Pinellas Data Collaborative A Resource to Inform Programs and Policy Makers

1. Pinellas Data Collaborative A Resource to Inform Programs and Policy Makers Paul Stiles, J.D., Ph.D. Vijaya Sampath, M.A., M.S. Policy and Services Research Data Center Department of Mental Health Law & Policy Louis de la Parte Florida Mental Health Inst. University of South Florida Tim Burns Dept of Justice and Consumer Services Pinellas County

2. Pinellas County Data Collaborative • Established in the fall of 1999 as a result of Chapter 163.6 of the Florida Statutes, which allowed governmental and certain private agencies to share information. • Mission: • To enhance the delivery of mental health and substance abuse programs to Pinellas County residents by encouraging communication and collaboration among all related community providers, organizations, interested government agencies, and educational institutions.

3. Pinellas County Data CollaborativePrimary Membership • Pinellas County Board of County Commissioners • Pinellas Clerk of Circuit Court • Pinellas Office of County Attorney • Pinellas County Sheriff Office • Sixth Judicial Circuit Court of Florida • Pinellas Department of Human Services • Juvenile Welfare Board of Pinellas County • Florida Dept of Children & Families Suncoast Region • Louis de la Parte Florida Mental Health Institute

4. Pinellas County Data CollaborativeTypes of Data • Criminal Justice (courts, sheriff) • Dept of Human Services • Emergency Medical Services • Juvenile Welfare Board Providers • State Mental Health Authority Demog & Events • Medicaid Claims and Eligibility • Civil Commitment • Others by request: Child Welfare, Dept of Juvenile Justice, Corrections • Possibly in future: School Data, 211 Data

5. Pinellas County Data CollaborativeStudy Examples • G. Pierce Woods State Mental Hospital Closing: Impact to Pinellas County • Incarceration and The Impact of Medicaid Eligibility Status for Those with a Seriously Mental Illness

6. GPW Closure Impact on Pinellas County • Study Questions • What is the impact of the closure of GPW on Pinellas county? • What is the net gain (or loss) of individuals leaving GPW and settling in Pinellas county? • Method • State Hospital data was integrated with Medicaid and state MH/SA authority community service data to determine how many individuals were admitted from Pinellas and how many moved to Pinellas after discharge.

7. GPW Closure Impact on Pinellas County • Findings:

8. GPW Closure Impact on Pinellas County • Other Findings • The persons admitted from outside Pinellas who moved to Pinellas after discharge tended to be younger adults. • The “net gains” to Pinellas came from both civil wards of GPW and forensic wards. • Implications • Pinellas may have sufficient evidence to request a greater proportion of state funds to assist this disproportionate distribution of GPW dischargees. • The county may want to take into account this migration pattern as it plans for future service provision.

9. Incarceration and Medicaid Status • Study Questions • What is the extent of Medicaid disenrollment when an individual is admitted to Pinellas County Jail? • Does Medicaid enrollment improve access and receipt of community based services for SMI persons released from jail? • Method • Medicaid, State MH/SA data, and Criminal Justice data (county CJIS system) were linked to examine enrollment and service use within 90 days of release from jail.

10. Incarceration and Medicaid Status • Findings • Persons released from jail who are enrolled in Medicaid have higher access and more timely services following the release, however once there (receiving services), they receive the same intensity of services. • Implications • Medicaid is important for SMI persons leaving jail – Pinellas may want to make sure that SMI releasees from county jail are enrolled as soon as feasible into Medicaid. • Future • Does Medicaid enrollment decrease jail recidivism (and thus reduce jail costs).

11. Pinellas County Data CollaborativeOther Study/Question Examples • How many children in Pinellas County are cared for through the Baker Act (civil commitment) system? • How many people used services in 3 or more Pinellas County service systems? • What is the impact of seasonal residents (“snowbirds”) on EMS utilization? • How do persons with substance abuse problems interact with the Pinellas County social service, emergency medical and criminal justice systems? • What are the characteristics of children in Juvenile Welfare Board programs who interact with either the child protective services and/or mental health systems?

12. Pinellas County Data Collaborative • Process: • Proposed analyses are sent out to all member representatives via e-mail. • FMHI staff will help clarify the questions and may suggest minor modifications based on their experience with the data sets. • If no objections within 10 days, FMHI may proceed with analyses. • Upon completion of the analyses, a report outlining the findings is sent to all member representatives via e-mail. • Depending upon the questions, the report may be fairly informal or it may be in a more formal format.

13. Bruce Stegner Ph.D. Department of Mental Health Law & Policy Louis de la Parte Florida Mental Health Institute University of South Florida 13301 Bruce B Downs Blvd. Tampa, FL 33612 Voice: 813-974-6981 Fax: 813-974-6411 E-mail: bstegner@fmhi.usf.edu Diane Haynes, M.A. Department of Mental Health Law & Policy Louis de la Parte Florida Mental Health Institute University of South Florida 13301 Bruce B Downs Blvd. Tampa, FL 33612 Voice: 813-974-2056 Fax: 813-974-6411 E-mail: dhaynes@fmhi.usf.edu Next step -- contact one of the following people: Tim Burns Dept of Justice and Consumer Services 15251 Roosevelt Blvd, Suite 209 Clearwater, FL 33760 Voice: 727-453-7441 Fax: 727-453-7433 E-mail: tburns@co.pinellas.fl.us “Click” to exit this presentation.