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Behavioral Health System Metrics

The Health Systems Division (HSD) funds behavioral health programs throughout the state. In order to ensure Oregonians are receiving the care and treatment they need, it is essential for HSD to know how well the behavioral health system is performing. The Quality Management program regularly monitors and analyzes key performance data of these program and services.
 
The following dashboards provide a broad overview of the type and amount of behavioral health services provided in Oregon. The dashboards give information about treatment services provided to children and adults, and are grouped into two categories:
 
The dashboard data comes from an analysis of paid claims in the Decision Support Surveillance and Utilization Review System (DSSURS). It includes information treatment services provided to people enrolled in the Oregon Health Plan (Medicaid). It does not include information about treatment services provided to people with private insurance or people who paid for services through other means.
 
There is a six-month lag between the time that a service is provided and the time it is on a dashboard. It takes time for coordinated care organizations to submit claims data and for that data to be validated by the Oregon Health Authority.

Mental Health Dashboard of Medicaid Treatment in Oregon for Children and Adults

The purpose of this dashboard is to show how many people are receiving mental health treatment services funded through the Oregon Health Plan, Oregon's Medicaid program. The Oregon Health Plan covers a variety of services for health disorders, ranging from screening through residential treatment. There are eight tables of data, four for children under 18 and four for adults 18 and older. The tables show data on a quarterly basis from April 2013 (2013 Q2) through June 2014 (2014 Q2).
 
NOTE – In January 2014, Oregon began to see a substantial increase in the number of people eligible for the Oregon Health Plan as a result of the Affordable Care Act. This increase correlates with the increases reflected in the following tables for the first and second calendar quarters of 2014.
 
 
Table 1
 
Table 2
 

Table 1 and Table 2 show the total number of people who received any type of mental health service during an identified calendar quarter. The number of Medicaid eligible youth receiving treatment services for a substance use disorder has remained fairly constant. The number of Medicaid eligible adults receiving treatment services for a substance use disorder increased substantially during the first two calendar quarters of 2014. This increase is consistent with the overall increase of Medicaid eligible adults in Oregon as a result of the Affordable Care Act..

 
 
Table 3
 
Table 4
 

Table 3 and Table 4 show the number of people who received an outpatient mental health service during an identified calendar quarter. The number of Medicaid eligible youth receiving outpatient mental health treatment services has remained fairly constant. The number of Medicaid eligible adults receiving outpatient mental health treatment services increased substantially during the first two calendar quarters of 2014. This increase is consistent with the overall increase of Medicaid eligible adults in Oregon as a result of the Affordable Care Act.

 
 
Table 5
 
Table 6
 

Table 5 and Table 6 show the number of people served in a residential treatment setting during an identified calendar quarter. The number of Medicaid eligible youth and adults receiving mental health residential treatment services has remained fairly constant.

 
 
Table 7
 
Table 8
 

Table 7 and Table 8 show the top ten mental health diagnoses associated with individuals receiving mental health services. The most prevalent mental health diagnoses for children are ADHD (31.4%) and Adjustment Disorders (30.9%). The most prevalent mental health diagnoses for adults are Anxiety Disorders other than PTSD (28%) and Mood Disorders – Other (also at 28%).

Substance Use Disorder Dashboard of Medicaid Treatment in Oregon for Children and Adults

The purpose of this dashboard is to show how many people are receiving treatment for a substance use disorder through Medicaid (persons eligible or enrolled in the Oregon Health Plan). The Oregon Health Plan covers a range of services substance use disorders ranging from screening through residential treatment services. There are eight tables of data, four for youth 12 to 17 years old and four for adults 18 and older. The tables show data on a quarterly basis from April 2013 (2013 Q2) through June 2014 (2014 Q2).
 
NOTE – In January 2014, Oregon began to see a substantial increase in the number of people eligible for the Oregon Health Plan as a result of the Affordable Care Act. This increase correlates with the increases reflected in the following tables for the first and second calendar quarters of 2014.

 
Table 1
 
Table 2
 

Table 1 and Table 2 show the total number of people who received any type of substance use disorder treatment service during an identified calendar quarter. The number of Medicaid eligible youth receiving treatment services for a substance use disorder has remained fairly constant. The number of Medicaid eligible adults receiving treatment services for a substance use disorder increased substantially during the first two calendar quarters of 2014. This increase is consistent with the overall increase of Medicaid eligible adults in Oregon as a result of the Affordable Care Act.

 
Table 3
 
Table 4
 

Table 3 and Table 4 show the number of people who received an outpatient substance use disorder treatment service during an identified calendar quarter. The number of Medicaid eligible youth receiving outpatient treatment services for a substance use disorder has remained fairly constant. The number of Medicaid eligible adults receiving outpatient treatment services for a substance use disorder increased substantially during the first two calendar quarters of 2014. This increase is consistent with the overall increase of Medicaid eligible adults in Oregon as a result of the Affordable Care Act. 

 
Table 5
 
Table 6
 

Table 5 and Table 6 show the number of people served in a residential treatment setting during an identified calendar quarter. The number of Medicaid eligible youth receiving residential treatment services for a substance use disorder has remained fairly constant. The number of Medicaid eligible adults receiving residential treatment services for a substance use disorder increased substantially during the first two calendar quarters of 2014. This increase is consistent with the overall increase of Medicaid eligible adults in Oregon as a result of the Affordable Care Act.

 
Table 7
 
Table 8
 

Table 7 and Table 8 show the top ten substances that persons were treated for (top nine for youth). The most prevalent substances used by youth in treatment are cannabis (78.3%) and alcohol (21.3%). The most prevalent substances used by adults in treatment are alcohol (44.2%) and opioids (37.4%).

Program Contact: Chris Norman
Email: chris.p.norman@state.or.us
Phone: 503-945-7818

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