Performance Outcome Data - San Joaquin County

Categories on this page include:

Children & Youth
Criminal Justice
​Employment

Hospitalization
​Housing
Substance Use Disorder (SUD)

Children & Youth

2023-26 MHSA 3-Year Plan, FY 21-22
Skill-building for Parents and Guardians, n=745, Page 202

• 84% of graduating participants had gained knowledge, skills, behaviors, or improved attitudes about parenting.

Transitional Age Youth, FY 21-22, n=529

• Over half showed increased strengths overall, as measured by the modified CANSA before and after participation (54%).

Coping and Resilience Education Services (CARES), n=174 children and 102 caregivers, Page 202 and 226

• Among parents who completed the program, 83% experienced a reduction in stress
• 81% of children experienced an overall increase in psychosocial functioning (i.e., reduction in PSC-35 score)

School Based Interventions, FY 2021-22, n=597, Pages 202 and 231-236 (several measures)

• Program evaluation found that 63% of matched pre-post CANSA scores showed overall improvement in outcomes.

Early Intervention and Recovery (TEIR), n=73, Pages 204 and 238)

• The most prevalent need identified was Anxiety, 33% demonstrating improvement
• The area with the highest proportion of improvement was Resiliency, with 75% of the participants demonstrating favorable change (three of the four who presented with an actionable score at intake). 
• 68% completed program objectives:
  • 27% completed program objectives and did not transition to another mental health program
  • 14% completed program objectives and transitioned to a lower level of care with BHS
  • 27% completed program objectives and transitioned to a lower level of care with a community-based resource
• 5% (1 person) discharged to a higher level of care (e.g., IMD/Locked)
• 18% moved out of the area, but successfully transitioned to another early intervention program
• 9% (2 people) can’t find client/lost to services

Skill-Building for parents and Guardians Parent Cafés (Child Abuse Prevention Council), n-279, page 207

• 90% improvement in parent/child relationships
• 95% improvement in parental resiliency
• 93% improvement in knowledge of parenting skills

CAPC Mentoring for TAY, n=293, Page 215-217

• Progress toward self-identified goals:
  • 94%: Emotional and behavioral wellbeing (n=104)
  • 94%: Education (n=133)
  • 91%: Living situation (n=102)
  • 90%: Employment and career (n=167)
  • 87%: Financial (n=123)
  • 85%: Physical Health (n=39)
• Remained stable or improved in the following areas:
  • 100%: Sexual Exploit
  • 99%: Social Functioning
  • 99%: Criminal
  • 98%: Suicide Risk
  • 98%: School/Class Attend (n=167)
  • 97%: Substance Use
  • 97%: Community Life
  • 96%: Resid. Stability
  • 93%: Family Strengths
  • 93%: Work/Volunt./Vocational (n=137)
  • 91%: Educ. Environ (n=167)
• 58% improvement in CANSA ratings, 32% remained unchanged, 10% declined

Women’s Center TAY (n=124)

• Progress toward self-identified goals:
  • 70%: Emotional and behavioral wellbeing (n=81)
  • 62%: Living situation (n=101)
  • 62%: Education (n=95)
  • 62%: Social support and connections (n=71)
  • 60%: Employment and career (n=111)
  • 49%: Physical health (n=49%)
  • 48%: Financial (n=107)
  • 38%: Parenting (n=24)
• Remained stable or improved in the following areas:
  • 98%: School/Class Attend (n=51)
  • 98%: Criminal
  • 98%: Sexual Exploit
  • 96%: Substance Use
  • 96%: Suicide Risk
  • 96%: Educ. Environ. (n=51)
  • 95%: Community Life
  • 94%: Family Strengths
  • 94%: Resourceful-ness
  • 92%: Social Functioning
  • 87%: Resiliency
• 45% improvement in CANSA ratings, 41% remained unchanged, 13% declined

Criminal Justice

2023-26 MHSA 3-Year Plan, Homeward Bound, Pages 287-288 and 321
The Homeward Bound Initiative is successfully delivering a broad range of behavioral healthcare services to individuals with mild-to-moderate behavioral health conditions, many of whom report having a history of interaction with the criminal justice system [68.4%]. To date, the program has been highly successful at engaging clients who identify as homeless (n=284, 23.1% of the sample). Once engaged in care, individuals from these historically underserved groups engaged and remained in care at levels at least comparable to those who report not being homeless, and other racial and ethnic groups. In total, 31.6% of clients reported previously being convicted of crimes. Conviction rates for Homeward Bound clients were 9.5% within 12-months of receiving care, and 18.3% within 24-months. Recidivism rates of individuals with a prior conviction were 10.86% at 12-months post-baseline, and 21.99% at 24-months.

Employment

2023-26 MHSA 3-Year Plan
Progressive Housing Initiative, n=33, Page 380

• Overall, clients reported substantial impairments in functioning across a key range of outcomes, and almost all were unemployed and not in education programs at program entry.
  
  • Amongst the 33 guests/residents surveyed at the one-year follow-up stage, five were employed (15.2%), four reported they were actively seeking employment (12.1%), and 24 (72.7%) were neither employed nor seeking employment. At the 2-year stage, one was employed (10%), and nine were neither employed nor seeking employment.
    
  • Regarding education and training, of the 33 guests/tenants surveyed at the 1-year follow up stage two (6.1%) were enrolled in school, while 31 were not. At the two-year follow-up stage, all 10 guests/residents surveyed reported they were not enrolled in higher education. ​
    

Hospitalization

2023-24 EQRO Report, Page 43 MediCal EQRO

• 7-Day Post-Psychiatric Inpatient Rehospitalization CY 2020: 15% (compared with 19% statewide)
• 7-Day Post-Psychiatric Inpatient Rehospitalization CY 2021: 20% (compared with 24% statewide)
• 7-Day Post-Psychiatric Inpatient Rehospitalization CY 2022: 5% (compared with 21% statewide)
• 30-Day Post-Psychiatric Inpatient Rehospitalization CY 2020: 22% (compared with 28% statewide)
• 30-Day Post-Psychiatric Inpatient Rehospitalization CY 2021: 25% (compared with 33% statewide)
• 30-Day Post-Psychiatric Inpatient Rehospitalization CY 2022: 12% (compared with 30% statewide)

Housing

2023-26 MHSA 3-Year Plan
Progressive Housing Initiative, n=34, Page 379 (program description on page 382)

• Reduction in impairment in domains concerning:
  • Residential stability (from 85.4% of guests/residents to 41.2%)
  • Also see “Employment” and “Substance Use Disorder” categories

Substance Use Disorder (SUD)

2023-26 MHSA 3-Year Plan
Progressive Housing Initiative, n=34, Page 379

• Reduction in impairment in domains concerning substance use (38.4% to 14.7%).

More EQRO Data: (LINK)
​More SAMHSA PATH Data at: SAMHSA