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Friday, May 18, 2012 ..:: Program Assessment and Client Outcome Report ::..   Login

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 Mental Health Cuts are Unacceptable - Please Take Action!

The movement to save mental health services in Illinois is growing. Wednesday, April 11, more than 700 people rallied at the James R. Thompson Center in Chicago to make sure that funding for mental health services is retained in Illinois. Hundreds of signatures have been collected on NAMI’s petition in support of maintaining community mental health funding.

The proposed cuts for mental health services are unacceptable.  Illinois Governor Pat Quinn proposes to cut $54 million in much-needed mental health services.

What is at stake? Well, for example, consider the plight of a person with severe mental illness who suddenly does not have a safe place to stay. Housing and other services for that person - and thousands of others -- would clearly be threatened if these proposed cuts become a reality.

Proposed cuts need to be restored so that mental health service providers can continue to provide comprehensive housing, psychiatric and crisis intervention services. Proposed cuts would compromise access to critical services for a highly vulnerable population.We are talking about comprehensive and cost-effective community-based services that are essential for a consumer of mental health services' recovery.

Community-based care for even the most complex mental health needs costs several times less than putting people in a hospital, an institution or a jail. It's also considerably more effective. The State of Illinois must do the right thing: retain resources for services that are making a difference in the lives of thousands of persons with mental illness and their families.

What can you do?  Contact your state senator and state representative today. Insist that mental health funding should not be cut and should at least be continued at current levels.

To generate a message that will automatically be sent to your state representative just click on the link below (or copy and paste it into your web browser:

http://capwiz.com/thresholds/utr/1/MKUVRPOMMX/OMMNRPOMVJ/8172623421

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Please save the date for...
Maine Center’s Eighth Annual Odyssey Fundraising Brunch Cruise

Sunday, June 10, 2012

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This is a two-hour brunch cruise along Chicago's beautiful lakefront embarking from Navy Pier at Noon.
Complimentary champagne toast, gourmet brunch buffet, music, cash bar
and fabulous raffle prizes await you.
Tickets are $95 per person, $21 of which goes to support Maine Center's services.
Tickets will be held for pickup at check-in on the dock.
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If you can't join us please consider making a tax deductible contribution to Maine Center.
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For Information and phone Reservations please call 847-232-2908
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The proceeds support the provision of mental health and substance abuse services to the clients of Maine Center

PROGRAM ASSESSMENT AND CLIENT OUTCOME REPORT

FY 2011 SUMMARY

DEMOGRAPHICS:

Some note worthy changes in the characteristics of those we served are: The trend for persons served in FY ‘11 was toward the older category. Those served between 45 and 64 years was 5% higher than last year and 7% higher than in the two previous fiscal years.

The reduction in those less than 17 years old is understandable with the suspension of the C/A Psychiatry Program. In addition the numbers of students referred for the Choices program in Substance Abuse is down due to the schools running their own groups.

The percent of those served with incomes below $7,400 increased by an average of 10% over the numbers for the last three.

Nearly 59% of the persons served in FY ‘11 who reported incomes below 200% of the poverty level, the new income standard for DMH support for non-Medicaid services.

The percentages of those served without medical benefits has steadily declined over the last five years which follow the DHS cuts in support of non-Medicaid services.

AREAS OF MEASUREMENT:

CLIENT PROGRESS:

Across all treatment programs we have set goals for client performance in five areas: Level of functioning; problem resolution and symptom management; community independence and integration; consumer involvement in services; and progress in treatment. This year at the suggestion of the Planning and Quality Assurance Committee we set goals in each area for mental health programs and goals for substance abuse.

In the mental health programs, we met or exceeded our goals in four of the five goal areas. The area which was missed was consumer involvement due to an increase in cancel/fails. Clients report that they are finding it difficult to pay for treatment services which had been free or at lower fees prior to 10/1/10.

In the substance abuse programs, we met or exceeded our goals in four of the five areas measured. The area of community independence was low due to an increased number of clients referred to higher levels of care and who inpatient stays during the year, prior to or while in treatment.

Both programs exceeded their overall goals.

CONSUMER FEEDBACK:

We randomly surveyed clients receiving services during the past year using the "Client Writes" survey which is used by agencies across the country. Our agency goals are based upon our agency’s performance in relationship to goals set by Maine Center’s Quality Improvement committee. We have set goals in five goal areas over the years: Satisfaction with Quality of Services, Satisfaction with Confidentiality and Respect, Progress Made in Treatment, Overall Satisfaction, Client Participation in Service Planning and Treatment, and Staff Competency. In our most recent twelve-month report we exceeded our revised expectations in four of the areas and met our goal in a fifth. We missed our goal in the sixth area by2%. In our overall expectation we beat last year’s performance and exceeded our goal by 4%.

PROGRAM ASSESSMENT AND CLIENT OUTCOMES (FOLLOW-UP):

Clients who were closed in FY ‘11 were surveyed 90 days or more after leaving services at Maine Center. There are fourteen questions which assess: Client Progress, Level of Functioning, Staff Competence, Rights and Respect, and Overall Satisfaction. We met or exceeded our goals in three of the five areas. We missed our goal in the area of Level of Functioning due to an increased number of persons who felt that they needed to return to services or were receiving services elsewhere. In the area of satisfaction our scores went down due to the length of time clients waited for services to begin, primarily for non-emergent MHAs and Psychiatric Evaluations. When that score is factored out from the other two we met our goal with clients indicating that they would return to Maine Center if needed and they would recommend Maine Center to friends and relatives. Overall we exceeded our overall expectation with a score of 94%.

ACCOMPLISHMENTS

Maine Center was accredited by CARF for three years for all mental health and substance abuse treatment services.

Our collaborations with CEDA-Northwest in DesPlaines and the Center of Concern in Park Ridge were approved again for continuation funding through the Suburban Continuum of Care for the Homeless via HUD.

Maine Center’s post payment review audit visit by DASA was very positive, as was our licensing certification review.

Our DHS Certification resurvey was very positive as the surveyor was very complimentary on the quality of our services and gave us the highest score we have ever achieved. The post payment review for DMH attained very high marks except in one category.

The USPO contract was rebid and was approved for mental health treatment for defendants and those on probation or parole with the Federal District Court. We also received very positive feedback regarding our services in our recent contract audit.

Maine Center has successfully applied to be a network provider with Aetna Better Health and Illini-care under the Medicaid Integrated Care Project in suburban Cook and the metropolitan collar counties.

ISSUES AT THE END OF THE YEAR

The FY 12 contracts with DMH for MH services are still unsettled and looking increasingly bleak for persons without serious mental health issues when they are not covered by Medicaid. Statewide we are all dealing with potentially significant cuts in capacity grants and in non-Medicaid billing capacity.

Our DASA contract was not renewed due to State Budget cuts.　

RECOMMENDED ACTIONS:

We continue to refer clients to Stroger Hospital who do not qualify for DMH support. In addition we have been actively meeting with and educating local members of the General Assembly of the devastating effects of the cuts in mental health funding. In that effort we have been collaborating with three other CMH agencies from the north and northwest suburban area with the goal being to have mental health funding remain at FY 11 levels.

We continue to seek alternative means to fund needy SA clients.

        PROGRAM ASSESSMENT AND CLIENT OUTCOME REPORT

FY 2010 SUMMARY

DEMOGRAPHICS:

Some note worthy changes in the characteristics of those we served are: The number of persons served this past fiscal year dropped by nearly 15%. This drop was precipitated by the uncertainty of state funding for the first quarter of the year and the decision by one of the psychiatrists to leave Maine Center to focus his efforts on the development of his private practice.

The reduction above is closely related to the reduction in the number of self-pay clients.

While the numbers of clients were down from previous years, the percentage of clients with incomes less than $7,400 per year increased nearly 6% over last year, and 12% over the average percentage for the previous five years.

Nearly 80% of the persons served in FY ‘10 who reported incomes below 200% of the poverty level, the new income standard for the Illinois Division of Mental Health. 

AREAS OF MEASUREMENT:

CLIENT PROGRESS:

Across all treatment programs we have set goals for client performance in five areas: Level of functioning; problem resolution and symptom management; community independence and integration; consumer involvement in services; and progress in treatment.

We exceeded our goals in four of the five areas, with an overall score of 93%, which is 3% higher than our expectation. The area where we were short was community independence and integration. We had more clients going into the hospital this past year than in the past few.

CONSUMER FEEDBACK:

We randomly surveyed clients receiving services during the past year using the "Client Writes" survey which is used by agencies across the country. Our agency goals are based upon our agency’s performance in relationship to goals set by Maine Center’s Quality Improvement committee. We have set goals in five goal areas over the years: Satisfaction with Quality of Services, Satisfaction with Confidentiality and Respect, Progress Made in Treatment, Overall Satisfaction, and Client Participation in Service Planning and Treatment. In three areas we expanded the areas assessed in measuring our outcomes as indicated on the report. We exceeded our revised expectations in four of the areas and met our goal in the fifth. In our overall expectation we beat last year’s performance and exceeded our goal by 4%.

PROGRAM ASSESSMENT AND CLIENT OUTCOMES (FOLLOW-UP):

Clients who were closed in FY ‘10 were surveyed 90 days or more after leaving services at Maine Center. There are fourteen questions which assess: Client Progress, Level of Functioning, Staff Competence, Rights and Respect, and Overall Satisfaction. We raised our performance goals this past year in three of the areas to reflect our performance over the past five years. We met or or exceeded our goals in four of the five areas. We missed our goal in the area of community independence due to an inceased number of detox admissions this past year.. Overall we exceeded our expectation of 92% with a 93% outcome.  

ACCOMPLISHMENTS

Our services to those of Hispanic heritage are continuing to grow at a steady slow pace.

Our collaborations with CEDA-Northwest in DesPlaines and the Center of Concern in Park Ridge were approved again for continuation funding through the Suburban Continuum of Care for the Homeless via HUD.

Maine Center’s post payment review audit visit by DASA was very positive.

Our DHS Certification resurvey was fairly positive as the surveyor commented favorably on the quality of our services.

We received very positive feedback regarding our mental health services to federal defendants and those on Federal probation or parole. That contract successfully rebid or the Federal District Court. 

ISSUES AT THE END OF THE YEAR (June 30,2010) 

The FY 11 contracts with the Illinois Division of Mental Health for MH services are bleak for persons when they are not covered by Medicaid. Treatment reimbursement has been eliminated, and other services have been significantly reduced except for those in Psychiatric Crisis.Statewide we are all dealing with significant cuts in non-Medicaid service capacity.

The Chief Medical Officer has reduced his time at Maine Center effective 8/1/10.  Dr. Smirnov has been hired effective 9/20/10. 

The Department of Healthcare and Family Services (formerly the Department of Public Aid) is in the bidding process to select two managed care (HMO) companies that will manage all healthcare services for persons with Medicaid-only benefits in suburban Cook and Lake counties. All of our suburban Medicaid-only clients will be required to enroll with one of the two selected HMOs perhaps as early as January 1, 2011. Maine Center will need to be accepted as a paneled provider for each selected company in order provide services to our current suburban Medicaid clients.

As a result of issue #4, Maine Center will be required to interface with three State contracted payment entities.

Our DASA contract will not renewed in FY 2012 due to the State's fiscal crisis. 

PROGRAM ASSESSMENT
AND
CLIENT OUTCOME REPORT

FY 2009 SUMMARY

DEMOGRAPHICS:

Some note worthy changes in the characteristics of those we served are: The number of persons served of Hispanic heritage increased by 21over last year and represented an increase of 1% of those served this year over last year.

The number of clients with incomes less than $7,400 per year increased nearly 10% over last year. Cumulatively that’s an increase over the last three years of more than 30% of those we have served

The number of persons served with incomes less than the poverty level was more than 10% higher than last fiscal year.

Compared with the previous year, the number of persons served who did not have health benefits to cover or support their care decreased by5% percent which coincidentally matched the percentage increase in those with Medicaid benefits.

AREAS OF MEASUREMENT

CLIENT PROGRESS:

Across all treatment programs we have set goals for client performance in five areas:
1. Level of functioning, 2. problem resolution and symptom management, 3. community independence and integration, 4. consumer involvement in services, and 5. progress in treatment.

We exceeded our goals in all five areas with an overall score of 94%, which is 1% higher than last year.

PROGRAM ASSESSMENT AND CLIENT OUTCOMES:

Clients who were closed in FY ‘09 were surveyed 90 days or more at Maine Center. There are fourteen questions which assess: Client Progress, Level of Functioning, Staff Competence, Rights and Respect, and Overall Satisfaction. For only the second time since we’ve been keeping data, the clients exceeded our goals in all areas. Also the percent of clients who responded and who completed services was the highest ever.

CONSUMER FEEDBACK:

We randomly surveyed clients receiving services during the past year using the "Client Writes" survey which is used by agencies across the country. Our agency goals are based upon our agency’s performance in relationship to goals set by Maine Center’s Quality Improvement committee. We have set goals in five goal areas over the years: Satisfaction with Quality of Services, Satisfaction with Confidentiality and Respect, Progress Made in Treatment, Overall Satisfaction, and Client Participation in Service Planning and Treatment. This year we added staff competency as a reported goal area to be more inline with the previous 90-Day Outcome survey.We exceeded our goal in four of the six areas, including the newest one. We missed our targets in the remaining areas by 1% in each.

ACCOMPLISHMENTS

Our services to those of Hispanic heritage are continuing to grow at a steady pace.

Maine Center’s DASA contract was renewed

Our collaborations with CEDA-Northwest in DesPlaines and the Center of Concern in Park Ridge were approved again for continuation funding through the Suburban Continuum of Care for the Homeless via HUD.

Maine Center’s licensing visit by DASA was very positive with highly complimentary feedback.

Our contract as a mental health provider to the U.S. Probation Office and to the U.S. Pre-trial Services office of the Federal District Court was renewed.

Our contract with the Illinois Department of Corrections (DOC) was expanded to include "Anger Management" group services.

Our referrals from the Illinois DOC Parole Division continue to increase each year.


UNRESOLVED ISSUES AT THE END OF THE YEAR

Supervised residential programs with 24-hour and 16-hour staffing are still needed for people seeking structured and supervised housing services in general for the Suburban Cook County area and specifically in Maine Township.

The Child and Adolescent Psychiatry Service has been suspended indefinitely
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