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Bringing (Keeping) the Kids Home Update – February 2009

Bringing (Keeping) the Kids Home Update – February 2009. A collaboration of Department of Health and Social Services, Alaska Mental Health Trust Authority & partner boards, Denali Commission, Rasmuson Foundation, Alaska Native health providers & other service providers, parents, advocacy groups.

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Bringing (Keeping) the Kids Home Update – February 2009

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  1. Bringing (Keeping) the Kids Home Update – February 2009 A collaboration of Department of Health and Social Services, Alaska Mental Health Trust Authority & partner boards, Denali Commission, Rasmuson Foundation, Alaska Native health providers & other service providers, parents, advocacy groups

  2. Exponential Growth In Use of Out-of State Residential Psychiatric Treatment Centers (RPTC) Between 1998- 2004, out-of-state RPTC placements for children with severe emotional disturbances (SED) grew by nearly 800% • Results: • Disconnection • Transition Problems • Weaker Outcomes • Expense • Erosion of In-State Services Data are from Behavioral Health, Policy and Planning based on Medicaid claims paid for unduplicated RPTC recipients. Recipients include all children served per fiscal year – including those admitted in a previous year but served during the current year.

  3. Who does this effort impact? • In SFY04, 749 Alaskan children received care in out-of-state RPTC • Add 2 parents and 1 sibling = 2,996 Alaskans. • The DBH prevalence estimate for children with SED is 7.2% (12,725 Alaskan children) • Add 2 parents and 1 sibling = 50,900 Alaskans. Primary goals: • Reduce the number of children in out-of-state RPTC • Keep future use of out-of-state RPTC at a minimum • Build capacity to serve children with SED in Alaska • Develop integrated, seamless, culturally competent, least restrictive services, close to home

  4. Progress: Decrease in RPTC Admissions(Youth who enter RPTC during each fiscal year) Drop of 73% in out-of-state admissions between FY04 and FY08 Data are from Behavioral Health, Policy and Planning based on Medicaid claims paid for unduplicated RPTC admissions. Includes only those admitted during the current year.

  5. Progress: Recidivism Recidivism:Significant decrease since FY04 from 20% to 8.4% Data are from Behavioral Health, Policy and Planning

  6. Progress: Medicaid Expenditures for Residential Psychiatric Treatment Centers (RPTC) Data for FY05-07 are from Behavioral Health based on paid claims for Medicaid data. Expenditure data for FY08 are from Finance Management Services and includes all claims incurred and paid in FY08 and claims incurred in FY08 and paid in the first quarter of FY09.

  7. BTKH Activities • Gatekeeping, Care Coordination & Individualized Funding • BTKH Capacity Enhancement Grants • Training and TA • Leverage Other Funding Sources • Rate Increases

  8. Ahead in FY 2010: Support for On-going Efforts 8 *Includes Federal match not listed separately.

  9. Ahead in FY2010: Expanding In-State Capacity *Includes Federal match not listed separately. 9

  10. Reports and detailed information on BTKH at:http://www.hss.state.ak.us/commissioner/btkh/ DHSS BTKH Coordinator: Brita Bishop, LCSW brita.bishop@alaska.gov P.O. Box 110601 Phone: 907-465-4994 Juneau, Alaska 99811-0601 Fax: 907-465-3068

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