During the current reporting period, the project evaluators completed an analysis of the costs and services related to the project. The analysis reflects a costs and services analysis of OCP2 youth enrolled in the project for six months and compares costs and services of this group to a comparison group of similar youth. The analysis serves to provide costs and services data so that the program may evaluate the cost effectiveness of the project as compared to “treatment as usual” (TAU). During the 6-months prior to OCP2 enrollment, 41 youth had received services totaling $111,529.78. After enrollment into OCP2 and receiving services for 6-months, 50 youth received services totaling $122,435.12. The cost and services analysis indicates that the system of care has shifted to facilitate implementation of OCP2 and its focus on keeping youth in the least restrictive level of care and in providing transitional age youth with an evidence-based practice of Transition to Independence Process (TIP) whereby a wellness/life coach (TIP Coach) and/or case manager serves to coordinate youth care and support services and provide developmentally appropriate access to supported housing and employment services to assist youth in becoming independent adults. This is evidenced by increased costs in recovery support, case management, incidentals (flexible funds), supported housing, supported employment, and room & board services. As a result of this shift, it is expected, and demonstrated that residential treatment costs (i.e., residential level 1 & 2) are reduced. Additionally, intervention services and outpatient treatment costs have also decreased while youth are participating in OCP2. This seems to indicate that traditional treatment, replaced with community-based social supports coupled with a peer specialist, may be more cost effective and, based on previous reports presenting evaluation outcomes, the OCP2 model produces better outcomes.

Furthermore, an analysis to evaluate the impact of the change of system of care philosophy within OCP2, comparisons between services and costs received by OCP2 to a comparison group of youth receiving traditional treatment as usual (TAU) was conducted. To this end, 54 youth were identified within the BBHC services database who had been in treatment for 12-months at the end of September 2017. Of these youth, in order to make the groups comparable, services and costs received while in TAU were analyzed for the last 6-months participating in treatment services. The selection of cases for the TAU group incorporated the same inclusion criteria for OCP2 enrolled youth. They are 14-21 years of age with a serious mental health disorder and/or co-occurring substance abuse treatment disorder, involved in multiple systems, and at risk for out-of-home-placement. The analysis revealed that after enrollment into OCP2 and receiving services for 6-months, 50 youth received services totaling $122,435.12. During the same 6-month period, youth enrolled in TAU received services totaling $193,552.00. Youth participating in TAU are more likely to receive residential treatment programs and supported employment programs than OCP2 youth, and they receive less case management and supported housing services than their OCP2 counterparts.

Contact Jennifer Holtz, Project Evaluator, for more information.