Realignment of the New Jersey Mental

Health Service System:

Accomplishments and Next Steps

1

Presented by:

Donna Migliorino, MPH, RN, NE-BC, Director, Office of Research, Planning, and Evaluation, New Jersey Division

of Mental Health and Addiction Services

Roger Borichewski, MSW, LCSW, Assistant Division Director, Office of Olmstead, Prevention, Compliance,

Planning and Evaluation, New Jersey Division of Mental Health and Addiction Services

September 11, 2014

Admissions to NJ State Psychiatric Hospitals:

SFY 2006-2014 (Excluding Ann Klein Forensic Center)

2,938

2,811

2,763

2,223

2,070 2,064

2,247

1,893

2,066

1,000

1,500

2,000

2,500

3,000

3,500

SFY

2006

SFY

2007

SFY

2008

SFY

2009

SFY

2010

SFY

2011

SFY

2012

SFY

2013

SFY

2014

2

NJ Division of Mental Health and Addiction Services, Office of Research, Planning, and Evaluation, September 2014

2,878

2,828

2,927

2,349

2,200

2,071

2,319

1,921

2,037

1,800

2,000

2,200

2,400

2,600

2,800

3,000

SFY

2006

SFY

2007

SFY

2008

SFY

2009

SFY

2010

SFY

2011

SFY

2012

SFY

2013

SFY

2014

Total Discharges from NJ State Psychiatric Hospitals

(excl. AKFC): SFY 2006 - 2014

3

NJ Division of Mental Health and Addiction Services, Office of Research, Planning, and Evaluation, September 2014

2,122

2,116

1,951

1,806

1,671 1,590

1,534 1,450 1,440

1,000

1,200

1,400

1,600

1,800

2,000

2,200

SFY

2006

SFY

2007

SFY

2008

SFY

2009

SFY

2010

SFY

2011

SFY

2012

SFY

2013

SFY

2014

Total Average Census at NJ State Psychiatric Hospitals

(excl. AKFC): SFY 2006 - 2014

4

NJ Division of Mental Health and Addiction Services, Office of Research, Planning, and Evaluation, September 2014

NJ Division of Mental Health and Addiction Services, Office of Research, Planning, and Evaluation, September 2014

2,136

2,534

3,051

3,497

4,063

4,560

5,271 5,351

5,573

0

1,000

2,000

3,000

4,000

5,000

6,000

SFY 2006 SFY 2007 SFY 2008 SFY 2009 SFY 2010 SFY 2011 SFY 2012 SFY 2013 SFY 2014

Clients Served by the SMHA in Supportive Housing (duplicated)

SFY 2006 – SFY 2014

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Clients Served by the SMHA in Supportive Housing (duplicated) and in

the Non Forensic State Hospitals SFY 2006 – SFY 2014

2,136 2,534

3,051 3,497

4,100 4,474

5,271 5,351 5,573 5,205 5,095 5,008

4,120

3,818 3,652 3,802 3,357 3,490

0

1,000

2,000

3,000

4,000

5,000

6,000

SFY 2006SFY 2007SFY 2008SFY 2009SFY 2010SFY 2011SFY 2012SFY 2013SFY 2014

# Served in Supportive Housing # Served in Non Forensic State Hospitals

6

NJ Division of Mental Health and Addiction Services, Office of Research, Planning, and Evaluation, September 2014

(1) Data for SFY 2014 is currently being compiled.

NJ Division of Mental Health and Addiction Services, Office of Research, Planning, and Evaluation, September 2014

231,275

227,460

254,727 259,048 261,026

287,583 288,120

291,015

220,000

230,000

240,000

250,000

260,000

270,000

280,000

290,000

300,000

SFY 2006 SFY 2007 SFY 2008 SFY 2009 SFY 2010 SFY 2011 SFY 2012 SFY 2013

Total Adults Served by the SMHA in Community Services

(duplicated) SFY 2006 to SFY 2013(1)

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50.0%

54.9%

49.0%

43.6%

40.0%

32.9%

35.8%

33.0%

28.9%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

55.0%

60.0%

SFY 2006 SFY 2007 SFY 2008 SFY 2009 SFY 2010 SFY 2011 SFY 2012 SFY 2013 SFY 2014

Proportion of Year End NJ State Hospital Census

on CEPP Status: SFY 2006 - 2014 (Excluding Ann Klein Forensic Center)

8 NJ Division of Mental Health and Addiction Services, Office of Research, Planning, and Evaluation, September 2014

Supportive Housing (SH) Beds for CEPP Consumers in the State Hospital:

Targets vs. Beds Actually Created, SFY 2006 - 2014

0 0 0 0

180 145

95

125 150

581

202

306

223 196

171

135

292

147

0

100

200

300

400

500

600

SFY

2006

SFY

2007

SFY

2008

SFY

2009

SFY

2010

SFY

2011

SFY

2012

SFY

2013

SFY

2014

Target Beds Actually Created for CEPP consumers

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NJ Division of Mental Health and Addiction Services, Office of Research, Planning, and Evaluation, September 2014

Supportive Housing (SH) Beds for At-Risk Populations:

Targets vs. Beds Actually Created, SFY 2006 - 2014

0 0 0 0

50

70

50

100

100

0 0 0

112

50

82

107

155

101

0

20

40

60

80

100

120

140

160

SFY

2006

SFY

2007

SFY

2008

SFY

2009

SFY

2010

SFY

2011

SFY

2012

SFY

2013

SFY

2014

Target "At Risk" Beds Actually Created

10 NJ Division of Mental Health and Addiction Services, Office of Research, Planning, and Evaluation, September 2014

Office of Olmstead, Compliance, Prevention,

Planning, and Evaluation

• In order to maximize the Division’s progress under the Olmstead initiative, DMHAS has created

The Office of Olmstead, Compliance, Prevention, Planning and Evaluation. This new office will

allow for optimal collaboration across all Olmstead-related and roles and functions, and

encompass the following (previously separated) units:

• Olmstead

• Compliance

• Quality Management

• Unusual Incident Reporting (Mental Health – Hospital and Community)

• Patient Services Compliance Unit (PSCU)

• Consumer Affairs

• Self-Help Centers

• Prevention and Early Intervention Services

• Screening, Brief Intervention and Referral to Treatment

• Addiction Contract Monitoring

• Addiction Recovery Centers

Next Steps for NJ DMHAS

In furthering its community integration efforts, DMHAS has begun examining systemic

issues that may serve as barriers to timely discharges from state psychiatric hospitals.

Some of the main barriers include:

• Provider and state hospital communication gaps

• Preparation for community living

• Improved discharge processes for individuals with a dual diagnosis of

developmental disability and mental illness

• Medication management for consumers with diabetes

• Pre-Admission Assessment and Resident Review (PASRR) Process

• Documentation and access to entitlements and supports

Questions?

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