Annual Report - South Dakota

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2020Annual ReportBehavioral Health TreatmentServicesBartels Counseling Services, Inc.

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Treatment Services iiTable of ContentsStakeholder Survey Summary5Survey Respondents . Definitions . .5Survey Responses .66Familiarity of Services . .7Client Support 7Positive Outcomes . 8Location of Services . 8Group Times . 9Staff Respectfulness . 9Trained Staff 10Staff Competencies . 10Agency Responsivity . 11Staff Communication .11Utilization of Evidence-Based or Emerging/Promising Practices 12Quality of Services .Stakeholder Survey Feedback . .12Adult SUD Treatment Services17Outpatient Treatment Services Agency Information . Program Outcomes for Outpatient Treatment Services 1717Outcome Tool Return Rate Information for Outpatient Treatment Services 17Discharge Reasons for Outpatient Treatment Services 18Primary Diagnostic Information for SUD Treatment Services 18Impact of Outpatient Treatment Services . 19Utilization of High Cost Services for Outpatient Treatment Services 21Quality of Life Information for Outpatient Treatment Services .23Public Safety Information for Outpatient Treatment Services Youth SUD Treatment Services25Youth Outpatient Treatment Services Agency Information . .Youth Information . . 2727Program Outcomes for Outpatient Treatment Services 27Outcome Tool Return Rate Information for Outpatient Treatment Services 27Discharge Reasons for Outpatient Treatment Services 28Primary Diagnostic Information for SUD Treatment Services 28Impact of Outpatient Treatment Services . 30Utilization of High Cost Services for Outpatient Treatment Services 32Quality of Life Information for Outpatient Treatment Services 34Public Safety Information for Outpatient Treatment Services 35Family Information . . . 35Family Outcome Tool Return Rate Information for Outpatient Treatment Services 35Impact of Outpatient Treatment Services . 36Utilization of High Cost Services for Outpatient Treatment Services September 2020 1 ii

Treatment Services ii38Quality of Life Information for Outpatient Treatment Services 39Public Safety Information for Outpatient Treatment Services Supporting DataAppendix A: Stakeholder Survey Summary . . 41Appendix B: Adult Substance Use Disorder Treatment Services . 43Appendix C: Youth Substance Use Disorder Treatment Services 55September 2020 2 ii

Stakeholder SurveyStakeholder SurveySummarySeptember 2020 3 ii

Stakeholder Survey[Page intentionally left blank]September 2020 4 ii

Stakeholder SurveyStakeholder Survey SummaryBartels Counseling Services, Inc.Printed September 2020Survey RespondentsThe Division of Behavioral Health (DBH) recognizes the need for strong community collaboration at the locallevel between agencies accredited with the DBH and their local referral sources seeking services for clients.Accredited agencies are asked to share a stakeholder survey with local referral sources such as schools,healthcare providers, and other entities of their choosing. The Stakeholder Survey is intended to create adialogue between referral sources and accredited agencies to encourage collaboration to best meet the needsof clients.Stakeholder TypesLaw Enforcement (Sheriff, PoliceDepartment, Highway Patrol)Court Staff- (UJS, State, Federal,Tribal, Judge, Attorney, DOC,Drug Court, Teen Court)Department of Social ServicesState/Tribal (EA/CPS/AdultServices/Child Welfare)Medical (Doctor/Nurse/HospitalSocial Worker/PsychiatricNurse/Community Health)Treatment Agency (MentalHealth/SUD/EAP/Therapist/Counselor/Case Manager)School (Administrator/Counselor/Teacher/Social Worker)Prevention Service ProvidersCounty Board of Mental IllnessOtherTotal -2320-0000-200220001400060000DefinitionsCPS- Child Protection ServicesDBH- Division of Behavioral HealthDOC- Department of Corrections (Juvenile Correction Agents, Parole Services)EA- Economic AssistanceEAP- Employee Assistance ProgramSUD- Substance Use DisorderUJS- Unified Judicial Services (Court Services Officer)September 2020 5 ii

Stakeholder SurveySurvey ResponsesThe following data reflect stakeholders' perceptions regarding treatment services provided by accreditedagencies.Familiarity of Services100%80%60%40%20%0%83%57%41%27%0%0%FY17Not Familiar36%32%7%0%FY1817%0% 0%FY19Somewhat Familiar0% 0% 0% 0%FY20FamiliarFY21Very FamiliarFamiliarity of Services: How familiar are you with the services that are offered by this agency FY17FY18FY19FY200%0%0%Not Familiar27%36%0%Somewhat FamiliarNot Collected41%7%17%Familiar32%57%83%Very Familiar22146Total r 2020 6 ii

Stakeholder SurveyClient Support100%80%60%40%20%0%100%95%71%0%0%FY1715% 14%5%0%FY180%FY19Disagree0%FY20UndecidedClient Support: This agency is supportive of client needs FY17FY180%Disagree5%UndecidedNot Collected95%Agree22Total FY21#DIV/0!#DIV/0!#DIV/0!0Positive Outcomes100%80%60%40%20%0%86%83%69%14%0%FY1717%16% ePositive Outcomes: Clients that receive services from this agency have positive outcomes ot Collected86%69%83%Agree22136Total ResponsesFY21#DIV/0!#DIV/0!#DIV/0!0September 2020 7 ii

Stakeholder SurveyLocation of Services100%80%60%40%20%0%57%33%FY1733%22% %FY21AgreeLocation of Services: The location of services is convenient for clients FY17FY1810%Disagree33%UndecidedNot Collected57%Agree21Total IV/0!#DIV/0!0Group up Times: The services are available at times that are convenient for clients FY17FY18FY190%14%Disagree9%29%UndecidedNot Collected91%57%Agree2214Total ptember 2020 8 ii

Stakeholder SurveyStaff FY197%8%85%13FY200%0%100%6Trained Staff100%80%60%40%20%0%0%FY20UndecidedStaff Respectfulness: Staff at this agency are respectfulFY17DisagreeUndecidedNot CollectedAgreeTotal %FY175%FY18DisagreeTrained Staff: Staff at this agency are well trainedFY17DisagreeUndecidedNot CollectedAgreeTotal Responses8% V/0!0September 2020 9 ii

Stakeholder SurveyStaff % eStaff Competencies: Staff at this agency are competent to deliver treatment servicesFY17FY18FY190%10%Disagree5%10%UndecidedNot Collected95%80%Agree2110Total ResponsesAgency ree15% 14%0%FY19Undecided0%0% 0%FY200%FY21AgreeAgency Responsivity: This agency is responsive to the needs within the t Collected91%71%Agree2214Total ptember 2020 10 ii

Stakeholder SurveyStaff %8% eStaff Communication: Staff actively communicate regarding the client's treatmentFY17FY18FY190%8%Disagree5%15%UndecidedNot Collected95%77%Agree2113Total ilization of Evidence-Based or Emerging/Promising eUtilization of Evidence-Based or Emerging/Promising Practices: This agency utilizes Evidence-Based orEmerging/Promising ecidedNot Collected85%69%100%Agree20136Total ResponsesFY21#DIV/0!#DIV/0!#DIV/0!0September 2020 11 ii

Stakeholder SurveyQuality of Disagree8% 15%0%FY19UndecidedQuality of Services: This agency provides quality servicesFY17FY180%Disagree5%UndecidedNot Collected95%Agree22Total 0%100%6FY21#DIV/0!#DIV/0!#DIV/0!0Stakeholder Survey FeedbackPlease give examples to support your ratings in the above questions: Great communication with/from staff at agency. Sound counseling techniques and practices. Provide support at timely manner.What does this agency do well? Same as above. Consistency with its service.What suggestions would you make for this agency to improve services? Nothing I can think of.Additional Information: Thank you to providing great counseling! Keep up the good work.September 2020 12 ii

Adult SUD Treatment Services iiSubstance Use Disorder (SUD) Treatment Services ProfileBartels Counseling Services, Inc.Printed September 2020Fiscal Year 2020 (FY20) Program ActivityIn FY20, Bartels Counseling Services, Inc. provided outpatienttreatment services to adults and youth in Sioux Falls andsurrounding communities. Bartels served 218 clients in SUDtreatment services.Bartels CounselingServices, Inc, Sioux FallsClients ServedAgency StateThis profile page reflects adult and youth clients who werepublicly funded in FY20, which runs from June 2019-May 2020.All Clients Served*AdultsYouthPublicly ,69310,931762*All clients served includes the following funding sources: privatepay, insurance, and other funding sources.** Publicly funded includes only clients served through state andfederal funding, including Medicaid.Demographic InformationRaceThe demographic information includes all clientsfunded through state and federal funds, includingMedicaid.Age18 and below19 to 6465 and aboveAgencyState Pop.2%97%2%24%58%17%WhiteBlack or African AmericanAmerican Indian and AlaskaNativeAsianNative Hawaiian and OtherPacific IslanderTwo or More RacesOtherAgencyState Pop.79%7%85%2%5%9%2%2%2%0%1%5%2%NAAccreditation InformationAdministrative ScoreChart ScoreTotal Accreditation ScoreAccreditation ReviewAgencyState Avg.100%94.2%100%92.9%100%93.6%During Bartels's most recent onsite review inFebruary 2018, Bartels's scored 100%overall. This included a review ofadministrative and SUD Charts; resulting ina three year accreditation certificate.September 2020 13 ii

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Adult SUD Treatment Services iiAdult OutpatientTreatment ServicesSeptember 2020 15 ii

Adult SUD Treatment Services ii[Page intentionally left blank]September 2020 16 ii

Adult SUD Treatment Services iiProgram Outcomes for Outpatient Treatment ServicesOutpatient Treatment Services include the following: Level 0.5 Early Intervention, Level 1.0 Outpatient, andLevel 2.1 Intensive Outpatient Treatment Services. These services provide outpatient counseling to individualsdiagnosed with substance use disorders.Outcome Tool Return Rate Information for Outpatient Treatment ServicesThe Data and Outcomes Work Group members set a goal for all contracted agencies to meet or exceed a 60%outcome tool return rate.Outpatient Treatment ReturnRatesInitial Outcome Tool Return Rate# of Admissions# of Tools SubmittedReturn RateTarget Return RateDischarge Outcome Tool Return Rate# of Successful Discharges# of Tools SubmittedReturn RateTarget Return 091%60%7070100%60%#DIV/0!60%Discharge Reasons for Outpatient Treatment ServicesThis information is collected in the State Treatment Activity Reporting System (STARS) for clients dischargedfrom outpatient treatment services.Outpatient Treatment DischargeReasonsAgency AverageTreatment CompletedLeft Against Professional AdviceTerminated by FacilityTransferred to Another Facility orProgramIncarceratedOtherState AverageTreatment CompletedLeft Against Professional AdviceTerminated by FacilityTransferred to Another Facility ber 2020 17 ii

Adult SUD Treatment Services iiPrimary Diagnostic Information for SUD Treatment ServicesThe DBH monitors data and outcomes for publicly funded behavioral health treatment services. The tablebelow reflects information entered into STARS by contracted providers for publicly funded clients receivingSUD treatment services. This does not include individuals who received only an assessment or justice-involvedindividuals.Primary SUD DiagnosisNumber/Percent of Clients with aPrimary Alcohol Use DisorderNumber/Percent of Clients with aPrimary Cannabis Use DisorderNumber/Percent of Clients with aPrimary Amphetamine Use DisorderNumber/Percent of Clients with aPrimary Opioid Use DisorderNumber/Percent of Clients with aPrimary Other Substance V/0!Impact of Outpatient Treatment ServicesImpact of treatment services is measured by surveying client perception of the quality of services receivedincluding the following: general satisfaction with services, access to services, quality and appropriateness ofservices, outcome of services, and participation in treatment planning. Additionally, impacts are measured byimprovements in social connectedness and overall functioning. Impact of treatment services is relevant becauseclients who feel empowered, motivated, have positive family relationships, and feel they have the ability tochange may be more likely to have positive treatment outcomes.The following information represents data from those clients who agreed or strongly agreed at the time ofsuccessful discharge.General Satisfaction with Services: Overall satisfaction with treatment services receivedFY17FY18FY19Outpatient Treatment Services100%97%Agency Average94%94%96%State AverageFY20100%96%FY21#DIV/0!#DIV/0!Access to Services: Perception of the ease and convenience of treatment services receivedFY17FY18FY19Outpatient Treatment Services94%97%Agency Average91%94%93%State AverageFY2098%95%FY21#DIV/0!#DIV/0!Quality and Appropriateness of Services: Perception of the quality and appropriateness of treatment services receivedFY17FY18FY19FY20FY21Outpatient Treatment Services100%97%98%#DIV/0!Agency Average93%95%95%96%#DIV/0!State AverageSeptember 2020 18 ii

Adult SUD Treatment Services iiOutcome of Services: Perception of treatment outcomes as a result of services receivedFY17FY18FY19Outpatient Treatment Services94%97%Agency Average90%92%91%State AverageFY2098%93%FY21#DIV/0!#DIV/0!Participation in Treatment Planning: Perception of participation in treatment planningFY17FY18FY19Outpatient Treatment Services100%97%Agency Average92%94%94%State AverageFY2096%94%FY21#DIV/0!#DIV/0!The following two sections include data at admission into services and at successful discharge from services asa means to demonstrate improvement in social connectedness and functioning.Social Connectedness: Perception of their support system in the community at FY17FY18FY19Outpatient Treatment ServicesAgency Average76%76%81%Admission100%94%DischargeState ning: Perception of their mental health and social well-being at FY17FY18Outpatient Treatment ServicesAgency Average74%70%Admission100%DischargeState tilization of High Cost Services for Outpatient Treatment ServicesHigh cost services include the following: treatment for illness, injury, or surgery, emergency department visits,hospital admissions for mental health care, detoxification services, inpatient substance use disorder treatmentservices, or detention in a correctional facility. Participation in treatment services may help reduce thefrequency of client utilization of high cost services. Data from FY17 and June through December FY18 are notreported due to a change in the reporting process. The following section includes data at admission intoservices and at successful discharge from services.Illness, Injury, or Surgery: Clients who reported night(s) spent in a facility for illness, injury, or surgery within 30 daysof FY17FY18FY19FY20FY21Outpatient Treatment ServicesAgency eState eSeptember 2020 19 ii

Adult SUD Treatment Services iiEmergency Department: Clients who reported emergency department visit(s) within 30 days of FY17FY18FY19FY20Outpatient Treatment ServicesAgency Average0%4%6%Admission0%0%0%DischargeState DIV/0!#DIV/0!#DIV/0!Hospital Admissions for Mental Health Care: Clients who reported hospital admission(s) for mental health care within30 days of FY17FY18FY19FY20FY21Outpatient Treatment ServicesAgency eState eDetoxification Services: Clients who reported night(s) spent in a facility for detoxification within 30 days of FY17FY18FY19FY20FY21Outpatient Treatment ServicesAgency eState argeInpatient Substance Use Disorder Treatment Services: Clients who reported inpatient treatment services for substanceuse disorders within 30 days of Outpatient Treatment ServicesAgency AverageAdmissionDischargeState 0!Correctional Facility: Clients who reported night(s) spent in a correctional facility within 30 days of FY17FY18FY19FY20Outpatient Treatment ServicesAgency Average29%17%19%Admission6%3%4%DischargeState V/0!#DIV/0!#DIV/0!#DIV/0!September 2020 20 ii

Adult SUD Treatment Services iiQuality of Life Information for Outpatient Treatment ServicesQuality of life is measured in several key life domains including the following: general health, suicide attempts,employment status, homelessness, and other domains as shown in the tables below. Improvements in theseareas may indicate the effectiveness of treatment services. The following section includes data at admissioninto services and at successful discharge from services.General Health: Clients who reported their general health as good, very good, or excellent at FY17FY18FY19FY20Outpatient Treatment ServicesAgency te Average86%83%83%

FY17 FY18 FY19 FY20 FY21 Positive Outcomes: Clients that receive services from this agency have positive outcomes FY17 FY18 FY19 FY20 FY21 71% 100% #DIV/0! 22 14 6 0 Not Collected 0%15% #DIV/0! 0% 0% 15% 5% 0% 0% 14% 0% 0% 95% 71% 100% 0% 0% 20% 40% 60% 80% 100% FY17 FY18 FY19 FY20 FY21 Cl

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