NORTHWEST REGION

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NORTHWEST REGION

• CHILDRENS SERVICES

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WESTERN MO MENTAL HEALTH CENTER

• Child and Adolescent Unit
• Designed for 10 beds, but staffed for fewer
• Acute psychiatric inpatient
• Front Door Emergency Room typically, frequently
  Central or Regional Office recommendation

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WMMHC Stats

• Approximately 200 admissions in a year
• Mood Disorder, Not Otherwise Specified by far the
  most frequent diagnosis (7x more frequently given
  than the next diagnosis which was Psychotic
  Disorder, NOS)
• Approximately 45 referred by family/relatives
• Approximately 25 referred by courts/law
  enforcement
• 10 were involuntary commitments

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WMMHC Stats

• 17 had dual diagnoses of MI/DD
• Payor Sources
• 38 Medicaid
• 33 MC Managed Care
• 17 guest of the state
• 12 private insurance

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WMMHC Statistics

• Average Length of Stay 11.5 days with a range
  from 2-126 days (10 exceeded 30 days)
• Of the 10, the classic presentation was
• Dually diagnosed with MI/DD
• Extreme Behavioral Presentations (typically
  aggression)
• Co-occurring medical conditions
• Multiple admissions to inpatient services

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Complicated Medical Conditions

• One youth had the following medical conditions on
  Axis III
• HYPOTHYROIDISM UNSPEC
• OBESITY UNSPEC
• TEAR FILM INSUFFIC UNSPEC
• ALLERGIC RHINITIS UNSPEC
• ESOPHAGEAL REFLUX
• UNSPEC CONSTIPATION
• ACUTE DERMATITIS SOLAR RAD
• OBSTRUCTIVE HYDROCEPHALUS
• STEVENS-JOHNSON SYNDROME
• OTHER CONVULSIONS
• OTHER DRUG ALLERGY

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NW Region Inpatient Bed Capacity for Children and
Adolescents

• Crittenton 41
• Research Psychiatric 25
• Heartland St. Joseph 0
• St. Lukes Northland 6
• Two Rivers 20
• ___________________________
• Total Beds 102
• Royal Oaks 33

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Capacity Development

• Based on model developed by Robert Friedman out
  of Southern Florida in 1987 updated through
  discussions in 2003
• Balanced system of care excess or deficit in
  any area, impacts all other areas
• Does not include services for prevention or early
  intervention
• Public mental health services and funding, so
  would include schools, juvenile courts, child
  welfare and Medicaid

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NW Region Capacity Development

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NW Region Capacity Development
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NW Region Capacity Development
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Current Utilization
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Current Utilization
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Current Utilization
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Current Utilization

• Total of 4921 youth served (unduplicated within a
  service but may be duplicated across services)
• Total billings not included inpatient and
  residential 10,838,534
• In a year, on average approximately 5 youth
  exceed 6 months in residential

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Profiles

• 15 year old female Truman/Kansas City Regional
  Office
• Currently at Mid Mo since 2/09 (2nd transfer from
  WMMHC upon closing)
• Childrens Division custody
• 10 hospitalizations at Western Mo MHC
• 2 KCRO placements
• 1 Private sector In-patient Acute Hospitalization
• Physical health issues prohibit SCL psychiatric
  placements
• Has been denied out of state placements
• 12 year old male Swope/Kansas City Regional
  Office
• Currently at (DMH/CPS)Hawthorn Childrens
  Hospital in St. Louis since 10/08
• Childrens Division custody
• 2 hospitalizations at Western Mo MHC In-patient
  Unit
• No community placement prospects with SCL or KCRO

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Profiles

• 16 year old male Comprehensive MHS
• Parents custody
• Crossed 3 Jackson Co Administrative Agents
• Placed in SCL psychiatric placement at the
  States most elevated rate no other statewide
  options
• 9 year old female - Tri-County MHS
• Parents custody
• In SCL psychiatric placement for over 15 months
  in St. James, MO as there are no closer
  placements that will accept her

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Profile

• 15 year old male Comprehensive MHS/Kansas City
  Regional Office
• Grandparents custody
• Currently in JAG Unit - no other SCL/VPA
  Placement options
• 4 combined SCL/MRDD placements
• 14 year old male ReDiscover MHS
• Parents custody
• Currently in JAG Unit no other SCL/VPA
  Placement options
• Has been denied SCL psychiatric and Childrens
  Division placements statewide

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Profiles

• 14 year old female Family Guidance
  Center/Albany Regional Office
• Parents custody
• Currently in SCL/MRDD Interdivisional Agreement
  in St. Louis only placement that would accept
  her with very rigid conditions
• 3 hospitalizations at Western Mo MHC
• 1 hospitalization at Hawthorn Childrens Hospital
  in St. Louis
• 4 SCL placements
•  
• 12 year old female Swope/Kansas City Regional
  Office
• Childrens Division custody
• Currently in Childrens Division placement
• 4 hospitalizations at Western Mo MHC
• 1 SCL psychiatric placement
• 1 KCRO community placement