSDT (Early Periodic Screening, Diagnosis and Treatment) Referral 3, 4, 5
Code identifies if this claim is a CHDP screen-related service; e.g., if a
CHDP (Child Health and Disability Prevention) referral preceded this
claim.
88. CoPay Indicator X CoPay Indicator determines the kind of copay. 3, 4, 5
89. Drug Manufacturer X Indicates code of drug manufacturer. 3, 4, 5
90. FI Type of Service X FI Type of Service characterizes the type of service with which a 3, 4, 7
procedure code is associated.
91. Medi-Cal Reimbursement X Medi-Cal Reimbursed Amount identifies the actual amount reimbursed 3, 4, 7
Amount 1 for this detail line procedure.
92. Other Coverage Amount X Detail Other Coverage Amount identifies the amount of money paid by 3, 7
an insurance carrier or third party for this service. Does not include
Medicare payment.
93. Original Place of Service X Original Place of Service identifies where the service was rendered. 3, 4, 7
95. Drug Days Supply X Drug Days Supply identifies the number of days that the prescription 3, 4, 7
covered.
96. Medical Supply Indicator X Medical Supply Indicator indicates whether this drug code is for a 3, 7
medical supply.
97. Compound Drug Indicator X Indicates whether a drug claim is for a compound drug. 3, 7
99. Billed Code Indicator X Provides information about the original contents of the Procedure 3, 5, 7
Code field before any cross-referencing takes place.

105
 Data Element List
(Based on the ‘35’ Paid Claims File)
DATA ELEMENT Level of Data DESCRIPTION FROM MIS/DSS METADATA Data Requested for
Required TAC Work Plan
MAIN TASK (may then
be used for additional
task)
Header Elements
100. FFP Indicator X Detailed FFP (Federal Financial Participation) Indicator currently used 3, 7
only on FPACT claims from EDS to indicate the level of Medicaid
Federal Financial Participation, if any, that the state may claim.
RECORD_ID X Record ID 2, 4,5
ADJ_IND X Adjusted claim 2, 4,5
REVENUE_CD X Revenue code 2, 4,5

106
It was determined that both claims level and eligibility level variables were necessary for a
comprehensive analysis. However, the eligibility files had a number of missing data elements useful for
the analysis, most notably race. Attempts were made to use it for select demographic variables in
instances that were missing in the claims files. The claims level variables identify the population’s need
for services, the Medi-Cal expenditures on this population, and other information on service utilization.
Claims level variables include items such as provider information (type, specialty, county of practice,
etc.), primary and secondary diagnosis codes, category of services, and Medi-Cal paid amount (see table
15). Information on Short-Doyle and Drug Medi-Cal providers were also included in the claims files.

To facilitate data transfer, a secure FTP server was assigned to upload data in text format. Data was
encrypted and restricted to the appointed team of analysts, with all files being password protected and
stored in a locked secured server environment. All staff who worked with the data received standard
training on confidentiality awareness that conformed to standards set by the Federal Department of
Health and Human Services. A data security administrator (DSA) was designated to ensure that all
information for shared network resources were done at the server level based upon the user’s
authentication credentials. Application-level access passwords were only allowed when explicitly
authorized by management. Security administrators ensured that server access was restricted such that
information transfer could not be affected via access to shared system resources such as disk space or
memory. The security administrator also ensured that firewalls at the system boundaries were
monitored and controlled from communication with the outside world. Such firewalls logged all access
attempts, both successful and unsuccessful. The data security administrator ensured that any publicly
accessible server was located on a separate subnet to prevent unauthorized access. The DSA created
standards for the creation and use of cryptographic keys and the standards for use of cryptography. All
moderate-risk information that leaves a site’s internal network (even if it is headed for another site’s
internal network) was encrypted using a 128-bit key and the AES method of cryptography. The data was
stored in a secured server in climate control environment.

All physical access points (including designated entry/exit points) to facilities containing information
systems (except for those areas within the facilities officially designated as publicly accessible) were
controlled and individual access authorizations were verified before granting access to the facilities.
Access to areas officially designated as publicly accessible, as appropriate, in accordance with the
organization’s assessment of risk were also controlled. A copy of the signed confidentiality contract
required for the use of Medicaid Data is on file.

CA BHNA Appendix B: ADP Data 107

Data Preparation

All data files were uploaded in panel or disaggregated (claims) format, with multiple claims per client on
successive rows. There were a total of 3 files that corresponded to the years under the analysis. After
the data files were successfully downloaded, they were stored in SQL format by calendar year, with
select variables migrated and converted to SPSS format for specific analyses. Most utilization and
performance indicator analyses were performed using SPSS. All provider analyses and analyses
exploring arrivals and monthly service penetration were conducted using SQL program.

To prepare for data analysis, the team created several variables that are introduced across multiple
analysis result tables. These included individual level data found in demographic variables such as age
categories, race/ethnicity and gender. Eligibility categories were also developed from the Medi-Cal Aid
codes provided (details discussed below). Clinical variables such as cohort by behavioral health
diagnostic conditions and special populations such as DMC/SMHS, EPSDT (Early & Periodic Screening,
Diagnosis & Treatment) and Children’s Medi-Cal Foster Care Program were also constructed. The final
category of individual level variables constructed was the Top utilizers. Aggregate variables on
behavioral service categories were also constructed using CPT and HCPCS procedure codes. Indicator
(dummy) variables were created for all cohort or special population of interest that were used in the
analyses. Details on how these variables were constructed for analyses are described below.

Demographic Variable Construction

Demographic variables were created primarily from data furnished in the claims files. Gender was
uploaded as a string variable that was converted to numeric sequence with 0 for male and 1 for male.
Age categories were constructed from the client’s birthday and it was determined by age as of January
1st of the given year. Once age on January 1 was calculated, they were subdivided into 10 categories to
match the prevalence estimates for data presented in the penetration tables (0-5, 6-11, 12-17, 18-20,
21-24, 25-34, 35-44, 45-54, 55-64, 65+) and into 6 categories for all other tables (0-13, 14-17, 18-21, 22-
26, 27-64, 65+). Race and ethnicity were collapsed into 8 categories from those reported in the Claims
Data. Asian demographics include individuals from north (China, Japan, Korea) as well as southeast Asia
(India, Thailand, Vietnam, Hmong, Cambodia and Phillippines). Pacific Islanders include those from
pacific isles located several hundred miles from the coast of any mainland Asian continent. Where
possible, missing information was provided by identical respondents on the limited eligibility files.

Eligibility Categories

Medi -Cal, California’s Medicaid program, was started in 1965 in response to the passage of Title XIX of
the Social Security Act120. The original intent of Medi-Cal was to provide healthcare to uninsured
individuals and address the complex healthcare coverage issues of the disabled and elderly. Additional
eligibility categories have been added in the 47 years since Medi-Cal’s creation. These new categories
were developed in response to the changing healthcare needs of California’s population.

120
Overview History of Centers for Medicare and Medicaid Services. https://www.cms.gov/History/

CA BHNA Appendix B: ADP Data 108

In general, eligibility to Medi-Cal depends on income. One’s income must fall below state-defined limits
in order to qualify for Medi-Cal. Applicants must fit into one of the following categories:

 Individuals who are aged, blind or disabled according to Social Security Rules
 Families with children where deprivation exists (linked to Cal-Works, California’s TANF program)
 Children or pregnant women without regard to deprivation or property
 Individuals with specific health needs, such as Tuberculosis sufferers, dialysis users, users of
intravenous nutrition services, breast and cervical cancer sufferers, certain services for minors
and nursing home care.

In determining one’s eligibility for Medi-Cal, county eligibility workers assign each applicant an Aid Code.
This code is not seen by the applicant, but is used to track the criteria by which the beneficiary qualified
for Medi-Cal. For example, a person receiving coverage through the Medically Needy Program would
have a different aid code based on whether he or she is aged, disabled, blind, etc121. Aid codes are also
used by health care workers to discern which services will be covered by Medi-Cal based on the
applicant’s eligibility. There are over 170 aid codes used in California today.

For the purposes of this analysis, it was not necessary to calculate the frequency of behavioral health
service utilization for individuals qualifying for Medi-Cal through each of the approximately 170 aid
codes. Our team highlighted 10 prominent categories of aid code that was most useful to our analysis
and our ability to determine who qualified eligible enrollees are likely to be among the expansion
population. These categories included the following:

Eligibility based on:

 CalWorks eligibility (TANF) for beneficiaries aged under 65

 SSI/SSP eligibility for beneficiaries under age 65
 SSI/SSP eligibility for beneficiaries over age 65
 Other eligibility codes for beneficiaries over age 65
 Foster Care
 Aid for Families with Dependent Children (AFDC)122
 Other codes for disabled beneficiaries
 Other codes for children or families
 All remaining codes

In Table 16 below we outline how the aid codes were distributed into these 9 categories. A definition of
each of the aid codes can be found at the end of this document.

121
Kulkarni, M. (2006) A guide to MediCal programs: Third edition. Retrieved from
http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/G/PDF%20GuideMediCalPrograms2006.pdf
122
Covers those who would have been eligible for MediCal if AFDC were still in effect.

CA BHNA Appendix B: ADP Data 109

Table 16: Eligibility Categories and Corresponding Aid Codes
Eligibility Categories Aid Codes
CAL WORKS 3E, 3D, 3L, 3M, 3U,
3V, 3W, 4H, 4P, 4R
SSI/SSP <65 20, 36, 60
SSI/SSP ≥ 65 10
Other Eligibility Categories for ≥65 OW, 1X, 1Y, 14, 16,
17, 18, C1, C2, D2,
D3, 13
Foster Care 4A, 4F, 4G, 03, 04,
06, 4H, 4K, 4L, 40,
42, 46, 5K
AFDC 3G, 3H, 30, 32, 3H,
33, 34, 35, 37, 3N,
3P, 3R, C5
Other Disabled 6A, 6C, 6E, 6G, 6H,
6U, 6V, 6W, 6X, 6Y,
63, 64, 66, 67, 68,
6R, 6J, 80, C7, C8,
D4, D5, D6, D7, 5J,
5R, 2E, 2H, 23, 24,
26, 27,28, 8G, C3,
C4
Other Child/Family 34, 37, 38, C5, C6,
3A, 3C,5E, E1, 7X,
8X, 45, 7J, 3E, 3L,
4P, 4R, 8N, 8P, 8R,
8T, 3W, 4T, 44, 45,
47, 48, 7A, 7J, 7K.
7M, 7N, 7P, 7R, 72,
74, 8E, 8U, 8V, 8W,
82, 83, C9, D1
All Remaining Other Eligibility All remaining aid
Categories codes
Clinical Cohort

We developed for analysis several clinical cohort variables to further examine their current utilization
under Medi-Cal. The most prominent among these are our definition of SMI (individuals with severe and
persistent mental illness), SED (children with severe emotional disturbance) adults and youths with
other behavioral health complications also known as broad definition behavioral health individuals,
individuals with substance use, and those with substance use and mental health comorbidity. We
identified these clinical cohorts through the ICD-9 diagnostic codes. We began by identifying our broad
behavioral health individuals as those with a primary diagnosis between 295 and 314 and 648.4. These
correspond to diagnostic conditions listed below in Table 17. Some apply only to adults, others only to
children, and some to both. For those that apply to both, age up to 17 was used to isolate behavioral
youth population from behavioral adult population.

CA BHNA Appendix B: ADP Data 110

Table 17: Diagnostic Conditions of the Broad Definition Behavioral Health Cohort.
ICD-9 Code Diagnostic Category
295.0 – 295.9 Schizophrenia
296.0 – 296.9 Episodic Mood Disorder
297.0 – 297.9 Delusional Disorder
298.0 – 298.9 Other Non-organic Psychoses
300.0 – 300.9 Anxiety, dissociative & somatoform
301.0 – 301.9 Personality Disorders
302.0 – 302.9 Sexual & Gender Identity
306.0 – 306.9 Physiological Malfunction from mental disorders
307.0 – 307.9 Special symptoms and syndromes not elsewhere
classified
308.0 – 308.9 Acute reaction to stress
309.0 – 309.9 Adjustment reaction
311.0 – 311.9 Depressive
312.0 – 312.9 Disturbance of Conduct
313.0 – 313.9 Disturbance of emotions
314.0 – 314.9 Hyperkinetic Syndrome (youths)
648.4 Mental disorders of mothers complicating
pregnancy childbirth

From these broad definition categories we constructed a mutually exclusive cohort of SMI, SED and
broad definition other behavioral health cohorts. Substance Use only population was constructed
according to a set of diagnostic categories specified below. The construction of the SMI and SED cohorts
are described below.

SMI & SED

The target population served by the California Department of Public Health consists of individuals with
severe mental illness (SMI), children with serious emotional disturbances (SED) and individuals using
substances. To determine the current need for state Medicaid behavioral health services, it is important
to assess the service utilization rates of these specific cohorts. Cohort-based data facilitates the design
of specialized strategies that can effectively address the complex needs of individuals with behavioral
health issues.

In order to identify the individuals in these specific cohorts, we identified the diagnosis codes associated
with SMI, SED and Substance Use from California that used SAMHSA definitions. Table 18 below lists
some of the common diagnoses and Table 19 details additional codes used to determine SMI & SED. A
diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder (manic-depressive illness), or major
depressive disorders were used to classify SMI and SED.

Table 18: ICD9 Diagnosis Codes that Correspond with SMI, Substance Use, and SED
SMI
ICD Code Diagnosis

CA BHNA Appendix B: ADP Data 111

295.1 -- 295.9 Includes schizophrenic disorders

301.2 Schizoid personality disorder

301.22 Schizotypal personality disorder
296.4 -- 296.89 Bipolar affective disorder, manic
Bipolar affective disorder, depressed
Bipolar affective disorder, mixed
Bipolar disorder, unspec.
Manic-depressive psychosis, other and unspecified
296.0 -- 296.06 Manic disorder single and recurrent episodes

296.2 -- 296.36 Major depression single and recurrent episodes

Substance Use Cohort

ICD Code Diagnosis
291.0 -- 292.99 Includes
Alcoholic psychoses such as
Alcohol withdrawl delirium
Alcohol induced persisting amnestic disorder
Alcohol induced persisting dementia
Alcohol induced psychotic disorder with
hallucinations
Idiosyncratic alcohol intoxication
Alcohol induced psychotic disorder with delusions

Drug psychoses such as

Drug withdrawal
Drug induced psychotic disorders, with and
without hallucinations
Pathological drug intoxication
Drug induced persisting delirium, dementia and
amnestic disorder
Drug induced mood and sleep disorders
303.0 -- 305.99 Includes
Alcohol dependence syndrome such as
Alcohol intoxication
Chronic alcoholism
Dipsomania

Drug dependence such as

Opioid dependence
Sedative, hypnotic or anxiolytic dependence
Cocaine dependence
Cannabis dependence
Amphetamine dependence
Hallucinogen dependence
Combinations dependence.

CA BHNA Appendix B: ADP Data 112

 Non-dependent abuse of drugs
760.71 Fetal alcohol syndrome
648.3 -- 648.34 Includes
Drug dependence complicating pregnancy
childbirth or the puerperium
779.5 drug withdrawal syndrome in newborn
Drug withdrawal syndrome in infant of dependent
mother
Excludes:
fetal alcohol syndrome (760.71)

SED
ICD Code Diagnosis
295.10 Hebephrenia
295.20 Catatonic (schizophrenia):
agitation
excitation
excited type
stupor
withdrawn type
Schizophrenic:
catalepsy
catatonia
flexibilitas cerea
295.30 Paraphrenic schizophrenia
Excludes:
involutional paranoid state (297.2)
paranoia (297.1)
paraphrenia (297.2)
295.60 Residual type
Chronic undifferentiated schizophrenia
Restzustand (schizophrenic)
Schizophrenic residual state
295.90 Unspecified schizophrenia
Schizophrenia:
NOS
mixed NOS
undifferentiated NOS
undifferentiated type
Schizophrenic reaction NOS
Schizophreniform psychosis NOS
313.81 Oppositional defiant disorder
299.00 Other specified pervasive developmental disorders
Asperger's disorder
Atypical childhood psychosis
Borderline psychosis of childhood
Excludes:

CA BHNA Appendix B: ADP Data 113

 simple stereotypes without psychotic disturbance
(307.3)
309.21 Separation anxiety disorder
313.89 Reactive attachment disorder of infancy
295.70 Schizoaffective disorder
Cyclic schizophrenia
Mixed schizophrenic and affective psychosis
Schizo-affective psychosis
Schizophreniform psychosis, affective type
296.0 Episodic mood disorders
Includes:
episodic affective disorders
Excludes:
neurotic depression (300.4)
reactive depressive psychosis (298.0)
reactive excitation (298.1)
296.2 Major depressive disorder, single episode
Depressive psychosis, single episode or unspecified
Endogenous depression, single episode or
unspecified
Involutional melancholia, single episode or
unspecified
Manic-depressive psychosis or reaction, depressed
type, single episode or unspecified
Monopolar depression, single episode or
unspecified
Psychotic depression, single episode or unspecified

Excludes:
circular type, if previous attack was of manic type
(296.5)
depression NOS (311)
reactive depression (neurotic) (300.4)
psychotic (298.0)
296.3 Major depressive disorder, recurrent episode
Any condition classifiable to 296.2, stated to be
recurrent
Excludes:
circular type, if previous attack was of manic type
(296.5)
depression NOS (311)
reactive depression (neurotic) (300.4)
psychotic (298.0)
296.4 Bipolar I disorder, most recent episode (or current)
manic
Bipolar disorder, now manic
Manic-depressive psychosis, circular type but

CA BHNA Appendix B: ADP Data 114

 currently manic
Excludes:
brief compensatory or rebound mood swings
(296.99)
296.5 Bipolar I disorder, most recent episode (or current)
depressed
Bipolar disorder, now depressed
Manic-depressive psychosis, circular type but
currently depressed
Excludes:
brief compensatory or rebound mood swings
(296.99)
296.6 Bipolar I disorder, most recent episode (or current)
mixed
Manic-depressive psychosis, circular type, mixed
296.7 Bipolar I disorder, most recent episode (or current)
unspecified
Atypical bipolar affective disorder NOS
Manic-depressive psychosis, circular type, current
condition not specified as either manic or
depressive
296.80 Other and unspecified bipolar disorders
296.89 Bipolar II disorder
Manic-depressive psychosis, mixed type
300.3 Obsessive-compulsive disorders
Anancastic neurosis
Compulsive neurosis
Obsessional phobia [any]
Excludes:
obsessive-compulsive symptoms occurring in:
endogenous depression (296.2-296.3)
organic states (e.g., encephalitis) schizophrenia
(295.0-295.9)
300.4 Dysthymic disorder
Anxiety depression
Depression with anxiety
Depressive reaction
Neurotic depressive state
Reactive depression
Excludes:
adjustment reaction with depressive symptoms
(309.0-309.1)
depression NOS (311)
manic-depressive psychosis, depressed type
(296.2-296.3)
reactive depressive psychosis (298.0)
301.13 Cyclothymic disorder

CA BHNA Appendix B: ADP Data 115

 Cycloid personality
Cyclothymia
Cyclothymic personality
300.02 generalized anxiety disorder
309.81 Posttraumatic stress disorder
Chronic posttraumatic stress disorder
Concentration camp syndrome
Posttraumatic stress disorder NOS
Post-Traumatic Stress Disorder (PTSD)
Excludes:
acute stress disorder (308.3)
posttraumatic brain syndrome:
nonpsychotic (310.2)
psychotic (293.0-293.9)
300.14 Dissociative identity disorder
302.2 Pedophilia
302.3 Transvestic fetishism
Excludes:
trans-sexualism (302.5)
302.4 Exhibitionism
302.6 Gender identity disorder in children
Feminism in boys
Gender identity disorder NOS
Excludes:
gender identity disorder in adult (302.85)
trans-sexualism (302.50-302.53)
transvestism (302.3)
302.82 Voyeurism
302.83 Sexual masochism
302.84 Sexual sadism
302.85 Gender identity disorder in adolescents or adults
Use additional code to identify sex reassignment
surgery status (302.5)
Excludes:
gender identity disorder NOS (302.6)
gender identity disorder in children (302.6)
302.89 Other
Frotteurism
Nymphomania
Satyriasis
307.1 Anorexia nervosa
Excludes:
eating disturbance NOS (307.50)
feeding problem (783.3)
of nonorganic origin (307.59)
loss of appetite (783.0)
of nonorganic origin (307.59)

CA BHNA Appendix B: ADP Data 116

307.51 Bulimia nervosa
Overeating of nonorganic origin
312.34 Intermittent explosive disorder
314.00 Without mention of hyperactivity
Predominantly inattentive type
314.01 With hyperactivity
Combined type
Overactivity NOS
Predominantly hyperactive/impulsive type
Simple disturbance of attention with overactivity
314.9 Unspecified hyperkinetic syndrome
Hyperkinetic reaction of childhood or adolescence
NOS
Hyperkinetic syndrome NOS

In terms of the substance use cohort, we included diagnostic categories related to alcohol and drug use
and dependence, including complications to the mother of use during pregnancy or to the newborn. We
excluded the use of tobacco and caffeine from consideration. Table 19 below details the full list of
diagnostic categories that we considered for inclusion as SMI & SED, respectively.

Table 19: SMI and SED Qualifying Diagnoses Table (full details)
ICD-9 Code ICD-9 Description SMI SED
295.00 Simple Type Schizophrenia, Unspecified State X X
295.01 Simple Type Schizophrenia, Subchronic State X X
295.02 Simple Type Schizophrenia, Chronic State X X
Simple Type Schizophrenia, Subchronic State With Acute
295.03 X X
Exacerbation
Simple Type Schizophrenia, Chronic State With Acute
295.04 X X
Exacerbation
295.05 Simple Type Schizophrenia, in Remission X X
295.10 Disorganized Type Schizophrenia, Unspecified State X X
295.11 Disorganized Type Schizophrenia, Subchronic State X X
295.12 Disorganized Type Schizophrenia, Chronic State X X
Disorganized Type Schizophrenia, Subchronic State With Acute
295.13 X X
Exacerbation
Disorganized Type Schizophrenia, Chronic State With Acute
295.14 X X
Exacerbation
295.15 Disorganized Type Schizophrenia, in Remission X X
295.20 Catatonic Type Schizophrenia, Unspecified State X X
295.21 Catatonic State Schizophrenia, Subchronic State X X
295.22 Catatonic Type Schizophrenia, Chronic State X X
Catatonic Type Schizophrenia, Subchronic State With Acute
295.23 X X
Exacerbation
Catatonic Type Schizophrenia, Chronic State With Acute
295.24 X X
Exacerbation

CA BHNA Appendix B: ADP Data 117

 295.25 Catatonic Type Schizophrenia, in Remission X X
295.30 Paranoid Type Schizophrenia, Unspecified State X X
295.31 Paranoid Type Schizophrenia, Subchronic State X X
295.32 Paranoid Type Schizophrenia, Chronic State X X
Paranoid Type Schizophrenia, Subchronic State With Acute
295.33 X X
Exacerbation
Paranoid Type Schizophrenia, Chronic State With Acute
295.34 X X
Exacerbation
295.35 Paranoid Type Schizophrenia, in Remission X X
295.40 Acute Schizophrenic Episode, Unspecified State X X
295.41 Acute Schizophrenic Episode, Subchronic State X X
295.42 Acute Schizophrenic Episode, Chronic State X X
Acute Schizophrenic Episode, Subchronic State With Acute X X
295.43
Exacerbation
Acute Schizophrenic Episode, Chronic State With Acute X X
295.44
Exacerbation
295.45 Acute Schizophrenic Episode, in Remission X X
295.50 Latent Schizophrenia, Unspecified State X X
295.51 Latent Schizophrenia, Subchronic State X X
295.52 Latent Schizophrenia, Chronic State X X
Latent Schizophrenia, Subchronic State With Acute X X
295.53
Exacerbation
295.54 Latent Schizophrenia, Chronic State With Acute Exacerbation X X
295.55 Latent Schizophrenia, in Remission X X
295.60 Residual Schizophrenia, Unspecified State X X
295.61 Residual Schizophrenia, Subchronic State X X
295.62 Residual Schizophrenia, Chronic State X X
Residual Schizophrenia, Subchronic State With Acute X X
295.63
Exacerbation
295.64 Residual Schizophrenia, Chronic State With Acute Exacerbation X X
295.65 Residual Schizophrenia, in Remission X X
295.70 Schizo-Affective Type Schizophrenia, Unspecified State X X
295.71 Schizo-Affective Type Schizophrenia, Subchronic State X X
295.72 Schizo-Affective Type Schizophrenia, Chronic State X X
Schizo-Affective Type Schizophrenia, Subchronic State With X X
295.73
Acute Exacerbation
Schizo-Affective Type Schizophrenia, Chronic State With Acute X X
295.74
Exacerbation
295.75 Schizo-Affective Type Schizophrenia, in Remission X X

ICD-9 ICD-9 Description SMI SED

Code
295.80 Other Specified Types of Schizophrenia, Unspecified State X X
295.81 Other Specified Types of Schizophrenia, Subchronic State X X
295.82 Other Specified Types of Schizophrenia, Chronic State X X

CA BHNA Appendix B: ADP Data 118

 Other Specified Types of Schizophrenia, Subchronic State With
295.83 X X
Acute Exacerbation
Other Specified Types of Schizophrenia, Chronic State With
295.84 X X
Acute Exacerbation
295.85 Other Specified Types of Schizophrenia, in Remission X X
295.90 Unspecified Schizophrenia, Unspecified State X X
295.91 Unspecified Schizophrenia, Subchronic State X X
295.92 Unspecified Schizophrenia, Chronic State X X
Unspecified Schizophrenia, Subchronic State With Acute
295.93 X X
Exacerbation
Unspecified Schizophrenia, Chronic State With Acute
295.94 X X
Exacerbation
295.95 Unspecified Schizophrenia, in Remission X X
296.00 Manic Disorder, Single Episode, Unspecified Degree X X
296.01 Manic Disorder, Single Episode, Mild Degree X X
296.02 Manic Disorder, Single Episode, Moderate Degree X X
Manic Disorder, Single Episode, Severe Degree, Without Mention of
296.03 X X
Psychotic Behavior
Manic Disorder, Single Episode, Severe Degree, Specified as
296.04 X X
With Psychotic Behavior
Manic Disorder, Single Episode, in Partial or Unspecified
296.05 X X
Remission
296.06 Manic Disorder, Single Episode, in Full Remission X X
296.10 Manic Disorder, Recurrent Episode, Unspecified Degree X X
296.11 Manic Disorder, Recurrent Episode, Mild Degree X X
296.12 Manic Disorder, Recurrent Episode, Moderate Degree X X
Manic Disorder, Recurrent Episode, Severe Degree, Without
296.13 X X
Mention of Psychotic Behavior
Manic Disorder, Recurrent Episode, Severe Degree, Specified as
296.14 X X
With Psychotic Behavior
Manic Disorder, Recurrent Episode, in Partial or Unspecified
296.15 X X
Remission
296.16 Manic Disorder, Recurrent Episode, in Full Remission X X
296.20 Major Depressive Disorder, Single Episode, Unspecified Degree X X
296.21 Major Depressive Disorder, Single Episode, Mild Degree X X
296.22 Major Depressive Disorder, Single Episode, Moderate Degree X X
Major Depressive Disorder, Single Episode, Severe Degree,
296.23 X X
Without Mention of Psychotic Behavior
Major Depressive Disorder, Single Episode, Severe Degree,
296.24 X X
Specified as With Psychotic Behavior
Major Depressive Disorder, Single Episode, in Partial or
296.25 X X
Unspecified Remission
296.26 Major Depressive Disorder, Single Episode in Full Remission X X
Major Depressive Disorder, Recurrent Episode, Unspecified
296.30 X X
Degree
296.31 Major Depressive Disorder, Recurrent Episode, Mild Degree X X

CA BHNA Appendix B: ADP Data 119

 296.32 Major Depressive Disorder, Recurrent Episode, Moderate Degree X X
Major Depressive Disorder, Recurrent Episode, Severe Degree,
296.33 X X
Without Mention of Psychotic Behavior
Major Depressive Disorder, Recurrent Episode, Severe Degree,
296.34 X X
Specified as With Psychotic Behavior
Major Depressive Disorder, Recurrent Episode, in Partial or
296.35 X X
Unspecified Remission
296.36 Major Depressive Disorder, Recurrent Episode, in Full Remission X X
296.40 Bipolar Affective Disorder, Manic, Unspecified Degree X X
296.41 Bipolar Affective Disorder, Manic, Mild Degree X X
296.42 Bipolar Affective Disorder, Manic, Moderate Degree X X
Bipolar Affective Disorder, Manic, Severe Degree, Without
296.43 X X
Mention of Psychotic Behavior

ICD-9 ICD-9 Description SMI SED

Code
Bipolar Affective Disorder, Manic, Severe Degree, Specified as
296.44 X X
With Psychotic Behavior
Bipolar Affective Disorder, Manic, in Partial or Unspecified
296.45 X X
Remission
296.46 Bipolar Affective Disorder, Manic, in Full Remission X X
296.50 Bipolar Affective Disorder, Depressed, Unspecified Degree X X
296.51 Bipolar Affective Disorder, Depressed, Mild Degree X X
296.52 Bipolar Affective Disorder, Depressed, Moderate Degree X X
Bipolar Affective Disorder, Depressed, Severe Degree, Without
296.53 X X
Mention of Psychotic Behavior
Bipolar Affective Disorder, Depressed, Severe Degree, Specified as
296.54 X X
With Psychotic Behavior
Bipolar Affective Disorder, Depressed, in Partial or Unspecified
296.55 X X
Remission
296.56 Bipolar Affective Disorder, Depressed, in Full Remission X X
296.60 Bipolar Affective Disorder, Mixed, Unspecified Degree X X
296.61 Bipolar Affective Disorder, Mixed, Mild Degree X X
296.62 Bipolar Affective Disorder, Mixed, Moderate Degree X X
Bipolar Affective Disorder, Mixed, Severe Degree, Without
296.63 X X
Mention of Psychotic Behavior
Bipolar Affective Disorder, Mixed, Severe Degree, Specified as
296.64 X X
With Psychotic Behavior
Bipolar Affective Disorder, Mixed, in Partial or Unspecified
296.65 X X
Remission
296.66 Bipolar Affective Disorder, Mixed, in Full Remission X X
296.7 Bipolar Affective Disorder, Unspecified X X
296.80 Manic-Depressive Psychosis, Unspecified X X
296.81 Atypical Manic Disorder X X
296.82 Atypical Depressive Disorder X X
296.89 Other Manic-Depressive Psychosis X X

CA BHNA Appendix B: ADP Data 120

 296.90 Unspecified Affective Psychosis X X
296.99 Other Specified Affective Psychoses X X
297.0 Paranoid State, Simple X X
297.1 Paranoia X X
297.2 Paraphrenia X X
297.3 Shared Paranoid Disorder X X
297.8 Other Specified Paranoid States X X
297.9 Unspecified Paranoid State X X
298.0 Depressive Type Psychosis X X
298.1 Excitative Type Psychosis X X
298.2 Reactive Confusion X X
298.3 Acute Paranoid Reaction X X
298.4 Psychogenic Paranoid Psychosis X X
298.8 Other and Unspecified Reactive Psychosis X X
298.9 Unspecified Psychosis X X
299.00 Infantile Autism, Current or Active State X
299.01 Infantile Autism, Residual State X
299.10 Disintegrative Psychosis, Current or Active State X
299.11 Disintegrative Psychosis, Residual State X
Other Specified Early Childhood Psychoses, Current or Active
X
299.80 State
299.81 Other Specified Early Childhood Psychoses, Residual State X
299.90 Unspecified Childhood Psychosis, Current or Active State X
299.91 Unspecified Childhood Psychosis, Residual State X
300.00 Anxiety State, Unspecified X X
300.01 Panic Disorder Without Agoraphobia X X
300.02 Generalized Anxiety Disorder X X
300.09 Other Anxiety States X X
300.14 Multiple Personality X X
300.20 Phobia, Unspecified X
300.21 Agoraphobia With Panic Attacks X X
300.22 Agoraphobia Without Mention of Panic Attacks X X

ICD-9 Code ICD-9 Description SMI SED

300.23 Social Phobia X
300.29 Other Isolated or Simple Phobias X
300.3 Obsessive-Compulsive Disorders X X
300.4 Neurotic Depression X X
301.0 Paranoid Personality Disorder X X
301.10 Affective Personality Disorder, Unspecified X X
301.11 Chronic Hypomanic Personality Disorder X X
301.12 Chronic Depressive Personality Disorder X X
301.13 Cyclothymic Disorder X X
301.20 Schizoid Personality Disorder, Unspecified X X
301.21 Introverted Personality X X

CA BHNA Appendix B: ADP Data 121

 301.22 Schizotypal Personality X X
301.1 Explosive Personality Disorder X X
301.4 Compulsive Personality Disorder X X
301.50 Histrionic Personality Disorder, Unspecified X X
301.51 Chronic Factitious Illness With Physical Symptoms X X
301.59 Other Histrionic Personality Disorder X X
301.6 Dependent Personality Disorder X X
301.81 Narcissistic Personality X X
301.82 Avoidant Personality X X
301.83 Borderline Personality X X
301.84 Passive-Aggressive Personality X X
301.89 Other Personality Disorders X X
301.9 Unspecified Personality Disorder X X
307.1 Anorexia Nervosa X
307.2 Tic Disorder, Unspecified X
307.20 Transient Tic Disorder of Childhood X
307.21 Chronic Motor Tic Disorder X
307.22 Gilles De La Tourettes Disorder X
307.23 Stereotyped Repetitive Movements X
307.3 Tic Disorder, Unspecified X
307.50 Eating Disorders, Unspecified X
307.51 Bulimia X
307.52 Pica X
307.53 Psychogenic Rumination X
307.54 Psychogenic Vomiting X
307.59 Other Disorders of Eating X
307.6 Enuresis X
307.7 Encopresis X
309.21 Separation Anxiety Disorder X
309.81 Prolonged Posttraumatic Stress Disorder X X
312.30 Impulse Control Disorder, Unspecified X
312.33 Pyromania X
312.34 Intermittent Explosive Disorder X
312.35 Isolated Explosive Disorder X
312.39 Other Disorders of Impulse Control X
312.9 Unspecified Disturbance of Conduct X
313.0 Overanxious Disorder Specific to Childhood and Adolescence X
Misery and Unhappiness Disorder Specific to Childhood and
313.1 X
Adolescence
313.21 Shyness Disorder of Childhood X
313.22 Introverted Disorder of Childhood X
313.23 Elective Mutism X
313.3 Relationship Problems Specific to Childhood and Adolescence X
313.81 Oppositional Disorder of Childhood or Adolescence X
313.82 Identity Disorder of Childhood or Adolescence X
313.83 Academic Underachievement Disorder of Childhood or X

CA BHNA Appendix B: ADP Data 122

 Adolescence
313.89 Other Emotional Disturbances of Childhood or Adolescence X
313.9 Unspecified Emotional Disturbance of Childhood or X

ICD-9 Code ICD-9 Description SMI SED

Adolescence
314.00 Attention Deficit Disorder of Childhood Without Mention of X
Hyperactivity
314.01 Attention Deficit Disorder of Childhood With Hyperactivity X
314.1 Hyperkinesis of Childhood With Developmental Delay X
314.2 Hyperkinesis Conduct Disorder of Childhood X
314.8 Other Specified Manifestations of Hyperkinetic Syndrome X
314.9 Unspecified Hyperkinetic Syndrome of Childhood X
787.6 Incontinence of Feces X

Other Behavioral Health

This cohort was defined as anyone in the diagnostic range included above, but not meeting the
above definition of SMI or SED (e.g. other depressives disorders, PTSD).

Substance Use Primary

This cohort was defined as anyone who did not meet SMI or SED criteria and a majority of claims were
substance use related.

Co-occurring Mental Health and Substance Use

Since diagnoses are associated with individual claims and persons could have more than one primary
diagnosis, our algorithm for selecting individuals into the mutually exclusive cohorts is based on the
modal occurrence of diagnoses across multiple claims occurring in the same calendar year. An individual
was classified as substance use and mental health co-occurring cohort is not a mutually exclusive
category in that it was based on individuals with both a mental health and substance use disorder
primary diagnosis occurring in the same year. Therefore, individuals who are SMI or SED as well as
those who are part of the broader definition of behavioral health cohort could be classified as co-
occurring users.

DMC/SMHS Services

Individuals were identified as receiving behavioral health services funded through DMC/SMHS through
procedure codes and vendor codes that specify Short-Doyle services. Table 20 below lists the procedure
codes provided by the Medi-Cal Data Element Dictionary used to identify DMC/SMHS recipient service.

CA BHNA Appendix B: ADP Data 123

Table 20: DMC/SMHS Procedure codes
The codes and/or definitions went into effect beginning with the July 1992 month of service due to the implementation
of the Mental Health Rehabilitation Option. The codes were defined as follows:

Short-Doyle Service Domain of Service

Procedure
Code
0001 Mental Health-Case Management MH Outpatient
Rehabilitation
0101 Mental Health-Collateral, Assessment, Individual MH Outpatient
Therapy, or Group Therapy (combines former codes of 0101, 0301,
0401, and 0501)
0201 Mental Health-Crisis Stabilization-Emergency room, Emergency
Crisis Stabilization, Psychiatric Health Facility
0220 Drug Services-Methadone Maintenance Substance Use Services
0225 Prenatal Services-Methadone Maintenance Substance Use Services
0301 Same as 0101 (optional code) MH Outpatient
0310 Alcohol Services-Day Care Habilitative Substance Use Services
0320 Drug Services-Day Care Habilitative Substance Use Services
0325 Prenatal Services-Day Care Habilitative Substance Use Services
0401 Same as 0101 (optional code) MH Outpatient
0425 Prenatal Services-Residential Care Substance Use Services
0501 Same as 0101 (optional code) MH Outpatient
0520 Drug Services-Naltrexone Treatment Substance Use Services
0525 Prenatal Services-Naltrexone Treatment Substance Use Services
0601 Mental Health-Medication Support MH Outpatient
Treatment
0701 Mental Health-Crisis Intervention Emergency
0801 Mental Health-Day Treatment Intensive MH Outpatient
Treatment
0810 Alcohol Services-Drug Free Treatment Substance Use Services
0820 Drug Services-Drug Free Treatment Substance Use Services
0825 Prenatal Services-Drug Free Treatment Substance Use Services
0901 Mental Health-Day Treatment Rehabilitative MH Outpatient
Rehabilitation
5101 Mental Health-Case Management/Brokerage MH Outpatient
Rehabilitation

CA BHNA Appendix B: ADP Data 124

In addition to the procedure codes described in Table 20, Vendor Code 64 (Short-Doyle Community
Mental Health Hospital Sevices), 74 (Short-Doyle Community Mental Health Clinic) and 95 (Short-Doyle
Community Mental Health Rehabilitation Treatment) and Other Procedure Indicator of 8 were also
included to capture all possible occurrences of DMC/SMHS participants in the datasets. These codes
were also used to identify providers for all provider analyses.

EPSDT & Children’s Medical Foster Care Program

California’s Early and Periodic Screening, Diagnosis & Treatment program is commonly referred to as the
Child Health and Disability Prevention (CHDP) program, which is indicated by Claim Type 6, a referral
code of 1 on the EPSDT Referral Code indicator, and procedure indicator. All three variables were used
to identify the EPSDT special population. In the case of the Other Procedure Indicator (2), additional
restrictions were placed such as only claims coded that belonged to individuals under age 18. Additional
analyses on Claim Type 6 and EPSDT Referral Code indicator revealed that a small number of adults over
age 20 were included. We excluded adults over age 20 in our pool of EPSDT subpopulation. Children
belonging to the medical foster care program were exclusively identified through Eligibility code for
Foster Care described above.

Top Utilizers (5, 10 & 20%)

Top utilizers were estimated from paid claims and used to identify patterns of utilization. These groups
were identified in each year by ranking behavioral service users by paid amount and obtaining the Top 5,
10, and 20% of all behavioral health service users. Once these groups were selected from the ranking
distribution, additional analyses such as expenditure and utilization were performed and reported
elsewhere in this document along with comparisons made by their respective cohorts in the overall
population.

Behavioral Health Service Categories

Behavioral health service categories were used to describe the overall pattern of behavioral health
service provided overall to individuals in each year, as well as for subgroups such as adults, youths,
EPSDT and Foster Care program participants. These categories were defined through the vast range of
CPT, HCPCS & Short-Doyle procedure codes. From our analyses of nearly 6,000 unique procedure codes,
we categorized all Behavioral Services into 40 unique service codes, and from these service codes
further categorized them into 6 major service categories. Indicator variables (dummy) were created for
each service domain to estimate the number of individuals who received services in the domain and the
amount paid by Medi-Cal for those services by domain in each year. Table 21 below outlines the 44
behavioral health services provided through Medi-Cal we catalogued and their respective domain
assignments.

CA BHNA Appendix B: ADP Data 125

Table 21: Behavioral Health service categories by Domain
Service Code Name Domain
1 Residential Residential
2 Psychiatric Emergency Emergency
3 Crisis Residential Emergency
4 Respite Care Emergency
5 Crisis Intervention Emergency
6 Inpatient (Psychiatric) Inpatient/Hospital
7 Substance Use Screening Substance Use Services
8 Diagnostic Interview MH Outpatient Treatment
9 Individual Psychotherapy MH Outpatient Treatment
10 Family Psychotherapy MH Outpatient Treatment
11 Group Psychotherapy MH Outpatient Treatment
12 Medication Management MH Outpatient Treatment
13 Electroconvulsive Therapy MH Outpatient Treatment
14 Hypnotherapy MH Outpatient Treatment
15 Environmental Manipulation MH Outpatient Treatment
16 Collateral MH Outpatient Treatment
17 Testing and Assessment MH Outpatient Treatment
18 Outpatient Consultation MH Outpatient Treatment
19 Primary Care Behavioral Health MH Outpatient Treatment
20 Case Consultation MH Outpatient Treatment
21 Mental Health Day Rehabilitation MH Outpatient Rehabilitation
22 Acute Care Psych Facility Inpatient/Hospital
23 Substance Use Counseling Substance Use Services
24 Pregnancy Mental Health MH Outpatient Treatment
25 Psychiatric Rehabilitation MH Outpatient Rehabilitation
26 Therapeutic Behavioral MH Outpatient Rehabilitation
27 Substance Use Outpatient Detox Substance Use Services
28 Mental Health Case Management MH Outpatient Rehabilitation
29 Mental Health Crisis Stabilization Emergency
30 Methadone Maintenance Substance Use Services
31 Alcohol Day Habilitation Substance Use Services
32 Drug Day Habilitation Substance Use Services
33 Prenatal Day Care Substance Use Services
34 Alcohol Services(Drug Free) Substance Use Services
35 Drug Servics (Drug Free) Substance Use Services
36 Substance Use Day Treatment Substance Use Services
37 Substance Use Outpatient Substance Use Services
38 Prenatal Service (Residential) Substance Use Services
39 Substance Use Inpatient Detox Substance Use Services
40 Mental Health Day Treatment MH Outpatient Treatment

CA BHNA Appendix B: ADP Data 126

It is important to note that individuals whom we place into the various service categories are not
mutually exclusive as a person in any behavioral health system and are likely to be receiving multiple
services simultaneously across multiple categories that are paid through Medi-Cal. Therefore, the
number of individuals reported in those tables will exceed the total number overall who are served
annually through DHCS.

Snapshot/Arrival/Disappearance and New Enrollees

We used snapshot, arrival and disappearance as a means of presenting another glimpse of behavioral
health utilization using methods our team has pioneered and used in the federal Block Grant and various
state and local health reform initiatives. This is based on examining the patterns of service use by
examining the number of individuals who are served using 3 consecutive months as a barometer for
gauging how many cease service use and perhaps returning in subsequent months in the same calendar
year or in a subsequent year. We therefore, assign individuals to snapshot who have 3 or more
consecutive months of service (as indicated by claims). Those who experience any interruption but
return subsequently are considered arrivals. Arrivals may also include individuals who are new to
services funded through Medi-Cal. Disappearances are defined by those who receive no services for
more than 3 months.

New enrollees reported in Table 5 is a category we assigned to individuals beginning in 2008 and into
2009. They refer to individuals who are known to the Medi-Cal claim system in 2008 but not in 2007
and those known in 2009 but not in 2008. As part of that section of analyses, we also examined the
number of individuals who experienced 1, 2 up to 12 months of unbroken service as defined by service
begin or end dates.

Special Analyses Variables

Encounter

We defined encounters reported in Table 7 primarily by counting individual claims for services. This was
the case for Emergency, Mental Health Outpatient Treatment and Rehabilitation and Substance Use
services. For inpatient and residential services we defined encounters by counting as unique episode or
encounter those claims separated by more than one day from the defined end of service date.

No Contact from Hospital Discharge

In Table 8 as a performance indicator we examined the length in days that elapsed from inpatient
discharge to the receipt of Medicaid outpatient behavioral services. These services are those that are
defined by service categories ranging from residential to mental health outpatient treatment,
rehabilitation and substance use services. Emergency services are excluded. We measured the days
from hospital discharge date to the begin date of service for the outpatient service that met our
inclusion criteria. The column “No Contact’ includes either individual who did not receive a behavioral
health service or those who were readmitted to the hospital for behavioral health reasons.

CA BHNA Appendix B: ADP Data 127

Table 22: Aid Codes
All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
03 Full No Adoption Assistance Program (AAP) (FFP). A cash grant program to Yes Yes Yes
facilitate the adoption of hard-to-place children who would require
permanent foster care placement without such assistance.
04 Full No Adoption Assistance Program/Aid for Adoption of Children (AAP/AAC). Yes Yes 9/30/90 Yes
Covers cash grant children receiving Medi-Cal by virtue of eligibility to
AAP/AAC benefits.
06 Full No Out of State Interstate Compact on Adoption Assistance Yes No Yes
AA children from out of state placed in CA
1E Full No Continued eligibility for the Aged (FFP), Covers former SSI beneficiaries Yes Yes No
who are Aged (with exception of persons who are deceased or
incarcerated in a correctional facility) until the county redetermines
their eligibility.
1H Full No Federal poverty level – Aged (FPL-Aged) Provides full scope (no share of Yes No No
cost) Medi-Cal to qualified aged individuals/couples.
1U Restricted to pregnancy No Restricted Federal poverty level – Aged (Restricted FPL – Aged) Yes Yes No
and Emergency Provides emergency and pregnancy-related benefits (no Share of Cost)
Services to qualified aged individuals/couples who do not have satisfactory
immigration status
Emergency
1X Full No Multipurpose Senior Services Program Medi-Cal Qualified, Eligible due Yes Yes No
to application of spousal impoverishment rules. Covers persons 65
years and older who meet the Medi-Cal criteria for inpatient care in a
nursing facility.
1Y Full Yes Multipurpose Senior Services Program Medi-Cal Qualified, Eligible due Yes Yes No
to application of spousal impoverishment rules. Covers persons 65
years and older who meet the Medi-Cal criteria for inpatient care in a
nursing facility.
10 Full No SSI/SSP Aid to the Aged (FFP). A cash assistance program administered Yes Yes No
by the SSA which pays a cash grant to needy persons 65 years of age or
older.
13 Full Y/N Aid to the Aged – LTC (FFP) Covers persons 65 years of age or older who Yes Yes No
are medically needy and in LTC status
14 Full No Aid to the Aged – Medically Needy (FFP). Covers persons 65 years of Yes Yes No
CA BHNA Appendix B: ADP Data 128
 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
age or older who do not wish or are not eligible for a cash grant, but
are eligible for Medi-Cal only.
16 Full No Aid to the Aged – Pickle Eligibles (FFP). Covers persons 65 years of age Yes Yes No
or older who were eligible for and receiving SSI/SSP and Title II benefits
concurrently in any month since April 1977 and were subsequently
discontinued from SSI/SSP but would be eligible to receive SSI/SSP if
their Title II cost-of-living increases were disregarded. These persons
are eligible for Medi-Cal benefits as public assistance recipients in
accordance with the provisions in the Lynch v. Rank lawsuit.
17 Full Yes Aid to the Aged – Medically Needy, SOC (FFP). Covers persons 65 years Yes Yes No
of age or older who do not wish or are not eligible for a cash grant, but
are eligible for Medi-Cal only. SOC required.
18 Full No Aid to the Aged – IHSS (FFP). Covers aged IHSS cash recipients, 65 years Yes Yes 1/31/06 No
of age or older, who are not eligible for SSI/SSP cash benefits.
2A Full No Abandoned baby program. Provides full scope benefits to children up Yes No Yes
to 3 months of age who were voluntarily surrendered within 72 hours
of birth pursuant to the Safe Arms for Newborns Act
2E Full No Continued eligibility for the Blind (FFP), Covers former SSI beneficiaries Yes Yes Yes
who are Blind (with exception of persons who are deceased or
incarcerated in a correctional facility) until the county redetermines
their eligibility.
2H Full No Blind – Federal Poverty Level – covers blind individuals in the FPL for Yes Yes 10/25/10 Yes
the Blind Program.
20 Full No SSI/SSP Aid to the Blind (FFP). A cash assistance program administered Yes Yes Yes
by the SSA, which pays a cash grant to needy blind persons of any age.
23 Full Y/N Aid to the Blind – LTC Status (FFP). Covers persons who meet the Yes Yes Yes
federal criteria for blindness, are medically needy, and are in LTC
status.
24 Full No Aid to the Blind – Medically Needy (FFP). Covers persons who meet the Yes Yes Yes
federal criteria for blindness who do not wish or are not eligible for a
cash grant, but are eligible for Medi-Cal only.
26 Full No Aid to the Blind – Pickle Eligibles (FFP). Covers persons who meet the Yes Yes Yes
federal criteria for blindness and are covered by the provisions of the
Lynch v. Rank lawsuit. (See aid code 16 for definition of Pickle eligibles.)

CA BHNA Appendix B: ADP Data 129

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
27 Full Yes Aid to the Blind – Medically Needy, SOC (FFP). Covers persons who Yes Yes Yes
meet the federal criteria for blindness who do not wish or are not
eligible for a cash grant, but are eligible for Medi-Cal only. SOC is
required of the beneficiaries.
28 Full No Aid to Blind – IHSS (FFP). Covers persons who meet the federal Yes Yes 1/31/06 Yes
definition of blindness and are eligible for IHSS. (See aid code 18 for
definition of eligibility for IHSS.)
3A Full No SAFETY NET – All other Families, CalWORKs Timed-Out, Child-Only Case. Yes Yes Yes
(FFP) Provides for continued cash and Medi-Cal coverage of children
whose parents have been discontinued from cash aid and removed
from assistance unit (AU) due to reaching the CalWORKs 60 month time
limit without meeting a time extender exception.
3C Full No SAFETY NET – Two Parent, CalWORKs Timed-Out, Child-Only Case. (FFP) Yes Yes Yes
Provides for continued cash and Medi-Cal coverage of children whose
parents have been discontinued from cash aid and removed from AU
due to reaching the CalWORKs 60 month time limit without meeting a
time extender exception.
3D Full No Not on cash aid, but cash-linked Medi-Cal eligible because the Yes Yes
individual has been determined to be eligible for CalWORKs.
3E Full No CalWORKS LEGAL IMMIGRANT – FAMILY GROUP (FFP). Provides aid to Yes Yes Yes
families in which a child is deprived because of the absence, incapacity
or death of either parent.
3G Full No AFDC-FG (State only non-FFP cash grant) (FFP for Medi-Cal eligibles). Yes Yes Yes
Provides aid to families in which a child is deprived because of the
absence, incapacity or death of either parent, who does not meet all
federal requirements, but State rules require the individual(s) be aided.
This population is the same as aid code 32, except that they are exempt
from the AFDC grant reductions on behalf of the Assistance Payments
Demonstration Project/California Work Pays Demonstration Project.
3H Full No AFDC-FU (State only non-FFP cash grant) (FFP for Medi-Cal eligibles). Yes Yes Yes
Provides aid to pregnant women (before their last trimester) who meet
the federal definition of an unemployed parent but are not eligible
because there are no other children in the home. This population is the
same as aid code 33, except that they are exempt from the AFDC grant

CA BHNA Appendix B: ADP Data 130

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
reductions on behalf of the Assistance Payments Demonstration
Project/California Work Pays Demonstration Project
3L Full No CalWORKS LEGAL IMMIGRANT – FAMILY GROUP (FFP). Provides aid to Yes Yes Yes
families in which a child is deprived because of the absence, incapacity
or death of either parent.
3M Full No CalWORKS LEGAL IMMIGRANT – UNEMPLOYED (FFP). Provides aid to Yes Yes Yes
families in which a child is deprived because of the unemployment of a
parent living in the home.
3N Full No AFDC – Mandatory Coverage Group Section 1931(b) (FFP). Section 1931 Yes Yes 12/13/10 Yes
requires Medi-Cal be provided to low-income families who meet the Replaced
requirements of the Aid to Families with Dependent Children (AFDC) by 4L
State Plan in effect July 16, 1996.
3P Full No AFDC Unemployed Parent (FFP cash) – Aid to families in which a child is Yes Yes Yes
deprived because of the unemployment of a parent living in the home
and the unemployed parent meets all federal AFDC eligibility
requirements. This population is the same as aid code 35, except that
they are exempt from the AFDC grant reductions on behalf of the
Assistance Payments Demonstration Project/California Work Pays
Demonstration Project.
3R Full No Aid to Families with Dependent Children (AFDC) – Family Group (FFP) in Yes Yes Yes
which the child(ren) is deprived because of the absence, incapacity or
death of either parent. This population is the same as aid code 30,
except that they are exempt from the AFDC grant reductions on behalf
of the Assistance Payments Demonstration Project/California Work
Pays Demonstration Project.
3T Restricted to pregnancy No Initial Transitional Medi-Cal (TMC) (FFP). Provides six months of Yes Yes No
and emergency services emergency and pregnancy-related initial TMC benefits (no SOC) for
aliens who do not have satisfactory immigration status (SIS) and have
been discontinued from Section 1931(b) due to increased earnings
from employment. Emergency
3U Full No CalWORKS LEGAL IMMIGRANT – UNEMPLOYED (FFP). Provides aid to Yes Yes Yes
families in which a child is deprived because of the unemployment of a
parent living in the home.
3V Restricted to pregnancy No Section 1931(b) (FFP). Provides emergency and pregnancy-related Yes Yes No

CA BHNA Appendix B: ADP Data 131

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
and emergency services benefits (no SOC) for aliens without SIS who meet the income,
resources and deprivation requirements of the AFDC State Plan in
effect July 16, 1996. Emergency
3W Full No Temporary Assistance to needy Families (TANF) Timed-Out Mixed Case Yes No Yes
30 Full No AFDC-FG (FFP). Provides aid to families with dependent children in a Yes Yes Yes
family group in which the child(ren) is deprived because of the absence,
incapacity or death of either parent.
32 Full No AFDC-FG (State only non-FFP cash grant) (FFP for Medi-Cal eligibles). Yes Yes 11/1/85 Yes
Provides aid to families in which a child is deprived because of the
absence, incapacity, or death of either parent, who does not meet all
federal requirements, but State rules require the individual(s) be aided.
33 Full No AFDC – Unemployed Parent (State-only program non-FFP cash grant) Yes Yes Yes
(FFP for Medi-Cal eligibles). Provides aid to pregnant women (before
their last trimester) who meet the federal definition of an unemployed
parent but are not eligible because there are no other children in the
home.
34 Full No AFDC-MN (FFP). Covers families with deprivation of parental care or Yes Yes Yes
support who do not wish or are not eligible for a cash grant but are
eligible for Medi-Cal only.
35 Full No AFDC-U (FFP cash). Provides aid to families in which a child is deprived Yes Yes Yes
because of unemployment of a parent living in the home and the
unemployed parent meets all federal AFDC eligibility requirements.
36 Full No Aid to Disabled Widow/ers (FFP). Covers persons who began receiving Yes Yes Yes
Title II SSA before age 60 who were eligible for and receiving SSI/SSP
and Title II benefits concurrently and were subsequently discontinued
from SSI/SSP but would be eligible to receive SSI/SSP if their Title II
disabled widow/ers reduction factor and subsequent COLAs were
disregarded.
37 Full Yes AFDC-MN (FFP). Covers families with deprivation of parental care or Yes Yes Yes
support who do not wish or are not eligible for a cash grant, but are
eligible for Medi-Cal only. SOC required of the beneficiaries.
38 Full No Continuing Medi-Cal Eligibility (FFP). Edwards v. Kizer court order Yes Yes Yes
provides for uninterrupted, no SOC Medi-Cal benefits for families
discontinued from AFDC until the family‟s eligibility or ineligibility for

CA BHNA Appendix B: ADP Data 132

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
Medi-Cal only has been determined and an appropriate Notice of
Action sent.
39 Full No Initial Transitional Medi-Cal (TMC) – Six Months Continuing Eligibility Yes Yes Yes
(FFP). Provides coverage to certain clients subsequent to AFDC cash
grant discontinuance due to increased earnings, increased hours of
employment or loss of the $30 and 1/3 disregard.
4A Full No Adoption Assistance Program (AAP). Program for AAP children for Yes Yes Yes
whom there is a state-only AAP agreement between any state other
than California and adoptive parent(s).
4F Full No Kinship Guardianship Assistance Payment (Kin-GAP). Federal program Yes Yes Yes
for children in relative placement receiving cash assistance.
4G Full No Kin-GAP. State-only program for children in relative placement Yes Yes Yes
receiving cash assistance.
4H Full No Foster Care children in CalWorks Yes Yes 12/13/10 Yes
4L Full No Foster care children in Social Security Act Title XIX, Seciton 1931 (b) Yes Yes 12/13/10 Yes
program
4K Full No Emergency Assistance (EA) Program (FFP). Covers juvenile probation Yes Yes Yes
cases placed in foster care.
4M Full No FORMER FOSTER CARE CHILDREN. This program covers former foster Yes Yes Yes
care youth who were in foster care on their eighteenth birthday.
Coverage extends until the 21st birthday and provides full-scope, no-
cost benefits.
4P RestrictedFull No CalWORKs Family reunification – All Families (FFP) Provides for the 10/25/10
continuance of CalWORKS services (includes Medi-Cal) to all families
except two parent families, under certain circumstances, when a child
has been removed from the home and is receiving out-of-home care
4R RestrictedFull No CalWORKs Family reunification – Two Parent (FFP) Provides for the 10/25/10
continuance of CalWORKS services (includes Medi-Cal) to two parent
families, under certain circumstances, when a child has been removed
from the home and is receiving out-of-home care
4T Full No Children in IV-E KinGAP Program Yes Yes 1/10/11 Yes
40 Full No AFDC-FC/Non-Fed (State FC). Provides financial assistance for those Yes Yes Yes
children who are in need of substitute parenting and who have been
placed in foster care.
CA BHNA Appendix B: ADP Data 133
 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
42 Full No AFDC-FC/Fed (FFP). Provides financial assistance for those children who Yes Yes Yes
are in need of substitute parenting and who have been placed in foster
care.
44 Restricted to pregnancy No Income Disregard Program. Pregnant (FFP) United States Yes Yes No
related services Citizen/Permanent Resident Alien/PRUCOL Alien. Provides family
planning, pregnancy-related and postpartum services for any age
female if family income is at or below 200 percent of the federal
poverty level.
45 Full No Children Supported by Public Funds (FFP). Children whose needs are Yes Yes Yes
met in whole or in part by public funds other than AFDC-FC.
46 Full No Out of State Interstate Compact Yes No Yes
Foster Care children from out of state placed in CA
47 Full No Income Disregard Program (FFP). Infant – United States Citizen, Yes Yes Yes
Restricted to Infants Permanent Resident Alien/PRUCOL Alien. Provides full Medi-Cal
less than one year benefits to infants up to one year old and continues beyond one year
when inpatient status, which began before first birthday, continues and
family income is at or below 200 percent of the federal poverty level.
48 Restricted to pregnancy No Income Disregard Program. Pregnant – Undocumented/Nonimmigrant Yes Yes No
related services Alien (but otherwise eligible). Provides family planning, pregnancy-
related and postpartum services for any age female if family income is
at or below 200 percent of the federal poverty level. Routine prenatal
care is non-FFP. Labor, delivery and emergency prenatal care are FFP.
5E Full No Healthy Families to the Medi-Cal Presumptive Eligibility (PE) program. Yes Yes 10/25/10 Yes
Provides immediate, temporary, fee-for-service, full-scope Medi-Cal
benefits to certain children under the age of 19.
Please note: T21 through 3/31/09; however T19 funded effective
4/1/09.
5F Restricted to pregnancy Y/N OBRA Aliens. Covers non-immigrant and undocumented aliens who do Yes Yes No
and emergency services not have proof of permanent resident alien, PRUCOL or amnesty alien
status, but who are otherwise eligible for Medi-Cal.
Emergency
5J Restricted to pregnancy No Pending disability Program. Covers recipients whose linkage has to be Yes No No
and emergency services re-determined under Senate Bill 87 (SB87) requirements. Services
restricted due to unsatisfactory immigration status. Recipients have a

CA BHNA Appendix B: ADP Data 134

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
potential new linkage of disability with no SOC.
Emergency
5K Full No Emergency Assistance (EA) Program (FFP). Covers child welfare cases Yes Yes Yes
placed in EA foster care.
5R Restricted to pregnancy Yes Pending disability Program. Covers recipients whose linkage has to be Yes No No
and emergency services re-determined under Senate Bill 87 (SB87) requirements. Services
restricted due to unsatisfactory immigration status. Recipients have a
potential new linkage of disability with a SOC.
Emergency
5T Restricted to pregnancy No Continuing TMC (FFP). Provides an additional six months of continuing Yes Yes No
and emergency services emergency and pregnancy-related TMC benefits (no SOC) to qualifying
aid code 3T recipients.
Emergency
5W Restricted to pregnancy No Four Month Continuing (FFP). Provides four months of emergency and Yes Yes No
and emergency services pregnancy-related benefits (no SOC) for aliens without SIS who are no
longer eligible for Section 1931(b) due to the collection or increased
collection of child/spousal support.
Emergency
54 Full No Four-Month Continuing Eligibility (FFP). Covers persons discontinued Yes Yes Yes
from AFDC due to the increased collection of child/spousal support
payments but eligible for Medi-Cal only.
55 Restricted to pregnancy No Aid to Undocumented Aliens in LTC Not PRUCOL. Covers Yes Yes No
and emergency services undocumented aliens in LTC not Permanently Residing Under Color Of
Law (PRUCOL). LTC services: State-only funds; Emergency and
pregnancy-related services: State and federal funds. Recipients will
remain in this aid code even if they leave LTC.
58 Restricted to pregnancy Y/N OBRA Aliens. Covers nonimmigrant and undocumented aliens who do Yes Yes No
and emergency services not have proof of permanent resident alien, PRUCOL or amnesty alien
status, but who are otherwise eligible for Medi-Cal.
Emergency
59 Full No Additional TMC – Additional Six Months Continuing Eligibility (FFP). Yes Yes Yes
Covers persons discontinued from AFDC due to the expiration of the
$30 plus 1/3 disregard, increased earnings or hours of employment, but
eligible for Medi-Cal only, may receive this extension of TMC.

CA BHNA Appendix B: ADP Data 135

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
6A Full No Disabled Adult Child(ren) (DAC)/Blindness (FFP). Yes Yes Yes
6C Full No Disabled Adult Child(ren) (DAC)/Disabled (FFP). Yes Yes Yes
6E Full No Continued eligibility for the Disabled (FFP), Covers former SSI Yes Yes Yes
beneficiaries who are Disabled (with exception of persons who are
deceased or incarcerated in a correctional facility) until the county
redetermines their eligibility.
6G Full No 250 Percent Program Working Disabled. Provides full-scope Medi-Cal Yes Yes 3/16/09 Yes
benefits to working disabled recipients who meet the requirements of
the 250 Percent Program.
6H Full No Federal Poverty Level – Disabled (FPL Disabled). Provides full-scope Yes Yes Yes
Medi-Cal (No share of cost) to qualified disabled individuals/couples
6J Full No SB87 Pending Disability Program. Provides full scope (no share of cost) Yes Yes No
benefits to recipients21 to 65 years of age, who have lost their non-
disability linkage to Medi-Cal and are claiming disability. Medi-Cal
coverage continues uninterrupted during the determination period.
6N Full No Personal Responsibility and Work Opportunity Reconciliation Act Yes Yes Yes
(PRWORA)/No Longer Disabled Recipients (FFP). Former SSI disabled
recipients (adults and children not in aid code 6P) who are appealing
their cessation of SSI disability.
6P Full No PRWORA/No Longer Disabled Children (FFP). Covers children under age Yes Yes Yes
18 who lost SSI cash benefits on or after July 1, 1997, due to PRWORA
of 1996, which provides a stricter definition of disability for children.
6R Full Yes SB87 Pending Disability Program. Provides full scope (no share of cost) Yes Yes No
benefits to recipients 21 to 65 years of age, who have lost their non-
disability linkage to Medi-Cal and are claiming disability. Medi-Cal
coverage continues uninterrupted during the determination period.
6U Restricted to pregnancy No Restricted Federal Poverty Level – Disabled (Restricted FPL-Disabled) Yes Yes No
and emergency services Provides emergency and pregnancy-related benefits (no share of cost)
to qualified disabled individuals/couples who do not have satisfactory
immigration status.
Emergency
6V Full No Aid to the Disabled – DDS Waiver (FFP). Covers persons who qualify for Yes Yes Yes
the Department of Developmental Services (DDS) Regional Waiver.
6W Full Yes Aid to the Disabled – DDS Waiver (FFP). Covers persons who qualify for Yes Yes Yes

CA BHNA Appendix B: ADP Data 136

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
the Department of Developmental Services (DDS) Regional Waiver.
6X Full No Aid to the Disabled – Model Waiver (FFP). Covers persons who qualify Yes Yes Yes
for the Model Waiver.
6Y Full Yes Aid to the Disabled – Model Waiver (FFP). Covers persons who qualify Yes Yes Yes
for the Model Waiver.
60 Full No SSI/SSP Aid to the Disabled (FFP). A cash assistance program Yes Yes Yes
administered by the SSA that pays a cash grant to needy persons who
meet the federal definition of disability.
63 Full Y/N Aid to the Disabled – LTC Status (FFP). Covers persons who meet the Yes Yes Yes
federal definition of disability who are medically needy and in LTC
status.
64 Full No Aid to the Disabled – Medically Needy (FFP). Covers persons who meet Yes Yes Yes
the federal definition of disability and do not wish or are not eligible for
cash grant, but are eligible for Medi-Cal only.
66 Full No Aid to the Disabled Pickle Eligibles (FFP). Covers persons who meet the Yes Yes Yes
federal definition of disability and are covered by the provisions of the
Lynch v. Rank lawsuit. No age limit for this aid code.
67 Full Yes Aid to the Disabled – Medically Needy, SOC (FFP). (See aid code 64 for Yes Yes Yes
definition of Disabled – MN.) SOC is required of the beneficiaries.
68 Full No Aid to the Disabled IHSS (FFP). Covers persons who meet the federal Yes Yes 1/31/06 Yes
definition of disability and are eligible for IHSS. (See aid codes 18 and
65 for definition of eligibility for IHSS).
69 Restricted to No Income Disregard Program. Infant (FFP) – Yes Yes No
emergency services Undocumented/Nonimmigrant Alien (but otherwise eligible). Provides
Emergency services only for infants under 1 year of age and beyond 1
year when inpatient status, which began before 1st birthday, continues
and family income is at or below 200 percent of the federal poverty
level.
7A Full No 100 Percent Program. Child (FFP) – United States Citizen, Lawful Yes Yes Yes
Permanent Resident/PRUCOL/(IRCA Amnesty Alien [ABD or Under 18]).
Provides full benefits to otherwise eligible children, ages 6 to 19 and
beyond 19 when inpatient status began before the 19th birthday and
family income is at or below 100 percent of the federal poverty level.
7C Restricted to pregnancy No 100 Percent Program. Child – Undocumented / Nonimmigrant Status / Yes Yes No

CA BHNA Appendix B: ADP Data 137

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
and emergency services [IRCA Amnesty Alien (Not ABD or Under 18)]. Covers Emergency and
pregnancy related services to otherwise eligible children, ages 6 to 19
and beyond 19 when inpatient status begins before the 19th birthday
and family income is at or below 100 percent of the federal poverty
level.
7J Full No Continuous Eligibility for Children (CEC) program. Provides full-scope Yes Yes Yes
benefits to children up to the 19 years of age who would otherwise
loose their share of cost
7K Restricted to pregnancy No Continuous Eligibility for Children (CEC) program. Provides Emergency Yes Yes No
and emergency services and pregnancy-related benefits (no share of cost) to children up to 19
years of age who would otherwise loose their no share of cost Medi-Cal
7M Restricted Valid for Y/N Minor consent Program. Covers minors age 12 and under 21. Limited No Yes
Minor Consent Services services related to sexually transmitted diseases, sexual assault, drug
and alcohol abuse, and family planning. State Funds
7N Restricted No Minor consent Program (FFP). Covers pregnant female minors under No Yes
Valid for Minor Consent age 21. Limited to services related to pregnancy and family planning
Services
7P Restricted Valid for Y/N Minor consent Program. Covers minors age 12 and under 21. Limited No Yes
Minor Consent Services services related to sexually transmitted diseases, sexual assault, drug
and alcohol abuse, family planning, and outpatient mental health
treatment. State Funds
7R Restricted Y/N Minor consent Program. Covers minors under the age 12. Limited to No No
Valid for Minor Consent services related to family planning and sexual assault. State Funds
Services
72 Full No 133 Percent Program. Child-United States Citizen, Permanent Resident Yes Yes Yes
Alien/PRUCOL Alien (FFP). Provides full Medi-Cal benefits to children
ages 1 up to 6 and beyond 6 years when inpatient status, which began
before 6th birthday, continues, and family income is at or below 133
percent of the federal poverty level.
74 Restricted to No 133 Percent Program (OBRA). Child Undocumented/ Nonimmigrant Yes Yes No
emergency services Alien (but otherwise eligible) (FFP). Provides Emergency services only
for children ages 1 up to 6 and beyond 6 years when inpatient status,
which began before 6th birthday, continues, and family income is at or
below 133 percent of the federal poverty level.

CA BHNA Appendix B: ADP Data 138

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
76 Restricted to 60-day No 60-Day Postpartum Program (FFP). Provides Medi-Cal at no SOC to Yes Yes No
postpartum services women who, while pregnant, were eligible for, applied for, and
received Medi-Cal benefits. They may continue to be eligible for all-
postpartum services and family planning. This coverage begins on the
last day of pregnancy and ends the last day of the month in which the
60th day occurs.
8E Full No Accelerated Enrollment. Provides immediate , temporary, fee-for- Yes Yes Yes
service, full scope Medi-Cal benefits to children under the age of 19
Please note: T21 through 3/31/09; however T19 effective 4/1/09.
8G Full No Qualified Severely Impaired Working Individual Program Aid Code. Yes Yes Yes
Allows recipients of the Qualified Severely Impaired Working Individual
Program to continue their Medi-Cal eligibility.
8U Full No CHDP Gateway Deemed Infant. Provides full-scope, no Share of Cost Yes Yes 10/11/1 Yes
(SOC) Medi-Cal benefits for infants born to mothers who were enrolled
in Medi-Cal with no SOC in the month of the infant‟s birth.
8V Full Yes CHDP Gateway Deemed Infant SOC. Provides full-scope Medi-Cal Yes Yes 10/11/10 Yes
benefits with a Share of Cost (SOC) for infants born to mothers who
were enrolled in Medi-Cal with a SOC in the month of the infant‟s birth
and SOC was met.
8W Full No Medically Indigent (MI)-Accelerated Enrollment (AE)- CHDP Gateway Yes Yes Yes
Restricted for Medi-Cal. Provides for the pre-enrollment of CHILDREN into the
Medi-Cal program who are Screened as No Cost Medi-Cal Eligibles.
Provides Temporary, full scope Medi-Cal benefits with no SOC.
Please note: T21 through 3/31/09; however T19 effective 4/1/09.
80 Restricted to Medicare No Qualified Medicare Beneficiary (QMB). Provides payment of Medicare No Yes No
expenses Part A premium and Part A and B coinsurance and deductibles for with
eligible low income aged, blind, or disabled individuals. MQ
82 Full No MI-Person (FFP). Covers medically indigent persons under 21 who meet Yes Yes Yes
the eligibility requirements of medical indigence. Covers persons until
the age of 22 who were in an institution for mental disease before age
21. Persons may continue to be eligible under aid code 82 until age 22
if they have filed for a State hearing.
83 Full Yes MI-Person SOC (FFP). Covers medically indigent persons under 21 who Yes Yes Yes
meet the eligibility requirements of medically indigent.

CA BHNA Appendix B: ADP Data 139

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
86 Full No MI-Confirmed Pregnancy (FFP). Covers persons aged 21 years or older, Yes Yes No
with confirmed pregnancy, who meets the eligibility requirements of
medically indigent.
87 Full Yes MI-Confirmed Pregnancy (FFP). Covers person‟s aged 21 or older, with Yes Yes No
confirmed pregnancy, who meet the eligibility requirements of
medically indigent but are not eligible for 185 percent/200 percent or
the MN programs.
C1 Restricted No Aid to the Aged – Medically Needy (FFP). Covers persons 65 years of Yes Yes No
Emergency/Prenatal age or older who do not wish or are not eligible for a cash grant, but
are eligible for Medi-Cal only.
C2 Restricted Yes Aid to the Aged – Medically Needy, SOC (FFP). Covers persons 65 years Yes Yes No
Emergency/Prenatal of age or older who do not wish or are not eligible for a cash grant, but
are eligible for Medi-Cal only. SOC required
C3 Restricted No Aid to the Blind – Medically Needy (FFP). Covers persons who meet the Yes Yes No
Emergency/Prenatal federal criteria for blindness who do not wish or are not eligible for a
cash grant, but are eligible for Medi-Cal only.
C4 Restricted Yes Aid to the Blind – Medically Needy, SOC (FFP). Covers persons who Yes Yes No
Emergency/Prenatal meet the federal criteria for blindness who do not wish or are not
eligible for a cash grant, but are eligible for Medi-Cal only. SOC is
required of the beneficiaries.
C5 Restricted No AFDC-MN (FFP). Covers families with deprivation of parental care or Yes Yes No
Emergency/Prenatal support who do not wish or are not eligible for a cash grant but are
eligible for Medi-Cal only.
C6 Restricted Yes AFDC-MN (FFP). Covers families with deprivation of parental care or Yes Yes No
Emergency/Prenatal support who do not wish or are not eligible for a cash grant, but are
eligible for Medi-Cal only. SOC required of the beneficiaries.
C7 Restricted No Aid to the Disabled – Medically Needy (FFP). Covers persons who meet Yes Yes No
Emergency/Prenatal the federal definition of disability and do not wish or are not eligible for
cash grant, but are eligible for Medi-Cal only.
C8 Restricted Yes Aid to the Disabled – Medically Needy, SOC (FFP). (See aid code 64 for Yes Yes No
Emergency/Prenatal definition of Disabled – MN.) SOC is required of the beneficiaries.
C9 Restricted No MI-Person (FFP). Covers medically indigent persons under 21 who meet Yes Yes No
Emergency/Prenatal the eligibility requirements of medical indigence. Covers persons until
the age of 22 who were in an institution for mental disease before age

CA BHNA Appendix B: ADP Data 140

 All Other Aid Codes (Regular FFP)
Effective Dates
Inactive in
Code Benefits SOC Program/Description DMH ADP SD/MC MEDS EPSDT
21. Persons may continue to be eligible under aid code 82 until age 22
if they have filed for a State hearing.
D1 Restricted Yes MI-Person SOC (FFP). Covers medically indigent persons under 21 who Yes Yes No
Emergency/Prenatal meet the eligibility requirements of medically indigent.
D2 Restricted No Aid to the Aged – LTC (FFP) Covers persons 65 years of age or older who Yes Yes No
Emergency/Prenatal are medically needy and in LTC status
D3 Restricted Yes Aid to the Aged – LTC (FFP) Covers persons 65 years of age or older who Yes Yes No
Emergency/Prenatal are medically needy and in LTC status
D4 Restricted No Aid to the Blind – LTC Status (FFP). Covers persons who meet the Yes Yes No
Emergency/Prenatal federal criteria for blindness, are medically needy, and are in LTC
status.
D5 Restricted Yes Aid to the Blind – LTC Status (FFP). Covers persons who meet the Yes Yes No
Emergency/Prenatal federal criteria for blindness, are medically needy, and are in LTC
status.
D6 Restricted No Aid to the Disabled – LTC Status (FFP). Covers persons who meet the Yes Yes No
Emergency/Prenatal federal definition of disability who are medically needy and in LTC
status.
D7 Restricted Yes Aid to the Disabled – LTC Status (FFP). Covers persons who meet the Yes Yes No
Emergency/Prenatal federal definition of disability who are medically needy and in LTC
status.
D8 Restricted No MI-Confirmed Pregnancy (FFP). Covers persons aged 21 years or older, Yes Yes No
Emergency/Prenatal with confirmed pregnancy, who meets the eligibility requirements of
medically indigent.
D9 Restricted Yes MI-Confirmed Pregnancy (FFP). Covers person’s aged 21 or older, with Yes Yes No
Emergency/Prenatal confirmed pregnancy, who meet the eligibility requirements of
medically indigent but are not eligible for 185 percent/200 percent or
the MN programs.

CA BHNA Appendix B: ADP Data 141

 Appendix B: California Alcohol & Drug Program Data

CA BHNA Appendix B: ADP Data 142

Table 1a: System Snapshot – Admissions

Characteristics Total FY FY FY FY
2006-07 2007-08 2008-09 2009-10
Total Admissions 841,610 224,396 220,711 214,212 182,291
Admissions (% of total across FYs 2007-2010) 100% 27% 26% 25% 22%
Demographics
Female 37% 36% 36% 36% 37%
< 18 11% 10% 11% 11% 12%
Hispanic (Any race) 34% 33% 34% 34% 33%
White (Non-Hispanic) 43% 44% 43% 42% 43%
Black (Non-Hispanic) 16% 15% 15% 16% 16%
Multi-race (Non-Hispanic) 2% 2% 2% 2% 2%
Other race123 (Non-Hispanic) 6% 6% 6% 6% 6%
Pregnant 2% 2% 2% 2% 2%
Homeless124 19% 18% 18% 19% 20%
< High School Diploma 42% 41% 42% 42% 42%
125
Criminal Justice Involvement 55% 57% 57% 55% 50%
Employed (past 30 days) 22% 26% 24% 19% 16%
U.S. Veteran 4% 4% 4% 4% 4%
126
Medi-Cal Beneficiary 30% 29% 29% 30% 33%
Referral Source
Individual (includes self-referral) 38% 36% 37% 38% 43%
Substance abuse program 8% 8% 8% 8% 7%
Other health care provider 3% 3% 3% 3% 3%
SACPA127/Prop 36/OTP 23% 27% 25% 23% 16%
Non-SACPA court/Criminal Justice 18% 18% 18% 18% 17%
Other community referral 5% 5% 5% 5% 7%
Child Protective Services 4% 3% 4% 5% 6%
Total 100% 100% 100% 100% 100%
Substance Use Conditions

123
Self-reported as “other race”, not all races combined.
124
Homeless data does not cover the large number of criminal justice referred client who report “dependent living” as opposed to
“homeless” because they are coming from a controlled environment
125
Includes all referrals from SACPA or Court System in addition to Variable LEG-1 Criminal Justice Status
126
MediCal beneficiary status varies by age group; clients under 18 and over 64 are more than twice as likely to be MediCal beneficiaries.
127
Substance Abuse and Crime Prevention Act (SACPA), also known as Proposition 36, is a treatment diversion program for first and second
time non-violent adult drug offenders. Offender Treatment Program (OTP) is an enhancement of the SACPA program. Funding for SACPA
ended in SFY 2009-10
CA BHNA Appendix B: ADP Data 143
Characteristics Total FY FY FY FY
2006-07 2007-08 2008-09 2009-10
Alcohol only128 11% 10% 11% 12% 13%
Marijuana only 6% 5% 5% 6% 7%
Methamphetamine only 12% 13% 12% 11% 10%
Heroin only 8% 8% 8% 8% 8%
Cocaine/Crack only 3% 4% 4% 4% 3%
OxyCodone/OxyContin/other opiates only 2% 1% 2% 2% 2%
Other single use 1% 1% 1% 1% 1%
Alcohol & Marijuana (poly-drug use) 10% 9% 10% 11% 11%
Other poly drug use 47% 49% 47% 46% 45%
Needle Use (past 30-days) 15% 15% 15% 15% 16%
Total 100% 100% 100% 100% 100%
Treatment Service Type
Outpatient 52% 53% 52% 52% 50%
Day treatment 5% 5% 6% 4% 4%
Detox 12% 12% 12% 13% 13%
Residential – 30 days or less 1% 2% 1% 1% 1%
Residential – 31 days or more 18% 17% 18% 18% 18%
Narcotic Treatment Maintenance 7% 7% 7% 7% 8%
Narcotic Treatment Detox 4% 4% 4% 4% 5%
Medication prescribed as part of treatment 13% 12% 12% 12% 14%
Admission Type
Single Admission 37% 39% 36% 35% 40%
129
Recurrent Admission 22% 9% 22% 27% 31%
130
CoC Admission 20% 17% 21% 22% 21%
Other Service Conditions
Past 30-days ER visit(s) 10% 9% 10% 10% 11%
Past 30-days overnight hospital stay(s) 4% 3% 4% 4% 4%
Past 30-days experiencing physical health problems 19% 18% 19% 19% 20%
131
Mental illness diagnosis 23% 22% 22% 24% 26%

128
The percentages noted with ONLY one drug condition are overestimates since previous data analysis shows that county variation in
reporting secondary drug use varies far more than actual poly-drug use patterns across counties.
129
Refers to any admission that is not the first admission for an individual and are admissions that are more than 30 days from the previous
discharge
130
Refers to any admission that is not the first admission for an individual and are concurrent admissions or admissions within 30 days of
previous discharge.
131
DADP and CalOMS TX do no collect adequate data from which to determine actual numbers of clients with co-occurring mental illness.
CA BHNA Appendix B: ADP Data 144
Characteristics Total FY FY FY FY
2006-07 2007-08 2008-09 2009-10
Past 30-days OP ER services for MH needs 3% 3% 3% 3% 4%
Past 30-days overnight stay(s) in psychiatric facility/hospital for MH 3% 2% 2% 3% 3%
needs
Medication prescribed for MH needs 17% 15% 16% 17% 19%
Past 30-days participation in social support recovery activities 36% 37% 37% 36% 34%
Social Conditions
Past 30-days lived with someone who uses substances 14% 14% 14% 14% 15%
Past 30-days serious conflict with family member(s) 12% 12% 12% 12% 13%
BEST PRACTICE INDICATORS
Days waited to enter treatment
0 days 72% 70% 71% 72% 74%
1-3 days 10% 10% 10% 10% 9%
4-7 days 7% 8% 7% 7% 6%
8-14 days 5% 5% 5% 5% 4%
15-30 days 4% 5% 4% 4% 4%
More than 30 days 2% 2% 2% 2% 3%
Total 100% 100% 100% 100% 100%
Length of Stay
0 days 4% 4% 4% 4% 4%
1-15 days 24% 23% 23% 24% 26%
16-30 days 12% 12% 12% 12% 12%
31-60 days 13% 14% 13% 13% 13%
61-90 days 11% 11% 11% 12% 11%
91-120 days 8% 8% 8% 8% 8%
121-150 days 6% 5% 6% 6% 6%
151-180 days 5% 5% 5% 5% 5%
More than 180 days 17% 18% 18% 16% 15%
Total 100% 100% 100% 100% 100%
Discharge Status
Completed Tx 39% 38% 39% 40% 39%
Non-complete Tx/Satisfactory Progress 18% 17% 17% 18% 19%
Non-complete/Unsatisfactory progress 41% 43% 42% 40% 39%
Incarceration 2% 2% 2% 2% 2%
Total 100% 100% 100% 100% 100%

CA BHNA Appendix B: ADP Data 145

Table 1b: System Snapshot – Individuals

Characteristics Total FY FY FY FY
2006- 2007- 2008- 2009-
07 08 09 10
Total First Admissions 489,962 165,010 127,074 109,512 88,366
First Admissions (% of total across FYs 2007-2010) 100% 34% 26% 22% 18%
Demographics at First Admission
Female 35% 35% 35% 35% 35%
< 18 15% 12% 15% 16% 20%
Hispanic (Any race) 36% 35% 36% 37% 37%
White (Non-Hispanic) 41% 43% 40% 39% 40%
Black (Non-Hispanic) 15% 15% 15% 16% 15%
Multi-race (Non-Hispanic) 2% 1% 2% 2% 2%
Other race (Non-Hispanic) 6% 6% 7% 7% 6%
Pregnant 2% 2% 2% 2% 1%
Homeless 15% 16% 15% 15% 14%
< High School Diploma 45% 43% 45% 46% 46%
Criminal Justice Involvement 55% 58% 56% 55% 50%
Employed (past 30 days) 25% 28% 26% 23% 19%
U.S. Veteran 4% 4% 4% 4% 3%
Medi-Cal Beneficiary 31% 30% 30% 32% 34%
Referral Source at First Admission
Individual (includes self-referral) 37% 36% 36% 36% 39%
Substance abuse program 6% 6% 7% 6% 5%
Other health care provider 4% 3% 4% 4% 4%
SACPA/Prop 36/OTP 23% 26% 24% 22% 16%
Non-SACPA court/Criminal Justice 20% 19% 20% 21% 20%
Other community referral 7% 5% 6% 7% 10%
Child Protective Services 4% 3% 4% 5% 5%
Total 100% 100% 100% 100% 100%
Substance Use Conditions at First Admission
Alcohol only 13% 10% 13% 14% 14%
Marijuana only 8% 6% 8% 9% 11%
Methamphetamine only 12% 14% 12% 11% 10%
Heroin only 6% 7% 6% 6% 6%
Cocaine/Crack only 3% 4% 4% 3% 3%
CA BHNA Appendix B: ADP Data 146
Characteristics Total FY FY FY FY
2006- 2007- 2008- 2009-
07 08 09 10
OxyCodone/OxyContin/other opiates only 2% 1% 2% 2% 2%
Other single use 1% 1% 1% 1% 1%
Alcohol & Marijuana (poly-drug use) 13% 10% 13% 14% 15%
Other poly drug use 43% 47% 43% 40% 38%
Needle Use (past 30-days) 12% 14% 12% 11% 11%
Total 100% 100% 100% 100% 100%
Treatment Service Type at First Admission
Outpatient 58% 57% 58% 60% 59%
Day treatment 5% 5% 6% 5% 5%
Detox 10% 11% 9% 9% 10%
Residential – 30 days or less 1% 1% 1% 1% 1%
Residential – 31 days or more 16% 16% 16% 16% 16%
Narcotic Treatment Maintenance 5% 6% 5% 5% 5%
Narcotic Treatment Detox 4% 4% 4% 4% 4%
Medication prescribed as part of treatment 10% 10% 10% 10% 10%
User Type at First Admission
Single132 64% 53% 62% 69% 83%
Any Recurrent133 25% 36% 27% 19% 7%
Any CoC 134 21% 27% 22% 19% 13%
Other Service Conditions at First Admission
Past 30-days ER visit(s) 9% 9% 9% 9% 10%
Past 30-days overnight hospital stay(s) 3% 3% 3% 4% 4%
Past 30-days experiencing physical health problems 18% 18% 18% 18% 19%
Mental illness diagnosis 20% 20% 20% 20% 22%
Past 30-days OP ER services for MH needs 3% 3% 3% 3% 3%
Past 30-days overnight stay(s) in psychiatric facility/hospital for 2% 2% 2% 2% 3%
MH needs
Medication prescribed for MH needs 15% 15% 15% 15% 17%
Past 30-days participation in social support recovery activities 30% 33% 30% 29% 27%

132
An individual who has only one admission
133
An individual who has had any recurrent admissions
134
An individual who has any CoC admission
CA BHNA Appendix B: ADP Data 147
Characteristics Total FY FY FY FY
2006- 2007- 2008- 2009-
07 08 09 10
Social Conditions
Past 30-days lived with someone who uses substances 15% 15% 14% 14% 15%
Past 30-days serious conflict with family member(s) 13% 13% 12% 13% 13%
BEST PRACTICE INDICATORS
Days waited to enter treatment at First Admission
0 days 72% 70% 71% 73% 75%
1-3 days 10% 10% 10% 9% 9%
4-7 days 7% 8% 7% 7% 6%
8-14 days 5% 5% 4% 5% 4%
15-30 days 4% 5% 4% 4% 4%
More than 30 days 2% 3% 2% 2% 3%
Total 100% 100% 100% 100% 100%
Length of Stay (Mean – All Admissions)
0 days 3% 2% 3% 3% 3%
1-15 days 16% 15% 15% 16% 19%
16-30 days 10% 10% 10% 10% 11%
31-60 days 15% 16% 15% 15% 15%
61-90 days 13% 14% 13% 14% 13%
91-120 days 10% 10% 10% 10% 10%
121-150 days 7% 7% 8% 7% 7%
151-180 days 6% 6% 6% 6% 6%
More than 180 days 19% 20% 20% 19% 16%
Total 100% 100% 100% 100% 100%
Discharge Status at First Admission
Completed Tx 37% 37% 37% 38% 38%
Non-complete/Satisfactory progress 18% 17% 18% 19% 20%
Non-complete/Unsatisfactory progress 42% 44% 43% 40% 40%
Incarceration 2% 2% 2% 2% 2%
Total 100% 100% 100% 100% 100%

CA BHNA Appendix B: ADP Data 148

Table 2: Days Waited to Enter Treatment (Best Practice Indicator)

Characteristics Total 0 1-3 4-7 8-14 15-30 > 30

days days days days days days
Total Admissions 841,610 598,193 82,769 58,316 39,496 36,464 20,342
Admissions (% of total by days waited to enter treatment) 100% 72% 10% 7% 5% 4% 2%
Demographics
Female 37% 36% 37% 37% 36% 36% 38%
< 18 11% 13% 4% 5% 4% 4% 4%
Hispanic (Any race) 34% 34% 32% 35% 34% 32% 31%
White (Non-Hispanic) 43% 42% 44% 44% 45% 47% 51%
Black (Non-Hispanic) 16% 17% 16% 13% 13% 12% 10%
Multi-race (Non-Hispanic) 2% 2% 2% 2% 2% 2% 2%
Other race (Non-Hispanic) 6% 6% 6% 6% 6% 6% 6%
Pregnant 2% 2% 2% 2% 2% 2% 2%
Homeless 19% 17% 25% 22% 24% 23% 23%
< High School Diploma 42% 43% 39% 40% 38% 38% 37%
Criminal Justice Involvement 55% 52% 55% 61% 63% 69% 76%
Employed (past 30 days) 21% 22% 20% 21% 19% 19% 20%
U.S. Veteran 4% 4% 4% 4% 4% 5% 4%
Medi-Cal Beneficiary 30% 33% 24% 24% 21% 19% 18%
Substance Use Conditions
Alcohol 41% 41% 41% 41% 41% 41% 42%
Marijuana 32% 33% 28% 31% 31% 32% 34%
Methamphetamine 39% 35% 43% 47% 48% 52% 56%
Heroin 18% 19% 19% 16% 16% 14% 12%
Cocaine/Crack 17% 17% 19% 17% 18% 17% 15%
OxyCodone/OxyContin/other opiates 5% 6% 6% 4% 4% 4% 4%
Discharge Status
Completed Tx/Referred 39% 37% 42% 41% 43% 45% 49%
Non-complete/Satisfactory progress 18% 18% 16% 16% 16% 16% 14%
Non-complete/Unsatisfactory progress 41% 42% 40% 41% 39% 37% 35%
Incarceration 2% 2% 2% 2% 2% 2% 2%
Total 100% 100% 100% 100% 100% 100% 100%

CA BHNA Appendix B: ADP Data 149

Table 3: Treatment Service Type (Service & Resource Indicators)

Characteristics Total OP Day Tx Detox ≤ 30 > 30 Narcotic Narcotic

day day Tx Maint. Tx Detox
Res Res
Total Admissions 841,610 435,715 41,478 104,079 11,212 149,975 61,840 37,311
Admissions 100% 52% 5% 12% 1% 18% 7% 5%
Demographics
Female 37% 36% 60% 27% 32% 40% 37% 30%
< 18 11% 17% 31% 0% 11% 2% 0% 0%
Hispanic (Any race) 34% 39% 40% 20% 27% 29% 33% 32%
White (Non-Hispanic) 43% 38% 32% 54% 57% 47% 49% 53%
Black (Non-Hispanic) 16% 15% 20% 20% 9% 17% 12% 9%
Multi-race (Non-Hispanic) 2% 2% 2% 1% 1% 2% 1% 1%
Other race (Non-Hispanic) 6% 7% 6% 5% 6% 6% 6% 5%
Pregnant 2% 2% 6% 1% 1% 3% 2% 0%
Homeless 19% 7% 8% 51% 26% 40% 6% 11%
< High School Diploma 42% 47% 57% 26% 38% 38% 36% 35%
Criminal Justice Involvement 55% 68% 47% 29% 63% 64% 17% 16%
Employed (past 30 days) 22% 27% 14% 15% 15% 10% 26% 28%
U.S. Veteran 4% 3% 2% 8% 4% 5% 4% 4%
Medi-Cal Beneficiary 30% 35% 53% 19% 17% 16% 44% 20%
Referral Source
Individual (includes self-referral) 38% 21% 23% 63% 36% 37% 87% 92%
Substance abuse program 8% 4% 14% 20% 12% 10% 8% 4%
Other health care provider 3% 3% 3% 7% 7% 4% 1% 3%
SACPA/Prop 36/OTP 23% 36% 16% 5% 15% 18% 3% 1%
Non-SACPA court/Criminal Justice 18% 23% 17% 4% 26% 23% 1% 1%
Other community referral 5% 8% 12% 1% 4% 4% 0% 0%
Child Protective Services 4% 5% 14% 1% 2% 5% 0% 0%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Substance Use Conditions
Alcohol only 11% 11% 9% 26% 14% 10% 0% 0%
Marijuana only 6% 9% 13% 0% 3% 2% 0% 0%
Methamphetamine only 12% 15% 12% 6% 12% 14% 0% 0%
Heroin only 8% 2% 1% 7% 4% 2% 50% 53%
Cocaine/Crack only 3% 4% 3% 5% 3% 5% 0% 0%
CA BHNA Appendix B: ADP Data 150
Characteristics Total OP Day Tx Detox ≤ 30 > 30 Narcotic Narcotic
day day Tx Maint. Tx Detox
Res Res
OxyCodone/OxyContin/other
2% 0% 0% 2% 1% 1% 10% 10%
opiates only
Other single use 1% 1% 5% 0% 0% 0% 1% 1%
Alcohol & Marijuana (poly-drug
10% 14% 14% 6% 11% 7% 0% 0%
use)
Other poly drug use 47% 45% 42% 48% 53% 59% 39% 37%
Needle Use (past 30-days)135 15% 4% 4% 22% 15% 10% 58% 67%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Other Service Conditions
Past 30-days ER visit(s) 10% 6% 11% 23% 15% 12% 8% 7%
Past 30-days overnight hospital
4% 2% 4% 7% 6% 5% 4% 3%
stay(s)
Past 30-days experiencing physical
19% 16% 22% 27% 25% 20% 19% 16%
health problems
Mental illness diagnosis 23% 22% 23% 29% 27% 27% 22% 17%
Past 30-days OP ER services for
3% 3% 3% 5% 5% 4% 2% 1%
MH needs
Past 30-days overnight stay(s) in
psychiatric facility/hospital for MH 3% 2% 2% 4% 6% 4% 1% 1%
needs
Medication prescribed for MH
17% 17% 19% 18% 20% 19% 14% 8%
needs
Past 30-days participation in social
36% 38% 38% 30% 43% 46% 15% 11%
support recovery activities
BEST PRACTICE INDICATORS
Days waited to enter treatment
0 days 72% 77% 85% 72% 51% 44% 87% 86%
1-3 days 10% 8% 6% 13% 13% 16% 8% 10%
4-7 days 7% 7% 4% 6% 11% 12% 3% 3%
8-14 days 5% 4% 2% 5% 9% 10% 1% 1%
15-30 days 4% 3% 2% 3% 12% 11% 1% 1%
More than 30 days 2% 2% 1% 1% 6% 7% 0% 0%
Total 100% 100% 100% 100% 100% 100% 100% 100%

135
Because individuals included in Needle Use (past-30 days) may be included in one other Substance Use Condition as well, the total
percentages for Substance Use Conditions may not sum to 100%.
CA BHNA Appendix B: ADP Data 151
Characteristics Total OP Day Tx Detox ≤ 30 > 30 Narcotic Narcotic
day day Tx Maint. Tx Detox
Res Res
Length of Stay
0 days 4% 5% 5% 5% 1% 1% 2% 3%
1-15 days 24% 9% 12% 89% 36% 21% 10% 36%
16-30 days 12% 10% 11% 5% 48% 14% 10% 36%
31-60 days 13% 15% 18% 1% 8% 19% 10% 8%
61-90 days 11% 12% 12% 0% 4% 21% 8% 5%
91-120 days 8% 11% 10% 0% 1% 8% 6% 3%
121-150 days 6% 8% 7% 0% 0% 4% 5% 3%
151-180 days 5% 7% 6% 0% 0% 4% 4% 4%
More than 180 days 17% 23% 20% 0% 1% 7% 45% 4%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Discharge Status
Completed Tx 39% 32% 28% 71% 72% 49% 10% 23%
Non-complete/Satisfactory
18% 18% 21% 11% 6% 16% 31% 26%
progress
Non-complete/Unsatisfactory
41% 47% 48% 18% 21% 34% 54% 50%
progress
Incarceration 2% 3% 3% 0% 0% 1% 5% 1%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Admission Type
Single Admission 37% 46% 41% 22% 32% 31% 26% 19%
Recurrent Admission 22% 19% 16% 31% 19% 21% 23% 29%
CoC Admission 20% 15% 22% 22% 25% 27% 33% 18%

CA BHNA Appendix B: ADP Data 152

Table 3a: Treatment Service Type – Medi-Cal Beneficiary (Service & Resource Indicators)

Characteristics Total OP Day Tx Detox ≤ 30 > 30 Narcotic Narcotic

day day Tx Tx Detox
Res Res Maint.
Total Admissions 252,973 151,519 22,131 19,348 1,877 23,435 27,313 7,350
Admissions 100% 60% 9% 8% 1% 9% 11% 3%
Demographics
Female 50% 48% 62% 37% 47% 65% 46% 41%
< 18 24% 31% 48% 0% 5% 5% 0% 0%
Hispanic (Any race) 37% 41% 44% 19% 23% 29% 31% 29%
White (Non-Hispanic) 35% 31% 24% 49% 60% 44% 44% 52%
Black (Non-Hispanic) 20% 20% 25% 26% 9% 19% 18% 13%
Multi-race (Non-Hispanic) 2% 2% 2% 1% 2% 2% 1% 1%
Other race (Non-Hispanic) 6% 6% 6% 5% 6% 5% 6% 5%
Pregnant 4% 3% 8% 1% 3% 11% 3% 1%
Homeless 12% 6% 5% 52% 29% 40% 6% 8%
< High School Diploma 54% 60% 69% 31% 37% 44% 41% 40%
Criminal Justice Involvement 41% 48% 35% 26% 55% 53% 15% 17%
Employed (past 30 days) 10% 12% 7% 8% 7% 6% 10% 14%
U.S. Veteran 3% 2% 1% 9% 5% 4% 4% 4%
Referral Source
Individual (includes self-referral) 43% 32% 25% 53% 38% 39% 88% 93%
Substance abuse program 9% 5% 20% 28% 14% 12% 9% 5%
Other health care provider 5% 6% 4% 10% 9% 5% 1% 2%
SACPA/Prop 36/OTP 13% 18% 8% 4% 17% 14% 1% 0%
Non-SACPA court/Criminal 14% 20% 11% 3% 14% 14% 1% 0%
Justice
Other community referral 9% 13% 16% 1% 4% 4% 0% 0%
Child Protective Services 7% 7% 15% 1% 5% 12% 0% 0%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Substance Use Conditions
Alcohol only 13% 15% 11% 26% 13% 8% 0% 0%
Marijuana only 10% 14% 19% 0% 2% 2% 0% 0%
Methamphetamine only 9% 10% 10% 6% 11% 15% 0% 0%
Heroin only 8% 1% 0% 7% 4% 1% 49% 40%
Cocaine/Crack only 3% 3% 2% 5% 2% 5% 0% 0%

CA BHNA Appendix B: ADP Data 153

Characteristics Total OP Day Tx Detox ≤ 30 > 30 Narcotic Narcotic
day day Tx Tx Detox
Res Res Maint.
OxyCodone/OxyContin/other
2% 0% 0% 2% 2% 1% 9% 14%
opiates only
Other single use 1% 1% 8% 0% 1% 0% 1% 1%
Alcohol & Marijuana (poly-drug
15% 21% 16% 6% 8% 7% 0% 0%
use)
Other poly drug use 40% 35% 34% 48% 58% 61% 40% 45%
Needle Use (past 30-days)136 15% 4% 3% 21% 18% 10% 55% 55%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Other Service Conditions
Past 30-days ER visit(s) 14% 9% 14% 35% 22% 19% 11% 12%
Past 30-days overnight hospital
5% 4% 6% 10% 8% 8% 5% 4%
stay(s)
Past 30-days experiencing
25% 21% 26% 40% 34% 31% 26% 27%
physical health problems
Mental illness diagnosis 33% 32% 21% 46% 43% 40% 32% 30%
Past 30-days OP ER services for
5% 5% 4% 8% 7% 7% 3% 3%
MH needs
Past 30-days overnight stay(s) in
psychiatric facility/hospital for 4% 4% 2% 7% 7% 6% 2% 1%
MH needs
Medication prescribed for MH
28% 32% 23% 28% 31% 29% 20% 17%
needs
Past 30-days participation in
30% 30% 30% 31% 50% 49% 16% 15%
social support recovery activities
BEST PRACTICE INDICATORS
Days waited to enter treatment
0 days 79% 83% 88% 71% 48% 44% 87% 82%
1-3 days 8% 6% 5% 12% 14% 17% 8% 14%
4-7 days 6% 5% 3% 9% 11% 13% 3% 3%
8-14 days 3% 3% 2% 5% 8% 10% 1% 1%
15-30 days 3% 2% 1% 2% 13% 10% 1% 0%
More than 30 days 1% 1% 1% 1% 6% 7% 0% 0%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Length of Stay

136
Because individuals included in Needle Use (past-30 days) may be included in one other Substance Use Condition as well, the
total percentages for Substance Use Conditions may not sum to 100%.
CA BHNA Appendix B: ADP Data 154
Characteristics Total OP Day Tx Detox ≤ 30 > 30 Narcotic Narcotic
day day Tx Tx Detox
Res Res Maint.
0 days 4% 5% 4% 5% 2% 1% 2% 3%
1-15 days 19% 9% 10% 88% 42% 24% 9% 42%
16-30 days 10% 9% 10% 5% 44% 15% 7% 40%
31-60 days 13% 15% 16% 1% 6% 18% 9% 4%
61-90 days 10% 12% 12% 0% 5% 18% 7% 3%
91-120 days 8% 10% 10% 0% 1% 8% 6% 2%
121-150 days 6% 8% 7% 0% 0% 3% 5% 1%
151-180 days 5% 6% 6% 0% 0% 5% 4% 1%
More than 180 days 24% 27% 24% 0% 1% 8% 52% 3%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Discharge Status
Completed Tx 31% 27% 25% 72% 69% 45% 8% 23%
Non-complete/Satisfactory
22% 23% 24% 10% 7% 18% 31% 27%
progress
Non-complete/Unsatisfactory
44% 47% 49% 18% 23% 36% 54% 49%
progress
Incarceration 2% 2% 2% 0% 1% 1% 7% 1%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Admission Type
Single Admission 41% 49% 49% 18% 26% 27% 27% 17%
Recurrent Admission 21% 19% 13% 35% 19% 21% 24% 30%
CoC Admission 19% 14% 20% 26% 32% 31% 32% 13%

CA BHNA Appendix B: ADP Data 155

Table 3b: Treatment Service Type –Non-Medi-Cal Beneficiary (Service & Resource Indicators)

Characteristics Total OP Day Tx Detox ≤ 30 > 30 Narcotic Narcotic

day day Tx Maint. Tx Detox
Res Res
Total Admissions 588,409 284,195 19,347 84,534 9,335 126,539 34,527 29,932
Admissions 100% 48% 3% 14% 2% 22% 6% 5%
Demographics
Female 31% 29% 57% 25% 29% 36% 30% 27%
< 18 5% 9% 12% 0% 12% 2% 0% 0%
Hispanic (Any race) 32% 37% 34% 20% 28% 29% 34% 33%
White (Non-Hispanic) 46% 41% 42% 56% 56% 47% 54% 53%
Black (Non-Hispanic) 14% 12% 15% 18% 9% 17% 6% 9%
Multi-race (Non-Hispanic) 2% 2% 3% 1% 1% 2% 1% 1%
Other race (Non-Hispanic) 6% 7% 7% 5% 5% 6% 5% 4%
Pregnant 1% 1% 4% 0% 1% 2% 1% 0%
Homeless 22% 9% 11% 50% 25% 40% 6% 11%
< High School Diploma 37% 40% 44% 25% 39% 36% 32% 34%
Criminal Justice Involvement 61% 79% 61% 30% 64% 66% 18% 16%
Employed (past 30 days) 25% 34% 19% 16% 16% 11% 38% 32%
U.S. Veteran 4% 3% 2% 7% 4% 5% 4% 4%
Referral Source
Individual (includes self-referral) 36% 16% 20% 66% 35% 37% 87% 91%
Substance abuse program 7% 3% 8% 18% 11% 9% 7% 4%
Other health care provider 3% 1% 2% 6% 6% 3% 1% 3%
SACPA/Prop 36/OTP 27% 44% 25% 5% 14% 19% 4% 1%
Non-SACPA court/Criminal Justice 19% 25% 23% 4% 28% 24% 1% 1%
Other community referral 4% 6% 8% 1% 4% 4% 0% 0%
Child Protective Services 3% 4% 14% 0% 1% 3% 0% 0%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Substance Use Conditions
Alcohol only 11% 9% 8% 26% 14% 11% 0% 0%
Marijuana only 4% 7% 7% 0% 3% 2% 0% 0%
Methamphetamine only 13% 17% 15% 6% 12% 14% 0% 0%
Heroin only 8% 2% 1% 7% 4% 2% 51% 56%
Cocaine/Crack only 4% 4% 3% 5% 3% 5% 0% 0%
OxyCodone/OxyContin/other 2% 1% 1% 2% 1% 1% 10% 9%
CA BHNA Appendix B: ADP Data 156
Characteristics Total OP Day Tx Detox ≤ 30 > 30 Narcotic Narcotic
day day Tx Maint. Tx Detox
Res Res
opiates only
Other single use 0% 1% 1% 0% 0% 0% 1% 1%
Alcohol & Marijuana (poly-drug use) 8% 11% 12% 6% 11% 7% 0% 0%
Other poly drug use 50% 49% 52% 48% 52% 59% 38% 34%
Needle Use (past 30-days)137 15% 4% 4% 22% 15% 10% 60% 70%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Other Service Conditions
Past 30-days ER visit(s) 9% 5% 9% 20% 14% 11% 6% 6%
Past 30-days overnight hospital
3% 2% 3% 6% 6% 4% 2% 2%
stay(s)
Past 30-days experiencing physical
17% 14% 20% 24% 23% 18% 14% 14%
health problems
Mental illness diagnosis 19% 16% 24% 25% 24% 25% 15% 14%
Past 30-days OP ER services for MH
3% 2% 2% 4% 4% 4% 2% 1%
needs
Past 30-days overnight stay(s) in
psychiatric facility/hospital for MH 2% 1% 2% 4% 5% 3% 1% 1%
needs
Medication prescribed for MH
13% 11% 16% 15% 18% 18% 8% 6%
needs
Past 30-days participation in social
38% 43% 47% 30% 41% 45% 14% 11%
support recovery activities
BEST PRACTICE INDICATORS
Days waited to enter treatment
0 days 68% 73% 82% 73% 51% 45% 87% 87%
1-3 days 11% 8% 7% 13% 12% 16% 8% 9%
4-7 days 8% 8% 4% 6% 10% 11% 3% 3%
8-14 days 5% 5% 3% 5% 9% 10% 1% 1%
15-30 days 5% 4% 3% 3% 11% 11% 1% 1%
More than 30 days 3% 2% 1% 1% 6% 7% 0% 0%
Total 100% 100% 100% 100% 100% 100% 100% 100%

137
Because individuals included in Needle Use (past-30 days) may be included in one other Substance Use Condition as well, the
total percentages for Substance Use Conditions may not sum to 100%.
CA BHNA Appendix B: ADP Data 157
Characteristics Total OP Day Tx Detox ≤ 30 > 30 Narcotic Narcotic
day day Tx Maint. Tx Detox
Res Res
Length of Stay
0 days 4% 5% 5% 5% 1% 1% 2% 3%
1-15 days 26% 10% 14% 89% 34% 21% 10% 34%
16-30 days 12% 10% 13% 5% 49% 14% 12% 35%
31-60 days 14% 16% 19% 1% 8% 20% 11% 9%
61-90 days 12% 12% 12% 0% 4% 21% 9% 5%
91-120 days 8% 11% 10% 0% 1% 8% 7% 3%
121-150 days 5% 8% 6% 0% 0% 4% 5% 3%
151-180 days 5% 7% 5% 0% 0% 4% 5% 5%
More than 180 days 14% 21% 16% 0% 1% 6% 40% 4%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Discharge Status
Completed Tx 42% 34% 31% 70% 73% 49% 12% 23%
Non-complete/Satisfactory progress 16% 15% 19% 11% 6% 16% 31% 26%
Non-complete/Unsatisfactory
40% 47% 46% 18% 21% 34% 53% 50%
progress
Incarceration 2% 3% 3% 0% 0% 1% 4% 1%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Admission Type
Single Admission 36% 45% 31% 23% 33% 32% 26% 19%
Recurrent Admission 22% 19% 19% 31% 19% 21% 23% 29%
CoC Admission 21% 16% 24% 22% 24% 27% 34% 20%

CA BHNA Appendix B: ADP Data 158

Table 4: Length of Stay (Best Practice Indicator)

Characteristics Total 0 1-15 16-30 31-60 61-90 91- 121- 151- > 180
days days days days days 120 150 180 days
days days days
Total Admissions 776,197 30,095 184,902 90,998 104,619 88,216 63,054 44,334 38,271 131,708
Admissions (% of total by length of stay) 100% 4% 24% 12% 13% 11% 8% 6% 5% 17%
Demographics
Female 36% 36% 33% 35% 38% 36% 36% 37% 38% 40%
< 18 10% 7% 3% 8% 11% 12% 16% 17% 15% 13%
Hispanic (Any race) 34% 35% 27% 33% 35% 35% 37% 39% 38% 36%
White (Non-Hispanic) 44% 43% 49% 45% 42% 42% 40% 39% 40% 42%
Black (Non-Hispanic) 15% 15% 17% 14% 15% 15% 14% 14% 14% 15%
Multi-race (Non-Hispanic) 2% 2% 1% 2% 2% 2% 2% 2% 2% 2%
Other race (Non-Hispanic) 6% 6% 5% 6% 6% 6% 7% 7% 7% 6%
Pregnant 2% 2% 2% 2% 2% 2% 2% 2% 3% 2%
Homeless 19% 20% 36% 18% 16% 18% 13% 11% 12% 9%
< High School Diploma 41% 42% 34% 41% 44% 43% 45% 46% 45% 44%
Criminal Justice Involvement 56% 57% 41% 54% 64% 66% 67% 66% 65% 55%
Employed (past 30 days) 22% 22% 17% 21% 21% 21% 26% 27% 26% 26%
U.S. Veteran 4% 4% 5% 4% 3% 3% 3% 3% 3% 4%
Medi-Cal Beneficiary 29% 28% 22% 26% 28% 26% 29% 32% 31% 40%

CA BHNA Appendix B: ADP Data 159

Characteristics Total 0 1-15 16-30 31-60 61-90 91- 121- 151- > 180
days days days days days 120 150 180 days
days days days
Treatment Service Type
Outpatient 51% 67% 20% 42% 58% 54% 69% 74% 68% 69%
Day treatment 5% 6% 2% 4% 6% 5% 6% 5% 5% 5%
Detox 13% 16% 49% 5% 1% 0% 0% 0% 0% 0%
Residential – 30 days or less 1% 1% 2% 6% 1% 1% 0% 0% 0% 0%
Residential – 31 days or more 19% 5% 17% 23% 27% 34% 18% 12% 17% 7%
Narcotic Treatment Maintenance 7% 3% 3% 5% 5% 5% 5% 6% 6% 17%
Narcotic Treatment Detox 5% 3% 7% 14% 3% 2% 2% 2% 4% 1%
Medication prescribed as part of treatment 12% 6% 12% 20% 8% 7% 7% 8% 10% 19%
Days waited to enter treatment
0 days 71% 77% 70% 69% 67% 65% 71% 72% 71% 77%
1-3 days 10% 8% 12% 11% 11% 10% 8% 8% 9% 8%
4-7 days 7% 7% 7% 8% 8% 8% 7% 7% 7% 6%
8-14 days 5% 4% 5% 5% 6% 6% 5% 5% 5% 4%
15-30 days 4% 3% 4% 5% 5% 6% 5% 5% 5% 3%
More than 30 days 3% 1% 2% 2% 3% 4% 3% 3% 4% 2%
Total 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Referral Source
Individual (includes self-referral) 38% 35% 56% 43% 31% 29% 26% 25% 26% 35%
Substance abuse program 8% 8% 13% 6% 6% 6% 5% 4% 4% 5%
Other health care provider 3% 3% 4% 5% 3% 2% 2% 2% 2% 3%
SACPA/Prop 36/OTP 24% 27% 13% 22% 29% 28% 31% 31% 30% 24%
Non-SACPA court/Criminal Justice 18% 19% 9% 17% 21% 24% 24% 24% 25% 19%
Other community referral 5% 3% 2% 4% 5% 6% 7% 7% 6% 8%
CA BHNA Appendix B: ADP Data 160
Characteristics Total 0 1-15 16-30 31-60 61-90 91- 121- 151- > 180
days days days days days 120 150 180 days
days days days
Child Protective Services 4% 5% 2% 3% 5% 5% 5% 6% 6% 6%
Total 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Discharge Status
Completed Tx 39% 10% 40% 27% 21% 40% 45% 47% 55% 56%
Non-complete/Satisfactory progress 18% 15% 15% 20% 21% 18% 19% 19% 17% 18%
Non-complete/Unsatisfactory progress 41% 73% 44% 51% 55% 39% 34% 32% 26% 24%
Incarceration 2% 2% 1% 2% 3% 3% 3% 3% 2% 2%
Admission Type
Single Admission 37% 38% 27% 31% 34% 37% 43% 46% 46% 48%
Recurrent Admission 22% 23% 28% 23% 22% 20% 20% 19% 19% 18%
CoC Admission 20% 15% 21% 21% 21% 21% 18% 17% 17% 19%

CA BHNA Appendix B: ADP Data 161

Table 5: Recurrent & Continuous Users

Characteristics Total Single Continuous Recurrent Mixed (Continuous

Admission Admissions Admissions & Recurrent)
Only Only Only Admissions
Total Individuals 243,563 154,323 28,918 41,521 18,801
Individuals (% of total across FYs 2007- 100% 63% 12% 17% 8%
2010)
Demographics at First Admission
Female 35% 33% 41% 34% 40%
< 18 15% 19% 8% 9% 3%
Hispanic (Any race) 36% 38% 33% 34% 31%
White (Non-Hispanic) 40% 38% 45% 42% 46%
Black (Non-Hispanic) 15% 15% 14% 15% 15%
Multi-race (Non-Hispanic) 2% 2% 2% 2% 2%
Other race (Non-Hispanic) 7% 7% 6% 6% 6%
Pregnant 2% 1% 2% 2% 2%
Homeless 15% 13% 15% 17% 21%
< High School Diploma 45% 48% 39% 42% 37%
Criminal Justice Involvement 57% 55% 55% 64% 61%
Employed (past 30 days) 24% 26% 23% 22% 17%
U.S. Veteran 4% 4% 4% 4% 4%
Medi-Cal Beneficiary 31% 33% 29% 29% 27%
Referral Source at First Admission
Individual (includes self-referral) 36% 35% 40% 34% 40%
Substance abuse program 6% 6% 5% 5% 6%
Other health care provider 4% 4% 4% 3% 3%
SACPA/Prop 36/OTP 23% 22% 23% 30% 29%
Non-SACPA court/Criminal Justice 20% 22% 15% 20% 13%
Other community referral 6% 7% 6% 3% 3%
Child Protective Services 4% 4% 6% 4% 5%
Total 100% 100% 100% 100% 100%
Substance Use Conditions at First Admission
Alcohol only 13% 14% 11% 10% 9%
Marijuana only 8% 10% 5% 6% 3%
Methamphetamine only 11% 11% 12% 13% 13%
Heroin only 6% 5% 8% 7% 11%
Cocaine/Crack only 3% 3% 3% 4% 4%
CA BHNA Appendix B: ADP Data 162
Characteristics Total Single Continuous Recurrent Mixed (Continuous
Admission Admissions Admissions & Recurrent)
Only Only Only Admissions
OxyCodone/OxyContin/other opiates 2% 2% 3% 1% 2%
only
Other single use 1% 1% 1% 0% 0%
Alcohol & Marijuana (poly-drug use) 13% 15% 9% 11% 6%
Other poly drug use 42% 39% 47% 46% 52%
Needle Use (past 30-days) 12% 10% 15% 14% 20%
Total 100% 100% 100% 100% 100%
Treatment Service Type at First Admission
Outpatient 59% 63% 51% 58% 45%
Day treatment 5% 5% 5% 3% 4%
Detox 8% 7% 5% 11% 12%
Residential – 30 days or less 1% 1% 1% 1% 1%
Residential – 31 days or more 17% 15% 20% 17% 22%
Narcotic Treatment Maintenance 7% 5% 14% 7% 12%
Narcotic Treatment Detox 3% 3% 2% 3% 3%
Medication prescribed as part of 100% 100% 100% 100% 100%
treatment
Other Service Conditions at First Admission
Past 30-days ER visit(s) 9% 9% 9% 9% 11%
Past 30-days overnight hospital stay(s) 3% 3% 3% 3% 4%
Past 30-days experiencing physical 18% 18% 18% 18% 20%
health problems
Mental illness diagnosis 22% 19% 24% 25% 29%
Past 30-days OP ER services for MH 3% 3% 3% 3% 3%
needs
Past 30-days overnight stay(s) in 2% 2% 2% 2% 3%
psychiatric facility/hospital for MH
needs
Medication prescribed for MH needs 11% 8% 17% 11% 16%
Past 30-days participation in social 35% 29% 54% 37% 51%
support recovery activities
Social Conditions at First Admission
Past 30-days lived with someone who 14% 14% 16% 15% 17%
uses substances
Past 30-days serious conflict with family 13% 12% 14% 12% 15%
member(s)

CA BHNA Appendix B: ADP Data 163

Characteristics Total Single Continuous Recurrent Mixed (Continuous
Admission Admissions Admissions & Recurrent)
Only Only Only Admissions
Days waited to enter treatment at First Admission
0 days 72% 73% 69% 71% 69%
1-3 days 10% 9% 12% 10% 11%
4-7 days 7% 7% 7% 7% 7%
8-14 days 5% 4% 5% 5% 5%
15-30 days 4% 4% 5% 4% 5%
More than 30 days 2% 2% 2% 2% 2%
Total 100% 100% 100% 100% 100%
Length of Stay (Mean – All Admissions)
0 days 3% 4% 0% 1% 0%
1-15 days 15% 16% 11% 15% 13%
16-30 days 10% 10% 10% 11% 13%
31-60 days 15% 13% 19% 21% 26%
61-90 days 13% 12% 16% 16% 20%
91-120 days 10% 10% 12% 12% 12%
121-150 days 8% 8% 8% 8% 7%
151-180 days 6% 6% 6% 5% 4%
More than 180 days 20% 22% 18% 11% 6%
Total 100% 100% 100% 100% 100%
Discharge Status at First Admission
Completed Tx 38% 40% 40% 24% 29%
Non-complete/Satisfactory progress 18% 17% 26% 16% 20%
Non-complete/Unsatisfactory progress 42% 40% 33% 57% 49%
Incarceration 2% 2% 1% 3% 2%
Total 100% 100% 100% 100% 100%

CA BHNA Appendix B: ADP Data 164

Table 6: Discharge Status (Resource Impact Indicator)

Characteristics Total Completed Not Complete Tx/ Not Complete Tx/ Incarceration
Tx Satisfactory Unsatisfactory
Progress Progress
Total Admissions 766,821 298,176 135,730 315,709 17,206
Admissions (% of total by discharge status) 100% 39% 18% 41% 2%
Demographics
Female 36% 35% 40% 37% 25%
< 18 10% 7% 15% 11% 16%
Hispanic (Any race) 34% 30% 34% 36% 39%
White (Non-Hispanic) 44% 47% 42% 41% 38%
Black (Non-Hispanic) 15% 15% 17% 15% 14%
Multi-race (Non-Hispanic) 2% 2% 2% 2% 2%
Other race (Non-Hispanic) 6% 6% 6% 6% 7%
Pregnant 2% 2% 3% 2% 1%
Homeless 20% 25% 18% 16% 9%
< High School Diploma 41% 36% 46% 44% 49%
Criminal Justice Involvement 57% 58% 47% 58% 82%
Employed (past 30 days) 22% 22% 20% 22% 24%
U.S. Veteran 4% 5% 4% 3% 3%
Medi-Cal Beneficiary 28% 23% 36% 31% 29%
Substance Use Conditions
Alcohol 41% 47% 40% 36% 33%
Marijuana 32% 30% 33% 34% 39%
Methamphetamine 40% 41% 33% 42% 44%
Heroin 17% 12% 21% 20% 23%
Cocaine/Crack 17% 18% 17% 16% 16%
CA BHNA Appendix B: ADP Data 165
Characteristics Total Completed Not Complete Tx/ Not Complete Tx/ Incarceration
Tx Satisfactory Unsatisfactory
Progress Progress
OxyCodone/OxyContin/other opiates 5% 5% 7% 5% 4%
Other Service Conditions
Past 30-days ER visit(s) 10% 12% 10% 9% 7%
Past 30-days overnight hospital stay(s) 4% 4% 4% 3% 2%
Past 30-days experiencing physical health problems 19% 20% 19% 18% 18%
Mental illness diagnosis 23% 23% 25% 23% 20%
Past 30-days OP ER services for MH needs 3% 3% 3% 3% 2%
Past 30-days overnight stay(s) in psychiatric facility/hospital for MH 3% 3% 3% 3% 1%
needs
Medication prescribed for MH needs 17% 16% 19% 16% 14%
Past 30-days participation in social support recovery activities 37% 42% 33% 33% 37%
Social Conditions
Past 30-days lived with someone who uses substances 14% 14% 14% 15% 13%
Past 30-days serious conflict with family member(s) 12% 12% 12% 13% 10%

CA BHNA Appendix B: ADP Data 166

Table 7: Substance Use Conditions (Service & Resource Indicators)

Characteristics Total Alcohol Marijuana Other Drug Alcohol & Other Poly Needle Substance
Only Only Only Marij. Drug Use Use
Total Admissions 841,610 94,798 48,786 163,226 85,296 334,460 115,044 569,316
Admissions (% of total by substance use type) 100% 11% 6% 19% 10% 40% 14% 68%
Demographics
Female 37% 35% 29% 43% 27% 39% 32% 35%
< 18 11% 12% 51% 2% 42% 4% 0% 10%
Hispanic (Any race) 34% 29% 43% 34% 42% 32% 33% 33%
White (Non-Hispanic) 43% 50% 21% 40% 35% 44% 53% 44%
Black (Non-Hispanic) 16% 13% 28% 16% 15% 17% 9% 16%
Multi-race (Non-Hispanic) 2% 1% 2% 1% 2% 2% 1% 2%
Other race (Non-Hispanic) 6% 6% 6% 8% 6% 6% 4% 6%
Pregnant 2% 1% 2% 3% 1% 2% 1% 1%
Homeless 19% 24% 5% 16% 12% 22% 22% 21%
< High School Diploma 42% 33% 69% 37% 61% 39% 38% 41%
Criminal Justice Involvement 55% 34% 56% 53% 56% 62% 36% 47%
Employed (past 30 days) 22% 22% 24% 22% 25% 21% 20% 22%
U.S. Veteran 4% 6% 1% 4% 3% 4% 4% 4%
Medi-Cal Beneficiary 30% 34% 52% 26% 44% 26% 26% 30%
Referral Source
Individual (includes self-referral) 38% 51% 23% 32% 29% 30% 71% 47%
Substance abuse program 8% 9% 5% 8% 6% 8% 8% 8%
Other health care provider 3% 8% 4% 2% 4% 3% 2% 4%
SACPA/Prop 36/OTP 23% 5% 16% 34% 13% 31% 12% 20%
Non-SACPA Court/Criminal Justice 18% 16% 31% 16% 30% 19% 5% 13%
Other community referral 5% 8% 15% 4% 14% 4% 1% 5%

CA BHNA Appendix B: ADP Data 167

Characteristics Total Alcohol Marijuana Other Drug Alcohol & Other Poly Needle Substance
Only Only Only Marij. Drug Use Use
Child Protective Services 4% 3% 6% 6% 4% 5% 1% 3%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Other Service Conditions
Past 30-days ER visit(s) 10% 19% 5% 7% 10% 9% 11% 12%
Past 30-days overnight hospital stay(s) 4% 7% 2% 3% 3% 3% 4% 4%
Past 30-days experiencing physical health problems 19% 26% 12% 15% 19% 19% 20% 21%
Mental illness diagnosis 23% 28% 12% 18% 20% 27% 24% 24%
Past 30-days OP ER services for MH needs 3% 5% 2% 2% 4% 4% 3% 4%
Past 30-days overnight stay(s) in psychiatric 3% 4% 2% 2% 3% 3% 2% 3%
facility/hospital for MH needs
Medication prescribed for MH needs 17% 25% 11% 13% 20% 18% 13% 17%
Past 30-days participation in social support 36% 34% 18% 37% 27% 45% 24% 30%
recovery activities
Social Conditions
Past 30-days lived with someone who uses 14% 13% 11% 10% 18% 15% 20% 18%
substances
Past 30-days serious conflict with family member(s) 12% 14% 9% 9% 15% 13% 13% 15%
BEST PRACTICE INDICATORS
Days waited to enter treatment
0 days 72% 74% 83% 71% 78% 68% 73% 71%
1-3 days 10% 10% 6% 10% 7% 11% 11% 11%
4-7 days 7% 6% 5% 7% 6% 8% 7% 7%
8-14 days 5% 4% 3% 5% 4% 5% 5% 5%
15-30 days 4% 4% 3% 5% 4% 5% 3% 4%
More than 30 days 2% 2% 1% 2% 2% 3% 1% 2%
Total 100% 100% 100% 100% 100% 100% 100% 100%

CA BHNA Appendix B: ADP Data 168

Characteristics Total Alcohol Marijuana Other Drug Alcohol & Other Poly Needle Substance
Only Only Only Marij. Drug Use Use
Length of Stay
0 days 4% 5% 4% 4% 4% 4% 3% 4%
1-15 days 24% 35% 9% 24% 15% 25% 37% 31%
16-30 days 12% 10% 9% 13% 10% 12% 16% 13%
31-60 days 13% 11% 15% 13% 15% 14% 10% 13%
61-90 days 11% 9% 13% 11% 13% 12% 7% 10%
91-120 days 8% 7% 12% 7% 11% 8% 4% 7%
121-150 days 6% 5% 9% 5% 8% 5% 3% 5%
151-180 days 5% 4% 7% 5% 6% 5% 3% 4%
More than 180 days 17% 15% 22% 18% 19% 16% 15% 15%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Discharge Status
Completed Tx 39% 53% 31% 34% 36% 40% 29% 37%
Non-complete/Satisfactory Progress 18% 17% 21% 19% 20% 16% 20% 18%
Non-completed/Unsatisfactory Progress 41% 29% 45% 44% 41% 42% 48% 43%
Incarceration 2% 1% 3% 2% 3% 2% 3% 2%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Admission Type
Single Admission 37% 47% 63% 35% 55% 34% 21% 36%
Recurrent Admission 22% 19% 12% 21% 15% 23% 30% 22%
CoC Admission 20% 17% 8% 22% 12% 22% 26% 19%

CA BHNA Appendix B: ADP Data 169

Table 8: Referral Source (Service & Resource Indicators)

Characteristics Total Ind SA Other Health SACPA/ Non-SACPA Other Comm CPS
Prog Prog Prop 36/ Court/ Ref
OTP Criminal
Justice
Total Admissions 757,962 290,371 59,091 24,918 175,364 134,115 41,565 32,538
Admissions (% of total by referral source) 100% 38% 8% 3% 23% 18% 5% 4%
Demographics
Female 35% 38% 35% 39% 27% 28% 36% 75%
< 18 10% 6% 10% 14% 2% 18% 49% 4%
Hispanic (Any race) 33% 29% 28% 25% 36% 38% 49% 40%
White (Non-Hispanic) 44% 50% 39% 49% 42% 40% 28% 41%
Black (Non-Hispanic) 15% 15% 26% 18% 14% 13% 16% 11%
Multi-race (Non-Hispanic) 2% 1% 2% 2% 2% 2% 2% 2%
Other race (Non-Hispanic) 6% 5% 6% 6% 7% 7% 6% 6%
Pregnant 2% 2% 2% 3% 1% 2% 1% 6%
Homeless 19% 22% 36% 28% 12% 14% 9% 12%
< High School Diploma 41% 36% 38% 38% 39% 49% 66% 48%
Criminal Justice Involvement 57% 24% 34% 24% 100% 100% 47% 32%
Employed (past 30 days) 22% 20% 13% 12% 29% 25% 21% 18%
U.S. Veteran 4% 4% 6% 7% 4% 3% 2% 2%
Medi-Cal Beneficiary 28% 32% 34% 45% 15% 22% 47% 44%

CA BHNA Appendix B: ADP Data 170

Characteristics Total Ind SA Other Health SACPA/ Non-SACPA Other Comm CPS
Prog Prog Prop 36/ Court/ Ref
OTP Criminal
Justice
Days waited to enter treatment
0 days 72% 73% 75% 68% 69% 68% 77% 77%
1-3 days 10% 11% 9% 13% 10% 9% 7% 8%
4-7 days 7% 6% 6% 7% 8% 7% 5% 6%
8-14 days 5% 4% 5% 5% 5% 5% 4% 4%
15-30 days 4% 4% 3% 5% 5% 6% 5% 4%
More than 30 days 2% 2% 1% 2% 3% 4% 2% 2%
Total 100% 100% 100% 100% 100% 100% 100% 100%
Discharge Status
Completed Tx 39% 37% 51% 43% 38% 42% 34% 38%
Non-complete/Satisfactory Progress 17% 20% 18% 19% 13% 15% 28% 18%
Non-completed/Unsatisfactory Progress 41% 42% 29% 37% 46% 40% 35% 43%
Incarceration 2% 2% 1% 1% 3% 4% 3% 1%
Total 100% 100% 100% 100% 100% 100% 100% 100%

CA BHNA Appendix B: ADP Data 171

Characteristics Total Ind SA Other Health SACPA/ Non-SACPA Other Comm CPS
Prog Prog Prop 36/ Court/ Ref
OTP Criminal
Justice
Other Service Conditions
Past 30-days ER visit(s) 10% 13% 12% 27% 6% 6% 6% 11%
Past 30-days overnight hospital stay(s) 3% 4% 5% 13% 2% 2% 2% 5%
Past 30-days experiencing physical health problems 19% 21% 19% 37% 15% 14% 14% 22%
Mental illness diagnosis 23% 26% 28% 52% 17% 18% 11% 25%
Past 30-days OP ER services for MH needs 3% 4% 4% 15% 2% 2% 2% 3%
Past 30-days overnight stay(s) in psychiatric 2% 3% 3% 17% 1% 1% 1% 1%
facility/hospital for MH needs
Medication prescribed for MH needs 16% 18% 20% 48% 10% 13% 11% 15%
Past 30-days participation in social support recovery 36% 29% 39% 34% 46% 37% 22% 50%
activities
Social Conditions
Past 30-days lived with someone who uses substances 14% 18% 11% 17% 11% 10% 10% 18%
Past 30-days serious conflict with family member(s) 12% 16% 10% 18% 8% 8% 8% 16%

CA BHNA Appendix B: ADP Data 172

Table 9: Medi-Cal Beneficiary (System Indicator)

Characteristics Total No Yes

Total Admissions 841,382 588,409 252,973
Admissions (% of total by MediCal eligibility) 100% 70% 30%
Demographics
Female 37% 31% 50%
< 18 11% 5% 24%
Hispanic (Any race) 34% 32% 37%
White (Non-Hispanic) 43% 46% 35%
Black (Non-Hispanic) 16% 14% 20%
Multi-race (Non-Hispanic) 2% 2% 2%
Other race (Non-Hispanic) 6% 6% 6%
Pregnant 2% 1% 4%
Homeless 19% 22% 12%
< High School Diploma 42% 37% 54%
Criminal Justice Involvement 55% 61% 41%
Employed (past 30 days) 22% 25% 10%
U.S. Veteran 4% 4% 3%
Referral Source
Individual (includes self-referral) 38% 36% 43%
Substance abuse program 8% 7% 9%
Other health care provider 3% 3% 5%
SACPA/Prop 36/OTP 23% 27% 13%
Non-SACPA court/Criminal Justice 18% 19% 14%
Other community referral 5% 4% 9%
Child Protective Services 4% 3% 7%
Total 100% 100% 100%
Substance Use Conditions
Alcohol only 11% 11% 13%
Marijuana only 6% 4% 10%
Methamphetamine only 12% 13% 9%
Heroin only 8% 8% 8%
Cocaine/Crack only 4% 4% 3%
OxyCodone/OxyContin/other opiates only 2% 2% 2%
Other single use 1% 0% 1%

CA BHNA Appendix B: ADP Data 173

Characteristics Total No Yes
Alcohol & Marijuana (poly-drug use) 10% 8% 15%
Other poly drug use 47% 50% 40%
Needle Use (past 30-days) 15% 15% 15%
Substance Use (past 30-days) 68% 68% 68%
Treatment Service Type
Outpatient 52% 48% 60%
Day treatment 5% 3% 9%
Detox 12% 14% 8%
Residential – 30 days or less 1% 2% 1%
Residential – 31 days or more 18% 22% 9%
Narcotic Treatment Maintenance 7% 6% 11%
Narcotic Treatment Detox 4% 5% 3%
Medication prescribed as part of treatment 13% 12% 14%
Other Service Conditions
Past 30-days ER visit(s) 10% 9% 14%
Past 30-days overnight hospital stay(s) 4% 3% 5%
Past 30-days experiencing physical health problems 19% 17% 25%
Mental illness diagnosis 23% 19% 33%
Past 30-days OP ER services for MH needs 3% 3% 5%
Past 30-days overnight stay(s) in psychiatric facility/hospital for MH needs 3% 2% 4%
Medication prescribed for MH needs 17% 13% 28%
Past 30-days participation in social support recovery activities 36% 38% 30%
Social Conditions
Past 30-days lived with someone who uses substances 14% 14% 16%
Past 30-days serious conflict with family member(s) 12% 11% 15%
BEST PRACTICE INDICATORS
Days waited to enter treatment
0 days 72% 68% 79%
1-3 days 10% 11% 8%
4-7 days 7% 8% 6%
8-14 days 5% 5% 3%
15-30 days 4% 5% 3%
More than 30 days 2% 3% 1%
Total 100% 100% 100%

CA BHNA Appendix B: ADP Data 174

Characteristics Total No Yes
Length of Stay
0 days 4% 4% 4%
1-15 days 24% 26% 19%
16-30 days 12% 12% 10%
31-60 days 13% 14% 13%
61-90 days 11% 12% 10%
91-120 days 8% 8% 8%
121-150 days 6% 5% 6%
151-180 days 5% 5% 5%
More than 180 days 17% 14% 24%
Total 100% 100% 100%
Discharge Status
Completed Tx 39% 42% 31%
Non-complete/Satisfactory progress 18% 16% 22%
Non-complete/Unsatisfactory progress 41% 40% 44%
Incarceration 2% 2% 2%
Total 100% 100% 100%
Admission Type
Single Admission 37% 36% 41%
Recurrent Admission 22% 22% 21%
CoC Admission 20% 21% 19%

CA BHNA Appendix B: ADP Data 175

Table 10: Medi-Cal Beneficiary by County (System Indicator)

County Total FY FY FY FY
2006-07 2007-08 2008-09 2009-10
Admissions (Statewide) 100.0% 25.4% 25.3% 25.7% 23.6%
Alameda 3.4% 2.6% 2.8% 3.9% 4.3%
Alpine 0.0% 0.0% 0.0% 0.0% 0.0%
Amador 0.0% 0.1% 0.0% 0.0% 0.0%
Butte 1.1% 1.3% 1.1% 1.0% 0.8%
Calaveras 0.1% 0.1% 0.1% 0.2% 0.1%
Colusa 0.1% 0.1% 0.1% 0.1% 0.1%
Contra Costa 1.3% 1.4% 1.3% 1.2% 1.3%
Del Norte 0.1% 0.1% 0.1% 0.1% 0.1%
El Dorado 0.7% 0.8% 0.7% 0.7% 0.5%
Fresno 6.2% 5.9% 7.0% 7.0% 5.1%
Glenn 0.1% 0.1% 0.1% 0.1% 0.1%
Humboldt 0.8% 0.8% 0.8% 0.8% 0.9%
Imperial 1.5% 1.9% 1.6% 1.2% 1.1%
Inyo 0.1% 0.1% 0.1% 0.1% 0.0%
Kern 1.4% 1.4% 1.4% 1.4% 1.4%
Kings 0.4% 0.5% 0.5% 0.3% 0.1%
Lake 0.6% 0.5% 0.5% 0.6% 0.7%
Lassen 0.3% 0.3% 0.3% 0.3% 0.2%
Los Angeles 33.6% 33.1% 33.3% 32.8% 35.6%
Madera 0.6% 0.8% 0.7% 0.6% 0.4%
Marin 0.9% 0.8% 1.0% 0.8% 0.9%
Mariposa 0.1% 0.2% 0.1% 0.1% 0.1%
Mendocino 0.7% 0.7% 0.8% 0.7% 0.5%
Merced 0.3% 0.4% 0.4% 0.3% 0.2%
Modoc 0.0% 0.1% 0.0% 0.0% 0.1%
Mono 0.0% 0.0% 0.0% 0.0% 0.0%
Monterey 0.6% 0.6% 0.6% 0.6% 0.7%
Napa 0.3% 0.2% 0.2% 0.3% 0.3%
Nevada 0.3% 0.3% 0.3% 0.3% 0.3%
Orange 1.9% 2.1% 2.0% 1.8% 1.8%
Placer 0.6% 0.5% 0.6% 0.7% 0.7%
Plumas 0.0% 0.1% 0.1% 0.0% 0.0%
CA BHNA Appendix B: ADP Data 176
County Total FY FY FY FY
2006-07 2007-08 2008-09 2009-10
Riverside 3.8% 3.3% 3.5% 3.6% 4.8%
Sacramento 4.9% 4.4% 4.4% 5.5% 5.2%
San Benito 0.2% 0.1% 0.1% 0.2% 0.2%
San Bernardino 3.4% 3.8% 3.4% 3.1% 3.3%
San Diego 3.2% 3.3% 3.3% 3.2% 3.1%
San Francisco 4.4% 3.8% 4.2% 4.5% 5.1%
San Joaquin 1.6% 1.6% 1.6% 1.5% 1.5%
San Luis Obispo 0.5% 0.6% 0.5% 0.5% 0.5%
San Mateo 1.0% 0.9% 1.0% 1.1% 1.1%
Santa Barbara 2.1% 2.8% 2.1% 1.7% 1.9%
Santa Clara 2.8% 3.0% 2.7% 3.0% 2.4%
Santa Cruz 1.4% 1.6% 1.6% 1.2% 1.1%
Shasta 1.4% 1.5% 1.3% 1.5% 1.2%
Sierra 0.0% 0.0% 0.0% 0.0% 0.0%
Siskiyou 0.1% 0.1% 0.1% 0.1% 0.1%
Solano 1.2% 1.2% 1.3% 1.2% 1.1%
Sonoma 2.2% 2.5% 2.2% 2.1% 2.1%
Stanislaus 1.8% 1.5% 1.8% 2.0% 1.7%
Tehama 0.5% 0.6% 0.5% 0.5% 0.3%
Trinity 0.1% 0.1% 0.1% 0.1% 0.1%
Tulare 2.4% 2.5% 2.6% 2.4% 2.2%
Tuolumne 0.2% 0.2% 0.2% 0.2% 0.2%
Ventura 1.4% 1.3% 1.4% 1.4% 1.4%
Yolo 0.4% 0.5% 0.4% 0.4% 0.4%
Yuba & Sutter 0.8% 1.0% 0.8% 0.8% 0.6%

CA BHNA Appendix B: ADP Data 177

 Appendix C: Mental Health Client Services Information Data (CSI)

CA BHNA Appendix C: CSI Data 178

Table 1: System at a glance – Individuals
CY 2006 CY 2007 CY 2008 CY 2009 CY 2010
Characteristics N %138 N % N % N % N %
Total 630,239 100% 637,700 100% 660,168 100% 635,942 100% 560,818 100%
Demographics
Age
0-13 133,735 21% 133,770 21% 137,345 21% 135,965 21% 123,028 22%
14-17 84,955 13% 86,971 14% 92,245 14% 92,144 14% 82,390 15%
18-21 33,507 5% 34,702 5% 38,391 6% 37,986 6% 35,034 6%
22-26 44,613 7% 45,349 7% 47,273 7% 43,786 7% 37,159 7%
27-64 315,444 50% 318,905 50% 325,343 49% 306,949 48% 266,268 47%
65+ 17,672 3% 17,854 3% 19,429 3% 18,951 3% 16,818 3%
139
Unknown/Not Reported 313 0.05% 149 0.02% 142 0.02% 161 0.03% 121 0.02%
Gender
Female 301,977 48% 303,528 48% 313,603 48% 304,316 48% 270,356 48%
Male 325,954 52% 331,858 52% 344,435 52% 330,400 52% 289,490 52%
Other 40 0% 40 0% 46 0% 51 0% 42 0%
Unknown 2,268 0.4% 2,274 0.4% 2,084 0.3% 1,175 0.2% 930 0.2%
Race/Ethnicity
White 152,711 24% 185,246 29% 191,514 29% 177,874 28% 154,146 27%
African American 52,649 8% 65,074 10% 66,361 10% 62,806 10% 50,536 9%
Asian-NH 24,522 4% 28,441 4% 28,739 4% 27,238 4% 22,870 4%
Pacific Islander 1,677 0.3% 2,305 0.4% 3,797 1% 2,414 0.4% 1,919 0.3%
Native 4,911 1% 6,203 1% 6,510 1% 6,175 1% 4,954 1%
Other 56,043 9% 63,296 10% 60,622 9% 57,573 9% 49,794 9%
Hispanic 95,819 15% 129,453 20% 134,997 20% 132,448 21% 116,643 21%
Multi 25,666 4% 31,163 5% 33,542 5% 31,535 5% 27,957 5%
Homeless 8,700 1% 6,987 1% 8,490 1% 9,950 2% 7,463 1%
< High School Diploma 135,448 21% 100,641 16% 118,836 18% 119,029 19% 99,738 18%
Criminal Justice Involvement 11,812 2% 6,921 1% 9,605 1% 10,933 2% 8,926 2%
Employed (past 30 days) 15,496 2% 14,859 2% 15,672 2% 14,933 2% 10,957 2%
Has Experienced Trauma 69,858 11% 125,680 20% 141,626 21% 138,867 22% 118,041 21%
Substance Use Conditions
Has Substance Dependence
85,065 13% 134,248 21% 136,535 21% 120,808 19% 94,379 17%
Diagnosis

138
These percentages represent the total population served by county mental health plans that belong to a given characteristic category.
For example, in 2006, of the 630,239 individuals served by county mental health plans, 21% (or 133,735 individuals) were aged 0-13.
139
Because the age is unknown or not reported we were unable to determine if they were a Youth or Adult and thus these individuals have
not been included in the following Adult & Youth tables
CA BHNA Appendix C: CSI Data 179
Table 1b: System at a glance – Adults
CY 2006 CY 2007 CY 2008 CY 2009 CY 2010
Characteristics N %140 N % N % N % N %
Total 411,236 100% 416,810 100% 430,436 100% 407,672 100% 355,279 100%
Demographics
Gender
Female 215,864 52% 216,986 52% 223,998 52% 214,544 53% 189,013 53%
Male 193,540 47% 198,026 48% 204,759 48% 192,193 47% 165,523 47%
Other 29 0% 33 0% 40 0% 42 0% 36 0%
Unknown 1,803 0.4% 1,765 0.4% 1,639 0.4% 893 0.2% 707 0.2%
Race/Ethnicity
White 111,889 27% 136,906 33% 143,842 33% 134,079 33% 117,298 33%
African American 30,744 7% 37,674 9% 39,512 9% 37,966 9% 31,129 9%
Asian 20,132 5% 22,753 5% 23,037 5% 22,025 5% 18,697 5%
Pacific Islander 1,080 0.3% 1,423 0.3% 2,864 1% 1,443 0.4% 1,197 0.3%
Native 3,108 1% 3,906 1% 4,180 1% 3,966 1% 3,199 1%
Other 37,489 9% 41,584 10% 40,737 9% 39,103 10% 33,851 10%
Hispanic 45,304 11% 59,478 14% 65,194 15% 63,322 16% 56,397 16%
Multi 15,519 4% 18,629 4% 21,063 5% 19,750 5% 17,843 5%
Homeless 8,206 2% 6,550 2% 7,985 2% 9,315 2% 6,981 2%
< High School Diploma 60,101 15% 38,913 9% 44,587 10% 43,091 11% 35,462 10%
Criminal Justice Involvement 2,400 1% 2,071 0.5% 2,943 1% 3,040 1% 3,486 1%
Employed (past 30 days) 14,105 3% 13,377 3% 14,319 3% 13,883 3% 10,114 3%
Has Experienced Trauma 41,853 10% 77,113 19% 88,395 21% 86,156 21% 73,345 21%
Substance Use Conditions
Has Substance Dependence
71,563 17% 114,548 27% 116,459 27% 102,131 25% 77,667 22%
Diagnosis

140
These percentages represent the total population of adults served by county mental health plans that belong to a given characteristic
category. For example, in 2006, of the 411,236 individual adults served by county mental health plans, 52% (or 215,864 adults) were
female.
CA BHNA Appendix C: CSI Data 180
Table 1c: System at a Glance – Youth
CY 2006 CY 2007 CY 2008 CY 2009 CY 2010
141
Characteristics N % N % N % N % N %
Total 218,690 100% 220,741 100% 229,590 100% 228,109 100% 205,418 100%
Demographics
Gender
Female 85,963 39% 86,465 39% 89,532 39% 89,692 39% 81,286 40%
Male 132,252 60% 133,760 61% 139,608 61% 138,126 61% 123,903 60%
Other 11 0% 7 0% 6 0% 9 0% 6 0%
Unknown 464 0.2% 509 0.2% 444 0.2% 282 0.1% 223 0.1%
Race/Ethnicity
White 40,746 19% 48,306 22% 47,623 21% 43,733 19% 36,804 18%
African American 21,882 10% 27,382 12% 26,838 12% 24,827 11% 19,391 9%
Asian 4,385 2% 5,684 3% 5,694 2% 5,200 2% 4,166 2%
Pacific Islander 596 0.3% 882 0.4% 932 0.4% 970 0.4% 721 0.4%
Native 1,801 1% 2,297 1% 2,330 1% 2,209 1% 1,754 1%
Other 18,509 8% 21,686 10% 19,868 9% 18,444 8% 15,934 8%
Hispanic 50,357 23% 69,906 32% 69,746 30% 69,078 30% 60,203 29%
Multi 10,140 5% 12,529 6% 12,476 5% 11,783 5% 10,114 5%
Homeless 487 0.2% 436 0.2% 503 0.2% 626 0.3% 472 0.2%
< High School Diploma 75,281 34% 61,704 28% 74,214 32% 75,893 33% 64,236 31%
Criminal Justice
9,403 4% 4,848 2% 6,655 3% 7,878 3% 5,428 3%
Involvement
Employed (past 30 days) 1,381 1% 1,476 1% 1342 1% 1,041 0.5% 835 0.4%
Has Experienced Trauma 27,969 13% 48,532 22% 53,199 23% 52,664 23% 44,670 22%
Substance Use Conditions
Has Substance Dependence
13,470 6% 19,685 9% 20,057 9% 18,654 8% 16,691 8%
Diagnosis

141
These percentages represent the total population of youth served by county mental health plans that belong to a given
characteristic category. For example, in 2006, of the 218,690 individual youth served by county mental health plans, 39% (or 85,963
youth) were female.
CA BHNA Appendix C: CSI Data 181
Table 2a: System at a Glance – Service Utilization (% Received)
CY 2006 CY 2007 CY 2008 CY 2009 CY 2010
Services N %142 N % N % N % N %
Total 630,213 100% 637,671 100% 660,134 100% 635,899 100% 560,784 100%
24 Hour Services
Hospital Inpatient 22,319 4% 18,478 3% 17,365 3% 18,870 3% 16,353 3%
Hospital Administrative Day 3,264 1% 4,099 1% 3,736 1% 3,641 1% 3,066 1%
Psychiatric Health Facility 7,462 1% 7,598 1% 8,693 1% 7,298 1% 5,242 1%
SNF Intensive 2,338 0.4% 2,273 0.4% 1,992 0.3% 1,694 0.3% 1,521 0.3%
IMD Basic (no Patch) 1,796 0.3% 1,626 0.3% 1,400 0.2% 1,015 0.2% 721 0.1%
IMD with Patch 1,920 0.3% 1,515 0.2% 1,719 0.3% 1,646 0.3% 250 0%
Adult Crisis Residential 5,239 1% 5,173 1% 5,881 1% 5,499 1% 4,189 1%
Jail Inpatient 331 0.1% -- -- -- -- -- -- -- --
Residential, Other 1,363 0.2% 1,312 0.2% 1,194 0.2% 1,243 0.2% 1,024 0.2%
Adult Residential 2,251 0.4% 2,489 0.4% 2,325 0.4% 2,148 0.3% 1,450 0.3%
Semi-Supervised Living 1,206 0.2% 1,025 0.2% 816 0.1% 632 0.1% 362 0.1%
Independent Living 112 0% 130 0% 124 0% 134 0% 70 0%
Mental Health Rehab Center 2,074 0.3% 2,145 0.3% 2,124 0.3% 2,020 0.3% 1,393 0.2%
Day Services
Crisis Stabilization – Emergency
40,175 6% 42,123 7% 44,950 7% 43,290 7% 32,946 6%
Room
Crisis Stabilization – Urgent
13,217 2% 13,618 2% 11,981 2% 16,065 3% 17,415 3%
Care
Vocational Services 700 0.1% 861 0.1% 934 0.1% 764 0.1% 582 0.1%
Socialization 1,571 0.2% 2,167 0.3% 1,968 0.3% 1,812 0.3% 1,307 0.2%
SNF Augmentation 171 0% 151 0% 120 0% 111 0% 98 0%
Day Treatment Intensive – Half
544 0.1% 523 0.1% 457 0.1% 309 0% 177 0%
Day
Day Treatment Intensive – Full
4,099 1% 3,777 1% 3,561 1% 3,343 1% 2,507 0.4%
Day
Day Rehabilitation – Half Day 873 0.1% 667 0.1% 348 0.1% 420 0.1% 364 0.1%
Day Rehabilitation – Full Day 6,414 1% 5,359 1% 4,956 1% 4,274 1% 2,879 1%
Outpatient Services
Targeted Case Management 291,162 46% 289,261 45% 304,768 46% 290,048 46% 253,374 45%
Collateral 161,504 26% 162,934 26% 171,809 26% 170,176 27% 149,884 27%
Professional Inpatient Visit –
112 0% 138 0% 57 0% 50 0% 14 0%
Collateral
Mental Health Services (MHS) 477,616 76% 489,861 77% 507,191 77% 481,319 76% 413,051 74%
Professional Inpatient Visit –
6,561 1% 7,638 1% 6,262 1% 2,012 0.3% 1,354 0.2%
MHS
Therapeutic Behavioral
3,351 1% 3,652 1% 3,695 1% 4,201 1% 4,327 1%
Services
Medication Support (MS) 323,521 51% 322,874 51% 330,337 50% 314,891 50% 277,105 49%
Professional Inpatient Visit –
3,565 1% 3,070 0.5% 2,377 0.4% 2,361 0.4% 3,110 1%
MS
Crisis Intervention (CI) 126,607 20% 124,525 20% 128,234 19% 117,189 18% 109,412 20%
Professional Inpatient Visit (CI) 9 0% 8 0% 2 0% -- -- -- --

142
These percentages represents the total population receiving county mental health plans services of a given service category. For
example, in 2006, of the 630,213 individuals receiving county mental health plans services, 4% (or 22,319 individuals) received Hospital
Inpatient 24 Hour Services.
CA BHNA Appendix C: CSI Data 182
Table 2b: System at a Glance – Service Utilization (% Received) – Adults
CY 2006 CY 2007 CY 2008 CY 2009 CY 2010
Services N %143 N % N % N % N %
Total 411,207 100% 416,777 100% 430,396 100% 407,630 100% 355,243 100%
24 Hour Services
Hospital Inpatient 19,185 5% 15,970 4% 15,059 3% 16,497 4% 14,418 4%
Hospital Administrative Day 3,094 1% 3,905 1% 3,590 1% 3,508 1% 2,977 1%
Psychiatric Health Facility 6,929 2% 6,935 2% 7,723 2% 6,363 2% 4,460 1%
SNF Intensive 2,297 1% 2,232 1% 1,966 0.5% 1,670 0.4% 1,494 0.4%
IMD Basic (no Patch) 1,669 0.4% 1,530 0.4% 1,343 0.3% 971 0.2% 695 0.2%
IMD with Patch 1,771 0.4% 1,390 0.3% 1,589 0.4% 1,526 0.4% 240 0.1%
Adult Crisis Residential 5,082 1% 5,041 1% 5,676 1% 5,356 1% 4,077 1%
Jail Inpatient 312 0.1% -- -- -- -- -- -- -- --
Residential, Other 1,185 0.3% 1,134 0.3% 1,040 0.2% 1,104 0.3% 909 0.3%
Adult Residential 2,153 1% 2,383 1% 2,253 1% 2,088 1% 1,413 0.4%
Semi-Supervised Living 1,161 0.3% 992 0.2% 789 0.2% 603 0.1% 340 0.1%
Independent Living 112 0% 130 0% 124 0% 134 0% 70 0%
Mental Health Rehab Center 1,955 0.5% 2,031 0.5% 2,055 0.5% 1,962 0.5% 1,356 0.4%
Day Services
Crisis Stabilization – Emergency
36,261 9% 37,884 9% 40,126 9% 38,605 9% 29,071 8%
Room
Crisis Stabilization – Urgent Care 10,670 3% 11,081 3% 9,971 2% 13,512 3% 14,703 4%
Vocational Services 615 0.1% 793 0.2% 883 0.2% 745 0.2% 567 0.2%
Socialization 1,505 0.4% 2,035 0.5% 1,844 0.4% 1,724 0.4% 1,249 0.4%
SNF Augmentation 167 0% 148 0% 115 0% 106 0% 94 0%
Day Treatment Intensive – Half
82 0% 10 0% 9 0% 2 0% 1 0%
Day
Day Treatment Intensive – Full
559 0.1% 460 0.1% 398 0.1% 329 0.1% 171 0%
Day
Day Rehabilitation – Half Day 578 0.1% 527 0.1% 240 0.1% 236 0.1% 234 0.1%
Day Rehabilitation – Full Day 2,552 1% 2,209 1% 2,023 0.5% 1,605 0.4% 1,254 0.4%
Outpatient Services
Targeted Case Management 189,676 46% 189,730 46% 202,416 47% 191,723 47% 169,477 48%
Collateral 52,067 13% 50,748 12% 53,018 12% 50,196 12% 40,462 11%
Professional Inpatient Visit –
66 0% 102 0% 56 0% 49 0% 14 0%
Collateral
Mental Health Services (MHS) 281,061 68% 289,913 70% 298,519 69% 273,649 67% 227,640 64%
Professional Inpatient Visit – MHS 5,151 1% 6,221 1% 4,715 1% 1,692 0.4% 1,214 0.3%
Therapeutic Behavioral Services 171 0% 188 0% 203 0% 214 0.1% 264 0.1%
Medication Support (MS) 247,305 60% 246,604 59% 253,319 59% 240,325 59% 211,248 59%
Professional Inpatient Visit – MS 2,743 1% 2,403 1% 1,806 0.4% 1,641 0.4% 2,350 1%
Crisis Intervention (CI) 97,489 24% 97,002 23% 100,385 23% 91,019 22% 83,049 23%
Professional Inpatient Visit (CI) 3 0% 4 0% 2 0% -- -- -- --

143
These percentages represents the total population of adults receiving county mental health plans services of a given service category.
For example, in 2006, of the 411,207 individual adults receiving county mental health plans services, 5% (or 19,185 individuals) received
Hospital Inpatient 24 Hour Services.
CA BHNA Appendix C: CSI Data 183
Table 2c: System at a Glance – Service Utilization (% Received) – Youth
CY 2006 CY 2007 CY 2008 CY 2009 CY 2010
Services N %144 N % N % N % N %
Total 218,679 100% 220,734 100% 229,584 100% 228,100 100% 205,412 100%
24 Hour Services
Hospital Inpatient 3,127 1% 2,506 1% 2,304 1% 2,366 1% 1,928 1%
Hospital Administrative Day 169 0.1% 194 0.1% 146 0.1% 131 0.1% 88 0%
Psychiatric Health Facility 528 0.2% 656 0.3% 969 0.4% 930 0.4% 779 0.4%
SNF Intensive 41 0% 41 0% 26 0% 24 0% 27 0%
IMD Basic (no Patch) 126 0.1% 96 0% 57 0% 43 0% 25 0%
IMD with Patch 148 0.1% 125 0.1% 130 0.1% 120 0.1% 10 0%
Adult Crisis Residential 153 0.1% 131 0.1% 203 0.1% 142 0.1% 112 0.1%
Jail Inpatient 19 0% -- -- -- -- -- -- -- --
Residential, Other 178 0.1% 178 0.1% 154 0.1% 139 0.1% 115 0.1%
Adult Residential 94 0% 105 0% 72 0% 60 0% 37 0%
Semi-Supervised Living 42 0% 33 0% 27 0% 29 0% 22 0%
Independent Living -- -- -- -- -- -- -- -- -- --
Mental Health Rehab Center 117 0.1% 114 0.1% 68 0% 57 0% 35 0%
Day Services
Crisis Stabilization – Emergency
3,900 2% 4,234 2% 4,820 2% 4,675 2% 3,870 2%
Room
Crisis Stabilization – Urgent Care 2,542 1% 2,537 1% 2,006 1% 2,543 1% 2,683 1%
Vocational Services 83 0% 67 0% 50 0% 19 0% 15 0%
Socialization 62 0% 127 0.1% 118 0.1% 81 0% 55 0%
SNF Augmentation 4 0% 3 0% 5 0% 5 0% 3 0%
Day Treatment Intensive – Half
461 0.2% 512 0.2% 448 0.2% 307 0.1% 176 0.1%
Day
Day Treatment Intensive – Full
3,539 2% 3,317 2% 3,163 1% 3,014 1% 2,336 1%
Day
Day Rehabilitation – Half Day 295 0.1% 140 0.1% 108 0% 184 0.1% 130 0.1%
Day Rehabilitation – Full Day 3,858 2% 3,148 1% 2,933 1% 2,669 1% 1,625 1%
Outpatient Services
Targeted Case Management 101,327 46% 99,460 45% 102,303 45% 98,281 43% 83,870 41%
Collateral 109,355 50% 112,152 51% 118,764 52% 119,954 53% 109,409 53%
Professional Inpatient Visit –
46 0% 36 0% 1 0% 1 0% -- --
Collateral
Mental Health Services (MHS) 196,301 90% 199,826 91% 208,581 91% 207,579 91% 185,350 90%
Professional Inpatient Visit – MHS 1,409 1% 1,417 1% 1,546 1% 320 0.1% 140 0.1%
Therapeutic Behavioral Services 3,178 1% 3,463 2% 3,492 2% 3,987 2% 4,063 2%
Medication Support (MS) 76,026 35% 76,178 35% 76,952 34% 74,498 33% 65,815 32%
Professional Inpatient Visit – MS 821 0.4% 667 0.3% 571 0.2% 720 0.3% 760 0.4%
Crisis Intervention (CI) 29,065 13% 27,499 12% 27,820 12% 26,108 11% 26,332 13%
Professional Inpatient Visit (CI) 6 0% 4 0% -- -- -- -- -- --

144
These percentages represents the total population of youth receiving county mental health plans services of a given service category.
For example, in 2006, of the 218,679 individual youth receiving county mental health plans services, 1% (or 3,127 individuals) received
Hospital Inpatient 24 Hour Services.

CA BHNA Appendix C: CSI Data 184

Table 3: System at a glance – Service Utilization (Amount Received – Total Units)
Services Unit CY 2006 CY 2007 CY 2008 CY 2009 CY 2010
24 Hour Services
Hospital Inpatient Hours 243,254 160,519 149.949 157,329 131,283
Hospital Administrative Day Hours 40,771 55,518 47,219 40,143 28,995
Psychiatric Health Facility Hours 91,903 99,800 103,326 76,325 51,092
SNF Intensive Hours 233,872 238,393 201,071 171,088 154,857
IMD Basic (no Patch) Hours 322,816 254,163 246,535 170,786 129,933
IMD with Patch Hours 153,996 120,585 132,051 111,338 31,415
Adult Crisis Residential Hours 104,267 100,373 110,287 97,745 73,361
Jail Inpatient Hours 9,334 -- -- -- --
Residential, Other Hours 266,076 243,156 221,276 228,868 150,725
Adult Residential Hours 218,388 245,390 234,109 200,272 127,692
Semi-Supervised Living Hours 141,407 141,898 118,048 73,267 34,688
Independent Living Hours 26,920 30,999 23,457 19,550 11,840
Mental Health Rehab Center Hours 241,931 285,790 262,679 230,241 129,169
Day Services
Crisis Stabilization – Emergency Room Hours 767,903 740,329 789,793 792,329 565,537
Crisis Stabilization – Urgent Care Hours 217,941 192,065 142,713 186,487 217,751
Vocational Services Hours 159,120 146,596 135,600 85,500 45,632
Socialization Hours 346,220 463,960 426,420 375,584 252,636
SNF Augmentation Hours 31,337 25,619 22,759 19,409 16,203
Day Treatment Intensive – Half Day Hours 178,680 191,492 150,184 113,316 29,496
Day Treatment Intensive – Full Day Hours 2,821,024 2,652,080 2,510,936 2,468,352 1,580,384
Day Rehabilitation – Half Day Hours 224,568 166,936 86,860 104,536 84,868
Day Rehabilitation – Full Day Hours 3,702,480 3,215,376 2,808,320 2,290,360 1,452,608
Outpatient Services
Linkage/Brokerage Hours 2,043,724 2,144,656 2,285,873 2,042,055 1,674,796
Collateral Hours 1,052,624 1,054,181 1,163,004 1,157,352 1,002,714
Professional Inpatient Visit – Collateral Hours 412 376 68 73 14
Mental Health Services (MHS) Hours 7,865,706 8,461,013 9,033,608 8,791,786 7,024,753
Professional Inpatient Visit – MHS Hours 25,654 19,882 12,389 9,006 4,186
Therapeutic Behavioral Services Hours 386,766 438.158 430,924 460,292 448,789
Medication Support (MS) Hours 1,437,133 1,452,573 1,479,065 1,382,253 1,128,389
Professional Inpatient Visit – MS Hours 19,615 14,736 11,307 12,296 13,403
Crisis Intervention (CI) Hours 410,896 418,338 453,644 425,065 399,814
Professional Inpatient Visit (CI) Hours 16 7 0 -- --

CA BHNA Appendix C: CSI Data 185

Table 4a: Number of Individuals Receiving Evidence-Based Practices
CY 2007 CY 2008 CY 2009 CY 2010
Evidence-Based Practice N %145 N % N % N %
Assertive Community Treatment 325 9% 398 3% 573 3% 428 4%
Supportive Employment 84 2% 240 2% 500 3% 301 3%
Supportive Housing 69 2% 343 3% 755 4% 511 5%
Family Psychoeducation 288 8% 1,286 11% 2,777 15% 1,691 15%
Integrated Dual Diagnosis Treatment 627 16% 1,467 13% 1,535 8% 1,078 10%
Illness Management & Recovery 778 20% 1,266 11% 2,308 13% 1,396 13%
Medication Management 1,068 28% 5,966 52% 9,101 50% 5,229 48%
New Generation Medications 17 0.4% 4 0.03% 21 0.1% 14 0%
Therapeutic Foster Care 267 7% 262 2% 276 2% 197 2%
Multisystemic Therapy 155 4% 174 2% 101 1% 40 0%
Functional Family Therapy 127 3% 148 1% 130 1% 114 1%
Total 3,805 100% 11,554 100% 18,077 100% 10,999 100%

Table 4b: Number of Adults Receiving Evidence-Based Practices

CY 2007 CY 2008 CY 2009 CY 2010
Evidence-Based Practice N %146 N % N % N %
Assertive Community Treatment 198 9% 253 4% 429 4% 320 5%
Supportive Employment 80 4% 181 3% 467 5% 266 4%
Supportive Housing 43 2% 281 4% 705 7% 486 8%
Family Psychoeducation 63 3% 250 4% 444 4% 332 5%
Integrated Dual Diagnosis Treatment 83 4% 1,032 15% 1,470 14% 1,036 17%
Illness Management & Recovery 736 34% 574 8% 826 8% 498 8%
Medication Management 784 37% 4,197 61% 5,694 56% 3,094 51%
New Generation Medications 15 1% 0 0% 21 0.2% 13 0%
Therapeutic Foster Care 20 1% 14 0.2% 16 0.2% 16 0%
Multisystemic Therapy 88 4% 60 1% 21 0.2% 5 0%
Functional Family Therapy 30 1% 45 1% 50 0.5% 45 1%
Total 2,140 100% 6,887 100% 10,143 100% 6,111 100%

Table 4c: Number of Youth Receiving Evidence-Based Practices

CY 2007 CY 2008 CY 2009 CY 2010
147
Evidence-Based Practice N % N % N % N %
Assertive Community Treatment 127 8% 145 3% 144 2% 108 2%
Supportive Employment 4 0.2% 58 1% 28 0.4% 35 1%
Supportive Housing 26 2% 62 1% 44 1% 25 1%
Family Psychoeducation 225 14% 1,036 22% 2,330 29% 1,359 28%
Integrated Dual Diagnosis Treatment 544 33% 432 9% 61 1% 42 1%
Illness Management & Recovery 42 3% 691 15% 1,478 19% 898 18%
Medication Management 284 17% 1,765 38% 3,398 43% 2,135 44%
New Generation Medications 2 0.1% 4 0.1% 0 0% 1 0%
Therapeutic Foster Care 247 15% 248 5% 260 3% 181 4%
Multisystemic Therapy 67 4% 114 2% 80 1% 35 1%
Functional Family Therapy 97 6% 103 2% 80 1% 69 1%
Total 1,665 100% 4,658 100% 7,903 100% 4,888 100%

145
This percentage represents the total individuals who received a given Evidence Based Practices (EBP). For example, in 2007, of the 3,805
individuals that received an EBP, 9% (or 325 individuals) received Assertive Community Treatment.
146
This percentage represents the total adults who received a given Evidence Based Practices (EBP). For example, in 2007, of the 2,140
individual adults that received an EBP, 9% (or 198 adults) received Assertive Community Treatment.
147
This percentage represents the total adults who received a given Evidence Based Practices (EBP). For example, in 2007, of the 1,665
individual youth that received an EBP, 8% (or 127 youth) received Assertive Community Treatment.
CA BHNA Appendix C: CSI Data 186
Table 5a: Number of Individuals Receiving Service Strategies
CY 2007 CY 2008 CY 2009 CY 2010
Service Strategy N %148 N % N % N %
Peer and/or Family Delivered Services 4,848 12% 5,819 10% 6,281 8% 6,493 11%
Psychoeducation 9,728 25% 14,760 25% 17,810 22% 13,892 23%
Family Support 7,985 21% 8,728 15% 9,379 12% 9,189 16%
Supportive Education 3,112 8% 4,719 8% 6,909 9% 4,957 8%
Delivered in Partnership with Law Enforcement 956 2% 2,383 4% 4,256 5% 2,383 4%
Delivered in Partnership with Health Care 1,466 4% 2,041 3% 2,815 4% 1,579 3%
Delivered in Partnership with Social Services 2,206 6% 2,616 4% 3,668 5% 2,235 4%
Delivered in Partnership with Substance Abuse Services 839 2% 1,900 3% 3,199 4% 1,644 3%
Integrated Services for Mental Health and Aging 831 2% 815 1% 736 1% 496 1%
Integrated Services for Mental Health and Developmental
243 1% 209 0.3% 164 0.2% 118 0%
Disability
Ethnic-Specific Service Strategy 1,566 4% 6,658 11% 9,177 12% 5,874 10%
Age-Specific Service Strategy 5,044 13% 9,483 16% 15,216 19% 10,310 17%
Total 38,824 100% 60,131 100% 79,610 100% 59,170 100%

Table 5b: Number of Adults Receiving Service Strategies

CY 2007 CY 2008 CY 2009 CY 2010
Service Strategy N %149 N % N % N %
Peer and/or Family Delivered Services 1,035 8% 1,359 5% 1,487 5% 1,623 7%
Psychoeducation 3,403 26% 8,182 33% 10,679 33% 7,049 32%
Family Support 1,709 13% 1,951 8% 2,275 7% 2,132 10%
Supportive Education 1,286 10% 1,452 6% 2,040 6% 1,587 7%
Delivered in Partnership with Law Enforcement 267 2% 329 1% 532 2% 426 2%
Delivered in Partnership with Health Care 942 7% 1,430 6% 1,985 6% 1,021 5%
Delivered in Partnership with Social Services 1,244 10% 1,170 5% 1,035 3% 669 3%
Delivered in Partnership with Substance Abuse Services 539 4% 502 2% 455 1% 369 2%
Integrated Services for Mental Health and Aging 720 6% 661 3% 569 2% 421 2%
Integrated Services for Mental Health and Developmental 54 0%
124 0.9% 108 0.4% 95 0.3%
Disability
Ethnic-Specific Service Strategy 653 5% 5,624 23% 8,036 25% 4,545 21%
Age-Specific Service Strategy 1,137 9% 2,035 8% 3,246 10% 1,838 8%
Total 13,059 100% 24,803 100% 32,434 100% 21,734 100%

148
This percentage represents the total individuals who received a given Service Strategy. For example, in 2007, of 38,824 individuals that
received a Service Strategy, 12% (or 4,848 individuals) received Peer and/or Family Delivered Services.
149
This percentage represents the total individual adults who received a given Service Strategy. For example, in 2007, of 13,059 adults that
received a Service Strategy, 8% (or 1,035 adults) received Peer and/or Family Delivered Services.
CA BHNA Appendix C: CSI Data 187
Table 5c: Number of Youth Receiving Service Strategies
CY 2007 CY 2008 CY 2009 CY 2010
150
Service Strategy N % N % N % N %
Peer and/or Family Delivered Services 3,813 15% 4,460 13% 4,794 10% 4,870 13%
Psychoeducation 6,325 25% 6,575 19% 7,120 15% 6,843 18%
Family Support 6,276 24% 6,777 19% 7,104 15% 7,057 19%
Supportive Education 1,826 7% 3,267 9% 4,864 10% 3,370 9%
Delivered in Partnership with Law Enforcement 689 3% 2,049 6% 3,721 8% 1,957 5%
Delivered in Partnership with Health Care 524 2% 610 2% 828 2% 558 1%
Delivered in Partnership with Social Services 962 4% 1,445 4% 2,628 6% 1,566 4%
Delivered in Partnership with Substance Abuse 1,275 3%
300 1% 1,393 4% 2,741 6%
Services
Integrated Services for Mental Health and Aging 111 0.4% 151 0.4% 164 0.3% 75 0%
Integrated Services for Mental Health and 64 0%
119 0.5% 101 0.3% 69 0.1%
Developmental Disability
Ethnic-Specific Service Strategy 913 4% 1,029 3% 1,134 2% 1,329 4%
Age-Specific Service Strategy 3,907 15% 7,441 21% 11,959 25% 8,472 23%
Total 25,765 100% 35,298 100% 47,126 100% 37,436 100%

Table 6a: Number of Individuals Receiving Multiple Evidence-Based Practices

CY 2007 CY 2008 CY 2009 CY 2010
151
Number of EBPs N % N % N % N %
2 Evidence-Based Practices 846 79% 877 68% 1,613 74% 1,011 76%
3 Evidence-Based Practices 209 19% 337 26% 479 22% 237 18%
4 Evidence-Based Practices 14 1% 49 4% 55 3% 62 5%
5 Evidence-Based Practices 4 0.4% 22 2% 8 1% 12 1%
6 Evidence-Based Practices -- -- 7 1% 4 0.2% 2 0.2%
7 Evidence-Based Practices -- -- 2 0.2% 4 0.2% 1 0.1%
Total 1,073 100% 1,294 100% 2,183 100% 1,325 100%

Table 6b: Number of Adults Receiving Multiple Evidence-Based Practices

CY 2007 CY 2008 CY 2009 CY 2010
152
Number of EBPs N % N % N % N %
2 Evidence-Based Practices 652 79% 438 63% 831 69% 517 73%
3 Evidence-Based Practices 161 19% 214 31% 309 26% 141 20%
4 Evidence-Based Practices 12 1% 33 5% 40 3% 41 6%
5 Evidence-Based Practices 4 0.5% 12 2% 24 2% 11 2%
6 Evidence-Based Practices -- -- 1 0.1% 3 0.2% -- --
7 Evidence-Based Practices -- -- -- -- 3 0.2% -- --
Total 829 100% 698 100% 1,210 100% 710 100%

150
This percentage represents the total individual youth who received a given Service Strategy. For example, in 2007, of 25,765
youth that received a Service Strategy, 15% (or 3,813 youth) received Peer and/or Family Delivered Services.
151
This percentage represents the number of individuals receiving multiple EBPs in a given category. For example, in 2007, of the
1,073 individuals receiving more than one EBP, 79% (or 846 individuals) received two EBPs.
152
This percentage represents the number of individual adults receiving multiple EBPs in a given category. For example, in 2007, of
the 829 individual adults receiving more than one EBP, 79% (or 652 adults) received two EBPs.
CA BHNA Appendix C: CSI Data 188
Table 6c: Number of Youth Receiving Multiple Evidence-Based Practices
CY 2007 CY 2008 CY 2009 CY 2010
153
Number of EBPs N % N % N % N %
2 Evidence-Based Practices 194 80% 439 74% 777 80% 494 80%
3 Evidence-Based Practices 48 20% 122 21% 168 17% 96 16%
4 Evidence-Based Practices 2 0.8% 16 3% 15 2% 21 3%
5 Evidence-Based Practices -- -- 10 2% 4 0.4% 1 0%
6 Evidence-Based Practices -- -- 6 1% 1 0.1% 2 0%
7 Evidence-Based Practices -- -- 2 0.3% 1 0.1% 1 0%
Total 244 100% 595 100% 966 100% 615 100%

Table 7a: Percent of Overall Recipients Receiving an EBP

Evidence-Based Practice Total N EBP N154 EBP %155
2007 637,671 1,410 0.2%
2008 660,134 8,427 1%
2009 635,899 13,102 2%
2010 560,784 7,939 1%
Total 2,494,488 30,878 1%

Table 7b: Percent of Recipients Receiving an EBP – Adults

Evidence-Based Practice Total N EBP N156 EBP %157
2007 416,777 285 0.1%
2008 430,396 5,171 1%
2009 407,630 7,235 2%
2010 355,243 4,435 1%
Total 1,610,046 17,126 1%

Table 7c: Percent of Recipients Receiving an EBP – Youth

Evidence-Based Practice Total N EBP N158 EBP %159
2007 220,734 1,125 1%
2008 229,584 3,250 1%
2009 228,100 5,752 3%
2010 205,412 4,273 2%
Total 883,830 14,400 2%

153
This percentage represents the number of individual youth receiving multiple EBPs in a given category. For example, in 2007, of
the 244 individual youth receiving more than one EBP, 80% (or 194 youth) received two EBPs.
154
Number of unduplicated EBPs
155
This percentage represents the percent of the total population served by county mental health plans that received an
unduplicated EBP.
156
Number of unduplicated EBPs
157
This percentage represents the percent of the total adult population served by county mental health plans that received an
unduplicated EBP.
158
Number of unduplicated EBPs
159
This percentage represents the percent of the total youth population served by county mental health plans that received an
unduplicated EBP.

CA BHNA Appendix C: CSI Data 189

Table 8: EBP Recipients by County
# of
Individuals
that
Number % of Received % of
County of Users Population160 EBPs Users161
Statewide 554,615 1% 10,499 2%
Large Counties (Over 800,000)
Alameda 32,204 2% 0 0%
Contra Costa 17,819 2% 0 0%
Fresno 9,986 1% 245 2%
Los Angeles 175,594 2% 164 0.1%
Orange 49,390 2% 58 0.1%
Riverside 41,207 2% 60 0.1%
Sacramento 231 0% 0 0%
San Bernardino 36,614 2% 47 0.1%
San Diego 30,988 1% 7,821 25%
San Francisco 19,766 2% 0 0%
Santa Clara 6,823 0.4% 4 0.1%
Ventura 10,046 1% 308 3%
Medium Counties (250,000-800,000)
Kern 14,567 2% 3 0.0%
Marin 3,132 1% 12 0.4%
Monterey 4,917 1% 41 0.8%
Placer 1,858 0.5% 0 0%
San Joaquin 10,712 2% 8 0.1%
San Luis Obispo 3,263 1% 0 0%
San Mateo 8,881 1% 10 0.1%
Santa Barbara 4,320 1% 4 0.1%
Santa Cruz 4,181 2% 0 0%
Solano 4,588 1% 3 0.1%
Sonoma 5,289 1% 1 0.0%
Stanislaus 8,969 2% 83 0.9%
Tulare 10,085 2% 46 0.5%
Small Counties (90,000-250,000)
Butte 2,406 1% 34 1%
El Dorado 1,778 1% 40 2%
Humboldt 343 0.3% 0 0%
Imperial 3,367 2% 803 24%
Kings 3,151 2% 0 0%

160
This represents the percent of county mental health plans services users in each county. For example, in Alameda county, 2% of
the total county population (or 32,204 individuals) utilize county mental health plans services.
161
This percentage reflects the percent of users in each county who receive EBPs. For example, in Alameda county the number of
county mental health plans service users is 32,204 individuals (or 2% of the total county population). Of these 32,204 users, 0% (or 0
individuals) receive an EBP.
CA BHNA Appendix C: CSI Data 190
 # of
Individuals
that
Number % of Received % of
County of Users Population160 EBPs Users161
Madera 2,647 2% 5 0.2%
Mendocino 2,232 3% 0 0%
Merced 2,306 0.9% 109 5%
Napa 765 0.6% 13 2%
Nevada 927 0.9% 28 3%
Shasta 3,046 2% 99 3%
Sutter 0 -- -- --
Yolo 5,608 3% 177 3%
Yuba 0 -- -- --
MBA (Under 90,000)
Alpine 28 2% 0 0%
Amador 160 0.4% 0 0%
Calaveras 92 0.2% 30 33%
Colusa 217 1% 94 43%
Del Norte 550 2% 0 0%
Glenn 240 0.9% 28 12%
Inyo 202 1% 0 0%
Lake 496 0.8% 7 1%
Lassen 168 0.5% 13 8%
Mariposa 402 2% 0 0%
Modoc 292 3% 22 8%
Mono 242 2% 19 8%
Plumas 646 3% 0 0%
San Benito 1,032 2% 18 2%
Sierra 101 3% 4 4%
Siskiyou 1,574 4% 3 0.2%
Tehama 2,624 4% 33 1%
Trinity 553 4% 0 0%
Tuolumne 990 2% 2 0.2%

CA BHNA Appendix C: CSI Data 191

2010

Table 9a: Arrivals & Snapshots – Adults

CA Arrivals162
1 2 3 4 5 6 7 Missing Total
1,077 1,261 2,951 6,244 2,800 98 76 2,525 17,032
6%163 7% 17% 37% 16% 1% 0.4% 15% 100%
CA Snapshot164
1 2 3 4 5 6 7 Missing Total
4,372 11,571 36,084 73,174 30,678 733 373 23,043 180,028
2%165 6% 20% 41% 17% 0.4% 0.2% 13% 100%

Table 9b: Arrivals & Snapshots – Youth

CA Arrivals166
1 2 3 4 5 6 7 Missing Total
163 210 1,113 4,511 2,541 149 61 1,017 9,765
2%167 2% 11% 46% 26% 2% 1% 10% 100%
168
CA Snapshot
1 2 3 4 5 6 7 Missing Total
841 2,006 16,347 53,248 23,700 750 306 9,871 107,069
1%169 2% 15% 50% 22% 1% 0.3% 9% 100%

162
Average number of new adults entering the system each month.
163
These represent the percent of adults who “arrive” in the county mental health plans system at the specified
functioning level. For example, of the 17,032 adults who “arrived” to the system in 2010, 6% (or 1,077 adults)
entered the system at Functional Level 1.
164
Average number of adult consumers continuously serviced by the system
165
These represent the percent of adults who are continuously serviced by system at the specified functioning
level. For example, of the 180,028 adults continuously serviced in 2010, 2% (or 4,372 adults) were serviced at
Functional Level 1.
166
Average number of new youth entering the system each month.
167
These represent the percent of youth who “arrive” in the county mental health plans system at the specified
functioning level. For example, of the 9,765 youth who “arrived” to the system in 2010, 2% (or 163 youth) entered
the system at Functional Level 1.
168
Average number of youth consumers continuously serviced by the system
169
These represent the percent of youth who are continuously serviced by system at the specified functioning
level. For example, of the 107,069 youth continuously serviced in 2010, 1% (or 841 youth) were serviced at
Functional Level 1.

CA BHNA Appendix C: CSI Data 192

Table 10a: Service Utilization – Adults
170
Percent Receiving Amount Received
1 2 3 4 5 6 7 Missing Service 1 2 3 4 5 6 7 Missing
24-Hour Services (days unless otherwise noted)
16% 6% 1% 0.1% 0.1% 0% 0.2% 0.3% Hospital Inpatient 1 1 1 1 1 0 0 1
3% 1% 0.1% 0% 0% 0% 0% 0.1% Hospital Administrative Day 1 1 1 1 1 1 0 1
3% 1% 0.3% 0.1% 0.1% 0.1% 0% 0.4% Psychiatric Health Facility 1 1 1 1 1 1 0 1
1% 1% 0.1% 0% 0% 0% 2% 0% SNF Intensive 4 5 6 9 6 0 15 13
0.4% 0.2% 0% 0% 0% 0% 1% 0% IMD Basic (no Patch) 15 16 12 13 4 0 22 8
0.1% 0.1% 0% 0% 0% 0% 0.2% 0% IMD with Patch 12 13 12 9 2 0 15 2
2% 1% 0.4% 0.1% 0% 0% 0% 0.1% Adult Crisis Residential 2 2 2 2 2 1 0 2
0% 0% 0% 0% 0% 0% 0% 0% Jail Inpatient 0 0 0 0 0 0 0 0
0.1% 0.1% 0.1% 0% 0% 0% 0.2% 0% Residential, Other 5 11 13 11 8 2 17 8
0.3% 0.3% 0.1% 0% 0% 0% 0% 0% Adult Residential 8 7 7 8 8 0 0 8
0% 0% 0% 0% 0% 0% 0% 0% Semi-Supervised Living 1 3 6 6 6 0 0 8
0% 0% 0% 0% 0% 0% 0% 0% Independent Living 19 12 9 5 9 0 0 0
0.3% 0.3% 0.1% 0% 0% 0% 0.1% 0.1% Mental Health Rehab Center 8 8 7 6 8 7 7 7
Day Services (days unless otherwise noted)
17% 8% 2% 1% 2% 3% 1% 2% Crisis Stabilization – Emergency Room 2 2 2 1 1 1 1 1
4% 3% 2% 1% 0.5% 0.4% 0.3% 0.3% Crisis Stabilization – Urgent Care 2 2 1 1 1 1 1 1
0% 0.1% 0.1% 0.1% 0.2% 0.1% 0% 0% Vocational Services 1 3 2 3 3 2 0 5
0.3% 0.2% 0.3% 0.3% 0.3% 0.2% 0.2% 1% Socialization 5 5 6 5 5 14 2 5
0.2% 0.1% 0% 0% 0% 0% 0% 0.1% SNF Augmentation 4 4 3 4 4 0 0 4
0% 0% 0% 0% 0% 0% 0% 0% Day Treatment Intensive – Half Day 0 0 19 18 0 0 0 0
0% 0.1% 0.1% 0% 0% 0% 0% 0% Day Treatment Intensive – Full Day 14 13 15 15 14 0 0 14
0% 0.1% 0.1% 0% 0% 0% 0.1% 0% Day Rehabilitation – Half Day 5 9 9 7 9 0 6 14
0.5% 1% 1% 0.3% 0.2% 0% 0.3% 0% Day Rehabilitation – Full Day 13 13 12 12 10 0 7 12
Outpatient Services (hours unless otherwise noted)
36% 37% 33% 29% 25% 21% 25% 15% Targeted Case Management 3 3 2 2 2 1 1 2
7% 8% 6% 5% 5% 3% 4% 4% Collateral 2 1 2 2 2 1 6 1
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit – Collateral 0 1 1 1 1 0 0 1
37% 47% 47% 46% 45% 43% 35% 41% Mental Health Services (MHS) 3 4 4 3 3 3 3 2
0.6% 0.3% 0.1% 0% 0.1% 0.2% 0.1% 0.3% Professional Inpatient Visit – MHS 1 2 2 2 1 1 1 2
0% 0% 0.1% 0.1% 0% 0% 0.1% 0% Therapeutic Behavioral Services 19 14 33 25 23 0 18 9
35% 46% 51% 51% 45% 43% 35% 40% Medication Support (MS) 1 1 1 1 1 1 1 1
1% 0.4% 0.1% 0% 0% 0% 0.1% 2% Professional Inpatient Visit – MS 1 2 3 3 4 3 6 2
34% 14% 7% 6% 4% 6% 18% 3% Crisis Intervention (CI) 4 3 2 2 2 2 2 2
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit (CI) 0 0 0 0 0 0 0 0

170
These percentages reflect the total number of adults at each functional level that received the specified service in 2010. For example, of all adults at functional level 1, 16% received
Hospital Inpatient 24-Hour Services.
CA BHNA Appendix C: CSI Data 193
Table 10b: Service Utilization – Youth
171
Percent Receiving Amount Received
1 2 3 4 5 6 7 Missing Service 1 2 3 4 5 6 7 Missing
24-Hour Services (days unless otherwise noted)
8% 4% 0.2% 0% 0% 0% 0% 0.1% Hospital Inpatient 1 1 1 1 1 0 0 1
0.5% 0.1% 0% 0% 0% 0% 0% 0% Hospital Administrative Day 1 1 1 0 1 0 0 0
1% 1% 0.2% 0% 0% 0% 0% 0% Psychiatric Health Facility 2 2 1 1 1 0 0 1
0.1% 0% 0% 0% 0% 0% 0% 0% SNF Intensive 4 1 1 8 0 0 0 12
0% 0% 0% 0% 0% 0% 0% 0% IMD Basic (no Patch) 15 10 10 2 4 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% IMD with Patch 0 0 2 1 0 0 0 3
0.1% 0.1% 0% 0% 0% 0% 0% 0% Adult Crisis Residential 2 3 2 2 3 2 0 2
0% 0% 0% 0% 0% 0% 0% 0% Jail Inpatient 0 0 0 0 0 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Residential, Other 1 12 14 4 8 0 0 13
0% 0.1% 0% 0% 0% 0% 0% 0% Adult Residential 9 14 8 0 25 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Semi-Supervised Living 0 1 6 5 5 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Independent Living 0 0 0 0 0 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Mental Health Rehab Center 43 11 9 9 10 0 0 0
Day Services (days unless otherwise noted)
10% 5% 1% 0.1% 0.2% 0.3% 0% 0.4% Crisis Stabilization – Emergency Room 2 1 1 1 1 1 0 1
2% 2% 1% 0.2% 0.1% 0.2% 0.2% 0.1% Crisis Stabilization – Urgent Care 2 1 1 1 1 1 1 1
0% 0% 0% 0% 0% 0% 0% 0% Vocational Services 0 0 1 1 1 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Socialization 6 7 5 6 6 0 8 3
0% 0% 0% 0% 0% 0% 0% 0% SNF Augmentation 0 4 0 5 4 0 0 4
0.1% 0.1% 0.1% 0% 0% 0% 0% 0% Day Treatment Intensive – Half Day 18 15 16 16 17 0 0 13
2% 6% 3% 1% 0.3% 0.2% 1% 1% Day Treatment Intensive – Full Day 15 18 16 15 15 15 19 15
0% 0% 0.1% 0.1% 0% 0% 0% 0.1% Day Rehabilitation – Half Day 0 18 15 17 16 0 0 16
2% 2% 1% 1% 0.3% 0.4% 0.1% 0.1% Day Rehabilitation – Full Day 17 18 17 15 14 6 15 16
Outpatient Services (hours unless otherwise noted)
51% 38% 25% 21% 20% 19% 14% 13% Targeted Case Management 3 3 3 2 2 2 2 2
27% 28% 37% 36% 32% 27% 25% 16% Collateral 3 3 2 2 2 2 2 2
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit – Collateral 0 0 0 0 0 0 0 0
54% 59% 74% 77% 74% 76% 71% 69% Mental Health Services (MHS) 8 8 6 5 4 4 4 3
0.1% 0% 0% 0% 0% 0% 0% 0.1% Professional Inpatient Visit – MHS 2 2 3 3 1 1 4 4
4% 5% 3% 1% 0.5% 0.1% 0% 1% Therapeutic Behavioral Services 32 30 29 27 28 18 0 23
33% 39% 32% 24% 19% 11% 13% 22% Medication Support (MS) 2 1 1 1 1 1 1 1
1% 1% 0.1% 0% 0% 0% 0.1% 1% Professional Inpatient Visit – MS 4 4 4 4 3 5 4 2
35% 12% 5% 3% 2% 2% 8% 2% Crisis Intervention (CI) 6 4 3 2 2 3 2 3
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit (CI) 0 0 0 0 0 0 0 0

171
These percentages reflect the total number of youth at each functional level that received the specified service in 2019. For example, of all youth at functional level 1, 8% received
Hospital Inpatient 24-Hour Services.
CA BHNA Appendix C: CSI Data 194
Table 11a: Transitions – Adults172 Table 11b: Transitions – Youth173
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
Missing 68 0 0 1 1 1 0 0 29 Missing 69 0 0 0 2 2 0 0 27
FL1 0 51 4 6 8 2 0 0 29 FL1 0 56 4 10 11 2 0 0 17
FL2 0 1 72 4 4 1 0 0 18 FL2 0 2 75 4 6 1 0 0 12
FL3 0 0 1 81 3 1 0 0 14 FL3 0 0 0 85 4 1 0 0 10
FL4 0 0 1 1 82 1 0 0 15 FL4 0 0 0 1 85 2 0 0 12
FL5 0 0 0 1 3 78 0 0 18 FL5 0 0 0 1 3 78 0 0 18
FL6 0 0 0 1 2 2 70 0 25 FL6 0 0 0 1 2 2 58 0 37
FL7 0 0 2 3 4 2 0 56 33 FL7 0 0 0 1 4 3 0 53 39

FL Disappear Stay the Same Move Forward Move Backward Total FL Disappear Stay the Same Move Forward Move Backward Total
FL1 29 51 20 0 100 FL1 17 56 27 0 100
FL2 18 72 9 1 100 FL2 12 75 11 2 100
FL3 14 81 4 1 100 FL3 10 85 5 0 100
FL4 15 82 2 1 100 FL4 12 85 2 1 100
FL5 18 78 0 4 100 FL5 18 78 0 4 100
FL6 25 70 0 5 100 FL6 37 58 0 5 100
FL7 33 56 0 11 100 FL7 39 53 0 8 100
TOTAL 152 490 35 23 TOTAL 145 490 45 20

172
This table presents percentages of adults who transitioned from one functional level
173
to another over the 12 month period. The disappearance rate (Dis.) is also presented. This table presents percentages of youth who transitioned from one functional level
The percentages presented in bold type are the percentage of individuals at that to another over the 12 month period. The disappearance rate (Dis.) is also presented.
functional level that remained at the same level. For example, 51% of adults remained The percentages presented in bold type are the percentage of youth at that functional
at FL1, and 72% remained at FL2. level that remained at the same level. For example, 56% of youth remained at FL1, and
75% remained at FL2.

CA BHNA Appendix C: CSI Data 195

2009

Table 12a: Arrivals & Snapshots – Adults

CA Arrivals174
1 2 3 4 5 6 7 Missing Total
1,252 1,554 3,111 7,104 3,640 133 77 5,284 22,155
6%175 7% 14% 32% 16% 1% 0.3% 24% 100%
CA Snapshot176
1 2 3 4 5 6 7 Missing Total
4,987 12,395 38,475 75,456 33,605 742 292 27,904 193,856
3%177 6% 20% 39% 17% 0.4% 0.2% 14% 100%

Table 12b: Arrivals & Snapshots – Youth

CA Arrivals178
1 2 3 4 5 6 7 Missing Total
181 234 1,243 4,958 3,026 212 87 1,868 11,809
2%179 2% 11% 42% 26% 2% 1% 16% 100%
CA Snapshot180 (average number of consumers continuously serviced by the system)
1 2 3 4 5 6 7 Missing Total
940 2,226 17,077 53,658 26,415 747 286 10,746 112,095
181
1% 2% 15% 48% 24% 1% 0.3% 10% 100%

174
Average number of new adults entering the system each month.
175
These percentages represents the number of adults who “arrive” in the county mental health plans system at
the specified functioning level. For example, of the 22,155 adults who “arrived” to the system in 2009, 6% (or
1,252 adults) entered the system at Functional Level 1.
176
Average number of adult consumers continuously serviced by the system.
177
These percentages represents the number of adults who were continuously served by the system at the
specified functioning level. For example, of the 193,856 adults continuously serviced in 2009, 3% (or 4,987 adults)
entered the system at Functional Level 1.
178
Average number of new youth entering the system each month.
179
These percentages represents the number of youth who “arrive” in the county mental health plans system at
the specified functioning level. For example, of the 11,809 youth who “arrived” to the system in 2009, 2% (or 181
youth) entered the system at Functional Level 1.
180
Average number of youth consumers continuously serviced by the system.
181
These percentages represents the number of youth who were continuously served by the system at the
specified functioning level. For example, of the 112,095 youth continuously serviced in 2009, 1% (or 940 youth)
entered the system at Functional Level 1.

CA BHNA Appendix C: CSI Data

Table 13a: Service Utilization – Adults
182
Percent Receiving Amount Received
1 2 3 4 5 6 7 Missing Service 1 2 3 4 5 6 7 Missing
24-Hour Services (days unless otherwise noted)
12% 5% 1% 0.1% 0.1% 0.1% 0.2% 0.2% Hospital Inpatient 1 1 1 1 1 1 1 1
2% 1% 0.1% 0% 0% 0% 0.1% 0.1% Hospital Administrative Day 1 1 1 1 1 0 1 1
3% 1% 0.4% 0.2% 0.1% 0% 0.1% 0.3% Psychiatric Health Facility 2 1 1 1 1 1 1 1
1% 0.4% 0.1% 0% 0% 0% 0.1% 0% SNF Intensive 4 5 5 10 6 8 6 16
0.3% 0.2% 0.1% 0% 0% 0% 0.2% 0.3% IMD Basic (no Patch) 11 9 5 7 5 0 9 4
1% 0.2% 0.1% 0% 0% 0% 0% 0.4% IMD with Patch 2 5 3 3 3 0 12 3
1% 2% 0.4% 0.1% 0.1% 0.1% 0.1% 0.1% Adult Crisis Residential 2 2 2 2 2 2 2 2
0% 0% 0% 0% 0% 0% 0% 0% Jail Inpatient 0 0 0 0 0 0 0 0
0.1% 0% 0% 0% 0% 0% 0.1% 0.0% Residential, Other 6 9 11 7 8 4 15 9
0.3% 0.4% 0.1% 0% 0% 0% 0% 0% Adult Residential 8 7 8 8 10 12 16 11
0% 0% 0% 0% 0% 0% 0% 0% Semi-Supervised Living 3 6 6 7 10 0 0 4
0% 0% 0% 0% 0% 0% 0% 0% Independent Living 7 4 9 7 1 0 0 0
1% 0.3% 0.1% 0% 0% 0% 0.1% 0.3% Mental Health Rehab Center 7 8 6 7 8 0 12 5
Day Services (days unless otherwise noted)
17% 8% 2% 1% 1% 2% 1% 2% Crisis Stabilization – Emergency Room 2 2 2 1 1 1 1 1
2% 2% 1% 0.5% 0.4% 1% 0.4% 0.3% Crisis Stabilization – Urgent Care 2 2 1 1 1 1 1 1
0% 0.1% 0.1% 0.1% 0.3% 0% 0% 0% Vocational Services 1 2 5 4 3 0 0 6
0.3% 0.3% 0.4% 0.4% 0.4% 0.3% 0.4% 0.4% Socialization 6 5 6 5 5 8 2 5
0.2% 0.1% 0% 0% 0% 0% 0% 0% SNF Augmentation 4 3 3 3 3 0 0 4
0% 0% 0% 0% 0% 0% 0% 0% Day Treatment Intensive – Half Day 0 0 4 0 1 0 0 0
0.1% 0.2% 0.1% 0% 0% 0% 0% 0% Day Treatment Intensive – Full Day 13 12 15 15 14 0 0 14
0.1% 0.1% 0.1% 0% 0% 0% 0% 0% Day Rehabilitation – Half Day 6 11 10 7 9 0 0 3
0.4% 1% 1% 0.3% 0.2% 0% 0% 0% Day Rehabilitation – Full Day 12 13 13 12 10 4 0 10
Outpatient Services (hours unless otherwise noted)
35% 37% 33% 28% 23% 17% 23% 13% Targeted Case Management 3 3 2 2 2 1 2 2
8% 8% 7% 5% 5% 4% 5% 3% Collateral 2 1 1 2 1 1 5 1
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit – Collateral 0 2 1 1 1 0 0 1
38% 48% 49% 47% 45% 43% 46% 49% Mental Health Services (MHS) 4 4 4 3 3 3 3 2
1% 0.3% 0.1% 0% 0.1% 0.1% 0.2% 0.3% Professional Inpatient Visit – MHS 2 3 3 3 2 2 3 2
0% 0% 0.1% 0% 0% 0% 0% 0% Therapeutic Behavioral Services 23 27 30 28 28 0 0 8
38% 47% 51% 51% 45% 42% 39% 32% Medication Support (MS) 1 1 1 1 1 1 1 1
1% 0.4% 0.1% 0% 0% 0% 0.1% 0.2% Professional Inpatient Visit – MS 2 3 4 4 4 1 3 2
28% 12% 6% 5% 4% 6% 10% 3% Crisis Intervention (CI) 4 3 2 2 2 2 2 2
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit (CI) 0 0 0 0 0 0 0 0

182
These percentages reflect the total number of adults at each functional level that received the specified service in 2009. For example, of all adults at functional level 1, 12% received
Hospital Inpatient 24-Hour Services
CA BHNA Appendix C: CSI Data 197
Table 13b: Service Utilization – Youth
183
Percent Receiving Amount Received
1 2 3 4 5 6 7 Missing Service 1 2 3 4 5 6 7 Missing
24-Hour Services (days unless otherwise noted)
8% 4% 0.2% 0% 0% 0% 0% 0.1% Hospital Inpatient 1 1 1 1 1 3 0 1
0.5% 0.1% 0% 0% 0% 0% 0% 0% Hospital Administrative Day 1 1 1 1 2 0 0 1
1% 1% 0.2% 0.1% 0% 0% 0% 0% Psychiatric Health Facility 2 2 1 1 1 0 0 1
0% 0% 0% 0% 0% 0% 0% 0% SNF Intensive 0 8 12 12 26 0 0 20
0% 0.1% 0% 0% 0% 0% 0% 0% IMD Basic (no Patch) 9 5 5 20 4 0 0 3
0.3% 0.1% 0% 0% 0% 0% 0% 0.1% IMD with Patch 4 3 3 3 3 2 0 3
0.2% 0.1% 0% 0% 0% 0% 0% 0% Adult Crisis Residential 2 2 2 2 2 0 0 2
0% 0% 0% 0% 0% 0% 0% 0% Jail Inpatient 0 0 0 0 0 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Residential, Other 11 7 14 17 9 0 0 13
0.1% 0.1% 0% 0% 0% 0% 0% 0% Adult Residential 10 8 14 12 25 0 0 4
0% 0% 0% 0% 0% 0% 0% 0% Semi-Supervised Living 16 5 6 11 9 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Independent Living 0 0 0 0 0 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Mental Health Rehab Center 11 10 10 4 12 4 0 4
Day Services (days unless otherwise noted)
11% 5% 1% 0.1% 0.2% 0.1% 0.4% 0.4% Crisis Stabilization – Emergency Room 2 1 1 1 1 1 1 1
2% 2% 0.4% 0.2% 0.1% 0.3% 0.2% 0.2% Crisis Stabilization – Urgent Care 1 1 1 1 1 0 0 1
0% 0% 0% 0% 0% 0% 0% 0% Vocational Services 0 0 2 2 2 0 0 0
0.1% 0.1% 0.1% 0% 0% 0% 0% 0% Socialization 4 6 5 7 4 0 1 4
0% 0% 0% 0% 0% 0% 0% 0% SNF Augmentation 0 4 3 4 4 0 0 0
0.3% 0.2% 0.3% 0.1% 0.1% 0.1% 0% 0% Day Treatment Intensive – Half Day 13 15 16 16 18 20 0 11
2% 5% 3% 1% 0.5% 0.4% 2% 1% Day Treatment Intensive – Full Day 16 19 16 15 15 16 17 14
0% 0% 0.1% 0.1% 0.1% 0% 0% 0.1% Day Rehabilitation – Half Day 10 15 16 15 14 0 0 13
1% 3% 1% 1% 1% 1% 0.1% 0.2% Day Rehabilitation – Full Day 16 19 17 15 13 7 12 13
Outpatient Services (hours unless otherwise noted)
44% 39% 27% 22% 21% 17% 11% 15% Targeted Case Management 4 3 3 2 2 1 2 2
30% 28% 37% 36% 32% 25% 26% 13% Collateral 3 3 2 2 2 2 2 2
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit – Collateral 0 0 0 0 0 0 0 0
58% 63% 77% 78% 74% 76% 76% 71% Mental Health Services (MHS) 8 7 7 5 4 3 4 3
0.2% 0.1% 0% 0% 0% 0% 0.1% 0.3% Professional Inpatient Visit – MHS 3 2 4 5 2 1 8 3
5% 4% 2% 1% 0.4% 0.3% 0.1% 0.5% Therapeutic Behavioral Services 32 30 31 28 28 20 17 24
376% 41% 33% 25% 20% 12% 15% 19% Medication Support (MS) 2 1 1 1 1 1 1 1
1% 1% 0.1% 0% 0% 0% 0% 0.2% Professional Inpatient Visit – MS 4 4 5 5 3 2 0 3
30% 12% 3% 2% 2% 2% 4% 2% Crisis Intervention (CI) 5 4 3 3 2 3 2 3
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit (CI) 0 0 0 0 0 0 0 0

183
These percentages reflect the total number of youth at each functional level that received the specified service in 2009. For example, of all youth at functional level 1, 8% received
Hospital Inpatient 24-Hour Services
CA BHNA Appendix C: CSI Data 198
Table 14a: Transitions – Adults184 Table 14b: Transitions – Youth185
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
Missing 75 0 0 0 1 1 0 0 23 Missing 78 0 0 0 2 1 0 0 19
FL1 0 61 4 5 6 1 0 0 23 FL1 0 62 4 8 9 2 0 0 15
FL2 0 1 78 4 3 1 0 0 13 FL2 0 1 78 4 6 1 0 0 10
FL3 0 0 1 85 3 1 0 0 10 FL3 0 0 1 87 3 1 0 0 8
FL4 0 0 1 1 85 1 0 0 12 FL4 0 0 0 1 87 2 0 0 10
FL5 0 0 0 1 3 81 0 0 15 FL5 0 0 0 1 3 82 0 0 14
FL6 0 0 0 0 2 2 74 0 22 FL6 0 0 0 0 3 3 62 0 32
FL7 0 0 1 1 4 1 0 72 21 FL7 0 0 0 1 3 3 0 62 31

FL Disappear Stay the Same Move Forward Move Backward Total FL Disappear Stay the Same Move Forward Move Backward Total
FL1 23 61 16 0 100 FL1 15 62 23 0 100
FL2 13 78 8 1 100 FL2 10 78 11 1 100
FL3 10 85 4 1 100 FL3 8 87 4 1 100
FL4 12 85 1 2 100 FL4 10 87 2 1 100
FL5 15 81 0 4 100 FL5 14 82 0 4 100
FL6 22 74 0 4 100 FL6 32 62 0 6 100
FL7 21 72 0 7 100 FL7 31 62 0 7 100
TOTAL 116 536 29 19 TOTAL 120 520 40 20

184 185
This table presents percentages of adults who transitioned from one functional level This table presents percentages of youth who transitioned from one functional level
to another over the 12 month period. The disappearance rate (Dis.) is also presented. to another over the 12 month period. The disappearance rate (Dis.) is also presented.
The percentages presented in bold type are the percentage of adults at that functional The percentages presented in bold type are the percentage of youth at that functional
level that remained at the same level. For example, 61% of adults remained at FL1, and level that remained at the same level. For example, 62% remained at FL1, and 78%
78% remained at FL2. remained at FL2.

CA BHNA Appendix C: CSI Data 199

2008

Table 15a: Arrivals & Snapshots – Adults

CA Arrivals186
1 2 3 4 5 6 7 Missing Total
1,309 1,577 3,354 7,433 3,984 134 41 6,354 24,186
5%187 7% 14% 31% 16% 1% 0.2% 26% 100%
CA Snapshot188
1 2 3 4 5 6 7 Missing Total
4,956 12,701 39,532 74,992 33,819 836 286 34,862 201,984
2%189 6% 20% 37% 17% 0.4% 0.1% 17% 100%

Table 15b: Arrivals & Snapshots – Youth

CA Arrivals190
1 2 3 4 5 6 7 Missing Total
189 248 1,302 5,163 3,370 180 78 2,136 12,666
1%191 2% 10% 41% 27% 1% 1% 17% 100%
CA Snapshot192
1 2 3 4 5 6 7 Missing Total
964 2,295 17,178 50,016 25,759 890 233 11,534 108,869
1%193 2% 16% 46% 24% 1% 0% 11% 100%

186
Average number of new adults entering the system each month.
187
These represent the percent of adults who “arrive” in the county mental health plans system at the specified
functioning level. For example, of the 24,186 adults who “arrived” to the system in 2008, 5% (or 1,309 adults)
entered the system at Functional Level 1.
188
Average number of adult consumers continuously serviced by the system.
189
These represent the percent of adults who are continuously serviced by the system at the specified functioning
level. For example, of the 201,984 adults continuously serviced in 2008, 2% (or 4,956 adults) were serviced at
Functional Level 1.
190
Average number of new youth entering the system each month.
191
These represent the percent of youth who “arrive” in the county mental health plans system at the specified
functioning level. For example, of the 12,666 youth who “arrived” to the system in 2008, 1% (or 189 youth)
entered the system at Functional Level 1.
192
Average number of youth consumers continuously serviced by the system.
193
These represent the percent of youth who are continuously serviced by the system at the specified functioning
level. For example, of the 108,869 youth continuously serviced in 2008, 1% (or 964 youth) were serviced at
Functional Level 1.

CA BHNA Appendix C: CSI Data

Table 16a: Service Utilization – Adults
194
Percent Receiving Amount Received
1 2 3 4 5 6 7 Missing Service 1 2 3 4 5 6 7 Missing
24-Hour Services (days unless otherwise noted)
12% 4% 0.4% 0.1% 0.1% 0.1% 0.3% 0.2% Hospital Inpatient 1 1 1 1 1 1 1 1
2% 1% 0.1% 0% 0% 0% 0.2% 0.1% Hospital Administrative Day 1 1 1 1 1 1 1 2
4% 1% 0.4% 0.2% 0.1% 0% 0.1% 0.3% Psychiatric Health Facility 1 2 1 1 1 1 1 1
1% 0.4% 0.1% 0% 0% 0% 0% 0% SNF Intensive 5 5 5 7 8 15 4 15
1% 0.3% 0.1% 0% 0% 0% 0% 1% IMD Basic (no Patch) 7 8 6 6 5 16 0 4
1% 0.3% 0.1% 0% 0% 0% 0% 0.4% IMD with Patch 3 4 3 2 3 0 0 3
2% 1% 0.5% 0.1% 0.1% 0% 0.1% 0% Adult Crisis Residential 2 2 2 2 2 0 1 2
0% 0% 0% 0% 0% 0% 0% 0% Jail Inpatient 0 0 0 0 0 0 0 0
0.1% 0.1% 0% 0% 0% 0% 0.1% 0% Residential, Other 6 9 8 11 9 0 5 8
0.4% 0.4% 0.1% 0% 0% 0% 0.1% 0% Adult Residential 8 8 9 10 10 19 19 13
0.1% 0% 0% 0% 0% 0% 0% 0% Semi-Supervised Living 6 8 10 9 8 0 0 8
0% 0% 0% 0% 0% 0% 0% 0% Independent Living 12 10 12 10 0 0 0 0
1% 0.4% 0.1% 0% 0% 0% 0.2% 0.4% Mental Health Rehab Center 8 8 6 6 6 0 8 4
Day Services (days unless otherwise noted)
17% 9% 2% 1% 1% 1% 1% 1% Crisis Stabilization – Emergency Room 2 2 2 1 1 1 1 1
3% 1% 1% 0.4% 0.2% 0.4% 0.3% 0.1% Crisis Stabilization – Urgent Care 2 2 1 1 1 1 1 1
0% 0.1% 0.1% 0.2% 0.2% 0.2% 0% 0% Vocational Services 3 6 6 4 4 2 1 3
0.4% 0.4% 0.5% 0.4% 0.4% 0.3% 0% 0.3% Socialization 5 6 6 5 5 7 0 4
0.2% 0.1% 0% 0% 0% 0% 0% 0.1% SNF Augmentation 3 4 4 4 4 0 0 4
0% 0% 0% 0% 0% 0% 0% 0% Day Treatment Intensive – Half Day 0 17 3 14 0 0 0 2
0.1% 0.2% 0.1% 0% 0% 0% 0% 0.1% Day Treatment Intensive – Full Day 10 12 14 15 15 0 0 15
0.1% 0.1% 0.1% 0% 0% 0% 0% 0% Day Rehabilitation – Half Day 9 10 10 7 8 0 0 0
1% 1% 1% 0.4% 0.3% 0.2% 0.0% 0% Day Rehabilitation – Full Day 10 14 13 12 10 11 0 11
Outpatient Services (hours unless otherwise noted)
36% 39% 34% 29% 26% 19% 28% 15% Targeted Case Management 3 3 2 2 2 1 2 1
9% 9% 7% 5% 5% 5% 5% 3% Collateral 2 1 1 1 1 1 3 1
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit – Collateral 1 1 2 1 1 0 0 1
39% 47% 49% 46% 45% 42% 43% 49% Mental Health Services (MHS) 4 4 4 3 3 3 3 2
1% 1% 0.3% 0.3% 0.2% 0.1% 0.3% 0.2% Professional Inpatient Visit – MHS 2 1 1 1 1 1 1 2
0.1% 0% 0% 0% 0% 0% 0% 0% Therapeutic Behavioral Services 26 32 41 30 33 32 0 15
40% 49% 53% 52% 46% 42% 46% 34% Medication Support (MS) 1 1 1 1 1 1 1 1
1% 0.4% 0.1% 0% 0% 0% 0.4% 0.3% Professional Inpatient Visit – MS 2 2 3 3 4 1 2 2
30% 13% 6% 5% 5% 5% 4% 4% Crisis Intervention (CI) 3 3 2 2 1 2 2 2
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit (CI) 0 0 0 0 0 0 0 0

194
These percentages reflect the total number of adults at each functional level that received the specified service in 2008. For example, of all adults at functional level 1, 12% received
Hospital Inpatient 24-Hour Services
CA BHNA Appendix C: CSI Data 201
Table 16b: Service Utilization – Youth
195
Percent Receiving Amount Received
1 2 3 4 5 6 7 Missing Service 1 2 3 4 5 6 7 Missing
24-Hour Services (days unless otherwise noted)
9% 4% 0.1% 0% 0% 0% 0% 0% Hospital Inpatient 1 1 1 1 1 0 1 1
0.5% 0.2% 0% 0% 0% 0% 0% 0% Hospital Administrative Day 1 1 2 1 1 0 0 2
1% 0.9% 0.2% 0% 0% 0% 0% 0% Psychiatric Health Facility 2 2 1 1 1 0 0 1
0% 0% 0% 0% 0% 0% 0% 0% SNF Intensive 3 9 2 1 0 0 0 0
0.1% 0% 0% 0% 0% 0% 0% 0.1% IMD Basic (no Patch) 13 7 4 3 3 0 0 4
0.3% 0.3% 0% 0% 0% 0% 0% 0.1% IMD with Patch 2 3 3 3 3 0 0 3
0.3% 0.1% 0% 0% 0% 0% 0% 0% Adult Crisis Residential 2 2 2 2 2 1 0 1
0% 0% 0% 0% 0% 0% 0% 0% Jail Inpatient 0 0 0 0 0 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Residential, Other 19 10 16 10 18 27 30 24
0% 0% 0% 0% 0% 0% 0% 0% Adult Residential 11 8 10 8 17 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Semi-Supervised Living 1 2 7 4 7 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Independent Living 0 0 0 0 0 0 0 0
0.2% 0.1% 0% 0% 0% 0.1% 0% 0.1% Mental Health Rehab Center 4 5 5 7 3 3 0 4
Day Services (days unless otherwise noted)
11% 4% 1% 0.2% 0.2% 0.2% 0.2% 0.4% Crisis Stabilization – Emergency Room 2 2 1 1 1 1 1 1
3% 1% 0.3% 0.1% 0.1% 0.1% 0% 0% Crisis Stabilization – Urgent Care 2 1 1 1 1 1 0 1
0% 0% 0% 0% 0% 0% 0% 0% Vocational Services 1 1 4 2 3 0 0 3
0.1% 0.1% 0.1% 0% 0% 0% 0% 0.1% Socialization 5 4 5 5 5 4 2 3
0% 0% 0% 0% 0% 0% 0% 0% SNF Augmentation 0 4 4 4 4 0 0 0
0.3% 0.3% 0.4% 0.2% 0.1% 0.1% 0% 0.1% Day Treatment Intensive – Half Day 12 13 16 16 14 0 0 16
3% 6% 3% 1% 0.4% 0.1% 1% 1% Day Treatment Intensive – Full Day 15 19 18 15 14 7 10 15
0% 0% 0.1% 0.1% 0% 0% 0% 0% Day Rehabilitation – Half Day 14 15 16 17 18 19 0 11
2% 3% 2% 1% 1% 1% 0.3% 0.3% Day Rehabilitation – Full Day 16 19 16 15 15 17 16 15
Outpatient Services (hours unless otherwise noted)
43% 39% 29% 25% 24% 20% 19% 19% Targeted Case Management 4 3 3 2 2 1 2 2
31% 27% 35% 36% 33% 29% 27% 15% Collateral 3 3 2 2 2 2 2 2
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit – Collateral 0 0 0 0 0 0 0 0
59% 61% 76% 78% 74% 75% 77% 71% Mental Health Services (MHS) 8 8 7 5 4 3 4 3
0.3% 0.3% 0.1% 0.2% 0.2% 0.3% 0.1% 0.3% Professional Inpatient Visit – MHS 2 2 2 1 1 1 2 3
5% 3% 2% 1% 0.4% 0.2% 0.5% 0.4% Therapeutic Behavioral Services 33 34 34 29 28 30 51 27
39% 43% 35% 27% 20% 12% 18% 20% Medication Support (MS) 1 1 1 1 1 1 1 1
1% 0.4% 0.1% 0% 0% 0% 0% 0.2% Professional Inpatient Visit – MS 4 5 5 4 4 0 0 3
28% 12% 4% 2% 2% 1% 4% 3% Crisis Intervention (CI) 5 4 3 3 2 3 2 3
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit (CI) 0 0 0 0 0 0 0 0

195
These percentages reflect the total number of youth at each functional level that received the specified service in 2008. For example, of all youth at functional level 1, 9% received
Hospital Inpatient 24-Hour Services
CA BHNA Appendix C: CSI Data 202
Table 17a: Transitions – Adults196 Table 17b: Transitions – Youth197
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
Missing 73 0 0 1 1 1 0 0 24 Missing 77 0 0 0 2 2 0 0 19
FL1 0 60 4 6 6 2 0 0 22 FL1 0 63 3 8 8 2 0 0 16
FL2 0 1 78 4 4 1 0 0 12 FL2 0 1 79 4 5 1 0 0 10
FL3 0 0 1 85 3 1 0 0 10 FL3 0 0 1 87 3 1 0 0 8
FL4 0 0 1 1 85 2 0 0 11 FL4 0 0 0 1 87 2 0 0 10
FL5 0 0 0 1 3 82 0 0 14 FL5 0 0 0 1 3 82 0 0 14
FL6 0 0 0 1 2 2 75 0 20 FL6 0 0 0 0 3 3 67 0 27
FL7 0 0 1 1 4 1 0 76 17 FL7 0 0 0 1 3 2 0 66 28

FL Disappear Stay the Same Move Forward Move Backward Total FL Disappear Stay the Same Move Forward Move Backward Total
FL1 22 60 18 0 100 FL1 16 63 21 0 100
FL2 12 78 9 1 100 FL2 10 79 10 1 100
FL3 10 85 4 1 100 FL3 8 87 4 1 100
FL4 11 85 2 2 100 FL4 10 87 2 1 100
FL5 14 82 0 4 100 FL5 14 82 0 4 100
FL6 20 75 0 5 100 FL6 27 67 0 6 100
FL7 17 76 0 7 100 FL7 28 66 0 6 100
TOTAL 106 541 33 20 TOTAL 113 531 37 19

196 197
This table presents percentages of adults who transitioned from one functional level This table presents percentages of youth who transitioned from one functional level
to another over the 12 month period. The disappearance rate (Dis.) is also presented. to another over the 12 month period. The disappearance rate (Dis.) is also presented.
The percentages presented in bold type are the percentage of adults at that functional The percentages presented in bold type are the percentage of youth at that functional
level that remained at the same level. For example, 60% of adults remained at FL1, and level that remained at the same level. For example, 63% of youth remained at FL1, and
78% remained at FL2. 79% remained at FL2.

CA BHNA Appendix C: CSI Data 203

2007

Table 18a: Arrivals & Snapshots – Adults

CA Arrivals198
1 2 3 4 5 6 7 Missing Total
1,161 1,526 3,138 6,851 3,751 129 51 6,870 23,477
5%199 6% 13% 29% 16% 1% 0% 29% 100%
CA Snapshot200
1 2 3 4 5 6 7 Missing Total
4,747 12,374 37,947 69,966 33,337 897 375 34,852 194,495
2%201 6% 20% 36% 17% 0% 0% 18% 100%

Table 18b: Arrivals & Snapshots – Youth

CA Arrivals202
1 2 3 4 5 6 7 Missing Total
178 233 1,296 4,637 3,057 204 48 2,162 11,815
2%203 2% 11% 39% 26% 2% 0% 18% 100%
CA Snapshot204
1 2 3 4 5 6 7 Missing Total
961 2,394 16,806 46,429 25,258 989 415 12,417 105,669
1%205 2% 16% 44% 24% 1% 0% 12% 100%

198
Average number of new adults entering the system each month.
199
These represent the percent of adults who “arrive” in the county mental health plans system at the specified
functioning level. For example, of the 23,477 adults who “arrived” to the system in 2007, 5% (or 1,161 adults)
entered the system at Functional Level 1.
200
Average number of adult consumers continuously serviced by the system.
201
These represent the percent of adults who are continuously serviced by the system at the specified functioning
level. For example, of the 194,495 adults serviced in 2007, 2% (or 4,747 adults) were serviced at Functional Level 1.
202
Average number of new youth entering the system each month.
203
These represent the percent of youth who “arrive” in the county mental health plans system at the specified
functioning level. For example, of the 11,815 youth who “arrived” to the system in 2007, 2% (or 178 youth)
entered the system at Functional Level 1.
204
Average number of youth consumers continuously serviced by the system.
205
These represent the percent of youth who are continuously serviced by the system at the specified functioning
level. For example, of the 105,669 youth serviced in 2007, 1% (or 961 youth) were serviced at Functional Level 1.

CA BHNA Appendix C: CSI Data

Table 19a: Service Utilization – Adults
206
Percent Receiving Amount Received
1 2 3 4 5 6 7 Missing Service 1 2 3 4 5 6 7 Missing
24-Hour Services (days unless otherwise noted)
12% 5% 0.7% 0.1% 0.1% 0.1% 0.4% 0.2% Hospital Inpatient 1 1 1 1 1 1 1 1
2% 1% 0.1% 0% 0% 0% 0.1% 0.1% Hospital Administrative Day 1 1 1 1 1 1 1 2
3% 1% 0.4% 0.2% 0.1% 0% 0.1% 0.3% Psychiatric Health Facility 1 2 1 1 1 0 2 1
0.6% 0.5% 0.1% 0% 0% 0% 0% 0% SNF Intensive 6 4 7 9 9 0 6 14
0.6% 0.45 0.1% 0% 0% 0% 0.2% 0.6% IMD Basic (no Patch) 7 7 6 4 4 0 3 4
0.9% 0.2% 0.1% 0% 0% 0% 0% 0.4% IMD with Patch 3 4 3 3 3 4 0 3
1% 1% 0.5% 0.1% 0% 0% 0% 0% Adult Crisis Residential 2 2 2 2 2 2 1 3
0% 0% 0% 0% 0% 0% 0% 0% Jail Inpatient 0 0 0 0 0 0 0 0
0.1% 0% 0% 0% 0% 0% 0.1% 0% Residential, Other 5 8 12 10 6 0 9 8
0.4% 0.4% 0.2% 0.1% 0% 0% 0% 0% Adult Residential 7 7 9 9 9 0 0 12
0.1% 0.1% 0% 0% 0% 0% 0% 0% Semi-Supervised Living 5 6 7 9 8 0 3 7
0% 0% 0% 0% 0% 0% 0% 0% Independent Living 13 13 15 13 0 0 0 0
1% 0.5% 0.2% 0% 0% 0% 0.2% 0.3% Mental Health Rehab Center 6 7 6 6 5 0 4 4
Day Services (days unless otherwise noted)
14% 8% 2% 1% 2% 1% 0.7% 1% Crisis Stabilization – Emergency Room 2 2 2 1 1 1 1 1
3% 1% 0.8% 0.5% 0.2% 0.4% 0.3% 0.6% Crisis Stabilization – Urgent Care 2 2 1 1 1 1 2 2
0.1% 0.2% 0.2% 0.2% 0.2% 0.2% 0% 0% Vocational Services 6 5 6 4 4 2 0 2
0.5% 0.5% 0.6% 0.5% 0.4% 0.2% 0% 0.3% Socialization 5 5 5 5 5 10 0 5
0.2% 0.1% 0% 0% 0% 0% 0% 0.1% SNF Augmentation 4 3 3 4 4 0 0 4
0% 0% 0% 0% 0% 0% 0% 0% Day Treatment Intensive – Half Day 0 18 11 9 17 0 0 0
0.1% 0.2% 0.1% 0% 0% 0% 0% 0% Day Treatment Intensive – Full Day 9 11 13 13 16 0 0 14
0.2% 0.3% 0.2% 0.1% 0% 0.1% 0% 0% Day Rehabilitation – Half Day 12 13 12 9 8 4 0 14
0.9% 1.0% 0.9% 0.5% 0.4% 0.1% 0% 0% Day Rehabilitation – Full Day 10 12 13 11 9 9 0 11
Outpatient Services (hours unless otherwise noted)
35% 38% 34% 29% 26% 21% 35% 14% Targeted Case Management 3 3 2 2 1 1 2 2
10% 8% 6% 5% 5% 5% 4% 2% Collateral 1 1 1 1 2 1 1 1
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit – Collateral 1 1 2 3 3 0 0 1
42% 45% 47% 45% 44% 43% 43% 50% Mental Health Services (MHS) 4 4 4 3 3 3 3 2
0.7% 0.7% 0.4% 0.4% 0.4% 0.1% 0.2% 0.3% Professional Inpatient Visit – MHS 2 1 1 1 1 2 1 2
0.1% 0% 0% 0% 0% 0% 0% 0% Therapeutic Behavioral Services 31 34 40 28 24 0 0 12
43% 51% 54% 54% 47% 42% 43% 36% Medication Support (MS) 1 1 1 1 1 1 1 1
0.7% 0.5% 0.2% 0.1% 0% 0% 0.1% 0.4% Professional Inpatient Visit – MS 3 3 3 3 3 5 2 2
32% 12% 6% 5% 5% 5% 3% 4% Crisis Intervention (CI) 3 3 2 2 1 2 2 2
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit (CI) 0 1 2 0 1 0 0 2

206
These percentages reflect the total number of adults at each functional level that received the specified service in 2007. For example, of all adults at functional level 1, 12% received
Hospital Inpatient 24-Hour Services.
CA BHNA Appendix C: CSI Data 205
Table 19b: Service Utilization – Youth
207
Percent Receiving Amount Received
1 2 3 4 5 6 7 Missing Service 1 2 3 4 5 6 7 Missing
24-Hour Services (days unless otherwise noted)
10% 3% 0.2% 0% 0% 0% 0% 0% Hospital Inpatient 1 1 1 1 1 1 0 1
0.5% 0.2% 0% 0% 0% 0% 0% 0% Hospital Administrative Day 2 2 1 1 1 0 0 2
1% 0.7% 0.1% 0% 0% 0% 0% 0% Psychiatric Health Facility 3 2 1 1 1 0 1 1
0% 0% 0% 0% 0% 0% 0% 0% SNF Intensive 7 9 12 7 0 0 0 0
0.2% 0.1% 0% 0% 0% 0% 0.1% 0.1% IMD Basic (no Patch) 5 4 4 3 4 0 2 4
0.4% 0.2% 0% 0% 0% 0% 0.1% 0.1% IMD with Patch 2 3 3 3 3 0 4 4
0.1% 0.1% 0% 0% 0% 0% 0% 0% Adult Crisis Residential 2 2 1 2 2 0 0 3
0% 0% 0% 0% 0% 0% 0% 0% Jail Inpatient 0 0 0 0 0 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Residential, Other 0 17 14 18 12 0 0 13
0% 0.1% 0% 0% 0% 0% 0% 0% Adult Residential 3 5 9 9 10 0 0 12
0% 0% 0% 0% 0% 0% 0% 0% Semi-Supervised Living 3 5 5 8 12 0 0 0
0% 0% 0% 0% 0% 0% 0% 0% Independent Living 0 0 0 0 0 0 0 0
0.1% 0.1% 0% 0% 0% 0% 0% 0% Mental Health Rehab Center 5 7 6 4 4 0 0 4
Day Services (days unless otherwise noted)
7% 3% 0.6% 0.2% 0.2% 0.2% 0.1% 0.4% Crisis Stabilization – Emergency Room 2 2 1 1 1 2 0 1
3% 2% 0.4% 0.2% 0.1% 0.1% 0.1% 0% Crisis Stabilization – Urgent Care 2 1 1 1 1 1 1 2
0% 0% 0% 0% 0% 0% 0% 0% Vocational Services 1 3 4 3 3 0 0 0
0.2% 0.2% 0% 0% 0% 0% 0% 0.1% Socialization 4 3 5 6 4 0 0 4
0% 0% 0% 0% 0% 0% 0% 0% SNF Augmentation 0 4 4 4 4 0 0 0
0.2% 0.5% 0.4% 0.3% 0% 0% 0% 0% Day Treatment Intensive – Half Day 13 15 16 16 16 0 0 12
3% 6% 4% 1% 0.5% 0.1% 0.5% 0.7% Day Treatment Intensive – Full Day 17 20 16 16 16 15 15 15
0.1% 0.1% 0.1% 0.1% 0% 0% 0% 0% Day Rehabilitation – Half Day 13 13 16 15 14 0 0 17
3% 4% 2% 1% 0.9% 0.5% 0.3% 0.3% Day Rehabilitation – Full Day 15 18 19 15 14 12 14 15
Outpatient Services (hours unless otherwise noted)
40% 39% 29% 26% 24% 21% 24% 21% Targeted Case Management 4 3 3 2 2 1 2 2
30% 26% 34% 35% 33% 30% 29% 16% Collateral 3 3 2 2 2 2 2 2
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit – Collateral 0 0 2 2 1 2 0 1
58% 61% 75% 77% 74% 76% 67% 71% Mental Health Services (MHS) 7 7 6 5 4 3 4 3
0.3% 0.3% 0.1% 0.1% 0.2% 0.2% 0.3% 0.4% Professional Inpatient Visit – MHS 2 3 3 3 3 5 5 3
4% 3% 2% 1% 0.4% 0.2% 0.7% 0.2% Therapeutic Behavioral Services 31 33 35 29 30 26 23 28
39% 44% 37% 28% 21% 11% 25% 21% Medication Support (MS) 2 1 1 1 1 1 1 1
0.5% 0.5% 0% 0% 0% 0% 0% 0.3% Professional Inpatient Visit – MS 3 4 5 4 3 2 4 3
27% 11% 4% 2% 2% 2% 2% 3% Crisis Intervention (CI) 5 4 3 3 2 2 3 3
0% 0% 0% 0% 0% 0% 0% 0% Professional Inpatient Visit (CI) 0 0 0 0 1 0 0 0

207
These percentages reflect the total number of youth at each functional level that received the specified service in 2007. For example, of all youth at functional level 1, 10% received
Hospital Inpatient 24-Hour Services.
CA BHNA Appendix C: CSI Data 206
Table 20a: Transitions – Adults208 Table 20b: Transitions – Youth209
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
Missing 75 0 0 1 1 1 0 0 22 Missing 77 0 0 0 2 2 0 0 18
FL1 0 61 4 6 5 2 0 0 22 FL1 0 64 4 7 7 1 0 0 15
FL2 0 1 78 4 3 1 0 0 12 FL2 0 0 79 4 5 1 0 0 9
FL3 0 0 0 85 3 1 0 0 10 FL3 0 0 0 87 4 1 0 0 8
FL4 0 1 1 1 85 1 0 0 11 FL4 0 0 0 1 87 2 0 0 10
FL5 0 0 0 1 3 83 0 0 14 FL5 0 0 0 1 3 83 0 0 13
FL6 0 0 0 0 2 2 76 0 20 FL6 0 0 0 1 2 2 71 0 24
FL7 0 0 0 1 3 3 0 74 19 FL7 0 0 0 0 2 2 0 77 19

FL Disappear Stay the Same Move Forward Move Backward Total FL Disappear Stay the Same Move Forward Move Backward Total
FL1 22 61 17 0 100 FL1 15 64 19 0 100
FL2 12 78 8 1 100 FL2 9 79 10 0 100
FL3 10 85 4 0 100 FL3 8 87 5 0 100
FL4 11 85 1 3 100 FL4 10 87 2 1 100
FL5 14 83 0 4 100 FL5 13 83 0 4 100
FL6 20 76 0 4 100 FL6 24 71 0 5 100
FL7 19 74 0 7 100 FL7 19 77 0 4 100
TOTAL 108 542 30 19 TOTAL 98 548 36 14

208 209
This table presents percentages of adults who transitioned from one functional level This table presents percentages of youth who transitioned from one functional level
to another over the 12 month period. The disappearance rate (Dis.) is also presented. to another over the 12 month period. The disappearance rate (Dis.) is also presented.
The percentages presented in bold type are the percentage of adults at that functional The percentages presented in bold type are the percentage of youth at that functional
level that remained at the same level. For example, 61% of adults remained at FL1, and level that remained at the same level. For example, 64% of youth remained at FL1, and
78% remained at FL2. 79% remained at FL2.
CA BHNA Appendix C: CSI Data 207
Table 21a: Transitions - Received Evidence Based Practices –All Table 21b: Transitions - No Evidence Based Practices – All 2009211
2009210 FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. Missing 75 0 0 1 1 1 0 0 22
Missing 81 0 0 1 3 2 0 0 13 FL1 0 60 4 6 6 2 0 0 22
FL1 0 80 3 4 6 2 0 0 5 FL2 0 1 78 4 4 1 0 0 12
FL2 0 1 84 3 5 1 0 0 6 FL3 0 0 1 86 3 1 0 0 9
FL3 0 0 1 89 3 1 0 0 6 FL4 0 0 0 1 86 2 0 0 11
FL4 0 0 0 1 90 2 0 0 7 FL5 0 0 0 1 3 81 0 0 15
FL5 0 0 0 1 3 87 0 0 9 FL6 0 0 0 1 2 2 69 0 26
FL6 0 0 0 1 4 3 50 0 42 FL7 0 0 0 1 4 2 0 69 24
FL7 0 0 0 0 1 3 0 46 50

FL Disappear Stay the Same Move Forward Move Backward Total

FL Disappear Stay the Same Move Forward Move Backward Total FL1 22 60 18 0 100
FL1 5 80 15 0 100 FL2 12 78 9 1 100
FL2 6 84 9 1 100 FL3 9 86 4 1 100
FL3 6 89 4 1 100 FL4 11 86 2 1 100
FL4 7 90 2 1 100 FL5 15 81 0 4 100
FL5 9 87 0 4 100 FL6 26 69 0 5 100
FL6 42 50 0 8 100 FL7 24 69 0 7 100
FL7 50 46 0 4 100 TOTAL 119 529 33 19
TOTAL 125 526 30 19

210 211
This table presents percentages of the specified population who transitioned from This table presents percentages of the specified population who transitioned from
one functional level to another over the 12 month period. The disappearance rate (Dis.) one functional level to another over the 12 month period. The disappearance rate (Dis.)
is also presented. The percentages presented in bold type are the percentage of the is also presented. The percentages presented in bold type are the percentage of the
population at that functional level that remained at the same level. For example, 80% population at that functional level that remained at the same level. For example, 60%
remained at FL1, and 84% remained at FL2. remained at FL1, and 78% remained at FL2.
CA BHNA Appendix C: CSI Data 208
Table 22a: Transitions - Received Evidence Based Practices – Adults Table 22b: Transitions - No Evidence Based Practices – Adults 2009
2009212 FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. Missing 74 0 0 1 1 1 0 0 23
Missing 86 0 0 1 2 1 0 0 10 FL1 0 60 4 6 6 1 0 0 23
FL1 0 81 3 4 5 2 0 0 5 FL2 0 1 78 3 4 1 0 0 13
FL2 0 1 86 3 3 1 0 0 6 FL3 0 1 1 85 3 0 0 0 10
FL3 0 0 1 89 2 1 0 0 7 FL4 0 0 1 1 85 1 0 0 12
FL4 0 0 0 1 90 1 0 0 8 FL5 0 0 0 1 3 81 0 0 15
FL5 0 0 1 1 3 87 0 0 8 FL6 0 0 0 0 2 2 74 0 22
FL6 0 0 0 1 5 3 82 0 9 FL7 0 0 1 1 4 2 0 71 21
FL7 0 0 1 0 1 3 0 91 4

FL Disappear Stay the Same Move Forward Move Backward Total

FL Disappear Stay the Same Move Forward Move Backward Total FL1 23 60 17 0 100
FL1 5 81 14 0 100 FL2 13 78 8 1 100
FL2 6 86 7 1 100 FL3 10 85 3 2 100
FL3 7 89 3 1 100 FL4 12 85 1 2 100
FL4 8 90 1 1 100 FL5 15 81 0 4 100
FL5 8 87 0 5 100 FL6 22 74 0 4 100
FL6 9 82 0 9 100 FL7 21 71 0 8 100
FL7 4 91 0 5 100 TOTAL 116 534 29 21
TOTAL 47 606 25 22

212
This table presents percentages of the specified population who transitioned from
one functional level to another over the 12 month period. The disappearance rate (Dis.)
is also presented. The percentages presented in bold type are the percentage of the
population at that functional level that remained at the same level. For example, 81%
remained at FL1, and 86% remained at FL2.
CA BHNA Appendix C: CSI Data 209
Table 23a: Transitions - Received Evidence Based Practices – Youth Table 23b: Transitions - No Evidence Based Practices – Youth 2009214
2009213 FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. Missing 78 0 0 0 2 1 0 0 19
Missing 68 0 0 1 5 5 0 0 21 FL1 0 60 4 9 9 2 0 0 16
FL1 0 77 3 4 11 2 0 0 3 FL2 0 1 78 4 5 2 0 0 10
FL2 0 1 74 5 13 3 0 0 4 FL3 0 0 1 87 3 1 0 0 8
FL3 0 0 1 85 7 2 0 0 5 FL4 0 0 0 1 87 2 0 0 10
FL4 0 0 0 1 90 2 0 0 7 FL5 0 0 0 1 3 81 0 0 15
FL5 0 0 0 1 3 86 0 0 10 FL6 0 0 0 0 3 3 63 0 31
FL6 0 0 0 1 3 3 41 0 52 FL7 0 0 0 1 3 3 0 65 28
FL7 0 0 0 0 1 3 0 33 63

FL Disappear Stay the Same Move Forward Move Backward Total

FL Disappear Stay the Same Move Forward Move Backward Total FL1 16 60 24 0 100
FL1 3 77 20 0 100 FL2 10 78 11 1 100
FL2 4 74 21 1 100 FL3 8 87 4 1 100
FL3 5 85 9 1 100 FL4 10 87 2 1 100
FL4 7 90 2 1 100 FL5 15 81 0 4 100
FL5 10 86 0 4 100 FL6 31 63 0 6 100
FL6 52 41 0 7 100 FL7 28 65 0 7 100
FL7 63 33 0 4 100 TOTAL 118 521 41 20
TOTAL 144 486 52 18

213 214
This table presents percentages of the specified population who transitioned from This table presents percentages of the specified population who transitioned from
one functional level to another over the 12 month period. The disappearance rate (Dis.) one functional level to another over the 12 month period. The disappearance rate (Dis.)
is also presented. The percentages presented in bold type are the percentage of the is also presented. The percentages presented in bold type are the percentage of the
population at that functional level that remained at the same level. For example, 77% population at that functional level that remained at the same level. For example, 60%
remained at FL1, and 74% remained at FL2. remained at FL1, and 78% remained at FL2.
CA BHNA Appendix C: CSI Data 210
Table 24a: Transitions - Received Evidence Based Practices –All Table 24b: Transitions - No Evidence Based Practices – All 2008216
2008215 FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. Missing 74 0 0 1 1 1 0 0 23
Missing 87 0 0 1 3 2 0 0 7 FL1 0 60 4 6 7 2 0 0 21
FL1 0 77 2 10 6 2 0 0 3 FL2 0 1 78 4 4 1 0 0 12
FL2 0 2 82 5 6 2 0 0 3 FL3 0 1 1 86 3 0 0 0 9
FL3 0 1 1 87 4 2 0 0 5 FL4 0 0 0 1 86 2 0 0 11
FL4 0 0 1 1 90 3 0 0 5 FL5 0 0 0 1 3 82 0 0 14
FL5 0 0 0 1 3 89 0 0 7 FL6 0 0 0 1 2 2 71 0 24
FL6 0 0 0 0 3 1 85 0 11 FL7 0 0 0 1 3 2 0 72 22
FL7 0 0 0 7 0 0 0 73 20

FL Disappear Stay the Same Move Forward Move Backward Total

FL Disappear Stay the Same Move Forward Move Backward Total FL1 21 60 19 0 100
FL1 3 77 20 0 100 FL2 12 78 9 1 100
FL2 3 82 13 2 100 FL3 9 86 3 2 100
FL3 5 87 6 2 100 FL4 11 86 2 1 100
FL4 5 90 3 2 100 FL5 14 82 0 4 100
FL5 7 89 0 4 100 FL6 24 71 0 5 100
FL6 11 85 0 4 100 FL7 22 72 0 6 100
FL7 20 73 0 7 100 TOTAL 113 535 33 19
TOTAL 54 583 42 21

215 216
This table presents percentages of the specified population who transitioned from This table presents percentages of the specified population who transitioned from
one functional level to another over the 12 month period. The disappearance rate (Dis.) one functional level to another over the 12 month period. The disappearance rate (Dis.)
is also presented. The percentages presented in bold type are the percentage of the is also presented. The percentages presented in bold type are the percentage of the
population at that functional level that remained at the same level. For example, 77% population at that functional level that remained at the same level. For example, 60%
remained at FL1, and 82% remained at FL2. remained at FL1, and 78% remained at FL2.
CA BHNA Appendix C: CSI Data 211
Table 25a: Transitions - Received Evidence Based Practices – Adults Table 25b: Transitions - No Evidence Based Practices – Adults 2008218
2008217 FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. Missing 73 0 0 1 1 1 0 0 24
Missing 84 0 1 1 2 3 0 0 9 FL1 0 60 4 6 6 2 0 0 22
FL1 0 78 3 6 7 1 0 0 5 FL2 0 2 77 4 4 1 0 0 12
FL2 0 1 85 4 4 1 0 0 5 FL3 0 0 1 85 3 1 0 0 10
FL3 0 0 1 89 4 1 0 0 5 FL4 0 0 1 1 85 1 0 0 12
FL4 0 0 1 1 92 1 0 0 5 FL5 0 0 0 1 3 82 0 0 14
FL5 0 0 1 1 3 88 0 0 7 FL6 0 0 0 1 2 2 75 0 20
FL6 0 0 0 3 2 2 86 0 7 FL7 0 0 1 1 4 1 0 76 17
FL7 0 0 0 0 0 0 0 86 14

FL Disappear Stay the Same Move Forward Move Backward Total

FL Disappear Stay the Same Move Forward Move Backward Total FL1 22 60 18 0 100
FL1 5 78 17 0 100 FL2 12 77 9 2 100
FL2 5 85 9 1 100 FL3 10 85 4 1 100
FL3 5 89 5 1 100 FL4 12 85 1 2 100
FL4 5 92 1 2 100 FL5 14 82 0 4 100
FL5 7 88 0 5 100 FL6 20 75 0 5 100
FL6 7 86 0 7 100 FL7 17 76 0 7 100
FL7 14 86 0 0 100 TOTAL 107 540 32 21
TOTAL 48 604 32 16

217 218
This table presents percentages of the specified population who transitioned from This table presents percentages of the specified population who transitioned from
one functional level to another over the 12 month period. The disappearance rate (Dis.) one functional level to another over the 12 month period. The disappearance rate (Dis.)
is also presented. The percentages presented in bold type are the percentage of the is also presented. The percentages presented in bold type are the percentage of the
population at that functional level that remained at the same level. For example, 78% population at that functional level that remained at the same level. For example, 60%
remained at FL1, and 85% remained at FL2. remained at FL1, and 77% remained at FL2.
CA BHNA Appendix C: CSI Data 212
Table 26a: Transitions - Received Evidence Based Practices –Youth Table 26b: Transitions - No Evidence Based Practices – Youth 2008220
2008219 FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. Missing 77 0 0 0 2 2 0 0 19
Missing 71 0 1 2 7 6 0 0 13 FL1 0 62 4 8 8 2 0 0 16
FL1 0 76 2 5 10 1 0 0 6 FL2 0 1 79 4 5 1 0 0 10
FL2 0 1 70 7 13 5 0 0 4 FL3 0 0 1 87 4 0 0 0 8
FL3 0 1 1 84 8 3 0 0 3 FL4 0 0 0 1 87 2 0 0 10
FL4 0 0 1 1 91 3 0 0 4 FL5 0 0 0 1 3 82 0 0 14
FL5 0 0 0 1 4 89 0 0 6 FL6 0 0 0 1 2 2 67 0 28
FL6 0 0 1 2 6 4 51 0 36 FL7 0 0 0 1 3 2 0 66 28
FL7 0 0 0 0 10 6 0 45 39

FL Disappear Stay the Same Move Forward Move Backward Total

FL Disappear Stay the Same Move Forward Move Backward Total FL1 16 62 22 0 100
FL1 6 76 18 0 100 FL2 10 79 10 1 100
FL2 4 70 25 1 100 FL3 8 87 4 1 100
FL3 3 84 11 2 100 FL4 10 87 2 1 100
FL4 4 91 3 2 100 FL5 14 82 0 4 100
FL5 6 89 0 5 100 FL6 28 67 0 5 100
FL6 36 51 0 13 100 FL7 28 66 0 6 100
FL7 39 45 0 16 100 TOTAL 114 530 38 18
TOTAL 98 96 57 39

219 220
This table presents percentages of the specified population who transitioned from This table presents percentages of the specified population who transitioned from
one functional level to another over the 12 month period. The disappearance rate (Dis.) one functional level to another over the 12 month period. The disappearance rate (Dis.)
is also presented. The percentages presented in bold type are the percentage of the is also presented. The percentages presented in bold type are the percentage of the
population at that functional level that remained at the same level. For example, 76% population at that functional level that remained at the same level. For example, 62%
remained at FL1, and 70% remained at FL2. remained at FL1, and 79% remained at FL2.
CA BHNA Appendix C: CSI Data 213
Table 27a: Transitions - Received Evidence Based Practices –All Table 27b: Transitions - No Evidence Based Practices – All 2007222
2007221 FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. Missing 76 0 0 1 1 1 0 0 21
Missing 87 0 0 1 3 2 0 0 7 FL1 0 61 4 6 6 2 0 0 21
FL1 0 77 2 10 6 2 0 0 3 FL2 0 1 78 4 4 1 0 0 12
FL2 0 2 82 5 6 2 0 0 3 FL3 0 1 1 86 2 1 0 0 9
FL3 0 1 1 87 4 2 0 0 5 FL4 0 0 0 1 86 2 0 0 11
FL4 0 0 1 1 90 3 0 0 5 FL5 0 0 0 1 3 83 0 0 13
FL5 0 0 0 1 3 89 0 0 7 FL6 0 0 0 1 2 2 73 0 22
FL6 0 0 0 0 3 1 85 0 11 FL7 0 0 0 1 2 2 0 76 19
FL7 0 0 0 7 0 0 0 73 20

FL Disappear Stay the Same Move Forward Move Backward Total

FL Disappear Stay the Same Move Forward Move Backward Total FL1 21 61 18 0 100
FL1 3 77 20 0 100 FL2 12 78 9 1 100
FL2 3 82 13 2 100 FL3 9 86 3 2 100
FL3 5 87 6 2 100 FL4 11 86 2 1 100
FL4 5 90 3 2 100 FL5 13 83 0 4 100
FL5 7 89 0 4 100 FL6 22 73 0 5 100
FL6 11 85 0 4 100 FL7 19 76 0 5 100
FL7 20 73 0 7 100 TOTAL 107 543 32 18
TOTAL 54 583 42 21

221 222
This table presents percentages of the specified population who transitioned from This table presents percentages of the specified population who transitioned from
one functional level to another over the 12 month period. The disappearance rate (Dis.) one functional level to another over the 12 month period. The disappearance rate (Dis.)
is also presented. The percentages presented in bold type are the percentage of the is also presented. The percentages presented in bold type are the percentage of the
population at that functional level that remained at the same level. For example, 77% population at that functional level that remained at the same level. For example, 61%
remained at FL1, and 82% remained at FL2. remained at FL1, and 78% remained at FL2.
CA BHNA Appendix D: MH/SU Provider Data 214
Table 28a: Transitions - Received Evidence Based Practices –Adults Table 28b: Transitions - No Evidence Based Practices – Adults 2007224
2007223 FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. Missing 75 0 0 1 1 1 0 0 22
Missing 89 1 1 1 2 1 0 0 5 FL1 0 61 4 6 6 1 0 0 22
FL1 0 69 4 15 8 2 0 0 2 FL2 0 1 78 4 4 1 0 0 12
FL2 0 2 85 4 4 2 0 0 3 FL3 0 0 1 85 3 1 0 0 10
FL3 0 1 1 88 3 2 0 0 5 FL4 0 0 1 1 85 1 0 0 12
FL4 0 0 1 1 90 3 0 0 5 FL5 0 0 0 1 3 82 0 0 14
FL5 0 0 1 1 4 87 0 0 7 FL6 0 0 0 1 1 2 76 0 20
FL6 0 0 0 0 4 0 90 0 6 FL7 0 0 0 1 3 3 0 74 19
FL7 0 0 0 0 0 0 0 89 11

FL Disappear Stay the Same Move Forward Move Backward Total

FL Disappear Stay the Same Move Forward Move Backward Total FL1 22 61 17 0 100
FL1 2 69 29 0 100 FL2 12 78 9 1 100
FL2 3 85 10 2 100 FL3 10 85 4 1 100
FL3 5 88 5 2 100 FL4 12 85 1 2 100
FL4 5 90 3 2 100 FL5 14 82 0 4 100
FL5 7 87 0 6 100 FL6 20 76 0 4 100
FL6 6 90 0 4 100 FL7 19 74 0 7 100
FL7 11 89 0 0 100 TOTAL 109 541 31 19
TOTAL 39 598 47 16

223 224
This table presents percentages of the specified population who transitioned from This table presents percentages of the specified population who transitioned from
one functional level to another over the 12 month period. The disappearance rate (Dis.) one functional level to another over the 12 month period. The disappearance rate (Dis.)
is also presented. The percentages presented in bold type are the percentage of the is also presented. The percentages presented in bold type are the percentage of the
population at that functional level that remained at the same level. For example, 69% population at that functional level that remained at the same level. For example, 61%
remained at FL1, and 85% remained at FL2. remained at FL1, and 78% remained at FL2.
CA BHNA Appendix D: MH/SU Provider Data 215
Table 29a: Transitions - Received Evidence Based Practices –Youth Table 29b: Transitions - No Evidence Based Practices – Youth 2007226
2007225 FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis.
FL Missing FL1 FL2 FL3 FL4 FL5 FL6 FL7 Dis. Missing 81 0 0 1 3 2 0 0 13
Missing 82 0 0 1 5 4 0 0 8 FL1 0 80 3 4 7 2 0 0 4
FL1 0 89 0 3 3 1 0 0 4 FL2 0 1 84 3 5 1 0 0 6
FL2 0 1 71 6 13 5 0 0 4 FL3 0 0 1 89 3 1 0 0 6
FL3 0 1 1 86 6 2 0 0 4 FL4 0 0 0 1 90 2 0 0 7
FL4 0 0 1 1 89 3 0 0 6 FL5 0 0 0 1 3 87 0 0 9
FL5 0 0 0 1 3 89 0 0 7 FL6 0 0 0 1 4 3 50 0 42
FL6 0 0 0 0 3 1 82 0 14 FL7 0 0 0 0 2 3 0 45 50
FL7 0 0 0 17 0 0 0 50 33

FL Disappear Stay the Same Move Forward Move Backward Total

FL Disappear Stay the Same Move Forward Move Backward Total FL1 4 80 16 0 100
FL1 4 89 7 0 100 FL2 6 84 9 1 100
FL2 4 71 24 1 100 FL3 6 89 4 1 100
FL3 4 86 8 2 100 FL4 7 90 2 1 100
FL4 6 89 3 2 100 FL5 9 87 0 4 100
FL5 7 89 0 4 100 FL6 42 50 0 8 100
FL6 14 82 0 4 100 FL7 50 45 0 5 100
FL7 33 50 0 17 100 TOTAL 124 525 31 20
TOTAL 72 556 42 30

225 226
This table presents percentages of the specified population who transitioned from This table presents percentages of the specified population who transitioned from
one functional level to another over the 12 month period. The disappearance rate (Dis.) one functional level to another over the 12 month period. The disappearance rate (Dis.)
is also presented. The percentages presented in bold type are the percentage of the is also presented. The percentages presented in bold type are the percentage of the
population at that functional level that remained at the same level. For example, 89% population at that functional level that remained at the same level. For example, 80%
remained at FL1, and 71% remained at FL2. remained at FL1, and 84% remained at FL2.
CA BHNA Appendix D: MH/SU Provider Data 216
Methodology

Overview of Data from DMH

The Department of Mental Health (DMH) provided us with data that enabled us to examine the utilization
pattern of services using our method for evaluating behavioral health system performance. We received 3
datasets covering the period between 2006 and 2010. These dataset contained demographic information on the
client’s date and place of birth, gender, race and ethnicity and primary and preferred language. We also
received additional information on the client reported periodically such as the highest level of education
attained, employment status, living arrangements, and whether substance use, developmental disability or
physical health conditions affect the mental health of the client during the reporting period. For youths we also
have data on whether the client has a conservatorship or juvenile court status. From the last data file we
obtained information on services received by the client over the calendar year. Services provided by county
mental health plans, including Evidence-based Practices along with assessments in GAF (Global Assessment in
Functioning), dates and specific units and amounts of services were also recorded in the services files. Lastly,
the service files also contained information indicating if the client has experienced trauma or a substance use
issue as well as primary and secondary diagnoses. All files were linked successfully to individuals through the
county client number (CCN).

System at a Glance Overview

The files were uploaded through a secured FTP server provided by HSRI. Once the files had been successfully
downloaded it was uploaded into both SQL and SPSS for analyses. Our first task was to report on the system at
a glance (Table 1) to establish patterns of utilization for each of the calendar years. Age categories were
calculated from birthday with age being the client’s age on January 1st of the calendar year. Gender,
race/ethnicity as well as education attainment, employment status in the past 30 days, any criminal justice
involvement, the number and percent of individuals with GAF assessment, who experienced trauma and had a
substance dependence diagnosis was reported as well. Similar data was reported on adults and youths separately
(Tables 1b and 1c).

Next we reported on the number of individuals and the proportions who received each service categorized by
service mode (24 hour, day and outpatient services). This was reported on the overall population (Table 2a),
adults (Table 2b) and youths (Table 2c). We completed our report of the mental health system at a glance by
reporting the total amount of service received for each year in Table 3. A challenge we confronted with DMH
data was the unit of service. County mental health plan services are all divided into 3 units of measure: 24 hour
service (Mode 5), Day long service (Mode 10) and Outpatient Services (Mode 15), defined as a client or support
person contact. Not only are different services delivered in multiple units (hours or a fraction of an hour, day
and episode), but services such as Therapeutic Behavioral are delivered in more than one arrangement. To
standardize unit measurement so we could represent the volume of service that are comparable, we made
modifications to 20 of the 36 service configurations provided by DMH. We did not initially modify any 24
hour service specified as Mode 5. We made changes to 6 of the services categorized as mode 10 (day long) but
which were delivered in increments that were less than a full day. We converted these 6 services to a full day
by weighting each unit by 4. Of the 14 remaining services whose units we modified in the outpatient mode of
service (Mode 15), where we took the specified units given and converted them all to hourly units. We then
converted all 24 hour and day services to hours so as to facilitate comparison with outpatient services.

Evidence-based Practice Service Utilization

To examine the utilization of evidence-based services and service strategies, we calculated the number and
proportion of individuals that received an EBP and strategies each year. We first reported on the overall
proportion of individuals (Table 4a and 5a) followed by a breakdown of adults (Table 4b and 5b) and youths
CA BHNA Appendix D: MH/SU Provider Data 217
(Table 4c and 5c). We also estimated the number and proportion of individuals, adults and youths who received
multiple EBPs (Tables 6a-6c) ranging from 2 through 7. Next, to give an impression of EBP penetration we
calculated the number of unduplicated EBP service recipients as a proportion of all service recipients served by
county mental health plans in each year (Table 7a through 7c). We reported these findings on the overall
population as well as by adults and youths. Finally, we looked at EBP recipients by County density (Table 8) by
reporting on the number of EBPs delivered and percent of users who got them in each geographic locale.

Arrivals & Snapshot

To arrive at system performance (Tables 9a and 9b), we tabulate 3 variables that described the mental health
system: snapshot, arrival & disappearance. We used snapshot, arrival and disappearance as a means of
presenting another glimpse of behavioral health utilization using methods our team has pioneered and used in
the federal Block Grant and various state and local health reform initiatives. This is based on examining the
patterns of service use by examining the number of individuals who are served using 3 consecutive months as a
barometer for gauging how many cease service use and perhaps returning in subsequent months in the same
calendar year or in a subsequent year. We therefore, assign individuals to snapshot who has 3 or more
consecutive months of service (as indicated by CSI claims). Those who experience any interruption but return
subsequently are considered arrivals. Arrivals may also include individuals who are new to services funded
through DMH. Disappearances are defined by those who receive no services for more than 3 months.

Service Utilization

Once we established the how many are in the system on average (snapshot) and how many arrive typically on a
monthly basis, we then used outcome information provided by the state through the GAF (Global Assessment
of Functioning) to examine on average how many individuals who are most vulnerable (very low functioning)
and how many are of high functioning received different service configurations. We translated the GAF into a
functional level scale developed by HSRI and used in over 25 different states and local mental health
authorities. It is known as the RAFLS (Resource Associated Functional Level Scale) and it contains 6
dimensions. Table 1 below outlines the description of the 6 functional level scale according to the RAFLS. The
RAFLS FL assessment was used to give a concise portrait of the appropriateness of service receipt. Tables 10a
and 10b were constructed to provide such a portrait. For each service categorized by service mode, we
calculated the proportion of consumers within each RAFLS level that received the service (left side of panel)
and the amount received (right side of panel). The amount was defined by the unit of service standardized to
hours. This analysis was also carried out for 2009, 2008 and 2007.

CA BHNA Appendix D: MH/SU Provider Data 218

Table 30: Resource Associated Functional Level Scale
Level Level Name Level Description
1 At-risk At-risk to self or others, or to property of value. Unable or
unwilling to participate in one’s own care or to cooperate
in control of violent or aggressive behavior. May require
continuous (24-hour) supervision, high staff/consumer
ratio.
2 Unable to Function, Current, Acute Acute symptoms may result in behavior that is seriously
Psychiatric Symptoms disruptive or at-risk to self or others, but if so, is
able/willing to control impulses with assistance and willing
to participate in own care. Alternatively, acute symptoms
seriously impair role functioning. Examples of acute
symptoms: lack of reality testing, hallucinations or
delusions, impaired judgment, impaired communication, or
manic behavior. Nonetheless, may be able to carry out
some activities of daily living. May require continuous
supervision, or moderate staff/consumer ratio.
3 Lacks ADL/Personal Care Skills Lacks ADL due to active symptoms that do not result in
behavior that is seriously disruptive or dangerous. Unable
or unwilling to make use of sufficient ADL and/or personal
care skills to carry out basic role functions. May require
continuous (24-hour) prompting, skill training, and
encouragement.
4 Lacks Community Living Skills Able to carry out ADL personal care skills. Role functioning
impaired by lack of community living skills or motivation to
perform. Community living skills include: money
management, ability to engage in competitive
employment, maintaining interpersonal contacts. May
require regular and substantial but not necessarily
continuous training, prompting, and encouragement.
5 Community Living Skills but Vulnerable to Can perform role functions, at least minimally, in familiar
Stresses of Everyday Life settings and with frequent support to deal with the
ordinary stresses of everyday life; although may need the
regular assistance of a roommate, homemaker-aide, etc.,
or can work outside of sheltered situations with on-site
support or counseling. Requires support under the
stresses associated with the frustrations of everyday life
and novel situations. May require frequent (e.g., weekly)
information, encouragement, and instrumental assistance.
6 Community Living Skills and Only Needs Can perform role functions adequately except under
Support/Treatment to Cope with extreme or unusual stress. At these times, the support of
Extreme Stress or Seeks Treatment to natural or generic helpers such as: family, friends, or clergy
Maintain or Enhance Personal is not sufficient. Mental health services are required for
Development the duration of stress; or performs role functions
adequately, but seeks mental health services because of
feelings of persistent dissatisfaction with self or personal
relationships. Intensity and duration of treatment can
vary.
7 System Independent Can obtain support from natural helpers or generic
services. Does not require or seek mental health services.

CA BHNA Appendix D: MH/SU Provider Data 219

 Appendix D: Mental Health & Substance Use Services Provider Data

CA BHNA Appendix D: MH/SU Provider Data 220

Table 1: Number of Providers by Consumer Service Demographic

DMC/SMHS Providers
Mental Health &
Mental Health Only Substance Use Only Substance Use Total
Year N % Total $ N % Total $ N % Total $ N Total $
2009 3,097 76% $1,751,282,188 529 13% $113,704,016 428 11% $1,142,081,560 4,054 $3,007,067,764

CA BHNA Appendix D: MH/SU Provider Data 221

Section I: Top 10 Providers by Total Payment & Number of Individuals Served by
Service Category

CA BHNA Appendix D: MH/SU Provider Data 222

Table 2: SUD Day Treatment
Top 10 Providers – SUD Day Treatment 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 Los Angeles $2,627,861 $6,653 1 Los Angeles 395
2 San Diego $2,276,777 $9,071 2 Los Angeles 294
3 Orange $1,874,784 $9,190 3 San Diego 251
4 Orange $1,441,991 $8,384 4 Los Angeles 227
5 Los Angeles $1,123,228 $5,200 5 Los Angeles 216
6 Los Angeles $892,736 $9,397 6 Orange 204
7 San Francisco $878,267 $14,886 7 Los Angeles 200
8 Los Angeles $742,787 $5,019 8 Los Angeles 187
9 Los Angeles $714,847 $2,431 9 Los Angeles 182
10 Los Angeles $652,784 $3,587 10 Orange 172

Table 3: Mother-Child Habilitative & Rehabilitative Services

Top 10 Providers – Mother-Child Habilitative & Rehabilitative Services 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 El Dorado $270,350 $6,287 1 Riverside 57
2 Kern $234,020 $5,708 2 Stanislaus 49
3 El Dorado $194,750 $4,869 3 El Dorado 43
4 Orange $194,226 $8,445 4 Kern 41
5 Tulare $166,215 $5,194 5 El Dorado 40
6 Los Angeles $126,255 $5,739 6 San Joaquin 34
7 Yolo $121,030 $6,370 7 Tulare 32
8 Kern $120,640 $6,702 8 Los Angeles 32
9 Alameda $108,925 $6,808 9 Santa Clara 29
10 Stanislaus $104,287 $2,128 10 San Bernardino 28

Table 4: Mental Health Case Management

Top 10 Providers – MH Case Management 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 Santa Cruz $9,410,747 $5,874 1 Los Angeles 2,484
2 Los Angeles $1,934,039 $846 2 Los Angeles 2,286
3 Monterey $1,795,738 $1,749 3 Sacramento 1,674
4 Santa Clara $1,666,153 $1,572 4 Sacramento 1,604
5 Tulare $1,660,917 $1,336 5 Santa Cruz 1,602
6 Ventura $1,657,922 $1,109 6 San Joaquin 1,548
7 Santa Clara $1,635,159 $1,332 7 Ventura 1,495
8 Los Angeles $1,194,515 $2,229 8 Los Angeles 1,430
9 San Diego $1,173,226 $1,616 9 Los Angeles 1,423
10 San Francisco $1,132,823 $3,312 10 Los Angeles 1,409

CA BHNA Appendix D: MH/SU Provider Data 223

Table 5: Mental Health Day Treatment
Top 10 Providers – Day Treatment 2009
# of
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County Individuals Served
1 Los Angeles $3,538,232 $16,381 1 Los Angeles 216
2 Alameda $2,691,606 $17,944 2 Santa Cruz 159
3 Alameda $2,000,559 $23,536 3 San Diego 156
4 Los Angeles $1,677,075 $25,031 4 Alameda 150
5 Los Angeles $1,262,556 $16,834 5 San Diego 124
6 Los Angeles $1,078,085 $20,732 6 Alameda 85
7 San Diego $1,053,504 $6,753 7 Los Angeles 75
8 Los Angeles $977,065 $18,790 8 Los Angeles 72
9 Los Angeles $967,738 $14,231 9 Los Angeles 68
10 Alameda $910,212 $26,006 10 Los Angeles 67

Table 6: Mental Health Day Treatment Rehabilitative

Top 10 Providers – Day Treatment Rehabilitative 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 Los Angeles $2,257,390 $9,525 1 San Diego 681
2 Los Angeles $1,818,804 $10,574 2 Los Angeles 237
3 Santa Clara $1,791,425 $12,981 3 Los Angeles 172
4 San Diego $1,598,948 $13,325 4 Santa Clara 138
5 Los Angeles $1,052,265 $10,961 5 San Diego 120
6 San Diego $1,044,332 $1,534 6 Los Angeles 96
7 Alameda $817,933 $11,205 7 Alameda 91
8 Los Angeles $742,850 $10,463 8 Santa Clara 89
9 Los Angeles $711,686 $11,297 9 Alameda 89
10 Santa Clara $660,895 $7,426 10 Alameda 73

Table 7: Mental Health Inpatient

Top 10 Providers – Mental Health Inpatient 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 Los Angeles $76,105,104 $ 41,160 1 Los Angeles 3,975
2 Los Angeles $55,554,715 $ 60,517 2 Los Angeles 3,441
3 Los Angeles $50,823,629 $ 50,722 3 Riverside 2,417
4 Orange $49,569,773 $ 26,679 4 Alameda 2,164
5 San Diego $45,654,914 $ 56,295 5 San Bernardino 2,141
6 Los Angeles $35,407,604 $ 29,482 6 Ventura 2,045
7 Los Angeles $31,903,845 $ 42,369 7 Los Angeles 1,930
8 San Diego $23,831,613 $ 29,864 8 Orange 1,858
9 Los Angeles $23,582,197 $ 34,527 9 Los Angeles 1,849
10 Los Angeles $22,288,509 $ 31,348 10 Contra Costa 1,750

CA BHNA Appendix D: MH/SU Provider Data 224

Table 8: Mental Health Medication Support
Top 10 Providers – Medication Support 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 Santa Barbara $2,910,945 $3,045 1 Los Angeles 6,773
2 Contra Costa $2,581,900 $1,855 2 Orange 5,418
3 Contra Costa $2,573,453 $1,953 3 San Bernardino 4,587
4 Humboldt $2,401,177 $2,181 4 San Diego 4,176
5 Los Angeles $2,215,126 $2,064 5 Alameda 3,098
6 San Bernardino $2,162,617 $1,146 6 Los Angeles 2,432
7 Tulare $2,142,139 $3,649 7 San Joaquin 2,122
8 San Joaquin $2,077,879 $979 8 Fresno 2,007
9 Los Angeles $2,071,745 $1,321 9 San Bernardino 1,887
10 Los Angeles $2,021,075 $1,555 10 Riverside 1,801

Table 9: Mental Health Crisis Intervention

Top 10 Providers – Crisis Intervention 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 Los Angeles $2,064,432 $1,182 1 San Bernardino 1,751
2 Los Angeles $1,424,090 $1,798 2 Los Angeles 1,747
3 Los Angeles $1,239,576 $1,875 3 San Joaquin 1,649
4 Los Angeles $1,199,312 $1,505 4 Los Angeles 1,619
5 Humboldt $932,114 $1,857 5 San Joaquin 1,425
6 San Joaquin $867,801 $526 6 Los Angeles 890
7 San Bernardino $837,468 $1,015 7 Stanislaus 868
8 Los Angeles $825,287 $1,730 8 San Bernardino 825
9 Fresno $815,597 $1,162 9 Los Angeles 797
10 Los Angeles $795,464 $1,627 10 Los Angeles 792

Table 10: Mental Health Crisis Stabilization

Top 10 Providers – Crisis Stabilization 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 Alameda $6,150,789 $2,890 1 Riverside 2,265
2 San Francisco $3,618,379 $2,845 2 Alameda 2,128
3 Contra Costa $2,765,536 $1,582 3 Contra Costa 1,748
4 Riverside $2,348,315 $1,037 4 Los Angeles 1,715
5 Santa Clara $2,319,027 $1,741 5 Los Angeles 1,600
6 Los Angeles $2,081,626 $1,802 6 Santa Clara 1,332
7 Los Angeles $1,929,094 $1,125 7 San Francisco 1,272
8 Los Angeles $1,877,134 $1,173 8 Los Angeles 1,155
9 Kern $1,297,392 $1,349 9 Sacramento 1,091
10 Sacramento $1,249,750 $1,146 10 Kern 962

CA BHNA Appendix D: MH/SU Provider Data 225

Table 11: Mental Health Outpatient
Top 10 Providers – MH Outpatient 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 Los Angeles $8,599,719 $14,029 1 Los Angeles 16,908
2 Santa Clara $7,972,449 $28,781 2 San Diego 5,888
3 Los Angeles $6,907,295 $6,173 3 San Bernardino 4,631
4 Los Angeles $6,749,787 $7,426 4 Los Angeles 4,039
5 Tulare $6,160,663 $4,821 5 San Diego 3,333
6 Los Angeles $5,977,504 $354 6 Los Angeles 2,917
7 San Diego $5,867,286 $7,792 7 Los Angeles 2,409
8 Los Angeles $5,802,110 $7,084 8 Orange 2,257
9 Los Angeles $5,492,516 $5,715 9 San Bernardino 2,117
10 Los Angeles $5,394,123 $3,077 10 Sacramento 1,758

Table 12: Methadone Maintenance

Top 10 Providers – Methadone Maintenance 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 San Joaquin $2,569,502 $4,697 1 San Francisco 581
2 San Francisco $2,374,511 $4,087 2 San Joaquin 547
3 Fresno $2,133,606 $5,104 3 San Francisco 494
4 Fresno $2,106,284 $4,691 4 Stanislaus 465
5 Stanislaus $2,039,710 $4,386 5 Fresno 449
6 San Francisco $1,993,175 $4,035 6 Kern 436
7 Los Angeles $1,843,423 $4,715 7 Sacramento 431
8 Kern $1,687,964 $3,871 8 Fresno 418
9 Sacramento $1,681,936 $4,280 9 Sacramento 416
10 Sacramento $1,615,822 $4,391 10 Sacramento 393

Table 13: Drug-Free Treatment

Top 10 Providers – Drug Free Treatment 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 Fresno $1,318,456 $1,251 1 Fresno 1,054
2 Los Angeles $1,313,033 $2,724 2 Los Angeles 515
3 Los Angeles $1,252,345 $2,432 3 Tulare 498
4 Los Angeles $917,187 $2,340 4 Los Angeles 482
5 Los Angeles $913,915 $2,411 5 Los Angeles 444
6 Los Angeles $878,385 $3,921 6 Los Angeles 392
7 Los Angeles $807,189 $3,363 7 Los Angeles 379
8 Los Angeles $755,994 $4,610 8 Imperial 369
9 Los Angeles $633,291 $3,198 9 Sacramento 355
10 Los Angeles $626,020 $5,174 10 Fresno 341

CA BHNA Appendix D: MH/SU Provider Data 226

Table 14: Crisis Residential
Top 10 Providers – Crisis Residential 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 San Diego $367,516 $2,450 1 San Diego 158
2 San Diego $365,129 $2,685 2 San Diego 150
3 San Diego $301,547 $1,909 3 San Diego 136
4 Santa Clara $297,990 $5,418 4 San Diego 126
5 San Diego $290,882 $2,309 5 San Diego 85
6 San Diego $213,431 $2,511 6 San Diego 56
7 San Diego $141,197 $2,521 7 Santa Clara 55
8 Monterey $99,139 $4,957 8 Santa Barbara 29
9 NULL $98,340 $5,785 9 Napa 26
10 Napa $95,951 $3,690 10 Monterey 20

Table 15: Adult Residential

Top 10 Providers – Adult Residential 2009
Rank Provider County Total Payment Amount Avg. $ per person Rank Provider County # of Individuals Served
1 El Dorado $701,017 $53,924 1 El Dorado 43
2 El Dorado $610,708 $55,519 2 El Dorado 40
3 Yolo $603,510 $75,439 3 Kern 36
4 El Dorado $270,350 $6,287 4 San Francisco 34
5 San Diego $215,436 $8,977 5 Los Angeles 32
6 Kern $208,435 $5,790 6 Tulare 32
7 El Dorado $194,750 $4,869 7 San Diego 24
8 Orange $194,226 $8,445 8 Orange 23
9 Alameda $170,641 $56,880 9 Los Angeles 22
10 Tulare $166,215 $5,194 10 Yolo 19

CA BHNA Appendix D: MH/SU Provider Data 227

 Section II: Number of Individuals Served by Provider by Service Category

CA BHNA Appendix D: MH/SU Provider Data 228

Figure 1: SUD Day Treatment

Individuals Served by Provider - SUD Day Treatment

350 319

300
Number of Providers

250

200

150 Number of Providers

89
100
52
50 28 23

0
<5 6-10 11-50 51-100 101+
Number of Individuals Served

Figure 2: Mother-Child Habilitative & Rehabilitative Services

Individuals Served by Provider - Mother-Child Hab &

Rehab

35
31

30
24
25
Number of Providers

20
14
15 Number of Providers
11

10
4 4
5

0
<5 6-10 11-20 21-30 31-40 41+
Number of Individuals Served

CA BHNA Appendix D: MH/SU Provider Data 229

Figure 3: Mental Health Case Management

Individuals Served by Provider - MH Case

Management
389
400

350 318

300 273
Number of Providers

250 222

200 168 175

140
150 118 128 Number of Providers
102 98
100

50

Number of Individuals Served

Figure 4: Mental Health Day Treatment

Individuals Served by Provider - Mental Health Day

Treatment
173
180
160
140
Number of Providers

120
100
80 Number of Providers
60
40 26 26
17 11
10 5
20 3
0
<5 6-10 11-20 21-30 31-40 41-50 51-100 101+
Number of Individuals Served

CA BHNA Appendix D: MH/SU Provider Data 230

Figure 5: Mental Health Day Treatment Rehabilitative

Individuals Served by Provider - Mental Health Day

Treatment Rehab
57
60

50
Number of Providers

40

30
Number of Providers
20 16 16 16
12
9 10
10 5

0
<5 6-10 11-20 21-30 31-40 41-50 51-100 101+
Number of Individuals Served

Figure 6: Mental Health Inpatient

Individuals Served by Provider -MH Inpatient

40
40 38

35

30
25
Number of Providers

25
19
20 18
17
15
15 Number of Providers
10
10

Number of Individuals Served

CA BHNA Appendix D: MH/SU Provider Data 231

Figure 7: Mental Health Medication Support

Individuals Served by Provider - Medication Support

300 283
267
238 230
250
Number of Providers

200

150
111 114
96
86 Number of Providers
100
59
50 30

Number of Individuals Served

Figure 8: Mental Health Crisis Intervention

Individuals Served by Provider - MH Crisis

Intervention
437
450
400
350
Number of Providers

300
250 201
200 169
Number of Providers
150
97 97 84
100 61
46
50 20

Number of Individuals Served

CA BHNA Appendix D: MH/SU Provider Data 232

Figure 9: Mental Health Crisis Stabilization

Individuals Served by Provider - MH Crisis Stabilization

14
14
12
12

10 9
Number of Providers

8 7

Number of Providers
6

4 3

0
1-50 51-100 101-500 501-1,000 1,001+
Number of Individuals Served

Figure 10: Mental Health Outpatient

Individuals Served by Provider -MH Outpatient

764
800

700
587
600
511
Number of Providers

500

400 332
Number of Providers
300
179
200
119
88
100

0
1-5 6-10 11-50 51-100 101-500 501-800 801+
Number of Individuals Served

CA BHNA Appendix D: MH/SU Provider Data 233

Figure 11: Methadone Maintenance

Individuals Served by Provider - Methadone

Maintenance
59
60

50
Number of Providers

40
30
26
30
Provider
20

10 4 2

0
< 50 51-100 101-250 251-500 500+
Number of Individuals Served

Figure 12: Drug-Free Treatment

Individuals Served by Provider - Drug-Free Treatment

120

101
100 92

80
Number of Providers

60
Number of Providers
43 42 40
36 36
40

20

0
1-10 11-20 21-30 31-40 41-50 51-100 101+
Number of Individuals Served

CA BHNA Appendix D: MH/SU Provider Data 234

Figure 13: Crisis Residential

Individuals Served by Provider - Crisis Residential

14
14

12

10
Number of Providers

Number of Providers
6
4
4 3
2
2

0
1-25 26-50 51-100 101+
Number of Individuals Served

Figure 14: Adult Residential

Individuals Served by Provider - Adult Residential

12 11 11 11

10
Number of Providers

6 5
Number of Providers

4 3

2 1

0
<5 6-10 11-20 21-30 31-40 41+
Number of Individuals Served

CA BHNA Appendix D: MH/SU Provider Data 235

 Section III: Total Number of Units of Service by Provider by Service Category

CA BHNA Appendix D: MH/SU Provider Data 236

Figure 15: Substance Use Day Treatment

Total Units of Service by Provider - SUD Day

Treatment
350 327

300
Number of Providers

250

200

150
Providers
100
45
50 29 18 25 27
17 10 13
0

Total Units of Service

Figure 16: Mother-Child Habilitative & Rehabilitative Services

Total Units of Service by Provider - Mother-Child

Hab & Rehab

30
26

25
20
Number of Providers

20
15
14
15 13
Number of Providers

10

0
< 100 101-250 251-500 501-1,000 1,001+
Total Units of Service

CA BHNA Appendix D: MH/SU Provider Data 237

Figure 17: Mental Health Case Management

Total Units of Service by Provider - MH Case

Management
400 363
350

300 270 275

Number of Providers

243 243
250 228
194
200
139
150 107 Providers
100 69

50

Total Units of Service

Figure 18: Mental Health Day Treatment

Total Units of Service by Provider - MH Day

Treatment
100 93
90
80
Number of Providers

70
60
50
40 32
25 28 26
30 24 Providers
20
20 11 12
10
0

Total Units of Service

CA BHNA Appendix D: MH/SU Provider Data 238

Figure 19: Mental Health Day Treatment Rehabilitation

Total Units of Service by Provider - MH Day

Treatment Rehab
48 48
50
45
40
Number of Providers

35
30
25 18
20 14
15 Providers
8
10 5
5
0

Total Units of Service

Figure 20: Mental Health Inpatient

Total Units of Service by Provider - MH Inpatient

50 46
44
45
40
Number of Providers

35
30
25
25
18
20
15 Number of Providers
15 12
9
10 6 7

5
0

Total Units of Service

CA BHNA Appendix D: MH/SU Provider Data 239

Figure 21: Medication Support

Total Units of Service by Provider - Medication

Support
300
258
250 229
Number of Providers

200 177 183

155
150 118 110
94 92
100 Providers
56
50

Total Units of Service

Figure 22: Mental Health Crisis Intervention

Total Units of Service by Provider - MH Crisis

Intervention
350 333

300

250
Number of Providers

191
200
145
150 134 Providers
119
101
100 68
54
45
50

0
1-5 6-10 11-20 21-30 31-40 41-50 51-100 101-500 501+
Total Units of Service

CA BHNA Appendix D: MH/SU Provider Data 240

Figure 23: Mental Health Crisis Stabilization

Total Units of Service by Provider - MH Crisis

Stabilization
14
14
12 12
12
Number of Providers

10

8
6
Providers
6

0
< 100 101-500 501-1,000 1,001+
Total Units of Service

Figure 24: Mental Health Outpatient

Total Units of Service by Provider - MH Outpatient

435
450
400
400

350 305 305

Number of Providers

300 266
241
250
185
200 170
155
150 113 Providers

100

50

Total Units of Service

CA BHNA Appendix D: MH/SU Provider Data 241

Figure 25: Methadone Maintenance

Total Units of Service by Provider - Methadone

Maintenance
39 38
40
35
Number of Providers

30 25
25
19
20
Providers
15
10
5
0
< 25,000 25,001-50,000 50,001-100,000 100,001+
Total Units of Service

Figure 26: Drug-Free Treatment

Total Units of Service by Provider - Drug-Free

Treatment
90 84

80

70
Number of Providers

56
60

50
39 38
40
31 31
27 28
30 23 Providers
20
20 13
10

Total Units of Service

CA BHNA Appendix D: MH/SU Provider Data 242

Figure 27: Crisis Residential

Total Units of Service by Provider - Crisis Residential

9
9

7
Number of Providers

5
4 4
4 Providers
3 3
3

0
< 50 51-100 101-500 501-1,000 1,001+
Total Units of Service

Figure 28: Adult Residential

Total Units of Service by Provider - Adult Residential

16 15

14 13

12
Number of Providers

10
8
8
6 Providers

0
< 100 101-500 501-1,000 1,001+
Total Units of Service

CA BHNA Appendix D: MH/SU Provider Data 243

 Section IV: Service Descriptions

CA BHNA Appendix D: MH/SU Provider Data 244

Table 16: Service Type Descriptions
# of
Service Type Procedure Codes Providers Brief Description of Service
SUD Day Treatment A nonresidential alcohol or other drug service that is provided to participants at least three
hours per day and at least three days per week. It is designed to provide an alcohol and drug
0310, 0320, 03200, 03209 511
free environment with structure and supervision to further a participants’ ability to improve
functioning.
Mother-Child Service consists of transportation to and from medically necessary treatment, education to
Habilitative & 03250, 03259, 04250, reduce harmful effects of alcohol and/or other drugs on the mother and fetus or mother and
Rehabilitative 04259, 08250, 08254, 88 infant. Includes Complete coordination of ancillary services (i.e., assistance in accessing and
Services 08255, 08259 completing dental, social and community services, educational/vocational training, and
other services which are medically necessary to prevent risk to fetus or infant.
MH Case 0001, 00010, 00011, 00012,
Services which assist
Management 00013, 00014, 00015, 2,131
clients to gain access to needed medical, social, educational, and other services.
00016, 00018, 00019, 5101
MH Day Treatment Programs that provide a therapeutic environment for individuals who have acute or chronic
mental or emotional disturbances, who do not require full-time hospital care but who can
0801, 08011 08015 271 benefit from a structured environment for some portion of the day or week. Services may
include individual, group and/or family therapy; social and recreational activities; and a
range of adjunctive therapies.
MH Day Treatment This is a structured program of rehabilitation and therapy to improve, maintain or restore
Rehab personal independence and functioning, consistent with
requirements for learning and development, which provides services to a distinct group
0901, 09011, 09015 141
of individuals. Services are available at least three hours and less than 24 hours each
day the program is open. Service activities may include, but are not limited to, assessment,
plan development, therapy, rehabilitation and collateral.
MH Inpatient Psychiatric inpatient program offers therapeutic interventions and medication stabilization.
The structured environment and full program may also include group therapy, combined
Vendor Code 63 & 64 182
with encouragement and support, provides the stable and positive atmosphere needed for
psychological and emotional growth.
Medication Support Services which include the prescribing, administering, dispensing and monitoring of
psychiatric medications or biologicals which are necessary to alleviate the symptoms of
06010, 06012, 06019 1,514 mental illness. Medication support may include evaluation of the need for medication,
evaluation of its clinical effectiveness and side effects, obtaining informed consent and
medication education.
MH Crisis This is a crisis service that last less than 24 hours for a condition that requires more timely
Intervention 07010, 07019 1,190 response than a regularly scheduled visit.
Service activities include but are not limited to assessment, collateral and therapy.
CA BHNA Appendix D: MH/SU Provider Data 245
 # of
Service Type Procedure Codes Providers Brief Description of Service
MH Crisis Emergency service lasting less than 24 hours for a condition that requires a more timely
Stabilization response than a regularly scheduled visit. It differs from Crisis stabilization in that it is
04259, 0201, 02010, 02015 45
delivered by providers who meet contact, site, and staffing requirements specifically for
crisis stabilization
MH Outpatient 0101, 0301, 0401, 01010, Services that are designed to provide short–term
01012, 03010, 03019, or sustained therapeutic intervention for individuals experiencing acute or ongoing
2,580
04010, 04012, 0501, 05010, psychiatric distress. These service includes assessment, collateral services, psychotherapy
05012, 05018, 05101 (individual or group) and medication management.
Methadone 02200, 02202, 02206, An outpatient service using methadone and/or
Maintenance 02207, 02208, 02209, 121 levoalphacetylmethadol (LAAM), directed at stabilization and rehabilitation of persons who
02250, 02256, 02258 are opiate addicted and have substance use diagnoses.
Drug-Free Treatment An outpatient service directed at stabilizing and rehabilitating persons with substance use
08200, 08204, 08205, 08209 390
diagnoses.
Crisis Residential Crisis Residential Treatment Services are therapeutic or rehabilitative services provided in a
non-institutional residential setting that provides a structured program as an alternative to
H0018 23
hospitalization for beneficiaries experiencing an acute psychiatric
episode or crisis that does not have medical complications requiring nursing care.
Adult Residential This is a rehabilitative service provided in a noninstitutional
residential setting for beneficiaries who would be at risk of hospitalization or other
institutional placement if they were not in a residential treatment program. This service
4250, H0019 42 includes a range of activities and services to restore, maintain and apply interpersonal and
independent living skills and to access community support systems. The service is available
24 hours a day, seven days
a week.

CA BHNA Appendix D: MH/SU Provider Data 246