Better Off: # of youth/young adults demonstrating a clear reduction in behavioral health symptoms at discharge (Annual)
Current Value
4
Definition
Story Behind the Curve
Action Plan
Data Discussion
(Annual FY): The target percentage for youth demonstrating a clear reduction in behavioral health symptoms at program discharge is 70%. A total of 50%, or 5 of 10 youth/young adults demonstrated a clear reduction in behavioral health symptoms during FY21. A total of 75%, or 3 of 4 youth/young adults, demonstrated a clear reduction in behavioral health symptoms at discharge during the first reporting period of FY21. This included 3 youth/young adults that completed the full course of treatment and 1 who was discharged due to lack of engagement* prior to full program completion. A total of 33%, or 2 of 6 youth/young adults, demonstrated a clear reduction in behavioral health symptoms at discharge during the second reporting period. This included 2 youth/young adults that completed the full course of treatment and 4 who were discharged due to lack of engagement* prior to full program completion.
*MST EA Reasons for Non-Completion of Treatment
- Moved from Baltimore County
- Lack of Engagement
- Placed in detention for event prior to MST EA involvement
- Placed in detention for event occurring at the very beginning of MST EA involvement
Definitions:
Reduction in Behavioral Health Symptoms: EA demonstrates a clear reduction in behavioral health symptoms at discharge as measured by MST EA therapist evaluation, client self-report, psychiatric evaluation (when available), other provider reports, and placement due to behavioral health concerns.
Client Discharge:
Discharge Criteria
The determination to discharge an EA from MST-EA is based upon evidence of intervention effectiveness as evaluated from multiple perspectives (e.g. EA, social network members, school, probation officer) indicating that:
- a majority of the Overarching Goals for the case have been met and sustained;
- the EA has few significant behavioral health and justice-related problems;
- the EA can effectively manage any recurring problems and functions reasonably well for at least 3 to 4 weeks;
- the EA is making reasonable educational/vocational efforts;
- the EA is involved with prosocial peers and is not involved with, or is minimally involved with problem peers; and
- the therapist and supervisor feel the EA has the knowledge, skills, resources, and support needed to handle subsequent problems.
Discharge from MST-EA may also occur when few of the Overarching Goals have been met, but despite consistent and repeated efforts by the therapist and supervisor to overcome the barriers to further success, the treatment has reached a point of diminishing returns for the additional time invested.