Full Service Partnership & Client Service Info (CSI) Glossary

Adult

Per Mental Health Services Act legislation, an Adult is a person between ages 26 and 59.

Child

Per Mental Health Service Act legislation, a Child is a person between ages 0 and 15.

Client Service Information (CSI)

The Client Service Information (CSI) is a client-level data system in which the Department of Health Care Services maintains County-submitted information about Community Services and Supports (CSS) clients in each County. Data is provided monthly by County mental health programs (MHPs) and in these dashboards are summarized at the state level. The MHSOAC receives twice-annual updates of the CSI and DCR data from DHCS, which then are reflected in updates to the dashboard.

Data Collection Reporting (DCR)

The Data Collection Reporting (DCR) System is a client-level data system in which the Department of Health Care Services(DHCS) maintains County-submitted information about Full Service Partnership (FSP) clients. The DCR, together with DHCS’s Client & Service Information (CSI) System, is the data source for the MHSOAC Full Service Partnership Outcomes Dashboard. Data is provided monthly by County mental health programs (MHPs) and in these dashboards are summarized at the state level. The MHSOAC receives twice-annual updates of the DCR and CSI data from DHCS, which then are reflected in updates to the dashboard.

Fiscal Year (FY)

Program planning and the reporting of Mental Health Services Act (MHSA) expenditures are based on the State fiscal year, which begins July 1st and ends June 30th of the following calendar year. For example, the fiscal year 2015–16 began July 1st, 2015, and ended on June 30th, 2016.

Full Service Partnership (FSP)

This is a program category within Community Services and Supports (CSS). The FSP program philosophy is to do “whatever it takes” to help individuals achieve their goals, including recovery, by providing a full spectrum of community services and supports, as determined collaboratively with the partner-client. The services provided may include, but are not limited to, mental health treatment, housing, medical care, vocational training, and crisis support.

Key Event Tracking (KET)

This is a Full Service Partnership (FSP) administrative tracking report. A County is to submit a KET to the CA Department of Health Care Services Data Collection Reporting system (DCR) whenever any of several “key events” occur for a Full Service Partnership (FSP) client, including: changes to residential status, employment, emergency room visits, arrests, and discontinuance from the program. There is no limit to the number of KET forms that can be completed.

Last Service Period Reported

Last service month with data reported for each county. MHSOAC expects to see a 2-3 month lag in last reported service month and the date our data was received from DCHS.

Language

Language grouping (English, Spanish, Other, Unknown) based on detailed data reported in the DHCS Client Services Information System. Categories are chosen based on a combination of DHCS reporting groups and categories that allow MHSOAC to minimize data suppression at the county level.

Medi-Cal

Medi-Cal is a program that offers free or low-cost health coverage for low-income children and adults. Many Mental Health Services Act (MHSA) programs are financed through blended funding, including Medi-Cal Federal Financial Participation (FFP) reimbursements for medically necessary Specialty Mental Health Services. Mental health benefits covered through Medi-Cal can be found https://www.dhcs.ca.gov/services/medi-cal/Documents/Benefits-Chart.pdf.

Medi-Cal Comparisons Dashboard

DHCS generated count of total active Medi-Cal clients in aid codes eligible for Short-Doyle/Medi-Cal II (SD/MC II) claims during fiscal years 14/15 through 17/18. Data is downloaded from the MHS Dashboard Adult Demographic Datasets and Report Tool.
https://data.chhs.ca.gov/dataset/adult-ab470-datasets
https://data.chhs.ca.gov/dataset/child-youth-ab470-datasets

Older Adult

Per Mental Health Services Act legislation, an Older Adult is a person 60 years of age and older.

Partner

The State adopted the term, “partner” to refer to the client participating in a Full Service Partnership (FSP) program. Unique to FSP programs are a low staff to client ratio, a 24/7 crisis availability and a team approach that is a partnership between mental health staff and consumers. Persons should only be in one partnership at a time, but can be in more than one partnership over a longer period of time (for example if a person moves to a new county we might see them also move to a different partnership in the new county).

Partner Assessment/Tracking

Partner assessment/tracking is defined and/or measured through documented FSP partner contacts via the mandated quarterly assessment (3M) and/or the Key Event Tracking (KET) data provided to DHCS by each county. Assessment/tracking is measured in two ways: (1) using the percentage of partners with any KET or 3M submitted to DHCS during a fiscal year in which they are still defined as being in an active FSP (2) the percentage of expected quarterly assessments reported during a fiscal year. Partners active for less than 90 days are excluded from the measure they would not necessarily be expected to have a documented contact record. One would expect a partner to have at least one 3M if a fiscal year where they were actively enrolled for more than 90 days.

Partnership

Relationship between the client or partner and the Full Services Partnership program in which they are enrolled. Unique to FSP programs are a low staff to client ratio, a 24/7 crisis availability and a team approach that is a partnership between mental health staff and consumers.

Percent of Any Assessment/Key Event

MHSOAC looks for at least one ;quarterly assessment (3M) ;or key event tracking (KET) data for a client. If a client has at least one contact they get a flag of 1 for assessment/tracking, otherwise they get a flag of 0. The flags for all partners active for 90+ days are summed and then divided by the county of all partners active for 90+ days to create the final measure.

Percent of Expected Quarterly Assessments

For Partners active for 90+ days during a fiscal year MHSOAC sums the number of quarterly assessments found during the year to create the numerator. For the denominator MHSOAC calculates the expected number of quarterly assessments during the year based on the number of days active 90-179 days = 1, 180-269 days = 2, 270-364 days = 3, 365 days = 4). The sum the number of actual assessments is then divided by the sum of the number of expected assessments for each county to create the final measure.

Person

Calculated field identifying an unique individual person based on data reported to DHCS via the Full-Service Partnership Data Collection and Report Tool or the Client Services Information System. MHSOAC calculates a person id based on the personal/demographic data reported to DHCS. This is considered a unique identifier per person and an individual can be in more than one Partnership (Partner) over time (though a person should never be in more than one partnership at a single time).

Place of Birth

Place of Birth Category (CA Born, Oth US Born, Foreign Born, Unknown) based on multiple birth place fields reported in the DHCS Client Services Information System. Categories are chosen based on a combination of DHCS reporting groups and categories that allow MHSOAC to minimize data suppression at the county level.

Protected Health Information (PHI)

Protected health information is individually identifiable information relating to the past, present, or future health status of individuals including, diagnoses, treatment information, medical test results, prescription information, medical identification numbers, and demographic information such as birth dates, gender, ethnicity, and contact and emergency contact information. Source: HIPAA Journal.

The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.

State and federal law (i.e., HIPAA) require various entities to protect the private information of individuals receiving physical or mental health care. In presenting information about clients and client outcomes in the Transparency Suite, the MHSOAC has aggregated or suppressed display of information about small groups of individuals to minimize the likelihood that any individual can be reidentified from displayed information.

Quarterly Assessment (3M)

This is an assessment form used within Full Service Partnership (FSP) programs. The Quarterly Assessment (3M) is to be completed every 3 months for Full Service Partnership (FSP) clients for the duration of active partnerships, once a partnership is established. 3Ms provide status updates to data collected in the Partnership Assessment Form (PAF).

Race/Ethnicity

Grouped Race/Ethnicity categories (African American, American Indian or Alaska Native, Asian/Pacific Islander, Latino/a, Multiracial, Other, White/Caucasian, Unknown) based on the detailed race information reported in the DHCS Client Services Information System. Categories are chosen based on a combination of DHCS reporting groups and categories that allow MHSOAC to minimize data suppression at the county level.

Region

California region is defined as one of 5 regions based on MHSOAC research stratifications.

Bay Area Counties: Alameda, Berkeley City, Contra Costa, Marin, Monterey, Napa, San Benito, San Francisco, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma

Central Counties: Alpine, Amador, Calaveras, El Dorado, Fresno, Inyo, Kings, Madera, Mariposa, Merced, Mono, Placer, Sacramento, San Joaquin, Stanislaus, Sutter/Yuba, Tulare, Tuolumne, Yolo

Southern Counties: Imperial, Kern, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, Ventura

Los Angeles County: Los Angeles County

Superior Counties: Butte, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc, Nevada, Plumas, Shasta, Sierra, Siskiyou, Tehama, Trinity

Sex

Biological sex at birth (Female, Male, Other, Unknown) reported in the DHCS Client Services Information System. Categories are chosen based on a combination of DHCS reporting groups and categories that allow MHSOAC to minimize data suppression at the county level.

Specialty Mental Health Services

The Medi-Cal Specialty Mental Health Services Program is “carved-out” of the broader Medi-Cal program and is also administered by the Department of Health Care Services (Department) under the authority of a waiver approved by the Centers for Medicare and Medicaid Services (CMS). The Department contracts with a Mental Health Plan (MHP) in each county to provide or arrange for the provision of Medi-Cal specialty mental health services. All MHPs are county mental health departments.

Specialty mental health services are Medi-Cal entitlement services for adults and children that meet medical necessity criteria, which consist of having a specific covered diagnosis, functional impairment, and meeting intervention criteria.

The following Medi-Cal specialty mental health services are provided for children and adults: Adult Crisis Residential Services, Adult Residential Treatment Services, Crisis Intervention, Crisis Stabilization, Day Rehabilitation, Day Treatment Intensive, Intensive Care Coordination, Intensive Home Based Services, Medication Support, Psychiatric Health Facility Services, Psychiatric Inpatient Hospital Services, Targeted Case Management, Therapeutic Behavioral Services &Therapy and Other Service Activities.

Transition Age Youth (TAY)

Per Mental Health Services Act legislation, Transition Aged Youth (TAY) are defined as any person between the ages of 16 and 25.

Trauma

Trauma is a field within the Client Services Index data (CSI) that indicates whether clients have experienced trauma causing experiences having witnessed violence, been a victim of crime or violence, lived through a natural disaster, been a combatant or civilian in a war zone, witnessed or been a victim of a severe accident, or been a victim of physical, emotional, or sexual abuse.