San Mateo County Behavioral Health and Recovery Services Data Book by iwestaaiegjpuiv

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									San Mateo County Behavioral
Health and Recovery Services
          Data Book
     for Fiscal Year 2007

            April 2008




       MCPP Healthcare Consulting
             206 613-3339
        www.mcpphealthcare.com
            dale@mcpp.net
          San Mateo County Behavioral Health and Recovery Services
                                   Data Book Table of Contents
                                                                          Start     Report
                                                                          Page    Page Length
REPORTS
 Data Book Highlights                                                      3           2
 A. Overview Reports
  1. Clients Served and Medi-Cal Status - Trend View                       6           2
  2. Detailed Older Adults Analysis                                        8           1
 B. LOCUS Reports
  3. LOCUS Scores by Age, Payor, Ethnicity and Language                    10          1
  4. Comparison of Clinician Hours per Client with LOCUS Targets           11          5
  5. LOCUS Score FY2006 to FY2007 Score Changes and Distribution Curves    16          3
 C. Initiation and Engagement Reports
  6. Initiation and Engagement Analysis Summary                            20          1
  7. Initiation and Engagement Analysis Detail                             21          3
 D. Detail Client and Services Reports
  8. Unduplicated Client Counts by Service Type                            25          1
  9. Client Service Hours Analysis by Department & Age                     26          4
  10. Client Service Analysis, Part 1 - All Organization Units             30          4
  11. Client Service Analysis, Part 2 - Mental Health and AOD Crosswalk    34          3
  12. Client Service Analysis, Part 3 - Contractors Mode 10 & 15           37          6
  13. Client Service Analysis, Part 4 - Contractors Mode 5                 43          3
 E. Special Studies
  14. Analysis of Clients Served by Mental Health and AOD, Parts 1-4       47          3
  15. Analysis of Outpatient Follow-Up After Inpatient Discharges          50          1
  16. Analysis of All Clients Receiving PES Services                       51          1
  17. PES Analysis for Clients with 5 or more PES Visits                   52          2
  18. Clinician Hours Histogram by Age Group                               54          2
  19. ICI Analysis                                                         56          1
  20. Full Service Partnership Analysis                                    57          1
San Mateo County Behavioral Health and Recovery Services
Data Book Highlights
1. Clients Served and Medi-Cal Status - Trend View
    - Over the 7 year period, the number of children served has increased by almost 1,000, with a 12% increase this fiscal year. (Section 1:
       Clients by Age)
    - A FY2005 decline in older adults has been reversed, with the last two years showing substantial increases. (Section 1: Clients by Age)
    - Over the 7 year period, the number of Hispanic clients has increased by over 1,000. (Section 2: (Clients by Ethnicity)
    - Over the last three fiscal years, the number of Spanish speaking clients has grown - in the last fiscal year by 23%. (Section 3: Clients by
       Language)
3. LOCUS Scores by Age, Payor, Ethnicity and Language
    - There has been progress on obtaining LOCUS scores on the population served, as the No Score category dropped from 53% in
      FY2006 to 47% in FY2007; see Reports 10-13 for more detail.
    - There are higher percentages of Medi-Cal clients with LOCUS 4,5 and 6 scores than non-Medi-Cal. (Section 2: Payor Analysis)
    - There is a higher percentage of English speaking clients with LOCUS 4,5 and 6 scores than other groups. (Section 4: Client Language)
4. Comparison of Clinician Hours per Client with LOCUS Targets
    - There are 124 clients with a LOCUS score of 0; 22 of these clients have received more than 16 hours of services, including one
      individual receiving 97.5 hours of service. (Sections 1-4)
    - There were some increase in the intensity of services provided. For adults in residential services (Section 3), 60% received more than
      41 hours of services compared to 56% last FY. For older adults (Section 4), 20% received more than 41 hours of services compared to
      13% in FY2006.
    - Among children served (Section 1), 35% have a LOCUS level of 4 or higher, but 24-29% of these children received less than 15 hours
      of service.
    - For adults not in residential services (Section 2), 34% had a LOCUS level of 4 or higher, and from 48-57% received less than 15 hours
      of service.
    - For adults in residential services (Section 3), 55% had a LOCUS level of 4 or higher, but 12-26% received less than 15 hours of
      service.
    - A larger percentage of the children served with an IEP (Section 8) have LOCUS levels of 4 or higher, compared to those without an IEP
      (Section7); 44% compared to 23%. However, non-EIP children with these higher LOCUS levels received an average of just over 25 hours
      of service, while children with an IEP showed inclining levels of service intensity as the LOCUS score increased.
5. LOCUS Score FY2006 to FY2007 Score Changes and Distribution Curves
    - There are similar numbers of clients in all three age groups where the LOCUS score dropped 3 or more points between years as clients
      where the LOCUS score increased 3 or more points. This continues to give us bell curves on all six graphs.
San Mateo County Behavioral Health and Recovery Services
Data Book Highlights
6. Initiation and Engagement Analysis Summary
     - There is consistent improvement across the four years on the percent of individuals whose service are delivered within the initiation and
       engagement standards.
7. Initiation and Engagement Analysis Detail
     - The age and payor (Sections 1-2) populations with the highest percentage meeting initiation and engagement standards are Children and
       Medi-Cal.
     - The ethnicity and language populations (Sections 3-4)with the highest percentage meeting initiation and engagement standards are
       Hispanic, Spanish speaking and Native American.
     - Among youth programs, the Palos Verde program had the highest percent of meeting initiation and engagement standards; among the
       clinics, East Palo Alto had the highest percentage meeting initiation and engagement. (Section 7)
9. Client Service Hours Analysis by Department & Age
    - Over 33,000 additional hours of service were delivered compared to the previous FY; of these, more than 23,000 were delivered by
       county clinics. (Section 4)
10. Client Service Analysis, Part 1 - All Organization Units
    - There is a separate report that contains a single page for each Organizational Unit in this report. This supports an at-a-glance view of
       each unit.
    - Among county programs, Pre to Three served the largest numbers of Hispanic and Spanish speaking clients.
    - In the clinics, North County Adult has the largest number of Hispanic clients.
11. Client Service Analysis, Part 2 - Mental Health and ADP Crosswalk
    - Of the 12,050 clients served in Mental Health, 973 (8%) were also served in ADP.
    - The average hours of mental health service were 24% greater for clients served in both systems (34.7 versus 27.9).
    - 37% of the clients served in both systems were at LOCUS level 4-6; the figure for clients served by mental health only was 31%.
        San Mateo County Behavioral Health and Recovery Services

                          A. Overview Reports




Data Book                                                   Page 1, April 2008
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
1. Clients Served and Medi-Cal Status Trend View: Mental Health (Mode 15) and Day Services (Mode 10)
                                                 2000-2001         2001-2002         2002-2003         2003-2004         2004-2005         2005-20
                                                         Annual            Annual            Annual            Annual            Annual            An
                                                         Change            Change            Change            Change            Change            Ch

 Section 1: Clients by Age
 All Child & Adolescent (0 through 17)           2,586      n/a    2,832     9.5%    3,052     7.8%    3,136     2.8%    2,996    -4.5%    3,063
 Medi-Cal Child & Adolescent (0 through 17)      1,313      n/a    1,520    15.8%    1,700    11.8%    1,769     4.1%    1,808     2.2%    1,775
   Medi-Cal Percentage of Total                 50.8%             53.7%             55.7%             56.4%             60.3%             57.9%
 All Adults (18 to 60)                           7,101      n/a    7,365     3.7%    7,195    -2.3%    7,075    -1.7%    7,065    -0.1%    7,343
 Medi-Cal Adults (18 to 60)                      3,570      n/a    3,774     5.7%    3,858     2.2%    3,842    -0.4%    3,909     1.7%    4,150
   Medi-Cal Percentage of Total                 50.3%             51.2%             53.6%             54.3%             55.3%             56.5%
 All Older Adults (60 and Over)                  1,058      n/a     980     -7.4%     951     -3.0%     957      0.6%     903     -5.6%    1,085
 Medi-Cal Older Adults (60 and Over)               641      n/a     689      7.5%     684     -0.7%     701      2.5%     662     -5.6%      843
   Medi-Cal Percentage of Total                 60.6%             70.3%             71.9%             73.2%             73.3%             77.7%
 All Clients                                   10,745       n/a   11,177     4.0%   11,198     0.2%   11,168    -0.3%   10,964    -1.8%   11,491
 Medi-Cal Clients                               5,524       n/a    5,983     8.3%    6,242     4.3%    6,312     1.1%    6,379     1.1%    6,768
  Medi-Cal Percentage of Total                 51.4%              53.5%             55.7%             56.5%             58.2%             58.9%

 Section 2: Clients by Ethnicity
  American Native                                  44       n/a       44      0%        37     -16%       38      3%        50     32%        54
  Asian Indian                                     37       n/a       26     -30%       25      -4%       31     24%        30      -3%       42
  Black                                         1,126       n/a    1,152      2%     1,133      -2%    1,151      2%     1,162      1%     1,277
  Cambodian                                         5       n/a        6     20%        12    100%         3     -75%        2     -33%        5
  Chinese                                         163       n/a      161      -1%      147      -9%      156      6%       161      3%       190
  Filipino                                        424       n/a      436      3%       406      -7%      376      -7%      430     14%       482
  Guamanian                                         2       n/a        1     -50%        2    100%         5    150%         5      0%         3
  Hawaiian Native                                  10       n/a        7     -30%        8     14%         8      0%         8      0%         8
  Hispanic                                      2,738       n/a    3,022     10%     3,021      0%     3,021      0%     3,091      2%     3,541
  Japanese                                         48       n/a       43     -10%       40      -7%       40      0%        40      0%        48
  Korean                                           20       n/a       17     -15%       17      0%        19     12%        17     -11%       19
  Laotian                                           0       n/a        4      n/a        4      0%         1     -75%        0    -100%        2
  Other (clients coded "0" by clinician)          547       n/a      574      5%       664     16%       649      -2%      661      2%       551
  Other Asian Pacific Islander                     73       n/a       90     23%       101     12%        88     -13%      119     35%        31
  Samoan                                           26       n/a       21     -19%       15     -29%       23     53%        24      4%        28
  Unknown                                         648       n/a      742     15%       793      7%       796      0%       727      -9%      482
  Vietnamese                                       23       n/a       26     13%        28      8%        27      -4%       25      -7%       23
  White                                         4,811       n/a    4,805      0%     4,745      -1%    4,737      0%     4,412      -7%    4,705
  All Clients                                  10,745       n/a   11,177      4%    11,198      0%    11,169      0%    10,964      -2%   11,491
 Note: Other tables that include ethnicity have grouped these 18 categories into 10; this allows those reports to be more manageable.
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
1. Clients Served and Medi-Cal Status Trend View: Mental Health (Mode 15) and Day Services (Mode 10)
                                                2000-2001        2001-2002        2002-2003        2003-2004        2004-2005          2005-20
                                                       Annual           Annual           Annual           Annual            Annual             An
                                                       Change           Change           Change           Change            Change             Ch
 Section 3: Clients by Language
   Amer Sign Lang                                                                                                       6                  5
   Arabic                                                                                                              13                 14
   Armenian                                                                                                             9                  7
   Cantonese                                                                                                           17                 23
   English                                                                                                           8971              9,317
   Farsi                                                                                                               10                 11
   French                                                                                                               1                  3
   Hebrew                                                                                                               0                  1
   Italian                                                                                                              0                  1
   Japanese                                                                                                             5                  7
   Korean                                                                                                               3                  5
   Lao                                                                                                                  1                  0    -
   Mandarin                                                                                                             3                  4
   Other Chinese                                                                                                        7                  8
   Other Non-English                                                                                                   34                 36
   Other Sign Lang                                                                                                      7                 11
   Polish                                                                                                               1                  1
   Portuguese                                                                                                          14                 15
   Russian                                                                                                             35                 29
   Samoan                                                                                                               2                  0    -
   Spanish                                                                                                           1498              1,629
   Tagalog                                                                                                             51                 65
   Thai
   Turkish                                                                                                              0                  1
   Unknown                                                                                                            285                287
   Vietnamese                                                                                                          12                 11
   All Clients                                                                                                     10,985             11,491
 Note: Other tables that include language have grouped these 26 categories into 5; this allows those reports to be more manageable.
San Mateo County Behavioral Health and Recovery Services Clients Served by Provider Organization Type - Fiscal Year 2006/2007
2. Detailed Older Adults Analysis
                                                                                                                                                               Change from
                                        2000/2001         2001/2002        2002/2003        2003/2004        2004/2005        2005/2006        2006/2007       FY01 to FY07
                                               Annual            Annual           Annual           Annual           Annual           Annual           Annual
                                               Change            Change           Change           Change           Change           Change           Change
Summary Analysis (unduplicated)
 All Older Adults (60 and Over) *      1,058       n/a     980    -7.4%     951    -3.0%     956     0.5%     904    -5.4%   1,085    20.0%   1,198    10.4%        13.2%
 Medi-Cal Older Adults (60 and Over)     694       n/a     710     2.3%     707    -0.4%     718     1.6%     664    -7.5%     843    27.0%     973    15.4%        40.2%
 Medi-Cal Percentage of Total          65.6%             72.4%            74.3%            75.1%            73.5%            77.7%            81.2%

Detailed Analysis (duplicated, 60 and Over)
 Elder Outreach                         196        n/a     163   -16.8%     136   -16.6%     141     3.7%     151     7.1%     149    -1.3%     156     4.7%       -20.4%
 PES                                     181       n/a     188     3.9%     161   -14.4%     170     5.6%     119   -30.0%     133    11.8%     111   -16.5%       -38.7%
 ACCESS/PCI                              223       n/a     196   -12.1%     178    -9.2%     209    17.4%     181   -13.4%     256    41.4%     340    32.8%        52.5%
 Clinics                                 542       n/a     467   -13.8%     334   -28.5%     372    11.4%     484    30.1%     423   -12.6%     518    22.5%        -4.4%
 Contractors                             105       n/a     105     0.0%     112     6.7%     128    14.3%     106   -17.2%     233 119.8%       272    16.7%       159.0%
 Network                                 235       n/a     231    -1.7%     196   -15.2%     133   -32.1%     137     3.0%     305 122.6%       431    41.3%        83.4%
 Other (unknown, etc)                     58       n/a      59     1.7%      57    -3.4%       1   -98.2%       0 -100.0%       0      N/A       0      N/A       -100.0%
 Total (duplicated)                    1,344       n/a   1,409     4.8%   1,174   -16.7%   1,154    -1.7%   1,178     2.1%   1,499    27.2%   1,828    21.9%        36.0%

Older Adults by Payor (unduplicated)
 Medi-Cal                                                                                                     161              158    -1.9%     160     1.3%
 Medi-Cal + Insured                                                                                             1                2 100.0%        1    -50.0%
 Medi-Cal + Uninsured                                                                                          17               13   -23.5%      19    46.2%
 Medicare                                                                                                      93               88    -5.4%      78   -11.4%
 Medi-Medi                                                                                                    485              670    38.1%     793    18.4%
 Insured                                                                                                       21               34    61.9%      21   -38.2%
 Uninsured                                                                                                    126              120    -4.8%     126     5.0%
 Total (unduplicated)                                                                                         904             1085    20.0%   1,198    10.4%
San Mateo County Behavioral Health and Recovery Services

                   B. LOCUS Reports
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
3. LOCUS Scores by Age, Payor, Ethnicity and Language
Modes 10 & 15                        Clients by Composite LOCUS Score                                        Distribution of Composite LOCUS Scores
                               No      Level Level 1 Level 2 Level 3 Level 4 Level 5   Level 6    No     Level Level 1 Level 2 Level 3 Level 4 Level 5   Level 6
                              Score      0   (10-13) (14-16) (17-19) (20-22) (23-27)    (28+)    Score     0   (10-13) (14-16) (17-19) (20-22) (23-27)    (28+)
Section 1: Age Analysis
 Children (0-17)               1,694     68     226      425     404     313     281       24      49%     2%      7%     12%     12%       9%      8%       1%
 Adults (18-59)                3,404     49     454      909   1,111     941     490       59      46%     1%      6%     12%     15%      13%      7%       1%
 Older Adults (60+)              584      7      83      192     150     124      54        4      49%     1%      7%     16%     13%      10%      5%       0%
 All Ages                      5,682    124     763    1,526   1,665   1,378     825       87      47%     1%      6%     13%     14%      11%      7%       1%

Section 2: Payor Analysis
 Medi-Cal                      1,801     26     176      448     556     458     287        34     48%     1%      5%     12%     15%      12%      8%       1%
 Medi-Cal + Insured               84      1       8       25      28      32      18         3     42%     1%      4%     13%     14%      16%      9%       2%
 Medi-Cal + Uninsured            331     12      78      107     155      99      58         4     39%     1%      9%     13%     18%      12%      7%       0%
 Medicare                         69      3      20       39      43      36      24       -       29%     1%      9%     17%     18%      15%     10%       0%
 Medi-Medi                       870      7     170      402     391     339     179        22     37%     0%      7%     17%     16%      14%      8%       1%
 Insured                         334      6      45       55      67      43      55         4     55%     1%      7%      9%     11%       7%      9%       1%
 Healthy Families/Kids           247      4      37       76      53      46      21         1     51%     1%      8%     16%     11%       9%      4%       0%
 Uninsured                     1,946     65     229      374     372     325     183        19     55%     2%      7%     11%     11%       9%      5%       1%
 Total by Payor                5,682    124     763    1,526   1,665   1,378     825        87     47%     1%      6%     13%     14%      11%      7%       1%

Section 3: Client Ethnicity
 A - Other Asian                  48      1      13       18      31      17       8               35%     1%     10%     13%     23%     13%       6%       0%
 B - Black/Afr-Am                545      7      54      164     188     217     133       18      41%     1%      4%     12%     14%     16%      10%       1%
 C - Chinese                      77      2      13       34      38      24       7               39%     1%      7%     17%     19%     12%       4%       0%
 F - Filipino                    185      5      28       99      89      38      27        2      39%     1%      6%     21%     19%      8%       6%       0%
 H - Hisp/Lat                  1,745     62     329      555     552     371     222       21      45%     2%      9%     14%     14%     10%       6%       1%
 N - Am-Ind/Al-Nat                24              2        5       8       7       9               44%     0%      4%      9%     15%     13%      16%       0%
 O - Other                       540      3      25       53      65      52      27        1      70%     0%      3%      7%      8%      7%       4%       0%
 P - Nat-HI/Pac-Is                81      5      14       25      25      15      14        1      45%     3%      8%     14%     14%      8%       8%       1%
 U - Unknown                     426      4      24       36      36      22      18        3      75%     1%      4%      6%      6%      4%       3%       1%
 W - White                     2,011     35     261      537     633     615     360       41      45%     1%      6%     12%     14%     14%       8%       1%
 Total                         5,682    124     763    1,526   1,665   1,378     825       87      47%     1%      6%     13%     14%     11%       7%       1%

Section 4: Client Language
 English                       4,264     88     532    1,131   1,339   1,196     737       76      46%     1%      6%     12%     14%     13%       8%       1%
 Other                           120             21       33      31      15      12        1      52%     0%      9%     14%     13%      6%       5%       0%
 Spanish                         950     33     194      320     273     154      68        9      47%     2%     10%     16%     14%      8%       3%       0%
 Tagalog                          26              5       27      13       7       3               32%     0%      6%     33%     16%      9%       4%       0%
 Unknown                         322      3      11       15       9       6       5        1      87%     1%      3%      4%      2%      2%       1%       0%
 Total                         5,682    124     763    1,526   1,665   1,378     825       87      47%     1%      6%     13%     14%     11%       7%       1%
  San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
  4. Comparison of Clinician Hours per Client with LOCUS Targets
  FY 2005-2006 Compared with FY 2006-2007
   Notes: Mode 10 = Day Services; Mode 15 = Mental Health Services
                                             FY2005-2006                                                     FY2006-2007
                                                                       Section 1: Child - Modes 10 and 15
                              LOCUS     LOCUS     LOCUS     LOCUS                 LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS
                              Level 1   Level 2   Level 3   Level 4   Totals      Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6        Totals
                   Clients       157       270       324       285      1,036          68     226     425     404     313     281          24      1,741
             Client Ratios       15%       26%       31%       28%      100%           4%     13%     24%     23%     18%     16%          1%      100%
    Clients 0-15 Svc Hrs         52%       45%       35%       30%       39%         87%      62%     43%      36%    29%     24%         29%       40%
   Clients 16-40 Svc Hrs         28%       30%       30%       24%       28%         10%      25%     28%      27%    28%     28%         21%       27%
   Clients 41-99 Svc Hrs         18%       23%       27%       30%       25%          3%      12%     23%      29%    29%     27%         29%       24%
   Clients 100+ Svc Hrs           3%        3%        8%       16%        8%          0%       1%      6%       8%    13%     21%         21%       10%
            Total Clients       100%      100%      100%      100%      100%        100%     100%    100%     100%   100%    100%        100%      100%
          Target Hours            6.0      25.0      60.0     150.0      N/A          6.0      6.0    25.0    60.0   150.0   150.0      150.0       N/A
   Actual Median Hours           15.4      18.4      25.6      35.2      23.0         2.5      8.9    20.6    28.2    33.3    38.0       39.2       23.9
               Low Hours          0.1       0.2       0.1       0.0       0.0         0.1      0.2     0.1     0.3     0.0     0.2        0.5        0.0
            Average Hours        25.5      28.2      45.2      55.9      40.8         7.6     18.8    32.1    43.1    54.9    64.2       66.6       41.1
               High Hours       345.2     234.2   1,572.7     456.0   1,572.7        97.5    123.7   316.3   640.6   751.7   497.8      308.5      751.7
     LOCUS Level Key:
                  < 10       = Level 0: Basic Services
                10-13        = Level 1: Recovery Maintenance
                14-16        = Level 2: Low Intensity Community Based Services
                17-19        = Level 3: High Intensity Community Based Services
                20-22        = Level 4: Medically Monitored Non-Residential Services
                23-27        = Level 5: Medically Monitored Residential Services
                  28+        = Level 6: Inpatient Services (Medically Managed Residential Services




Data Book                                                                                                                            Page 1, April 2008
  San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
  4. Comparison of Clinician Hours per Client with LOCUS Targets
  FY 2005-2006 Compared with FY 2006-2007
   Notes: Mode 10 = Day Services; Mode 15 = Mental Health Services
                                            FY2005-2006                                                FY2006-2007
                                                   Section 2: Adult - Modes 10 and 15 (with no Residential Services)
                             LOCUS     LOCUS     LOCUS     LOCUS              LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS
                             Level 1   Level 2   Level 3   Level 4   Totals   Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6      Totals
                   Clients      421       761       831       652     2,665      47     436      817     979     793     361         40      3,473
             Client Ratios      16%       29%       31%       24%     100%       1%     13%      24%     28%     23%     10%         1%      100%
    Clients 0-15 Svc Hrs        68%       65%       55%       60%      61%      79%     70%      62%     58%     57%     48%        48%       59%
   Clients 16-40 Svc Hrs        23%       22%       28%       25%      25%      13%     20%      25%     26%     28%     27%        30%       25%
   Clients 41-99 Svc Hrs         8%       11%       14%       12%      12%       9%      9%      12%     13%     12%     16%         8%       12%
   Clients 100+ Svc Hrs          1%        2%        3%        4%       2%       0%      1%       2%      3%      3%      9%        15%        3%
            Total Clients      100%      100%      100%      100%     100%     100%    100%     100%    100%    100%    100%       100%      100%
                   Target        6.0      25.0      60.0    150.0      N/A       6.0     6.0    25.0    60.0   150.0   150.0      150.0       N/A
            Actual Median        9.3      10.0      13.7     12.7      11.4      3.6     8.0    10.7    12.6    13.1    17.4       19.3       11.9
                    Low         -         0.2       0.1       0.1       -        0.2     0.1     -       0.1     0.1     0.1        0.3        -
                 Average       16.2      20.2      24.4      23.8      21.8     11.2    16.2    21.2    23.2    24.4    37.8       40.5       24.9
                    High      201.7     373.5     641.2     275.2     641.2     66.2   162.8   458.8   329.7   518.2   459.4      230.1      518.2

                                                      Section 3: Adult - Modes 10 and 15 (with Residential Service)
                             LOCUS     LOCUS     LOCUS     LOCUS              LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS
                             Level 1   Level 2   Level 3   Level 4   Totals   Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6      Totals
                   Clients       29        81       141       127      378        2      18       92     132     148     129         19       540
             Client Ratios       8%       21%       37%       34%     100%       0%      3%      17%     24%     27%     24%         4%      100%
    Clients 0-15 Svc Hrs        17%       14%        8%       16%      12%       0%     17%      17%      8%     13%     12%        26%       13%
   Clients 16-40 Svc Hrs        45%       32%       33%       28%      32%      50%     39%      30%     27%     26%     25%        21%       27%
   Clients 41-99 Svc Hrs        31%       42%       43%       31%      38%      50%     33%      38%     45%     33%     26%        16%       35%
   Clients 100+ Svc Hrs          7%       12%       16%       26%      18%       0%     11%      14%     20%     28%     36%        37%       25%
            Total Clients      100%      100%      100%      100%     100%     100%    100%     100%    100%    100%    100%       100%      100%
                   Target        6.0      25.0      60.0    150.0      N/A       6.0     6.0    25.0    60.0   150.0   150.0      150.0       N/A
            Actual Median       33.1      46.1      46.0     48.5      45.4     46.0    30.3    42.6    60.5    61.1    62.6       58.3       57.1
                    Low         3.6       1.8       3.0       2.0       1.8     26.3     1.8     3.8     5.0     0.4     0.8        0.8        0.4
                 Average       42.9      60.3      69.3      77.0      67.9     46.0    53.6    56.9    74.2    84.5    94.0       94.4       72.0
                    High      206.2     498.0     462.7     468.6     498.0     65.8   254.0   261.6   300.1   632.4   478.9      442.1      632.4




Data Book                                                                                                                      Page 2, April 2008
  San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
  4. Comparison of Clinician Hours per Client with LOCUS Targets
  FY 2005-2006 Compared with FY 2006-2007
   Notes: Mode 10 = Day Services; Mode 15 = Mental Health Services
                                            FY2005-2006                                                  FY2006-2007
                                                                     Section 4: Older Adult - Modes 10 and 15
                             LOCUS     LOCUS     LOCUS     LOCUS                 LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS
                             Level 1   Level 2   Level 3   Level 4     Totals    Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6      Totals
                   Clients       87       141       145       117         490        7      83      192     150     124      54          4       614
             Client Ratios      18%       29%       30%       24%        100%       1%     14%      31%     24%     20%      9%         1%      100%
    Clients 0-15 Svc Hrs        68%       65%       58%       61%         62%      86%     63%      64%     52%     51%     41%        50%       56%
   Clients 16-40 Svc Hrs        24%       21%       32%       20%         24%      14%     27%      23%     25%     24%     19%        25%       24%
   Clients 41-99 Svc Hrs         7%       11%       10%       17%         11%       0%     10%      12%     18%     21%     26%         0%       16%
   Clients 100+ Svc Hrs          1%        4%        1%        3%          2%       0%      1%       1%      5%      4%     15%        25%        4%
            Total Clients      100%      100%      100%      100%        100%     100%    100%     100%    100%    100%    100%       100%      100%
                   Target        6.0      25.0      60.0    150.0        N/A        6.0     6.0    25.0    60.0   150.0   150.0      150.0       N/A
            Actual Median       10.1       8.6      12.7      9.9        10.1       5.9     8.4     9.1    15.1    16.0    20.7       24.5       12.5
                    Low         0.3       0.3       0.2       0.1         0.1       0.2     0.2     0.0     0.6     0.2     0.9        3.3        0.0
                 Average       16.1      20.4      18.0      23.0        19.6       7.4    17.9    18.3    27.9    30.9    42.1       62.3       29.5
                    High      111.3     149.4     105.5     172.5       172.5      18.8   109.5   112.5   179.5   348.3   149.3      196.8      348.3




Data Book                                                                                                                         Page 3, April 2008
  San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
  4. Comparison of Clinician Hours per Client with LOCUS Targets
  FY 2005-2006 Compared with FY 2006-2007
   Notes: Mode 10 = Day Services; Mode 15 = Mental Health Services
                                            FY2005-2006                                                 FY2006-2007
                                                             Section 5: Medi-Cal (All Ages) - Modes 10 and 15
                             LOCUS     LOCUS     LOCUS     LOCUS               LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS
                             Level 1   Level 2   Level 3   Level 4   Totals    Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6      Totals
                   Clients      397       816       999       846     3,058       46     432      982   1,130     928     542         63      4,123
             Client Ratios      13%       27%       33%       28%     100%        1%     10%      24%     27%     23%     13%         2%      100%
    Clients 0-15 Svc Hrs        54%       52%       41%       45%       47%      80%     57%      51%     43%     41%     31%        35%       45%
   Clients 16-40 Svc Hrs        28%       27%       31%       25%       28%      11%     27%      26%     28%     28%     27%        27%       27%
   Clients 41-99 Svc Hrs        15%       18%       22%       20%       19%       9%     14%      18%     22%     21%     22%        13%       20%
   Clients 100+ Svc Hrs          3%        4%        6%       10%        6%       0%      3%       5%      7%     10%     21%        25%        9%
            Total Clients      100%      100%      100%      100%      100%     100%    100%     100%    100%    100%    100%       100%      100%
                   Target        6.0      25.0      60.0    150.0      N/A        6.0     6.0    25.0    60.0   150.0   150.0      150.0       N/A
            Actual Median       13.5      15.0      22.3     19.5      17.8       3.0    11.8    15.5    20.1    23.2    32.2       28.7       19.7
                    Low         0.1       0.2       0.1       0.1       0.1       0.1     0.2     0.1     0.1     0.0     0.1        0.3        0.0
                 Average       23.9      28.1      35.7      40.0      33.3      11.3    22.7    29.4    36.4    44.2    62.1       66.4       38.9
                    High      345.2     498.0     462.7     436.4     498.0      97.5   254.0   458.8   640.6   751.7   497.8      442.1      751.7

                                                           Section 6: Non-MediCal (All Ages) - Modes 10 and 15
                             LOCUS     LOCUS     LOCUS     LOCUS               LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS
                             Level 1   Level 2   Level 3   Level 4   Totals    Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6      Totals
                   Clients      297       437       442       335     1,511       78     331      544     535     450     283         24      2,245
             Client Ratios      20%       29%       29%       22%     100%        3%     15%      24%     24%     20%     13%         1%      100%
    Clients 0-15 Svc Hrs        73%       67%       57%       54%       63%      83%     76%      60%     57%     56%     39%        46%       59%
   Clients 16-40 Svc Hrs        21%       19%       26%       23%       22%      13%     17%      26%     24%     26%     27%        21%       24%
   Clients 41-99 Svc Hrs         5%       12%       15%       17%       13%       4%      7%      13%     16%     14%     22%        21%       14%
   Clients 100+ Svc Hrs          0%        1%        2%        6%        2%       0%      0%       2%      3%      4%     12%        13%        4%
            Total Clients      100%      100%      100%      100%      100%     100%    100%     100%    100%    100%    100%       100%      100%
                   Target        6.0      25.0      60.0    150.0      N/A        6.0     6.0    25.0    60.0   150.0   150.0      150.0       N/A
            Actual Median        8.2       9.1      13.3     14.0      10.1       2.7     6.3    10.2    12.5    13.9    23.4       24.7       11.5
                    Low         -         0.2        0.1      0.0        -        0.2     0.1     -       0.1     0.1     0.2        0.4        -
                 Average       13.4      17.7       26.3     30.2       22.1      8.6    11.9    19.9    24.3    26.4    43.8       45.0       25.7
                    High      127.0     158.8    1,572.7    468.6    1,572.7     66.2    94.3   323.4   334.2   276.1   350.0      163.1      334.2




Data Book                                                                                                                       Page 4, April 2008
  San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
  4. Comparison of Clinician Hours per Client with LOCUS Targets
  FY 2005-2006 Compared with FY 2006-2007
   Notes: Mode 10 = Day Services; Mode 15 = Mental Health Services
                                            FY2005-2006                                                 FY2006-2007
                                                              Section 7: Non-IEP Children - Modes 10 and 15
                             LOCUS     LOCUS     LOCUS     LOCUS               LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS
                             Level 1   Level 2   Level 3   Level 4   Totals    Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6      Totals
                   Clients      117       202       223       188       730       67     185      332     299     218     192         19      1,312
             Client Ratios      16%       28%       31%       26%      100%       5%     14%      25%     23%     17%     15%         1%      100%
    Clients 0-15 Svc Hrs        57%       51%       42%       43%       47%      88%     66%      48%     41%     39%     31%        37%       47%
   Clients 16-40 Svc Hrs        25%       28%       29%       23%       27%       9%     23%      27%     28%     31%     34%        26%       27%
   Clients 41-99 Svc Hrs        15%       20%       23%       27%       22%       3%      9%      23%     27%     22%     22%        32%       21%
   Clients 100+ Svc Hrs          3%        1%        6%        7%        4%       0%      2%       3%      4%      8%     12%         5%        5%
            Total Clients      100%      100%      100%      100%      100%     100%    100%     100%    100%    100%    100%       100%      100%
                   Target        6.0      25.0      60.0    150.0      N/A        6.0     6.0    25.0    60.0   150.0   150.0      150.0       N/A
            Actual Median       10.9      15.2      20.8     23.4      16.1       2.5     7.1    17.6    22.0    25.1    26.8       26.9       18.1
                    Low         0.5       0.2       0.1       0.0       0.0       0.1     0.2     0.2     0.3     0.0     0.2        0.5        0.0
                 Average       22.0      24.5      33.6      36.1      29.9       7.4    16.8    27.8    33.6    37.6    47.7       37.2       29.7
                    High      180.7     234.2     250.9     227.0     250.9      97.5   123.7   166.6   287.4   388.2   350.0      150.4      388.2

                                                                 Section 8: IEP Children - Modes 10 and 15
                             LOCUS     LOCUS     LOCUS     LOCUS               LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS LOCUS
                             Level 1   Level 2   Level 3   Level 4   Totals    Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6      Totals
                   Clients       41        69       102        98       310        1      41       93     105      95      89          5       429
             Client Ratios      13%       22%       33%       32%      100%       0%     10%      22%     24%     22%     21%         1%      100%
    Clients 0-15 Svc Hrs        37%       26%       20%        7%       19%       0%     41%      27%     23%      7%      9%         0%       19%
   Clients 16-40 Svc Hrs        37%       36%       32%       24%       31%     100%     32%      35%     24%     22%     13%         0%       24%
   Clients 41-99 Svc Hrs        24%       30%       35%       36%       33%       0%     27%      23%     34%     44%     36%        20%       33%
   Clients 100+ Svc Hrs          2%        7%       13%       33%       16%       0%      0%      15%     19%     26%     42%        80%       23%
            Total Clients      100%      100%      100%      100%      100%     100%    100%     100%    100%    100%    100%       100%      100%
                   Target        6.0      25.0      60.0    150.0      N/A        6.0     6.0    25.0    60.0   150.0   150.0      150.0       N/A
            Actual Median       20.0      32.2      35.2     72.9      39.7      23.1    23.9    34.7    48.1    68.3    82.3      156.0       50.4
                    Low         0.1       1.0        1.9      0.1        0.1      0.2     0.2     0.1     0.3     0.7     1.1       90.3        0.1
                 Average       34.9      38.6       70.2     93.4       65.8     23.1    27.6    47.6    70.2    94.5    99.8      178.6       77.3
                    High      345.2     151.7    1,572.7    456.0    1,572.7     23.1    94.3   316.3   640.6   751.7   497.8      308.5      751.7




Data Book                                                                                                                       Page 5, April 2008
5. San Mateo County Behavioral Health and Recovery Services: LOCUS Score Changes FY2006-FY2007 Comparisons
 Note: The following 30 LOCUS Score records are an example of the 2,732 clients with LOCUS scores in both years. The purpose of this
      report to to illustrate how the graphs on the following two pages were created. Three graphs show the distribution of clients by
      FY07 LOCUS scores and three graphs show the Change in LOCUS scores between the two years.

 LOCUS Level Key:                                                  17-19   = Level 3: High Intensity Community Based Services
      < 10 = Level 0: Basic Services                               20-22   = Level 4: Medically Monitored Non-Residential Services
     10-13 = Level 1: Recovery Maintenance                         23-27   = Level 5: Medically Monitored Residential Services
     14-16 = Level 2: Low Intensity Comm. Based Svcs.                28+   = Level 6: Inpatient Svcs (Medically Managed Residential Svcs)
                                                                                                                              Mode 10 -
                                                    FY07                                                                         Day     Mode 15 - MH
             FY06 LOCUS FY07 LOCUS FY06 LOCUS      LOCUS                   FY05 Score    FY06 Score     Days      Mode 5 - IP Services     Services
 Age Group      Level      Level      Score         Score      Change         Date          Date       Elapsed      Days      Encounters Encounters
   0-17          1            3          10           17          7         30-Sep-05     20-Sep-06         355                                   29
   0-17          2            3          14           17          3         30-May-06     15-May-07         350                                   23
   0-17          2            1          14           10          -4        21-Sep-05     28-Sep-06         372                                   39
   0-17          3            3          17           18          1          1-Dec-05     30-Nov-06         364                                   35
   0-17          3            2          17           14          -3        15-Feb-06      4-Jun-07         474                                  140
   0-17          4            3          20           18          -2        28-Apr-06     28-Aug-06         122           3                      261
   0-17          4            5          20           25          5         11-Aug-05     29-Sep-06         414                                    5
   0-17          5            4          23           20          -3        26-Jun-06      1-May-07         309                                   61
   0-17          5            5          23           23          0         21-Jun-06     21-Sep-06          92                      10           13
   0-17          6            5          28           23          -5         1-Feb-06      4-Dec-06         306                                   25
   18-59         1            2          10           14          4         15-Dec-05     21-Dec-06         371                                   20
   18-59         2            4          14           22          8         26-May-06     13-Oct-06         140         350                       74
   18-59         2            1          14           13          -1        22-May-06     21-May-07         364                                   25
   18-59         3            3          17           17          0         19-Oct-05     30-Oct-06         376                                   59
   18-59         3            4          17           20          3         20-Oct-05     16-Nov-06         392                                   17
   18-59         4            4          20           22          2         31-Mar-06     28-Mar-07         362         365                       89
   18-59         4            4          20           20          0          8-Sep-05      7-Sep-06         364                       2           55
   18-59         5            3          23           18          -5        18-Jan-06      5-Oct-06         260         271                       73
   18-59         5            5          23           23           0         2-Aug-05      4-Apr-07         610                                   26
   18-59         6            5          31           26          -5        13-Mar-06     21-Feb-07         345         185           9          349
    60+          1            2          10           14           4        23-Mar-06     27-Mar-07         369                                   68
    60+          1            1          10           11           1         8-May-06     24-May-07         381                                   48
    60+          2            1          14           13          -1        20-Jun-06     17-May-07         331                                   20
    60+          2            4          14           21           7        28-Jun-06     10-Nov-06         135                                   61
    60+          3            4          17           20           3        23-Mar-06     29-Jan-07         312                                   37
    60+          3            2          17           16          -1         7-Oct-05     17-Nov-06         406                                   12
    60+          4            3          20           19          -1          7-Jul-05      6-Jul-06        364                                   69
    60+          4            4          20           20           0         3-Jan-06      2-Jan-07         364         365                      144
    60+          5            5          23           25           2        18-Nov-05      4-Dec-06         381                                   16
    60+          5            3          23           18          -5        29-Nov-05     30-Nov-06         366                                  221
5. San Mateo County Behavioral Health and Recovery Services: LOCUS Score Distribution Curves and FY2006 to FY2007
Score Changes For All Clients with LOCUS Scores in Both Years

                                     Child LOCUS Score Distribution Curve FY2007                                                            Child LOCUS Score Changes: FY2006 to FY2007
                                                                                                                             80
            45
            40                                                                                                               70

            35                                                                                                               60
            30                                                                                                               50




                                                                                                                   Clients
   Clients




            25                                                                                                               40
            20
                                                                                                                             30
            15
                                                                                                                             20
            10
             5                                                                                                               10

             0                                                                                                                0
                     1       3       5   7     9    11   13   15   17 19 21   23   25   27   29   31   33   35                    -20 -18 -16 -14 -12 -10 -8     -6     -4   -2   0   2   4   6    8    10   11    13    15
                                                                   Scores                                                                                             Score Changes

                                                             Locus Score Changes, This Year:                         % with drop of 3+ points: 21%                            % with increase of 3+ points: 26%
                                             Locus Score Changes from Last Year's Report Year:                       % with drop of 3+ points: 23%                            % with increase of 3+ points: 22%


                                     Adult LOCUS Score Distribution Curve FY2007                                                           Adult LOCUS Score Changes: FY2006 to FY2007
             200                                                                                                       500
             180                                                                                                       450
             160                                                                                                       400
             140                                                                                                       350
             120                                                                                                       300
  Clients




                                                                                                                   Clients
             100
                                                                                                                       250
             80
                                                                                                                       200
             60
                                                                                                                       150
             40
                                                                                                                       100
             20
                                                                                                                             50
                 0
                                                                                                                             0
                         1       3   5   7      9   11 13 15 17 19 21 23 25 27 29 31 33 35
                                                                                                                                  -20 -18 -16 -14 -12 -10   -8   -6     -4   -2   0   2   4   6     8   10    11    13    15
                                                             Scores                                                                                                   Score Changes


                                                             Locus Score Changes, This Year:                         % with drop of 3+ points: 20%                            % with increase of 3+ points: 14%
                                             Locus Score Changes from Last Year's Report Year:                       % with drop of 3+ points: 20%                            % with increase of 3+ points: 17%
   LOCUS Level Key:                                                                                              17-19       = Level 3: High Intensity Community Based Services
     < 10 = Level 0: Basic Services                                                                              20-22       = Level 4: Medically Monitored Non-Residential Services
    10-13 = Level 1: Recovery Maintenance                                                                        23-27       = Level 5: Medically Monitored Residential Services
    14-16 = Level 2: Low Intensity Community Based Services                                                        28+       = Level 6: Inpatient Services (Medically Managed Residential Services)

Data Book                                                                                                                                                                                         Page 1, April 2008
5. San Mateo County Behavioral Health and Recovery Services: LOCUS Score Distribution Curves and FY2006 to FY2007
Score Changes For All Clients with LOCUS Scores in Both Years


                         Older Adult LOCUS Score Distribution Curve FY2007                                                           Older Adult LOCUS Score Changes: FY2005 to FY2007
                                                                                                                      140
            50
            45                                                                                                        120
            40
                                                                                                                      100
            35
                                                                                                                      80




                                                                                                            Clients
            30
  Clients




            25
                                                                                                                      60
            20
            15                                                                                                        40
            10
                                                                                                                      20
            5
            0                                                                                                          0
                 1   3     5   7     9   11   13   15   17 19    21   23   25   27   29   31   33   35                      -20 -18 -16 -14 -12 -10 -8   -6    -4   -2   0    2   4   6     8   10   11   13   15
                                                        Scores                                                                                                Score Changes


                                                   Locus Score Changes, This Year:                            % with drop of 3+ points: 13%                         % with increase of 3+ points: 13%
                                   Locus Score Changes from Last Year's Report Year:                          % with drop of 3+ points: 17%                         % with increase of 3+ points: 16%
    LOCUS Level Key:                                                                                     17-19        = Level 3: High Intensity Community Based Services
      < 10 = Level 0: Basic Services                                                                     20-22        = Level 4: Medically Monitored Non-Residential Services
     10-13 = Level 1: Recovery Maintenance                                                               23-27        = Level 5: Medically Monitored Residential Services
     14-16 = Level 2: Low Intensity Community Based Services                                               28+        = Level 6: Inpatient Services (Medically Managed Residential Services)




Data Book                                                                                                                                                                                 Page 2, April 2008
San Mateo County Behavioral Health and Recovery Services

           C. Initiation and Engagement Reports
6. San Mateo County Initiation and Engagement Analysis Summary - All Cases/All Diagnoses
Episode Data Analysis, FY2006/2007
                                Met Initiation        Didn't Meet Initiation Standard                           Didn't Meet Engagement Standard
                                Standard (2nd                           Second Visit Too      Met Engagement                      Fourth Visit Too
             Total Episodes     visit, 14 days)    No Second Visit             Late              Standard      No Fourth Visit          Late
                #    %           #        %           #       %           #       %              #      %        #        %          #        %
 All Ages     7,598 100%       4,263      56%       2,331     31%       1,004     13%           2,826   37%     1,050     14%        387      5%


                                                                                                               Fourth Visit Too
                                                   Second Visit                                                 Late 387 (5%)
                                                    Too Late
                                                   1,004 (13%)                                                 No Fourth Visit
                                                                             Met Initiation                     1,050 (14%)
                                                                              Standard
                                                                                 4,263
                                                                            (56% of Total)
                                                                                                               Met Engagement
                                                  No Second Visit                                                 Standard
                                                    2,331 (31%)                                                     2,826
                                                                                                                (37% of Total)




Episode Data Analysis, 4-Year Comparisons
                                Met Initiation        Didn't Meet Initiation Standard                           Didn't Meet Engagement Standard
                                Standard (2nd                           Second Visit Too      Met Engagement                      Fourth Visit Too
             Total Episodes     visit, 14 days)    No Second Visit             Late              Standard      No Fourth Visit          Late
                #      %         #        %           #       %           #       %              #      %        #        %          #        %
 FY2007       7,598   100%     4,263      56%       2,331     31%       1,004     13%           2,826   37%     1,050     14%        387      5%
 FY2006       7,263   100%     3,888      54%       2,387     33%         988     14%           2,453   34%     1,058     15%        377      5%
 FY2005       6,725   100%     3,634      54%       2,196     33%         895     13%           2,362   35%       952     14%        320      5%
 FY2004       4,511   100%     2,374      53%       1,585     35%         552     12%           1,391   31%       749     17%        234      5%
OVERVIEW
A new standard is emerging that speaks to important questions about what happens after a client has had their initial contact with the mental
health system. Has treatment been initiated on a timely basis? Has the client been actively engaged in care?
To answer "Yes" to the above two questions, the emerging consensus says that a 2nd visit should occur with 14 days of iniital contact and a 3rd
and 4th visit should occur within 30 days after the second visit. (Source; 2nd Forum on Performance Measures, Carter Center, April 2004)
DEFINITIONS
Episode: Services provided to a client where there wasn't a break in service longer than 119 days. If a longer break occurred, a new episode began.
Initiation Standard: A client must have a second visit within 14 days after the first visit to meet the Initiation Standard.
Engagement Standard: A client who met the Initiation Standard must have a 3rd and 4th visit within 30 days after the 2nd visit (4 visits in 44 days).


 Data Book                                                                                                                                           Page 1, April 2008
7. San Mateo County Initiation and Engagement Analysis Detail, FY2006/2007 - All Cases/All Diagnoses
                                                                    Didn't Meet Initiation Standard                      Didn't Meet Engagement Standard
                                                 Met Initiation                      Second Visit Too   Met Engagement                     Fourth Visit Too
                                Total Episodes    Standard        No Second Visit         Late             Standard      No Fourth Visit        Late
                                  #       %       #         %       #       %            #       %        #        %       #        %         #       %
Section 1: Age Analysis
 Children (0-17)                2,477   100%     1,608     65%       572    23%         297      12%      1,189   48%      290      12%      129       5%
 Adults (18-59)                 4,521   100%     2,397     53%     1,551    34%         573      13%      1,501   33%      675      15%      221       5%
 Older Adults (60+)               600   100%       258     43%       208    35%         134      22%        136   23%       85      14%       37       6%
 All Ages                       7,598   100%     4,263     56%    \2,331    31%       1,004      13%      2,826   37%    1,050      14%      387       5%
Section 2: Payor Analysis
 Medi-Cal                       2,241   100%     1,436     64%      504     22%         301      13%        968   43%      319      14%      149       7%
 Medi-Cal + Insured               118   100%        74     63%       23     19%          21      18%         55   47%       15      13%        4       3%
 Medi-Cal + Uninsured             608   100%       413     68%      102     17%          93      15%        313   51%       68      11%       32       5%
 Medicare                         119   100%        62     52%       40     34%          17      14%         41   34%       15      13%        6       5%
 Medi-Medi                        878   100%       413     47%      257     29%         208      24%        222   25%      120      14%       71       8%
 Insured                          424   100%       143     34%      243     57%          38       9%         92   22%       44      10%        7       2%
 Healthy Families/Kids            363   100%       261     72%       64     18%          38      10%        200   55%       37      10%       24       7%
 Uninsured                      2,847   100%     1,461     51%    1,098     39%         288      10%        935   33%      432      15%       94       3%
 Total by Payor                 7,598   100%     4,263     56%    2,331     31%       1,004      13%      2,826   37%    1,050      14%      387       5%
Section 3: Ethnicity Analysis
 A - Other Asian                   66   100%        32     48%       22     33%          12      18%         15   23%       12      18%        5       8%
 B - Black/Afr-Am                 760   100%       455     60%      208     27%          97      13%        315   41%       97      13%       43       6%
 C - Chinese                       97   100%        52     54%       27     28%          18      19%         33   34%       15      15%        4       4%
 F - Filipino                     240   100%       122     51%       74     31%          44      18%         74   31%       36      15%       12       5%
 H - Hisp/Lat                   2,675   100%     1,721     64%      617     23%         337      13%      1,212   45%      351      13%      158       6%
 N - Am-Ind/Al-Nat                 39   100%        26     67%        7     18%           6      15%         21   54%        3       8%        2       5%
 O - Other                        610   100%       261     43%      290     48%          59      10%        150   25%       86      14%       25       4%
 P - Nat-HI/Pac-Is                139   100%        84     60%       42     30%          13       9%         59   42%       22      16%        3       2%
 U - Unknown                      492   100%       251     51%      151     31%          90      18%        141   29%       85      17%       25       5%
 W - White                      2,480   100%     1,259     51%      893     36%         328      13%        806   33%      343      14%      110       4%
 Total by Ethnicity             7,598   100%     4,263     56%    2,331     31%       1,004      13%      2,826   37%    1,050      14%      387       5%
Section 4: Language Analysis
 English                        5,591   100%     3,077     55%    1,800     32%         714      13%      2,033   36%      775      14%      269       5%
 Other                            137   100%        71     52%       43     31%          23      17%         46   34%       20      15%        5       4%
 Spanish                        1,505   100%       949     63%      366     24%         190      13%        672   45%      193      13%       84       6%
 Tagalog                           38   100%        19     50%       14     37%           5      13%         13   34%        4      11%        2       5%
 Unknown                          327   100%       147     45%      108     33%          72      22%         62   19%       58      18%       27       8%
 Total by Language              7,598   100%     4,263     56%    2,331     31%       1,004      13%      2,826   37%    1,050      14%      387       5%
7. San Mateo County Initiation and Engagement Analysis Detail, FY2006/2007 - All Cases/All Diagnoses
                                                                                       Didn't Meet Initiation Standard                           Didn't Meet Engagement Standard
                                                              Met Initiation                            Second Visit Too       Met Engagement                      Fourth Visit Too
                                       Total Episodes          Standard              No Second Visit         Late                 Standard       No Fourth Visit        Late
                                          #          %          #        %             #       %            #        %            #         %      #        %         #       %
Section 5: LOCUS Level
 Level 0                                  88       100%         24       27%            58     66%           6        7%            13     15%      10      11%        1       1%
 Level 1                                 328       100%        197       60%            88     27%          43       13%           155     47%      16       5%       26       8%
 Level 2                                 611       100%        436       71%            88     14%          87       14%           350     57%      43       7%       43       7%
 Level 3                                 681       100%        507       74%            76     11%          98       14%           426     63%      39       6%       42       6%
 Level 4                                 624       100%        455       73%            85     14%          84       13%           401     64%      24       4%       30       5%
 Level 5                                 362       100%        273       75%            31      9%          58       16%           234     65%      24       7%       15       4%
 Level 6                                  31       100%         23       74%             4     13%           4       13%            18     58%       2       6%        3      10%
 No LOCUS Level                        4,873       100%      2,348       48%         1,901     39%         624       13%         1,229     25%     892      18%      227       5%
 Total by LOCUS                        7,598       100%      4,263       56%         2,331     31%       1,004       13%         2,826     37%   1,050      14%      387       5%
Section 6: Diagnostic Category
 Major Depression                        637       100%        412       65%           114     18%         111       17%           308     48%       59      9%        45      7%
 Schizophrenia/Other Psychotic           537       100%        294       55%           151     28%          92       17%           198     37%       70     13%        26      5%
 Schizoaffective                          75       100%         44       59%            18     24%          13       17%            35     47%        5      7%         4      5%
 Bipolar Disorder                        355       100%        203       57%            98     28%          54       15%           156     44%       24      7%        23      6%
 Other Selected MH                     1,180       100%        760       64%           244     21%         176       15%           550     47%      122     10%        88      7%
 Alzheimer-Type Dementia                   7       100%          4       57%             1     14%           2       29%             4     57%               0%                0%
 Other MH                              1,139       100%        700       61%           285     25%         154       14%           554     49%      91       8%       55       5%
 Substance Abuse                         317       100%         84       26%           212     67%          21        7%            38     12%      38      12%        8       3%
 799.9 Only                            3,021       100%      1,607       53%         1,107     37%         307       10%           867     29%     624      21%      116       4%
 Other, Non-MH                           318       100%        149       47%            98     31%          71       22%           113     36%      15       5%       21       7%
 Not Available                            12       100%          6       50%             3     25%           3       25%             3     25%       2      17%        1       8%
 Total by Diagnosis                    7,598       100%      4,263       56%         2,331     31%       1,004       13%         2,826     37%   1,050      14%      387       5%

Definitions
 Episode: Services provided to a client where there wasn't a break in service longer than 119 days. If a longer break occurred, a new episode began.
 Initiation Standard: A client must have a second visit within 14 days after the first visit to meet the Initiation Standard.
 Engagement Standard: A client who met the Initiation Standard must have a 3rd and 4th visit within 30 days after the 2nd visit 4 visits in 44 days).
                                                   Day 1                             Day 14                                                       Day 44
                                                   |                                      |                                                            |
                                     First Visit           2nd Visit: Inititiation                              3rd and 4th Visits: Engagement
7. San Mateo County Initiation and Engagement Analysis Detail, FY2006/2007 - All Cases/All Diagnoses
                                                                            Didn't Meet Initiation Standard                      Didn't Meet Engagement Standard
                                                         Met Initiation                      Second Visit Too   Met Engagement                     Fourth Visit Too
                                        Total Episodes    Standard        No Second Visit         Late             Standard      No Fourth Visit        Late
                                          #       %       #         %       #       %            #       %        #        %       #        %         #       %
Section 7: Organization (If a client was served in multiple programs, they are included in each program)
PES                                    1,183 100%        375 32%         707 60%          101    9%                210    18%       138     12%       27       2%
Access                                 2,425 100%      1,341 55%         753 31%          331 14%                  776    32%       445     18%      120       5%
Mg Care Network, excl Access             624 100%        293 47%         173 28%          158 25%                  139    22%        93     15%       61      10%
61202 Primary Care Interface             719 100%        471 66%         146 20%          102 14%                  319    44%        88     12%       64       9%
61601 Elder Mental Health Outreach        32 100%         25 78%           1     3%         6 19%                   21    66%         1      3%        3       9%
Youth Services
61301 Youth Svcs, Contract Providers      276   100%       198 72%            54    20%           24      9%        151 55%            38   14%         9      3%
61302 Youth Svcs - North County            50   100%        36 72%            10    20%            4      8%         27 54%             6   12%         3      6%
61304 Youth Svcs - Central/South Co        32   100%        22 69%             4    13%            6     19%         13 41%             4   13%         5     16%
61305 Youth Svcs - Case Mngt               79   100%        56 71%            14    18%            9     11%         33 42%            18   23%         5      6%
61306 Youth Svcs - Coastside               51   100%        41 80%             6    12%            4      8%         36 71%             1    2%         4      8%
61307 Youth Svcs - Hillcrest              364   100%       252 69%            63    17%           49     13%        197 54%            42   12%        13      4%
61308 Youth Svcs - MH/HSA                 294   100%       247 84%            25     9%           22      7%        204 69%            26    9%        17      6%
61309 Youth Svcs - PalosV. Sp Ed          104   100%        92 88%             3     3%            9      9%         84 81%             4    4%         4      4%
61310 Youth Svcs - Ther Day School          3   100%         3 100%                  0%                   0%          3 100%                 0%                0%
61311 Youth Svcs - Healthy Steps          344   100%       248 72%           44     13%          52      15%        181 53%          54     16%        13      4%
61314 Youth Svcs - CPA 2000               255   100%        50 20%          183     72%          22       9%         40 16%           9      4%         1      0%
61408 Youth Services - East Palo Alto      55   100%        47 85%            5      9%           3       5%         43 78%           3      5%         1      2%
Subtotal - Youth Svcs (duplicated)      1,907   100%     1,292 68%          411     22%         204      11%      1,012 53%         205     11%        75      4%
Adult Services
61401 Adult Svcs, Contract Providers       48   100%       29      60%        9     19%          10      21%        25    52%           1    2%         3      6%
61403 Adult Svcs - North County           114   100%       37      32%       42     37%          35      31%        22    19%           6    5%         9      8%
61404 Adult Svcs - Central County          52   100%       20      38%       12     23%          20      38%        11    21%           8   15%         1      2%
61406 Adult Svcs - South County            44   100%       22      50%       15     34%           7      16%        14    32%           6   14%         2      5%
61408 Adult Svcs - East Palo Alto         141   100%      124      88%       11      8%           6       4%       106    75%          14   10%         4      3%
61410 Adult Svcs - Resource Mgmt          229   100%      198      86%       24     10%           7       3%       146    64%          39   17%        13      6%
61306 Youth Services - Coastside           48   100%       22      46%       11     23%          15      31%        16    33%           2    4%         4      8%
Subtotal - Adult Svcs (duplicated)        676   100%      452      67%      124     18%         100      15%       340    50%          76   11%        36      5%
Total Unduplicated                      7,598 100%       4,263     56%    2,331     31%       1,004      13%      2,826   37%    1,050      14%      387       5%
San Mateo County Behavioral Health and Recovery Services

           D. Detail Client and Services Reports
8. San Mateo County Behavioral Health and Recovery Services Unduplicated Client Counts by Service Type, FY2006/2007

                              MENTAL HEALTH SERVICES (Mode 15)**                                 DAY SERVICES (Mode 10)**                              24-HOUR SERVICES (Mode 5)**
                                                                                                                                                                               IMD-
                     MH       Med       CM      Crisis   Lab     Prescrip-   ALL MH     Day Tx Day Tx Cr Stab    SNF    Voc      ALL DAY            Admin    Ad Cr   Adult    MHRC- Resid ALL 24-HR     GRAND
                     Svcs     Supp     Brok     Inter    Svcs     tion ***    SVCS       Full   Half   ER        Aug    Svc       SVCS      Hosp IP Day      Res     Res       SNF Other    SVCS        TOTAL

Children (0-17)
 Medi-Cal***         1,839     380     1,247      256                  5       1,935      56              81                        126        40       1                               14       51         1,938
 Non-Med-Cal         1,360     240       913      249                 11       1,472      57             147                        195        11                                        4       15         1,498
 Total               3,199     620     2,160      505                 16       3,407     113             228                        321        51       1                               18       66         3,436
 Medi-Cal %           57.5%    61.3%    57.7%    50.7%    0.0%      31.3%       56.8%    49.6%   0.0%    35.5%   0.0%    0.0%       39.3%     78.4%   100%    0.0%    0.0%      0.0%   77.8%    77.3%        56.4%


Adults (18-59)
 Medi-Cal***         3,579    2,390    2,932      461                139       4,173      10              671      3       1         682      416     232     125      79      146     332       749        4,320
 Non-Med-Cal         1,991      880    1,687      145                518       2,500       5              968      1                 974      186      76      32       9       10      73       255        3,135
 Total               5,570    3,270    4,619      606                657       6,673      15            1,639      4       1       1,656      602     308     157      88      156     405     1,004        7,455
 Medi-Cal %           64.3%    73.1%    63.5%    76.1%    0.0%      21.2%       62.5%    66.7%   0.0%    40.9%    75%   100.0%      41.2%     69.1%   75%    79.6%   89.8%     93.6%   82.0%    74.6%        57.9%


Older Adults (60+)
  Medi-Cal***          810     511      481        45                  8         959                      63       9                 71        45      29       3       1       26      57      119           978
  Non-Med-Cal          141      93      119        10                 26         189                      48                         48        10       7       1                        6       15           226
  Total                951     604      600        55                 34       1,148                     111       9                119        55      36       4       1       26      63      134         1,204
 Medi-Cal %           85.2%    84.6%    80.2%    81.8%    0.0%      23.5%       83.5%     0.0%   0.0%    56.8%   100%    0.0%       59.7%     81.8%   81%    75.0%   100.0%   100.0%   90.5%    88.8%        81.2%


All Ages
  Medi-Cal***        6,228    3,281    4,660      762                152       7,067      66              815     12       1         879      501     262     128      80      172     403       919     7,236
  Non-Med-Cal        3,492    1,213    2,719      404                555       4,161      62            1,163      1               1,217      207      83      33       9       10      83       285     4,859
  Total              9,720    4,494    7,379    1,166                707      11,228     128            1,978     13       1       2,096      708     345     161      89      182     486     1,204    12,095
 Medi-Cal %           64.1%    73.0%    63.2%    65.4%    0.0%      21.5%       62.9%    51.6%   0.0%    41.2%    92%   100.0%      41.9%     70.8%   76%    79.5%   89.9%     94.5%   82.9%    76.3%        59.8%


          Note **:   There were 10,985 total individuals served during the year. Some were served with more than 1 service-type. These persons will be found in
                     more than one column, so figures across the column are duplicated. This gives us the best picture of who was served where.

         Note ***:   Prescription counts only include clients whose prescription services were recorded in the main mental health database; this is not a complete list of clients receiving medications.
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
9. Client Service Hours by Service Type
Mental Health & Day Services
(Modes 15 and 10)
                                          Medi-Cal Hours                                           Non-Medi-Cal Hours                                             T
                                      Managed                       Pct of    Medi-              Managed                                Non-                Managed
                            County     Care   Contract              Total      Cal     County     Care   Contract             Pct of   Medi-Cal   County     Care
                             Clinic   Network Provider     Total     Hrs     Clients    Clinic   Network Provider   Total    Total Hrs Clients     Clinic   Network
1. Children 0-17
Individual
  Assessment/Intake           4,126       390    1,568      6,084     7%       1,282     4,221       123      491    4,834       7%        986      8,347       513
  Case Management             5,534       178    1,363      7,075     8%       1,247     2,804         4      596    3,405       5%        913      8,338       183
  Individual Therapy         10,710     4,187    4,112     19,008    21%       1,219     6,910     1,072    2,457   10,440      15%        786     17,620     5,259
  Rehabilitation Services     5,657       293    2,487      8,437     9%       1,488     3,296         2    1,548    4,845       7%       1001      8,953       294
  Medication Management       2,599         6      170      2,775     3%         380     1,360                194    1,554       2%        240      3,959         6
  TBS                                            2,383      2,383     3%          49                           62       62       0%          1          0         0
  Vocational                                                    0     0%                                                 0       0%                     0         0
  Total                      28,626     5,054   12,083     45,762    50%                18,592     1,201    5,348   25,140      36%                47,217     6,254
Group
  Day Treatment *            24,197             10,086     34,283    38%         56     38,025                287   38,312      54%         57     62,222         0
  Group/Social Therapy        3,959       233      253      4,446     5%        116      1,998        23      574    2,595       4%        111      5,957       257
  Total                      28,157       233   10,339     38,729    43%                40,023        23      861   40,907      58%                68,179       257
Crisis/Stabilization
  Crisis/Stabilization        2,066         4      138      2,208      2%       271      2,246                 80    2,326       3%        295      4,312         4
Other
  Collateral                  2,666       156    1,194      4,016      4%       835      1,719        25      549    2,292       3%        592      4,385       181
Total                        61,514     5,448   23,754     90,716 100%                  62,579     1,249    6,839   70,667     100%               124,093     6,696

Medication Management Analysis**
 Clients Served           350               3      47        380                          229       -         16      240                            579          3
 Client Service Hours   2,599               6     170      2,775                        1,360       -       194     1,554                          3,959          6
 Average Hours/Client    7.43            2.11    3.62       7.30                         5.94       -      12.13     6.48                           6.84       2.11
 Total Clients Served   1,726            474     418       1,938                        1,354       126     246     1,497                          3,080       600
 Med Svc % of Total                                          20%                                                      16%

Note **: Medication Management Services include Medication Support, Medication Injection, Medication (RX), Risperdal Consta Injection.




        Data Book                                                                                                                                                     Page 1, April 2008
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
9. Client Service Hours by Service Type
Mental Health & Day Services
(Modes 15 and 10)
                                          Medi-Cal Hours                                           Non-Medi-Cal Hours                                              T
                                      Managed                       Pct of    Medi-              Managed                                 Non-                Managed
                            County     Care   Contract              Total      Cal     County     Care   Contract              Pct of   Medi-Cal   County     Care
                             Clinic   Network Provider     Total     Hrs     Clients    Clinic   Network Provider   Total     Total Hrs Clients     Clinic   Network
2. Adults 18-59
Individual
  Assessment/Intake           3,692     1,583      425   5,700        4%      1,776      3,779        40       96    3,916       10%      1,276      7,472     1,624
  Case Management            17,729         1   12,004  29,734       23%      2,932      5,830                641    6,471       17%      1,687     23,559         1
  Individual Therapy          8,411     8,667      353  17,431       14%      1,602      4,304       198      275    4,777       13%        568     12,715     8,865
  Rehabilitation Services    10,398         3   23,091  33,492       26%      2,845      3,150              1,252    4,402       12%      1,325     13,548         3
  Medication Management      13,381       221    3,046  16,648       13%      2,390      4,209         4      166    4,378       12%        880     17,590       224
  TBS                                               92      92        0%          5                                      0        0%                     0         0
  Vocational                                       285     285        0%          1                                      0        0%                     0         0
  Total                      53,611    10,475   39,295 103,381       81%                21,272       242    2,430   23,943       63%                74,883    10,717
Group
  Day Treatment *             6,357              1,403      7,760      6%        10      1,699                       1,699        4%          5      8,056         0
  Group/Social Therapy        1,457        97      199      1,753      1%       251        472         5       43      520        1%         71      1,929       102
  Total                       7,814        97    1,602      9,512      7%                2,171         5       43    2,219        6%                 9,985       102
Crisis/Stabilization
  Crisis/Stabilization       13,303        17      463     13,783    11%        931     11,425         1       14   11,441       30%      1,063     24,729        18
Other
  Collateral                    660        96      450      1,206      1%       612        189         3       30       223       1%       173         849        99
Total                        75,388    10,685   41,809 127,882 100%                     35,058       251    2,517   37,826      100%               110,446    10,936

Medication Management Analysis
 Clients Served         2,062             142     247       2,390                         860          3      19      880                           2,922       145
 Client Service Hours  13,381             221   3,046      16,648                       4,209          4     166    4,378                          17,590       224
 Average Hours/Client    6.49            1.55   12.33        6.97                        4.89       1.17    8.75     4.98                            6.02      1.54
 Total Clients Served   3,947           1,068     787       4,298                       3,026         38     621    3,120                           6,973     1,106
 Med Svc % of Total                                           56%                                                     28%

Note *: Adult Day Treatment hours were provided to 18 and 19 year olds.
Note **: Medication Management Services include Medication Support, Medication Injection, Medication (RX), Risperdal Consta Injection.




        Data Book                                                                                                                                                      Page 2, April 2008
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
9. Client Service Hours by Service Type
Mental Health & Day Services
(Modes 15 and 10)
                                          Medi-Cal Hours                                           Non-Medi-Cal Hours                                              T
                                      Managed                       Pct of    Medi-              Managed                                 Non-                Managed
                            County     Care   Contract              Total      Cal     County     Care   Contract              Pct of   Medi-Cal   County     Care
                             Clinic   Network Provider     Total     Hrs     Clients    Clinic   Network Provider   Total     Total Hrs Clients     Clinic   Network
3. Older Adults 60+
Individual
  Assessment/Intake             328       745       48      1,121     6%        364        146        30       27      203        6%        73         474       775
  Case Management             3,034              1,476      4,510    26%        481        577                154      731       23%       119       3,612         0
  Individual Therapy            433     1,895       30      2,357    14%        325        162        35               197        6%        28         595     1,930
  Rehabilitation Services     2,325              2,584      4,909    28%        505        420                273      693       22%        92       2,746         0
  Medication Management       2,641        80      419      3,140    18%        511        568         0       94      662       21%        93       3,209        81
  TBS                                                           0     0%                                                 0        0%                     0         0
  Vocational                                                    0     0%                                                 0        0%                     0         0
  Total                       8,762     2,720    4,556     16,038    92%                 1,873        65      547    2,486       79%                10,635     2,786
Group
  Day Treatment *                                               0      0%                                                0        0%                     0         0
  Group/Social Therapy          136        23        2        161      1%        30         45                  1       46        1%          6        181        23
  Total                         136        23        2        161      1%                   45         0        1       46        1%                   181        23
Crisis/Stabilization
  Crisis/Stabilization        1,008         1       52      1,060      6%        95        600                  2       602      19%         54      1,608         1
Other
  Collateral                     56        97       40        194      1%       127         16                  8       24        1%         17         72        97
Total                         9,962     2,840    4,651     17,453 100%                   2,534        65      558    3,157      100%                12,496     2,906

Medication Management Analysis
 Clients Served           417              63      41        511                           87          1       5       93                             504         64
 Client Service Hours   2,641              80    419       3,140                         568           0      94     662                            3,209         81
 Average Hours/Client    6.33            1.28   10.21       6.15                         6.53       0.25   18.71     7.11                            6.37       1.26
 Total Clients Served     718            418     100         972                         208          13      38      225                             926       431
 Med Svc % of Total                                          53%                                                     41%

Note **: Medication Management Services include Medication Support, Medication Injection, Medication (RX), Risperdal Consta Injection.




        Data Book                                                                                                                                                      Page 3, April 2008
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
9. Client Service Hours by Service Type
Mental Health & Day Services
(Modes 15 and 10)
                                          Medi-Cal Hours                                           Non-Medi-Cal Hours                                             T
                                      Managed                       Pct of    Medi-              Managed                                Non-                Managed
                            County     Care   Contract              Total      Cal     County     Care   Contract             Pct of   Medi-Cal   County     Care
                             Clinic   Network Provider     Total     Hrs     Clients    Clinic   Network Provider   Total    Total Hrs Clients     Clinic   Network
4. All Clients
Individual
  Assessment/Intake           8,147     2,718    2,040  12,905        5%       3,422     8,146       193      614    8,953       8%      2,335     16,293     2,911
  Case Management            26,296       179   14,843  41,319       18%       4,660     9,212         4    1,391   10,607      10%      2,719     35,509       183
  Individual Therapy         19,554    14,748    4,494  38,796       16%       3,146    11,376     1,305    2,732   15,414      14%      1,382     30,930    16,054
  Rehabilitation Services    18,380       296   28,162  46,838       20%       4,838     6,866         2    3,073    9,940       9%      2,418     25,246       297
  Medication Management      18,622       307    3,635  22,563       10%       3,281     6,137         4      454    6,594       6%      1,213     24,758       311
  TBS                             0         0    2,475   2,475        1%          54         0         0       62       62       0%          1          0         0
  Vocational                      0         0      285     285        0%           1         0         0        0        0       0%          0          0         0
  Total                      90,998    18,249   55,935 165,182       70%                41,737     1,507    8,325   51,570      46%               132,736    19,757
Group
  Day Treatment *            30,554         0   11,489     42,043    18%         66     39,724         0      287   40,011      36%         62     70,278         0
  Group/Social Therapy        5,552       353      455      6,360     3%        397      2,515        28      617    3,160       3%        188      8,067       381
  Total                      36,106       353   11,943     48,403    21%                42,239        28      904   43,171      39%                78,345       381
Crisis/Stabilization
  Crisis/Stabilization       16,376        22      653     17,051      7%      1,297    14,271         1       96   14,369      13%      1,412     30,648        23
Other
  Collateral                  3,382       349    1,684      5,415      2%      1,574     1,924        28      588    2,540       2%        782      5,306       377
Total FY2007                146,863    18,973   70,214 236,051 100%                    100,171     1,565    9,913 111,649      100%               247,035    20,538
Total FY2006                127,171    15,343   56,983 199,498                          96,810     1,772   15,977 114,559                         223,982    17,115
Change                       19,692     3,630   13,231  36,553                           3,361      -207   -6,064  -2,910                          23,053     3,423

Medication Management Analysis
 Clients Served         2,829            208      335       3,281                       1,176          4      40    1,213                          4,005       212
 Client Service Hours  18,622            307    3,635      22,563                       6,137          4     454    6,594                         24,758       311
 Average Hours/Client    6.58            1.48   10.85        6.88                        5.22       0.94   11.35     5.44                           6.18       1.47
 Total Clients Served                                       7,208                                                   4,842
 Med Svc % of Total                                           46%                                                     25%

Note *: Adult Day Treatment hours were provided to 18 and 19 year olds.
Note **: Medication Management Services include Medication Support, Medication Injection, Medication (RX), Risperdal Consta Injection.




        Data Book                                                                                                                                                     Page 4, April 2008
          San Mateo County Behavioral Health
           and Recovery Services FY2006/2007
          10. Client Service Analysis, Part 1
          All Organizational Units Modes 10, 15                              Clients by Age Group                           New Clients by Age Group                             Clients (0-17)
                                                                                                        Transit-                                         Transit-




                                                                                                                                                                    with ICI**
                                                                                     Older        ional                               Older        ional




                                                                                                                                                                    Clients
                                                                   Child   Adult     Adult  All   Youth            Child     Adult    Adult  All   Youth                                   Non-
Counter   Org and/or Organization Name                             0-17    18-59     60+ Clients 16 to 25          0-17      18-59    60+ Clients 16 to 25                        IEP      IEP
      1   PES                                                        228     1,639      111     1,978       455      164        952      59     1,175       307                    35       193
      2   Access                                                     967     2,484      270     3,721       575      630      1,515     131     2,276       393     2,726          22       945
      3   Managed Care Network, excluding Access                     600     1,106      431     2,137       256      283        257     168       708       107                    26       574
      4   Primary Care Interface^                                    170       745       70       985       138      154        475      51       680       100                     3       167
      5   61601 Elder Mental Health Outreach                                    16      156       172                                    39        39

          Youth Services
          61301   Youth Services, Contract Providers *               651       127        1       779        30       N/A      N/A      N/A       N/A       N/A          -        114        537
      6   61302   Youth Services - North County                      244        11                255        78        61                          61        14                    64        180
      7   61304   Youth Services - Central/South County              272        23        1       296        95        76         3                79        25              1    159        113
      8   61305   Youth Services - Case Mngt                         306        87                393       221       159         6               165        74                    67        239
      9   61306   Youth Services - Coastside                          95        11                106        34        42         1                43         9                    31         64
     10   61307   Youth Services - Hillcrest                         562        71                633       382       287        23               310       175           30       60        502
     11   61308   Youth Services - MH/HSA                            421       172                593       112       222        81               303        44           37       16        405
     12   61309   Youth Services - Palos Verdes Special Ed           200         5                205        44       105         2               107        29                   192          8
     13   61310   Youth Services - Therapeutic Day School             88        15                103       138        12                          12        16                    83          5
     14   61311   Youth Services - Healthy Steps (Pre to Three)      102       435                537       228        66      248                314       130         393                  102
     16   61313   Youth Services - Canyon Oaks (Modes 10, 15)         17         3                 20        24         2                           2         2                    14          3
     18   61314   Youth Services - CPA 2000 (Hillcrest)              288        17                305       161       236       12                248       132         253        24        264
     19   61408   Youth Services - East Palo Alto                    147        12                159        44        95        1                 96        18          19        14        133
          Subtotal - Youth Services (unduplicated)                 2,501     1,006       28     3,535     1,389     1,391      441         8    1,840       661         729       449      2,052


          Adult Services
          61401   Adult Services, Contract Providers *                17     1,288      137     1,442       159      N/A       N/A      N/A       N/A       N/A          -             7     10
     20   61403   Adult Services - North County                        9       858      151     1,018       106        5       118        8       131        34                        5      4
     21   61404   Adult Services - Central County                              661       76       737        73                 92        3        95        15
     22   61406   Adult Services - South County                                717      110       827        69                 71        3        74        11
     23   61408   Adult Services - East Palo Alto                      7       413       45       465        69         6      148        6       160        34          72        -          7
     25   61410   Adult Services - Resource Management                 6       504       56       566        65         6      218       11       235        36         541                   6
     26   61306   Adult Services - Coastside                                   120       26       146        11                 25        8        33         1
          Subtotal - Adult Services (unduplicated)                    39     3,297      478     3,814       393        21      807       38       866       133         607        12        27


          Total Unduplicated                                       3,435     7,417    1,198    12,050     2,396     1,942     3,240     394     5,576      1,307    3,841         564      2,871

                                                                  * See Contractor detail on separate report
                                                                  ** The ICI Client counts are a subset of all clients in the Org; see Report 19 for ICI detail.
San Mateo County Behavioral Health
 and Recovery Services FY2006/2007
10. Client Service Analysis, Part 1
All Organizational Units Modes 10, 15                        Client Hours             Clinician Hours                         Clients by Composite LOCUS Score




                                                                                                               No Score


                                                                                                                          Level 0

                                                                                                                                    Level 1


                                                                                                                                              Level 2


                                                                                                                                                        Level 3


                                                                                                                                                                  Level 4


                                                                                                                                                                            Level 5


                                                                                                                                                                                      Level 6
                                                                                                                                    (10-13)


                                                                                                                                              (14-16)


                                                                                                                                                        (17-19)


                                                                                                                                                                  (20-22)


                                                                                                                                                                            (23-27)


                                                                                                                                                                                       (28+)
Org and/or Organization Name                            Total     Avg       Max     Total     Avg    Max
PES                                                      28,228     14.3     159     28,228   14.3      159   1,132          3         20        99       206       274      220         24
Access                                                    9,092      2.4      61      7,962    2.1       61   2,481          8         94       200       344       386      186         22
Managed Care Network, excluding Access                   20,538      9.6      95     20,538    9.6       95   1,489          1         38       107       188       157      137         20
Primary Care Interface^                                   6,288      6.4      59      6,254    6.3       54     410         10        135       173       148        79       29          1
61601 Elder Mental Health Outreach                        5,214     30.3     137      5,214   30.3      137      12          1         14        36        44        42       23

Youth Services
61301   Youth Services, Contract Providers *             34,775     44.6    1,560    25,356   32.5      448      376            5       30        93      102        88       71         14
61302   Youth Services - North County                     5,561     21.8      109     5,294   20.8      109       18            2       25        49       71        49       41
61304   Youth Services - Central/South County             8,502     28.7      159     8,260   27.9      130       15            1       35        74       84        44       40          3
61305   Youth Services - Case Mngt                        7,534     19.2      183     7,475   19.0      183      102                    13        45       72        75       81          5
61306   Youth Services - Coastside                        3,065     28.9      197     2,896   27.3      182       16            1       11        26       25        20        5          2
61307   Youth Services - Hillcrest                       11,062     17.5      124    10,967   17.3      119      211            7       19        65       81        89      145         16
61308   Youth Services - MH/HSA                          15,000     25.3      253    14,829   25.0      253      264            5       37        84       93        54       49          7
61309   Youth Services - Palos Verdes Special Ed          7,985     39.0      304     4,482   21.9      131       17            1       14        48       48        42       31          4
61310   Youth Services - Therapeutic Day School          63,131    612.9    1,244     7,904   76.7      276                                        7       16        40       40
61311   Youth Services - Healthy Steps (Pre to Three)     6,729     12.5      171     6,569   12.2      171      272            5       34        60       85        49       32
61313   Youth Services - Canyon Oaks (Modes 10, 15)       9,417    470.9      925     1,276   63.8      145                                                 1         3       15           1
61314   Youth Services - CPA 2000 (Hillcrest)             1,820      6.0       94     1,819    6.0       94      19         54         61        59        44        34       33           1
61408   Youth Services - East Palo Alto                   2,429     15.3       95     2,397   15.1       95      57                    11        30        23        25       20
Subtotal - Youth Services (unduplicated)                177,009     50.1    1,560    99,525   28.2      448   1,295         77        261       507       565       432      365         33


Adult Services
61401   Adult Services, Contract Providers *             45,352     31.5    1,403    43,825   30.4      386      124        15        147       313       351       296      178         18
61403   Adult Services - North County                    16,895     16.6      185    15,136   14.9      185       36        12         90       273       307       217       75          8
61404   Adult Services - Central County                  10,359     14.1      207     9,861   13.4      207       10        11         91       184       221       147       66          7
61406   Adult Services - South County                    14,836     17.9      213    14,195   17.2      213       11        10        109       202       202       194       91          8
61408   Adult Services - East Palo Alto                   6,076     13.1       74     5,986   12.9       74       82                   19        92        89       123       55          5
61410   Adult Services - Resource Management              5,076      9.0      113     5,076    9.0      113      294         2          4        22        53        70       99         22
61306   Adult Services - Coastside                        2,730     18.7      202     2,546   17.4      191       12         1          5        29        46        35       15          3
Subtotal - Adult Services (unduplicated)                101,325     26.6    1,403    96,625   25.3      386      517        34        346       811       902       772      386         46


Total Unduplicated                                      347,694     28.9    1,560   264,345   21.9      448   5,682       124         763     1,526     1,665     1,378      825         87
San Mateo County Behavioral Health
 and Recovery Services FY2006/2007
10. Client Service Analysis, Part 1
All Organizational Units Modes 10, 15                              Distribution of Composite LOCUS Scores                                                            Client By Financial Class




                                                                                                                                                                                           Medi-Medi
                                                                                                                                                                   Medi-Cal+
                                                                                                                                                                   Uninsured




                                                                                                                                                                                                                                  Uninsured
                                                        No Score




                                                                                                                                                       + Insured



                                                                                                                                                                               Medicare
                                                                                                                                            Medi-Cal

                                                                                                                                                       Medi-Cal
                                                                     Level 0

                                                                               Level 1


                                                                                         Level 2


                                                                                                   Level 3


                                                                                                             Level 4


                                                                                                                       Level 5


                                                                                                                                 Level 6
                                                                               (10-13)


                                                                                         (14-16)


                                                                                                   (17-19)


                                                                                                             (20-22)


                                                                                                                       (23-27)


                                                                                                                                  (28+)




                                                                                                                                                                                                           Insured


                                                                                                                                                                                                                     Families/
                                                                                                                                                                                                                     Healthy

                                                                                                                                                                                                                     Kids
Org and/or Organization Name
PES                                                     57%           0%         1%        5%       10%       14%       11%         1%       376          34        110           64         295            308          38        753
Access                                                  67%           0%         3%        5%        9%       10%        5%         1%     1,473          43        217           55         599             38         222      1,074
Managed Care Network, excluding Access                  70%           0%         2%        5%        9%        7%        6%         1%       944          26         97            6         893             10         117         44
Primary Care Interface^                                 42%           1%        14%       18%       15%        8%        3%         0%       263           2        126            4          56              4          57        473
61601 Elder Mental Health Outreach                       7%           1%         8%       21%       26%       24%       13%          -        24           1          2           19         118                                     8

Youth Services
61301   Youth Services, Contract Providers *            48% 1%                   4%       12%       13%       11%        9%         2%       372         51          47        -                       2     66          77         164
61302   Youth Services - North County                    7% 1%                  10%       19%       28%       19%       16%          -       130         10          16                                1     33          29          36
61304   Youth Services - Central/South County            5% 0%                  12%       25%       28%       15%       14%         1%       118          6          20                                      53          40          59
61305   Youth Services - Case Mngt                      26%   -                  3%       11%       18%       19%       21%         1%       150         31          22                           12         67          48          63
61306   Youth Services - Coastside                      15% 1%                  10%       25%       24%       19%        5%         2%        36          6           4                                      16          34          10
61307   Youth Services - Hillcrest                      33% 1%                   3%       10%       13%       14%       23%         3%       179         23          49                                      44          41         297
61308   Youth Services - MH/HSA                         45% 1%                   6%       14%       16%        9%        8%         1%       341         33          77                                3     14          20         105
61309   Youth Services - Palos Verdes Special Ed         8% 0%                   7%       23%       23%       20%       15%         2%        63         10           4                                      57          14          57
61310   Youth Services - Therapeutic Day School           -   -                   -        7%       16%       39%       39%          -        25         12           1                                1     33          12          19
61311   Youth Services - Healthy Steps (Pre to Three)   51% 1%                   6%       11%       16%        9%        6%          -       219          4         195                                9      4           5         101
61313   Youth Services - Canyon Oaks (Modes 10, 15)       -   -                   -         -        5%       15%       75%         5%        13          3           1                                       2           1
61314   Youth Services - CPA 2000 (Hillcrest)            6% 18%                 20%       19%       14%       11%       11%         0%        70          9          21                                      11          17        177
61408   Youth Services - East Palo Alto                 34%   -                  7%       18%       14%       15%       12%          -        87          6          11                                       7          31         24
Subtotal - Youth Services (unduplicated)                37% 2%                   7%       14%       16%       12%       10%         1%     1,353        142         412            7              68        281         268      1,004
                                                                                                                                             38%         4%         12%           0%              2%         8%          8%        28%

Adult Services
61401   Adult Services, Contract Providers *             9%           1%        10%       22%       24%       21%       12%         1%        261         14        113         33          453                 16          5       547
61403   Adult Services - North County                    4%           1%         9%       27%       30%       21%        7%         1%        311          2         45         54          390                 23          3       190
61404   Adult Services - Central County                  1%           1%        12%       25%       30%       20%        9%         1%        176          6         33         36          282                 18                  186
61406   Adult Services - South County                    1%           1%        13%       24%       24%       23%       11%         1%        228          4         46         35          367                  8          1       138
61408   Adult Services - East Palo Alto                 18%            -         4%       20%       19%       26%       12%         1%        136          3         57         10          110                  6          6       137
61410   Adult Services - Resource Management            52%           0%         1%        4%        9%       12%       17%         4%        150         13         39         18          120                  7                  219
61306   Adult Services - Coastside                       8%           1%         3%       20%       32%       24%       10%         2%         31          2         10          7           43                  7                   46
Subtotal - Adult Services (unduplicated)                14%           1%         9%       21%       24%       20%       10%         1%        991         33        226        151        1,377                 65        14        957
                                                                                                                                              26%         1%         6%         4%          36%                 2%        0%        25%

Total Unduplicated                                      47%           1%          6%      13%       14%       11%         7%        1%     3,786        199         844        234        2,380             609         485      3,513
San Mateo County Behavioral Health
 and Recovery Services FY2006/2007
10. Client Service Analysis, Part 1
All Organizational Units Modes 10, 15                   Client Gender                Clients by Language                                                                       Clients by Ethnicity




                                                                                                                                                                                                  Am-Ind/Al-
                                                                                                                                                 Black/Afr-
                                                                                                                                                 American
                                                                                                                           Unknown




                                                                                                                                                                                                                                  Unknown
                                                                                                                                                                                       Hisp/Lat
                                                                                                                                                              Chinese
                                                                                                   Spanish

                                                                                                             Tagalog




                                                                                                                                                                                                                       Islander
                                                                                                                                                                                                                       HI/Pac-
                                                          Female




                                                                           English




                                                                                                                                                                            Filipino




                                                                                                                                                                                                  Native




                                                                                                                                                                                                                                            White
                                                                                       Other




                                                                                                                                         Other




                                                                                                                                                                                                               Other
                                                                                                                                         Asian
                                                                   Male




                                                                                                                                                                                                                       Nat-
Org and/or Organization Name
PES                                                        918 1,060      1,715          28         201            5         29             25       209         28          53          325           11      243         33       84   967
Access                                                   2,093 1,628      3,042         101         478           10         90             42       343         49         116        1,144           23      253         68      102 1,581
Managed Care Network, excluding Access                   1,261   876      1,642          65         204            8        218             20       212         36          66          536           11      148         18      176   914
Primary Care Interface^                                    680   305        434          19         487            8         37              8        70          4          23          608            7       30          3       73   159
61601 Elder Mental Health Outreach                         135    37        142          12          12            4          2              5        19          8           5           18            2       10                   9    96

Youth Services
61301   Youth Services, Contract Providers *               386   393        644           12        101           11            11           5      102          15             56       366              6      10        17       23       179
61302   Youth Services - North County                       83   172        238            1         13            2             1           2       38           6             16       103                     15         1        8        66
61304   Youth Services - Central/South County              106   190        225            8         63                                      1       23           7              4       138              1       8         2        7       105
61305   Youth Services - Case Mngt                         176   217        337            5         49                1         1           6       47           4             20       136                     25        12        6       137
61306   Youth Services - Coastside                          45    61         58            2         45                          1           1        1                                   65                      3                  5        31
61307   Youth Services - Hillcrest                         189   444        533            2         75                         23           2       96           6             17       313              1      13        22       20       143
61308   Youth Services - MH/HSA                            360   233        434           18        125                6        10           7       80          15             32       263              8      36        14       32       106
61309   Youth Services - Palos Verdes Special Ed            50   155        181            1         18                          5           1       30           4              3        46                      3         2       23        93
61310   Youth Services - Therapeutic Day School             30    73        100                       2                          1           1       14                          6        27              1       4         2       10        38
61311   Youth Services - Healthy Steps (Pre to Three)      497    40        223                2    300                         12           1       22                          9       340                     35         7       50        73
61313   Youth Services - Canyon Oaks (Modes 10, 15)          9    11         20                                                              1        1                          2         9                                         1         6
61314   Youth Services - CPA 2000 (Hillcrest)               79   226        240                1     58                              6       1       38                 1        5       162                     6          19       2        71
61408   Youth Services - East Palo Alto                     69    97        120                      46                                              45                                   98                     4           9       2         8
Subtotal - Youth Services (unduplicated)                 1,763 1,772      2,642           40        773          17            63           25      392         46          138        1,683           14      143          80     160       854
                                                          50% 50%          75%           1%        22%          0%            2%           1%      11%         1%           4%          48%           0%       4%          2%      5%       24%

Adult Services
61401   Adult Services, Contract Providers *               682   760      1,284           21        127            8                 2      28      157          28          55           293           9       51         23         8   790
61403   Adult Services - North County                      554   464        839           22        114           37                 6      19      108          36         146           253           8       38         18         9   383
61404   Adult Services - Central County                    384   353        652           27         55            1                 2      21       54          27          19           112           1       56         11         2   434
61406   Adult Services - South County                      380   447        753           11         61            1                 1      18       90          14          17           160           6       18         12         3   489
61408   Adult Services - East Palo Alto                    258   207        375            1         88            1                         1      215           1           9           129           1       10         11         5    83
61410   Adult Services - Resource Management               248   318        507            4         42            2            11           8       74           5          10            88           5       20          6        33   317
61306   Adult Services - Coastside                          97    49        126                      20                                      1        2                       1            31           3        2                    2   104
Subtotal - Adult Services (unduplicated)                 1,918 1,896      3,314           65        368          45            22           65      554         88          206           772          21      150          54       57 1,847
                                                          50% 50%          87%           2%        10%          1%            1%           2%      15%         2%           5%           20%          1%       4%          1%       1% 48%

Total Unduplicated                                       6,404 5,646      9,367         233 1,999                 81        370            135   1,314        194           473        3,852           55      761        180      565 4,521
          San Mateo County Behavioral Health
           and Recovery Services FY2006/2007
          11. Client Service Analysis, Part 2                     Analysis of Clients Served in    Client Hrs Served   Client Hrs Served
          Mental Health & AOD Crosswalk                                   MH & AOD                    by MH Only         by MH & AOD
                                                                                                                                           Grand
                                                                  Served Served          %                                                 Total
                                                                  by MH by MH &    All  MH &                                               Client
Counter   Org and/or Organization Name                             Only   AOD   Clients AOD          Total    Avg        Total     Avg     Hours
      1   PES                                                      1,685     293     1,978   15%     22,330     13.3      5,897     20.1    28,228
      2   Access                                                   3,321     400     3,721   11%      6,198      1.9      2,894      7.2     9,092
      3   Managed Care Network, excluding Access                   2,045      92     2,137    4%     19,397      9.5      1,142     12.4    20,538
      4   Primary Care Interface^                                    928      57       985    6%      5,884      6.3        404      7.1     6,288
      5   61601 Elder Mental Health Outreach                         171       1       172    1%      5,163     30.2         51     50.7     5,214

          Youth Services
          61301   Youth Services, Contract Providers                 750       29      779    4%     32,963     44.0      1,812     62.5    34,775
      6   61302   Youth Services - North County                      251        4      255    2%      5,537     22.1          24     6.0     5,561
      7   61304   Youth Services - Central/South County              284       12      296    4%      8,017     28.2        485     40.4     8,502
      8   61305   Youth Services - Case Mngt                         359       34      393    9%      6,780     18.9        754     22.2     7,534
      9   61306   Youth Services - Coastside                         104        2      106    2%      2,979     28.6          87    43.3     3,065
     10   61307   Youth Services - Hillcrest                         511     122       633   19%      8,353     16.3      2,709     22.2    11,062
     11   61308   Youth Services - MH/HSA                            531       62      593   10%     13,705     25.8      1,294     20.9    15,000
     12   61309   Youth Services - Palos Verdes Special Ed           201        4      205    2%      7,883     39.2        102     25.5     7,985
     13   61310   Youth Services - Therapeutic Day School             95        8      103    8%     60,089    632.5      3,043    380.3    63,131
     14   61311   Youth Services - Healthy Steps (Pre to Three)      504       33      537    6%      6,053     12.0        677     20.5     6,729
     16   61313   Youth Services - Canyon Oaks (Modes 10, 15)         18        2       20   10%      8,611    478.4        806    403.0     9,417
     18   61314   Youth Services - CPA 2000 (Hillcrest)              276       29      305   10%      1,555      5.6        265      9.1     1,820
     19   61408   Youth Services - East Palo Alto                    159     -         159    0%      2,429     15.3        -        -       2,429
          Subtotal - Youth Services (unduplicated)                 3,260     275     3,535    8%    162,525     49.9     12,056     43.8   177,009

          Adult Services
          61401   Adult Services, Contract Providers               1,268     174     1,442   12%     41,217     32.5      4,135     23.8    45,352
     20   61403   Adult Services - North County                      960      58     1,018    6%     15,468     16.1      1,427     24.6    16,895
     21   61404   Adult Services - Central County                    687      50       737    7%      9,303     13.5      1,056     21.1    10,359
     22   61406   Adult Services - South County                      747      80       827   10%     12,806     17.1      2,030     25.4    14,836
     23   61408   Adult Services - East Palo Alto                    387      78       465   17%      5,122     13.2        954     12.2     6,076
     25   61410   Adult Services - Resource Management               430     136       566   24%      3,658      8.5      1,418     10.4     5,076
     26   61306   Adult Services - Coastside                         139       7       146    5%      2,445     17.6        285     40.7     2,730
          Subtotal - Adult Services (unduplicated)                 3,445     518     3,963   13%     87,575     25.4     11,305     21.8   101,325

          Total Unduplicated                                      11,108     942    12,050   8%     309,071     27.8     33,749     35.8   347,694
San Mateo County Behavioral Health
 and Recovery Services FY2006/2007
11. Client Service Analysis, Part 2                   Distribution of Composite LOCUS Scores for                                       Distribution of Composite LOCUS Scores for
Mental Health & AOD Crosswalk                                  Clients Served by MH Only                                                     Clients Served in both MH & AOD




                                                   No Score




                                                                                                                                    No Score
                                                                        (10-13)


                                                                                  (14-16)


                                                                                            (17-19)


                                                                                                      (20-22)


                                                                                                                (23-27)




                                                                                                                                                         (10-13)


                                                                                                                                                                   (14-16)


                                                                                                                                                                             (17-19)


                                                                                                                                                                                       (20-22)


                                                                                                                                                                                                 (23-27)
                                                              Level 0

                                                                        Level 1


                                                                                  Level 2


                                                                                            Level 3


                                                                                                      Level 4


                                                                                                                Level 5


                                                                                                                          Level 6




                                                                                                                                               Level 0

                                                                                                                                                         Level 1


                                                                                                                                                                   Level 2


                                                                                                                                                                             Level 3


                                                                                                                                                                                       Level 4


                                                                                                                                                                                                 Level 5


                                                                                                                                                                                                           Level 6
                                                                                                                           (28+)




                                                                                                                                                                                                            (28+)
Org and/or Organization Name
PES                                               59%         0%          1%        5%       11%       13%       10%         1%     48%        0%           1%       3%       10% 19%             17%         2%
Access                                            69%         0%          3%        6%        9%        9%        4%         1%     45%         -           1%       3%       11% 26%             13%         1%
Managed Care Network, excluding Access            71%         0%          2%        5%        9%        7%        6%         1%     29%         -            -      10%       13% 21%             23%         4%
Primary Care Interface^                           41%         1%         14%       18%       15%        7%        3%          -     44%         -           2%       9%       18% 18%              9%         2%
61601 Elder Mental Health Outreach                 7%         1%          8%       21%       26%       24%       13%          -       -         -            -        -         - 100%              -          -

Youth Services
61301  Youth Services, Contract Providers            63% 1%               2%        2%        3%       30%       -1%        -1%     21%              -      -       10%       10%       17% 28%             14%
61302  Youth Services - North County                  7% 1%              10%       19%       28%       20%       16%          -       -              -      -       25%       25%         -  50%              -
61304  Youth Services - Central/South County          5% 0%              12%       26%       28%       15%       13%         1%       -              -    17%        8%       42%         -  33%              -
61305  Youth Services - Case Mngt                    26%   -              3%       12%       18%       19%       19%         1%     21%              -     3%        9%       18%       18% 32%               -
61306  Youth Services - Coastside                    15% 1%              11%       25%       24%       18%        4%         2%       -              -      -         -         -       50% 50%               -
61307  Youth Services - Hillcrest                    34% 1%               3%       10%       14%       14%       22%         2%     30%              -     2%       11%       10%       15% 28%              4%
61308  Youth Services - MH/HSA                       47% 1%               6%       15%       15%        8%        7%         1%     23%              -     6%       10%       23%       16% 19%              3%
61309  Youth Services - Palos Verdes Special Ed       8% 0%               7%       24%       23%       20%       14%         2%       -              -      -         -       25%       25% 50%               -
61310  Youth Services - Therapeutic Day School         -   -               -        7%       15%       41%       37%          -       -              -      -         -       25%       13% 63%               -
61311  Youth Services - Healthy Steps (Pre to Three) 53% 1%               6%       12%       16%        8%        5%          -     12%              -     9%        3%       15%       33% 27%               -
61313  Youth Services - Canyon Oaks (Modes 10, 15)     -   -               -         -        6%       17%       72%         6%       -              -      -         -         -         - 100%              -
61314  Youth Services - CPA 2000 (Hillcrest)          7% 20%             21%       18%       14%       10%       10%         0%       -              -    14%       28%       17%       24% 17%               -
61408  Youth Services - East Palo Alto               34%   -              7%       18%       14%       15%       12%          -       -              -      -         -         -         -    -              -
Subtotal - Youth Services (unduplicated)             38% 2%               8%       15%       16%       12%        9%         1%     24%              -     5%       11%       14%       19% 23%              3%

Adult Services
61401   Adult Services, Contract Providers         8%         1%         11%       24%       25%       18%       11%         1%     10%         -          3%        8%       22%       36%       19%        3%
61403   Adult Services - North County              4%         1%          9%       28%       31%       21%        7%         1%      3%         -          2%       14%       24%       34%       17%        5%
61404   Adult Services - Central County            1%         2%         13%       26%       30%       19%        8%         1%      2%         -          2%       12%       28%       32%       22%        2%
61406   Adult Services - South County              1%         1%         14%       26%       24%       22%       10%         1%       -         -          3%        9%       24%       40%       25%         -
61408   Adult Services - East Palo Alto           20%          -          5%       21%       18%       24%       11%         1%     27%         -          1%        6%       19%       24%       19%        3%
61410   Adult Services - Resource Management      53%         0%          0%        5%       10%       11%       17%         4%     50%        1%          1%        1%        8%       17%       19%        3%
61306   Adult Services - Coastside                 8%         1%          3%       20%       32%       24%       11%         1%     14%         -         14%       14%       14%       29%         -       14%
Subtotal - Adult Services (unduplicated)          12%         1%         10%       23%       24%       19%        9%         1%     21%        0%          2%        8%       19%       29%       19%        2%

Total Unduplicated                                48%          1%          7%      13%       14%       11%         6%        1%     42%         0%          2%        7%      13%       20%       15%         2%
San Mateo County Behavioral Health
 and Recovery Services FY2006/2007
11. Client Service Analysis, Part 2                      % of Total Clients Served in
Mental Health & AOD Crosswalk                           both MH & AOD by Language                                   % of Total Clients Served in both MH & AOD by Ethnicity




                                                                                                                                                                       Am-Ind/Al-
                                                                                                                      Black/Afr-
                                                                                                                      American
                                                                                                  Unknown




                                                                                                                                                                                                       Unknown
                                                                                                                                                            Hisp/Lat
                                                                                                                                   Chinese
                                                                          Spanish


                                                                                    Tagalog




                                                                                                                                                                                            Islander
                                                                                                                                                                                            HI/Pac-
                                                        English




                                                                                                                                                 Filipino




                                                                                                                                                                       Native




                                                                                                                                                                                                                 White
                                                                  Other




                                                                                                            Other




                                                                                                                                                                                    Other
                                                                                                            Asian




                                                                                                                                                                                            Nat-
Org and/or Organization Name
PES                                                     16%         4%       7%               -   17%         8%         17%           -            6%      15%           55%        9%        15%        8%     17%
Access                                                  13%          -       3%               -    1%         2%         14%          2%            6%       7%           17%        7%        10%        7%     14%
Managed Care Network, excluding Access                   5%          -       2%               -    0%          -          5%           -            5%       5%           18%        2%          -         -      5%
Primary Care Interface^                                 10%          -       2%               -    3%          -          9%           -            4%       3%           14%       10%          -        4%     17%
61601 Elder Mental Health Outreach                       1%          -        -               -     -          -          5%           -             -        -             -         -          -         -       -

Youth Services
61301   Youth Services, Contract Providers               4%        8%      3%                 -     -          -          4%           -           -         4%          17%          -          -       -        5%
61302   Youth Services - North County                    2%         -       -                 -     -          -           -           -           -         3%            -          -          -       -        2%
61304   Youth Services - Central/South County            5%         -      2%                 -     -          -           -           -           -         4%            -          -          -       -        7%
61305   Youth Services - Case Mngt                       8%         -     12%                 -     -          -          2%           -           -        15%            -         4%        17%       -        7%
61306   Youth Services - Coastside                       3%         -       -                 -     -          -           -           -           -         2%            -          -          -       -        3%
61307   Youth Services - Hillcrest                      19%       50%     19%                 -   22%          -         10%           -         12%        21%         100%        15%        14%     10%       26%
61308   Youth Services - MH/HSA                         13%         -      6%                 -     -        14%          8%          7%         13%         8%          13%        17%          -      3%       19%
61309   Youth Services - Palos Verdes Special Ed         2%         -       -                 -     -          -           -           -           -         2%            -          -          -       -        3%
61310   Youth Services - Therapeutic Day School          7%         -     50%                 -     -          -           -           -           -        15%            -          -          -       -       11%
61311   Youth Services - Healthy Steps (Pre to Three)   14%         -       -                 -    8%          -          9%           -         22%         2%            -          -        14%      6%       23%
61313   Youth Services - Canyon Oaks (Modes 10, 15)     10%         -       -                 -     -          -           -           -           -        22%            -          -          -       -         -
61314   Youth Services - CPA 2000 (Hillcrest)            9%         -     12%                 -     -          -           -           -         20%        12%            -          -          -       -       13%
61408   Youth Services - East Palo Alto                   -         -       -                 -     -          -           -           -           -          -            -          -          -       -         -
Subtotal - Youth Services (unduplicated)                 8%        3%      4%                 -   10%         4%          6%          2%          6%         7%          21%         6%         5%      4%       11%

Adult Services
61401   Adult Services, Contract Providers              13%        5%      3%           -             -        -         17%                 -    5%        10%           44%        4%        17%     13%       12%
61403   Adult Services - North County                    6%        5%      2%          3%             -       5%          3%                 -    1%         4%           13%        5%        11%       -       10%
61404   Adult Services - Central County                  8%         -      2%           -             -        -          9%                 -    5%         5%             -        2%          -       -        9%
61406   Adult Services - South County                   10%         -      3%           -             -        -         17%                 -   12%         8%           67%        6%          -       -        9%
61408   Adult Services - East Palo Alto                 21%         -      1%           -             -        -         14%                 -   22%         8%             -       20%        27%     20%       35%
61410   Adult Services - Resource Management            25%       25%     14%           -            9%      13%         27%                 -   10%        23%           40%       10%        17%     12%       27%
61306   Adult Services - Coastside                       6%         -       -           -             -        -           -                 -     -          -           33%         -          -       -        6%
Subtotal - Adult Services (unduplicated)                12%        2%      4%          2%            5%       2%         16%                 -    5%        10%           48%        5%        17%     11%       16%

Total Unduplicated                                      10%         1%       3%        1%            4%        1%        10%          1%            4%         6%         16%         6%        7%        4%     11%
     San Mateo County Behavioral Health                               Clients by Age Group                       Clients (0-17)            Client Hours              Clinician Hours         By Gender
     and Recovery Services FY2006/2007                                                               Transit-
                                                                                 Older                ional




                                                                                                                                                                                              Female
     12. Client Service Analysis, Part 3                                                      All
                                                              Child   Adult      Adult                Youth




                                                                                                                                                                                                       Male
     Contractors Modes 10 & 15                                0-17    18-59      60+       Clients   16 to 25     IEP       Non-IEP    Total     Avg      Max     Total    Avg      Max
     Youth Services, Contract Providers (61301)
27    61301 Achieve Outpatient                                  12           3                 15            6      12         -          859     57.3     163       859     57.3      163         2    13
28    61301 Achieve San Jose                                     1                              1                    1         -           73     72.9      73        73     72.9       73         1
      Achieve Subtotal                                          13           3     -           16            6      13         -          932     58.2     163       932     58.2      163         3    13
33    61301 Edgewood Children's Center                           4                              4                    2           2         62     15.5      29        62     15.5       29     2         2
34    61301 Edgewood Children's Center Residential               2                              2                    1           1        800    400.0     677       100     50.0       85     1         1
35    61301 Edgewood Assessment Team Collaborative             117        4                   121         18         4         113        773      6.4      21       773      6.4       21    61        60
37    60301 Edgewood Collaborative San Carlos                  207       12                   219         32         4         203      3,891     17.8     121     3,867     17.7      121   117       102
38    60301 Edgewood Turning Point - Child & Adolescent         31        5                    36         15        19          12      2,093     58.1     313     2,093     58.1      313     7        29
39    60301 Edgewood Turning Point - Transition Age Youth       20       25                    45         43        10          10      4,835    107.4     448     4,835    107.4      448    16        29
40    60301 Edgewood Kinship - San Carlos                       16                             16          2         1          15         90      5.6      28        90      5.6       28    11         5
      Edgewood Subtotal                                        397       46        -          443        110        41         356     12,543     28.3     677    11,820     26.7      448   215       228
41    61301 Families First                                       1                              1                       1      -            1      0.7       1         1      0.7       1                 1
      61301 Families First DT Rehabilitative                     1                              1                       1      -          100    100.0     100        10     10.0      10                 1
      Families First Subtotal                                    2       -         -            2        -              2      -          101     50.4     100        11      5.4      10     -           2
42    61301 Fred Finch Bridges of San Mateo: Inten. In-Home     79           1                 80         32        32          47      2,419     30.2     102     2,419     30.2      102      40      40
43    61301 Fred Finch Bridges of San Mateo: TBS                56           5                 61         17        15          41      2,978     48.8     208     2,978     48.8      208      24      37
44    61301 Fred Finch Bridges of Solano (Mode 10)               1                              1          1                     1        891    891.0     891       111    111.4      111       1
45    61301 Fred Finch Bridges of Solano (Mode 15)               1                              1          1                     1         35     34.9      35        35     34.9       35       1
      Fred Finch Subtotal                                      137           6     -          143         51        47          90      6,323     44.2     891     5,543     38.8      208      66      77
46    61301 Millhouse Children's Services                        2                              2            1          1          1       23     11.5       17       23     11.5       17         1      1
47    61301 Millhouse Children's Services - Int. Day Trt         2                              2            1          1          1    1,315    657.3    1,012      164     82.2      127         1      1
      Millhouse Subtotal                                         4       -         -            4            2          2          2    1,337    334.4    1,012      187     46.8      127         2      2
48    61301 Sunny Hills Campus - Reb.Day                         8                              8            5       5             3    2,767    345.8     663       277     34.6      66          4     4
49    61301 Sunny Hills Campus - Int.Day                         1                              1                    1         -          123    123.3     123        15     15.4      15                1
50    61301 Sunny Hills Campus - Opt Meds                        9                              9          5         6             3      162     18.0      70       162     18.0      70          4     5
      Sunny Hills Subtotal                                      18       -         -           18         10        12             6    3,052    169.5     663       454     25.2      70          8    10
51    61301 YES Counseling Clinic & Admin Office                36           2                 38            2          1       35        948     25.0     117       948     25.0      117      27      11
52    61301 YFES - Youth Development Initiative                 21           5                 26            5                  21        464     17.8      83       464     17.8       83      17       9
53    61301 Youth and Family Enrichment Services (YFES)         17           1                 18            2                  17        250     13.9      42       250     13.9       42       8      10
54    61301 Youth and Family Enrichment-Insights&Girls Prg       1                              1                                1         10     10.0      10        10     10.0       10               1
      Youth and Family Enrichment Svcs Subtotal                 75           8     -           83            9          1       74      1,672     20.1     117     1,672     20.1      117      52      31
55    61301 ASO                                                 10                             10            3          1        9         37       3.7       8       37      3.7        8     2         8
56    60301 ASO - Value Options                                 14                             14            2                  14         89       6.4      22       89      6.4       22     6         8
57    61301 Children's Health Council                           22                             22                   20           2      1,681      76.4     162    1,681     76.4      162     6        16
58    61301 Daly City Youth Health Center                       88       67                   155        120         1          87        786       5.1      42      786      5.1       42   108        47
62    60301 Lassen County Mental Health                          2                              2          1                     2         45      22.5      44       13      6.3       12     1         1
63    61301 Lincoln Children's Ctr - full day intensive          3                              3                       2        1      3,616   1,205.3   1,560      452    150.7      195     1         2
64    61301 Lincoln Children's Ctr - Meds                        3                              3                       2        1         18       5.8       8       18      5.8        8     1         2
65    61301 National Deaf Academy                                            1                  1          1                              157     157.0     157      157    157.0      157               1
66    61301 No. Peninsula Fam. - JSR                            32           4                 36         16            3       29        808      22.4      45      572     15.9       38              36
70    60301 Oakes Children Center                                1                              1                       1      -          407     407.0     407       41     40.7       41               1
71    61301 Rebekah Children's Services Intensive Day            1                              1                                1        319     318.8     319       40     39.8       40               1
72    61301 Rebekah Children's Services Opt                      1                              1                                1          5       4.7       5        5      4.7        5               1
73    60301 Redwood Children's Svcs. Inc - Willits               3                              3            1                   3        285      94.9     116      285     94.9      116               3
75    61301 Sacramento Children's Center                         1                              1                                1         36      36.1      36       36     36.1       36         1
76    61301 Unity Care Salinas                                   1                              1            1                   1        147     146.5     147      147    146.5      147         1
77    61301 Unity Care San Jose                                  1                              1            1          1      -          120     119.5     120      120    119.5      120                1
78    61301 Heritage House                                       1                              1                                1        244     244.0     244      244    244.0      244         1
79    61301 Jewish Children and Family Services S.F.                                   1        1                                          19      18.5      19       19     18.5       19         1


Data Book                                                                                                                                                                    Page 1, April 2008
San Mateo County Behavioral Health                                Clients by Composite LOCUS Score                                          Distribution of Composite LOCUS Scores                                                         Clients by Financial Class
and Recovery Services FY2006/2007




                                                                                                                                                                                                                                      Medi-Cal +


                                                                                                                                                                                                                                                   Medi-Cal +
                                                                   Level 0

                                                                             Level 1


                                                                                       Level 2


                                                                                                 Level 3


                                                                                                           Level 4


                                                                                                                     Level 5


                                                                                                                               Level 6




                                                                                                                                                 Level 0

                                                                                                                                                           Level 1


                                                                                                                                                                     Level 2


                                                                                                                                                                               Level 3


                                                                                                                                                                                         Level 4


                                                                                                                                                                                                   Level 5


                                                                                                                                                                                                             Level 6




                                                                                                                                                                                                                                                                           Medi-Medi
                                                                                                                                                                                                                                                   Uninsured
                                                                             (10-13)


                                                                                       (14-16)


                                                                                                 (17-19)


                                                                                                           (20-22)


                                                                                                                     (23-27)




                                                                                                                                                           (10-13)


                                                                                                                                                                     (14-16)


                                                                                                                                                                               (17-19)


                                                                                                                                                                                         (20-22)


                                                                                                                                                                                                   (23-27)
                                                         Score




                                                                                                                                         Score
                                                                                                                                (28+)




                                                                                                                                                                                                              (28+)




                                                                                                                                                                                                                                                                Medicare
                                                                                                                                                                                                                       Medi-Cal




                                                                                                                                                                                                                                                                                                     Families/
                                                          No




                                                                                                                                          No
12. Client Service Analysis, Part 3




                                                                                                                                                                                                                                                                                                     Healthy
                                                                                                                                                                                                                                      Insured




                                                                                                                                                                                                                                                                                           Insured



                                                                                                                                                                                                                                                                                                     Kids
Contractors Modes 10 & 15
Youth Services, Contract Providers (61301)
 61301 Achieve Outpatient                                     2                             1         3         5         3         1     13%        -          -       7%      20%       33%       20%         7%                5           5            1                                   1             1
 61301 Achieve San Jose                                       1                                                                          100%        -          -        -        -         -         -          -                1
 Achieve Subtotal                                             3    -          -             1         3         5         3         1     19%        -          -       6%      19%       31%       19%         6%                6           5            1        0                  0       1             1
 61301 Edgewood Children's Center                                                                    3                              1       -  -              -         -  75%              -         -       25%        3                                                                                  1
 61301 Edgewood Children's Center Residential                                                        2                                      -  -              -         - 100%              -         -         -        1                                                                                  1
 61301 Edgewood Assessment Team Collaborative             59           2         8        22        16         9         4          1     49% 2%             7%       18% 13%              7%        3%        1%       67                  7           11                                6                14
 60301 Edgewood Collaborative San Carlos                  98           3        18        41        30        17        10          2     45% 1%             8%       19% 14%              8%        5%        1%      123                 10           23                               12                27
 60301 Edgewood Turning Point - Child & Adolescent         5                               4         7         9         9          2     14%  -              -       11% 19%             25%       25%        6%       15                  8                                             9                 2
 60301 Edgewood Turning Point - Transition Age Youth       3                               7         8        13        11          3      7%  -              -       16% 18%             29%       24%        7%       26                  6              2                           2 3                  2
 60301 Edgewood Kinship - San Carlos                      10                     1         2         1         2                          63%  -             6%       13%   6%            13%         -         -       15                  1
 Edgewood Subtotal                                       175           5        27        76        67        50        34          9     40% 1%             6%       17% 15%             11%        8%        2%      250                 32           36          0                  2 30                47
 61301 Families First                                                                       1                                                -       -          -    100%            -         -         -         -                                                                           1
 61301 Families First DT Rehabilitative                                                     1                                                -       -          -    100%            -         -         -         -                                                                           1
 Families First Subtotal                                  -        -          -             2     -         -         -         -            -       -          -    100%            -         -         -         -              0           0            0        0                  0       2             0
 61301 Fred Finch Bridges of San Mateo: Inten. In-Home      4                     3       11        23        19        19          1      5%        -       4%       14%       29%       24%       24%         1%       39                   2            1                               14              13
 61301 Fred Finch Bridges of San Mateo: TBS                 5                              5        15        16        17          3      8%        -        -        8%       25%       26%       28%         5%       52                   4            4                                                1
 61301 Fred Finch Bridges of Solano (Mode 10)               1                                                                            100%        -        -         -         -         -         -          -                            1
 61301 Fred Finch Bridges of Solano (Mode 15)               1                                                                            100%        -        -         -         -         -         -          -                            1
 Fred Finch Subtotal                                       11      -              3       16        38        35        36          4      8%        -       2%       11%       27%       24%       25%         3%       91                   8            5        0                  0 14                14
 61301 Millhouse Children's Services                          1                                                 1                         50%        -          -          -         -    50%            -         -              2
 61301 Millhouse Children's Services - Int. Day Trt           1                                                 1                         50%        -          -          -         -    50%            -         -              2
 Millhouse Subtotal                                           2    -          -         -         -             2     -         -         50%        -          -          -         -    50%            -         -              4           0            0        0                  0       0             0
 61301 Sunny Hills Campus - Reb.Day                                               1         1         2         4                            -       -      13%       13% 25%             50%            -         -      4                   2            1                                   1
 61301 Sunny Hills Campus - Int.Day                                                                   1                                      -       -        -         - 100%              -            -         -      1
 61301 Sunny Hills Campus - Opt Meds                                              1         1         3         4                            -       -      11%       11% 33%             44%            -         -      5                   2            1                                   1
 Sunny Hills Subtotal                                     -        -              2         2         6         8     -         -            -       -      11%       11% 33%             44%            -         -     10                   4            2        0                  0       2             0
 61301 YES Counseling Clinic & Admin Office                19                               7         8         2         1         1     50%        -        -       18%       21%        5%         3%        3%       24                   3            2                                   1             2
 61301 YFES - Youth Development Initiative                 11                     1         2         7         4                   1     42%        -       4%        8%       27%       15%          -        4%       17                                1                                   1             3
 61301 Youth and Family Enrichment Services (YFES)         15                               2         1                                   83%        -        -       11%        6%         -          -         -       14                                1                                                 3
 61301 Youth and Family Enrichment-Insights&Girls Prg       1                                                                            100%        -        -         -         -         -          -         -        1
 Youth and Family Enrichment Svcs Subtotal                 46      -              1       11        16          6         1         2     55%        -       1%       13%       19%        7%         1%        2%       56                   3            4        0                  0       2             8
 61301 ASO                                                 5                                3                             2               50%  -              -  30%    -    -  20%    -                                  8                   2
 60301 ASO - Value Options                                11                                          1                   2               79%  -              -    -   7%    -  14%    -                                 11                   2                                                             1
 61301 Children's Health Council                           8                      1         4         3         4         1         1     36%  -             5% 18% 14% 18%      5%   5%                                                                                                       9            2
 61301 Daly City Youth Health Center                     139           1          4         3         4         3         1               90% 1%             3%   2%   3%   2%   1%    -                                 31                   2            9                                   3           16
 60301 Lassen County Mental Health                                                          1                             1                 -  -              -  50%    -    -  50%    -                                  1                                1
 61301 Lincoln Children's Ctr - full day intensive            1                             1                             1               33%  -              -  33%    -    -  33%    -                                  3
 61301 Lincoln Children's Ctr - Meds                          1                             1                             1               33%  -              -  33%    -    -  33%    -                                  3
 61301 National Deaf Academy                                                                                                        1       -  -              -    -    -    -    - 100%
 61301 No. Peninsula Fam. - JSR                            23          1          1         5         2         2         2               64% 3%             3% 14%    6%   6%   6%    -                                          7                        2                               16                8
 60301 Oakes Children Center                                                                1                                               -  -              - 100%    -    -    -    -                                                      1
 61301 Rebekah Children's Services Intensive Day                                                                1                           -  -              -    -    - 100%    -    -                                                      1
 61301 Rebekah Children's Services Opt                                                                          1                           -  -              -    -    - 100%    -    -                                                      1
 60301 Redwood Children's Svcs. Inc - Willits                 2                                       1                                   67%  -              -    -  33%    -    -    -                                          3
 61301 Sacramento Children's Center                           1                                                                          100%  -              -    -    -    -    -    -                                                      1
 61301 Unity Care Salinas                                                                                       1                           -  -              -    -    - 100%    -    -                                          1
 61301 Unity Care San Jose                                                                            1                                     -  -              -    - 100%    -    -    -                                          1
 61301 Heritage House                                                                                                     1                 -  -              -    -    -    - 100%    -                                                                                                       1
 61301 Jewish Children and Family Services S.F.               1                                                                          100%  -              -    -    -    -    -    -                                          1


    Data Book                                                                                                                                                                                                                                        Page 2, April 2008
San Mateo County Behavioral Health                                                 By Language                                                                        Clients by Ethnicity
and Recovery Services FY2006/2007




                                                                                                                                 Other Asian




                                                                                                                                                                                                                      Nat-HI/Pac-
                                                                                                                                                                                                 Am-Ind/Al-
                                                         Uninsured




                                                                                                                                               Black/Afr-
                                                                                                                       Unknown




                                                                                                                                                                                                                                    Unknown
                                                                                                                                                                                  Hisp/Lat
                                                                                                                                                            Chinese
                                                                                               Spanish

                                                                                                             Tagalog
12. Client Service Analysis, Part 3




                                                                         English




                                                                                                                                                                       Filipino




                                                                                                                                                                                                                                              White
                                                                                       Other




                                                                                                                                                                                                              Other
Contractors Modes 10 & 15




                                                                                                                                                                                                 Nat
                                                                                                                                               Am




                                                                                                                                                                                                                      Is
Youth Services, Contract Providers (61301)
 61301 Achieve Outpatient                                            2        14                         1                                             2                                     4                   1                                    8
 61301 Achieve San Jose                                                                                                    1                           1
 Achieve Subtotal                                                    2        14          0              1       0         1           0               3        0          0                 4           0       1             0        0             8
 61301 Edgewood Children's Center                                           3                                    1                                     1                1                                                                       2
 61301 Edgewood Children's Center Residential                               1                                    1                                                      1                                                                       1
 61301 Edgewood Assessment Team Collaborative               16             96             3      20                        2           2            27 4                5 51                                     3             3        1      25
 60301 Edgewood Collaborative San Carlos                    24            154             5      54              4         2           3            23 5                8 131                            3       2             4        6      34
 60301 Edgewood Turning Point - Child & Adolescent           2             33                     3                                    1             7                  2   9                                    1             2        2      12
 60301 Edgewood Turning Point - Transition Age Youth         4             45                                                                        6 1                4 12                             1       1                             20
 60301 Edgewood Kinship - San Carlos                                       14                     2                                                  7                      7                                                                   2
 Edgewood Subtotal                                          46            346             8      79              6         4           6            71 10              21 210                            4       7             9        9      96
 61301 Families First                                                              1                                                                                                                                                                  1
 61301 Families First DT Rehabilitative                                            1                                                                                                                                                                  1
 Families First Subtotal                                             0             2      0              0       0         0           0               0        0          0                 0           0       0             0        0             2
 61301 Fred Finch Bridges of San Mateo: Inten. In-Home      11             73             1              5       1                                   9          3          7        23                   1       2             4               31
 61301 Fred Finch Bridges of San Mateo: TBS                                51                            9                 1                        14                     2        27                   1       2             1        2      12
 61301 Fred Finch Bridges of Solano (Mode 10)                               1                                                                                                                                                                   1
 61301 Fred Finch Bridges of Solano (Mode 15)                               1                                                                                                                                                                   1
 Fred Finch Subtotal                                        11            126             1      14              1         1           0            23          3          9        50                   2       4             5        2      45
 61301 Millhouse Children's Services                                               2                                                                   2
 61301 Millhouse Children's Services - Int. Day Trt                                2                                                                   2
 Millhouse Subtotal                                                  0             4      0              0       0         0           0               4        0          0                 0           0       0             0        0             0
 61301 Sunny Hills Campus - Reb.Day                                            8                                                                                                             2                                                  6
 61301 Sunny Hills Campus - Int.Day                                            1                                                                                                                                                                1
 61301 Sunny Hills Campus - Opt Meds                                           9                                                                                                             2                                                  7
 Sunny Hills Subtotal                                                0        18          0              0       0         0           0               0        0          0                 4           0       0             0        0      14
 61301 YES Counseling Clinic & Admin Office                          6        37                                           1                        10                     1        20                           1                              6
 61301 YFES - Youth Development Initiative                           4        17                         8                 1                         2                     2        18                   1                                      3
 61301 Youth and Family Enrichment Services (YFES)                            14                         4                                                                          12                                         1                5
 61301 Youth and Family Enrichment-Insights&Girls Prg                          1                                                                                                                                                                1
 Youth and Family Enrichment Svcs Subtotal                  10                69          0      12              0         2           0            12          0          3        50                   1       1             1        0      15
 61301 ASO                                                                  9                                              1                           2                   1                 4                                          1       2
 60301 ASO - Value Options                                                 12             1                                1                           2                   1                 6                                 1        1       3
 61301 Children's Health Council                            11             22                                                                                   1                                                                       3      18
 61301 Daly City Youth Health Center                        94            133             2      12              6         2                           6        4 29                93                                         3        5      15
 60301 Lassen County Mental Health                                          1                     1                                                    1                             1
 61301 Lincoln Children's Ctr - full day intensive                          2                     1                                                    1                             1                                                                1
 61301 Lincoln Children's Ctr - Meds                                        2                     1                                                    1                             1                                                                1
 61301 National Deaf Academy                                         1                    1                                                                                                                                                           1
 61301 No. Peninsula Fam. - JSR                                      3        26                         9                 1                           5        1          1        19                           1                      2             7
 60301 Oakes Children Center                                                   1                                                                       1
 61301 Rebekah Children's Services Intensive Day                               1                                                                                                             1
 61301 Rebekah Children's Services Opt                                         1                                                                                                             1
 60301 Redwood Children's Svcs. Inc - Willits                                  3                                                                                                             3
 61301 Sacramento Children's Center                                            1                                                                                                             1
 61301 Unity Care Salinas                                                      1                                                                                           1
 61301 Unity Care San Jose                                                     1                                                                       1
 61301 Heritage House                                                          1                                                                                                                                                                      1
 61301 Jewish Children and Family Services S.F.                                           1                                                                                                                                                           1


    Data Book                                                                                                                                                                                                                                             Page 3, April 2008
      San Mateo County Behavioral Health                                Clients by Age Group                   Clients (0-17)               Client Hours              Clinician Hours         By Gender
      and Recovery Services FY2006/2007                                                            Transit-
                                                                                 Older              ional




                                                                                                                                                                                               Female
      12. Client Service Analysis, Part 3                                                   All
                                                              Child     Adult    Adult              Youth




                                                                                                                                                                                                        Male
      Contractors Modes 10 & 15                               0-17      18-59    60+     Clients   16 to 25     IEP       Non-IEP    Total       Avg       Max     Total       Avg     Max
      Total - Youth Services, Contract Providers               651        127        1      779         30       114         537     34,775       44.6     1,560   25,356       32.5    448    386      393

      Adult Services, Contract Providers (61401)
81     61401 Caminar Colma Ridge                                           82        8       90            1                          3,913       43.5      248     3,912       43.5    248     52       38
82     61401 Caminar Supplemental Case Management                          10                10                                         458       45.8       93       458       45.8     93      6        4
83     61401 New Ventures North Team                                       62       12       74          2                            2,418       32.7      128     2,418       32.7    128     33       41
84     61401 New Ventures San Mateo Drive                                 113       19      132          2                            5,044       38.2      180     5,044       38.2    180     68       64
85     61401 Reach                                                         54        4       58          1                            7,783      134.2      386     7,778      134.1    386     33       25
86     61401 YAIL                                                          25                25         25                            2,521      100.8      354     2,521      100.8    354      9       16
       Caminar Subtotal                                         -         346      43       389         31       -           -       22,138       56.9      386    22,131       56.9    386    201      188
87     61401 Crestwood Idylwood                                             1        6        7                                                    -                             -                  2      5
88     61401 Crestwood Idylwood (Aging and Adult Clients)                   2                 2                                                    -                             -                         2
89     61401 Crestwood Manor-Stockton                                                1        1                                                    -                             -                  1
90     61401 Crestwood Vallejo - Oddstadt - Mode 10                                  1        1                                                    -                             -                         1
       Crestwood Subtotal                                       -           3        8       11        -         -           -          -          -                  -          -                  3      8
91     61401 Garfield Alameda                                               1                 1                                                    -                             -                        1
92     61401 Transitions Program (AB 2034)                                 63       15       78            3                          5,424       69.5      307     5,424       69.5    307      29      49
93     41401 Transitions Full Svc Partnership - Older Adult                17       17       34                                       2,906       85.5      296     2,905       85.5    296      20      14
94     41401 Transitions Full Svc Partnership - Adult                      41                41          5                            3,507       85.5      305     3,507       85.5    305      14      27
95     61401 Willow Suites                                                 67                67          5                            2,152       32.1      153     2,152       32.1    153      29      38
       Telecare Subtotal                                        -         189      32       221         13       -           -       13,989       63.3      307    13,989       63.3    307      92     129
96     61401 Wally's Place - Cassia Intensive Case Mgmnt                   17                17                                         461       27.1       76       461       27.1     76       5      12
97     61401 Wally's Place - Cassia Rehab Svc                              67      17        84                                       3,048       36.3      155     3,048       36.3    155      28      56
       Mateo Inc Subtotal                                       -          84      17       101        -         -           -        3,509       34.7      155     3,509       34.7    155      33      68
 98    61401 Mental Health Association Case Management                     69        9       78          9                            2,064       26.5       94     2,064       26.5     94      39      39
 99    61401 MHA - SAYAT                                            1       8                 9          9                       1      206       22.9       61       206       22.9     61       4       5
100    61401 MHA Belmont Studios                                           25       1        26          1                            1,499       57.6      130     1,499       57.6    130      11      15
101    61401 MHA Transitional Housing                                      10       1        11          1                              259       23.5       81       259       23.5     81       4       7
       Mental Health Association Subtota                            1     112      11       124         20       -               1    4,028       32.5      130     4,027       32.5    130      58      66
102    61401 Living Quest Day Program                                       1                                                         1,403                1,403      140               140               1
103    61401 NorCal Vocational, Inc DT Intensive                            1                 1                                         285      285.0       285       29       28.5     29               1
104    61401 Cordilleras Mental Health                                              1         1                                                    -                             -                        1
105    61401 Pharmacy Services                                  16        657      34       707        108            7          9           2     0.0        2            0     0.0      0    353      354
      Total - Adult Services, Contract Providers                17       1,288    137     1,442        159            7       10     45,352       31.5     1,403   43,825       30.4    386    682      760




 Data Book                                                                                                                                                                      Page 4, April 2008
San Mateo County Behavioral Health                               Clients by Composite LOCUS Score                                          Distribution of Composite LOCUS Scores                                                         Clients by Financial Class
and Recovery Services FY2006/2007




                                                                                                                                                                                                                                     Medi-Cal +


                                                                                                                                                                                                                                                  Medi-Cal +
                                                                  Level 0

                                                                            Level 1


                                                                                      Level 2


                                                                                                Level 3


                                                                                                          Level 4


                                                                                                                    Level 5


                                                                                                                              Level 6




                                                                                                                                                Level 0

                                                                                                                                                          Level 1


                                                                                                                                                                    Level 2


                                                                                                                                                                              Level 3


                                                                                                                                                                                        Level 4


                                                                                                                                                                                                  Level 5


                                                                                                                                                                                                            Level 6




                                                                                                                                                                                                                                                                          Medi-Medi
                                                                                                                                                                                                                                                  Uninsured
                                                                            (10-13)


                                                                                      (14-16)


                                                                                                (17-19)


                                                                                                          (20-22)


                                                                                                                    (23-27)




                                                                                                                                                          (10-13)


                                                                                                                                                                    (14-16)


                                                                                                                                                                              (17-19)


                                                                                                                                                                                        (20-22)


                                                                                                                                                                                                  (23-27)
                                                        Score




                                                                                                                                        Score
                                                                                                                               (28+)




                                                                                                                                                                                                             (28+)




                                                                                                                                                                                                                                                               Medicare
                                                                                                                                                                                                                      Medi-Cal




                                                                                                                                                                                                                                                                                                    Families/
                                                         No




                                                                                                                                         No
12. Client Service Analysis, Part 3




                                                                                                                                                                                                                                                                                                    Healthy
                                                                                                                                                                                                                                     Insured




                                                                                                                                                                                                                                                                                          Insured



                                                                                                                                                                                                                                                                                                    Kids
Contractors Modes 10 & 15
Total - Youth Services, Contract Providers              376           5        30        93      102         88        71        14      48% 1%              4%      12%       13%       11%         9%        2%     372                 51           47          0                  2 66                77

Adult Services, Contract Providers (61401)
 61401 Caminar Colma Ridge                                                       7       26       31         15        10          1        -    -          8%       29%       34%       17%       11%        1%       24                    1            3        2  59                      1
 61401 Caminar Supplemental Case Management                                               2        2                    5          1        -    -           -       20%       20%         -       50%       10%        5                                              5
 61401 New Ventures North Team                                        1        30        26       10          7                             -   1%         41%       35%       14%        9%         -         -       14                                          1 51                       3
 61401 New Ventures San Mateo Drive                                   1        12        33       46         23        14         3         -   1%          9%       25%       35%       17%       11%        2%       32                                 6        3 87
 61401 Reach                                                                              5        2         10        36         5         -    -           -        9%        3%       17%       62%        9%       21                                             37
 61401 YAIL                                                                     1         4       10          9                   1         -    -          4%       16%       40%       36%         -        4%       14                    3          2              5
 Caminar Subtotal                                        -            2        50        96      101         64        65        11         -   1%         13%       25%       26%       16%       17%        3%      110                    4         11          6 244                      4             0
 61401 Crestwood Idylwood                                    7                                                                          100%        -          -          -         -         -         -      -                 1           1                     1                  4
 61401 Crestwood Idylwood (Aging and Adult Clients)          2                                                                          100%        -          -          -         -         -         -      -                                                                      2
 61401 Crestwood Manor-Stockton                              1                                                                          100%        -          -          -         -         -         -      -                                                                      1
 61401 Crestwood Vallejo - Oddstadt - Mode 10                                                                                      1       -        -          -          -         -         -         -   100%                                                                      1
 Crestwood Subtotal                                       10      -          -         -         -         -         -             1     91%        -          -          -         -         -         -     9%                 1           1            0        1                  8       0             0
 61401 Garfield Alameda                                    1                                                                            100%        -        -         -         -         -         -          -                                                           1
 61401 Transitions Program (AB 2034)                      64                     1        2         3         3         5                82%        -       1%        3%        4%        4%        6%          -       25                   1            4        4       35
 41401 Transitions Full Svc Partnership - Older Adult      2                              4         5         9        12          2      6%        -        -       12%       15%       26%       35%         6%        9                                         2       23
 41401 Transitions Full Svc Partnership - Adult            8                              1         4         8        17          3     20%        -        -        2%       10%       20%       41%         7%       20                   2                             14                 1
 61401 Willow Suites                                                             2        8        20        24        13                  -        -       3%       12%       30%       36%       19%          -       28                   1            1        1       35
 Telecare Subtotal                                        75      -              3       15        32        44        47          5     34%        -       1%        7%       14%       20%       21%         2%       82                   4            5        7      108                 1             0
 61401 Wally's Place - Cassia Intensive Case Mgmnt                              2         3         7         5                            -  -            12%       18%       41%       29%          -           -      5                                         1         11
 61401 Wally's Place - Cassia Rehab Svc                      2        1        13        31        21        13          3                2% 1%            15%       37%       25%       15%         4%           -     21                   1            1        5         54
 Mateo Inc Subtotal                                          2        1        15        34        28        18          3     -          2% 1%            15%       34%       28%       18%         3%           -     26                   1            1        6         65               0             0
 61401 Mental Health Association Case Management          10          2          8       23        14        16         5                13% 3%            10%       29%       18%       21%        6%            -     19                   2            3        3         43               1             1
 61401 MHA - SAYAT                                         2                     1        1                   1         4                22%  -            11%       11%         -       11%       44%            -      3                   3                                                1
 61401 MHA Belmont Studios                                 2                     2        6         5         7         4                 8%  -             8%       23%       19%       27%       15%            -     12                                                   14
 61401 MHA Transitional Housing                            2                              2         4         1         2                18%  -              -       18%       36%        9%       18%            -      4                                1        1          2
 Mental Health Association Subtota                        16          2        11        32        23        25        15      -         13% 2%             9%       26%       19%       20%       12%            -     38                   5            4        4         59               2             1
 61401 Living Quest Day Program                                                                                         1                  -  -              -         -         -         - 100%               -                                                                     1
 61401 NorCal Vocational, Inc DT Intensive                                                                              1                  -  -              -         -         -         - 100%               -                                                                     1
 61401 Cordilleras Mental Health                                                                                        1                  -  -              -         -         -         - 100%               -        1
 61401 Pharmacy Services                                  25      11           74      167       190       166         70          4      4% 2%            10%       24%       27%       23% 10%               1%       37                   1       102 12                  12 11                          4
Total - Adult Services, Contract Providers              124       15         147       313       351       296       178         18       9% 1%            10%       22%       24%       21%       12%         1%     261                 14         113 33 453 16                                          5




    Data Book                                                                                                                                                                                                                                       Page 5, April 2008
San Mateo County Behavioral Health                                                 By Language                                                                      Clients by Ethnicity
and Recovery Services FY2006/2007




                                                                                                                               Other Asian




                                                                                                                                                                                                                    Nat-HI/Pac-
                                                                                                                                                                                               Am-Ind/Al-
                                                        Uninsured




                                                                                                                                             Black/Afr-
                                                                                                                     Unknown




                                                                                                                                                                                                                                  Unknown
                                                                                                                                                                                Hisp/Lat
                                                                                                                                                          Chinese
                                                                                             Spanish

                                                                                                           Tagalog
12. Client Service Analysis, Part 3




                                                                         English




                                                                                                                                                                     Filipino




                                                                                                                                                                                                                                            White
                                                                                     Other




                                                                                                                                                                                                            Other
Contractors Modes 10 & 15




                                                                                                                                                                                               Nat
                                                                                                                                             Am




                                                                                                                                                                                                                    Is
Total - Youth Services, Contract Providers              164               644 12 101 11 11                                           5          102 15 56 366                                          6 10               17 23 179

Adult Services, Contract Providers (61401)
 61401 Caminar Colma Ridge                                                 79           3              5       3                                   8          5 14                12                   1       1             1        1  47
 61401 Caminar Supplemental Case Management                                10                                                                      2                                                           2                          6
 61401 New Ventures North Team                                      5      72                          1       1                                   8          1          4         5                           2                         54
 61401 New Ventures San Mateo Drive                                 4     127           1              4                             2            12                     1        16                   1       2             1        1 96
 61401 Reach                                                               56                          2                                           8                               6                   1       1                         42
 61401 YAIL                                                 1              25                                                                      4             1                 9                                                     11
 Caminar Subtotal                                          10             369           4      12              4         0           2            42          6 20                48                   3       8             2        2 256
 61401 Crestwood Idylwood                                                      6                       1                                                                                   1                                                  6
 61401 Crestwood Idylwood (Aging and Adult Clients)                            2                                                                                                                                                              2
 61401 Crestwood Manor-Stockton                                                1                                                                                                                                                              1
 61401 Crestwood Vallejo - Oddstadt - Mode 10                                  1                                                                                                                                                              1
 Crestwood Subtotal                                                 0         10        0              1       0         0           0               0        0          0                 1           0       0             0        0      10
 61401 Garfield Alameda                                                     1                                                                                                                                                             1
 61401 Transitions Program (AB 2034)                                9      78                                                        2             7          1          2         8                   1       2                      2  53
 41401 Transitions Full Svc Partnership - Older Adult                      33                          1                                           7                     1         4                                                     22
 41401 Transitions Full Svc Partnership - Adult             4              40                          1                             1             7                               8                                         4           21
 61401 Willow Suites                                        1              66                          1                             2            11          1          6         8                           1             1           37
 Telecare Subtotal                                         14             218           0              3       0         0           5            32          2          9        28                   1       3             5        2 134
 61401 Wally's Place - Cassia Intensive Case Mgmnt                            16                       1                             1             6                                                                                         10
 61401 Wally's Place - Cassia Rehab Svc                             2         82                       1                 1           4             4          2          2                 4                   1             1        1      65
 Mateo Inc Subtotal                                                 2         98        0              2       0         1           5            10          2          2                 4           0       1             1        1      75
 61401 Mental Health Association Case Management                    6      76                          2                                          12          4          2        10                                         1               49
 61401 MHA - SAYAT                                                  2       9                                                                                            1         2                                                          6
 61401 MHA Belmont Studios                                                 22                          4                                           7                               5                                         1               13
 61401 MHA Transitional Housing                             3               9                          2                                           2                               5                                                          4
 Mental Health Association Subtota                         11             116           0              8       0         0           0            21          4          3        22                   0       0             2        0      72
 61401 Living Quest Day Program                                             1                                                                                                                                                                       1
 61401 NorCal Vocational, Inc DT Intensive                                  1                                                                      1
 61401 Cordilleras Mental Health                                            1                                                                      1
 61401 Pharmacy Services                                528               579 17 106                           4         1     18                 60 14 25 209                                         5 42               14          3 317
Total - Adult Services, Contract Providers              547             1,284 21 127                           8         2     28               157 28 55 293                                          9 51               23          8 790




    Data Book                                                                                                                                                                                                                                           Page 6, April 2008
      San Mateo County Behavioral Health                           Clients by Age Group               Clients (0-17)          Client Days                                  Clients by Financial Class
      and Recovery Services FY2006/2007                                                    Transit-




                                                                                                                                                              Medi-Cal +


                                                                                                                                                                           Medi-Cal +




                                                                                                                                                                                                   Medi-Medi
                                                                                                                                                                           Uninsured




                                                                                                                                                                                                                                         Uninsured
                                                                                                                                                                                        Medicare




                                                                                                                                                                                                                             Families/
                                                                                                                                               Medi-Cal
                                                                           Older            ional




                                                                                                                                                                                                                             Healthy
                                                                                                                                                              Insured




                                                                                                                                                                                                               Insured
      12. Client Service Analysis, Part 3                Child     Adult   Adult      All   Youth




                                                                                                                                                                                                                             Kids
      Contractors Mode 5                                 0-17      18-59   60+     Clients 16 to 25    IEP       Non-IEP      Total    Avg
      Contract Providers (61301, 61401)
107    61401 California Psychiatric Transitions                        7                7        1                             2,168   309.7       6                                                  1
108    61401 Cassia House                                             17               17                                      5,021   295.4       6                                           1     10
109    61401 Mateo Lodge                                               2      1         3                                        -       -         1                                                  2
110    61401 Humboldt House                                           28      5        33        1                            10,753   325.8       8                1            1             1     21                                              1
111    61401 Poplar House                                              3                3                                      1,095   365.0       1                                           1      1
112    61401 Wally's Place                                            28      1        29        6                             4,011   138.3      10                1            1                   12                  1                           4
       Mateo Inc Subtotal                                 -           85      7        92        8      -           -         23,048   250.5      32                2            2             3     47                  1       -                   5
113    61401 Cordilleras - Residential Edgewood Suites                38              38         3                            10,234   269.3      15                                                 22                                              1
114    61401 Cordilleras Mental Health                               115     15      130        15                            20,862   160.5      51                5            3             2     62                  2                           5
115    61401 Magnolia Suites                                           1               1                                          27    27.0       1
116    61401 Willow Suites Residential                                31              31         3                             6,872   221.7      13                1            1             1     15
       Telecare Subtotal                                  -          185     15      200        21      -           -         37,995   190.0      80                6            4             3     99                  2       -                   6
117    61401 Crestwood Manor Fremont (Aging & Adult)                   3      1         4                                        811   202.8              1                      1                         2
118    61401 Crestwood Manor Stockton (Aging & Adult)                  2      1         3                                      1,095   365.0              2                                                1
119    61401 Crestwood Manor-Fremont                                   6      3         9                                      2,651   294.6                                                               9
120    61401 Crestwood Manor-Stockton                                  8      4        12                                      3,407   283.9              4                                                8
121    61401 Crestwood Modesto                                         1      1         2                                        556   278.0                                                               2
122    61401 Crestwood Sacramento: MHRC                                6                6                                      1,436   239.3              2                                                4
123    61401 Crestwood San Jose                                        3                3        2                               478   159.3              2         1
124    61401 Crestwood American River                                  2                2        1                               180    90.0                                                          2
125    61401 Crestwood Vallejo/Solano                                  8                8        1                             1,604   200.5              2         1                                 5
126    61401 Crestwood Redding: IMD Basic/Patch                        2                2        1                               143    71.5                                                          1                                              1
       Crestwood Subtotal                                 -           41     10        51        5      -           -         12,361   242.4      13                2            1      -            34        -                 -                   1
127    61401 Eucalyptus House                                         32              32         4                             3,898   121.8      14                1           1            1       15
128    61401 Hawthorne House                                          32              32         3                             3,798   118.7      11                1           3            1       14                                       2
129    61401 Redwood House                                           157      4      161        27                             5,434    33.8      47                2          15            9       64                  3                   21
       Caminar Subtotal                                   -          221      4      225        34      -           -         13,130    58.4      72                4          19           11       93                  3       -           23
130    61401 Clara San Mateo Alliance                                 45      2        47        3                             1,562    33.2       9                1            6             2     17                  1                   11
131    61401 Seventh Avenue Center                                     3      2         5                                      1,433   286.6       3                                                  2
       Seventh Avenue Center Subtotal                     -           48      4        52        3      -           -          2,995    57.6      12                1            6             2     19                  1       -           11
132    61401 Creekside MHRC                                            3      2        5                                         718   143.6       1                                                  4
133    61401 MAR-RIC Transition & Recovery Facility                    2               2                                         193    96.5       1                                                  1
134    61401 Mental Health Association                         1     114      8      123        19                       1     5,321    43.3      37                3          12              7     31                  2                   31
135    61401 Shelter Network                                          44      3       47         8                             1,125    23.9      11                            7              2     14                                      13
136    61401 Sierra Vista                                              1               1                                         365   365.0                                                          1
137    61401 Board and Care Augmentation Payments                    121     49      170         2                            45,245   266.1    54                 1            3              9     98                                              5
 17    61313 Canyon Oaks Youth Center (Mode 5)                17       3              20        12          14           3     4,255   212.8    13                 3            1                                  2                 1
       Subtotal Non-Inpatient                                 18     636     92      728        79          14           4   146,751   201.6   326                22           55           37     441            11                 1       95
138    Inpatient - Metropolitan State Hospita                                 1        1                                          80    80.0                                                               1
139    Inpatient - Mills-Peninsula Hospital                   18      40      1       59        19           5          13       461     7.8      42                2            7                         2             1           1     4
140    Inpatient - Mount Diablo Hospital                       2                       2         1                       2         9     4.5                                                                                         1     1
141    Inpatient - Napa State Hospita                                  6      3        9                                       2,468   274.2              2                                    2           2                               3
142    Inpatient - Non-Contract FFS Hospita                    5       4               9         2           1           4        49     5.4                                                                                         2     7
143    Inpatient Contract Providers                           27      82     17      126        17           8          19     1,460    11.6    32                  1           3            1      87                               1     1
144    Inpatient - San Mateo County Medical Cente                    518     48      566        92                            11,398    20.1   147                  6          44           24     180                   9           1   155
145    Inpatient - Sequoia Hospital                                    2               2         1                                 5     2.5                                    1                                                          1
146    Inpatient - St. Mary's Hospita                          1                       1                                 1         5     5.0                                                                                         1
       Subtotal Inpatient                                     51     620     64      735      122            9          42    15,935    21.7   223                  9          55           27     272            10                 7   172

      Total - Contract Providers                              66   1,004    134    1,204      166           24          42   162,686   135.1   353                19           70           44     477             16                7   218
San Mateo County Behavioral Health                         Clients by Composite LOCUS Score                                                 Distribution of Composite LOCUS Scores
and Recovery Services FY2006/2007




                                                           Level 0

                                                                     Level 1


                                                                                Level 2


                                                                                           Level 3


                                                                                                      Level 4


                                                                                                                Level 5


                                                                                                                          Level 6




                                                                                                                                              Level 0

                                                                                                                                                            Level 1


                                                                                                                                                                      Level 2


                                                                                                                                                                                Level 3


                                                                                                                                                                                          Level 4


                                                                                                                                                                                                    Level 5


                                                                                                                                                                                                              Level 6
                                                                     (10-13)


                                                                                (14-16)


                                                                                           (17-19)


                                                                                                      (20-22)


                                                                                                                (23-27)




                                                                                                                                                            (10-13)


                                                                                                                                                                      (14-16)


                                                                                                                                                                                (17-19)


                                                                                                                                                                                          (20-22)


                                                                                                                                                                                                    (23-27)
                                                   Score




                                                                                                                                    Score
                                                                                                                           (28+)




                                                                                                                                                                                                               (28+)
                                                    No




                                                                                                                                     No
12. Client Service Analysis, Part 3
Contractors Mode 5
Contract Providers (61301, 61401)
 61401 California Psychiatric Transitions              2                                                             4         1    29%   -                    -         -         -         -       57%       14%
 61401 Cassia House                                                         1          7          4        3         2                -   -                   6%       41%       24%       18%       12%         -
 61401 Mateo Lodge                                                          1          1                   1                          -   -                  33%       33%         -       33%         -         -
 61401 Humboldt House                                                       4         15         11        3                          -   -                  12%       45%       33%        9%         -         -
 61401 Poplar House                                              1          1          1                                              - 33%                  33%       33%         -         -         -         -
 61401 Wally's Place                                   2                    2          6          7       7         4          1     7%   -                   7%       21%       24%       24%       14%        3%
 Mateo Inc Subtotal                                    4         1          9         30         22      14        10          2     4% 1%                   10%       33%       24%       15%       11%        2%
 61401 Cordilleras - Residential Edgewood Suites                            2          4          9      17         6                 -                 -      5%      11%       24%       45% 16%                -
 61401 Cordilleras Mental Health                      18                    3          5         14      31        47        12     14%                 -      2%       4%       11%       24% 36%               9%
 61401 Magnolia Suites                                                                                              1                 -                 -       -        -         -         - 100%               -
 61401 Willow Suites Residential                                                       4         12       8         7                 -                 -       -      13%       39%       26% 23%                -
 Telecare Subtotal                                    18   -                5         13         35      56        61        12      9%                 -      3%       7%       18%       28% 31%               6%
 61401 Crestwood Manor Fremont (Aging & Adult)         4                                                                            100%                -         -         -         -      -         -         -
 61401 Crestwood Manor Stockton (Aging & Adult)        3                                                                            100%                -         -         -         -      -         -         -
 61401 Crestwood Manor-Fremont                         7                                                   1         1               78%                -         -         -         -    11%       11%         -
 61401 Crestwood Manor-Stockton                        6                                                   1         4         1     50%                -         -         -         -     8%       33%        8%
 61401 Crestwood Modesto                               1                                                                       1     50%                -         -         -         -      -         -       50%
 61401 Crestwood Sacramento: MHRC                      2                                                   2         2               33%                -         -         -         -    33%       33%         -
 61401 Crestwood San Jose                                                                                            2         1       -                -         -         -         -      -       67%       33%
 61401 Crestwood American River                                                                                      1         1       -                -         -         -         -      -       50%       50%
 61401 Crestwood Vallejo/Solano                        2                                                             5         1     25%                -         -         -         -      -       63%       13%
 61401 Crestwood Redding: IMD Basic/Patch                                                                  1                   1       -                -         -         -         -    50%         -       50%
 Crestwood Subtotal                                   25   -           -          -          -             5       15          6     49%                -         -         -         -    10%       29%       12%
 61401 Eucalyptus House                                1                               3          6      11        10         1       3%       -                -       9%       19%       34%       31%         3%
 61401 Hawthorne House                                 1                    1          8          6       8         5         3       3%       -               3%      25%       19%       25%       16%         9%
 61401 Redwood House                                  11         1          5         19         33      44        41         7       7%      1%               3%      12%       20%       27%       25%         4%
 Caminar Subtotal                                     13         1          6         30         45      63        56        11       6%      0%               3%      13%       20%       28%       25%         5%
 61401 Clara San Mateo Alliance                        9                                         12      11        14          1    19%                 -         -      -       26%       23%       30%         2%
 61401 Seventh Avenue Center                           3                               1                            1               60%                 -         -    20%         -         -       20%          -
 Seventh Avenue Center Subtotal                       12   -           -               1         12      11        15          1    23%                 -         -     2%       23%       21%       29%         2%
 61401 Creekside MHRC                                                                                               4          1
 61401 MAR-RIC Transition & Recovery Facility                                                                       2                  -       -                -        -         -         - 100%               -
 61401 Mental Health Association                      25         1          2         15         24      35        19          2     20%      1%               2%      12%       20%       28% 15%               2%
 61401 Shelter Network                                 7                    1          4         11      10        12          2     15%       -               2%       9%       23%       21% 26%               4%
 61401 Sierra Vista                                    1                                                                            100%       -                -        -         -         -    -               -
 61401 Board and Care Augmentation Payments            6                   10         39     50         42        21          2       4%       -               6%      23%       29%       25% 12%               1%
 61313 Canyon Oaks Youth Center (Mode 5)                                                      1          3        15          1
 Subtotal Non-Inpatient                             102          2         26    108        151        172       143         22      14%      0%               4%      15%       21%       24%       20%         3%
 Inpatient - Metropolitan State Hospita                                                                            1                  -                 -       -        -    -              - 100%              -
 Inpatient - Mills-Peninsula Hospital                  9                    3          5         14      13       12           3    15%                 -      5%       8% 24%             22% 20%              5%
 Inpatient - Mount Diablo Hospital                                                     1                           1                  -                 -       -      50%    -              -  50%              -
 Inpatient - Napa State Hospita                       5                                                  1         1           2    56%                 -       -        -    -            11% 11%             22%
 Inpatient - Non-Contract FFS Hospita                 2                                       3          1         3                22%                 -       -        -  33%            11% 33%               -
 Inpatient Contract Providers                        28                     1         14     24         31        27          1     22%                 -      1%      11% 19%             25% 21%              1%
 Inpatient - San Mateo County Medical Cente         172                     9         43    100        114       113         15     30%                 -      2%       8% 18%             20% 20%              3%
 Inpatient - Sequoia Hospital                         1                                1                                            50%                 -       -      50%    -              -    -              -
 Inpatient - St. Mary's Hospita                                                               1                                       -                 -       -        - 100%              -    -              -
 Subtotal Inpatient                                 215    -               12         61    135        148       147         17     29%                 -      2%       8% 18%             20% 20%              2%

Total - Contract Providers                          281          2         34    149        232        256       206         27      24%      0%               3%      13%       20%       22%       17%         2%
San Mateo County Behavioral Health                 By Gender                               By Language                                                                         Clients by Ethnicity




                                                                                                                                                                                                                                  Nat-HI/Pac-
and Recovery Services FY2006/2007




                                                                                                                                                                                                             Am-Ind/Al-
                                                                                                                                                    Black/Afr-
                                                                                                                           Unknown




                                                                                                                                                                                                                                                Unknown
                                                                                                                                                                                              Hisp/Lat
                                                                                                                                                                 Chinese
                                                                                               Spanish



                                                                                                             Tagalog
                                                   Female




                                                                         English




                                                                                                                                                                               Filipino
12. Client Service Analysis, Part 3




                                                                                                                                                                                                                                                          White
                                                                                   Other




                                                                                                                                         Other
                                                                                                                                         Asian




                                                                                                                                                                                                                          Other
                                                                Male




                                                                                                                                                                                                             Nat
                                                                                                                                                    Am
Contractors Mode 5




                                                                                                                                                                                                                                  Is
Contract Providers (61301, 61401)
 61401 California Psychiatric Transitions                           7          6                         1                                                   1                                           1                    1                                4
 61401 Cassia House                                     6          11         17                                                                             2                                                                                                15
 61401 Mateo Lodge                                      2           1          3                                                                                                                                                                               3
 61401 Humboldt House                                   6          27         32                                                     1          2            1             3              1              1                    1                               24
 61401 Poplar House                                     1           2          3                                                                                                                                                                               3
 61401 Wally's Place                                   10          19         29                                                                2            2             1              2              2                    1          2                    17
 Mateo Inc Subtotal                                    25          67         90     -                   1     -                     1          4            6             4              3              4     -              3          2      -             66
 61401 Cordilleras - Residential Edgewood Suites        9        29       37                             1                                      2          6               1              2          3                        1                               23
 61401 Cordilleras Mental Health                       48        82      119               2             9                                      2         21                              6         22                        4          5            3       67
 61401 Magnolia Suites                                            1        1                                                                                                                         1
 61401 Willow Suites Residential                       20        11       31                                                                               5                           4             5                                   1                 16
 Telecare Subtotal                                     77       123      188               2        10         -             -                  4         32               1          12            31         -              5          6            3   106
 61401 Crestwood Manor Fremont (Aging & Adult)              1       3          4                                                                                                                                                                               4
 61401 Crestwood Manor Stockton (Aging & Adult)                     3          2                                                     1                       1             1                                                                                   1
 61401 Crestwood Manor-Fremont                                      9          9                                                                                                                         1                                                     8
 61401 Crestwood Manor-Stockton                             5       7         11                         1                                                   3                                                                                                 9
 61401 Crestwood Modesto                                            2          2                                                                             1                                                                                                 1
 61401 Crestwood Sacramento: MHRC                           2       4          6                                                                             2                                                                                                 4
 61401 Crestwood San Jose                                           3          1                         2                                                                                               2                                                     1
 61401 Crestwood American River                         1           1          2                                                                             1                                                                                                 1
 61401 Crestwood Vallejo/Solano                         4           4          6                         1                           1                                                                   2                    1                       1        4
 61401 Crestwood Redding: IMD Basic/Patch               1           1          2                                                                             1                                                                                                 1
 Crestwood Subtotal                                    14          37         45     -                   4     -                     2     -                 9             1      -                      5     -              1     -                 1       34
 61401 Eucalyptus House                             17           15       30                             1             1                                   8               1           3             3              1         1          1                 14
 61401 Hawthorne House                              19           13       32                                                                               6               1           1             2                                                     22
 61401 Redwood House                                72           89      145               2        11                 3                        5         20               3          11            26              2         8          5            3    78
 Caminar Subtotal                                  108          117      207               2        12                 4     -                  5         34               5          15            31              3         9          6            3   114
 61401 Clara San Mateo Alliance                        20          27         43           1             3                                      1            6             1                        10                        1                       1       27
 61401 Seventh Avenue Center                            1           4          4                         1                                                                                                                                                     5
 Seventh Avenue Center Subtotal                        21          31         47           1             4     -             -                  1            6             1      -                 10         -              1     -                 1       32
 61401 Creekside MHRC                                   2         3        5                                                                                 1                                           1                                                  3
 61401 MAR-RIC Transition & Recovery Facility           1         1        2                                                                                                                                                                                2
 61401 Mental Health Association                       54        69      117               1             5                                      1         29               2              5         19                        3          1            1    62
 61401 Shelter Network                                 13        34       46                             1                                                 9                              1          8              3         3                            23
 61401 Sierra Vista                                               1        1                                                                                                                                                                                1
 61401 Board and Care Augmentation Payments         54          116      153               3        13                 1                        7       14                 3           7        23                  1         5          1         1      108
 61313 Canyon Oaks Youth Center (Mode 5)             9           11       20                                                                    1        1                             2         9                                                 1        6
 Subtotal Non-Inpatient                            271          475      921               9        50                 5             3         23      141            17              45       141                  7      30           16        11      557
 Inpatient - Metropolitan State Hospita                           1        1                                                                                                                                                                                   1
 Inpatient - Mills-Peninsula Hospital               30           29       55               1             3                                                   8                            5     17                  1       6                         1       21
 Inpatient - Mount Diablo Hospital                   1            1        1                             1                                                                                       1                          1
 Inpatient - Napa State Hospita                      3            6        8                                                         1                     3                                     1                          1                               4
 Inpatient - Non-Contract FFS Hospita                3            6        7                         2                                                     1                                     4                          2                               2
 Inpatient Contract Providers                       68           58      113            1            9                 1             2          1         10           1              4         22                  2       9          2           2       73
 Inpatient - San Mateo County Medical Cente        244          322      502           10           47                 3             4         12         74          10             20        107                  7      36         12          17      271
 Inpatient - Sequoia Hospital                        2                     2                                                                                                                     1                                                          1
 Inpatient - St. Mary's Hospita                                   1        1                                                                                                                     1
 Subtotal Inpatient                                331          404      690           12           62                 4             7         13         96          11             29        154               10        55         14          20      373

Total - Contract Providers                         494          710     1,086          17           86                 6             9         26      154            19              48       209                 10      63           16          24    635
San Mateo County Behavioral Health and Recovery Services

                    E. Special Studies
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
14. Analysis of Clients Served by MH and AOD, Part 1

Overview of All Clients Served by both Systems

                                                              Clients Identified with Co-Occurring Disorder
                   Clients Served by Mental Health
                                 12,095
                                                                   Served by MH Only          1,640

                    Overlap    942                                           Served by Both
                                                                                   942

           Clients Served by AOD                                             Served by AOD Only            694
                        7,201

                                                                 Clients with Co-Occurring Disorder      3,276
         Clients Served by either System    18,354

                                                                                                      Total All
                                                                    Youth      Adult  Older Adult      Ages
   Total Clients Served in MH                                        3,436      7,455     1,204        12,095
   Total Clients Served in AOD                                         586      6,441       174          7,201
   Total Unduplicated Clients Served                                 3,867     13,116     1,371        18,354
   Clients with MH & SA Diagnosis Served in Both Systems               155         780           7        942
   Clients with MH & SA Diagnosed by MH Served in MH Only              237       1,301         102       1,640
   Total Co-Occurring Served by MH                                     392       2,081         109      2,582
   Clients with MH & SA Diagnosis Served in Both Systems               155         780           7        942
   Clients with MH & SA Diagnosed by AOD Served in AOD Only             27         641          26         694
   Total Co-Occurring Served by AOD                                    182       1,421          33      1,636
   Unduplicated Co-Occurring Served by MH & AOD                        419       2,722         135       3,276
   % of Clients Served with a MH & SA Diagnosis                        11%         21%         10%         18%
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
14. Analysis of Clients Served by MH and AOD, Part 2

                                How many clients served by MH in FY2007 had a Substance                   How many MH clients identified with a SA
   Key Questions 1 & 2
                                                    Abuse Diagnosis?                                      Diagnosis were open in AOD in FY2007?
                                             # Identified Not Identified                                            # where MH     Total MH    % Identified
                                            by MH with a by MH, but         Total      % Identified   # where MH didn't identify    Clients    w/ SA Diag
                               Total Served      SA        served in     Identified by with a SA      identified SA     SA         Served by   Served by
                                  by MH      Diagnosis        AOD        MH or AOD Diagnosis            Diagnosis    Diagnosis       AOD          AOD
Analysis by Age Group
 Youth                               3,436           320            72           392           11%             83           72           155           40%
 Adult                               7,455         1,763           318         2,081           28%            462          318           780           37%
 Older Adult                         1,204           106             3           109            9%              4            3             7            6%
 Total                              12,095         2,189           393         2,582           21%            549          393           942           36%
 % Identified/Not Identified                         85%           15%         100%                           58%          42%          100%


                               How many clients served by AOD in FY2007 had an identified             How many AOD clients with an identified MH need
   Key Questions 3 & 4
                                 Mental Health Need and where was the need identified?                       were served by Mental Health?

                                                                                                         # where      # where      Total AOD % Identified
                                             # Identified Not Identified Total    % Identified            AOD       AOD didn't      Clients  with MH Diag
                               Total Served by AOD with by AOD, but Identified by with a MH           identified MH identify MH    Served by  Served by
                                 by AOD     a MH Need Served in MH MH or AOD         Need                 Need         Need           MH          MH
Analysis by Age Group
 Youth                                 586            53           129           182           31%             26          129           155           85%
 Adult                               6,441         1,122           299         1,421           22%            481          299           780           55%
 Older Adult                           174            30             3            33           19%              4            3             7           21%
 Total                               7,201         1,205           431         1,636           23%            511          431           942           58%
 % Identified/Not Identified                         74%           26%         100%                           54%          46%          100%
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
14. Analysis of Clients Served by MH and AOD, Part 3

                                                                What % of Clients have been identified with a Co-Occurring Disorder
       Key Question 5: Adults/Older Adults Only
                                                                   and how does this compare with National Prevalence Data?

                                                                                                                         Older  Adult/ Older
                                                                                                             Adult       Adult  Adult Total
Clients Served in MH                                                                                          7,455       1,204       8,659
Clients Served in AOD                                                                                         6,441         174       6,615
Unduplicated Clients Served                                                                                  13,116       1,371     14,487

Clients with MH & SA Diagnosis Served in Both Systems                                                           780          7          787
Clients with MH & SA Diagnosed by MH Served in MH Only                                                        1,301        102        1,403
Clients with MH & SA Diagnosed by AOD Served in AOD Only                                                        641         26          667
Subtotal Clients Served                                                                                       2,722        135        2,857
% of Clients Served with a MH & SA Diagnosis                                                                    21%        10%          20%
SAMHSA-Based Estimate of San Mateo Clients with Co-Occurring Disorder
Adult & Older Adult Clients Served                                                                                                   14,487
SAMHSA-Based Estimate of Co-Occurring Disorder                                                                                        4,859
Estimated % of Clients with Co-Occurring Disorder                                                                                       34%
SAMHSA-Based Estimate of Co-Occurring Disorder                                                                                        4,859
San Mateo Identified Adult/Older Adult Clients with MH & SA Diagnosis                                                                 2,857
Potential Diagnosis Gap                                                                                                               2,002
% of Clients who may have a Co-Occurring Disorder that have not been Diagnosed                                                          41%
This section examines the Co-Occurring Disorder prevalence for Adults and Older Adults. Using the SAMHSA estimation methodology,
4,859 San Mateo clients should have a Co-Occurring Disorder. This figure is calculated based on Client Diagnosis, per below. 2,857 Adult
and Older Adult Clients were identified with a Mental Health and Substance Abuse Diagnosis. This suggests a potential gap in
Co-Occurring Diagnosis identification of 2,002, which is 41% of the SAMHSA number.
                                                      Co-Occurring Disorder Calculation Table
                                                                 12 Month
                           Diagnosis Category                   Prevalence                              Source
          Schizoaffective and Schizophrenia                         47%      Epidemiologic Catchment Area (ECA) Survey
          Bipolar                                                   61%      Epidemiologic Catchment Area (ECA) Survey
          Substance Abuse                                          42.7%     National Comorbidity Survey (NCS)
          Other Mental Disorders                                   14.7%     National Comorbidity Survey (NCS)
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
15. Analysis of Outpatient Follow-Up After Inpatient Discharges
                                                                                                                                                     Reached HEDIS 75th
                                                                                                                                                   Percentile Benchmark?
                                            Same 1 to 7 8 to 30 Over 30 No Follow-         Same    Within 7 Within 30 Over 30 No Follow-             Within 7    Within 30
                                             Day Days Days       Days      Up      Total    Day     days     Days      Days      Up        Total      days         Days
2005 Medicaid HEDIS Benchmarks
  Mean                                                                                                37%       54%         46%             100%
  75th Percentile                                                                                     50%       71%         29%             100%
  90th Percentile                                                                                     63%       81%         19%             100%
By Age Group
 0-17                                               52       7       1         1      61      0%      85%       97%       2%         2%     100%       Yes         Yes
 18-59                                        78   520     156      74        25     853      9%      70%       88%       9%         3%     100%       Yes         Yes
 60+                                           9    47       8       9         7      80     11%      70%       80%      11%         9%     100%       Yes         Yes
 Total Discharges                             87   619     171      84        33     994      9%      71%       88%       8%         3%     100%       Yes         Yes
By Hospital
 Inpatient - Metropolitan State Hospital                             1                 1      0%       0%        0%     100%         0%     100%       No          No
 Inpatient - Mills-Peninsula Hospital          2    48       9                 1      60      3%      83%       98%       0%         2%     100%       Yes         Yes
 Inpatient - Mount Diablo Hospital                   2                                 2      0%     100%      100%       0%         0%     100%       Yes         Yes
 Inpatient - Napa State Hospital                             1       1                 2      0%       0%       50%      50%         0%     100%       No          No
 Inpatient - Non-Contract FFS Hospital               6       2       1                 9      0%      67%       89%      11%         0%     100%       Yes         Yes
 Inpatient - San Mateo Co. Medical Center     80   441     139      72        30     762     10%      68%       87%       9%         4%     100%       Yes         Yes
 Inpatient - Sequoia Hospital                        1       1                         2      0%      50%      100%       0%         0%     100%       No          Yes
 Inpatient - St. Mary's Hospital                     1                                 1      0%     100%      100%       0%         0%     100%       Yes         Yes
 Inpatient - Contract Providers                5   120      19       9         2     155      3%      81%       93%       6%         1%     100%       Yes         Yes
 Total Discharges                             87   619     171      84        33     994      9%      71%       88%       8%         3%     100%       Yes         Yes
By Ethnicity
 A - Other Asian                               1     8        6      1                16      6%      56%       94%       6%         0%     100%       Yes         Yes
 B - Black/Afr-Am                             16    78       15     11         7     127     13%      74%       86%       9%         6%     100%       Yes         Yes
 C - Chinese                                   1    11        2      1                15      7%      80%       93%       7%         0%     100%       Yes         Yes
 F - Filipino                                  1    23        8      2         2      36      3%      67%       89%       6%         6%     100%       Yes         Yes
 H - Hisp/Lat                                  8   126       29     16         5     184      4%      73%       89%       9%         3%     100%       Yes         Yes
 N - Am-Ind/Al-Nat                                  11        3                       14      0%      79%      100%       0%         0%     100%       Yes         Yes
 O - Other                                    13    25       10      4         8      60     22%      63%       80%       7%        13%     100%       Yes         Yes
 P - Nat-HI/Pac-Is                                  13        1      4                18      0%      72%       78%      22%         0%     100%       Yes         Yes
 U - Unknown                                   5    10        3      1                19     26%      79%       95%       5%         0%     100%       Yes         Yes
 W - White                                    42   314       94     44        11     505      8%      70%       89%       9%         2%     100%       Yes         Yes
 Total Discharges                             87   619     171      84        33     994      9%      71%       88%       8%         3%     100%       Yes         Yes
By Payor
 Medi-Cal                                     13   206      52      16         7     294      4%      74%       92%       5%         2%     100%       Yes         Yes
 Medi-Cal + Insured                            1     3       4       2         1      11      9%      36%       73%      18%         9%     100%       No          Yes
 Medi-Cal + Uninsured                          4    46      17       6                73      5%      68%       92%       8%         0%     100%       Yes         Yes
 Medicare                                      3    15       3       3         6      30     10%      60%       70%      10%        20%     100%       Yes         No
 Medi-Medi                                    18   257      63      41         5     384      5%      72%       88%      11%         1%     100%       Yes         Yes
 Insured                                       4     6       4                        14     29%      71%      100%       0%         0%     100%       Yes         Yes
 Healthy Families/Kids                               5       1                         6      0%      83%      100%       0%         0%     100%       Yes         Yes
 Uninsured                                    44    81      27      16        14     182     24%      69%       84%       9%         8%     100%       Yes         Yes
 Total Discharges                             87   619     171      84        33     994      9%      71%       88%       8%         3%     100%       Yes         Yes
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
16. Analysis of All Clients Receiving PES Services
                                                                             Other
                                           Older     All       Selected     Mental     Substance
                         Youth    Adults   Adults   Ages      Diagnoses*   Disorders     Abuse     Other        Total   Ratio
Question 1: How many clients received a PES Service during the year?
20+ PES Services             0        0        0        0            0           0           0         0     0             0%
11 - 20 PES services         0        2        0        2            1           1           0         0     2             0%
5 - 10 PES services?         3       47        2       52           39          10           2         1    52             3%
4 PES services?              1       42        3       46           35           8           2         1    46             2%
3 PES services?              7       87        2       96           72          17           5         2    96             5%
2 PES services?             28      239       19      286          190          60          17        19   286            14%
1 PES service?             189    1,222       85    1,496          653         524         210       109 1,496            76%
Total Clients              228    1,639      111    1,978          990         620         236       132 1,978           100%
Ratio                       12%      83%       6%    100%           50%         31%         12%            7%    100%

Question 2: How many clients received only a PES Service?
5 - 10 PES services?         0        3        0       3             1           2           0          0          3       0%
4 PES services?              0        4        0       4             3           0           1          0          4       0%
3 PES services?              0       12        2      14             8           3           3          0         14       2%
2 PES services?              0       65        5      70            34          20          14          2         70       9%
1 PES service?              28      658       42     728           232         283         172         41        728      89%
Total Clients               28      742       49     819           278         308         190         43        819     100%
Ratio                        3%      91%       6%    100%           34%         38%         23%            5%    100%

Question 3: How much service was provided before a PES Visit?
No Prior Service           151    1,159       73    1,383           525        519         245        94 1,383            48%
3 hrs or less               11      208        9      228           126         58          15        29   228             8%
4 - 10 hrs                  13      213       23      249           172         59           5        13   249             9%
11 - 30 hrs                 37      293       24      354           249         72          11        22   354            12%
31+ hrs                     79      576       23      678           566        107           1         4   678            23%
Total PES Visits           291    2,449      152    2,892         1,638        815         277       162 2,892           100%
Total Clients               10%      85%       5%    100%           57%         28%         10%            6%    100%

Question 4: How soon was a follow-up service provided after a PES visit?
No Further Service          46      842       53      941           315        356         214        56   941            33%
Less than 7                223    1,285       79    1,587         1,106        367          44        70 1,587            55%
8 - 14 days                 13      141       10      164           107         42           5        10   164             6%
15 - 30 days                 7       64        4       75            44         19           4         8    75             3%
> 30 Days                    2      117        6      125            66         31          10        18   125             4%
Total Episodes             291    2,449      152    2,892         1,638        815         277       162 2,892           100%
Ratio                       10%      85%       5%    100%           57%         28%         10%            6%    100%

Question 5: How much service was provided after a PES Visit?
No Follow-up Service        46      956       64    1,066           395        387         225        59 1,066            37%
Less than 3 hrs             41      274       19      334           177        100          35        22   334            12%
4 - 10 hrs                  49      308       20      377           244         94           7        32   377            13%
11 - 30 hrs                 41      384       26      451           322         90           4        35   451            16%
31+ hrs                    114      527       23      664           500        144           6        14   664            23%
Total Episodes             291    2,449      152    2,892         1,638        815         277       162 2,892           100%

  Note *: Selected Diagnoses include: Major Depression, Schizophrenic & Psychotic, Schizo-affective, Bipolar,
  and 297.0, 297.2, 297.8, 297.9, 298.0 - 298.4, 300.00 - 300.15, 300.20 - 300.89, 301.0 - 301.9, 307.1, 307.50,
  307.51, 307.8x, 308, 309.81, 311, 312.3x
FY2005/2006


                                                                        Other
                                     Older        All       Selected   Mental     Substance
                        Youth Adults Adults      Ages      Diagnoses* Disorders     Abuse     Other   Total    Ratio
Question 1: How many clients received a PES Service during the year?
20+ PES Services            0        3      0        3            3         0           0        0        3      0%
11 - 20 PES services        0        6      0        6            6         0           0        0        6      0%
5 - 10 PES services?        4       48      1       53           50         1           1        1       53      2%
4 PES services?             3       44      1       48           46         1           0        1       48      2%
3 PES services?             4       84      7       95           90         0           5        0       95      4%
2 PES services?            15      281     18      314          259        23          25        7      314     15%
1 PES service?            201    1,309    106    1,616        1,021       293         231       57    1,602     76%
Total Clients             227    1,775    133    2,135        1,475       318         262       66    2,121    100%
Ratio                      11%     83%      6%    100%           70%       15%         12%      3%     100%

Question 2: How many clients received only a PES Service?
5 - 10 PES services?        0       4       0       4             3         0           1        0       4       0%
4 PES services?             0       2       0       2             1         1           0        0       2       0%
3 PES services?             0      12       2      14            11         0           3        0      14       2%
2 PES services?             0      71       8      79            48        12          16        3      79       9%
1 PES service?             40     735      64     839           416       191         193       26     826      89%
Total Clients              40     824      74     938           479       204         213       29     925     100%
Ratio                       4%     88%      8%    100%           52%       22%         23%      3%     100%

Question 3: How much service was provided before a PES Visit?
No Prior Service          159    1,362    111    1,632          981       307         279       52    1,619     51%
3 hrs or less              12      365     21      398          352        17          11       17      397     12%
4 - 10 hrs                 24      303     16      343          324         9           9        1      343     11%
11 - 30 hrs                18      291     16      325          313         9           2        1      325     10%
31+ hrs                    69      423      8      500          485         6                    9      500     16%
Total PES Visits          282    2,744    172    3,198        2,455       348         301       80    3,184    100%
Total Clients              227    1,775    133    2,135        1,475       318         262      66     2,121

Question 4: How soon was a follow-up service provided after a PES visit?
No Further Service         55      939     77    1,071          559       230         239       30    1,058     33%
Less than 7               201    1,438     70    1,709        1,544        89          44       31    1,708     54%
8 - 14 days                10      137      8      155          140         7           1        7      155      5%
15 - 30 days               11       83     11      105           85         9           2        9      105      3%
> 30 Days                   5      147      6      158          127        13          15        3      158      5%
Total Episodes            282    2,744    172    3,198        2,455       348         301       80    3,184    100%
Ratio                       9%     86%      5%    100%           77%       11%          9%      3%     100%

Question 5: How much service was provided after a PES Visit?
No Follow-up Service       56    1,087     96    1,239          691       241         253       41    1,226     39%
Less than 3 hrs            59      394     29      482          375        55          30       21      481     15%
4 - 10 hrs                 28      316     12      356          316        21          13        6      356     11%
11 - 30 hrs                33      415     23      471          447        14           3        7      471     15%
31+ hrs                   106      532     12      650          626        17           2        5      650     20%
Total Episodes            282    2,744    172    3,198        2,455       348         301       80    3,184    100%

  Note *: Selected Diagnoses include: Major Depression, Schizophrenic & Psychotic, Schizo-affective, Bipolar,
  and 297.0, 297.2, 297.8, 297.9, 298.0 - 298.4, 300.00 - 300.15, 300.20 - 300.89, 301.0 - 301.9, 307.1, 307.50,
  307.51, 307.8x, 308, 309.81, 311, 312.3x
FY2004/2005


                                            Other
             Older      All      Selected  Mental     Substance
Youth Adults Adults    Ages     Diagnoses Disorders     Abuse     Other   Total    Ratio

    0       2      0       2          2         0           0        0        2       0%
    0       5      0       5          4         1           0        0        5       0%
    4      48      0      52         45         6           1        0       52       2%
    5      41      0      46         39         5           1        1       46       2%
    9     108      8     125        102        16           5        2      125       6%
   26     271     16     313        233        60          17        3      313      14%
  188   1,349     95   1,632        945       536          88       61    1,630      75%
  232   1,824    119   2,175      1,370       624         112       67    2,173     100%
  11%     85%     6%    102%         65%       29%          5%      3%     102%


    0       4      0       4          3         1            0       0        4       0%
    0       7      0       7          4         3            0       0        7       1%
    1      28      5      34         22        10            1       1       34       3%
    1     111     10     122         69        43            9       1      122      11%
   43     873     69     985        460       429           58      37      984      85%
   45   1,023     84   1,152        558       486           68      39    1,151     100%
   5%    109%     9%    123%         60%       53%          7%      4%     124%


  159   1,550    110   1,819        987       674         100       56    1,817      56%
   15     231     15     261        225        21           8        7      261       8%
   29     284     12     325        275        30          13        7      325      10%
   28     313      5     346        298        24          18        6      346      11%
   79     429      9     517        484        25           7        1      517      16%
  310   2,807    151   3,268      2,269       774         146       77    3,266     100%
  232    1,824   119    2,175       1,370      624         112      67     2,173


   56   1,396    106   1,558        818       599          93       47    1,557      48%
  213   1,052     41   1,306      1,140       111          35       19    1,305      40%
   27     150      2     179        144        24           8        3      179       5%
    5      76      2      83         65         9           5        4       83       3%
    9     133            142        102        31           5        4      142       4%
  310   2,807    151   3,268      2,269       774         146       77    3,266     100%
  10%     88%     5%    102%         71%       24%          5%      2%     103%



   56   1,396    106   1,558        818       599          93       47    1,557      48%
   50     291      9     350        264        61          15        9      349      11%
   45     345     11     401        322        52          18        9      401      12%
   42     311     12     365        312        32          15        6      365      11%
  117     464     13     594        553        30           5        6      594      18%
  310   2,807    151   3,268      2,269       774         146       77    3,266     100%
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
17. PES Analysis of Outpatient Service Locations and Number of Service for the 54 Clients with 5 or more PES Visits
                                                                                                            61201                               60301
               61401                     60301                                                             Managed                            Edgewood
             Transitions               Edgewood 61403 Adult       61401     61401 New                        Care                61404 Adult   Turning     61310 Youth
 Client's   Full Service 61406 Adult Turning Point - Services - Transitions Ventures 61305 Youth 61401     Network,    61401      Services - Point - Child Services -
   Age      Partnership -  Services -  Transition      North     Program    San Mateo Services - Redwood     excl      Willow      Central       and       Therapeutic                      All       Total
  Group         Adult     South County Age Youth      County    (AB 2034)     Drive   Case Mngt   House     Access     Suites      County    Adolescent Day School       Access   PES     Others     Services
18-59                             212                                                                              1                                                         15     12           2        242
18-59                                                                             235                 20                   108          228                                         11          10        612
18-59                              48                        23                                       11         34         90                                                      10          98        314
18-59                                                                                                            37                                                          1      10           3         51
18-59                                                                                                             8                                                         17      10                     35
0-17                                         372                                           97                    46                                               187               10        39          751
18-59                           360                                                                                                                                                   9       13          382
18-59                            42                                                                                                                                                   9       12           63
18-59                                                                                                                                                                         5       8        7           20
18-59                                                                                                                                                                                 8       10           18
18-59                                                                                                                                    54                                           8        2           64
18-59                                                                          146                   22                                                                               8       56          232
18-59                                                                                                16                                  70                                           8      272          366
18-59              276                                                          44                   26                                                                               7       21          374
18-59                                                   324                                          40           7                                                           1       7       31          410
18-59                                                                                                             2                                                           3       7      274          286
18-59                                                                            2                               24                                                                   7      382          415
18-59                                                               215                              22                                                                     28        7       31          303
18-59                                                                                                                                                                        2        7        8           17
18-59                                                    57                                                      19                                                                   6        6           88
18-59                                                                          199                               34                      19                                   3       6        4          265
18-59                                                                           65                   26           9                                                                   6       34          140
60+                                                                 535                                           5                                                                   6        2          548
18-59                                                                          109                   29          16                                                                   6      597          757
18-59                           339                                                                  32                                                                               6       11          388
18-59                                                   184                                          61          25                                                                   6       23          299
18-59              133                                                                                                      23                                                        6       59          221
18-59              561                                                                               13           6                                                                   6        9          595
0-17                                                                                      100                    16                                                                   6      356          478
18-59                                                                                                                                                                                 6        3            9
18-59                            71          417                                          183        43          52         87                                                1       6       12          872
18-59                                                                                      98        38           4                      30                                   1       6       36          213
18-59                                                    19                                                                                                                           6        1           26
18-59                            73                                                                              19        170                                                        5       20          287
18-59                           120                                                                  30          15                                                                   5       11          181
18-59                                                   137                                          56                                                                               5       83          281
18-59                                                                           30                   19          24                                                                   5       39          117
18-59              869                                                                                            8                                                                   5        4          886
18-59                           176                                                                  24                                                                     13        5       76          294
60+                                                                                                               1                                                                   5       77           83
18-59                                                                                                             7                      26                                   6       5        4           48
18-59              461                                                                                                                                                        6       5        4          476
18-59                                                                                                                                                                                 5                     5
18-59                                                                                                 4          70                      41                                           5        17         137
18-59                            77          530                                           74                    24                                                                   5        50         760
18-59                                                                82                                                                                                     15        5         4         106
18-59                                                   160                                                       2                                                                   5         5         172
0-17                                                                                       35                                                       425           230                 5        38         733
18-59                            24           43                                           62         2           1                                                                   5        27         164
18-59                            29                                                                                                                                                   5        21          55
18-59                                                                                                                                                                        3        5        18          26
18-59                                                    32                                                                                                                 45        5         8          90
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
17. PES Analysis of Outpatient Service Locations and Number of Service for the 54 Clients with 5 or more PES Visits
                                                                                                            61201                              60301
               61401                     60301                                                             Managed                           Edgewood
             Transitions               Edgewood 61403 Adult       61401     61401 New                        Care               61404 Adult   Turning     61310 Youth
 Client's   Full Service 61406 Adult Turning Point - Services - Transitions Ventures 61305 Youth 61401     Network,   61401      Services - Point - Child Services -
   Age      Partnership -  Services -  Transition      North     Program    San Mateo Services - Redwood     excl     Willow      Central       and       Therapeutic                     All       Total
  Group         Adult     South County Age Youth      County    (AB 2034)     Drive   Case Mngt   House     Access    Suites      County    Adolescent Day School       Access   PES    Others     Services
18-59                                                                                                 34                                                                    31      5         14         84
18-59                                                                                                                                                                               5                     5
Total            2,300        1,571        1,362        936         832        830        649       568        516        478          468         425           417      196     352    2,944      14,844
# Clients            5           12            4          8           3          8          7        21         28          5            7           1             2       18      54       51           54
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
18. Clinician Hours Histogram by Age Group
                                    Actual Actual                  Actual                           Actual Actual                  Actual
Clinician                          Cumula- Cum     Actual Actual    Cum    Actual Actual   Child Cumula- Cum       Actual Actual    Cum     Actual Actual
Hrs per                   All        tive  Cohort Cumula- Total    Cohort  Cohort Case     Cases     tive  Cohort Cumula- Total    Cohort  Cohort Case
 Case       Cohort Name Cases       Count  Count tive Pct Hours    Hours Avg Hrs Mix       (0-17)   Count  Count tive Pct Hours    Hours   Avg Hrs Mix
        1      Low: 0-15  1849       1,849  1,849    15%   1,661     1,661   0.90              485     485    485    14%     436       436    0.90
        2      Low: 0-15    939      2,788  2,788    23%   1,689     3,350   1.20              223     708    708    21%     401       836    1.18
        3      Low: 0-15    796      3,584  3,584    30%   2,147     5,498   1.53              284     992    992    29%     765     1,602    1.61
        4      Low: 0-15    564      4,148  4,148    34%   2,029     7,526   1.81              131 1,123    1,123    33%     471     2,072    1.85
        5      Low: 0-15    505      4,653  4,653    39%   2,271     9,798   2.11              126 1,249    1,249    36%     566     2,638    2.11
        6      Low: 0-15    500      5,153  5,153    43%   2,698   12,496    2.42              106 1,355    1,355    39%     571     3,210    2.37
        7      Low: 0-15    443      5,596  5,596    46%   2,790   15,286    2.73               99 1,454    1,454    42%     623     3,832    2.64
        8      Low: 0-15    367      5,963  5,963    50%   2,641   17,927    3.01               96 1,550    1,550    45%     690     4,522    2.92
        9      Low: 0-15    328      6,291  6,291    52%   2,655   20,583    3.27               74 1,624    1,624    47%     598     5,121    3.15
       10      Low: 0-15    296      6,587  6,587    55%   2,662   23,244    3.53               72 1,696    1,696    49%     647     5,767    3.40
       11      Low: 0-15    275      6,862  6,862    57%   2,718   25,962    3.78               70 1,766    1,766    51%     692     6,459    3.66
       12      Low: 0-15    254      7,116  7,116    59%   2,742   28,704    4.03               62 1,828    1,828    53%     668     7,127    3.90
       13      Low: 0-15    247      7,363  7,363    61%   2,885   31,589    4.29               72 1,900    1,900    55%     841     7,968    4.19
       14      Low: 0-15    203      7,566  7,566    63%   2,554   34,143    4.51               47 1,947    1,947    57%     591     8,559    4.40
       15      Low: 0-15    170      7,736  7,736    64%   2,293   36,435    4.71 64.2%         52 1,999    1,999    58%     701     9,260    4.63 58.2%
       20     Med: 16-40    829      8,565    829    71% 14,898    14,898   17.97              201 2,200      201    64% 3,611       3,611   17.97
       25     Med: 16-40    555      9,120  1,384    76% 12,471    27,369   19.77              167 2,367      368    69% 3,751       7,362   20.01
       30     Med: 16-40    468      9,588  1,852    80% 12,624    39,993   21.59              157 2,524      525    74% 4,231      11,593   22.08
       35     Med: 16-40    353      9,941  2,205    83% 11,104    51,096   23.17              126 2,650      651    77% 3,962      15,555   23.89
       40     Med: 16-40    303     10,244  2,508    85% 10,889    61,985   24.71 20.8%        105 2,755      756    80% 3,773      19,328   25.57 22.0%
       45   Med/Hi: 41-99   218     10,462    218    87%   8,822     8,822  40.47               73 2,828       73    82% 2,951       2,951   40.43
       50   Med/Hi: 41-99   189     10,651    407    88%   8,491   17,313   42.54               70 2,898      143    84% 3,144       6,095   42.62
       60   Med/Hi: 41-99   299     10,950    706    91% 16,120    33,432   47.35              116 3,014      259    88% 6,252      12,348   47.67
       70   Med/Hi: 41-99   241     11,191    947    93% 15,160    48,592   51.31               97 3,111      356    91% 6,100      18,447   51.82
       80   Med/Hi: 41-99   174     11,365  1,121    94% 12,518    61,110   54.51               61 3,172      417    92% 4,384      22,831   54.75
       90   Med/Hi: 41-99   101     11,466  1,222    95%   8,174   69,284   56.70               37 3,209      454    93% 2,991      25,823   56.88
      100   Med/Hi: 41-99   100     11,566  1,322    96%   8,987   78,271   59.21 11.0%         46 3,255      500    95% 4,132      29,955   59.91 14.6%
      125     High: 100+    167     11,733    167    97% 18,764    18,764 112.36                58 3,313       58    96% 6,513       6,513 112.29
      150     High: 100+      82    11,815    249    98% 11,058    29,822 119.77                37 3,350       95    98% 4,986      11,499 121.04
      200     High: 100+    100     11,915    349    99% 17,957    47,778 136.90                39 3,389      134    99% 7,007      18,506 138.10
      300     High: 100+      89    12,004    438   100% 23,954    71,733 163.77                29 3,418      163   100% 7,816      26,321 161.48
      400     High: 100+      28    12,032    466   100% 10,066    81,799 175.53                13 3,431      176   100% 4,671      30,993 176.10
      500     High: 100+       6    12,038    472   100%   2,691   84,489 179.00                  1 3,432     177   100%     449    31,442 177.64
    500+      High: 100+       5    12,043    477   100%   3,170   87,659 183.77   4.0%           2 3,434     179   100% 1,392      32,834 183.43   5.2%
    Total                           12,043          100% 264,351                                     3,434          100% 91,377

                Average    13.1    Clinician Hrs / Case            264,351                   15.9   Clinician Hrs / Case           91,377
                 Median            Clinician Hrs / Case            157,527   168%                   Clinician Hrs / Case           54,442    168%
                                                                    87,659                                                  90%    91,377

Source: ClientDemoWithSvcs.xls
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
18. Clinician Hours Histogram by Age Group
                                    Actual Actual                  Actual                        Older   Actual Actual                  Actual
Clinician                    Adult Cumula- Cum     Actual Actual    Cum       Actual    Actual   Adult Cumula- Cum      Actual Actual    Cum      Actual    Actual
Hrs per                     Cases    tive  Cohort Cumula- Total    Cohort    Cohort     Case     Cases    tive  Cohort Cumula- Total    Cohort   Cohort     Case
 Case       Cohort Name     (18-59) Count  Count tive Pct Hours    Hours     Avg Hrs     Mix     (60+)   Count  Count tive Pct Hours    Hours    Avg Hrs     Mix
        1      Low: 0-15       1222 1,222   1,222    16%   1,096     1,096       0.90               142     142   142     12%     130      130       0.92
        2      Low: 0-15        600 1,822   1,822    25%   1,076     2,172       1.19               116     258   258     22%     212      342       1.33
        3      Low: 0-15        427 2,249   2,249    30%   1,149     3,320       1.48                85     343   343     29%     233      576       1.68
        4      Low: 0-15        365 2,614   2,614    35%   1,309     4,629       1.77                68     411   411     34%     249      825       2.01
        5      Low: 0-15        311 2,925   2,925    39%   1,394     6,023       2.06                68     479   479     40%     311    1,136       2.37
        6      Low: 0-15        331 3,256   3,256    44%   1,781     7,804       2.40                63     542   542     45%     346    1,482       2.73
        7      Low: 0-15        276 3,532   3,532    48%   1,732     9,536       2.70                68     610   610     51%     436    1,918       3.14
        8      Low: 0-15        223 3,755   3,755    51%   1,600   11,136        2.97                48     658   658     55%     352    2,269       3.45
        9      Low: 0-15        210 3,965   3,965    53%   1,695   12,830        3.24                44     702   702     59%     363    2,632       3.75
       10      Low: 0-15        189 4,154   4,154    56%   1,695   14,525        3.50                35     737   737     62%     320    2,952       4.01
       11      Low: 0-15        184 4,338   4,338    59%   1,815   16,339        3.77                21     758   758     63%     211    3,164       4.17
       12      Low: 0-15        158 4,496   4,496    61%   1,700   18,039        4.01                34     792   792     66%     373    3,537       4.47
       13      Low: 0-15        157 4,653   4,653    63%   1,830   19,869        4.27                18     810   810     68%     214    3,751       4.63
       14      Low: 0-15        139 4,792   4,792    65%   1,745   21,614        4.51                17     827   827     69%     218    3,969       4.80
       15      Low: 0-15        100 4,892   4,892    66%   1,345   22,959        4.69   66.0%        18     845   845     71%     247    4,216       4.99   70.6%
       20     Med: 16-40        560 5,452     560    74% 10,042    10,042       17.93                68     913    68     76% 1,245      1,245     18.31
       25     Med: 16-40        339 5,791     899    78%   7,599   17,640       19.62                49     962   117     80% 1,121      2,366     20.23
       30     Med: 16-40        262 6,053   1,161    82%   7,047   24,688       21.26                49 1,011     166     84% 1,346      3,712     22.36
       35     Med: 16-40        199 6,252   1,360    84%   6,245   30,932       22.74                28 1,039     194     87%     897    4,609     23.76
       40     Med: 16-40        178 6,430   1,538    87%   6,384   37,316       24.26   20.8%        20 1,059     214     88%     732    5,341     24.96    17.9%
       45   Med/Hi: 41-99       121 6,551     121    88%   4,882     4,882      40.35                24 1,083      24     90%     989      989     41.19
       50   Med/Hi: 41-99       106 6,657     227    90%   4,752     9,634      42.44                13 1,096      37     92%     595    1,584     42.80
       60   Med/Hi: 41-99       163 6,820     390    92%   8,769   18,402       47.19                20 1,116      57     93% 1,098      2,682     47.06
       70   Med/Hi: 41-99       127 6,947     517    94%   7,971   26,373       51.01                17 1,133      74     95% 1,089      3,772     50.97
       80   Med/Hi: 41-99        94 7,041     611    95%   6,742   33,115       54.20                19 1,152      93     96% 1,391      5,163     55.52
       90   Med/Hi: 41-99        53 7,094     664    96%   4,277   37,392       56.31                11 1,163     104     97%     906    6,069     58.36
      100   Med/Hi: 41-99        47 7,141     711    96%   4,214   41,606       58.52    9.6%          7 1,170    111     98%     641    6,710     60.45     9.3%
      125     High: 100+         94 7,235      94    98% 10,535    10,535      112.07                15 1,185      15     99% 1,716      1,716    114.43
      150     High: 100+         38 7,273     132    98%   5,111   15,645      118.53                  7 1,192     22    100%     961    2,678    121.71
      200     High: 100+         58 7,331     190    99% 10,400    26,046      137.08                  3 1,195     25    100%     549    3,227    129.07
      300     High: 100+         60 7,391     250   100% 16,139    42,184      168.74                  0 1,195     25    100%     -      3,227    129.07
      400     High: 100+         13 7,404     263   100%   4,662   46,847      178.12                  2 1,197     27    100%     732    3,959    146.64
      500     High: 100+          5 7,409     268   100%   2,241   49,088      183.16                  0 1,197     27    100%     -      3,959    146.64
    500+      High: 100+          3 7,412     271   100%   1,778   50,866      187.70    3.7%          0 1,197     27    100%     -      3,959    146.64     2.3%
    Total                            7,412          100% 152,747                                          1,197          100% 20,227

                 Average      12.4   Clinician Hrs / Case        152,747                           9.1   Clinician Hrs / Case         20,227
                  Median             Clinician Hrs / Case         92,227        166%                     Clinician Hrs / Case         10,858        186%
                                                             90% 152,747                                                          92% 20,227
San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
19. ICI Analysis: Count of Clients and Visits at "ICI Units"
                                                                                               Clients Served in ICI Unit Only
                                                                    All Clients                                                                         % ICI Unit
                                           Unit                      Served          1 Visit          2 Visits    3 Visits   4+ Visits     Total          Only
                     Access                                             2,725             505            283        144          199       1,131            42%
                     61410 Adult Services - Resource Management           541              23              9         28          123         183            34%
 1. Clients Served




                     61304 Youth Services - Central/South County            1                                                      1           1           100%
                     61307 Youth Services - Hillcrest                      30                                1                     5           6            20%
                     61308 Youth Services - MH/HSA                         37                                                      2           2             5%
                     61311 Youth Services - Healthy Steps                 393                  13         22         26          148         209            53%
                     61314 Youth Services - CPA 2000 (Hillcrest)          253                   6        142         25           12         185            73%
                     61408 Adult Services - East Palo Alto                 72                   6          2          1           10          19            26%
                     61408 Youth Services - East Palo Alto                 19                                         1            6           7            37%
                     Total Clients                                      3,840             553            459        222          474       1,708            44%
                                                                                                                 Crisis/    Group/                      Medication
                                                                   Assessment/I      Case            Collateral Stabilizati Social       Individual      Manage-      Rehab
                                           Unit                       ntake       Management          Service      on       Therapy       Therapy         ment       Services    Grand Total
                     Access                                              2,516          1,268               47         13                        3             18        2,898        6,763
                     61410 Adult Services - Resource Management             31          5,972               13          7                      145              1          287        6,456
                     61304 Youth Services - Central/South County                            6                                                                                             6
                     61307 Youth Services - Hillcrest                       86             37              20            2                                       1          55          201
 2. Visits




                     61308 Youth Services - MH/HSA                          35            145               6                                       4                       96          286
                     61311 Youth Services - Healthy Steps                  196          2,717              14            3           7             14          12          127        3,090
                     61314 Youth Services - CPA 2000 (Hillcrest)           254            141               5            3                                                 182          585
                     61408 Adult Services - East Palo Alto                  81            494              13            2                       3                          46          639
                     61408 Youth Services - East Palo Alto                  23            128              17                                    3              2           26          199
                     Total Visits                                        3,222         10,908             135          30            7         172             34        3,717       18,225
                     Ratio                                                  18%                60%          1%         0%          0%              1%          0%          20%         100%
                     # of Clients Served                                2,001           1,601              87         25            3          34             23        1,825        3,840
                     # of Visits Analysis
                       Minimum number of visits per client                   1               1             1           1           1            1              1            1            1
                       Maximum number of visits per client                  24            109              7           2           4           21              2           24         109
                       Average number of visits per client                1.61            6.81          1.55        1.20        2.33         5.06           1.48         2.04         4.75
                                                                                  ICI Unit Names
 Youth ICI: Hillcrest                                              Access ICI                                    Youth ICI: HMB                            Pathways ICI
 Youth ICI: Intensive In-Home                                      Youth ICI: North                              Adult ICI: HMB                            Youth ICI: Palos Verdes
 Assessment Center ICI - Ron Austin                                Youth ICI: South                              Youth ICI: Central                        Youth ICI: AB 933
 Adult ICI - Resource Management                                   Adult ICI: EPA                                Youth ICI: EPA                            Youth ICI: Pre to 3
 East Palo Alto Clinic - ICI                                       Youth ICI: Receiving Home                     Youth ICI: Shelter Care                   Pathways ICI
 Assessment Center ICI - HAS                                       East Palo Alto Clinic - ICI                   Youth ICI: Child Welfare
    San Mateo County Behavioral Health and Recovery Services Fiscal Year 2006/2007
    20. Full Service Partnership Analysis
                                     60301           60301
                                   Edgewood        Edgewood                                 41401            41401
                                 Turning Point - Turning Point -               Youth    Transitions Full Transitions Full
                                    Child &      Transition Age    Youth FSP    FSP     Svc Partnership Svc Partnership     Adult FSP    Adult FSP
                                  Adolescent         Youth          Totals     Ratios    - Older Adult       - Adult         Totals       Ratios
    Clients by Age Group
    Child 0-17                             31               20            51     63%                                               -         0%
    Adult 18-59                             5               25            30     37%               17               41              58      77%
    Older Adult 60+                                                      -        0%               17                               17      23%
    All Clients                            36               45            81    100%               34               41              75     100%
    Transitional 16 to 25**                15               43            58     72%                                 5               5       7%
    Clients (0-17)
    IEP                                    19               10            29     57%                                               -          0%
    Non-IEP                                12               10            22     43%                                               -          0%
    Client Hours
    Total                               2,093           4,835          6,928                   2,906            3,507           6,413
    Avg                                  58.1           107.4           85.5                    85.5             85.5            85.5
    Max                                   313             448            448                     296              305             305
    Clinician Hours
    Total                               2,093           4,835          6,928                   2,905            3,507           6,413
    Avg                                  58.1           107.4           85.5                    85.5             85.5            85.5
    Max                                   313             448            448                     296              305             305
    Clients By Gender
    Female                                  7               16            23     28%               20               14             34        45%
    Male                                   29               29            58     72%               14               27             41        55%
    Clients by Composite LOCUS Score
    No Score                         5                         3           8     10%                  2                8            10      13%
    Level 0                        -                       -             -        0%              -                -               -         0%
    Level 1 (10-13)                -                       -             -        0%              -                -               -         0%
    Level 2 (14-16)                  4                       7            11     14%                4                1               5       7%
    Level 3 (17-19)                  7                       8            15     19%                5                4               9      12%
    Level 4 (20-22)                  9                      13            22     27%                9                8              17      23%
    Level 5 (23-27)                  9                      11            20     25%               12               17              29      39%
    Level 6 (28+)                    2                       3             5      6%                2                3               5       7%
    Totals                          36                      45            81    100%               34               41              75     100%
    Clients by Financial Class
    Medi-Cal                                15              26            41     51%                  9             20              29      39%
    Medi-Cal + Insured                       8               6            14     17%              -                  2               2       3%
    Medi-Cal + Uninsured                   -                 2             2      2%              -                -               -         0%
    Medicare                               -               -             -        0%                2              -                 2       3%
    Medi-Medi                              -                 2             2      2%               23               14              37      49%
    Insured                                  9               3            12     15%              -                  1               1       1%
    Healthy Families/ Kids                   2               2             4      5%              -                -               -         0%
    Uninsured                                2               4             6      7%              -                  4               4       5%
    Total                                   36              45            81    100%               34               41              75     100%
    By Language
    English                                 33              45            78     96%               33               40              73       97%
    Other                                  -               -             -        0%              -                -               -          0%
    Spanish                                  3             -               3      4%                1                1               2        3%
    Tagalog                                -               -             -        0%              -                -               -          0%
    Unknown                                -               -             -        0%              -                -               -          0%
    Clients by Ethnicity
    Other Asian                                1           -               1      1%              -                    1             1       1%
    Black/Afr-Am                               7             6            13     16%                  7                7            14      19%
    Chinese                                -                 1             1      1%                               -               -         0%
    Filipino                                   2             4             6      7%                  1            -                 1       1%
    Hisp/Lat                                   9            12            21     26%                  4                8            12      16%
    Am-Ind/Al-Nat                          -                 1             1      1%              -                -               -         0%
    Other                                   1                1             2      2%              -                -               -         0%
    Nat-HI/Pac-Is                           2              -               2      2%              -                  4               4       5%
    Unknown                                 2              -               2      2%              -                -               -         0%
    White                                  12               20            32     40%               22               21              43      57%
    Total                                  36               45            81    100%               34               41              75     100%




Data Book                                                                                                                        Page 1, April 2008

								
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