DSHS-McKeon, Stacii DSHS-McKeon, Stacii

created Aug 21, 2013

updated Nov 04, 2016

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Goal 4: Healthy and Safe Communities
1.2.y.g, 1.2.a.c, outpatient chemical dependency, substance abuse, dshs, behavioral health, healthy people, healthy youth, healthy adults, chemical dependency, treatment retention
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Licensing and Attribution
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Data Source
Treatment Assessment and Report Generation Tool (TARGET). BHSIA, DSHS
Data Definition
The increase in the statewide percentages of (1) adult outpatient substance abuse treatment retention and (2) youth outpatient chemical dependency treatment retention.* Treatment retention (per Performance-Based Contract definition) equals 1 visit per month for the first 3 months, or a length of stay of less than 90 days, with treatment completion. The target for adult outpatient retention is 64%; for youth outpatient retention, 67%. Treatment retention (per Performance-Based Contract definition) equals 1 visit per month for the first 3 months, or a length of stay of less than 90 days, with treatment completion. Information on patient initiation, engagement and retention in chemical dependency treatment: Arria, A.M. TOPPS-II Interstate Cooperative Study Group. (2003). Drug treatment completion and post-discharge employment in the TOPPS-II Interstate Cooperative Study. Journal of Substance Abuse Treatment, 25(1), pp. 9-18; Garnick, D.W. et al. Adapting Washington Circle performance measures for public sector substance abuse treatment systems. Journal of Substance Abuse Treatment 36 (2009) pp. 265–277; Garnick, D.W. et al. Are Washington Circle Performance Measures Associated With Decreased Criminal Activity Following Treatment? Journal of Substance Abuse Treatment 33(4), Dec 2007, pp.341-352; Hubbard RL, Craddock SG, Anderson J. Overview of 5-year followup outcomes in the drug abuse treatment outcome studies (DATOS). Journal of Substance Abuse Treatment 25(3), Oct 2003, pp.125-134. Includes admissions to both outpatient and intensive outpatient modalities. Clients are considered to have met the contract retention criterion if they had at least one treatment activity in each month of their treatment, for three consecutive months. Treatment activities that count for this criterion are individual, group, conjoint or family counseling, and case management. Clients must be present at counseling sessions, but need not be present for case management. For the contract monitoring purposes, clients that completed treatment in less than 90 days are considered to have met the performance standard, regardless of activities. Identified by the governing county field in TARGET. This report only includes admissions that occurred at least 90 days before our most current data. The most recent data in the system includes records through September 2013, but this report will only include data through June 2013, so all clients have a chance to be in treatment for at least 90 days. Includes all providers, regardless of N. Does not include outpatient retention through a clinical transfer. Percentages are based on 6-month rolling averages. This measure corresponds to RPM measures 002199 and 002201, and Results Washington Measures A.1.2.e and Y.1.2.d. (Increase the percent of outpatient chemical dependency treatment retention in adults from 62% to 64% and youth from 65% to 67% by 6/30/2015. The 62%/64% rates are in the current county contracts, and similar to the RSNs, this measure depicts a statewide retention rate, with differing targets for each county contract. While discussion with counties about higher targets has not occurred yet, actual performance has been tracking higher than current targets. BHSIA believes it is positioned to push for a higher target in the next contract amendment, starting January 2014).
Data Frequency
Target Rationale
Target is a stretch goal based on last three years trends for each county’s performance.
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