Reasons for Exiting a Full Service Partnership (FSP) Glossary

Age group based on either the start of the fiscal year or the person’s FSP start date. Categories are chosen based on a combination of DHCS reporting groups and categories that allow MHSOAC to minimize data suppression at the county level.

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

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.

Detained is one of nine reasons a client’s participation in a Full Service Partnership (FSP) may end as defined by Department of Health Care Services (DCHS) FSP Key Event Tracking (KET) assessment. An FSP partner is disenrolled (discharged from the FSP) as Detained when the County identifies the client as being held in custody by law enforcement. Detained is included in category Jail/Institution. 

The MHSOAC Full Service Partnership outcomes dashboard provides information on the distribution of reasons that Full Service Partner clients ended their participation, statewide and by County. Disenrollment is when a County determines that a client is no longer enrolled in a Full Service Partnership (FSP).

Discontinuation Types include the client having met goals identified by the client, or other reasons, such as the client having moved out of the County’s jurisdiction, the client having died, Institutionalized or been incarcerated, the County or program having lost contact with the client, or other reasons.

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.

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.

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.

Lost contact is one of eleven reasons a client’s participation in a Full Service Partnership (FSP) may end as defined by Department of Health Care Services (DCHS) FSP Key Event Tracking (KET) assessment. An FSP partner is disenrolled (discharged from the FSP) as Lost Contact when the County repeatedly attempts to locate a Full Service Partnership (FSP) client but is unable to do so.

Met Goals is one of eleven reasons a client’s participation in a Full Service Partnership (FSP) may end as defined by Department of Health Care Services (DCHS) FSP Key Event Tracking (KET) assessment. An FSP partner is disenrolled (discharged from the FSP) as having “Met Goals” when the County identifies the client as having successfully met his or her individual goals such that discharge of Full Service Partnership (FSP) is appropriate.

Moved is one of eleven reasons a client’s participation in a Full Service Partnership (FSP) may end as defined by Department of Health Care Services (DCHS) FSP Key Event Tracking (KET) assessment. An FSP partner is disenrolled (discharged from the FSP) as “Moved” when the County identifies the client as no longer residing within the County. Moved is included in category Discontinued/Lost Contact.

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

This is typically a value reported and/or seen in demographic values for cases where a partner/client reported a value “other than” the values presented in the intake form. Other is generally a reported field (missing data is reported as “Unknown”), the notable exception being for primary language where “Other” is the sum of all reported languages other than English, Spanish, and Unknown.

For disenrollment reasons “other” includes moved, deceased, and target criteria not met. 

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 discontinued is one of nine reasons a client’s participation in a Full Service Partnership (FSP) may end as defined by Department of Health Care Services (DCHS) FSP Key Event Tracking (KET) assessment. An FSP partner is disenrolled (discharged from the FSP) as Partner Discontinued when the County determines that the FSP client has ceased to participate in the FSP before goals were met.

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.

Partner discontinued is one of nine reasons a client’s participation in a Full Service Partnership (FSP) may end as defined by Department of Health Care Services (DCHS) FSP Key Event Tracking (KET) assessment. An FSP partner is disenrolled (discharged from the FSP) as Partner Discontinued when the County determines that the FSP client has ceased to participate in the FSP before goals were met.

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.

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.  

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. 

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 

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.

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