Community Systems Progress RPT q1

NC DEPARTMENT OF HEALTH AND HUMAN SERVICES
MH/DD/SAS
Community Systems
Progress Report
First Quarter SFY 2010-2011
July 1 – September 30, 2010
Prepared by:
Quality Management Team
Community Policy Management Section
Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
November 30, 2010

"You don't just wander in the wilderness, you set specific goals and specific
benchmarks, and then you measure your success on achieving those goals and
benchmarks."
-- DHHS Secretary Lanier Cansler, February 10, 2009.
Highlights of First Quarter SFY 2010-2011
Timely Access to Care
 According to reports submitted by the Local Management Entities (LMEs), almost all of
the individuals (98%) determined to need emergent care were provided access within two
hours from the time of the request (no change from the prior quarter). This fell short of
the SFY 2011 statewide goal of 100%.
 LMEs reported that 86% of individuals determined to need urgent care were provided a
face-to-face service within 48 hours from the time of the request (an increase from the
prior quarter). This fell short of the SFY 2011 statewide goal of 88%.
 Four-fifths (80%) of individuals determined to need routine care were provided a face-to-
face service within 14 calendar days of the request (an increase over the prior quarter).
This fell short of the SFY 2011 statewide goal of 88%.
Services to Persons in Need

 The percentages of persons in need of mental health services that were provided publicly-
funded services in their communities exceeded the SFY 2011 statewide goal both for
adults (51% served compared to a statewide goal of 40%) and for children (55% served
compared to the statewide goal of 40%). The percentage remained the same for adults
and increased for children over the prior quarter.
 The percentages of persons in need of developmental disability services that were
provided publicly-funded services in their communities exceeded the SFY 2011
statewide goal both for adults (40% served compared to the statewide goal of 38%) and
for children (21% served compared to the statewide goal of 20%). The percentages
decreased slightly from the prior quarter for both adults and children.
 The percentages of persons in need of substance abuse services that were provided
publicly-funded services in their communities exceeded the SFY 2011 statewide goal
for adults (11% served compared to the statewide goal of 10%) and met the goal for
adolescents (9% served compared to the statewide goal of 9%). The percentage
increased over the prior quarter for adults and remained the same for adolescents.
Timely Initiation and Engagement in Service

 The percentages for consumers’ initiation and engagement into mental health care fell
short of meeting the SFY 2011 statewide goal for initiation and for engagement. For
initiation, 41% of consumers received a 2nd visit within 14 days of the first visit
compared to the statewide goal of 42%. For engagement, 25% of consumers received 2
additional visits within 30 days after meeting the initiation measure compared to the
statewide goal of 30%. The percentages for both measures decreased from the prior
quarter.
 The measures for consumers’ initiation and engagement into developmental disability
services and supports remained below SFY 2011 statewide goals. For initiation, 58% of
consumers of developmental disability services received a 2nd visit within 14 days of the
first visit compared to the statewide goal of 72%. For engagement, 44% of consumers of
developmental disability services received 2 additional visits within 30 days after
ii
meeting the initiation measure compared to the SFY 2011 statewide goal of 61%. The
percentages for both measures decreased from the prior quarter.
 The measures for consumers’ initiation and engagement into substance abuse services
increased from the prior quarter, but remained below the SFY 2011 statewide goal. For
initiation, almost two-thirds (65%) of consumers of substance abuse services received 2
visits within the first 14 days of care compared to the statewide goal of 71%. For
engagement, almost half (46%) of consumers of substance abuse services received 4
visits within 45 days, compared to the statewide goal of 56%. This represents continued
improvement from last quarter.
Effective Use of State Psychiatric Hospitals

 Reduction in use of state psychiatric hospitals for short term care (7 days or less)
exceeded the SFY 2011 statewide goal this quarter – 32% of consumers in state
hospitals had stays of 7 days or less compared to the SFY 2011 statewide goal of no more
than 44% of consumers. This represents continued improvement from last quarter.
State Psychiatric Hospital Readmissions

 The 1 to 30 day readmission rate this quarter remained the same as the prior quarter.
Across the state, 7% of consumers discharged from a state psychiatric hospital were
readmitted within 30 days. This exceeded the SFY 2011 statewide goal of 10% or less.
 The 1 to 180 day readmission rate this quarter decreased (improved) from the prior
quarter. Across the state, 17% of consumers were readmitted within 180 days, which is
better than the SFY 2011 statewide goal of 22% or less.
Timely Follow-Up after Inpatient Care

 The SFY 2011 statewide goals for follow-up care for consumers discharged from
ADATCs and state psychiatric hospitals are set high at 70% of consumers seen within 7
days following discharge. This reflects the great importance given to the achievement of
this measure. Statewide, 40% of consumers discharged from an ADATC and 52% of
consumers discharged from a state psychiatric hospital were seen within 7 days following
discharge this quarter. The percentages decreased from the prior quarter for persons
discharged from an ADATC and from a state psychiatric hospital.
Child Services in Non-Family Settings

 Under two percent of children and adolescents receiving mental health and/or substance
abuse services were served in residential service settings this quarter, which exceeded
the SFY 2011 statewide goal of four percent or less. This is a decrease (continued
improvement) from the prior quarter.
iii
Table of Contents
Highlights of First Quarter SFY 2010-2011................................................................................. ii
Introduction.................................................................................................................................... 1
The Indicators ................................................................................................................................ 2
Indicator 1: Timely Access to Care........................................................................................... 2
Indicator 2: Services to Persons in Need.................................................................................. 2
Indicator 3: Timely Initiation and Engagement in Service..................................................... 3
Indicator 4: Effective Use of State Psychiatric Hospitals........................................................ 3
Indicator 5: State Psychiatric Hospital Readmissions............................................................. 3
Indicator 6: Timely Follow-Up after Inpatient Care ............................................................... 4
Indicator 7: Child Services in Non-Family Settings................................................................ 4
How to Read This Report............................................................................................................... 5
Performance By Geographic Area ............................................................................................... 6
Statewide ....................................................................................................................................6
Alamance-Caswell.....................................................................................................................8
Beacon Center ......................................................................................................................... 10
CenterPoint Human Services ................................................................................................ 12
Crossroads Behavioral Healthcare ........................................................................................ 14
Cumberland ............................................................................................................................. 16
Durham Center........................................................................................................................ 18
East Carolina Behavioral Health ........................................................................................... 20
Eastpointe ................................................................................................................................ 26
Five County ............................................................................................................................. 28
Guilford Center ....................................................................................................................... 30
Johnston .................................................................................................................................. 32
Mecklenburg............................................................................................................................ 34
Mental Health Partners .......................................................................................................... 36
Onslow-Carteret Behavioral Healthcare Services ................................................................ 38
Orange-Person-Chatham........................................................................................................ 40
Pathways .................................................................................................................................. 42
PBH ........................................................................................................................................ 44
Sandhills Center ...................................................................................................................... 46
Smoky Mountain Center ......................................................................................................... 50
Southeastern Center................................................................................................................ 54
Southeastern Regional ........................................................................................................... 56
Wake County Human Services .............................................................................................. 58
Western Highlands Network................................................................................................... 60
Community Systems Progress Report: First Quarter SFY 2010-2011
Introduction
The NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
(DMH/DD/SAS) has been tracking the effectiveness of community systems through statewide
performance indicators since 2006. 1 These indicators provide a means for the NC public and
General Assembly to monitor how the public service system is performing its responsibilities.
Regular reporting of community progress also assists local and state managers in identifying
areas of success and areas in need of attention. Problems caught early can be addressed more
effectively. Success in a particular component of the service system by one community can be
used as a model to guide development in other communities.
Each topic covered by these indicators involves substantial “behind-the-scenes” activity by
service providers, LME and state staff, consumers, and family members. The indicators do not
cover all of those efforts. Instead, they focus on the desired results of those activities. If the
results are different than expected, system stakeholders may need to perform a more detailed
analysis in order to identify contributing factors and issues that may be affecting the result.
The indicators in this report were chosen to reflect:
 accepted standards of care,
 fair and reliable measures, and
 readily available data sources.
The following pages provide an overview of the indicators, a guide to reading the report, and a
summary of performance for each LME and the state as a whole for the most recent period for
which data is available.
Appendices for MH/DD/SAS Community Systems Progress Report, a separate document,
contains details on the indicators for the most recent period by LME and for some of the
indicators by county, where appropriate. The Appendices includes data sources and time periods
for each indicator, population data for each county, an explanation of how the indicators are
calculated, and if applicable a summary of revisions that were made to this report.
Critical Measures at a Glance, also a separate document, is a one-page reference table showing
each LME’s performance for the current quarter against statewide averages, statewide goals, and
contractual requirements (“standards”).
This report, the appendices, and the critical measures document, are available on the Division
website:
http://www.ncdhhs.gov/mhddsas/statspublications/reports
1
This report fulfills the requirements of S.L. 2006-142 (HB 2077) that directs the Department of Health and Human Services to
develop critical indicators of LME performance. Measures reflect the goals of the Division’s Strategic Plan 2010-2013, the
President’s New Freedom Initiative, CMS’ Quality Framework for Home and Community Based Services, and SAMHSA’s
Federal Action Agenda and National Outcome Measures.
1
The Indicators
The performance indicators are divided into seven categories that cover the processes involved in
providing community services. They are intended to capture how well people are getting into
care and continuing care in their chosen communities. The descriptions below provide the
reasoning behind selection of these indicators and the Division’s annual statewide goals.
The Division sets the statewide goals at the beginning of each fiscal year by determining (1) the
current needs and priorities for the service system and (2) what is considered an achievable
improvement for the year. Some goals may remain the same from one year to the next, some
goals may be incrementally increased over time, while others may be set intentionally high to
reflect where the Division wants community systems to focus their efforts. Performance goals
for SFY2011 remain the same as the prior year in anticipation of budget reductions.
Indicator 1: Timely Access to Care
Rationale: Timely access to appropriate care is critical to protect consumer health and safety,
minimize adverse consumer outcomes and promote consumer engagement in services. The
timely access measures are based on Healthcare Enterprise Data Information System (HEDIS ©)
measures, supported by the federal Centers for Medicaid and Medicare.
This indicator, based on reports submitted by LMEs, has three components that look at timely
access to care based on urgency of need:
1.1 Emergent Care: Statewide Goal = 100% of persons in need of emergent care are provided
access through our community service system within two hours of the request.
1.2 Urgent Care: Statewide Goal: 88% or more of persons in need of urgent care receive
services through our community service system within 48 hours of the request.
1.3 Routine Care: Statewide Goal: 88% or more of persons in need of routine care receive
services through our community service system within 14 calendar days of the request.
Indicator 2: Services to Persons in Need
Rationale: NC has designed its public system to serve those persons who have the highest need
for ongoing care and limited access to privately-funded services. Increasing delivery of services
to these persons is a nationally accepted measure of system performance.
This indicator is measured by comparing the number of persons who received treatment for a
particular condition during a year with prevalence, the number of persons estimated to have that
condition in a given year, to get treated prevalence, or percent of the population in need who
receive services through our community service system for that condition within a year. This
indicator looks at treated prevalence for six age-disability groups.
2.1 Adult Mental Health Services: Statewide Goal = 40% or more
2.2 Child and Adolescent Mental Health Services: Statewide Goal = 40% or more
2.3 Adult Developmental Disability Services: Statewide Goal = 38% or more
2.4 Child and Adolescent Developmental Disability Services: Statewide Goal = 20% or more
2.5 Adult Substance Abuse Services: Statewide Goal = 10% or more
2
2.6 Adolescent Substance Abuse Services: Statewide Goal: 9% or more

Indicator 3: Timely Initiation and Engagement in Service
Rationale: For persons with mental illness, developmental disabilities, and addictive diseases to
recover control over their lives and maintain stability, they need continuing access to supports
and services. Initiation and engagement are nationally accepted measures of continued access.
Initiation is measured as the percent of persons who receive 2 visits within the first 14 days of
service. Engagement is measured as the percent of persons who after meeting the initiation
criteria receive an additional 2 visits within the next 30 days (a total of 4 visits within the first 45
days of service). This indicator looks at initiation and engagement for five disability groups.
3.1.a Initiation of Mental Health Consumers: Statewide Goal = 42% or more
3.1.b Engagement of Mental Health Consumers: Statewide Goal = 30% or more
3.2.a Initiation of Developmental Disability Consumers: Statewide Goal = 72% or more
3.2.b Engagement of Developmental Disability Consumers: Statewide Goal = 61% or more
3.3.a Initiation of Substance Abuse Consumers: Statewide Goal = 71% or more
3.3.b Engagement of Substance Abuse Consumers: Statewide Goal = 56% or more
3.4.a Initiation of Consumers with Co-Occurring Mental Health/ Developmental
Disabilities: No statewide goal has been established.
3.4.b Engagement of Consumers with Co-Occurring Mental Health/Developmental
Disabilities: No statewide goal has been established.
3.5.a Initiation of Consumers with a Co-Occurring Mental Health/Substance Abuse
Disorder: No statewide goal has been established.
3.5.b Engagement of Consumers with a Co-Occurring Mental Health/Substance Abuse
Disorder: No statewide goal has been established.
Indicator 4: Effective Use of State Psychiatric Hospitals
Rationale: State psychiatric hospitals provide a safety net for the community service system. An adequate
community system should provide short-term inpatient care in a local hospital in the community. This
helps families stay involved and reserves high-cost state facility beds for consumers with long-term care
needs. Reducing the short-term use of state psychiatric hospitals also allows more effective and efficient
use of funds for community services. This indicator is measured as the percent of persons discharged
from state psychiatric hospitals each quarter who have a length of stay of 7 days or less.
4.0 Short Term Hospital Stays: Statewide Goal = 44% or less
Indicator 5: State Psychiatric Hospital Readmissions
Rationale: Successful community living, without repeated admissions to inpatient care, requires effective
coordination and ongoing appropriate levels of community care after hospitalization. A low psychiatric
hospital readmission rate is a nationally accepted standard of care that indicates how well a community is
assisting individuals at risk for repeated hospitalizations.
3
This indicator measures the percent of persons discharged from state psychiatric hospitals during
each quarter who are readmitted to a state psychiatric hospital within 1-30 days following
discharge and within 1-180 days following discharge.
5.1 Readmissions within 1-30 Days: Statewide Goal = 10% or less
5.2 Readmissions within 1-180 Days: Statewide Goal = 22% or less
Indicator 6: Timely Follow-Up after Inpatient Care
Rationale: Living successfully in one’s community after discharge from a state-operated facility depends
on smooth and timely transition to community services and supports. Receiving a community-based
service within 7 days of discharge is a nationally accepted standard of care that also indicates the local
system’s community service capacity and coordination across levels of care.
This indicator measures the percent of persons discharged from state-operated alcohol and drug
abuse treatment centers (ADATCs) and from state psychiatric hospitals during each quarter who
receive follow-up care in the community within 7 days of discharge.
6.1 ADATC Follow-Up Care: Statewide Goal = 70% or more
6.2 State Psychiatric Hospital Follow-Up Care: Statewide Goal = 70% or more
Indicator 7: Child Services in Non-Family Settings
Rationale: Children and adolescents served in the most natural and least restrictive community settings
appropriate to their needs are more likely to maintain or develop positive family and community
connections and to achieve other lasting, positive outcomes. Serving children and adolescents in non-
family settings should be minimized whenever possible.
This indicator measures the percent of children and adolescents receiving mental health and/or
substance abuse services during each quarter who receive Residential Treatment Level 2
(Program Type), Level 3, and/or Level 4 services.
7.0 Children Served in Non-Family Settings: Statewide Goal = 4% or less
4
How to Read This Report

This report is organized to provide information by geographic area (statewide and LME
catchment area), showing all indicators for each geographic area in one place to create a snapshot
of the geographic area. The benefits of organizing the indicators using this approach include:
 The performance indicators in this report are inter-related. State and local efforts to
improve performance in one domain can affect performance in others. For example, an
increase in the number of persons that receive services (Indicator 2) can impact how
quickly consumers can get appointments for initial service (Indicator 1), continued
service (Indicator 3), or follow-up services after discharge from a state facility (Indicator
6). Looking at performance across indicators encourages holistic thinking about these
interrelationships and it facilitates the identification of both strengths and areas that are in
need of improvement.
 The geographic sections of this report facilitate analysis and sharing of the
information. Organizing all performance indicators for each geographic area into a
separate section of the report makes it easier for stakeholder groups to stay informed
about how their geographic area is doing and to share information. Whether it be Area
Boards, local Consumer and Family Advisory Committees, state legislators, service
providers, or the general public, informed stakeholders are more likely to understand the
strengths and challenges of the service system and to support improvement efforts. It
also makes it easier for stakeholders to identify other similar geographic areas to compare
data, to seek help, and to collaborate to improve the service system.
 The geographic sections of this report facilitate the inclusion of trend data. Seeing
performance across time enables comparison to past performance and supports evaluation
of improvement efforts.
Each geographic section of the report includes:
 A short description and a map of the state highlighting the geographic area.
 Pie charts showing the number and percent of persons who received a federal- or state-
funded service by age and disability group for the most recent 12 month period for which
data is available.
 Line graphs showing trends in performance over the past two years for selected
indicators. Each graph shows the geographic area’s performance (solid line) along with
the state average (dashed lines) and the performance range across LMEs (dotted lines).
o Reports for the 1st and 3rd quarters feature the initiation of services by disability
(Indicator 3).
o Reports for the 2nd and 4th quarters feature the use of state psychiatric hospitals for
short-term care (Indicator 4) and timely follow-up care after discharge from a
state facility (Indicator 6).
 A table showing performance levels for each indicator for the LME and for each county
in its catchment area (for relevant indicators), along with the statewide average and range
of performance for all LMEs.
5
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011
STATEWIDE
North Carolina has 100 counties and approximately 9.5 million residents. Western Region Central Region Eastern Region
Three-fourths (74) of those counties are rural, with fewer than 200 persons Ashe
Alleghany
Person Warren
Northampton
Gates
Camden
Currituck
Rockingham
per square mile. Almost one-sixth (16.5%) of the state's population (39% of
Surry Stokes Caswell Vance Pasquotank
Hertford
Wilkes Granville Halifax Perquimans
Watauga
Yadkin Orange
Chowan
Forsyth Guilford Alamance Franklin
Avery Bertie
youth and 10% of adults) is enrolled in Medicaid. The state's mental health,
Mitchell
Caldwell Durham
Yancey Alexander Davie Nash
Madison Edgecombe
Washington
Burke Iredell Davidson Wake Martin Tyrrell
Chatham Dare
Catawba Randolph Wilson
developmental disabilities, and substance abuse (MH/DD/SA) service system

Buncombe McDowell Rowan
Haywood Johnston Pitt Beaufort
Swain Lincoln Lee Greene Hyde
Rutherford Cabarrus
Henderson Montgomery
Graham Gaston Harnett
Jackson Stanly Wayne Lenoir
is organized into 23 Local Management Entities (LMEs) across three regions.

Polk Cleveland
Moore Craven
Transylvania Mecklenburg
Cherokee Macon Cumberland Pamlico
Clay Richmond Sampson
Union Anson Jones
Hoke Duplin
Scotland Onslow Carteret

Robeson
Bladen
Pender
Columbus New
Hanover
Brunswick
Persons Served By Age and Disability During July 2009 - June 2010
(Based On Medicaid and State-Funded IPRS Claims Paid Through October 2010)
Youth (Under Age 18): 118,477 Adults (Age 18 and Over): 237,573
SA DD
DD Dual MH/SA Dual MH/SA
1,265 SA 10,442
5,253 3,086 37,077
1% 27,869 4%
4% 3% 16%
Dual MH/DD 12% Dual MH/DD
7,652 12,142
6% 5%
Dual DD/SA
Dual DD/SA 80
10 0%
MH 0%
MH/DD/SA
101,096
MH/DD/SA MH 773
86%
115 149,190 0%
0% 63%
The above pie charts show the number and percentage of persons served during the most recent 12 month period for which claims data is
available. It only includes persons whose services were paid by Medicaid and State-Funds through the Integrated Payment Reporting System.
Timely Initiation of Services

Rationale: For persons with mental illness, developmental disabilities, and addictive diseases to recover control over their lives and maintain stability, they
need continuing access to supports and services. Having at least two visits within the first 14 days of care provides the best opportunity for an individual to
become fully committed to continuing services. The goal is to increase the percentage.
Mental Health: 2 Visits within 14 Days Devel Disabilities: 2 Visits within 14 Days
100% 100%
Pct of New Persons
Pct of New Persons
80% 80% 68% 70% 65% 66% 65% 65% 63% 61%
58%
60% 60%
43% 42% 42% 42% 42% 42% 40% 42% 41%
40% 40%
20% 20%
0% 0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
SFY09 SFY10 SFY11 SFY09 SFY10 SFY11
Highest LME State Average Lowest LME Highest LME State Average Lowest LME
SFY2011 Statewide Goal = 42% or more SFY2011 Statewide Goal = 72% or more
Substance Abuse: 2 Visits within 14 Days ● About two-fifths of mental health consumers received two visits
100% within the first 14 days of care. The percentage has remained fairly
Pct of New Persons
80% 65% level over the last 9 quarters.

65% 64% 64% 64% 65% 62%
58% 59%
60%
● About three-fifths of consumers with developmental disabilities
40% received two visits within the first 14 days of care. The percentage
20% over the past 9 quarters has been slowly decreasing.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
● About two-thirds of substance abuse consumers received two visits
within the first 14 days of care. The percentage was fairly level for the
SFY09 SFY10 SFY11 first 5 quarters, decreased during the second quarter of SFY10 and
has steadily increased over the most recent 3 quarters returning to its
prior first 5 quarters level.
Highest LME State Average Lowest LME
SFY2011 Statewide Goal = 71% or more
6
STATEWIDE
So… How Did We Do This Quarter?
SFY2011 Range Among LMEs
Goal*
Progress Indicator Statewide Lowest State Highest
Goal LME Average LME
1. Timely Access to Care

Emergent ↑ 100% 86% 98% 100%
Urgent ↑ 88% 48% 86% 100%
Routine ↑ 88% 59% 80% 95%
2. Services to Persons in Need
Adult Mental Health ↑ 40% 27% 51% 77%
Child/Adolescent Mental Health ↑ 40% 35% 55% 84%
Adult Developmental Disabilities ↑ 38% 25% 40% 58%
Child/Adolescent Developmental Disabilities ↑ 20% 13% 21% 35%
Adult Substance Abuse ↑ 10% 5% 11% 17%
Adolescent Substance Abuse ↑ 9% 4% 9% 18%
3. Timely Initiation & Engagement in Service
Mental Health: 2 Visits within 14 Days ↑ 42% 28% 41% 70%
Mental Health: 2 Add'l Visits within Next 30 Days ↑ 30% 16% 25% 35%
Developmental Disabilities: 2 Visits within 14 Days ↑ 72% 30% 58% 77%
Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 61% 12% 44% 59%
Substance Abuse: 2 Visits within 14 Days ↑ 71% 39% 65% 88%
Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 56% 27% 46% 65%
Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ NA 28% 51% 68%
Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ NA 18% 39% 53%
Mental Health/Substance Abuse: 2 Visits within 14 Days ↑ NA 49% 60% 94%
Mental Health/Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ NA 33% 44% 57%
4. Effective Use of State Psychiatric Hospitals (Reduction of Short-Term Care)
1-7 Days of Care ↓ 44% 0% 32% 60%
8-30 Days of Care NA 33% 44% 67%
5. State Psychiatric Hospital Readmissions
Readmitted within 30 Days ↓ 10% 0% 7% 14%
6. Timely Follow-up After Inpatient Care
ADATCs: Seen in 1-7 Days ↑ 70% 14% 40% 80%
State Psychiatric Hospitals: Seen in 1-7 Days ↑ 70% 32% 52% 93%
7. Child Services in Non-Family Settings
Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 4% 0% 2% 4%
* ↑ Goal is to increase the percentage ↓ Goal is to decrease the percentage Meets or exceeds Statewide Goal Statewide Goal not established
7
ALAMANCE-CASWELL
Western Region Central Region Eastern Region
Alamance-Caswell LME serves two counties in central North Carolina. Only
Alamance is considered urban. Of the 174,000 residents living in this area, 17%
are enrolled in Medicaid.
DD
SA DD Dual MH/SA SA Dual MH/SA
171
10 64 43 400 832
4%
1% 4% 2% 9% 18% Dual MH/DD
211
Dual MH/DD 5%
83 Dual DD/SA
5% 2
0%
MH MH/DD/SA
1,614 0 MH/DD/SA
88% 0% 13
MH
2,981 0%
64%
100% 100%
Pct of New Persons
Pct of New Persons
76% 75% 77% 77% 78%

80% 80%
63% 60% 55%
60% 60% 46%
37% 36% 38% 38% 42% 39% 39% 36%
40% 30% 40%
20% 20%
0% 0%
LME Highest LME LME Highest LME

State Average Lowest LME State Average Lowest LME
Substance Abuse: 2 Visits within 14 Days ● Over one-third of mental health consumers received two visits
100% within the first 14 days of care this quarter. The percentage has
Pct of New Persons
81%
80% 72% 74% 70% remained fairly level over the past 9 quarters slightly below the state
63% 63% 60% 59%
52% average.
60%
40% ● Over half of consumers with developmental disabilities received two
20% visits within the first 14 days of care this quarter. This is down from
0% the three-quarters level it has been during 5 of the past 9 quarters and
slightly below the state average.
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
SFY09 SFY10 SFY11 ● Three-fifths of substance abuse consumers received two visits
within the first 14 days of care this quarter. The percentage improved
LME Highest LME
during the first 6 quarters, declined during the last half of SFY10, and
State Average Lowest LME has improved in the most recent quarter.
8
ALAMANCE-CASWELL
Range Among LMEs County
Goal*
Progress Indicator Lowest State Highest LME
Alamance Caswell
LME Average LME

Emergent ↑ 86% 98% 100% 100% Data for these indicators are not available at the county level
Urgent ↑ 48% 86% 100% 100%

Routine ↑ 59% 80% 95% 77%
Adult Mental Health ↑ 27% 51% 77% 56% 56% 52%
Child/Adolescent Mental Health ↑ 35% 55% 84% 48% 48% 46%
Adult Developmental Disabilities ↑ 25% 40% 58% 36% 35% 40%
Child/Adolescent Developmental Disabilities ↑ 13% 21% 35% 13% 14% 10%
Adult Substance Abuse ↑ 5% 11% 17% 11% 11% 10%
Adolescent Substance Abuse ↑ 4% 9% 18% 6% 6% 3%
Mental Health: 2 Visits within 14 Days ↑ 28% 41% 70% 36% 37% 28%
Mental Health: 2 Add'l Visits within Next 30 Days ↑ 16% 25% 35% 19% 20% 14%
Developmental Disabilities: 2 Visits within 14 Days ↑ 30% 58% 77% 55% 55% 0%
Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 12% 44% 59% 45% 45% 0%
Substance Abuse: 2 Visits within 14 Days ↑ 39% 65% 88% 59% 61% 44%
Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 27% 46% 65% 38% 37% 44%
Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ 28% 51% 68% 68% 77% 0%
Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 18% 39% 53% 44% 50% 0%
Mental Health/Substance Abuse: 2 Visits within 14 Days ↑ 49% 60% 94% 54% 52% 74%
Mental Health/Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 33% 44% 57% 34% 32% 43%
1-7 Days of Care ↓ 0% 32% 60% 29% Data for these indicators are not available at the county level
8-30 Days of Care 33% 44% 67% 39%

Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 0% 2% 4% 2% 2% 3%
* ↑ Goal is to increase the percentage ↓ Goal is to decrease the percentage
9
BEACON CENTER
The Beacon Center serves the eastern North Carolina counties of Edgecombe,
Greene, Nash and Wilson. Only Wilson is considered urban. Of the 250,000
residents living in this area, 23% are enrolled in Medicaid.
SA DD DD Dual MH/SA
Dual MH/SA SA
32 166 248 917
88 431 Dual MH/DD
1% 4% 4% 15%
2% 7% 441
Dual MH/DD 7%
310 Dual DD/SA
7% 2
MH/DD/SA 0%
3
MH 0%
3,571 MH/DD/SA
86% MH 34
3,907 1%
66%
100% 100%
Pct of New Persons
Pct of New Persons
81%
80% 80% 63%
60% 60% 54% 54% 53% 52% 57% 44%
43% 42%
38% 39% 37% 33% 37% 32% 35% 33%
40% 40%
20% 20%
0% 0%

● One-third of mental health consumers received two visits within the

Substance Abuse: 2 Visits within 14 Days first 14 days of care this quarter. The percentage has declined over
100% the past 9 quarters from being at to below the state average.
Pct of New Persons
80% 68% 71%

57% 56% 52% 49% 50% 58%
60% ● About two-fifths of consumers with developmental disabilities
45%
received two visits within the first 14 days of care this quarter. The
40%
percentage has decreased over the last 9 quarters. Except for one
20% quarter it has remained below the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● Over two-thirds of substance abuse consumers received two visits
within the first 14 days of care this quarter. The percentage has
SFY09 SFY10 SFY11
shown improvement over the past 9 quarters and is currently slightly
LME Highest LME above the state average.
State Average Lowest LME
10
BEACON CENTER
Goal*
Edgecombe Greene Nash Wilson
LME Average LME

Urgent ↑ 48% 86% 100% 48%

Routine ↑ 59% 80% 95% 59%
Adult Mental Health ↑ 27% 51% 77% 52% 71% 36% 44% 53%
Child/Adolescent Mental Health ↑ 35% 55% 84% 71% 98% 83% 56% 70%
Adult Developmental Disabilities ↑ 25% 40% 58% 46% 62% 50% 34% 51%
Child/Adolescent Developmental Disabilities ↑ 13% 21% 35% 29% 38% 17% 22% 33%
Adult Substance Abuse ↑ 5% 11% 17% 9% 11% 6% 9% 9%
Adolescent Substance Abuse ↑ 4% 9% 18% 9% 12% 4% 9% 8%
Mental Health: 2 Visits within 14 Days ↑ 28% 41% 70% 33% 33% 37% 30% 36%
Mental Health: 2 Add'l Visits within Next 30 Days ↑ 16% 25% 35% 21% 22% 29% 16% 24%
Developmental Disabilities: 2 Visits within 14 Days ↑ 30% 58% 77% 44% 18% 33% 53% 58%
Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 12% 44% 59% 32% 18% 33% 40% 33%
Substance Abuse: 2 Visits within 14 Days ↑ 39% 65% 88% 71% 81% 50% 69% 64%
Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 27% 46% 65% 65% 71% 40% 68% 57%
Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ 28% 51% 68% 40% 50% 67% 50% 19%
Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 18% 39% 53% 31% 35% 33% 39% 19%
Mental Health/Substance Abuse: 2 Visits within 14 Days ↑ 49% 60% 94% 60% 67% 57% 63% 51%
Mental Health/Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 33% 44% 57% 50% 49% 57% 53% 45%
8-30 Days of Care 33% 44% 67% 45%

Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 0% 2% 4% 2% 3% 1% 2% 2%
11
CENTERPOINT HUMAN SERVICES

Centerpoint Human Services LME serves the central North Carolina counties of Western Region Central Region Eastern Region
Davie, Forsyth, Rockingham, and Stokes. Forsyth is part of the Triad

metropolitan area; the other counties are rural. Of the 543,000 residents living in
this area, 16% are enrolled in Medicaid.
SA DD DD
113 195 Dual MH/SA 554 Dual MH/SA
2% 4% 278 SA 5% 2,157
6% 1,461 18%
12% Dual MH/DD
Dual MH/DD 592
312 5%
7%
MH/DD/SA
1
0% MH MH/DD/SA
MH 35
7,223
3,889 0%
60%
81%

100% 100%
Pct of New Persons
Pct of New Persons
75% 72% 72%

80% 80% 67% 65% 62%
60% 58% 57%
60% 48% 44% 44% 41% 60%
41% 40% 40% 41% 37%
40% 40%
20% 20%
0% 0%

● About two-fifths of mental health consumers received two visits

Substance Abuse: 2 Visits within 14 Days
100%
Pct of New Persons
remained fairly level over the past 8 quarters and has followed the
80% 64% state average.
55% 53% 60% 56% 58% 54% 55%
60% 46%
● About three-fifths of consumers with developmental disabilities
40%
20% percentage has fluctuated above and below the state average and is
0% currently slightly above the state average.
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
SFY09 SFY10 SFY11
● Almost two-thirds of consumers with substance abuse received two
visits within the first 14 days this quarter. The percentage has
LME Highest LME generally improved over the past 9 quarters and is currently slightly
State Average Lowest LME below the state average.
12
CENTERPOINT
Goal*
Davie Forsyth Rockingham Stokes
LME Average LME

Urgent ↑ 48% 86% 100% 82%

Routine ↑ 59% 80% 95% 74%
8-30 Days of Care 33% 44% 67% 52%

13
CROSSROADS BEHAVIORAL HEALTHCARE

Crossroads Behavioral Healthcare LME serves the western North Carolina Western Region Central Region Eastern Region
counties of Iredell, Surry and Yadkin. Only Iredell is considered urban. Of the
272,000 residents living in this area, 16% are enrolled in Medicaid.
SA DD DD
SA 5%
1% 6% 99 1,213
636 19%
4% 10%
Dual MH/DD
Dual MH/DD 258
143 4%
6%
MH/DD/SA
0
MH 0% MH MH/DD/SA
2,090 4,062 20
83% 62% 0%
100% 100%
82% 85% 88%
Pct of New Persons
Pct of New Persons
79%
80% 80% 71% 72% 68% 67%
57%
60% 60%
37% 38% 35% 38% 42% 40% 38% 40% 38%
40% 40%
20% 20%
0% 0%


Substance Abuse: 2 Visits within 14 Days within the first 14 days of care this quarter. The percentage has
shown modest improvement over the past 9 quarters and is currently
100%
Pct of New Persons
slightly below the state average.

80%
57% 59% 57%
60% 50% 50% 55% 53% 53% 48% ● About two-thirds of consumers with developmental disabilities
40% received two visits within the first 14 days of care this quarter. The
percentage has decreased over the past 9 quarters; however it is
20%
currently above the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● Under half of consumers with substance abuse received two visits
SFY09 SFY10 SFY11 within the first 14 days this quarter. The percentage has decreased
over the past 9 quarters and is currently below the state average.
LME Highest LME
14
CROSSROADS
Goal*
Iredell Surry Yadkin
LME Average LME

Urgent ↑ 48% 86% 100% 91%

Routine ↑ 59% 80% 95% 88%
Adult Mental Health ↑ 27% 51% 77% 49% 36% 77% 49%
Child/Adolescent Mental Health ↑ 35% 55% 84% 39% 37% 42% 44%
Adult Developmental Disabilities ↑ 25% 40% 58% 35% 31% 43% 32%
Child/Adolescent Developmental Disabilities ↑ 13% 21% 35% 16% 15% 18% 16%
Adult Substance Abuse ↑ 5% 11% 17% 11% 10% 14% 11%
Adolescent Substance Abuse ↑ 4% 9% 18% 9% 8% 13% 7%
Mental Health: 2 Visits within 14 Days ↑ 28% 41% 70% 38% 42% 31% 42%
Mental Health: 2 Add'l Visits within Next 30 Days ↑ 16% 25% 35% 19% 23% 14% 19%
Developmental Disabilities: 2 Visits within 14 Days ↑ 30% 58% 77% 67% 78% 50% 0%
Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 12% 44% 59% 58% 67% 50% 0%
Substance Abuse: 2 Visits within 14 Days ↑ 39% 65% 88% 48% 47% 44% 65%
Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 27% 46% 65% 32% 36% 23% 39%
Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ 28% 51% 68% 50% 55% 50% 0%
Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 18% 39% 53% 45% 45% 50% 0%
Mental Health/Substance Abuse: 2 Visits within 14 Days ↑ 49% 60% 94% 59% 65% 53% 56%
Mental Health/Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 33% 44% 57% 38% 46% 30% 40%
8-30 Days of Care 33% 44% 67% 53%

Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 0% 2% 4% 3% 3% 2% 3%
15
CUMBERLAND
Cumberland County LME is a single-county program in eastern North Carolina. Western Region Central Region Eastern Region
This urban county has 324,000 residents, of whom 18% are enrolled in
Medicaid.
SA DD DD
Dual MH/SA
63 130 SA
248 Dual MH/SA
119
1% 3% 492
4% 916
3% 8%
14%
Dual MH/DD
Dual MH/DD
362
306
6%
7%
MH/DD/SA MH
MH 4,407 MH/DD/SA
4
3,616 67% 36
0%
86% 1%
100% 100%
Pct of New Persons
Pct of New Persons
78% 82%
80% 80% 70% 65% 69% 64%
66% 67% 59%
60% 60%
37%
31% 30% 29% 32% 31% 36% 33% 38%
40% 40%
20% 20%
0% 0%

● Almost two-fifths of mental health consumers received two visits

Substance Abuse: 2 Visits within 14 Days improved over the past 9 quarters and is currently slightly below the
100% state average.
Pct of New Persons
68%
80% 65% 62% 64% 64% 69%
57% 59% 57% ● About two-thirds of consumers with developmental disabilities
60%
40%
percentage is currently slightly above the state average.
20%
0% ● Over two-thirds of consumers with substance abuse received two
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 visits within the first 14 days this quarter. The percentage has
improved over the past 6 quarters from slightly below to slightly above
SFY09 SFY10 SFY11
the state average.
LME Highest LME
16
CUMBERLAND
Goal*
Cumberland
LME Average LME

Urgent ↑ 48% 86% 100% 96%

Routine ↑ 59% 80% 95% 91%
Adult Mental Health ↑ 27% 51% 77% 45% 45%
Child/Adolescent Mental Health ↑ 35% 55% 84% 53% 53%
Adult Developmental Disabilities ↑ 25% 40% 58% 34% 34%
Child/Adolescent Developmental Disabilities ↑ 13% 21% 35% 19% 19%
Adult Substance Abuse ↑ 5% 11% 17% 7% 7%
Adolescent Substance Abuse ↑ 4% 9% 18% 11% 11%
Mental Health: 2 Visits within 14 Days ↑ 28% 41% 70% 37% 37%
Mental Health: 2 Add'l Visits within Next 30 Days ↑ 16% 25% 35% 23% 23%
Developmental Disabilities: 2 Visits within 14 Days ↑ 30% 58% 77% 64% 64%
Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 12% 44% 59% 55% 55%
Substance Abuse: 2 Visits within 14 Days ↑ 39% 65% 88% 68% 68%
Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 27% 46% 65% 47% 47%
Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ 28% 51% 68% 39% 39%
Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 18% 39% 53% 31% 31%
Mental Health/Substance Abuse: 2 Visits within 14 Days ↑ 49% 60% 94% 51% 51%
Mental Health/Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 33% 44% 57% 40% 40%
8-30 Days of Care 33% 44% 67% 42%

Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 0% 2% 4% 1% 1%
17
DURHAM CENTER
The Durham Center LME is a single-county program in central North Carolina. Western Region Central Region Eastern Region
This urban county is part of the Triangle metropolitan area. Of the 272,000
residents living in the county, 15% are enrolled in Medicaid.
SA DD Dual MH/SA
DD Dual MH/SA
34 117 127
177 1,470
1% 3% 3%
3% 22%
SA
Dual MH/DD 646 Dual MH/DD
376 10% 448
9% 7%
MH/DD/SA
8
0%
MH MH/DD/SA
3,442 MH 25
84% 3,830 0%
58%
100% 100%
Pct of New Persons
Pct of New Persons
78%
80% 80% 72%
63% 56% 59% 56%
60% 49% 49% 47% 47% 47% 53% 47% 46% 43% 60% 46%
52%
40% 40% 30%

20% 20%
0% 0%


Substance Abuse: 2 Visits within 14 Days decreased slightly over the past 9 quarters but remains slightly above
100% the state average.
Pct of New Persons
81% 83%
77% 78% 75% 72% 73% 77% 74%
80%
60% ● Over half of consumers with developmental disabilities received
two visits within the first 14 days of care this quarter. The percentage
40%
has fluctuated above and below the state average over the past 9
20% quarters and is currently slightly below the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● About three-quarters of consumers with substance abuse received
two visits within the first 14 days this quarter. The percentage has
SFY09 SFY10 SFY11
decreased slightly over the past 9 quarters but has consistently
LME Highest LME remained above the state average.
18
DURHAM CENTER
Goal*
Durham
LME Average LME

Urgent ↑ 48% 86% 100% 66%

Routine ↑ 59% 80% 95% 83%
8-30 Days of Care 33% 44% 67% 45%

19
EAST CAROLINA BEHAVIORAL HEALTH

Western Region Eastern Region
East Carolina Behavioral Health LME serves 19 counties in eastern North Central Region
Carolina, all but one of which are rural. Of the 593,000 residents living in this
area, 19% are enrolled in Medicaid. In July 2010 the LME doubled in size when
it assumed responsibility for the 10 counties that were formerly part of Albemarle
LME.
SA DD DD Dual MH/SA
43 309 Dual MH/SA 696 2,802
0% 3% 231 5% 20%
3% SA Dual MH/DD
Dual MH/DD 1,399 1,003
593 10% 7%
6%
MH/DD/SA
MH 9
MH/DD/SA
8,008 0% MH
75
88% 8,001
1%
57%
100% 100%
Pct of New Persons
Pct of New Persons
80% 80% 63% 64%

56% 54% 55%
60% 47% 46% 49% 42% 45% 46% 60% 53% 58% 51% 50%
40% 44% 40%
40% 40%
20% 20%
0% 0%


within the first 14 days of care this quarter. This percentage has
Substance Abuse: 2 Visits within 14 Days decreased slightly over the past 9 quarters from slightly above the
100% state average to just at the state average.
Pct of New Persons
80%
59% 59% 61% 53% 64% 63% 60% 59% 63%
40%
has fluctuated below the state average over the past 9 quarters and is
20% currently only slightly below the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● Almost two-thirds of consumers with substance abuse received two
SFY09 SFY10 SFY11
fluctuated from slightly below to slightly above the state average over
LME Highest LME the past 9 quarters. It is currently slightly below the state average.
20
ECBH
Goal*
Beaufort Bertie Camden Chowan Craven
LME Average LME

Urgent ↑ 48% 86% 100% 62%

Routine ↑ 59% 80% 95% 80%
Adult Mental Health ↑ 27% 51% 77% 48% 60% 57% 26% 48% 51%
Child/Adolescent Mental Health ↑ 35% 55% 84% 73% 71% 84% 30% 79% 52%
Adult Developmental Disabilities ↑ 25% 40% 58% 47% 58% 62% 24% 49% 50%
Child/Adolescent Developmental Disabilities ↑ 13% 21% 35% 25% 26% 25% 20% 19% 22%
Adult Substance Abuse ↑ 5% 11% 17% 11% 13% 12% 5% 8% 13%
Adolescent Substance Abuse ↑ 4% 9% 18% 10% 18% 12% 2% 3% 6%
Mental Health: 2 Visits within 14 Days ↑ 28% 41% 70% 40% 50% 32% 25% 51% 30%
Mental Health: 2 Add'l Visits within Next 30 Days ↑ 16% 25% 35% 25% 29% 26% 5% 36% 16%
Developmental Disabilities: 2 Visits within 14 Days ↑ 30% 58% 77% 55% 33% 0% 0% 0% 57%
Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 12% 44% 59% 38% 33% 0% 0% 0% 43%
Substance Abuse: 2 Visits within 14 Days ↑ 39% 65% 88% 63% 69% 50% 80% 50% 42%
Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 27% 46% 65% 50% 56% 50% 40% 50% 35%
Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ 28% 51% 68% 49% 33% 50% 33% 50% 35%
Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 18% 39% 53% 38% 33% 17% 33% 50% 29%
Mental Health/Substance Abuse: 2 Visits within 14 Days ↑ 49% 60% 94% 52% 67% 69% 0% 20% 38%
Mental Health/Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 33% 44% 57% 37% 46% 56% 0% 0% 28%
8-30 Days of Care 33% 44% 67% 50%

Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 0% 2% 4% 2% 2% 6% 3% 1% 1%
21
ECBH
Goal*
Currituck Dare Gates Hertford Hyde
LME Average LME

Urgent ↑ 48% 86% 100% 62%

Routine ↑ 59% 80% 95% 80%
8-30 Days of Care 33% 44% 67% 50%

22
ECBH
Goal*
Jones Martin Northampton Pamlico Pasquotank
LME Average LME

Urgent ↑ 48% 86% 100% 62%

Routine ↑ 59% 80% 95% 80%
8-30 Days of Care 33% 44% 67% 50%

23
ECBH
Goal*
Perquimans Pitt Tyrrell Washington
LME Average LME

Urgent ↑ 48% 86% 100% 62%

Routine ↑ 59% 80% 95% 80%
8-30 Days of Care 33% 44% 67% 50%

24
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25
EASTPOINTE
Eastpointe LME serves the eastern North Carolina counties of Duplin, Sampson, Western Region Central Region Eastern Region
Lenoir, and Wayne. Only Wayne is considered urban. Of the 294,000 residents
living in this area, 23% are enrolled in Medicaid.
SA DD DD
Dual MH/SA 372 Dual MH/SA
30 151 SA
133 5% 1,270
1% 3% 574
3% 16%
7%
Dual MH/DD Dual MH/DD
298 563
6% 7%
MH/DD/SA
MH 3 MH/DD/SA
MH
4,076 0% 37
5,137
87% 0%
65%
100% 100%
Pct of New Persons
Pct of New Persons
74% 74% 73% 69% 71% 62%

80% 80% 65% 60%
60% 43% 45% 44% 43% 40% 43% 60% 50%
41% 40% 38%
40% 40%
20% 20%
0% 0%

● About two-fifths of mental health consumers that two visits within

the first 14 days of care this quarter. The percentage has hovered
Substance Abuse: 2 Visits within 14 Days around the state average over the past 9 quarters. It has shown a
100% slight decrease over all.
Pct of New Persons
80%
57% 52% 56% 55% 56% 54% 48% ● About three-fifths of consumers with developmental disabilities
60%
37% 34% received two visits within the first 14 days of care this quarter. The
40%
percentage has fluctuated up and down over the past 9 quarters
20% (mostly above the state average) and is currently slightly above the
0% state average.
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
● Almost half of consumers with substance abuse received two visits
SFY09 SFY10 SFY11
within the first 14 days this quarter. The percentage has been below
LME Highest LME the state average during the past 9 quarters.
26
EASTPOINTE
Goal*
Duplin Lenoir Sampson Wayne
LME Average LME

Urgent ↑ 48% 86% 100% 100%

Routine ↑ 59% 80% 95% 95%
8-30 Days of Care 33% 44% 67% 35%

27
FIVE COUNTY
Five County Mental Health Authority serves the central North Carolina counties Western Region Central Region Eastern Region
of Franklin, Granville, Halifax, Vance and Warren counties, all of which are rural.
Of the 236,000 residents living in this area, 23% are enrolled in Medicaid.
DD
SA DD
Dual MH/SA SA 229 Dual MH/SA
31 99
86 626 3% 1,305
1% 3%
3% 8% 17%
Dual MH/DD
Dual MH/DD 401
184 5%
6%
MH/DD/SA MH
MH
4 5,116 MH/DD/SA
2,784
0% 67% 34
87%
0%
100% 100%
Pct of New Persons
Pct of New Persons
80% 80%
57% 58% 56%
60% 60% 49% 45% 47%
38% 38% 38% 38% 38% 38% 35% 32%
40% 29% 26% 28% 40% 24%
20% 20%
0% 0%

● About one-quarter of mental health consumers received two visits

within the first 14 days of care this quarter. The percentage has been
Substance Abuse: 2 Visits within 14 Days below the state average over the past 9 quarters and has been the
100% lowest in the state for the past 3 quarters.
Pct of New Persons
80%
56% 58%
60% 50% 54% 54% 46% 46% 53% 50% ● About one-third of consumers with developmental disabilities
40%
percentage has been below the state average over the past 9
20% quarters and is currently one of the lowest in the state.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● Almost three-fifths of consumers with substance abuse received
SFY09 SFY10 SFY11
improved over the past year but remains below the state average.
LME Highest LME
28
FIVE COUNTY
Goal*
Franklin Granville Halifax Vance Warren
LME Average LME

Urgent ↑ 48% 86% 100% 100%

Routine ↑ 59% 80% 95% 77%
8-30 Days of Care 33% 44% 67% 55%

29
GUILFORD CENTER
Guilford Center LME is a single-county program in the Triad metropolitan area of Western Region Central Region Eastern Region
central North Carolina. Of the 483,000 residents living in this urban county, 16%
SA DD DD
1% 151 SA 4% 2,131
3%
3% 1,134 18%
10% Dual MH/DD
Dual MH/DD 613
339 5%
7%
MH/DD/SA
MH 6 MH MH/DD/SA
4,527 0% 7,209 37
86% 63% 0%
100% 100% 86%
Pct of New Persons
84%
Pct of New Persons
78% 80% 75% 77%

73%
80% 80% 68%
58%
60% 49% 48% 53% 52% 53% 46% 44% 48% 43% 60%
40% 40%
20% 20%
0% 0%


Substance Abuse: 2 Visits within 14 Days decreased over the past year but remains slightly above the state
100% average.
Pct of New Persons
78%
80% 71% 70% 72% 72% 70% 71%
65% 65%
60% ● Over three-quarters of consumers with developmental disabilities
40%
percentage has fluctuated from slightly below to well above the state
20% average over the past 9 quarters and is currently the highest in the
0% state.
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
● Almost three-quarters of consumers with substance abuse received
SFY09 SFY10 SFY11
LME Highest LME been at or above the state average for the past 9 quarters and is
currently slightly above the state average.
30
GUILFORD CENTER
Goal*
Guilford
LME Average LME

Urgent ↑ 48% 86% 100% 100%

Routine ↑ 59% 80% 95% 83%
8-30 Days of Care 33% 44% 67% 45%

31
JOHNSTON COUNTY AREA MENTAL HEALTH AUTHORITY

Johnston County LME is a single-county program in eastern North Carolina. Western Region Central Region Eastern Region
Johnston county has recently been designated an urban county, due to the
growth of the Triangle metropolitan area. Of the 174,000 residents living in this
county, 17% are enrolled in Medicaid.
SA DD Dual MH/SA
3 Dual MH/SA DD
93 1,213
0% 56 113
4% 28%
3% SA 3%
215
Dual MH/DD 5% Dual MH/DD
133 135
6% 3%
MH/DD/SA
3
0%
MH MH/DD/SA
MH
1,807 10
2,601
87% 0%
61%
100% 100% 88%
Pct of New Persons
Pct of New Persons
82%
75% 75% 79%
80% 80% 65% 67% 68%
60%
38% 43% 43% 43% 46% 46% 60% 41%
34%
40% 25% 22% 40%
20% 20%
0% 0%

● Almost half of mental health consumers received two visits within

the first 14 days of care this quarter. The percentage has improved
Substance Abuse: 2 Visits within 14 Days
over the past 9 quarters and is currently slightly above the state
100%
Pct of New Persons
average.
80% 62% 59% 64% 67% 59%
57%
60% 48% 49% 49% ● About two-fifths of consumers with developmental disabilities
40%
percentage has decreased over the past 5 quarters from well above
20%
to well below the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● About three-fifths of consumers with substance abuse received two
SFY09 SFY10 SFY11
fluctuated up and down over the last 9 quarters and is currently below
LME Highest LME the state average.
32
JOHNSTON
Goal*
Johnston
LME Average LME

Urgent ↑ 48% 86% 100% 91%

Routine ↑ 59% 80% 95% 61%
8-30 Days of Care 33% 44% 67% 67%

33
MECKLENBURG COUNTY AREA MH/DD/SA AUTHORITY

Mecklenburg County Area MH/DD/SA Authority is a single-county program that Western Region Central Region Eastern Region
comprises the center of the Charlotte metropolitan area in western North

Carolina. Of the 909,000 residents living in this urban county, 15% are enrolled
in Medicaid.
SA DD DD Dual MH/SA
Dual MH/SA 644 2,770
55 370
271 4% 19%
1% 4%
3% Dual MH/DD
SA 1,161
Dual MH/DD
2,519 8%
882
10% 17%
MH/DD/SA
10
MH MH/DD/SA
0%
7,660 MH 84
82% 7,404 1%
51%
100% 100%
Pct of New Persons
Pct of New Persons
72% 70% 71% 69% 75%

80% 80% 65% 69% 63% 63%
60% 60%
43% 39% 41% 39%
36% 40% 39% 38% 40%
40% 40%
20% 20%
0% 0%

● Two-fifths of mental health consumers received two visits within the

first 14 days of care this quarter. The percentage has hovered at or
Substance Abuse: 2 Visits within 14 Days slightly below the state average over the past 9 quarters and is
100% currently at the state average.
Pct of New Persons
75%
80% 69% 67% 67% 70% 66%
55% 55% 58% ● Almost two-thirds of consumers with developmental disabilities
60%
40%
percentage has decreased over the past 9 quarters but remains
20% slightly above the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● Two-thirds of consumers with substance abuse received two visits
within the first 14 days this quarter. The percentage has improved
SFY09 SFY10 SFY11
over the past 3 quarters from slightly below to slightly above the state
LME Highest LME average.
34
MECKLENBURG
Goal*
Mecklenburg
LME Average LME

Urgent ↑ 48% 86% 100% 100%

Routine ↑ 59% 80% 95% 90%
8-30 Days of Care 33% 44% 67% 48%

35
MENTAL HEALTH PARTNERS

Mental Health Partners LME serves two counties in western North Carolina. Western Region Central Region Eastern Region
Burke is a rural county and Catawba is urban. Of the 249,000 residents living in
this area, 17% are enrolled in Medicaid.
DD
SA DD SA 235 Dual MH/SA
16 125 Dual MH/SA 750 3% 1,037
1% 4% 73 11%
15%
2%
Dual MH/DD
147 Dual MH/DD
5% 355
5%
MH/DD/SA
MH 1 MH
2,751 MH/DD/SA
0% 4,573
88% 16
66%
0%
100% 100%
Pct of New Persons
Pct of New Persons
79% 77% 70%

80% 80% 70% 71% 70% 64% 67%
59%
60% 60%
35% 37% 34% 38% 33% 40% 37% 34% 32%
40% 40%
20% 20%
0% 0%

● About one-third of mental health consumers received two visits

Substance Abuse: 2 Visits within 14 Days decreased slightly over the past 9 quarters and is currently below the
100% state average.
Pct of New Persons
73% 70%
80% 62% 60% 59% 63% 65% 62%
55% ● Over two-thirds of consumers with developmental disabilities
60%
40%
percentage has fluctuated over the past 9 quarters above and below
20% the state average and is currently above the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● Over three-fifths of consumers with substance abuse received two
SFY09 SFY10 SFY11
fluctuated slightly above and below the state average over the past 9
LME Highest LME quarters and is currently slightly below the state average.
36
MENTAL HEALTH PARTNERS

Goal*
Burke Catawba
LME Average LME

Urgent ↑ 48% 86% 100% 97%

Routine ↑ 59% 80% 95% 63%
8-30 Days of Care 33% 44% 67% 42%

37
ONSLOW-CARTERET BEHAVIORAL HEALTHCARE SERVICES

Onslow-Carteret Behavioral Healthcare Services LME serves two counties in Western Region Central Region Eastern Region
eastern North Carolina. Only Carteret is considered rural. Of the 247,000

SA
SA DD 315 DD
16 89 Dual MH/SA
6% 172 Dual MH/SA
1% 4% 25
3% 520
1%
11%
Dual MH/DD
155 Dual MH/DD
7% 224
5%
MH/DD/SA MH/DD/SA
2 MH
MH 7
0% 3,709
1,804 0%
75%
87%
100% 100%
Pct of New Persons
Pct of New Persons
80% 80% 71% 73%

64% 66% 65%
60% 45% 60% 43%
40% 36%
34% 36% 32% 32% 32% 34% 34% 33% 32%
40% 40%
20% 20%
0% 0%


the first 14 days of care this quarter. The percentage has increased
Substance Abuse: 2 Visits within 14 Days over the past 9 quarters from well below the state average to slightly
100% above the state average.
Pct of New Persons
80% 69%
59% 55% ● About one-third of consumers with developmental disabilities
60% 45% 46% 41% 48% 42% 44%
40%
percentage initially increased during the first 5 of the past 9 quarters
20% from slightly below to above the state average, then it decreased in
0% the most recent 4 quarters to one of the lowest in the state.
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
● Over two-thirds of consumers with substance abuse received two
SFY09 SFY10 SFY11
LME Highest LME increased over the past 9 quarters from well below to slightly above
the state average.
38
ONSLOW-CARTERET
Goal*
Carteret Onslow
LME Average LME

Urgent ↑ 48% 86% 100% 85%

Routine ↑ 59% 80% 95% 75%
8-30 Days of Care 33% 44% 67% 40%

39
ORANGE-PERSON-CHATHAM MH/DD/SA AUTHORITY

Orange-Person-Chatham MH/DD/SA Authority serves three counties in central Western Region Central Region Eastern Region
North Carolina. Only Orange County is considered urban. Of the 236,000

SA DD Dual MH/SA Dual MH/SA
7 102 141 DD 958
0% 4% 6% 235 23%
6% Dual MH/DD
Dual MH/DD
SA 309
200
473 7%
9%
11%
MH/DD/SA MH/DD/SA
25 43
1% 1%
MH MH
1,863 2,196
80% 52%
100% 100% 87%
Pct of New Persons
Pct of New Persons
74% 70%
80% 80% 68%
56% 52% 51% 52%
60% 60%
37% 41% 42% 38% 37% 43% 37% 37% 35% 38%
40% 40%
20% 20%
0% 0%

● Over one-third of mental health consumers received two visits

Substance Abuse: 2 Visits within 14 Days remained about the same over the past 9 quarters and is currently
100%
Pct of New Persons
below the state average.

73%
80% 66% 70% 74%
61% 60%
60% 53% 60% 57% ● About half of consumers with developmental disabilities received
40%
20% quarters and is currently below the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● About three-quarters of consumers with substance abuse received
SFY09 SFY10 SFY11
improved over the past 9 quarters from below to above the state
40
Orange-Person-Chatham
Goal*
Chatham Orange Person
LME Average LME

Urgent ↑ 48% 86% 100% 73%

Routine ↑ 59% 80% 95% 86%
8-30 Days of Care 33% 44% 67% 37%

41
PATHWAYS
Pathways MH/DD/SA LME serves the western North Carolina counties of
Cleveland, Gaston and Lincoln. Of the 386,000 residents living in these urban
counties, 20% are enrolled in Medicaid.
DD Dual MH/SA
SA DD
Dual MH/SA 481 2,812
32 310 SA
191 4% 21%
1% 5% 891
3% Dual MH/DD
7%
766
Dual MH/DD 6%
429
7% Dual DD/SA
4
0%
MH/DD/SA
MH MH/DD/SA
5
4,793 46
0% MH
84% 0%
8,286
62%
100% 100%
Pct of New Persons
Pct of New Persons
80% 73%
80%
58% 58% 56% 61% 56% 59%
60% 60% 48% 49%
37% 34% 37% 35% 36%
40%
33% 33% 32% 35% 40%
20% 20%
0% 0%

● Over one-third of mental health consumers received two visits

remained about the same over the past 9 quarters and is currently
100%
Pct of New Persons
below the state average.

80% 64% 64% 62% 67% 61% 59% 64% 66%
54% ● About half of consumers with developmental disabilities received
60%
40% two visits within the first 14 days of care this quarter. The percentage
has decreased over the last 9 quarters and is currently below the
20%
state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● About two-thirds of consumers with substance abuse received two
SFY09 SFY10 SFY11 visits within the first 14 days this quarter. The percentage has
hovered around the state average over the past 9 quarters and is
LME Highest LME currently slightly above the state average.
42
PATHWAYS
Goal*
Cleveland Gaston Lincoln
LME Average LME

Urgent ↑ 48% 86% 100% 96%

Routine ↑ 59% 80% 95% 65%
8-30 Days of Care 33% 44% 67% 33%

43
PBH
PBH LME serves five counties in western North Carolina, only one of which is Western Region Central Region Eastern Region
considered rural. Of the 745,000 residents living in this area, 15% are enrolled
in Medicaid.
SA SA DD
DD
447 7,052 2,273 Dual MH/SA
1,189 Dual MH/SA
4% 22% 7% 777
9% 73 2%
1%
Dual MH/DD
360 Dual MH/DD
3% 304
1%
MH/DD/SA
0 MH MH/DD/SA
MH 0% 22,231 1
10,501 68% 0%
83%
100% 100% 84%
Pct of New Persons
Pct of New Persons
78% 85% 75% 83% 82%

80% 68% 71% 69% 67% 69% 71% 69% 70% 70% 80% 70% 71% 67%
60% 60%
40% 40%
20% 20%
0% 0%

● Over two-thirds of mental health consumers received two visits

within the first 14 days of care this quarter. The percentage has been
Substance Abuse: 2 Visits within 14 Days the highest in the state over the past 9 quarters.
100% 87% 88%
85%
Pct of New Persons
84% 85% 82% 80% 84% 83%

80% ● Two-thirds of consumers with developmental disabilities received
has decreased over the past 9 quarters but has remained above the
40%
state average.
20%
0% ● Over four-fifths of consumers with substance abuse received two
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 visits within the first 14 days of care this quarter. The percentage has
been the highest in the state over the past 9 quarters.
SFY09 SFY10 SFY11
LME Highest LME

44
PBH
Goal*
Cabarrus Davidson Rowan Stanly Union
LME Average LME

Urgent ↑ 48% 86% 100% 80%

Routine ↑ 59% 80% 95% 94%
8-30 Days of Care 33% 44% 67% 46%

45
SANDHILLS CENTER
Sandhills Center LME serves eight counties in central North Carolina, only one Western Region Central Region Eastern Region
of which is considered urban. Of the 556,000 residents living in this area, 19%
SA DD DD
82 Dual MH/SA 290 Dual MH/SA
182 SA
1% 199 2% 2,302
3% 1,073
3% 18%
8% Dual MH/DD
Dual MH/DD 816
450 6%
7%
MH/DD/SA
MH 4
MH MH/DD/SA
5,821 0%
8,536 47
86% 66% 0%
100% 100%
Pct of New Persons
Pct of New Persons
80% 80% 68% 64% 68% 65% 64% 67% 69% 67%
60%
60% 45% 47% 46% 45% 43% 41% 42% 37% 39% 60%
40% 40%
20% 20%
0% 0%

● Almost two-fifths of mental health consumers received two visits

decreased over the past 9 quarters and is currently slightly below the
100%
Pct of New Persons
75% state average.

80% 67% 71% 66% 62% 63% 58%
54% 56%
60% ● Two-thirds of consumers with developmental disabilities received
has been fairly stable over the past 9 quarters and is currently above
20%
the state average.
0%
SFY09 SFY10 SFY11 two visits within the first 14 days of care this quarter. The percentage
has decreased over the past 9 quarters from slightly above to slightly
LME Highest LME below the state average.
46
SANDHILLS CENTER
Goal*
Anson Harnett Hoke Lee Montgomery
LME Average LME

Urgent ↑ 48% 86% 100% 88%

Routine ↑ 59% 80% 95% 87%
8-30 Days of Care 33% 44% 67% 43%

47
SANDHILLS CENTER
Goal*
Moore Randolph Richmond
LME Average LME

Urgent ↑ 48% 86% 100% 88%

Routine ↑ 59% 80% 95% 87%
8-30 Days of Care 33% 44% 67% 43%

48
49
SMOKY MOUNTAIN CENTER

Smoky Mountain Center serves 15 non-contiguous rural counties in western NC. Western Region Central Region Eastern Region
SA DD
SA DD Dual MH/SA
2,102 605
52 227 Dual MH/SA 2,539
12% 3%
1% 3% 139 15%
2% Dual MH/DD
696
Dual MH/DD 4%
315 Dual DD/SA
5% 4
MH 0%
5,828 MH/DD/SA
MH/DD/SA
89% 4
MH 40
0%
11,509 0%
66%
100% 100%
Pct of New Persons
Pct of New Persons
78% 75% 69%

80% 80% 65% 70% 62% 60%
60% 55%
60% 42% 41% 40% 60%
39% 37% 37% 38% 39% 42%
40% 40%
20% 20%
0% 0%

● Two-fifths of mental health consumers received two visits within the

Substance Abuse: 2 Visits within 14 Days first 14 days of care this quarter. The percentage has remained about
100% the same over the past 9 quarters and is currently at the state
Pct of New Persons
80% average.
62% 63% 63% 59% 57% 58% 59% 57% 54%
60%
● Three-fifths of consumers with developmental disabilities received
20% has decreased over the past 9 quarters and is currently at the state
0% average.
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
● Over half of substance abuse consumers received two visits within
SFY09 SFY10 SFY11 the first 14 days of care this quarter. The percentage has decreased
over the past 9 quarters and is currently below the state average.
LME Highest LME
50

Goal*
Alexander Alleghany Ashe Avery Caldwell
LME Average LME

Urgent ↑ 48% 86% 100% 93%

Routine ↑ 59% 80% 95% 82%
8-30 Days of Care 33% 44% 67% 40%

51

Goal*
Cherokee Clay Graham Haywood Jackson
LME Average LME

Urgent ↑ 48% 86% 100% 93%

Routine ↑ 59% 80% 95% 82%
8-30 Days of Care 33% 44% 67% 40%

52

Goal*
Macon McDowell Swain Watauga Wilkes
LME Average LME

Urgent ↑ 48% 86% 100% 93%

Routine ↑ 59% 80% 95% 82%
8-30 Days of Care 33% 44% 67% 40%

53
SOUTHEASTERN CENTER
Southeastern Center LME serves the eastern North Carolina counties of Western Region Central Region Eastern Region
Brunswick, New Hanover, and Pender. Only New Hanover is considered urban.
SA DD DD
32 228 Dual MH/SA SA 348 Dual MH/SA
1% 5% 90 1,502 4% 949
2% 18% 11% Dual MH/DD
Dual MH/DD 472
420 6%
9%
MH/DD/SA
10
0% MH/DD/SA
MH MH
4,128 4,959 23
83% 61% 0%
100% 100%
Pct of New Persons
Pct of New Persons
71% 72%
80% 80% 67% 70%
62% 64% 67%
54%
60% 60%
40% 41% 40% 40% 43% 42% 41% 45% 42% 39%
40% 40%
20% 20%
0% 0%

● Over two-fifths of mental health consumers received two visits

Substance Abuse: 2 Visits within 14 Days increased slightly over the past 9 quarters from slightly below to
100%
Pct of New Persons
slightly above the state average.

80%
61% 68% 61%
60% 51% ● Two-thirds of consumers with developmental disabilities received
36% 37% 39% 39% two visits within the first 14 days of care this quarter. The percentage
40% 28%
20% quarters and is currently above the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● About two-fifths of consumers with substance abuse received two
visits within the first 14 days of care this quarter. The percentage has
SFY09 SFY10 SFY11
decreased over the past 9 quarters from slightly below the state
LME Highest LME average to the lowest in the state for the past 5 quarters.
54
SOUTHEASTERN CENTER
Goal*
Progress Indicator Lowest State Highest LME New
Brunswick Pender
LME Average LME Hanover

Urgent ↑ 48% 86% 100% 81%

Routine ↑ 59% 80% 95% 75%
8-30 Days of Care 33% 44% 67% 39%

55
SOUTHEASTERN REGIONAL
Southeastern Regional MH/DD/SAS LME serves the eastern North Carolina Western Region Central Region Eastern Region
counties of Bladen, Columbus, Robeson, and Scotland. Of the 258,000

residents living in these rural counties, 30% are enrolled in Medicaid.
DD
SA DD 321 Dual MH/SA
Dual MH/SA SA 1,483
25 112 4%
99 574 18%
0% 2%
2% 7% Dual MH/DD
498
Dual MH/DD
6%
313
6% MH/DD/SA
39
MH/DD/SA 0%
MH
2 MH
4,815
0% 5,219
90%
65%
100% 100%
Pct of New Persons
Pct of New Persons
80% 80% 71%

56% 56% 60% 68% 62%
60% 51% 54% 51% 48% 47% 47% 47% 60% 52% 52% 52%
38% 30%
40% 40%
20% 20%
0% 0%


the first 14 days of care this quarter. The percentage has decreased
Substance Abuse: 2 Visits within 14 Days over the past 9 quarters but remains above the state average.
100%
Pct of New Persons
80% 64% 64% 68% 61% 65% ● Under one-third of consumers with developmental disabilities
59% 57%
60% 51% 50% received two visits within the first 14 days of care this quarter. The
percentage has fluctuated over the past 9 quarters showing periods of
40%
increase and decrease and has fallen sharply over the past 3 quarters
20% from above to well below the state average.
0%
SFY09 SFY10 SFY11
has decreased over the past 9 quarters from being at to below the
LME Highest LME state average.
56
SOUTHEASTERN REGIONAL
Goal*
Bladen Columbus Robeson Scotland
LME Average LME

Urgent ↑ 48% 86% 100% 99%

Routine ↑ 59% 80% 95% 88%
8-30 Days of Care 33% 44% 67% 54%

57
WAKE COUNTY HUMAN SERVICES

Wake County Human Services LME is a single-county program in the Triangle Western Region Central Region Eastern Region
metropolitan area of central North Carolina. Of the 920,000 residents living in

this urban county, 10% are enrolled in Medicaid.
DD
SA DD
Dual MH/SA 725 Dual MH/SA
41 393
241 SA 6% 2,021
1% 5%
3% 1,201 17%
10% Dual MH/DD
Dual MH/DD 659
454 6%
6%
MH/DD/SA
MH 6
MH/DD/SA
0% MH
6,415 33
7,248
85% 0%
61%
100% 100%
Pct of New Persons
Pct of New Persons
77%
80% 80% 70% 70% 67% 67% 66% 64% 67%
61%
60% 43% 43% 40% 43% 44% 40% 48% 43% 60%
42%
40% 40%
20% 20%
0% 0%

● Over two-fifths of mental health consumers received two visits

Substance Abuse: 2 Visits within 14 Days remained about the same over the past 9 quarters which has been
100%
Pct of New Persons
around the state average.

80% 67% 66%
59% 61% 56% 56%
53% 56% 54% ● Two-thirds of consumers with developmental disabilities received
60%
40%
has decreased over the past 9 quarters but has remained above the
20% state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● About two-thirds of consumers with substance abuse received two
SFY09 SFY10 SFY11
increased slightly over the past 9 quarters from slightly below to
LME Highest LME slightly above the state average.
58
WAKE
Goal*
Wake
LME Average LME

Urgent ↑ 48% 86% 100% 84%

Routine ↑ 59% 80% 95% 59%
8-30 Days of Care 33% 44% 67% 39%

59
WESTERN HIGHLANDS NETWORK

Western Highlands Network LME serves eight counties in western North Western Region Central Region Eastern Region
Carolina, six of which are rural. Of the 511,000 residents living in this area, 17%
SA DD
DD Dual MH/SA Dual MH/SA
21 533
324 133 SA 2,683
0% 4%
5% 2% 1,403 19%
10% Dual MH/DD
Dual MH/DD
855
450
6%
7%
MH/DD/SA
5
0%
MH MH/DD/SA
5,293 MH
38
86% 8,846
0%
61%
100% 100%
Pct of New Persons
Pct of New Persons
80% 80% 62% 63% 64% 60%

58% 52% 61% 59% 56%
60% 47% 46% 44% 48% 49% 50% 45% 45% 45% 60%
40% 40%
20% 20%
0% 0%


the first 14 days of care this quarter. The percentage has decreased
Substance Abuse: 2 Visits within 14 Days slightly but has remained above the state average over the past 9
100%
Pct of New Persons
quarters.
75%
80% 69% 70% 67% 71% 69% 68% 73% 71%
40%
has decreased slightly over the past 9 quarters and is currently
20% slightly below the state average.
0%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 ● Over two-thirds of consumers with substance abuse received two
SFY09 SFY10 SFY11
remained about the same over the past 8 quarters above the state
60

Goal*
Buncombe Henderson Madison Mitchell Polk
LME Average LME

Urgent ↑ 48% 86% 100% 90%

Routine ↑ 59% 80% 95% 95%
8-30 Days of Care 33% 44% 67% 41%

61

Goal*
Rutherford Transylvania Yancey
LME Average LME

Urgent ↑ 48% 86% 100% 90%

Routine ↑ 59% 80% 95% 95%
8-30 Days of Care 33% 44% 67% 41%

62
63
The MH/DD/SAS Community Systems Progress Report, Report

Appendices and Critical Measures at a Glance are published
four times a year on the Division’s website:
http://www.ncdhhs.gov/mhddsas/statspublications/reports/
Questions and feedback should be directed to:

NC DMH/DD/SAS Quality Management Team
ContactDMHQuality@dhhs.nc.gov
(919/733-0696)

Community Systems Progress RPT q1

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NC DEPARTMENT OF HEALTH AND HUMAN SERVICES

November 30, 2010

Services to Persons in Need

Timely Initiation and Engagement in Service

Effective Use of State Psychiatric Hospitals

State Psychiatric Hospital Readmissions

Timely Follow-Up after Inpatient Care

Child Services in Non-Family Settings

2.6 Adolescent Substance Abuse Services: Statewide Goal: 9% or more

How to Read This Report

developmental disabilities, and substance abuse (MH/DD/SA) service system

is organized into 23 Local Management Entities (LMEs) across three regions.

Scotland Onslow Carteret

Timely Initiation of Services

Pct of New Persons

80% 65% level over the last 9 quarters.

SFY2011 Statewide Goal = 71% or more

1. Timely Access to Care

Timely Initiation of Services

Pct of New Persons

76% 75% 77% 77% 78%

LME Highest LME LME Highest LME

1. Timely Access to Care

Urgent ↑ 48% 86% 100% 100%

8-30 Days of Care 33% 44% 67% 39%

* ↑ Goal is to increase the percentage ↓ Goal is to decrease the percentage

Timely Initiation of Services

Pct of New Persons

LME Highest LME LME Highest LME

● One-third of mental health consumers received two visits within the

80% 68% 71%

1. Timely Access to Care

Urgent ↑ 48% 86% 100% 48%

8-30 Days of Care 33% 44% 67% 45%

* ↑ Goal is to increase the percentage ↓ Goal is to decrease the percentage

CENTERPOINT HUMAN SERVICES

Davie, Forsyth, Rockingham, and Stokes. Forsyth is part of the Triad

Timely Initiation of Services

Pct of New Persons

75% 72% 72%

LME Highest LME LME Highest LME

● About two-fifths of mental health consumers received two visits

1. Timely Access to Care

Urgent ↑ 48% 86% 100% 82%

8-30 Days of Care 33% 44% 67% 52%

* ↑ Goal is to increase the percentage ↓ Goal is to decrease the percentage

CROSSROADS BEHAVIORAL HEALTHCARE

Timely Initiation of Services

Pct of New Persons

LME Highest LME LME Highest LME

● About two-fifths of mental health consumers received two visits

slightly below the state average.

1. Timely Access to Care

Urgent ↑ 48% 86% 100% 91%

8-30 Days of Care 33% 44% 67% 53%

* ↑ Goal is to increase the percentage ↓ Goal is to decrease the percentage

Timely Initiation of Services

Pct of New Persons

LME Highest LME LME Highest LME

● Almost two-fifths of mental health consumers received two visits

1. Timely Access to Care

Urgent ↑ 48% 86% 100% 96%

8-30 Days of Care 33% 44% 67% 42%