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Primary data sources used in the course of this project include:
In addition, the study collected information through interviews with:
Unless otherwise indicated, the quotations that appear in text boxes throughout this report come largely from these interviews and focus groups.�
CFR data include filings for calendar year 2006 while data for New York City providers cover the period from 7/1/2006 to 6/30/2007.� The CFR data summarize all revenue sources and costs for mental health programs across all providers.�� Financial data reported by county or region are based upon the location of the agency filing the report.� Service and facility locations may vary from the reporting location but the county locations were deemed reliable for analysis purposes.�
For this analysis, out of 89 OMH program types, the following services were excluded: Inpatient; FEMA Crisis; Clinic Treatment; Residential; Special Demonstrations; LGU Admin and programs specifically designed for children.
At the time the present study was initiated, a separate process was begun to restructure children�s mental health services.� Since the children�s system had previously been engaged in strategic planning efforts and has been expanding the population served under its Home and Community Based Services waiver, a separate planning process was created for children�s mental health ambulatory services.� However, there is significant overlap in many of the data sources for child and adult services.� CFR data for many of the ambulatory services, for example, cannot be separately reported for adults and children.� Other services are specifically targeted to adult or child populations and they have been excluded.� Day Treatment and certain family support services are clear examples of services specifically focused on children.� Other services such as emergency and case management cannot be as easily separated.
As a result, in the data that follow we have generally indicated whether programs serve just adults or children as well.�
Adult Medicaid claims data were reviewed for calendar year 2007.� Data included claims by service, unduplicated adult (18+) recipients for each service type and units of service.� Medicaid data allow for analysis of per capita service costs, penetration rates, client use of multiple services and client movement and transition between services.�
Data from the 2007 Patient Characteristics Survey were also reviewed to provide demographic and other summary information on the people served in New York�s ambulatory non-clinic mental health system.� These data are from a survey of providers during a one week period in "snapshot" in 2007 and have been sorted to report only on adults who were not in clinic or inpatient services.