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NC DEPARTMENT OF HEALTH AND HUMAN SERVICES

Appendices for 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


NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

These appendices are a companion document to the Community Systems


Progress Report . Both the report and appendices are available on the Division's
website at: http://www.ncdhhs.gov/mhddsas/statspublications/reports.

Appendix A contains the data tables for each Progress Indicator in the Report.
Several indicators include county level data.

Appendix B contains a list of Local Management Entities (LMEs) and provides


information on member counties, county and LME population, population density
(persons per square mile) for each county, urban/rural designation, the number of
persons and the percentage of county population enrolled in Medicaid.

Appendix C explains the formulas used for calculating each performance indicator.

Appendix D is included only when a report has been revised. It explains any
revisions that have been made to the report.

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

Appendix A: Data Tables For Each


Progress Indicator

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 1: Timely Access to Care (Emergent Care)


Access Available But Total Provided Access Within 2
# Persons Determined To Need Emergent Provided Within 2 Hours
Not Seen in 2 Hours* Hours**
LME Requesting % of Persons % of Persons % of Persons % of Persons
Services # Persons Requesting # Persons Determined To # Persons Determined To # Persons Determined To
Services Need Need Need
Alamance-Caswell 602 54 9% 54 100% 0 0% 54 100%
Beacon Center 1,268 179 14% 179 100% 0 0% 179 100%
CenterPoint 3,215 580 18% 580 100% 0 0% 580 100%
Crossroads 2,402 716 30% 716 100% 0 0% 716 100%
Cumberland 1,548 191 12% 191 100% 0 0% 191 100%
Durham Center 1,447 248 17% 248 100% 0 0% 248 100%
ECBH 1,637 23 1% 23 100% 0 0% 23 100%
Eastpointe 1,831 469 26% 463 99% 6 1% 469 100%
Five County 1,284 422 33% 421 100% 1 0% 422 100%
Guilford Center 3,074 481 16% 481 100% 0 0% 481 100%
Johnston 932 192 21% 192 100% 0 0% 192 100%
Mecklenburg 2,842 397 14% 397 100% 0 0% 397 100%
Mental Health Partners 1,616 36 2% 36 100% 0 0% 36 100%
Onslow-Carteret 761 129 17% 129 100% 0 0% 129 100%
Orange-Person-Chatham 1,014 185 18% 185 100% 0 0% 185 100%
Pathways 2,173 160 7% 146 91% 4 3% 150 94%
PBH 1,782 1,299 73% 1,115 86% 7 1% 1,122 86%
Sandhills Center 1,579 214 14% 214 100% 0 0% 214 100%
Smoky Mountain Center 3,141 779 25% 764 98% 15 2% 779 100%
Southeastern Center 1,502 151 10% 151 100% 0 0% 151 100%
Southeastern Regional 2,021 121 6% 121 100% 0 0% 121 100%
Wake 3,038 466 15% 466 100% 0 0% 466 100%
Western Highlands Network 2,865 381 13% 381 100% 0 0% 381 100%
STATEWIDE 43,574 7,873 18% 7,653 97% 33 0.4% 7,686 98%

SOURCE: LME quarterly reports to DMH/DD/SAS for the period July 1 - September 30, 2010, received October 20, 2010.
* "Access Available But Not Seen" is defined as a qualified provider was on the physical premises ready to provide immediate care as soon as the consumer was available to receive care, but a
face-to-face service was not provided within 2 hours of the request for services because the consumer was not available within this time frame to receive it.
** "Total Provided Access Within 2 Hours" includes consumers provided emergency care plus consumers provided access but not seen within 2 hours of the request.

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 1: Timely Access to Care (Urgent Care)

# Persons Determined To Need Provided Within 48 Hours Offered But Declined* Scheduled - No Show
LME Requesting % of Persons % of Persons % of Persons % of Persons
Services # Persons Requesting # Persons Determined To # Persons Determined To # Persons Determined To
Services Need Need Need
Alamance-Caswell 602 62 10% 62 100% 0 0% 0 0%
Beacon Center 1,268 367 29% 175 48% 41 11% 98 27%
CenterPoint 3,215 412 13% 337 82% 4 1% 71 17%
Crossroads 2,402 328 14% 300 91% 2 1% 23 7%
Cumberland 1,548 152 10% 146 96% 2 1% 4 3%
Durham Center 1,447 278 19% 183 66% 57 21% 15 5%
ECBH 1,637 113 7% 70 62% 21 19% 43 38%
Eastpointe 1,831 305 17% 305 100% 0 0% 0 0%
Five County 1,284 88 7% 88 100% 0 0% 0 0%
Guilford Center 3,074 382 12% 382 100% 0 0% 0 0%
Johnston 932 150 16% 137 91% 2 1% 0 0%
Mecklenburg 2,842 4 0% 4 100% 0 0% 0 0%
Mental Health Partners 1,616 315 19% 304 97% 4 1% 7 2%
Onslow-Carteret 761 123 16% 105 85% 18 15% 0 0%
Orange-Person-Chatham 1,014 153 15% 111 73% 3 2% 0 0%
Pathways 2,173 218 10% 209 96% 3 1% 5 2%
PBH 1,782 40 2% 32 80% 0 0% 6 15%
Sandhills Center 1,579 417 26% 366 88% 28 7% 23 6%
Smoky Mountain Center 3,141 677 22% 630 93% 20 3% 27 4%
Southeastern Center 1,502 702 47% 571 81% 5 1% 126 18%
Southeastern Regional 2,021 236 12% 233 99% 0 0% 3 1%
Wake 3,038 659 22% 555 84% 4 1% 11 2%
Western Highlands Network 2,865 403 14% 363 90% 14 3% 26 6%
STATEWIDE 43,574 6,584 15% 5,668 86% 228 3% 488 7%

SOURCE: LME quarterly reports to DMH/DD/SAS for the period July 1 - September 30, 2010, received October 20, 2010.
* "Offered But Declined" includes consumers that were offered an appointment within the target time frame but declined for personal convenience or necessity and requested a later appointment
or were scheduled for an appointment within the target time frame but called and rescheduled it to a later time.
NOTE: Percentages have been rounded. The sum of percentages across each row are not expected to equal 100%.

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 1: Timely Access to Care (Routine Care)

# Persons Determined To Need Provided Within 14 Calendar Days Offered But Declined* Scheduled - No Show
LME Requesting % of Persons % of Persons % of Persons % of Persons
Services # Persons Requesting # Persons Determined To # Persons Determined To # Persons Determined To
Services Need Need Need
Alamance-Caswell 602 482 80% 371 77% 15 3% 60 12%
Beacon Center 1,268 709 56% 417 59% 25 4% 267 38%
CenterPoint 3,215 2,014 63% 1,492 74% 45 2% 477 24%
Crossroads 2,402 1,232 51% 1,083 88% 13 1% 130 11%
Cumberland 1,548 931 60% 846 91% 31 3% 54 6%
Durham Center 1,447 921 64% 768 83% 3 0% 150 16%
ECBH 1,637 1,501 92% 1,207 80% 152 10% 294 20%
Eastpointe 1,831 1,057 58% 999 95% 0 0% 58 5%
Five County 1,284 774 60% 594 77% 32 4% 148 19%
Guilford Center 3,074 1,862 61% 1,551 83% 20 1% 291 16%
Johnston 932 580 62% 353 61% 4 1% 52 9%
Mecklenburg 2,842 2,441 86% 2,188 90% 0 0% 0 0%
Mental Health Partners 1,616 1,245 77% 780 63% 8 1% 457 37%
Onslow-Carteret 761 509 67% 381 75% 10 2% 118 23%
Orange-Person-Chatham 1,014 502 50% 433 86% 7 1% 54 11%
Pathways 2,173 965 44% 630 65% 42 4% 126 13%
PBH 1,782 443 25% 417 94% 0 0% 21 5%
Sandhills Center 1,579 936 59% 810 87% 32 3% 94 10%
Smoky Mountain Center 3,141 1,685 54% 1,381 82% 14 1% 290 17%
Southeastern Center 1,502 649 43% 485 75% 8 1% 156 24%
Southeastern Regional 2,021 495 24% 438 88% 1 0% 56 11%
Wake 3,038 1,513 50% 895 59% 34 2% 347 23%
Western Highlands Network 2,865 2,004 70% 1,897 95% 45 2% 62 3%
STATEWIDE 43,574 25,450 58% 20,416 80% 541 2% 3,762 15%

SOURCE: LME quarterly reports to DMH/DD/SAS for the period July 1 - September 30, 2010, received October 20, 2010.
* "Offered But Declined" includes consumers that were offered an appointment within the target time frame but declined for personal convenience or necessity and requested a later appointment
or were scheduled for an appointment within the target time frame but called and rescheduled it to a later time.
NOTE: Percentages have been rounded. The sum of percentages across each row are not expected to equal 100%.

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 2: Identification of Individuals In Need of Service (Adults)


Adult MH Adult DD Adult SA

County Percent of Percent of Percent of


LME
(Urban/Rural) Number in Need Number Served Population in Number in Need Number Served Population in Number in Need Number Served Population in
Need Served Need Served Need Served

Alamance-Caswell Alamance 6,223 3,506 56% 947 334 35% 9,749 1,104 11%
Caswell 1,018 531 52% 157 63 40% 1,486 143 10%
Total 7,241 4,037 56% 1,104 397 36% 11,235 1,247 11%
Beacon Center Edgecombe 2,069 1,471 71% 318 197 62% 3,272 348 11%
Greene 899 322 36% 136 68 50% 1,371 76 6%
Nash 3,995 1,764 44% 603 204 34% 5,997 517 9%
Wilson 3,283 1,742 53% 502 256 51% 4,973 443 9%
Total 10,246 5,299 52% 1,560 725 46% 15,613 1,384 9%
Centerpoint Davie 1,764 598 34% 266 87 33% 2,592 151 6%
Forsyth 14,887 6,301 42% 2,252 791 35% 22,886 2,552 11%
Rockingham 3,880 2,207 57% 584 211 36% 5,720 738 13%
Stokes 1,992 901 45% 301 97 32% 2,916 217 7%
Total 22,524 10,007 44% 3,403 1,186 35% 34,113 3,658 11%
Crossroads Iredell 6,540 2,371 36% 979 305 31% 9,834 953 10%
Surry 3,105 2,405 77% 471 204 43% 4,686 647 14%
Yadkin 1,586 777 49% 241 78 32% 2,402 269 11%
Total 11,231 5,553 49% 1,691 587 35% 16,921 1,869 11%
Cumberland Cumberland 12,815 5,721 45% 1,922 647 34% 21,320 1,445 7%
Durham Center Durham 11,075 5,773 52% 1,689 652 39% 17,910 2,143 12%
ECBH Beaufort 1,994 1,193 60% 314 181 58% 2,927 390 13%
Bertie 837 476 57% 134 83 62% 1,226 145 12%
Camden 415 108 26% 63 15 24% 611 29 5%
Chowan 626 302 48% 98 48 49% 963 75 8%
Craven 4,019 2,046 51% 603 303 50% 6,635 830 13%
Currituck 998 268 27% 150 37 25% 1,465 63 4%
Dare 1,483 538 36% 222 51 23% 2,204 156 7%
Gates 498 173 35% 74 32 43% 782 52 7%
Hertford 1,011 603 60% 152 99 65% 1,565 161 10%
Hyde 239 84 35% 36 21 58% 355 15 4%
Jones 441 205 46% 68 33 49% 657 39 6%
Martin 978 543 56% 149 85 57% 1,464 131 9%
Northampton 895 613 69% 144 81 56% 1,330 144 11%
Pamlico 577 222 38% 89 42 47% 833 90 11%
Pasquotank 1,760 744 42% 269 144 53% 2,776 194 7%
Perquimans 569 240 42% 85 35 41% 854 63 7%
Pitt 6,738 3,034 45% 1,025 409 40% 11,921 1,580 13%
Tyrrell 185 79 43% 29 16 55% 264 15 6%
Washington 536 410 76% 82 62 75% 778 107 14%
Total 24,800 11,881 48% 3,786 1,777 47% 39,611 4,279 11%
Eastpointe Duplin 2,165 1,131 52% 333 174 52% 3,342 231 7%
Lenoir 2,341 1,622 69% 374 259 69% 3,493 474 14%
Sampson 2,670 1,225 46% 407 179 44% 4,097 283 7%
Wayne 4,707 3,029 64% 721 366 51% 7,404 899 12%
Total 11,883 7,007 59% 1,834 978 53% 18,336 1,887 10%
Five County Franklin 2,499 1,237 49% 387 86 22% 3,768 356 9%
Granville 2,449 964 39% 381 102 27% 3,746 342 9%
Halifax 2,279 2,465 108% 350 267 76% 3,457 652 19%
Vance 1,734 1,558 90% 274 149 54% 2,689 509 19%
Warren 866 632 73% 135 61 45% 1,281 107 8%
Total 9,827 6,856 70% 1,527 665 44% 14,941 1,966 13%
Guilford Center Guilford 20,055 9,990 50% 3,039 1,117 37% 31,431 3,306 11%
Johnston Johnston 6,985 3,959 57% 1,043 258 25% 10,540 1,438 14%
Mecklenburg Mecklenburg 36,600 11,419 31% 5,423 1,894 35% 55,239 5,378 10%

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 2: Identification of Individuals In Need of Service (Adults)


Adult MH Adult DD Adult SA

County Percent of Percent of Percent of


LME
(Urban/Rural) Number in Need Number Served Population in Number in Need Number Served Population in Number in Need Number Served Population in
Need Served Need Served Need Served

Mental Health Partners Burke 3,815 2,268 59% 591 249 42% 5,847 557 10%
Catawba 6,584 3,713 56% 995 357 36% 9,970 1,246 12%
Total 10,400 5,981 58% 1,586 606 38% 15,817 1,803 11%
Onslow-Carteret Carteret 2,914 1,588 54% 439 178 41% 4,271 418 10%
Onslow 7,043 2,872 41% 1,049 225 21% 13,761 424 3%
Total 9,957 4,460 45% 1,489 403 27% 18,032 842 5%
Orange-Person-Chatham Chatham 2,730 635 23% 408 109 27% 3,984 234 6%
Orange 5,899 1,951 33% 893 334 37% 10,609 871 8%
Person 1,621 920 57% 248 156 63% 2,363 381 16%
Total 10,250 3,506 34% 1,549 599 39% 16,955 1,486 9%
Pathways Cleveland 4,114 3,803 92% 632 453 72% 6,386 1,020 16%
Gaston 8,637 6,395 74% 1,301 647 50% 13,061 2,148 16%
Lincoln 3,209 1,712 53% 485 197 41% 4,821 585 12%
Total 15,960 11,910 75% 2,417 1,297 54% 24,268 3,753 15%
PBH Cabarrus 7,164 5,814 81% 1,050 734 70% 11,053 2,189 20%
Davidson 6,747 5,393 80% 989 408 41% 10,222 1,677 16%
Rowan 5,901 4,847 82% 864 531 61% 9,081 1,875 21%
Stanly 2,535 3,910 154% 372 452 122% 3,899 938 24%
Union 7,965 3,349 42% 1,165 457 39% 12,122 1,155 10%
Total 30,313 23,313 77% 4,441 2,582 58% 46,377 7,834 17%
Sandhills Center Anson 1,040 690 66% 157 81 52% 1,563 195 12%
Harnett 4,698 1,898 40% 692 198 29% 7,481 557 7%
Hoke 1,804 744 41% 266 85 32% 2,825 181 6%
Lee 2,388 1,188 50% 354 124 35% 3,668 396 11%
Montgomery 1,148 699 61% 170 68 40% 1,737 181 10%
Moore 3,801 1,585 42% 564 206 37% 5,474 571 10%
Randolph 5,954 3,552 60% 887 264 30% 9,071 1,009 11%
Richmond 1,910 1,345 70% 291 133 46% 3,053 338 11%
Total 22,742 11,701 51% 3,382 1,159 34% 34,871 3,428 10%
Smoky Mountain Center Alexander 1,579 881 56% 238 68 29% 2,334 225 10%
Alleghany 500 337 67% 76 48 63% 724 104 14%
Ashe 1,163 834 72% 173 96 55% 1,668 254 15%
Avery 818 438 54% 121 45 37% 1,242 176 14%
Caldwell 3,394 1,849 54% 513 163 32% 5,099 486 10%
Cherokee 1,209 815 67% 181 85 47% 1,714 234 14%
Clay 490 266 54% 75 34 46% 679 61 9%
Graham 355 287 81% 55 29 53% 532 105 20%
Haywood 2,551 2,322 91% 382 192 50% 3,756 804 21%
Jackson 1,709 1,013 59% 254 68 27% 3,010 241 8%
Macon 1,537 906 59% 230 74 32% 2,159 288 13%
McDowell 1,910 1,338 70% 285 131 46% 2,862 501 18%
Swain 592 460 78% 87 31 36% 887 94 11%
Watauga 2,107 949 45% 311 86 28% 4,111 371 9%
Wilkes 2,852 2,089 73% 433 195 45% 4,178 741 18%
Total 22,766 14,784 65% 3,414 1,345 39% 34,956 4,685 13%
Southeastern Center Brunswick 4,909 1,625 33% 733 197 27% 7,033 456 6%
New Hanover 8,477 4,089 48% 1,285 548 43% 13,141 1,781 14%
Pender 2,369 689 29% 355 100 28% 3,471 239 7%
Total 15,755 6,403 41% 2,373 845 36% 23,645 2,476 10%

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 2: Identification of Individuals In Need of Service (Adults)


Adult MH Adult DD Adult SA

County Percent of Percent of Percent of


LME
(Urban/Rural) Number in Need Number Served Population in Number in Need Number Served Population in Number in Need Number Served Population in
Need Served Need Served Need Served

Southeastern Regional Bladen 1,305 822 63% 195 118 61% 1,960 234 12%
Columbus 2,289 1,441 63% 339 244 72% 3,445 377 11%
Robeson 5,149 3,893 76% 774 382 49% 8,243 1,212 15%
Scotland 1,487 1,083 73% 229 118 52% 2,316 277 12%
Total 10,230 7,239 71% 1,537 862 56% 15,963 2,100 13%
Wake Wake 37,571 9,961 27% 5,565 1,424 26% 58,940 3,262 6%
Western Highlands Network Buncombe 10,008 6,000 60% 1,514 642 42% 14,915 2,229 15%
Henderson 4,608 1,651 36% 689 214 31% 6,591 634 10%
Madison 910 564 62% 136 69 51% 1,401 179 13%
Mitchell 700 381 54% 104 67 64% 1,042 129 12%
Polk 865 423 49% 129 60 47% 1,264 97 8%
Rutherford 2,684 2,412 90% 409 226 55% 4,075 581 14%
Transylvania 1,394 540 39% 209 81 39% 2,020 144 7%
Yancey 813 451 55% 120 73 61% 1,170 137 12%
Total 21,982 12,422 57% 3,310 1,432 43% 32,479 4,130 13%
Statewide 393,208 199,182 51% 59,084 23,437 40% 609,513 65,799 11%
Urban Counties 256,225 119,583 47% 38,373 14,324 37% 401,547 42,733 11%
Rural Counties 136,983 79,599 58% 20,711 9,113 44% 207,965 23,066 11%

SOURCE: Medicaid and State Service Claims Data for the one year period: July 1, 2009 to June 30, 2010 based on claims paid through October 31, 2010.
* Data for PBH is self-reported.

Data Sources and Calculations


Population Data: The Office of State Budget and Management (OSBM) State Demographics Branch website: http://www.osbm.state.nc.us/demog/countytotals_singleage_2010.html. Last Update: May 4, 2009. Downloaded 6/22/10.
MH Prevalence Rates: Prepared by NRI/SDICC for CMHS, July 6, 2010 (for the MH Block Grant)
● Children: URS Table 1: Children with Serious Emotional Disturbance, ages 9-17, by State, 2009. Note: 11% is the midpoint (10%-12%) for the LOF=60 range (SED with substantial functional impairment).
The same rate was applied to children under age 9.
● Adults: URS Table 1: Number of Persons with Serious Mental Illness, age 18 and older, by State, 2009 = 5.4%.
NC Substance Abuse Prevalence Rates: SAMHSA, Office of Applied Studies, National Surveys on Drug Use and Health, 2007 and 2008, published June 2010.
● Children and Adults: Table B.20, Dependence on or Abuse of Illicit Drugs or Alcohol in Past Year, by Age Group and State: Percentages, Annual Averages Based on 2007 and 2008 NSDUH.
Prevalence rate for adolescents (ages 12-17) is 6.57%, for adults (ages 18-25) is 19.26%, and for adults (ages 26+) is 6.42%. Total = 8.04%. Applying these age group rates to July 2010 population = 8.21% total.
DD Prevalence Rates: Larson, S., Lakin, C., Anderson, L., Kwak, N., Lee, J.H., & Anderson, D. (2000). Prevalence of MR and/or DD: Analysis of the 1994/1995 NHIS-D. MR/DD Data Brief, April 2000, Vol 2, No. 1. Minneapolis: University of
Minnesota, Research and Training Center on Community Living, Institute on Community Integration. The NHIS-D is the National Health Interview Survey (NHIS) Disability Supplement used to estimate the prevalence of people with MR and/or
DD in the US Non-Institutional Population. According to the article, prevalence rates for persons ages 3-5 = 3.84%, ages 6-17 = 3.17%, and ages 18+ = 0.79%. Based on July 2010 NC projected population, and excluding children ages 0-2
who receive services from DPH, 1.30% of the total NC non-institutionalized population and 1.32% of the total population (including persons in institutions) are estimated to have MR and/or DD. If persons ages 0-2 were to be included, the
prevalence rate for the non-institutionalized population would be 1.40% and the prevalence rate for the total population would be 1.42%.
Estimated Persons In Need Of Services: These numbers were calculated by multiplying the most current available statewide prevalence rates for NC for MH, DD, and SA by the July 2010 county population projections for each relevant age
group for each county in each LME's catchment area.
Persons Served: Disability group is based on the first three diagnoses on all claims. Persons in each disability group were counted once -- based on the LME and age at first service in the year. Persons with multiple disabilities (e.g. MH and
SA, MH and DD, etc.) were counted in all applicable columns. An unduplicated total of 118,477 children and 237,573 adults were served during this 12 month period.

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 2: Identification of Individuals In Need of Service (Child)


Child MH Child DD Child SA

County Percent of Percent of Percent of


LME
(Urban/Rural) Number in Need Number Served Population in Number in Need Number Served Population in Number in Need Number Served Population in
Need Served Need Served Need Served

Alamance-Caswell Alamance 3,215 1,544 48% 964 135 14% 770 50 6%


Caswell 422 196 46% 126 12 10% 108 3 3%
Total 3,636 1,740 48% 1,091 147 13% 878 53 6%
Beacon Center Edgecombe 1,181 1,153 98% 354 133 38% 296 35 12%
Greene 461 383 83% 138 24 17% 115 5 4%
Nash 2,117 1,175 56% 636 143 22% 526 46 9%
Wilson 1,803 1,261 70% 541 179 33% 436 37 8%
Total 5,562 3,972 71% 1,670 479 29% 1,372 123 9%
Centerpoint Davie 917 356 39% 274 40 15% 242 8 3%
Forsyth 7,775 2,959 38% 2,340 378 16% 1,811 292 16%
Rockingham 1,878 805 43% 563 52 9% 456 61 13%
Stokes 959 360 38% 286 39 14% 259 32 12%
Total 11,529 4,480 39% 3,463 509 15% 2,768 393 14%
Crossroads Iredell 3,580 1,320 37% 1,072 163 15% 908 73 8%
Surry 1,563 657 42% 468 83 18% 382 48 13%
Yadkin 815 355 44% 244 38 16% 200 13 7%
Total 5,957 2,332 39% 1,785 284 16% 1,490 134 9%
Cumberland Cumberland 7,653 4,045 53% 2,317 440 19% 1,674 186 11%
Durham Center Durham 5,850 3,953 68% 1,771 501 28% 1,208 169 14%
ECBH Beaufort 970 693 71% 291 77 26% 227 41 18%
Bertie 420 352 84% 126 31 25% 109 13 12%
Camden 184 56 30% 55 11 20% 47 1 2%
Chowan 300 236 79% 90 17 19% 73 2 3%
Craven 2,377 1,247 52% 717 159 22% 500 32 6%
Currituck 455 139 31% 136 27 20% 120 5 4%
Dare 606 225 37% 184 15 8% 131 8 6%
Gates 248 88 35% 74 9 12% 70 2 3%
Hertford 476 285 60% 143 27 19% 118 8 7%
Hyde 92 47 51% 28 4 14% 21 1 5%
Jones 187 142 76% 56 19 34% 51 2 4%
Martin 523 490 94% 157 36 23% 132 18 14%
Northampton 403 385 95% 121 28 23% 97 10 10%
Pamlico 202 222 110% 60 19 31% 53 4 8%
Pasquotank 833 452 54% 252 43 17% 196 4 2%
Perquimans 236 129 55% 71 12 17% 60 2 3%
Pitt 3,312 3,193 96% 998 360 36% 753 122 16%
Tyrrell 73 38 52% 22 2 9% 16 0 0%
Washington 284 422 149% 85 15 18% 68 8 12%
Total 12,182 8,841 73% 3,666 911 25% 2,843 283 10%
Eastpointe Duplin 1,273 667 52% 383 66 17% 289 18 6%
Lenoir 1,249 1,088 87% 375 84 22% 299 39 13%
Sampson 1,515 797 53% 455 80 18% 360 30 8%
Wayne 2,711 1,958 72% 817 222 27% 623 79 13%
Total 6,748 4,510 67% 2,031 452 22% 1,570 166 11%
Five County Franklin 1,302 579 44% 391 52 13% 323 23 7%
Granville 1,144 471 41% 345 55 16% 290 30 10%
Halifax 1,186 956 81% 356 75 21% 294 26 9%
Vance 1,053 800 76% 317 77 24% 236 28 12%
Warren 354 252 71% 107 28 26% 90 14 15%
Total 5,039 3,058 61% 1,516 287 19% 1,233 121 10%
Guilford Center Guilford 10,253 5,023 49% 3,080 482 16% 2,459 202 8%
Johnston Johnston 4,048 1,999 49% 1,216 229 19% 964 62 6%
Mecklenburg Mecklenburg 20,650 8,823 43% 6,240 1,262 20% 4,562 336 7%

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 2: Identification of Individuals In Need of Service (Child)


Child MH Child DD Child SA

County Percent of Percent of Percent of


LME
(Urban/Rural) Number in Need Number Served Population in Number in Need Number Served Population in Number in Need Number Served Population in
Need Served Need Served Need Served

Mental Health Partners Burke 1,795 1,181 66% 537 120 22% 455 15 3%
Catawba 3,419 1,791 52% 1,026 153 15% 815 75 9%
Total 5,214 2,972 57% 1,564 273 17% 1,270 90 7%
Onslow-Carteret Carteret 1,054 488 46% 319 57 18% 258 26 10%
Onslow 4,400 1,498 34% 1,336 189 14% 813 17 2%
Total 5,454 1,986 36% 1,655 246 15% 1,070 43 4%
Orange-Person-Chatham Chatham 1,192 536 45% 360 62 17% 278 56 20%
Orange 2,228 1,141 51% 670 198 30% 533 95 18%
Person 782 552 71% 235 72 31% 192 27 14%
Total 4,202 2,229 53% 1,265 332 26% 1,003 178 18%
Pathways Cleveland 2,127 1,745 82% 637 258 40% 533 65 12%
Gaston 4,531 2,853 63% 1,362 361 27% 1,087 108 10%
Lincoln 1,633 820 50% 488 125 26% 413 55 13%
Total 8,290 5,418 65% 2,488 744 30% 2,033 228 11%
PBH Cabarrus 4,238 3,287 78% 1,274 516 41% 1,009 105 10%
Davidson 3,419 1,854 54% 1,025 198 19% 843 103 12%
Rowan 2,990 2,709 91% 897 306 34% 730 183 25%
Stanly 1,255 1,375 110% 376 126 33% 306 58 19%
Union 5,000 1,709 34% 1,497 403 27% 1,259 71 6%
Total 16,903 10,934 65% 5,068 1,549 31% 4,147 520 13%
Sandhills Center Anson 548 459 84% 164 51 31% 138 16 12%
Harnett 2,651 1,139 43% 796 84 11% 653 38 6%
Hoke 1,241 693 56% 374 82 22% 285 26 9%
Lee 1,363 550 40% 411 65 16% 309 29 9%
Montgomery 635 374 59% 191 24 13% 145 13 9%
Moore 1,650 702 43% 495 93 19% 409 53 13%
Randolph 3,145 1,584 50% 942 126 13% 759 72 9%
Richmond 1,058 973 92% 318 111 35% 261 38 15%
Total 12,291 6,474 53% 3,691 636 17% 2,959 285 10%
Smoky Mountain Center Alexander 785 287 37% 235 20 9% 209 7 3%
Alleghany 191 137 72% 57 23 40% 49 10 20%
Ashe 472 271 57% 142 22 16% 114 21 18%
Avery 291 161 55% 87 10 11% 72 12 17%
Caldwell 1,659 1,041 63% 497 87 17% 412 15 4%
Cherokee 473 381 80% 142 33 23% 120 2 2%
Clay 159 128 81% 48 13 27% 42 1 2%
Graham 168 162 97% 50 6 12% 38 3 8%
Haywood 1,029 1,041 101% 308 84 27% 261 25 10%
Jackson 621 545 88% 187 58 31% 143 14 10%
Macon 612 408 67% 185 35 19% 157 7 4%
McDowell 899 512 57% 270 53 20% 216 27 12%
Swain 307 223 73% 92 16 17% 74 8 11%
Watauga 613 290 47% 184 27 15% 153 14 9%
Wilkes 1,379 699 51% 413 59 14% 329 29 9%
Total 9,656 6,286 65% 2,898 546 19% 2,391 195 8%
Southeastern Center Brunswick 1,755 1,298 74% 529 217 41% 445 23 5%
New Hanover 3,518 2,670 76% 1,064 376 35% 812 90 11%
Pender 983 680 69% 294 66 22% 259 20 8%
Total 6,255 4,648 74% 1,887 659 35% 1,516 133 9%

Page 11
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 2: Identification of Individuals In Need of Service (Child)


Child MH Child DD Child SA

County Percent of Percent of Percent of


LME
(Urban/Rural) Number in Need Number Served Population in Number in Need Number Served Population in Number in Need Number Served Population in
Need Served Need Served Need Served

Southeastern Regional Bladen 714 427 60% 215 44 20% 163 9 6%


Columbus 1,319 1,021 77% 395 104 26% 297 16 5%
Robeson 3,327 2,981 90% 1,003 232 23% 764 72 9%
Scotland 869 800 92% 262 47 18% 228 29 13%
Total 6,229 5,229 84% 1,875 427 23% 1,451 126 9%
Wake Wake 20,257 7,116 35% 6,111 855 14% 4,798 290 6%
Western Highlands Network Buncombe 4,357 3,025 69% 1,311 388 30% 1,048 72 7%
Henderson 2,003 937 47% 604 139 23% 483 23 5%
Madison 391 270 69% 117 36 31% 98 8 8%
Mitchell 286 160 56% 86 20 23% 71 6 8%
Polk 333 212 64% 99 20 20% 89 3 3%
Rutherford 1,344 794 59% 403 92 23% 331 29 9%
Transylvania 509 263 52% 153 40 26% 132 11 8%
Yancey 335 220 66% 100 45 45% 85 8 9%
Total 9,558 5,881 62% 2,872 780 27% 2,337 160 7%
Statewide 203,416 111,949 55% 61,218 13,030 21% 48,000 4,476 9%
Urban Counties 136,331 69,783 51% 41,068 8,881 22% 31,655 2,989 9%
Rural Counties 67,084 42,166 63% 20,150 4,149 21% 16,345 1,487 9%

SOURCE: Medicaid and State Service Claims Data for the one year period: July 1, 2009 to June 30, 2010 based on claims paid through October 31, 2010.
* Data for PBH is self-reported.

Data Sources and Calculations


Population Data: The Office of State Budget and Management (OSBM) State Demographics Branch website: http://www.osbm.state.nc.us/demog/countytotals_singleage_2010.html. Last Update: May 4, 2009. Downloaded 6/22/10.
MH Prevalence Rates: Prepared by NRI/SDICC for CMHS, July 6, 2010 (for the MH Block Grant)
● Children: URS Table 1: Children with Serious Emotional Disturbance, ages 9-17, by State, 2009. Note: 11% is the midpoint (10%-12%) for the LOF=60 range (SED with substantial functional impairment).
The same rate was applied to children under age 9.
● Adults: URS Table 1: Number of Persons with Serious Mental Illness, age 18 and older, by State, 2009 = 5.4%.
NC Substance Abuse Prevalence Rates: SAMHSA, Office of Applied Studies, National Surveys on Drug Use and Health, 2007 and 2008, published June 2010.
● Children and Adults: Table B.20, Dependence on or Abuse of Illicit Drugs or Alcohol in Past Year, by Age Group and State: Percentages, Annual Averages Based on 2007 and 2008 NSDUH.
Prevalence rate for adolescents (ages 12-17) is 6.57%, for adults (ages 18-25) is 19.26%, and for adults (ages 26+) is 6.42%. Total = 8.04%. Applying these age group rates to July 2010 population = 8.21% total.
DD Prevalence Rates: Larson, S., Lakin, C., Anderson, L., Kwak, N., Lee, J.H., & Anderson, D. (2000). Prevalence of MR and/or DD: Analysis of the 1994/1995 NHIS-D. MR/DD Data Brief, April 2000, Vol 2, No. 1. Minneapolis: University of
Minnesota, Research and Training Center on Community Living, Institute on Community Integration. The NHIS-D is the National Health Interview Survey (NHIS) Disability Supplement used to estimate the prevalence of people with MR and/or
DD in the US Non-Institutional Population. According to the article, prevalence rates for persons ages 3-5 = 3.84%, ages 6-17 = 3.17%, and ages 18+ = 0.79%. Based on July 2010 NC projected population, and excluding children ages 0-2
who receive services from DPH, 1.30% of the total NC non-institutionalized population and 1.32% of the total population (including persons in institutions) are estimated to have MR and/or DD. If persons ages 0-2 were to be included, the
prevalence rate for the non-institutionalized population would be 1.40% and the prevalence rate for the total population would be 1.42%.
Estimated Persons In Need Of Services: These numbers were calculated by multiplying the most current available statewide prevalence rates for NC for MH, DD, and SA by the July 2010 county population projections for each relevant age
group for each county in each LME's catchment area.
Persons Served: Disability group is based on the first three diagnoses on all claims. Persons in each disability group were counted once -- based on the LME and age at first service in the year. Persons with multiple disabilities (e.g. MH and
SA, MH and DD, etc.) were counted in all applicable columns. An unduplicated total of 118,477 children and 237,573 adults were served during this 12 month period.

Page 12
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Mental Health)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Alamance-Caswell Alamance 355 37.2% 231 24.2% 368 38.6% 954 188 19.7%
Caswell 32 28.1% 34 29.8% 48 42.1% 114 16 14.0%
Total 387 36.2% 265 24.8% 416 39.0% 1,068 204 19.1%
Beacon Center Edgecombe 150 32.8% 140 30.6% 167 36.5% 457 99 21.7%
Greene 42 36.8% 34 29.8% 38 33.3% 114 33 28.9%
Nash 175 30.3% 177 30.7% 225 39.0% 577 92 15.9%
Wilson 200 36.2% 173 31.3% 180 32.5% 553 130 23.5%
Total 567 33.3% 524 30.8% 610 35.9% 1,701 354 20.8%
Centerpoint Davie 71 38.6% 74 40.2% 39 21.2% 184 45 24.5%
Forsyth 610 43.0% 330 23.3% 478 33.7% 1,418 364 25.7%
Rockingham 187 33.2% 147 26.1% 229 40.7% 563 114 20.2%
Stokes 115 47.3% 54 22.2% 74 30.5% 243 58 23.9%
Total 983 40.8% 605 25.1% 820 34.1% 2,408 581 24.1%
Crossroads Iredell 258 42.4% 160 26.3% 190 31.3% 608 139 22.9%
Surry 138 30.5% 161 35.6% 153 33.8% 452 65 14.4%
Yadkin 74 42.0% 58 33.0% 44 25.0% 176 34 19.3%
Total 470 38.0% 379 30.7% 387 31.3% 1,236 238 19.3%
Cumberland Cumberland 727 37.3% 488 25.1% 733 37.6% 1,948 456 23.4%
Durham Center Durham 682 43.0% 365 23.0% 540 34.0% 1,587 491 30.9%
ECBH Beaufort 105 49.8% 66 31.3% 40 19.0% 211 62 29.4%
Bertie 30 32.3% 31 33.3% 32 34.4% 93 24 25.8%
Camden 5 25.0% 10 50.0% 5 25.0% 20 1 5.0%
Chowan 41 51.3% 23 28.8% 16 20.0% 80 29 36.3%
Craven 158 30.0% 173 32.8% 196 37.2% 527 82 15.6%
Currituck 28 37.8% 26 35.1% 20 27.0% 74 20 27.0%
Dare 70 48.6% 27 18.8% 47 32.6% 144 43 29.9%
Gates 15 37.5% 13 32.5% 12 30.0% 40 6 15.0%
Hertford 53 40.8% 30 23.1% 47 36.2% 130 35 26.9%
Hyde 6 37.5% 5 31.3% 5 31.3% 16 5 31.3%
Jones 17 27.0% 25 39.7% 21 33.3% 63 9 14.3%
Martin 57 45.6% 25 20.0% 43 34.4% 125 41 32.8%
Northampton 66 35.9% 56 30.4% 62 33.7% 184 39 21.2%
Pamlico 27 44.3% 15 24.6% 19 31.1% 61 12 19.7%
Pasquotank 82 35.7% 75 32.6% 73 31.7% 230 57 24.8%
Perquimans 21 39.6% 18 34.0% 14 26.4% 53 15 28.3%
Pitt 363 42.3% 224 26.1% 271 31.6% 858 238 27.7%
Tyrrell 5 27.8% 8 44.4% 5 27.8% 18 2 11.1%
Washington 40 52.6% 15 19.7% 21 27.6% 76 31 40.8%
Total 1,189 39.6% 865 28.8% 949 31.6% 3,003 751 25.0%

Page 13
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Mental Health)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Eastpointe Duplin 100 31.4% 105 33.0% 113 35.5% 318 46 14.5%
Lenoir 188 38.1% 174 35.2% 132 26.7% 494 97 19.6%
Sampson 109 34.8% 82 26.2% 122 39.0% 313 70 22.4%
Wayne 338 41.0% 217 26.3% 270 32.7% 825 187 22.7%
Total 735 37.7% 578 29.6% 637 32.7% 1,950 400 20.5%
Five County Franklin 121 27.5% 155 35.2% 164 37.3% 440 77 17.5%
Granville 100 30.7% 103 31.6% 123 37.7% 326 70 21.5%
Halifax 142 24.7% 210 36.5% 224 38.9% 576 91 15.8%
Vance 173 30.5% 150 26.4% 245 43.1% 568 120 21.1%
Warren 47 22.8% 60 29.1% 99 48.1% 206 29 14.1%
Total 583 27.6% 678 32.0% 855 40.4% 2,116 387 18.3%
Guilford Center Guilford 1,069 43.1% 475 19.1% 939 37.8% 2,483 765 30.8%
Johnston Johnston 434 45.8% 218 23.0% 296 31.2% 948 271 28.6%
Mecklenburg Mecklenburg 1,355 40.2% 673 19.9% 1,346 39.9% 3,374 982 29.1%
Mental Health Partners Burke 227 33.7% 193 28.7% 253 37.6% 673 120 17.8%
Catawba 355 31.4% 404 35.8% 371 32.8% 1,130 167 14.8%
Total 582 32.3% 597 33.1% 624 34.6% 1,803 287 15.9%
Onslow-Carteret Carteret 138 39.9% 114 32.9% 94 27.2% 346 69 19.9%
Onslow 365 46.8% 244 31.3% 171 21.9% 780 203 26.0%
Total 503 44.7% 358 31.8% 265 23.5% 1,126 272 24.2%
Orange-Person-Chatham Chatham 67 40.1% 34 20.4% 66 39.5% 167 32 19.2%
Orange 166 37.6% 103 23.3% 173 39.1% 442 107 24.2%
Person 89 29.5% 88 29.1% 125 41.4% 302 44 14.6%
Total 322 35.3% 225 24.7% 364 40.0% 911 183 20.1%
Pathways Cleveland 371 39.4% 243 25.8% 328 34.8% 942 264 28.0%
Gaston 504 33.8% 468 31.4% 520 34.9% 1,492 323 21.6%
Lincoln 125 34.3% 104 28.6% 135 37.1% 364 61 16.8%
Total 1,000 35.7% 815 29.1% 983 35.1% 2,798 648 23.2%
PBH Cabarrus 315 71.6% 11 2.5% 114 25.9% 440 149 33.9%
Davidson 307 70.4% 25 5.7% 104 23.9% 436 131 30.0%
Rowan 267 65.6% 24 5.9% 116 28.5% 407 104 25.6%
Stanly 177 68.9% 11 4.3% 69 26.8% 257 72 28.0%
Union 213 75.3% 8 2.8% 62 21.9% 283 96 33.9%
Total 1,279 70.2% 79 4.3% 465 25.5% 1,823 552 30.3%
Sandhills Center Anson 95 44.4% 46 21.5% 73 34.1% 214 66 30.8%
Harnett 239 42.6% 143 25.5% 179 31.9% 561 171 30.5%
Hoke 101 41.1% 52 21.1% 93 37.8% 246 70 28.5%
Lee 104 36.7% 69 24.4% 110 38.9% 283 66 23.3%
Montgomery 90 44.1% 35 17.2% 79 38.7% 204 56 27.5%
Moore 139 35.9% 105 27.1% 143 37.0% 387 80 20.7%
Randolph 334 38.7% 200 23.2% 328 38.1% 862 172 20.0%
Richmond 123 32.0% 105 27.3% 156 40.6% 384 84 21.9%
Total 1,225 39.0% 755 24.0% 1,161 37.0% 3,141 765 24.4%

Page 14
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Mental Health)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Smoky Mountain Center Alexander 107 40.4% 75 28.3% 83 31.3% 265 45 17.0%
Alleghany 31 47.7% 15 23.1% 19 29.2% 65 16 24.6%
Ashe 88 34.9% 69 27.4% 95 37.7% 252 42 16.7%
Avery 46 43.8% 30 28.6% 29 27.6% 105 29 27.6%
Caldwell 256 46.4% 118 21.4% 178 32.2% 552 117 21.2%
Cherokee 76 40.0% 36 18.9% 78 41.1% 190 37 19.5%
Clay 27 33.8% 19 23.8% 34 42.5% 80 14 17.5%
Graham 20 29.0% 24 34.8% 25 36.2% 69 8 11.6%
Haywood 203 32.0% 121 19.1% 310 48.9% 634 124 19.6%
Jackson 118 42.6% 41 14.8% 118 42.6% 277 77 27.8%
Macon 82 42.1% 35 17.9% 78 40.0% 195 40 20.5%
McDowell 129 41.7% 86 27.8% 94 30.4% 309 73 23.6%
Swain 53 46.1% 23 20.0% 39 33.9% 115 30 26.1%
Watauga 102 46.6% 52 23.7% 65 29.7% 219 62 28.3%
Wilkes 183 37.2% 151 30.7% 158 32.1% 492 89 18.1%
Total 1,521 39.8% 895 23.4% 1,403 36.7% 3,819 803 21.0%
Southeastern Center Brunswick 266 43.8% 162 26.6% 180 29.6% 608 150 24.7%
New Hanover 575 42.0% 368 26.9% 427 31.2% 1,370 365 26.6%
Pender 116 35.6% 87 26.7% 123 37.7% 326 62 19.0%
Total 957 41.5% 617 26.8% 730 31.7% 2,304 577 25.0%
Southeastern Regional Bladen 94 44.1% 53 24.9% 66 31.0% 213 60 28.2%
Columbus 203 45.7% 115 25.9% 126 28.4% 444 148 33.3%
Robeson 479 48.2% 233 23.4% 282 28.4% 994 365 36.7%
Scotland 157 49.7% 75 23.7% 84 26.6% 316 116 36.7%
Total 933 47.4% 476 24.2% 558 28.4% 1,967 689 35.0%
Wake Wake 1,344 42.9% 738 23.5% 1,052 33.6% 3,134 960 30.6%
Western Highlands Network Buncombe 652 46.9% 369 26.5% 369 26.5% 1,390 412 29.6%
Henderson 218 49.8% 97 22.1% 123 28.1% 438 137 31.3%
Madison 59 40.1% 46 31.3% 42 28.6% 147 32 21.8%
Mitchell 32 39.0% 25 30.5% 25 30.5% 82 14 17.1%
Polk 68 54.4% 32 25.6% 25 20.0% 125 45 36.0%
Rutherford 177 33.7% 158 30.0% 191 36.3% 526 108 20.5%
Transylvania 77 50.3% 39 25.5% 37 24.2% 153 49 32.0%
Yancey 55 46.2% 35 29.4% 29 24.4% 119 29 24.4%
Total 1,338 44.9% 801 26.9% 841 28.2% 2,980 826 27.7%
Statewide 20,185 40.7% 12,469 25.1% 16,974 34.2% 49,628 12,442 25.1%
Urban Counties 12,272 42.5% 6,829 23.6% 9,786 33.9% 28,887 7,756 26.8%
Rural Counties 7,913 38.2% 5,640 27.2% 7,188 34.7% 20,741 4,686 22.6%
SOURCE: Medicaid and State Service Claims Data, April 1 - June 30, 2010 (first service received) based on claims paid through October 31, 2010.
* Data for PBH is self-reported. ** For persons receiving 2 visits within the first 14 days of service.
NOTE: Percentages should NOT total 100% across the LME or county row.

Page 15
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Developmental Disability)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Alamance-Caswell Alamance 11 55.0% 2 10.0% 7 35.0% 20 9 45.0%
Caswell 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Total 11 55.0% 2 10.0% 7 35.0% 20 9 45.0%
Beacon Center Edgecombe 2 18.2% 2 18.2% 7 63.6% 11 2 18.2%
Greene 1 33.3% 1 33.3% 1 33.3% 3 1 33.3%
Nash 8 53.3% 3 20.0% 4 26.7% 15 6 40.0%
Wilson 7 58.3% 4 33.3% 1 8.3% 12 4 33.3%
Total 18 43.9% 10 24.4% 13 31.7% 41 13 31.7%
Centerpoint Davie 0 0.0% 1 50.0% 1 50.0% 2 0 0.0%
Forsyth 21 67.7% 9 29.0% 1 3.2% 31 16 51.6%
Rockingham 5 50.0% 2 20.0% 3 30.0% 10 3 30.0%
Stokes 3 75.0% 0 0.0% 1 25.0% 4 2 50.0%
Total 29 61.7% 12 25.5% 6 12.8% 47 21 44.7%
Crossroads Iredell 7 77.8% 1 11.1% 1 11.1% 9 6 66.7%
Surry 1 50.0% 0 0.0% 1 50.0% 2 1 50.0%
Yadkin 0 0.0% 0 0.0% 1 100.0% 1 0 0.0%
Total 8 66.7% 1 8.3% 3 25.0% 12 7 58.3%
Cumberland Cumberland 37 63.8% 9 15.5% 12 20.7% 58 32 55.2%
Durham Center Durham 18 56.3% 8 25.0% 6 18.8% 32 14 43.8%
ECBH Beaufort 2 33.3% 2 33.3% 2 33.3% 6 2 33.3%
Bertie 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Camden 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Chowan 0 0.0% 0 0.0% 1 100.0% 1 0 0.0%
Craven 4 57.1% 1 14.3% 2 28.6% 7 3 42.9%
Currituck 2 66.7% 1 33.3% 0 0.0% 3 2 66.7%
Dare 2 100.0% 0 0.0% 0 0.0% 2 1 50.0%
Gates 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Hertford 1 50.0% 0 0.0% 1 50.0% 2 0 0.0%
Hyde 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Jones 0 0.0% 1 50.0% 1 50.0% 2 0 0.0%
Martin 0 0.0% 0 0.0% 1 100.0% 1 0 0.0%
Northampton 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Pamlico 1 100.0% 0 0.0% 0 0.0% 1 1 100.0%
Pasquotank 2 100.0% 0 0.0% 0 0.0% 2 2 100.0%
Perquimans 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Pitt 7 58.3% 5 41.7% 0 0.0% 12 4 33.3%
Tyrrell 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Washington 1 100.0% 0 0.0% 0 0.0% 1 0 0.0%
Total 22 55.0% 10 25.0% 8 20.0% 40 15 37.5%

Page 16
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Developmental Disability)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Eastpointe Duplin 0 0.0% 1 25.0% 3 75.0% 4 0 0.0%
Lenoir 1 33.3% 1 33.3% 1 33.3% 3 1 33.3%
Sampson 6 85.7% 0 0.0% 1 14.3% 7 5 71.4%
Wayne 11 73.3% 1 6.7% 3 20.0% 15 10 66.7%
Total 18 62.1% 3 10.3% 8 27.6% 29 16 55.2%
Five County Franklin 1 20.0% 2 40.0% 2 40.0% 5 0 0.0%
Granville 3 75.0% 1 25.0% 0 0.0% 4 3 75.0%
Halifax 2 22.2% 3 33.3% 4 44.4% 9 2 22.2%
Vance 2 22.2% 5 55.6% 2 22.2% 9 1 11.1%
Warren 2 50.0% 1 25.0% 1 25.0% 4 2 50.0%
Total 10 32.3% 12 38.7% 9 29.0% 31 8 25.8%
Guilford Center Guilford 23 76.7% 4 13.3% 3 10.0% 30 16 53.3%
Johnston Johnston 9 40.9% 6 27.3% 7 31.8% 22 6 27.3%
Mecklenburg Mecklenburg 66 62.9% 18 17.1% 21 20.0% 105 57 54.3%
Mental Health Partners Burke 2 40.0% 2 40.0% 1 20.0% 5 2 40.0%
Catawba 12 80.0% 1 6.7% 2 13.3% 15 8 53.3%
Total 14 70.0% 3 15.0% 3 15.0% 20 10 50.0%
Onslow-Carteret Carteret 5 71.4% 0 0.0% 2 28.6% 7 3 42.9%
Onslow 3 20.0% 4 26.7% 8 53.3% 15 1 6.7%
Total 8 36.4% 4 18.2% 10 45.5% 22 4 18.2%
Orange-Person-Chatham Chatham 1 25.0% 2 50.0% 1 25.0% 4 1 25.0%
Orange 11 68.8% 1 6.3% 4 25.0% 16 4 25.0%
Person 1 20.0% 2 40.0% 2 40.0% 5 1 20.0%
Total 13 52.0% 5 20.0% 7 28.0% 25 6 24.0%
Pathways Cleveland 4 21.1% 3 15.8% 12 63.2% 19 3 15.8%
Gaston 19 65.5% 3 10.3% 7 24.1% 29 17 58.6%
Lincoln 6 54.5% 3 27.3% 2 18.2% 11 6 54.5%
Total 29 49.2% 9 15.3% 21 35.6% 59 26 44.1%
PBH Cabarrus 8 57.1% 2 14.3% 4 28.6% 14 5 35.7%
Davidson 7 87.5% 0 0.0% 1 12.5% 8 3 37.5%
Rowan 9 50.0% 3 16.7% 6 33.3% 18 2 11.1%
Stanly 3 50.0% 1 16.7% 2 33.3% 6 3 50.0%
Union 15 88.2% 0 0.0% 2 11.8% 17 6 35.3%
Total 42 66.7% 6 9.5% 15 23.8% 63 19 30.2%
Sandhills Center Anson 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Harnett 4 50.0% 2 25.0% 2 25.0% 8 4 50.0%
Hoke 3 60.0% 1 20.0% 1 20.0% 5 3 60.0%
Lee 2 50.0% 1 25.0% 1 25.0% 4 0 0.0%
Montgomery 0 0.0% 0 0.0% 1 100.0% 1 0 0.0%
Moore 5 83.3% 1 16.7% 0 0.0% 6 5 83.3%
Randolph 4 80.0% 1 20.0% 0 0.0% 5 3 60.0%
Richmond 8 80.0% 0 0.0% 2 20.0% 10 7 70.0%
Total 26 66.7% 6 15.4% 7 17.9% 39 22 56.4%

Page 17
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Developmental Disability)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Smoky Mountain Center Alexander 2 100.0% 0 0.0% 0 0.0% 2 1 50.0%
Alleghany 1 100.0% 0 0.0% 0 0.0% 1 0 0.0%
Ashe 1 50.0% 1 50.0% 0 0.0% 2 1 50.0%
Avery 3 100.0% 0 0.0% 0 0.0% 3 2 66.7%
Caldwell 1 25.0% 2 50.0% 1 25.0% 4 1 25.0%
Cherokee 2 50.0% 1 25.0% 1 25.0% 4 1 25.0%
Clay 0 0.0% 1 100.0% 0 0.0% 1 0 0.0%
Graham 0 0.0% 0 0.0% 1 100.0% 1 0 0.0%
Haywood 1 25.0% 0 0.0% 3 75.0% 4 0 0.0%
Jackson 2 40.0% 1 20.0% 2 40.0% 5 0 0.0%
Macon 4 100.0% 0 0.0% 0 0.0% 4 1 25.0%
McDowell 0 0.0% 1 50.0% 1 50.0% 2 0 0.0%
Swain 2 100.0% 0 0.0% 0 0.0% 2 2 100.0%
Watauga 1 100.0% 0 0.0% 0 0.0% 1 1 100.0%
Wilkes 4 100.0% 0 0.0% 0 0.0% 4 3 75.0%
Total 24 60.0% 7 17.5% 9 22.5% 40 13 32.5%
Southeastern Center Brunswick 8 47.1% 3 17.6% 6 35.3% 17 5 29.4%
New Hanover 23 76.7% 3 10.0% 4 13.3% 30 22 73.3%
Pender 2 100.0% 0 0.0% 0 0.0% 2 2 100.0%
Total 33 67.3% 6 12.2% 10 20.4% 49 29 59.2%
Southeastern Regional Bladen 2 40.0% 1 20.0% 2 40.0% 5 1 20.0%
Columbus 5 33.3% 4 26.7% 6 40.0% 15 1 6.7%
Robeson 3 25.0% 3 25.0% 6 50.0% 12 2 16.7%
Scotland 0 0.0% 1 100.0% 0 0.0% 1 0 0.0%
Total 10 30.3% 9 27.3% 14 42.4% 33 4 12.1%
Wake Wake 56 66.7% 13 15.5% 15 17.9% 84 49 58.3%
Western Highlands Network Buncombe 15 55.6% 8 29.6% 4 14.8% 27 8 29.6%
Henderson 5 45.5% 3 27.3% 3 27.3% 11 5 45.5%
Madison 0 0.0% 1 100.0% 0 0.0% 1 0 0.0%
Mitchell 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Polk 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Rutherford 3 75.0% 0 0.0% 1 25.0% 4 2 50.0%
Transylvania 3 60.0% 2 40.0% 0 0.0% 5 3 60.0%
Yancey 2 100.0% 0 0.0% 0 0.0% 2 1 50.0%
Total 28 56.0% 14 28.0% 8 16.0% 50 19 38.0%
Statewide 552 58.0% 177 18.6% 222 23.3% 951 415 43.6%
Urban Counties 412 62.0% 115 17.3% 137 20.6% 664 313 47.1%
Rural Counties 140 48.8% 62 21.6% 85 29.6% 287 102 35.5%
SOURCE: Medicaid and State Service Claims Data, April 1 - June 30, 2010 (first service received) based on claims paid through October 31, 2010.
* Data for PBH is self-reported. ** For persons receiving 2 visits within the first 14 days of service.
NOTE: Percentages should NOT total 100% across the LME or county row.

Page 18
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Substance Abuse)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Alamance-Caswell Alamance 60 60.6% 5 5.1% 34 34.3% 99 37 37.4%
Caswell 4 44.4% 1 11.1% 4 44.4% 9 4 44.4%
Total 64 59.3% 6 5.6% 38 35.2% 108 41 38.0%
Beacon Center Edgecombe 47 81.0% 8 13.8% 3 5.2% 58 41 70.7%
Greene 5 50.0% 2 20.0% 3 30.0% 10 4 40.0%
Nash 45 69.2% 13 20.0% 7 10.8% 65 44 67.7%
Wilson 27 64.3% 3 7.1% 12 28.6% 42 24 57.1%
Total 124 70.9% 26 14.9% 25 14.3% 175 113 64.6%
Centerpoint Davie 7 58.3% 1 8.3% 4 33.3% 12 3 25.0%
Forsyth 175 66.3% 21 8.0% 68 25.8% 264 143 54.2%
Rockingham 72 60.0% 13 10.8% 35 29.2% 120 48 40.0%
Stokes 16 59.3% 0 0.0% 11 40.7% 27 13 48.1%
Total 270 63.8% 35 8.3% 118 27.9% 423 207 48.9%
Crossroads Iredell 47 46.5% 18 17.8% 36 35.6% 101 36 35.6%
Surry 27 43.5% 9 14.5% 26 41.9% 62 14 22.6%
Yadkin 15 65.2% 4 17.4% 4 17.4% 23 9 39.1%
Total 89 47.8% 31 16.7% 66 35.5% 186 59 31.7%
Cumberland Cumberland 109 67.7% 14 8.7% 38 23.6% 161 75 46.6%
Durham Center Durham 110 73.8% 12 8.1% 27 18.1% 149 79 53.0%
ECBH Beaufort 22 68.8% 4 12.5% 6 18.8% 32 18 56.3%
Bertie 4 50.0% 4 50.0% 0 0.0% 8 4 50.0%
Camden 4 80.0% 1 20.0% 0 0.0% 5 2 40.0%
Chowan 5 50.0% 1 10.0% 4 40.0% 10 5 50.0%
Craven 31 41.9% 18 24.3% 25 33.8% 74 26 35.1%
Currituck 4 66.7% 1 16.7% 1 16.7% 6 4 66.7%
Dare 15 93.8% 1 6.3% 0 0.0% 16 11 68.8%
Gates 2 66.7% 1 33.3% 0 0.0% 3 1 33.3%
Hertford 20 80.0% 2 8.0% 3 12.0% 25 15 60.0%
Hyde 1 100.0% 0 0.0% 0 0.0% 1 1 100.0%
Jones 2 50.0% 0 0.0% 2 50.0% 4 1 25.0%
Martin 4 80.0% 0 0.0% 1 20.0% 5 4 80.0%
Northampton 9 100.0% 0 0.0% 0 0.0% 9 8 88.9%
Pamlico 3 75.0% 0 0.0% 1 25.0% 4 2 50.0%
Pasquotank 7 35.0% 5 25.0% 8 40.0% 20 6 30.0%
Perquimans 0 0.0% 1 25.0% 3 75.0% 4 0 0.0%
Pitt 100 68.0% 21 14.3% 26 17.7% 147 79 53.7%
Tyrrell 1 100.0% 0 0.0% 0 0.0% 1 0 0.0%
Washington 3 75.0% 1 25.0% 0 0.0% 4 2 50.0%
Total 237 62.7% 61 16.1% 80 21.2% 378 189 50.0%

Page 19
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Substance Abuse)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Eastpointe Duplin 6 40.0% 2 13.3% 7 46.7% 15 4 26.7%
Lenoir 30 58.8% 9 17.6% 12 23.5% 51 20 39.2%
Sampson 9 50.0% 4 22.2% 5 27.8% 18 8 44.4%
Wayne 26 40.6% 12 18.8% 26 40.6% 64 15 23.4%
Total 71 48.0% 27 18.2% 50 33.8% 148 47 31.8%
Five County Franklin 23 57.5% 3 7.5% 14 35.0% 40 17 42.5%
Granville 25 56.8% 9 20.5% 10 22.7% 44 22 50.0%
Halifax 26 55.3% 3 6.4% 18 38.3% 47 23 48.9%
Vance 40 62.5% 9 14.1% 15 23.4% 64 33 51.6%
Warren 5 45.5% 1 9.1% 5 45.5% 11 4 36.4%
Total 119 57.8% 25 12.1% 62 30.1% 206 99 48.1%
Guilford Center Guilford 234 70.7% 28 8.5% 69 20.8% 331 189 57.1%
Johnston Johnston 27 58.7% 5 10.9% 14 30.4% 46 22 47.8%
Mecklenburg Mecklenburg 502 65.7% 40 5.2% 222 29.1% 764 369 48.3%
Mental Health Partners Burke 24 49.0% 4 8.2% 21 42.9% 49 16 32.7%
Catawba 107 65.2% 14 8.5% 43 26.2% 164 84 51.2%
Total 131 61.5% 18 8.5% 64 30.0% 213 100 46.9%
Onslow-Carteret Carteret 32 76.2% 4 9.5% 6 14.3% 42 28 66.7%
Onslow 14 56.0% 4 16.0% 7 28.0% 25 9 36.0%
Total 46 68.7% 8 11.9% 13 19.4% 67 37 55.2%
Orange-Person-Chatham Chatham 14 51.9% 3 11.1% 10 37.0% 27 8 29.6%
Orange 68 82.9% 2 2.4% 12 14.6% 82 50 61.0%
Person 23 67.6% 3 8.8% 8 23.5% 34 16 47.1%
Total 105 73.4% 8 5.6% 30 21.0% 143 74 51.7%
Pathways Cleveland 44 59.5% 11 14.9% 19 25.7% 74 33 44.6%
Gaston 111 66.1% 16 9.5% 41 24.4% 168 83 49.4%
Lincoln 24 80.0% 2 6.7% 4 13.3% 30 20 66.7%
Total 179 65.8% 29 10.7% 64 23.5% 272 136 50.0%
PBH Cabarrus 194 89.4% 5 2.3% 18 8.3% 217 116 53.5%
Davidson 157 87.7% 8 4.5% 14 7.8% 179 77 43.0%
Rowan 151 86.3% 5 2.9% 19 10.9% 175 70 40.0%
Stanly 53 85.5% 4 6.5% 5 8.1% 62 29 46.8%
Union 97 86.6% 4 3.6% 11 9.8% 112 44 39.3%
Total 652 87.5% 26 3.5% 67 9.0% 745 336 45.1%
Sandhills Center Anson 8 38.1% 5 23.8% 8 38.1% 21 7 33.3%
Harnett 28 59.6% 7 14.9% 12 25.5% 47 21 44.7%
Hoke 10 76.9% 1 7.7% 2 15.4% 13 5 38.5%
Lee 16 57.1% 5 17.9% 7 25.0% 28 11 39.3%
Montgomery 4 28.6% 4 28.6% 6 42.9% 14 2 14.3%
Moore 40 65.6% 6 9.8% 15 24.6% 61 27 44.3%
Randolph 50 61.7% 10 12.3% 21 25.9% 81 33 40.7%
Richmond 13 52.0% 4 16.0% 8 32.0% 25 11 44.0%
Total 169 58.3% 42 14.5% 79 27.2% 290 117 40.3%

Page 20
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Substance Abuse)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Smoky Mountain Center Alexander 11 52.4% 3 14.3% 7 33.3% 21 10 47.6%
Alleghany 5 38.5% 1 7.7% 7 53.8% 13 3 23.1%
Ashe 20 62.5% 5 15.6% 7 21.9% 32 18 56.3%
Avery 13 61.9% 2 9.5% 6 28.6% 21 11 52.4%
Caldwell 36 56.3% 5 7.8% 23 35.9% 64 21 32.8%
Cherokee 15 68.2% 3 13.6% 4 18.2% 22 12 54.5%
Clay 3 37.5% 3 37.5% 2 25.0% 8 3 37.5%
Graham 1 25.0% 0 0.0% 3 75.0% 4 1 25.0%
Haywood 48 45.7% 13 12.4% 44 41.9% 105 37 35.2%
Jackson 16 51.6% 0 0.0% 15 48.4% 31 12 38.7%
Macon 15 45.5% 3 9.1% 15 45.5% 33 12 36.4%
McDowell 34 47.2% 20 27.8% 18 25.0% 72 20 27.8%
Swain 3 50.0% 1 16.7% 2 33.3% 6 2 33.3%
Watauga 31 58.5% 3 5.7% 19 35.8% 53 20 37.7%
Wilkes 62 68.1% 7 7.7% 22 24.2% 91 45 49.5%
Total 313 54.3% 69 12.0% 194 33.7% 576 227 39.4%
Southeastern Center Brunswick 30 44.1% 15 22.1% 23 33.8% 68 17 25.0%
New Hanover 100 39.5% 58 22.9% 95 37.5% 253 75 29.6%
Pender 9 29.0% 7 22.6% 15 48.4% 31 4 12.9%
Total 139 39.5% 80 22.7% 133 37.8% 352 96 27.3%
Southeastern Regional Bladen 19 54.3% 3 8.6% 13 37.1% 35 13 37.1%
Columbus 13 28.3% 17 37.0% 16 34.8% 46 10 21.7%
Robeson 62 68.9% 7 7.8% 21 23.3% 90 46 51.1%
Scotland 16 69.6% 1 4.3% 6 26.1% 23 15 65.2%
Total 110 56.7% 28 14.4% 56 28.9% 194 84 43.3%
Wake Wake 184 65.7% 26 9.3% 70 25.0% 280 149 53.2%
Western Highlands Network Buncombe 140 78.2% 14 7.8% 25 14.0% 179 108 60.3%
Henderson 37 49.3% 10 13.3% 28 37.3% 75 32 42.7%
Madison 11 55.0% 1 5.0% 8 40.0% 20 7 35.0%
Mitchell 6 85.7% 1 14.3% 0 0.0% 7 5 71.4%
Polk 4 100.0% 0 0.0% 0 0.0% 4 2 50.0%
Rutherford 32 76.2% 4 9.5% 6 14.3% 42 21 50.0%
Transylvania 10 83.3% 0 0.0% 2 16.7% 12 8 66.7%
Yancey 11 84.6% 1 7.7% 1 7.7% 13 8 61.5%
Total 251 71.3% 31 8.8% 70 19.9% 352 191 54.3%
Statewide 4,235 64.6% 675 10.3% 1,649 25.1% 6,559 3,036 46.3%
Urban Counties 2,861 68.0% 363 8.6% 985 23.4% 4,209 2,029 48.2%
Rural Counties 1,374 58.5% 312 13.3% 664 28.3% 2,350 1,007 42.9%
SOURCE: Medicaid and State Service Claims Data, April 1 - June 30, 2010 (first service received) based on claims paid through October 31, 2010.
* Data for PBH is self-reported. ** For persons receiving 2 visits within the first 14 days of service.
NOTE: Percentages should NOT total 100% across the LME or county row.

Page 21
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Mental Health/Substance Abuse)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Alamance-Caswell Alamance 83 51.6% 39 24.2% 39 24.2% 161 52 32.3%
Caswell 17 73.9% 3 13.0% 3 13.0% 23 10 43.5%
Total 100 54.3% 42 22.8% 42 22.8% 184 62 33.7%
Beacon Center Edgecombe 29 67.4% 8 18.6% 6 14.0% 43 21 48.8%
Greene 4 57.1% 3 42.9% 0 0.0% 7 4 57.1%
Nash 54 62.8% 20 23.3% 12 14.0% 86 46 53.5%
Wilson 28 50.9% 17 30.9% 10 18.2% 55 25 45.5%
Total 115 60.2% 48 25.1% 28 14.7% 191 96 50.3%
Centerpoint Davie 15 71.4% 2 9.5% 4 19.0% 21 12 57.1%
Forsyth 215 66.8% 46 14.3% 61 18.9% 322 169 52.5%
Rockingham 53 59.6% 17 19.1% 19 21.3% 89 39 43.8%
Stokes 22 62.9% 3 8.6% 10 28.6% 35 15 42.9%
Total 305 65.3% 68 14.6% 94 20.1% 467 235 50.3%
Crossroads Iredell 77 65.3% 21 17.8% 20 16.9% 118 54 45.8%
Surry 70 53.4% 33 25.2% 28 21.4% 131 39 29.8%
Yadkin 24 55.8% 11 25.6% 8 18.6% 43 17 39.5%
Total 171 58.6% 65 22.3% 56 19.2% 292 110 37.7%
Cumberland Cumberland 98 51.0% 33 17.2% 61 31.8% 192 76 39.6%
Durham Center Durham 153 60.2% 63 24.8% 38 15.0% 254 125 49.2%
ECBH Beaufort 38 66.7% 11 19.3% 8 14.0% 57 26 45.6%
Bertie 11 68.8% 2 12.5% 3 18.8% 16 9 56.3%
Camden 0 0.0% 1 50.0% 1 50.0% 2 0 0.0%
Chowan 1 20.0% 3 60.0% 1 20.0% 5 0 0.0%
Craven 43 37.7% 42 36.8% 29 25.4% 114 32 28.1%
Currituck 4 57.1% 2 28.6% 1 14.3% 7 4 57.1%
Dare 17 53.1% 8 25.0% 7 21.9% 32 14 43.8%
Gates 3 100.0% 0 0.0% 0 0.0% 3 1 33.3%
Hertford 6 54.5% 4 36.4% 1 9.1% 11 5 45.5%
Hyde 1 50.0% 0 0.0% 1 50.0% 2 1 50.0%
Jones 4 57.1% 0 0.0% 3 42.9% 7 4 57.1%
Martin 10 66.7% 3 20.0% 2 13.3% 15 8 53.3%
Northampton 12 57.1% 4 19.0% 5 23.8% 21 9 42.9%
Pamlico 2 12.5% 8 50.0% 6 37.5% 16 1 6.3%
Pasquotank 12 54.5% 2 9.1% 8 36.4% 22 6 27.3%
Perquimans 1 11.1% 4 44.4% 4 44.4% 9 1 11.1%
Pitt 100 54.9% 46 25.3% 36 19.8% 182 68 37.4%
Tyrrell 3 100.0% 0 0.0% 0 0.0% 3 2 66.7%
Washington 11 73.3% 2 13.3% 2 13.3% 15 11 73.3%
Total 279 51.8% 142 26.3% 118 21.9% 539 202 37.5%

Page 22
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Mental Health/Substance Abuse)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Eastpointe Duplin 18 56.3% 7 21.9% 7 21.9% 32 14 43.8%
Lenoir 22 42.3% 12 23.1% 18 34.6% 52 15 28.8%
Sampson 18 47.4% 8 21.1% 12 31.6% 38 14 36.8%
Wayne 70 50.4% 40 28.8% 29 20.9% 139 53 38.1%
Total 128 49.0% 67 25.7% 66 25.3% 261 96 36.8%
Five County Franklin 21 77.8% 4 14.8% 2 7.4% 27 18 66.7%
Granville 11 55.0% 7 35.0% 2 10.0% 20 9 45.0%
Halifax 38 65.5% 15 25.9% 5 8.6% 58 31 53.4%
Vance 21 61.8% 9 26.5% 4 11.8% 34 15 44.1%
Warren 7 58.3% 3 25.0% 2 16.7% 12 6 50.0%
Total 98 64.9% 38 25.2% 15 9.9% 151 79 52.3%
Guilford Center Guilford 282 67.3% 68 16.2% 69 16.5% 419 229 54.7%
Johnston Johnston 145 60.9% 43 18.1% 50 21.0% 238 93 39.1%
Mecklenburg Mecklenburg 290 50.5% 125 21.8% 159 27.7% 574 218 38.0%
Mental Health Partners Burke 33 66.0% 10 20.0% 7 14.0% 50 26 52.0%
Catawba 82 61.2% 33 24.6% 19 14.2% 134 67 50.0%
Total 115 62.5% 43 23.4% 26 14.1% 184 93 50.5%
Onslow-Carteret Carteret 28 73.7% 7 18.4% 3 7.9% 38 23 60.5%
Onslow 20 69.0% 7 24.1% 2 6.9% 29 15 51.7%
Total 48 71.6% 14 20.9% 5 7.5% 67 38 56.7%
Orange-Person-Chatham Chatham 24 52.2% 12 26.1% 10 21.7% 46 15 32.6%
Orange 79 71.2% 20 18.0% 12 10.8% 111 60 54.1%
Person 32 71.1% 5 11.1% 8 17.8% 45 20 44.4%
Total 135 66.8% 37 18.3% 30 14.9% 202 95 47.0%
Pathways Cleveland 78 50.3% 40 25.8% 37 23.9% 155 69 44.5%
Gaston 201 63.6% 46 14.6% 69 21.8% 316 142 44.9%
Lincoln 49 56.3% 18 20.7% 20 23.0% 87 37 42.5%
Total 328 58.8% 104 18.6% 126 22.6% 558 248 44.4%
PBH Cabarrus 19 100.0% 0 0.0% 0 0.0% 19 8 42.1%
Davidson 30 93.8% 0 0.0% 2 6.3% 32 11 34.4%
Rowan 21 87.5% 0 0.0% 3 12.5% 24 3 12.5%
Stanly 10 100.0% 0 0.0% 0 0.0% 10 5 50.0%
Union 3 100.0% 0 0.0% 0 0.0% 3 2 66.7%
Total 83 94.3% 0 0.0% 5 5.7% 88 29 33.0%
Sandhills Center Anson 12 42.9% 6 21.4% 10 35.7% 28 12 42.9%
Harnett 53 56.4% 21 22.3% 20 21.3% 94 40 42.6%
Hoke 17 73.9% 5 21.7% 1 4.3% 23 12 52.2%
Lee 50 64.1% 10 12.8% 18 23.1% 78 27 34.6%
Montgomery 14 70.0% 4 20.0% 2 10.0% 20 6 30.0%
Moore 49 47.6% 27 26.2% 27 26.2% 103 36 35.0%
Randolph 96 56.8% 32 18.9% 41 24.3% 169 61 36.1%
Richmond 32 62.7% 9 17.6% 10 19.6% 51 24 47.1%
Total 323 57.1% 114 20.1% 129 22.8% 566 218 38.5%

Page 23
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Mental Health/Substance Abuse)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Smoky Mountain Center Alexander 16 69.6% 3 13.0% 4 17.4% 23 12 52.2%
Alleghany 2 50.0% 1 25.0% 1 25.0% 4 2 50.0%
Ashe 19 67.9% 4 14.3% 5 17.9% 28 8 28.6%
Avery 9 56.3% 4 25.0% 3 18.8% 16 7 43.8%
Caldwell 50 76.9% 10 15.4% 5 7.7% 65 36 55.4%
Cherokee 17 65.4% 2 7.7% 7 26.9% 26 11 42.3%
Clay 3 37.5% 2 25.0% 3 37.5% 8 2 25.0%
Graham 6 60.0% 1 10.0% 3 30.0% 10 5 50.0%
Haywood 47 42.3% 29 26.1% 35 31.5% 111 34 30.6%
Jackson 16 37.2% 10 23.3% 17 39.5% 43 12 27.9%
Macon 15 46.9% 10 31.3% 7 21.9% 32 11 34.4%
McDowell 25 52.1% 15 31.3% 8 16.7% 48 17 35.4%
Swain 12 75.0% 1 6.3% 3 18.8% 16 10 62.5%
Watauga 18 54.5% 10 30.3% 5 15.2% 33 13 39.4%
Wilkes 45 65.2% 12 17.4% 12 17.4% 69 30 43.5%
Total 300 56.4% 114 21.4% 118 22.2% 532 210 39.5%
Southeastern Center Brunswick 20 57.1% 8 22.9% 7 20.0% 35 14 40.0%
New Hanover 61 58.7% 27 26.0% 16 15.4% 104 49 47.1%
Pender 11 84.6% 2 15.4% 0 0.0% 13 10 76.9%
Total 92 60.5% 37 24.3% 23 15.1% 152 73 48.0%
Southeastern Regional Bladen 16 66.7% 5 20.8% 3 12.5% 24 13 54.2%
Columbus 21 39.6% 14 26.4% 18 34.0% 53 14 26.4%
Robeson 129 71.7% 30 16.7% 21 11.7% 180 108 60.0%
Scotland 22 62.9% 5 14.3% 8 22.9% 35 19 54.3%
Total 188 64.4% 54 18.5% 50 17.1% 292 154 52.7%
Wake Wake 267 59.9% 89 20.0% 90 20.2% 446 198 44.4%
Western Highlands Network Buncombe 185 73.7% 36 14.3% 30 12.0% 251 150 59.8%
Henderson 48 78.7% 7 11.5% 6 9.8% 61 36 59.0%
Madison 14 70.0% 5 25.0% 1 5.0% 20 10 50.0%
Mitchell 9 60.0% 3 20.0% 3 20.0% 15 8 53.3%
Polk 10 76.9% 3 23.1% 0 0.0% 13 7 53.8%
Rutherford 62 73.8% 14 16.7% 8 9.5% 84 43 51.2%
Transylvania 19 76.0% 3 12.0% 3 12.0% 25 10 40.0%
Yancey 10 62.5% 1 6.3% 5 31.3% 16 9 56.3%
Total 357 73.6% 72 14.8% 56 11.5% 485 273 56.3%
Statewide 4,400 60.0% 1,480 20.2% 1,454 19.8% 7,334 3,250 44.3%
Urban Counties 2,734 60.7% 874 19.4% 896 19.9% 4,504 2,036 45.2%
Rural Counties 1,666 58.9% 606 21.4% 558 19.7% 2,830 1,214 42.9%
SOURCE: Medicaid and State Service Claims Data, April 1 - June 30, 2010 (first service received) based on claims paid through October 31, 2010.
* Data for PBH is self-reported. ** For persons receiving 2 visits within the first 14 days of service.
NOTE: Percentages should NOT total 100% across the LME or county row.

Page 24
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Mental Health/Developmental Disability)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Alamance-Caswell Alamance 17 77.3% 2 9.1% 3 13.6% 22 11 50.0%
Caswell 0 0.0% 3 100.0% 0 0.0% 3 0 0.0%
Total 17 68.0% 5 20.0% 3 12.0% 25 11 44.0%
Beacon Center Edgecombe 10 50.0% 8 40.0% 2 10.0% 20 7 35.0%
Greene 2 66.7% 1 33.3% 0 0.0% 3 1 33.3%
Nash 9 50.0% 6 33.3% 3 16.7% 18 7 38.9%
Wilson 4 19.0% 12 57.1% 5 23.8% 21 4 19.0%
Total 25 40.3% 27 43.5% 10 16.1% 62 19 30.6%
Centerpoint Davie 2 50.0% 1 25.0% 1 25.0% 4 0 0.0%
Forsyth 22 52.4% 15 35.7% 5 11.9% 42 19 45.2%
Rockingham 2 100.0% 0 0.0% 0 0.0% 2 2 100.0%
Stokes 1 100.0% 0 0.0% 0 0.0% 1 0 0.0%
Total 27 55.1% 16 32.7% 6 12.2% 49 21 42.9%
Crossroads Iredell 6 54.5% 4 36.4% 1 9.1% 11 5 45.5%
Surry 5 50.0% 5 50.0% 0 0.0% 10 5 50.0%
Yadkin 0 0.0% 1 100.0% 0 0.0% 1 0 0.0%
Total 11 50.0% 10 45.5% 1 4.5% 22 10 45.5%
Cumberland Cumberland 29 39.2% 24 32.4% 21 28.4% 74 23 31.1%
Durham Center Durham 26 54.2% 13 27.1% 9 18.8% 48 21 43.8%
ECBH Beaufort 1 33.3% 0 0.0% 2 66.7% 3 1 33.3%
Bertie 3 50.0% 2 33.3% 1 16.7% 6 1 16.7%
Camden 1 33.3% 1 33.3% 1 33.3% 3 1 33.3%
Chowan 1 50.0% 1 50.0% 0 0.0% 2 1 50.0%
Craven 6 35.3% 8 47.1% 3 17.6% 17 5 29.4%
Currituck 1 50.0% 1 50.0% 0 0.0% 2 1 50.0%
Dare 3 100.0% 0 0.0% 0 0.0% 3 3 100.0%
Gates 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Hertford 3 60.0% 1 20.0% 1 20.0% 5 2 40.0%
Hyde 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Jones 1 25.0% 2 50.0% 1 25.0% 4 0 0.0%
Martin 3 75.0% 1 25.0% 0 0.0% 4 3 75.0%
Northampton 3 37.5% 3 37.5% 2 25.0% 8 3 37.5%
Pamlico 1 33.3% 1 33.3% 1 33.3% 3 1 33.3%
Pasquotank 6 75.0% 2 25.0% 0 0.0% 8 5 62.5%
Perquimans 1 100.0% 0 0.0% 0 0.0% 1 1 100.0%
Pitt 14 51.9% 7 25.9% 6 22.2% 27 9 33.3%
Tyrrell 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Washington 1 33.3% 2 66.7% 0 0.0% 3 1 33.3%
Total 49 49.5% 32 32.3% 18 18.2% 99 38 38.4%

Page 25
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Mental Health/Developmental Disability)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Eastpointe Duplin 1 10.0% 3 30.0% 6 60.0% 10 1 10.0%
Lenoir 3 25.0% 8 66.7% 1 8.3% 12 3 25.0%
Sampson 2 14.3% 1 7.1% 11 78.6% 14 2 14.3%
Wayne 10 47.6% 10 47.6% 1 4.8% 21 8 38.1%
Total 16 28.1% 22 38.6% 19 33.3% 57 14 24.6%
Five County Franklin 2 40.0% 2 40.0% 1 20.0% 5 1 20.0%
Granville 2 33.3% 2 33.3% 2 33.3% 6 1 16.7%
Halifax 6 35.3% 8 47.1% 3 17.6% 17 5 29.4%
Vance 3 50.0% 3 50.0% 0 0.0% 6 3 50.0%
Warren 3 50.0% 2 33.3% 1 16.7% 6 3 50.0%
Total 16 40.0% 17 42.5% 7 17.5% 40 13 32.5%
Guilford Center Guilford 40 66.7% 12 20.0% 8 13.3% 60 24 40.0%
Johnston Johnston 14 40.0% 10 28.6% 11 31.4% 35 9 25.7%
Mecklenburg Mecklenburg 101 56.7% 44 24.7% 33 18.5% 178 83 46.6%
Mental Health Partners Burke 9 64.3% 3 21.4% 2 14.3% 14 7 50.0%
Catawba 4 22.2% 7 38.9% 7 38.9% 18 2 11.1%
Total 13 40.6% 10 31.3% 9 28.1% 32 9 28.1%
Onslow-Carteret Carteret 1 25.0% 2 50.0% 1 25.0% 4 0 0.0%
Onslow 12 60.0% 7 35.0% 1 5.0% 20 9 45.0%
Total 13 54.2% 9 37.5% 2 8.3% 24 9 37.5%
Orange-Person-Chatham Chatham 1 16.7% 1 16.7% 4 66.7% 6 1 16.7%
Orange 9 60.0% 3 20.0% 3 20.0% 15 5 33.3%
Person 2 66.7% 1 33.3% 0 0.0% 3 1 33.3%
Total 12 50.0% 5 20.8% 7 29.2% 24 7 29.2%
Pathways Cleveland 14 51.9% 10 37.0% 3 11.1% 27 11 40.7%
Gaston 19 48.7% 17 43.6% 3 7.7% 39 15 38.5%
Lincoln 4 66.7% 2 33.3% 0 0.0% 6 2 33.3%
Total 37 51.4% 29 40.3% 6 8.3% 72 28 38.9%
PBH Cabarrus 2 33.3% 0 0.0% 4 66.7% 6 1 16.7%
Davidson 0 0.0% 0 0.0% 1 100.0% 1 0 0.0%
Rowan 2 25.0% 3 37.5% 3 37.5% 8 1 12.5%
Stanly 1 33.3% 0 0.0% 2 66.7% 3 1 33.3%
Union 2 50.0% 0 0.0% 2 50.0% 4 1 25.0%
Total 7 31.8% 3 13.6% 12 54.5% 22 4 18.2%
Sandhills Center Anson 3 75.0% 0 0.0% 1 25.0% 4 2 50.0%
Harnett 6 37.5% 5 31.3% 5 31.3% 16 4 25.0%
Hoke 6 100.0% 0 0.0% 0 0.0% 6 5 83.3%
Lee 5 71.4% 2 28.6% 0 0.0% 7 5 71.4%
Montgomery 0 0.0% 1 100.0% 0 0.0% 1 0 0.0%
Moore 7 58.3% 3 25.0% 2 16.7% 12 4 33.3%
Randolph 13 72.2% 3 16.7% 2 11.1% 18 7 38.9%
Richmond 6 42.9% 4 28.6% 4 28.6% 14 6 42.9%
Total 46 59.0% 18 23.1% 14 17.9% 78 33 42.3%

Page 26
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 3: Timely Initiation and Engagement of Individuals in Service (Mental Health/Developmental Disability)

County 2 Visits within 14 Days 2nd Service > 14 Days No 2nd Service Total 4 Visits within 45 Days**
Number with
LME
(Urban/Rural) Number Percent Number Percent Number Percent an Initial Number Percent
Visit
Smoky Mountain Center Alexander 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
Alleghany 1 100.0% 0 0.0% 0 0.0% 1 1 100.0%
Ashe 0 0.0% 0 0.0% 1 100.0% 1 0 0.0%
Avery 3 100.0% 0 0.0% 0 0.0% 3 3 100.0%
Caldwell 4 36.4% 5 45.5% 2 18.2% 11 4 36.4%
Cherokee 2 66.7% 1 33.3% 0 0.0% 3 1 33.3%
Clay 1 100.0% 0 0.0% 0 0.0% 1 1 100.0%
Graham 1 100.0% 0 0.0% 0 0.0% 1 1 100.0%
Haywood 3 60.0% 0 0.0% 2 40.0% 5 3 60.0%
Jackson 4 66.7% 2 33.3% 0 0.0% 6 2 33.3%
Macon 0 0.0% 0 0.0% 0 0.0% 0 0 0.0%
McDowell 3 75.0% 1 25.0% 0 0.0% 4 2 50.0%
Swain 3 100.0% 0 0.0% 0 0.0% 3 2 66.7%
Watauga 2 66.7% 1 33.3% 0 0.0% 3 2 66.7%
Wilkes 3 33.3% 6 66.7% 0 0.0% 9 2 22.2%
Total 30 58.8% 16 31.4% 5 9.8% 51 24 47.1%
Southeastern Center Brunswick 7 58.3% 2 16.7% 3 25.0% 12 2 16.7%
New Hanover 24 68.6% 8 22.9% 3 8.6% 35 19 54.3%
Pender 5 71.4% 1 14.3% 1 14.3% 7 4 57.1%
Total 36 66.7% 11 20.4% 7 13.0% 54 25 46.3%
Southeastern Regional Bladen 4 66.7% 1 16.7% 1 16.7% 6 1 16.7%
Columbus 3 50.0% 3 50.0% 0 0.0% 6 3 50.0%
Robeson 19 76.0% 6 24.0% 0 0.0% 25 16 64.0%
Scotland 1 33.3% 1 33.3% 1 33.3% 3 1 33.3%
Total 27 67.5% 11 27.5% 2 5.0% 40 21 52.5%
Wake Wake 35 51.5% 20 29.4% 13 19.1% 68 30 44.1%
Western Highlands Network Buncombe 11 37.9% 14 48.3% 4 13.8% 29 7 24.1%
Henderson 6 50.0% 5 41.7% 1 8.3% 12 4 33.3%
Madison 3 50.0% 1 16.7% 2 33.3% 6 1 16.7%
Mitchell 4 100.0% 0 0.0% 0 0.0% 4 3 75.0%
Polk 0 0.0% 1 100.0% 0 0.0% 1 0 0.0%
Rutherford 4 50.0% 2 25.0% 2 25.0% 8 0 0.0%
Transylvania 0 0.0% 1 100.0% 0 0.0% 1 0 0.0%
Yancey 3 100.0% 0 0.0% 0 0.0% 3 3 100.0%
Total 31 48.4% 24 37.5% 9 14.1% 64 18 28.1%
Statewide 658 51.5% 388 30.4% 232 18.2% 1,278 494 38.7%
Urban Counties 432 51.8% 251 30.1% 151 18.1% 834 328 39.3%
Rural Counties 226 50.9% 137 30.9% 81 18.2% 444 166 37.4%
SOURCE: Medicaid and State Service Claims Data, April 1 - June 30, 2010 (first service received) based on claims paid through October 31, 2010.
* Data for PBH is self-reported. ** For persons receiving 2 visits within the first 14 days of service.
NOTE: Percentages should NOT total 100% across the LME or county row.

Page 27
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 4: Effective Use of State Psychiatric Hospitals

7 Days of Care or Less 8 - 30 Days of Care 31 - 365 Days of Care Greater than 1 Year Total Discharges
LME Average LOS
Number Percent Number Percent Number Percent Number Percent Number
(Days)
Alamance-Caswell 8 29% 11 39% 9 32% 0% 28 27.0
Beacon Center 16 36% 20 45% 8 18% 0% 44 29.1
CenterPoint 26 30% 45 52% 16 18% 0% 87 27.0
Crossroads 13 30% 23 53% 6 14% 1 2% 43 38.4
Cumberland 5 19% 11 42% 9 35% 1 4% 26 65.6
Durham Center 20 27% 33 45% 20 27% 0% 73 31.7
ECBH 8 31% 13 50% 5 19% 0% 26 27.0
Eastpointe 18 42% 15 35% 10 23% 0% 43 35.0
Five County 7 32% 12 55% 3 14% 0% 22 19.7
Guilford Center 18 31% 26 45% 13 22% 1 2% 58 98.8
Johnston 0% 4 67% 1 17% 1 17% 6 154.8
Mecklenburg 16 26% 30 48% 15 24% 1 2% 62 31.4
Mental Health Partners 8 31% 11 42% 7 27% 0% 26 28.6
Onslow-Carteret 3 60% 2 40% 0% 0% 5 9.4
Orange-Person-Chatham 10 29% 13 37% 12 34% 0% 35 37.2
Pathways 2 33% 2 33% 1 17% 1 17% 6 124.8
PBH 4 11% 17 46% 16 43% 0% 37 42.6
Sandhills Center 29 43% 29 43% 10 15% 0% 68 22.3
Smoky Mountain Center 13 21% 25 40% 24 38% 1 2% 63 43.9
Southeastern Center 19 46% 16 39% 6 15% 0% 41 19.4
Southeastern Regional 5 19% 14 54% 7 27% 0% 26 25.2
Wake 70 42% 65 39% 27 16% 6 4% 168 50.3
Western Highlands Network 16 28% 24 41% 17 29% 1 2% 58 124.7
STATEWIDE 334 32% 461 44% 242 23% 14 1% 1,051 44.9

SOURCE: Healthcare Enterprise Accounts Receivable Tracking System (HEARTS) Data for discharges between July 1 - September 30, 2010 as reported in the Consumer Data Warehouse (CDW) as of 11/2/10

Page 28
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 5: State Psychiatric Hospital Readmissions


Readmitted within 30 Days of Readmitted within 180 Days of
Discharge Discharge Total
LME
Discharges
Number Percent Number Percent
Alamance-Caswell 1 5% 3 14% 21
Beacon Center 2 4% 6 11% 55
CenterPoint 8 13% 21 33% 63
Crossroads 3 9% 7 22% 32
Cumberland 0 0% 3 8% 38
Durham Center 10 14% 19 26% 72
ECBH 4 9% 8 19% 43
Eastpointe 8 12% 12 18% 66
Five County 1 4% 2 8% 25
Guilford Center 2 3% 4 7% 60
Johnston 1 6% 2 11% 18
Mecklenburg 1 3% 5 13% 39
Mental Health Partners 1 4% 5 19% 26
Onslow-Carteret 0 0% 1 7% 15
Orange-Person-Chatham 2 7% 4 14% 29
Pathways 1 8% 1 8% 13
PBH 4 9% 7 16% 43
Sandhills Center 6 5% 20 18% 113
Smoky Mountain Center 6 11% 9 16% 57
Southeastern Center 1 2% 4 8% 50
Southeastern Regional 0 0% 3 8% 38
Wake 21 10% 47 23% 205
Western Highlands Network 3 7% 10 22% 46
STATEWIDE 86 7% 203 17% 1,167

SOURCE: Healthcare Enterprise Accounts Receivable Tracking System (HEARTS) Data for discharges between January
1, 2010 - March 31, 2010 as reported in the Consumer Data Warehouse (CDW) as of 11/2/10.

Page 29
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 6: Timely Follow-Up Care for Individuals After Inpatient Care (ADATCs)

Seen in 1 to 7 days Seen in 8 to 30 days Seen in 31 to 60 days Seen in 61+ days Not Seen Total Number
LME
Number Percent Number Percent Number Percent Number Percent Number Percent of Discharges
Alamance-Caswell 6 75% 0% 0% 0% 2 25% 8
Beacon Center 10 29% 3 9% 2 6% 3 9% 17 49% 35
CenterPoint 9 64% 0% 1 7% 0% 4 29% 14
Crossroads 5 42% 1 8% 0% 0% 6 50% 12
Cumberland 2 33% 1 17% 0% 0% 3 50% 6
Durham Center 14 78% 3 17% 0% 0% 1 6% 18
ECBH 36 34% 10 10% 4 4% 8 8% 47 45% 105
Eastpointe 11 32% 4 12% 2 6% 0% 17 50% 34
Five County 16 59% 2 7% 0% 2 7% 7 26% 27
Guilford Center 4 40% 0% 1 10% 3 30% 2 20% 10
Johnston 4 80% 0% 1 20% 0% 0% 5
Mecklenburg 18 40% 10 22% 2 4% 4 9% 11 24% 45
Mental Health Partners 10 38% 5 19% 1 4% 0% 10 38% 26
Onslow-Carteret 2 14% 2 14% 1 7% 2 14% 7 50% 14
Orange-Person-Chatham 12 75% 1 6% 0% 0% 3 19% 16
Pathways 17 41% 2 5% 0% 2 5% 20 49% 41
PBH 1 50% 0% 0% 0% 1 50% 2
Sandhills Center 17 77% 0% 0% 0% 5 23% 22
Smoky Mountain Center 37 46% 10 13% 2 3% 5 6% 26 33% 80
Southeastern Center 23 29% 17 21% 3 4% 6 8% 31 39% 80
Southeastern Regional 7 29% 3 13% 1 4% 3 13% 10 42% 24
Wake 7 27% 4 15% 1 4% 1 4% 13 50% 26
Western Highlands Network 43 33% 21 16% 7 5% 8 6% 52 40% 131
STATEWIDE 311 40% 99 13% 29 4% 47 6% 295 38% 781

SOURCE: Healthcare Enterprise Accounts Receivable Tracking System (HEARTS) data for discharges between April 1 - June 30, 2010 in Client Data Warehouse (CDW) as of 11/10/10 matched to Medicaid
and State Service Claims Data for claims paid through October 31, 2010. PBH LME data is self-reported as it is operating under a Medicaid waiver and its data is not included in the paid claims database.

NOTES: The data has been lagged 4 months to allow time for claims to be submitted and the data to be captured by the paid claims system and may not be complete for claims that were submitted and paid later.
The rows may add up to > 100% due to rounding.

Page 30
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 6: Timely Follow-Up Care for Individuals After Inpatient Care (Psychiatric Hospitals)

Seen in 1 to 7 days Seen in 8 to 30 days Seen in 31 to 60 days Seen in 61+ days Not Seen Total Number
LME
Number Percent Number Percent Number Percent Number Percent Number Percent of Discharges
Alamance-Caswell 30 73% 3 7% 2 5% 1 2% 5 12% 41
Beacon Center 21 45% 6 13% 1 2% 3 6% 16 34% 47
CenterPoint 34 49% 8 11% 4 6% 2 3% 22 31% 70
Crossroads 20 47% 5 12% 6 14% 2 5% 10 23% 43
Cumberland 8 32% 6 24% 1 4% 0% 10 40% 25
Durham Center 40 65% 8 13% 3 5% 0% 11 18% 62
ECBH 16 42% 4 11% 5 13% 2 5% 11 29% 38
Eastpointe 22 41% 9 17% 5 9% 1 2% 17 31% 54
Five County 11 44% 4 16% 1 4% 2 8% 7 28% 25
Guilford Center 40 59% 12 18% 7 10% 3 4% 6 9% 68
Johnston 13 93% 1 7% 0% 0% 0% 14
Mecklenburg 42 66% 12 19% 0% 2 3% 8 13% 64
Mental Health Partners 13 50% 2 8% 2 8% 2 8% 7 27% 26
Onslow-Carteret 4 33% 1 8% 0% 2 17% 5 42% 12
Orange-Person-Chatham 19 73% 3 12% 0% 0% 4 15% 26
Pathways 9 75% 0% 1 8% 1 8% 1 8% 12
PBH 18 67% 2 7% 0% 0% 7 26% 27
Sandhills Center 43 70% 6 10% 0% 4 7% 8 13% 61
Smoky Mountain Center 38 56% 8 12% 4 6% 4 6% 14 21% 68
Southeastern Center 20 38% 6 12% 6 12% 4 8% 16 31% 52
Southeastern Regional 14 38% 8 22% 2 5% 3 8% 10 27% 37
Wake 56 34% 27 16% 15 9% 7 4% 60 36% 165
Western Highlands Network 35 64% 9 16% 4 7% 2 4% 5 9% 55
STATEWIDE 566 52% 150 14% 69 6% 47 4% 260 24% 1,092

SOURCE: Healthcare Enterprise Accounts Receivable Tracking System (HEARTS) data for discharges between April 1 - June 30, 2010 in Client Data Warehouse (CDW) as of 11/10/10 matched to Medicaid
and State Service Claims Data for claims paid through October 31, 2010. PBH LME data is self-reported as it is operating under a Medicaid waiver and its data is not included in the paid claims database.

NOTES: The data has been lagged 4 months to allow time for claims to be submitted and the data to be captured by the paid claims system and may not be complete for claims that were submitted and paid later.
The rows may add up to > 100% due to rounding.

Page 31
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 7: Child Services in Non-Family Settings (By LME and County)


County Children Receiving Total Number of Children
LME 1
(Urban/Rural) Residential Treatment Served with MH or SA
Number Percent Diagnosis2
Alamance-Caswell Alamance 23 2.4% 942
Caswell 3 2.6% 114
Total 26 2.5% 1,056
Beacon Center Edgecombe 18 2.7% 660
Greene 3 1.3% 232
Nash 14 2.0% 711
Wilson 13 1.7% 771
Total 48 2.0% 2,374
Centerpoint Davie 7 3.5% 202
Forsyth 50 2.9% 1,739
Rockingham 34 7.2% 473
Stokes 3 1.4% 213
Total 94 3.6% 2,627
Crossroads Iredell 24 2.9% 818
Surry 7 1.8% 394
Yadkin 6 2.8% 218
Total 36 2.5% 1,430
Cumberland Cumberland 16 0.6% 2,561
Durham Center Durham 34 1.4% 2,404
ECBH Beaufort 7 1.8% 382
Bertie 11 6.1% 180
Camden 1 3.0% 33
Chowan 2 1.5% 136
Craven 8 1.1% 745
Currituck 2 2.6% 78
Dare 9 6.7% 135
Gates 1 2.4% 41
Hertford 2 1.6% 125
Hyde 0 0.0% 28
Jones 0 0.0% 101
Martin 5 1.8% 277
Northampton 6 2.2% 267
Pamlico 0 0.0% 141
Pasquotank 6 2.3% 258
Perquimans 0 0.0% 66
Pitt 26 1.4% 1,850
Tyrrell 1 5.0% 20
Washington 0 0.0% 233
Total 85 1.7% 5,096

Page 32
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 7: Child Services in Non-Family Settings (By LME and County)


County Children Receiving Total Number of Children
LME 1
(Urban/Rural) Residential Treatment Served with MH or SA
2
Number Percent Diagnosis
Eastpointe Duplin 4 1.0% 383
Lenoir 2 0.3% 626
Sampson 2 0.5% 426
Wayne 4 0.3% 1,217
Total 12 0.5% 2,652
Five County Franklin 5 1.4% 361
Granville 5 1.7% 299
Halifax 6 1.1% 568
Vance 5 1.0% 478
Warren 2 1.2% 165
Total 22 1.2% 1,871
Guilford Center Guilford 116 4.0% 2,923
Johnston Johnston 23 1.8% 1,279
Mecklenburg Mecklenburg 57 1.0% 5,486
Mental Health Partners Burke 13 1.7% 759
Catawba 32 2.8% 1,126
Total 45 2.4% 1,885
Onslow-Carteret Carteret 4 1.6% 243
Onslow 13 1.4% 900
Total 17 1.5% 1,143
Orange-Person-Chatham Chatham 4 1.3% 307
Orange 9 1.2% 736
Person 2 0.6% 353
Total 15 1.1% 1,396
Pathways Cleveland 29 2.5% 1,164
Gaston 23 1.2% 1,942
Lincoln 14 2.7% 520
Total 65 1.8% 3,626
PBH Cabarrus 8 0.6% 1,352
Davidson 8 1.0% 794
Rowan 22 1.7% 1,264
Stanly 1 0.2% 630
Union 11 1.5% 738
Total 50 1.0% 4,778
Sandhills Center Anson 1 0.3% 286
Harnett 8 1.2% 641
Hoke 5 1.2% 407
Lee 3 1.0% 292
Montgomery 7 3.2% 222
Moore 6 1.5% 412
Randolph 18 2.0% 909
Richmond 4 0.8% 531
Total 51 1.4% 3,700

Page 33
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

INDICATOR 7: Child Services in Non-Family Settings (By LME and County)


County Children Receiving Total Number of Children
LME 1
(Urban/Rural) Residential Treatment Served with MH or SA
2
Number Percent Diagnosis
Smoky Mountain Center Alexander 11 5.7% 193
Alleghany 2 2.2% 91
Ashe 2 1.1% 177
Avery 4 4.0% 100
Caldwell 7 1.1% 620
Cherokee 4 1.8% 220
Clay 0 0.0% 77
Graham 0 0.0% 89
Haywood 5 0.7% 730
Jackson 2 0.6% 341
Macon 1 0.4% 234
McDowell 6 2.0% 306
Swain 1 0.8% 122
Watauga 1 0.6% 160
Wilkes 12 2.9% 416
Total 58 1.5% 3,876
Southeastern Center Brunswick 12 1.5% 795
New Hanover 16 1.0% 1,668
Pender 8 1.8% 444
Total 35 1.2% 2,907
Southeastern Regional Bladen 2 0.7% 269
Columbus 8 1.3% 599
Robeson 16 1.0% 1,684
Scotland 3 0.7% 446
Total 29 1.0% 2,998
Wake Wake 75 1.7% 4,530
Western Highlands Network Buncombe 25 1.2% 2,030
Henderson 7 1.1% 622
Madison 5 2.9% 172
Mitchell 1 1.0% 96
Polk 1 0.6% 159
Rutherford 10 2.0% 493
Transylvania 5 3.1% 159
Yancey 3 2.0% 147
Total 57 1.5% 3,878
Statewide 1,054 1.6% 66,476

SOURCE: Medicaid and State Service Claims Data, services received and persons served
April - June 2010 paid through October 31, 2010.
1. Residential Treatment = Residential Treatment Level 2 (Program Type), Level 3, and Level 4.
2. The number of children served includes those with co-occurring developmental disabilities.
3. Data for PBH is self-reported.
4. The LME total children receiving residential treatment is an unduplicated count for the LME. If a child
receives residential treatment in more than one county during the quarter, the LME total may not equal
the sum of the individual counties for that LME.

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APPENDIX B: Local Management Entities (LMEs), Abbreviations, Member Counties, Population, Medicaid Enrollees,
Population Density, and Urban/Rural Designation
LME: Alamance-Caswell (AC)
Region: Central

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Alamance 35,137 115,240 150,377 14,305 10,336 24,641 40.7% 9.0% 16.4% 429.99 350 Urban
Caswell 4,449 18,855 23,304 2,251 2,792 5,043 50.6% 14.8% 21.6% 424.67 55 Rural
2 counties 39,586 134,095 173,681 16,556 13,128 29,684 41.8% 9.8% 17.1% 854.66 203
% of State Total 1.8% 1.8% 1.8% 1.9% 1.8% 1.9% 1.8%

LME: The Beacon Center


Region: Eastern

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Edgecombe 12,974 38,315 51,289 8,694 8,556 17,250 67.0% 22.3% 33.6% 505.03 102 Rural
Greene 4,931 16,643 21,574 2,649 1,840 4,489 53.7% 11.1% 20.8% 265.40 81 Rural
Nash 23,060 73,985 97,045 9,635 9,131 18,766 41.8% 12.3% 19.3% 540.27 180 Rural
Wilson 19,788 60,801 80,589 9,724 8,052 17,776 49.1% 13.2% 22.1% 371.09 217 Urban
4 counties 60,753 189,744 250,497 30,702 27,579 58,281 50.5% 14.5% 23.3% 1,681.79 149
% of State Total 2.7% 2.6% 2.6% 3.6% 3.9% 3.7% 3.5%

LME: CenterPoint Human Services


Region: Central

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Davie 9,752 32,675 42,427 3,170 2,398 5,568 32.5% 7.3% 13.1% 265.18 160 Rural
Forsyth 85,752 275,692 361,444 33,808 22,646 56,454 39.4% 8.2% 15.6% 409.60 882 Urban
Rockingham 20,260 71,853 92,113 9,063 9,557 18,620 44.7% 13.3% 20.2% 566.44 163 Rural
Stokes 10,065 36,893 46,958 3,496 3,336 6,832 34.7% 9.0% 14.5% 451.84 104 Rural
4 counties 125,829 417,113 542,942 49,537 37,937 87,474 39.4% 9.1% 16.1% 1,693.06 321
% of State Total 5.6% 5.7% 5.7% 5.8% 5.3% 5.6% 3.5%

LME: Crossroads Behavioral Healthcare


Region: Western

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Iredell 38,506 121,109 159,615 12,514 9,752 22,266 32.5% 8.1% 13.9% 575.51 277 Urban
Surry 16,868 57,500 74,368 7,696 7,239 14,935 45.6% 12.6% 20.1% 536.56 139 Rural
Yadkin 8,770 29,369 38,139 3,564 2,778 6,342 40.6% 9.5% 16.6% 335.55 114 Rural
3 counties 64,144 207,978 272,122 23,774 19,769 43,543 37.1% 9.5% 16.0% 1,447.62 188
% of State Total 2.9% 2.9% 2.9% 2.8% 2.8% 2.8% 3.0%

LME: Cumberland County Mental Health Center


Region: Eastern

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Cumberland 86,973 237,316 324,289 31,627 26,593 58,220 36.4% 11.2% 18.0% 652.72 497 Urban
% of State Total 3.9% 3.3% 3.4% 3.7% 3.7% 3.7% 1.3%

LME: The Durham Center


Region: Central

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Durham 66,599 205,097 271,696 24,476 17,199 41,675 36.8% 8.4% 15.3% 290.32 936 Urban
% of State Total 3.0% 2.8% 2.9% 2.8% 2.4% 2.6% 0.6%

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LME: East Carolina Behavioral Health (ECBH)


Region: Eastern

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Beaufort 10,564 36,934 47,498 5,127 5,172 10,299 48.5% 14.0% 21.7% 827.97 57 Rural
Bertie 4,542 15,495 20,037 2,464 3,187 5,651 54.2% 20.6% 28.2% 699.19 29 Rural
Camden 1,946 7,678 9,624 551 523 1,074 28.3% 6.8% 11.2% 240.68 40 Rural
Chowan 3,287 11,592 14,879 1,607 1,748 3,355 48.9% 15.1% 22.5% 172.64 86 Rural
Craven 26,630 74,430 101,060 8,097 7,434 15,531 30.4% 10.0% 15.4% 708.43 143 Rural
Currituck 4,729 18,489 23,218 1,467 1,183 2,650 31.0% 6.4% 11.4% 261.70 89 Rural
Dare 6,680 27,456 34,136 2,172 1,429 3,601 32.5% 5.2% 10.5% 383.58 89 Rural
Gates 2,532 9,218 11,750 904 941 1,845 35.7% 10.2% 15.7% 340.61 34 Rural
Hertford 5,237 18,716 23,953 2,805 3,467 6,272 53.6% 18.5% 26.2% 353.26 68 Rural
Hyde 986 4,435 5,421 479 658 1,137 48.6% 14.8% 21.0% 612.80 9 Rural
Jones 1,985 8,169 10,154 993 1,059 2,052 50.0% 13.0% 20.2% 471.88 22 Rural
Martin 5,661 18,111 23,772 2,871 3,299 6,170 50.7% 18.2% 26.0% 461.17 52 Rural
Northampton 4,365 16,568 20,933 2,593 3,471 6,064 59.4% 21.0% 29.0% 536.48 39 Rural
Pamlico 2,165 10,687 12,852 1,127 1,201 2,328 52.1% 11.2% 18.1% 336.94 38 Rural
Pasquotank 9,173 32,592 41,765 3,859 3,723 7,582 42.1% 11.4% 18.2% 226.88 184 Rural
Perquimans 2,540 10,542 13,082 1,208 1,279 2,487 47.6% 12.1% 19.0% 247.17 53 Rural
Pitt 37,110 124,783 161,893 14,948 12,357 27,305 40.3% 9.9% 16.9% 651.58 248 Urban
Tyrrell 816 3,433 4,249 415 496 911 50.9% 14.4% 21.4% 389.91 11 Rural
Washington 3,092 9,932 13,024 1,778 1,942 3,720 57.5% 19.6% 28.6% 348.46 37 Rural
19 counties 134,040 459,260 593,300 55,465 54,569 110,034 41.4% 11.9% 18.5% 8,271.33 72
% of State Total 6.0% 6.3% 6.2% 6.4% 7.7% 7.0% 17.0%

LME: Eastpointe
Region: Eastern

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Duplin 14,025 40,101 54,126 7,011 4,860 11,871 50.0% 12.1% 21.9% 817.73 66 Rural
Lenoir 13,607 43,351 56,958 7,399 7,145 14,544 54.4% 16.5% 25.5% 399.85 142 Rural
Sampson 16,507 49,438 65,945 8,888 7,217 16,105 53.8% 14.6% 24.4% 945.45 70 Rural
Wayne 29,811 87,163 116,974 13,417 11,338 24,755 45.0% 13.0% 21.2% 552.57 212 Urban
4 counties 73,950 220,053 294,003 36,715 30,560 67,275 49.6% 13.9% 22.9% 2,715.60 108
% of State Total 3.3% 3.0% 3.1% 4.3% 4.3% 4.3% 5.6%

LME: Five County Mental Health Authority


Region: Central

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Franklin 14,020 46,280 60,300 5,691 4,951 10,642 40.6% 10.7% 17.6% 492.02 123 Rural
Granville 12,312 45,350 57,662 4,556 4,215 8,771 37.0% 9.3% 15.2% 531.12 109 Rural
Halifax 12,813 42,206 55,019 6,831 9,370 16,201 53.3% 22.2% 29.4% 725.36 76 Rural
Vance 11,508 32,108 43,616 6,904 6,833 13,737 60.0% 21.3% 31.5% 253.52 172 Rural
Warren 3,837 16,043 19,880 2,306 2,947 5,253 60.1% 18.4% 26.4% 428.70 46 Rural
5 counties 54,490 181,987 236,477 26,288 28,316 54,604 48.2% 15.6% 23.1% 2,430.72 97
% of State Total 2.4% 2.5% 2.5% 3.1% 4.0% 3.5% 5.0%

LME: Guilford Center


Region: Central

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Guilford 112,103 371,384 483,487 42,614 32,264 74,878 38.0% 8.7% 15.5% 649.42 744 Urban
% of State Total 5.0% 5.1% 5.1% 4.9% 4.5% 4.8% 1.3%

LME: Johnston County Area MH/DD/SA Authority


Region: Eastern

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Johnston 44,315 129,354 173,669 16,694 12,712 29,406 37.7% 9.8% 16.9% 791.85 219 Urban
% of State Total 2.0% 1.8% 1.8% 1.9% 1.8% 1.9% 1.6%

LME: Mecklenburg County Area MH/DD/SA Authority


Region: Western

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Mecklenburg 231,714 677,779 909,493 81,791 53,388 135,179 35.3% 7.9% 14.9% 526.28 1,728 Urban
% of State Total 10.4% 9.3% 9.6% 9.5% 7.5% 8.6% 1.1%

LME: Mental Health Partners


Region: Western

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Burke 19,371 70,657 90,028 8,740 7,817 16,557 45.1% 11.1% 18.4% 506.72 178 Rural
Catawba 37,081 121,932 159,013 14,817 10,643 25,460 40.0% 8.7% 16.0% 399.97 398 Urban
2 counties 56,452 192,589 249,041 23,557 18,460 42,017 41.7% 9.6% 16.9% 906.69 275
% of State Total 2.5% 2.6% 2.6% 2.7% 2.6% 2.7% 1.9%
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LME: Onslow-Carteret Behavioral Healthcare Services (OCBHS)


Region: Eastern

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Carteret 11,426 53,962 65,388 4,338 4,773 9,111 38.0% 8.8% 13.9% 519.84 126 Rural
Onslow 51,322 130,421 181,743 10,532 8,419 18,951 20.5% 6.5% 10.4% 766.82 237 Urban
2 counties 62,748 184,383 247,131 14,870 13,192 28,062 23.7% 7.2% 11.4% 1,286.66 192
% of State Total 2.8% 2.5% 2.6% 1.7% 1.9% 1.8% 2.6%

LME: Orange-Person-Chatham MH/DD/SA Authority (OPC)


Region: Central

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Chatham 13,041 50,548 63,589 4,392 2,896 7,288 33.7% 5.7% 11.5% 682.85 93 Rural
Orange 24,300 109,239 133,539 6,346 5,124 11,470 26.1% 4.7% 8.6% 399.84 334 Urban
Person 8,557 30,022 38,579 3,604 3,599 7,203 42.1% 12.0% 18.7% 392.31 98 Rural
3 counties 45,898 189,809 235,707 14,342 11,619 25,961 31.2% 6.1% 11.0% 1,475.00 160
% of State Total 2.1% 2.6% 2.5% 1.7% 1.6% 1.7% 3.0%

LME: Pathways MH/DD/SA


Region: Western

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Cleveland 22,963 76,187 99,150 11,417 11,478 22,895 49.7% 15.1% 23.1% 464.63 213 Urban
Gaston 49,495 159,937 209,432 20,753 19,946 40,699 41.9% 12.5% 19.4% 356.21 588 Urban
Lincoln 17,567 59,434 77,001 6,314 5,388 11,702 35.9% 9.1% 15.2% 298.79 258 Urban
3 counties 90,025 295,558 385,583 38,484 36,812 75,296 42.7% 12.5% 19.5% 1,119.63 344
% of State Total 4.0% 4.1% 4.1% 4.5% 5.2% 4.8% 2.3%

LME: PBH
Region: Western

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Cabarrus 46,561 132,675 179,236 15,489 9,936 25,425 33.3% 7.5% 14.2% 364.39 492 Urban
Davidson 36,921 124,949 161,870 15,257 12,591 27,848 41.3% 10.1% 17.2% 552.15 293 Urban
Rowan 32,511 109,277 141,788 14,120 11,730 25,850 43.4% 10.7% 18.2% 511.31 277 Urban
Stanly 13,578 46,952 60,530 5,295 5,187 10,482 39.0% 11.0% 17.3% 395.06 153 Rural
Union 53,740 147,508 201,248 13,973 7,793 21,766 26.0% 5.3% 10.8% 637.37 316 Urban
5 counties 183,311 561,361 744,672 64,134 47,237 111,371 35.0% 8.4% 15.0% 2,460.28 303
% of State Total 8.2% 7.7% 7.8% 7.4% 6.6% 7.1% 5.1%

LME: Sandhills Center for MH/DD/SAS


Region: Central

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Anson 5,869 19,258 25,127 3,040 3,252 6,292 51.8% 16.9% 25.0% 531.57 47 Rural
Harnett 29,150 86,994 116,144 11,399 8,039 19,438 39.1% 9.2% 16.7% 595.01 195 Rural
Hoke 13,937 33,400 47,337 5,153 3,629 8,782 37.0% 10.9% 18.6% 391.21 121 Rural
Lee 15,152 44,223 59,375 6,609 4,647 11,256 43.6% 10.5% 19.0% 257.26 231 Urban
Montgomery 6,874 21,254 28,128 3,403 2,977 6,380 49.5% 14.0% 22.7% 491.60 57 Rural
Moore 17,980 70,396 88,376 6,584 5,552 12,136 36.6% 7.9% 13.7% 697.74 127 Rural
Randolph 33,977 110,264 144,241 14,934 11,388 26,322 44.0% 10.3% 18.2% 787.36 183 Rural
Richmond 11,592 35,368 46,960 6,486 6,442 12,928 56.0% 18.2% 27.5% 473.98 99 Rural
8 counties 134,531 421,157 555,688 57,608 45,926 103,534 42.8% 10.9% 18.6% 4,225.73 132
% of State Total 6.0% 5.8% 5.8% 6.7% 6.5% 6.6% 8.7%

LME: Smoky Mountain Center


Region: Western

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Alexander 8,377 29,241 37,618 3,275 2,721 5,996 39.1% 9.3% 15.9% 260.18 145 Rural
Alleghany 2,041 9,266 11,307 1,076 1,074 2,150 52.7% 11.6% 19.0% 234.65 48 Rural
Ashe 5,115 21,533 26,648 2,283 2,647 4,930 44.6% 12.3% 18.5% 426.13 63 Rural
Avery 3,141 15,146 18,287 1,388 1,460 2,848 44.2% 9.6% 15.6% 247.00 74 Rural
Caldwell 17,704 62,849 80,553 8,076 7,915 15,991 45.6% 12.6% 19.9% 471.60 171 Rural
Cherokee 4,954 22,380 27,334 2,586 2,800 5,386 52.2% 12.5% 19.7% 455.19 60 Rural
Clay 1,657 9,075 10,732 896 1,019 1,915 54.1% 11.2% 17.8% 214.70 50 Rural
Graham 1,809 6,570 8,379 938 1,115 2,053 51.9% 17.0% 24.5% 292.07 29 Rural
Haywood 11,125 47,243 58,368 5,085 5,678 10,763 45.7% 12.0% 18.4% 553.66 105 Rural
Jackson 6,896 31,639 38,535 2,913 2,694 5,607 42.2% 8.5% 14.6% 490.71 79 Rural
Macon 6,720 28,472 35,192 3,071 2,774 5,845 45.7% 9.7% 16.6% 516.47 68 Rural
McDowell 9,722 35,374 45,096 4,515 4,697 9,212 46.4% 13.3% 20.4% 441.68 102 Rural
Swain 3,346 10,954 14,300 1,741 1,712 3,453 52.0% 15.6% 24.1% 528.10 27 Rural
Watauga 6,723 39,027 45,750 1,957 1,956 3,913 29.1% 5.0% 8.6% 312.51 146 Rural
Wilkes 14,839 52,816 67,655 6,954 6,568 13,522 46.9% 12.4% 20.0% 757.19 89 Rural
15 counties 104,169 421,585 525,754 46,754 46,830 93,584 44.9% 11.1% 17.8% 6,201.84 85
% of State Total 4.7% 5.8% 5.5% 5.4% 6.6% 5.9% 12.7%

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LME: Southeastern Center for MH/DD/SAS (SEC)


Region: Eastern

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Brunswick 19,390 90,902 110,292 8,867 7,389 16,256 45.7% 8.1% 14.7% 854.79 129 Rural
New Hanover 39,217 156,974 196,191 13,746 12,803 26,549 35.1% 8.2% 13.5% 198.93 986 Urban
Pender 10,726 43,875 54,601 4,450 4,245 8,695 41.5% 9.7% 15.9% 870.67 63 Rural
3 counties 69,333 291,751 361,084 27,063 24,437 51,500 39.0% 8.4% 14.3% 1,924.39 188
% of State Total 3.1% 4.0% 3.8% 3.1% 3.4% 3.3% 4.0%

LME: Southeastern Regional MH/DD/SAS (SER)


Region: Eastern

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Bladen 7,708 24,164 31,872 4,020 4,774 8,794 52.2% 19.8% 27.6% 874.94 36 Rural
Columbus 14,185 42,384 56,569 7,650 8,400 16,050 53.9% 19.8% 28.4% 936.80 60 Rural
Robeson 36,774 95,348 132,122 22,017 19,895 41,912 59.9% 20.9% 31.7% 948.84 139 Rural
Scotland 9,447 27,545 36,992 5,538 5,249 10,787 58.6% 19.1% 29.2% 319.14 116 Rural
4 counties 68,114 189,441 257,555 39,225 38,318 77,543 57.6% 20.2% 30.1% 3,079.72 84
% of State Total 3.0% 2.6% 2.7% 4.6% 5.4% 4.9% 6.3%

LME: Wake County Human Services


Region: Central

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Wake 224,540 695,767 920,307 54,763 33,495 88,258 24.4% 4.8% 9.6% 831.92 1,106 Urban
% of State Total 10.0% 9.6% 9.7% 6.4% 4.7% 5.6% 1.7%

LME: Western Highlands Network


Region: Western

July 2010 Population Estimates July 2010 Medicaid Enrollees Medicaid % of Population Area Persons Urban (≥200)
County(ies)
Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Ages 0-17 Ages 18+ Total Sq Miles Per Sq Mi Rural (<200)
Buncombe 47,821 185,333 233,154 19,460 18,722 38,182 40.7% 10.1% 16.4% 655.99 355 Urban
Henderson 21,922 85,342 107,264 8,495 6,295 14,790 38.8% 7.4% 13.8% 374.00 287 Urban
Madison 4,131 16,853 20,984 1,799 2,236 4,035 43.5% 13.3% 19.2% 449.42 47 Rural
Mitchell 3,095 12,961 16,056 1,401 1,826 3,227 45.3% 14.1% 20.1% 221.43 73 Rural
Polk 3,502 16,014 19,516 1,447 1,301 2,748 41.3% 8.1% 14.1% 237.85 82 Rural
Rutherford 14,432 49,696 64,128 7,068 7,219 14,287 49.0% 14.5% 22.3% 564.12 114 Rural
Transylvania 5,550 25,821 31,371 2,582 2,231 4,813 46.5% 8.6% 15.3% 378.39 83 Rural
Yancey 3,595 15,054 18,649 1,702 1,852 3,554 47.3% 12.3% 19.1% 312.45 60 Rural
8 counties 104,048 407,074 511,122 43,954 41,682 85,636 42.2% 10.2% 16.8% 3,193.65 160
% of State Total 4.6% 5.6% 5.4% 5.1% 5.9% 5.4% 6.6%

State Total 2,237,665 7,281,635 9,519,300 860,993 712,022 1,573,015 38.5% 9.8% 16.5% 48,710.88 195

Total of 100 Counties: 26 Urban and 74 Rural

Data Sources:
Population: NC Office of State Budget and Management (OSBM) website. http://www.osbm.state.nc.us/demog/countytotals_singleage_2010.html Last Update: May 4, 2010.
Downloaded 6/22/10.
Medicaid Eligibles: Medicaid eligibles on July 1, 2010, extracted from DRIVE from Client Population on November 15, 2010. May not yet include all retroactive eligibles.
County Area: US Census Bureau 2006 Quick Facts (http:/quickfacts.census.gov/qfd/states/37/).
Urban/Rural: NC Rural Economic Development Center defines urban and rural based on population density as of the 1990 Census of Population. Rural counties contain <200
persons per square mile. Urban counties contain ≥200 persons per square mile (http://www.ncruralcenter.org/databank/). Counties in this table are defined based on the same
population density criteria using July 2010 population projections.

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NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
Appendices For Community Systems Progress Report

Appendix C: Formulas for Calculating the Performance Indicators Used in the Community Systems Progress Indicators Reports SFY 2009-2010
Indicator Numerator Denominator Notes
Timely Access to Care Number of new persons requesting care through the LME's STR/Access Unit or throughNumber of new persons requesting care through the LME's STR/Access Unit or throughDefined period includes persons screened during a quarter. This indicator will rely on
an LME's provider who are determined to need the relevant level of care (emergent, an LME's provider who are determined to need the relevant level of care (emergent, LMEs' quarterly reports, until the NC DHHS is ensured that the screening data
urgent, or routine) and who receive it within the timeframes specified in Clinical urgent or routine), during the defined period. submitted to the Client Data Warehouse (CDW) is complete and accurate.
Performance Indicators 3.1.1 - 3.1.3
Services to Persons in Need (Treated Number of unduplicated persons with at least one paid IPRS and/or Medicaid service Number of persons in the LME catchment area’s relevant age group estimated to need An individual person can be counted in more than one age-disability group.
Prevalence) claim* that indicates a diagnosis for the age-disability group during the defined period. service for the disability (based on national studies). Age appropriate estimates were
Disability group is based on the first three diagnoses on all claims. Persons in each applied to county population, where applicable. Defined period includes four quarters of service dates, lagged by one quarter prior to the
disability group were counted once -- based on the LME and age at first service in the report to allow time for claims to be submitted and paid.
year. Persons with multiple disabilities (e.g. MH and SA, MH and DD, etc.) were
counted in all applicable columns.
Timely Initiation of Services Number of persons with a first paid IPRS and/or Medicaid service claim* that indicates Number of persons with a first paid IPRS and/or Medicaid service claim* that indicates The first date of service is defined as a service after 60 days with no service.
diagnosis for the disability group during the defined period who receive a second paid diagnosis for the disability group during the defined period.
IPRS and/or Medicaid service claim that indicates a diagnosis for the disability group Defined period includes first service dates during the quarter being reviewed, lagged by
within 14 days of the first service date, four months following the quarter to allow time for claims to be submitted and paid.

Engagement in Services Number of persons meeting the criteria for Initiation who receive a fourth paid IPRS Number of persons with a first paid IPRS and/or Medicaid service claim* that indicates Defined period includes first service dates during the quarter being reviewed, lagged by
and/or Medicaid service claim* that indicates a diagnosis for the disability group within diagnosis for the disability group during the defined period four months following the quarter to allow time for claims to be submitted and paid.
30 days of the second service date

Effective Use of State Psychiatric Number of persons discharged from a state psychiatric hospital during the defined perio Number of persons discharged from a state psychiatric hospital during the defined Defined period includes discharges during the most recent quarter prior to the report.
Hospitals (Short Term Use) who were admitted no more than 7 or between 8-30 days prior to discharge period, according to HEARTS data in the Client Data Warehouse (CDW). NOTE: See the note associated with the Timely Follow-up After Inpatient Care - State
Psychiatric Hospitals measure.

State Psychiatric Hospitals Readmissions Number of persons discharged from a state psychiatric hospital during the defined perio Number of persons discharged from a state psychiatric hospital during the defined Defined period includes discharges during a quarter, lagged 7 months to allow for
who had a subsequent readmission to a state psychiatric hospital within 30 or 180 period, according to HEARTS data in the Client Data Warehouse (CDW). readmissions up to 180 days after discharge, plus one month for the data to be entered
calendar days of the discharge into CDW. NOTE: See the note associated with the Timely Follow-up After Inpatient
Care - State Psychiatric Hospitals measure.
Timely Follow-Up After Inpatient Care - Number of persons discharged from a state ADATC during the defined period who had Number of persons discharged from a state ADATC during the defined period, Defined period includes discharges during a quarter, lagged 4 months prior to the report
State Alcohol & Drug Abuse Treatment a paid IPRS and/or Medicaid service* within 1-7 or 8-30 calendar days of the discharge according to HEARTS data in the Client Data Warehouse (CDW). to allow time for claims to be submitted and paid. NOTE: Persons discharged include
Centers (ADATCs) "Direct Discharges" (to Inpatient Commitment, to Outpatient Commitment, to Substance
Abuse Commitment, by Court Order, with Approval) and "Program Completion" for the
following types of "Discharge Referrals" (other outpatient and residential non state
facility, nonresidential treatment/habilitation program, self/no referral, community
agency, private physician, other health care, family friends, unknown, and other), for all
"Discharge Living Arrangements" except "correctional facility", and "institution (psych
hospital mental retardation)". Persons discharged are assigned to an LME based on "D/C
Aftercare LME" designation, or if blank, based on "Responsible County" (excludes
"Responsible County" or "County D/C To" = "Out of State"). Persons receiving ACTT
during the month following discharge were counted as having been seen within "0 - 7
days". Excludes cases if readmitted within 7 days.

Timely Follow-Up After Inpatient Care - Number of persons discharged from a state psychiatric hospital during the defined perio Number of persons discharged from a state psychiatric hospital during the defined Defined period includes discharges during a quarter, lagged 4 months prior to the report
State Psychiatric Hospitals who had a paid IPRS and/or Medicaid service* within 1-7 or 8-30 calendar days of the period, according to HEARTS data in the Client Data Warehouse (CDW). to allow time for claims to be submitted and paid. NOTE: Persons discharged include
discharge "Direct Discharges" (to Inpatient Commitment, to Outpatient Commitment, to Substance
Abuse Commitment, by Court Order, with Approval) for the following types of
"Discharge Referrals" (other outpatient and residential non state facility, nonresidential
treatment/habilitation program, self/no referral, community agency, private physician,
other health care, psychiatric service general hospital, family friends, unknown, and
other), for all "Discharge Living Arrangements" except "correctional facility", and
"institution (psych hospital mental retardation)". Persons discharged are assigned to an
LME based on "D/C Aftercare LME" designation, or if blank, based on "Responsible
County" (excludes "Responsible County" or "County D/C To" = "Out of State"). Persons
receiving ACTT during the month following discharge were counted as having been see
within "0 - 7 days". Excludes cases if readmitted within 7 days.

Child Services in Non-Family Settings Number of children ages 0-17 with a MH and/or SA diagnosis (either primary or co- Number of children ages 0-17 with a MH and/or SA diagnosis (either primary or co- Defined period includes one quarter of service dates, lagged by 4 months prior to the
occurring) who had a paid IPRS and/or Medicaid claim* for Level II-Program, Level III,occurring) who had a paid IPRS and/or Medicaid service* during the defined period. report to allow time for claims to be submitted and paid.
or Level IV residential treatment services during the defined period.

*Service claims data include:


(1) All paid IPRS claims and claims denied due to lack of funds. (Other denied IPRS claims and procedure codes YP500 and YP692 are excluded.)
Any claim marked paid where the paid amount for the detail is "0", provided the EOB for the detail is either "payment reduced to maximum allowed" or "paid in full". This should capture any claim where the rate is set to "0" or where the reported 1st or 3rd party payments equal the billed amount
or at least cover what would have paid.
(2) All Medicaid claims billed by the following providers:
● All enhanced services ● Professional practitioners (licensed psychologists, LCSWs, etc.) ● Criterion 5 extended-stay residential placements ● Select general hospital outpatient
● CAP-MR/DD ● Psychiatrists ● Community Intermediate Care Facilities for Mental Retardation ● Community psychiatric hospitals (excluding state-operated)
● Directly-enrolled residential ● Psychiatric residential treatment facilities (excluding state-operated) ● General hospital inpatient psychiatric units ● "Incident to" claims by provisionally licensed professionals

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