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Building A Community System of Care through

re-investment of savings from residential


downsizing System of Care: Change in Total and County Expenditures by Year

$35,000,000

$30,000,000

$25,000,000

$20,000,000
Annual Dollars

$15,000,000

$10,000,000

$5,000,000

$-
2005 Total 2005 Loc al Share 2009 Total 2009 Loc al Share

Res idential Treatment Blended SOC $'s NY S HCB Waiv er

There has been a significant increase in total dollars and %


allocated to community services from 2005 to 2009 while saving
more than 2 million dollars per year in County tax
Erie County System of Care data
The reform allows us to serve more than twice as
many children and families at any given point in
time
System of Care: Change in Funded Service Capacity

1,200

1,000

800
Youth/ Family Service Capacity

600

400

200

-
2005 Total 2009 Total

Res idential Treatment Blended SOC $'s NY S HCB Waiv er

Erie County System of Care data


44 % reduction in PINS petitions
76 % reduction in PINS youth placed on
formal probation
37% reduction in average daily census for
secure detention
70% reduction in average daily census for
non-secure detention
Psych. Inpatient days average daily census
at 56% of licensed capacity
34% reduction in annual residential
treatment center bed days
* % reductions are in comparison to 2004 baseline data

3
There has
been a total Xbar Chart of RTC Bed Days
Quarterly Bed Days Used from 2004 though 2009
annual
5 11 17
decrease of 1
1 1
39.6% in the 20000 1
1
use of 1
18000 1

Sample Mean
residential UCL=17170
treatment 16000 __
beds X=15166
14000
between LCL=13162
2004 and 12000
2009 1 1
1
1 1
1
10000
1 3 5 7 9 11 13 15 17 19 21 23
Sample
1st Reference Line: 2005 SOC Starts; 2nd Ref Line: Mid Year 2006 Service Expansion
Third Reference Line: Mid Year 2008 JD Diversion Integrated into System of Care