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P006: Facilities Management Division

P006: Percent of residents who are successfully discharged

Definition

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Story Behind the Curve

According to the Results First report presented to NM Legislative Finance Committee June 7, 2017:

  • “Behavioral health problems affect 1 out of 5 children nationally.”
  • “New Mexico has a higher rate of individuals living at or below the poverty line than the rest of the country, putting the state at higher risk for individuals developing behavioral health problems”
  • “In New Mexico, 14% of youth experienced 3 or more adverse childhood experiences, higher than the national average of 11%.”
  • In New Mexico, there are residential treatment programs that provide intensive services for adolescents with serious emotional and behavioral problems. The report explains that there is a lack of performance measures to assess the effectiveness of state funded programs and discusses the need for developing standardized performance measures.
  • “The state needs an improved suite of performance metrics that clearly assesses the effectiveness of the children’s behavioral health system.”
  • One sample metric cited in the report includes whether children avoid involvement with the juvenile justice system. This supports NMDOH youth residential treatment programs' performance measure of Successful Discharges from the Residential Treatment program. A successful discharge is where the resident is discharged to a lower level of care or to the discharge that was recommended at the time of admission. An unsuccessful discharge would include a discharge to the juvenile justice system.
  • The target for Successful Discharges is 80%.  
  • In the first quarter of FY19 the rate for successful discharges was 76.2% at the NM Behavioral Health Institute.

Partners

  • Residents
  • Family/Guardians
  • Juvenile Probation Officers
  • New Mexico Children, Youth and Families Department
  • Clinical Staff Treatment Team
  • Wrap around services
  • Therapy – Individual, Family, Group
  • Mountain Center
  • Community Outreach – UWC, Animal Welfare Coalition, Soup Kitchen
  • Primary Care Providers

What Works

  • Providing individualized treatment and services that meets each resident’s needs
  • Providing group therapy and positive group experiences and living skills
  • Recruiting residents who meet the criteria of the program to be able to provide specialized services in which staff are trained

Strategy

  • Foster a positive culture of support
  • Meet with staff to develop additional strategies to meet the goal

Action Plan

  • Q1: Review clinical charts of unsuccessful discharged residents to understand factors that prevented a successful discharge. One reason identified in the past include residents did not meet criterial for the program.
    • Clarify criteria for recruitment.
  • Q2: Educate staff on the importance of recruiting residents who meet the criteria to enable a positive experience and successful discharge to be able to continue a healthy relationship with family and be able to acquire skills to live independently.
    • Educate referring agencies on the criteria for appropriate referrals.
  • Q3: Review lists of resources such as those referred by the New Mexico Behavioral Health Collaborative.
    • Conduct expanded outreach efforts for appropriate discharge placements.
  • Q4: Develop a list of helpful resources for residents to contact and access after discharge.

FY19 Annual Progress Summary

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Scorecard Container Measure Action Actual Value Target Value Tag S A m/d/yy m/d/yyyy