Individual Care Grant Program Fiscal Year 2013 Annual Report

Department of Human Services Division of Mental Health

Child and Adolescent Services

INTRODUCTION This report functions as the 2013 annual fiscal review of the Individual Care Grant (ICG) Program, along with a more general explanation of the ICG Program administration. The report will begin with an introduction of the Illinois Administrative Rule and how this has been applied to the ICG Program, highlight the administrative structure for the ICG Program, provide a broad overview of the services offered and youth served, and conclude with statistics specific to the FY 2013 program year.

The Individual Care Grant (ICG), which is administered under the auspices of the of the Department of Human Services, Division of Mental Health, Child and Adolescent Services (ILDHS/DMH C&A), is governed by Illinois Title 59: Mental Health Chapter I: Department of Human Services, Part 135, Individual Care Grants for Mentally Ill Children. Rule 135 defines criteria for eligibility, provision of services, funding, annual reviews and reporting requirements.

The State provides a financial subsidy to assist parents or guardians to obtain residential treatment services or intensive community-based mental health services for a child with a serious, chronic, mental health condition with symptoms of severely impaired reality testing.

ILLINOIS LEGISLATION AND RULE 135 Rule 135 The ICG program was established by Illinois State legislation in 1969 and was adopted through Title 59 of the Illinois Administrative Code, Part 135 (otherwise known as Rule 135) on July 31, 1987. Rule 135 governs the administration and operation of the ICG program through the Illinois Department of Human Services, Division of Mental Health. Rule 135 defines eligibility criteria, provision of services, funding, annual reviews and reporting requirements. The ICG currently provides funding for residential treatment and intensive community-based mental health services for children and adolescents diagnosed with a severe mental illness, experiencing a level of impaired reality testing. Administrative Rule Revised In January of 1999, Rule 135 was revised. The revisions included: 1) an extension of the age a youth remains eligible for the program; 2) a change in the application review process; and 3) the option for a youth to receive ICG services while living at home in their community.

1. Youth enrolled in high school may remain in the ICG program until age 21.

2. The eligibility review process was changed from a panel of three to just one individual reviewing initial ICG applications. Secretary-level appeals are also reviewed by one individual reviewer. Additionally, all ICG placements are reviewed annually for eligibility.

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3. The community-based service option was formally added to Rule 135 to provide for intensive community-based services that match the child’s service needs provided before, after, and in lieu of residential treatment.

Eligibility Criteria To be eligible for the ICG, a youth must meet each of the six eligibility criteria in Section 135.20, Eligibility Criteria, Title 59: Mental Health Chapter I: Department of Human Services, Part 135, Individual Care Grants for Mentally Ill Children. The criteria are summarized below:

1. Parent/guardian must be a resident of the State of Illinois. 2. The child must have a severe mental illness. Symptoms must include severely impaired

reality testing and may include hallucinations, delusions, avoidance or withdrawal from human contact, marked affective instability, apathy, bizarre behavior, deficient or unusual forms of communication, agitation, and/or danger to self or others. The course of the illness should indicate that the symptoms do not represent an acute episode from which rapid and substantial remission is likely.

3. There has been an appropriate trial of inpatient, outpatient, and/or community-based treatment efforts, and subsequently residential services are required.

4. The child must not be under the guardianship or legal custody of a State agency. 5. The child must be enrolled in an Illinois State Board of Education approved educational

program at the elementary/high school level. 6. A completed application package in accordance with Section 135.40 of this Part must be

submitted before the child attains the age of 17 years and six months. Families are encouraged to seek assistance from the ICG Coordinator (see Role of ICG Coordinator) when gathering application materials and preparing the application. An ICG Coordinator located in the family’s geographic area is notified when a family requests an application. After notification, the parent/guardian should contact the SASS agency for assistance in gathering the required information and documentation for the ICG application.

ADMINISTRATION OF THE ICG PROGRAM DMH Child and Adolescent Services The Child and Adolescent Services office is led by a board certified Child and Adolescent Psychiatrist and consists of Statewide Child and Adolescent Services staff, some of whom are geographically located in each of five regions of the state. Specialty program grants specific to children and adolescents—including the ICG—are managed by Central Office Child and Adolescent Services staff, who have expertise in such areas as mental health services in schools, transition services for youth, early childhood services, and mental health prevention and early intervention for children and youth.

The five geographic Comprehensive Community Service Regions (CCSRs) are responsible for contracting activities with 124 child serving agencies which either provide specialized services or are community mental health centers with children's programming. They also collaborate with and monitor local hospitals that provide psychiatric programs for youth. The localized integration of a comprehensive care system including mental health, substance abuse, child

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welfare, juvenile justice, and education is within their purview. Each CCSR has access to C&A staff specially designated to address child and adolescent and juvenile forensic service issues. Consumer parents (Family Consumer Specialists) are regionally based and function in the critical system role of connecting DMH services to their communities while providing DMH with the consumer family voice and input from their communities.

The DMH Child and Adolescent Program embraces a cross cutting System of Care Philosophy that honors child-centered and family-focused treatment for youth with a serious mental illness. The system of care philosophy is built upon three core values and guiding principles:

1. Family-Driven and Youth-Guided, with the strengths and needs of the child and family determining the types and mix of services and supports provided.

2. Community-Based, with the locus of services as well as system management resting within a supportive, adaptive infrastructure of services, processes, and relationships at the community level.

3. Culturally and Linguistically Competent, with agencies, programs, and services that reflect the cultural, racial, ethnic, and linguistic differences of the populations they serve to facilitate access to, and utilization of, appropriate services and supports; and, to eliminate disparities in care (Stroul, B., Blau, G., & Friedman, R. 2010).

Illinois Mental Health Collaborative for Access and Choice On April 1, 2008, the Division of Mental Health (DMH) contracted with the Illinois Mental Health Collaborative for Access and Choice (the “Collaborative”) to assume administrative and procedural functions for the residential treatment portion of the ICG program. The Collaborative processes application requests, receives applications, and evaluates the applications for completeness as well as eligibility using criteria developed by the Division of Mental Health. The DMH has final determination if the ICG is granted or denied. The Collaborative also reviews Quarterly Reports and conducts Annual Eligibility Reviews. The Annual Review process was initiated in February 2000. Quarterly and annual reviews are required under DHS Rule 135 (Section 135.135). The annual review includes a determination for continued eligibility made on the annually recurring date of the initial eligibility determination. Continuing eligibility is based on parent participation in the treatment, continued need for intensive community or residential treatment, and clinical progress reports received from the provider. Each youth enrolled in the ICG program for one year or more received an annual review in Fiscal Year 2013. Quarterly reviews were conducted for youth who received an ICG on their three month anniversary and each quarter year thereafter. Quarterly reviews are conducted to monitor the progress of ICG recipients in their treatment program.

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ICG SERVICES

Residential ICG Services The decision to place a child in a residential facility is contingent upon the child’s mental health treatment needs, and is made on an ongoing basis in conjunction with the parents and youth, the treatment team, and consideration of DHS/DMH criteria. Residential treatment services are available in a 24-hour supervised residential facility. The State of Illinois contracts with residential facilities to provide mental health treatment services in a live-in facility. All residential facilities must meet the standards for licensed private facilities as defined in Title 59: Mental Health, Part 135, Section 135.10. A list of approved residential facilities for Fiscal Year 2013 is in Appendix III.

Residential facilities contracted by the State of Illinois are required to:

1. Meet the standards for licensed private facilities 2. Maintain current certification of Medicaid Mental Health services for each specific service site location 3. Be accredited by a National Accreditation body recognized by the Illinois Department of Human Services 4. Have an educational program approved by the Illinois State Board of Education 5. Have a per diem rate that includes residential services, such as room and board 6. Have entered into a contract with the Department of Human Services to provide residential services during the current fiscal year 7. Register with the Secretary of State 8. Be enrolled with the Department of Healthcare and Family Services (HFS), and 9. Register with ProviderConnect using an online application to complete service

requests The ICG program strives to serve children and adolescents in the most clinically appropriate, culturally competent, least restrictive treatment setting, located as close to the youth’s home as possible. During Fiscal Year 2013, Illinois contracted with 27 mental health residential treatment providers. Twenty of the 27 residential facilities were located in the State of Illinois. Seven were out-of-state facilities located in the bordering states of Wisconsin, Indiana, and Missouri. Parents are encouraged to be active participants in their child’s treatment. Placement in Illinois, close to the child’s home community, is preferred and makes parental and family participation and involvement more easily accessible.

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Residential Placement Monitoring Residential providers complete quarterly reports to document the youth’s diagnosis, treatment plan, current medications, target symptoms, types of therapy used, family involvement, discharge plans, and progress toward treatment plan goals. ICG utilization staff review the quarterly reports.

The 11 criteria reviewed are:

1. Reason for admission 2. Discharge criteria 3. Treatment plan goals 4. Individual therapy provided 5. Family therapy provided 6. Discharge plan 7. Specialized treatment 8. Diagnosis 9. Family involvement 10. Justification for continued treatment 11. Overall quality of the report 12. Transition planning

Residential nights of stay are authorized every 90 days based on the results of the quarterly report.

Community ICG Services The parent/guardian of a child with an ICG is invited to participate in a Placement/Service Determination meeting within 10 days of grant approval. The purpose of the meeting is for the parent/guardian to consider available residential options or to consider alternative in-home community-based services for their child. Community-based services are recommended when these services are determined to meet the clinical and mental health needs of the child. An array of services is available to the youth and family at the community level of the ICG. These primarily fall within three service categories: Habilitative Services/Supervision, which includes activities aimed at mentoring and modeling adaptive socialization skills, Child Supportive Services, which includes activities aimed at facilitating youth integration into the community, and Behavior Management Services, which include time-limited services aimed at clinical interventions to address specific behaviors placing the youth at risk for needing a higher level of care.

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Enrollment of ICG Recipients and Payment for Services Rendered The Division of Mental Health requires providers to register/enroll individuals for whom it purchases services. Enrollment data includes demographic/descriptive information as well as some clinical information. Additional information is captured from treatment authorizations, quarterly reports and reviews. Beginning July 1, 2011 (Fiscal Year 2012), providers began submitting all claims for ICG services to the Department of Healthcare and Family Services (HFS) using a fee-for-service payment mechanism. Payment for services is contingent on providers’ delivery of services as documented by an accepted claim and is paid on the basis of the rate, unit cost, or allowable cost incurred. Providers are required to comply with all DHS-DMH rules and policies and with HFS rules and policies, including Chapter 100, Chapter 200 and Chapter 300 in the submission of claims for payment. The Collaborative works with the DMH to generate reports using registration, clinical and claims data which are used by DMH ICG staff for the purpose of program review, monitoring and evaluation. These data are also used to generate data included in ICG annual reports.

APPLYING FOR SERVICES Application and Appeal Process To apply for an ICG, the parent/guardian places a toll-free telephone call to the Collaborative at 866-359-7953. The Collaborative staff will conduct a telephone intake and send an application to the parent/guardian via U.S. mail. Each application is assigned a number so that the status of the application can be systematically monitored. An ICG Coordinator located in the family’s geographic area is notified when a family requests an application. The ICG Coordinator, upon the request of the family/guardian or youth, is available to work with the family and provides any assistance needed in completing the required application. When an application is denied, parents/guardians have the option of submitting an appeal. The parent/guardian must send their appeal to the Deputy Clinical Director, Department of Child and Adolescent Services, c/o Illinois Mental Health Collaborative, PO Box 06559, Chicago, IL 60606. The appeal must be in writing, and must be received by the Department within 40 days after the date of the denial letter sent by the ICG Program Office. The written appeal must provide in detail each basis on which the appeal is being made. The appeal must specifically state each reason that the denial of eligibility is alleged to be improper. The Secretary level review of the appeal is completed within 30 days. The reviewer of the Secretary’s level appeal is a board-eligible licensed physician in child psychiatry from the American Board of Psychiatry and Neurology. The Secretary makes the final administrative decision as to whether the child is eligible for an ICG. The Secretary’s decision is the Department’s final administrative decision. This decision is sent in writing to the parent/guardian within 40 days after the receipt of the parent/guardian's written appeal.

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Role of the ICG Coordinator At the time a youth is found eligible for the ICG, the youth and family are again referred to an ICG Coordinator for case management and other support services. ICG Coordinators are employed by community mental health agencies that are contracted to provide Screening, Assessment and Support Services (SASS). During FY 2013 there were 52 SASS agencies located throughout the State who are responsible for providing intensive community-based ICG services in the Illinois County they serve. SASS agencies are listed in Appendix I. At the onset of the grant award, the ICG Coordinator holds an individual service planning meeting with the youth and their parent/guardian and a representative from the Collaborative. At this meeting, the roles and responsibilities of all team members are explained, and clinically appropriate intensive community based services and residential settings that may meet the youth’s treatment needs are reviewed. The services reviewed are selected on the basis of the child's age, gender, mental health treatment needs, the treatment program available at the facility, and the location of the facility. Also discussed at the meeting are the mandates for parental involvement throughout ICG funding. At the parent/guardian and youth’s direction, and with valid authorization to release treatment information, the ICG Coordinator prepares clinical referral packets for each of the facilities chosen. The ICG Coordinator provides support, advocacy, case management, and other assistance to the child and family. Parents/guardians and the youth receive information and guidance to determine the type of services best suited to meet the clinical needs of the youth and family. The ICG Coordinator is responsible for developing an individual service plan, providing care coordination, and assisting families to gain knowledge about treatment programs and services provided by Illinois approved residential facilities. The ICG Coordinator works with the parent/guardian and youth to facilitate placement at a residential facility, when clinically indicated. If the parent/guardian and youth elect the community-based option for ICG services, and these services meet the child’s clinical needs, the ICG Coordinator works with the family and youth to devise a plan for the provision of intensive community-based services. The ICG Coordinator provides ongoing case coordination services while the youth receives either residential treatment services or community-based ICG services. Community-based ICG services include regular home visits, collaboration with service providers, and transition planning. Case coordination for youth in residential treatment includes preparing periodic progress reports, attending quarterly staffings, maintaining regular communication with the residential facility, and providing support to the child and family.

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CHILD/ADOLESCENTS RECEIVING SERVICES IN FY2013 The number of open and active cases fluctuates during the course of the year as children enter and exit the ICG program. One hundred eighty (62%) youth received services in their community and 111 (38%) received services at a residential treatment facility where a more intensive level of service was provided. The level of service may change for some youth as they improve, or in some cases, as they require more intensive services.

GENDER A total of 23 youth were found eligible for an Individual Care Grant during Fiscal Year 2013. Eleven (48%) of the recipients were males and 12 (52%) were females (Figure 1).

Figure 1 Gender ratio of youth awarded an ICG

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RACE Eleven (48%) Caucasian youth, nine (39%) African American youth, and two Hispanic (9%) youth were found eligible for an ICG during Fiscal Year 2013. One youth was of unknown race (4%) (Figure 2).

Figure 2 Race of Approved ICG Recipients in FY13

AGE During fiscal year 2013, 23 youth entered an ICG program and ranged in age from age 9 to 17.5. The age distribution of ICG recipients for Fiscal Year 2013 is charted below in Figure 3.

Figure 3 Age of Youth Awarded an ICG during Fiscal Year 2013

Caucasian African-American Hispanic Unknown# 11 9 2 1

0

2

4

6

8

10

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Race of Approved ICG Recipients Fiscal Year 2013

17 16 15 14 13 12 11 10 9# Awarded 4 5 3 2 1 2 2 2 2

0

1

2

3

4

5

Num

ber o

f You

th A

war

ded

Age of Youth at time of Award

Age of Youth Awarded an ICG Fiscal Year 2013

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RESIDENCE

The State of Illinois is divided into five DHS Regions (see Appendix II). Region 1 includes all of Cook County. Region 2 includes 17 counties in Northern Illinois excluding Cook County, Region 3 includes 23 counties in North Central Illinois, Region 4 includes 28 counties in Central Illinois, and Region 5 includes 33 counties in Southern Illinois.

During Fiscal Year 2013, ICG eligibility was highest in DHS Regions 1 and 2 (nine each). Three youth in Region 3, one youth in Region 4 and one youth in Region 5 were found eligible for ICG, as seen in Figure 4.

Figure 4 Number of Youth Found Eligible for ICG by DHS Region Fiscal Year 2013

9 9

3

1 1

0

2

4

6

8

10Number of Youth Found Eligible for ICG by DHS Region

Fiscal Year 2013

REGION 1 REGION 2 REGION 3 REGION 4 REGION 5

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In Residential Treatment: One hundred eleven youth received residential treatment services during Fiscal Year 2013. Of those, 23 were placed in out-of-state Residential Treatment facilities. The remaining 88 youth were placed across the five HFS Regions as shown in Figure 10. Forty youth were placed in Region 1 treatment facilities, and 34 youth were placed in Region 2 facilities. There were nine youth placed in Region 3, three youth placed in Region 4, and two youth placed in Region 5 residential treatment facilities during FY13 (Figure 5).

Figure 5 Number of Illinois Residential Placements by Region during Fiscal Year 2013. The 23 out-of-state placements are not included in this representation.

Community-Based Treatment: One hundred eighty youth received intensive ICG treatment services in their community during Fiscal Year 2013. Eighty four youth were served by agencies in Region 1, 68 youth were served by agencies in Region 2, Region 3 served 20 youth, Region 4 served five youth and three youth received services in Region 5.

Figure 6 Number of Community-Based Placements by Region during Fiscal Year 2013

40

34

9

3 2

0

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10

15

20

25

30

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45Residential Placement by Illinois Regions Fiscal Year 2013

REGION 1 REGION 2 REGION 3 REGION 4 REGION 5

84

68

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5 3 0

20

40

60

80

100Community-Based Placement by Region Fiscal Year 2013

REGION 1 REGION 2 REGION 3 REGION 4 REGION 5

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DIAGNOSIS Youth eligible for the Individual Care Grant must have a severe mental illness, which is defined by the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, as a mental or emotional disorder which substantially impairs thought, perception of reality, emotional process, judgment, behavior, and the ability to cope with the ordinary demands of several life domains. Symptoms must include severely impaired reality testing and may include hallucinations, delusions, avoidance or withdrawal from human contact, marked affective instability, apathy, bizarre behavior, deficient or unusual forms of communication, agitation, and/or danger to self or others. The course of the illness should indicate that the symptoms do not represent an acute (a short and severe) episode with rapid and substantial remission. Of the youth found eligible for the ICG program during Fiscal Year 2013, the two most prevalent occurring diagnoses were Bipolar disorders (41%) and Schizophrenia disorders (41%), followed by Asperger’s (9%), Mood disorders (4%) and other Psychotic disorders (4%). Bipolar disorder is a mood disorder defined by the presence of one or more episodes of abnormally elevated energy levels, cognition, and mood with or without one or more depressive episodes. Severe manic episodes can sometimes lead to delusions and hallucinations. Bipolar disorder involves extreme mood swings that typically occur more frequently in children than in adults. The onset of full symptoms of Bipolar disorder generally occurs in late adolescence or young adulthood. Schizophrenia is a severe mental illness that affects the way a person feels, behaves, perceives reality, and interacts with others. Symptoms commonly appear between the ages of 15 and 35, although sometimes it manifests in younger children. Some of the signs and symptoms of the disorder include seeing or hearing things that don't exist (hallucinations), having beliefs not based on reality (delusions), lack of emotion or emotions that are inappropriate for the situation, social withdrawal, decreased ability for self-care, incoherent speech, and illogical thinking. A psychotic disorder is an impairment in perception and understanding of reality. Symptoms may include fixed but untrue beliefs (delusions), seeing visions or hearing voices (hallucinations), confusion, disorganized speech, exaggerated or diminished emotions, or bizarre behavior. The child’s level of functioning may be severely impaired with social withdrawal and inability to attend to school, relationships, or even basic personal care. Individuals generally have little awareness of the mental abnormalities associated with their illness.

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ADOPTION STATUS OF ICG RECIPIENTS Nine (39%) of the 23 youth found eligible for an ICG during fiscal year 2013 lived with adoptive parents. The other 14 youth (61%) did not. Information on adoption status is collected during the intake call, which is the first point of contact between a parent/guardian and the ICG office (Figure 7).

Figure 7 Adoption ratio for ICG applicants Fiscal Year 2013

ICG APPLICATION PROCESSING FOR FISCAL YEAR 2013 There were a total of 200 applications submitted to the ICG program for consideration in FY 2013. One hundred (100) applications were considered incomplete due to missing information and returned to families, with a list of missing information. Table 1 shows that the remaining100 complete applications consisted of seven still In Review, 20 Approved (ten upon initial receipt, ten on overturned appeals, with an additional three that were approved in FY 13, but received at the end of FY 12) and 73 Denied (after 23 appeals were upheld). At the end of Fiscal Year 2012, there were nine applications still in review, and three of these were approved in Fiscal Year 2013 (these three were not counted in Fiscal Year 2013 since they were received in Fiscal Year 2012). The completed Fiscal Year 2013 applications were reviewed to determine eligibility for ICG program services. With the inclusion of the three fiscal year 2012 in review applications, a total of 23 youth met the eligibility requirements for the Individual Care Grant during Fiscal Year 2013 (Table 1). Table 1. Application Data Fiscal Year 2013

Number of Applications in Fiscal Year 2013

Total In Review Approved Denied

10 (+3)* 50

Appeals

Overturned Upheld

10 23

93 7 20 73 *Three additional applications in Review during Fiscal Year 2012 were approved in Fiscal Year 2013.

39% 61%

Adoption Ratio for Youth Awarded an ICG Fiscal Year 2013

Adopted (9)

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Of the 93 completed applications for Fiscal Year 2013, 83 were originally denied eligibility for the grant. Of those 83 denials, 33 were submitted to the DHS Secretary on appeal. Of the 33 on appeal, ten were overturned and 23 were upheld (Figure 8).

Figure 8 Number of appeals (by type) for initial ICG applications FY13

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POPULATION COUNTS DURING FISCAL YEAR 2013 It should be noted that the following two graphs (Figure 9 and Figure 10) are based upon paid claims for each fiscal year. In each of the categories, the youth counts are unduplicated. During Fiscal Year 2013, 256 youth received ICG services as compared to 304 in FY 12.

Figure 9 Total number of youth receiving ICG services

Of the total FY 13 population, 65 (25%) received mental health treatment services in residential facilities only, 82 (32%) received community-based treatment services only, and 109 (43%) received residential and community based services simultaneously. These figures compare to the respective FY 12 data of 118 (39%), 78 (26%), and 108 (36%).

Figure 10 Population counts by service type

304

256

225250275300325

FY 2012 FY 2013

Total ICG Consumers

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Annual Costs per Client for Residential Treatment In FY 2013, the annual costs per client for residential treatment through the ICG Program are as follows:

• Highest rate: $190,413 annually • Lowest rate: $ 40,219 annually • Mean rate: $ 71,134 annually

In FY 13, the Average Cost per Client in Residential treatment matched the mean rate for Residential treatment costs for the same period. In FY 13, the costs slightly increased from FY 12. The increase was $389, less than a 1% change.

Figure 10 Average Annual Cost per Client for Residential Treatment FY2012 vs. FY2013

$70,745 $71,134

FY12 FY13

Average Annual Cost per Client for Residential Treatment FY2012 vs. FY2013

Average Annual Residential Costs

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Community-Based ICG Services One hundred ninety-one youth received community-based ICG services during fiscal year 2013. The average annual cost for community-based ICG services during fiscal year 2013 was $3,551 per ICG recipient, a 20% decrease from the $4,401 average cost in fiscal year 2012. It is important to note that the average cost for community-based care is substantially lower than residential care because the cost of room and board is included in the annual rate for residential treatment but it is not a factor for community-based treatment. Figure 11 shows the decrease in average annual community-based treatment costs from FY2012 to FY2013.

Figure 11 Average Annual Community-Based Services Cost per Client FY2012 vs. FY2013

$4,401

$3,551

$-

$1,000

$2,000

$3,000

$4,000

$5,000

FY12 FY13

Average Annual Community-Based Services Cost per Client FY12 vs. FY13

Average AnnualCommunity-Based Costs

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PURCHASE OF ICG SERVICES Table 2 shows the history of appropriations and expenditures for the ICG program over the last 10 fiscal years. Each fiscal year, the ICG appropriation is adjusted to meet the expenditure obligation. The final appropriation may be higher or lower depending on actual costs.

Table 2 Fiscal history of appropriations and expenditures for the ICG program

* Partial Year Figure Comparing FY12 to FY13, the number of youth receiving ICG treatment services in a residential treatment setting has decreased, and the number of youth receiving ICG treatment services in their community has increased. During FY12, 43% of the total number of youth with an active ICG were served in their community. In FY13, the number of youth served in their community increased to 62% of the total number of youth with an ICG. It is important to note that the average cost for residential treatment is substantially higher than community-based treatment because the cost of room and board is included in the per diem rate for residential treatment but it is not a factor for community-based treatment.

Fiscal Year Appropriation Expenditure

2004 $22,594,800 $22,180,600

2005 $23,735,855 $24,854,890

2006 $26,256,348 $30,155,139.

2007 $25,805,377 $33,927,375

2008 $25,613,188 $30,943,088

2009 $25,841,548 $27,688,476

2010 $23,850,500 $25,401,576

2011 $23,864,300 $23,860,543

2012 $21,860,000 $17,144,334 *

2013 $22,400,000 $14,700,000

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Appendix 1

Illinois Department of Human Services County, Region and LAN Map (Counties are labeled, Regions are color coded, and LANs are numbered)

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Illinois Department of Human Services Cook County LAN Map * Illinois is divided into 62 Child and Adolescent Local Area Networks (LANs). A LAN is a geographical area consisting of one or more counties. Each LAN is served by a SASS agency under Contract with DHS/DMH. SASS agencies employ staff in the position of an ICG Coordinator. The ICG Coordinator provides case management and other support services to a youth and their family residing in a LAN served by a SASS agency. For youth receiving intensive community-based ICG services, the ICG Coordinator provides services to the youth in their youth community (see ICG Coordinator, page 3). Region 1 Cook County

Region 1 LAN Areas:

LAN 53: Bloom, Bremen, Rich, Thornton Townships LAN 56: Calumet, Lemont, Orland, Palos, Lower Stickney, Worth Townships LAN 57: Lyons, Riverside Townships LAN 58: Berwyn, Cicero, Oak Park, River Forest, Upper Stickney Townships LAN 60: Proviso Township LAN 61: Leyden Township LAN 63: Albany Park, Belmont-Cragin, Dunning, Edison Park, Forest Glen, Hermosa, Irving Park, Jefferson Park, Montclare, North Park, Norwood Park Township, O'Hare, Portage Park LAN 65: Edgewater, Lake View, Lincoln Park, Lincoln Square, Loop, Near North Side, North Center, Rogers Park, Uptown, West Ridge LAN 67: Austin, Avondale, East Garfield Park, Humboldt Park, Logan Square, Near West Side, North Lawndale, West Garfield Park, West Town LAN 75: Lower West Side, South Lawndale LAN 76: Armour Square, Douglas, Near South Side, Oakland LAN 77: Archer Heights, Bridgeport, Brighton Park, Chicago Lawn, Clearing, Gage Park, Garfield Ridge, McKinley Park, New City, West Elsdon, West Lawn LAN 79: Englewood, West Englewood LAN 80: Fuller Park, Grand Boulevard, Hyde Park, Kenwood, Washington Park, Woodlawn LAN 82: Avalon Park, Burnside, Chatham, Greater Grand Crossing, South Shore LAN 84: Auburn Gresham, Washington Heights LAN 85: Ashburn, Beverly, Mount Greenwood LAN 86: Morgan Park, Pullman, Riverdale, Roseland, West Pullman LAN 87: Calumet Heights, East Side, Hedgewisch, South Chicago, South Deering

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Appendix 2

Screening, Assessment and Support Services. (SASS) Agencies by LAN* and County Served (LANs are not numbered consecutively)

LAN 1: Family Counseling Center

408 East Vine Vienna, IL 62995

Counties Served: Alexander, Hardin, Johnson, Massac, Pope, Pulaski, Union

LAN 9: One Hope United 1901 South 4th Street Suite 212 Effingham, IL 62401 Counties Served: Effingham, Jasper, Clay

LAN 2: Egyptian Public & MH Center 1412 U.S. 45 North Eldorado, IL 62930 Counties Served: Gallatin, Saline, White

LAN 10: Southeastern IL Counseling Center 504 Micah Drive

Olney, IL 62450 Counties Served: Crawford, Edwards, Lawrence, Richland, Wabash

LAN 3: The H Group (merged with Southern Il Regional Social Services) 902 W. Main Street West Frankfort, IL 62896 Counties Served: Franklin, Williamson

LAN 12: WellSpring Resources (formerly Community Counseling Center N. Madison County) 2615 Edward Street Alton, IL 62002 Counties Served: Madison

LAN 4: The H Group (merged with Southern Il Regional Social Services) 604 East College

Carbondale, IL 62901 Counties Served: Jackson, Perry

LAN 13: Locust Street Resource Center 100 North Side Square Carlinville, IL 62626 Counties Served: Calhoun, Greene, Jersey, Macoupin, Montgomery

LAN 5: Human Support Services P.O. Box 146 988 N. Illinois Route 3 Counties Served: Monroe, Randolph

LAN 14: Lifelinks P.O. Box 1307 1300 Mattoon, IL 61938 Counties Served: Clark, Coles, Cumberland, Douglas, Edgar, Moultrie, Shelby

LAN 6: Comprehensive Mental Health Center of St. Clair County 3911 State Street East St. Louis, IL 62205 County Served: St. Clair

LAN 15: Mental Health Centers of Central Il 901 North 1st, Suite 101 Springfield, IL 62702 Counties Served: Christian, Logan, Mason, Menard, Sangamon

LAN 7: Chestnut Health Systems Chestnut Health Systems 50 Northgate Industrial Drive Granite City, IL 62040 Counties Served: Bond, Clinton, East St. Clair, Washington

LAN 16: Schuyler County MH Services 233 N Congress Street Rushville, IL 62681 Counties Served: Brown, Cass, Morgan, Schuyler, Scott

LAN 8: One Hope United 1901 South 4th Street Suite 212 Effingham, IL 62401 Counties Served: Hamilton, Jefferson, Wayne, Washington

LAN 17: Transitions of Western Illinois 4409 Maine Street Quincy, IL 62306 Counties Served: Adams, Hancock, Pike

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LAN 18: Bridgeway 2323 Windish Drive Galesburg, IL 61401 Counties Served: Fulton, Henderson, Henry, Knox, McDonough, Warren

LAN 31: Freeport Health Network 1133 W. Stephenson Street, Suite 401 Freeport, IL 61032 Counties Served: JoDaviess, Stephenson

LAN 20: Children’s Home Association of Il 511 E. Madison Street Peoria, IL 61603 Counties Served: Peoria, Tazewell, Woodford

LAN 32: Rosecrance Berry Center 526 W. State Street Rockford, IL 61101 Counties Served: Boone, Winnebago

LAN 21: Children’s Home Association-Il 511 E. Madison Street Peoria, IL 61603 Counties Served: Peoria, Tazewell, Woodford

LAN 33: Ben Gordon MH Center 12 Health Services Drive DeKalb, IL 60115 County Served: DeKalb

LAN 22: Heritage Behavioral Health Center P.O. Box 710 Decatur, IL 62525 Counties Served: DeWitt, Macon, Piatt

LAN 34: McHenry County Health Board 620 Dakota Street Crystal Lake, IL 60012 Counties Served: Mc Henry

LAN 23: Catholic Charities 603 N. Center St. Bloomington, IL 61701 County Served: Mclean

LAN 35: Lake County Health Department 820 Greenwood Ave. Waukegan, IL 60087 County Served: Lake

LAN 23A: Institute for Human Resources 310 E. Torrance Avenue Pontiac, IL 61764 County Served: Livingston

LAN 37A: Community Counseling Centers of Chicago (C4)

2452 W. North Avenue Chicago, IL 60647 County Served: Cook

LAN 24: Crosspoint Human Services: A Division of Aunt Martha’s 210 Avenue C Danville, IL 61832 Counties Served: Champaign, Ford, Iroquois

LAN 38A: Leyden Family Services 10001 Grand Avenue Franklin Park, IL 60132 County Served: Cook

LAN 25: Center for Children’s Services 1801 Fox Drive Champaign, IL 61820 Counties Served: Vermillion

LAN 39: DuPage County Health Department 800 W. Roosevelt Road, Suite 406 Glen Ellyn, IL 60137 County Served: DuPage

LAN 26: Helen Wheeler Center 275 East Court Street Suite 102 Kankakee, IL 60901 County Served: Kankakee

LAN 40: Community Counseling Centers of Chicago (C4)

2452 W. North Avenue Chicago, IL 60647 County Served: Cook

LAN 27: North Central Behavioral Health 737 Etna Road Ottawa, IL 61350 Counties Served: Bureau, LaSalle, Marshall, Putnam, Stark

LAN 41: Community Counseling Centers of Chicago (C4)

2452 W. North Avenue Chicago, IL 60647 County Served: Cook

LAN 29: Robert Young Center 2200 Third Avenue Rock Island, IL 61201 Counties Served: Mercer, Rock Island

LAN 42: Kenneth Young Center 1001 Rohlwing Road Elk Grove Village, IL 60007 County Served: Cook

LAN 30: Sinnissippi Centers, Inc. 325 Illinois Route 2 Dixon, IL 61021 Counties Served: Carroll, Lee, Ogle, Whiteside

LAN 45: Leyden Family Services 10001 Grand Avenue Franklin Park, IL 60132 County Served: Cook

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LAN 46: Kenneth Young Center 1001 Rohlwing Road Elk Grove Village, IL 60007 County Served: Cook

LAN 75: Mt. Sinai Hospital California Ave @ 15th Street Chicago, Il 60608

County Served: Cook LAN 47: Family Service Association of Greater Elgin Area 1140 North McLean Boulevard, Suite I Elgin, IL 60123 Counties Served: Cook, Kane, Kendall

LAN 76: Community Counseling Ctrs- Chicago 2452 W. North Avenue Chicago, IL 60647 County Served: Cook (part of LAN 76)

LAN 49: Will County Health Department 501 Ella Joliet, IL

Counties Served: Grundy, Will

LAN 76: Ada S. McKinley Community Services 8704 S. Constance Chicago, IL 60617 County Served: Cook (part of LAN 76)

LAN 53: Grand Prairie Services 19530 Kedzie Avenue Tinley Park, IL 60477

Counties Served: Cook, Will

LAN 77: Ada S. McKinley Community Services 2659 W. 59th Street Chicago, IL 60629 County Served: Cook

LAN 56: Metropolitan Family Services 13136 S. Western Avenue Blue Island, IL 60406

County Served: Cook

LAN 79: Ada S. McKinley Community Services 2659 W. 59th Street Chicago, IL 60629 County Served: Cook

LAN 57: Pillars 1010 W. Lake Street Oak Park, IL 60302

County Served: Cook

LAN 80: Ada S. McKinley Community Services 2659 W. 59th Street Chicago, IL 60629 County Served: Cook

LAN 58: Pillars 1010 W. Lake Street Oak Park, IL 60302

County Served: Cook

LAN 82: Ada S. McKinley Community Services 2659 W. 59th Street Chicago, IL 60629 County Served: Cook

LAN 60: Leyden Family Services 10001 Grand Avenue Franklin Park, IL 60132 County Served: Cook

LAN 84: Ada S. McKinley Community Services 2659 W. 59th Street Chicago, IL 60629 County Served: Cook

LAN 61: Leyden Family Services 10001 Grand Avenue Franklin Park, IL 60132

County Served: Cook

LAN 86: Metropolitan Family Services 13136 S. Western Avenue Blue Island, IL 60406 County Served: Cook

LAN 63: Lutheran Social Services of Illinois 6321 N. Avondale, Suite A101 Chicago, IL 60632 County Served: Cook

LAN 85: Metropolitan Family Services 13136 S. Western Avenue Blue Island, IL 60406 County Served: Cook

LAN 65: Community Counseling Centers of Chicago (C4)

2452 W. North Avenue Chicago, IL 60647 County Served: Cook

LAN 87: Metropolitan Family Services 13136 S. Western Avenue Blue Island, IL 60406 County Served: Cook

LAN 67: Community Counseling Centers of Chicago (C4)

2452 W. North Avenue Chicago, IL 60647 County Served: Cook

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Appendix 3

Residential Treatment Centers Contracted by Illinois During Fiscal Year 2013 Allendale Association

600 W Grand Ave & Offield Rd Lake Villa, IL 60046

Larkin Children’s Center 1213 Larkin Avenue Elgin, IL 60123-6042

Babyfold (The) 612/614 Oglesby Ave Normal, IL 61761

Lutheran Child & Family Services of IL 343 W Lake Street Addison, IL 60101

BHC Streamwood Behavioral Health Ctr (2 locations)

1. John Costigan Center 1360 E Irving Park Road Streamwood, IL 60107

2. Rock River Academy 308 E 21st Ave Rockford, IL 61101

Maryville Academy Casa Salama 1150 N River Road Des Plaines, IL 60016

Mental Health and Deafness 614 Anthony Drive Northbrook, IL 60062

Center on Deafness 3444 Dundee Road Northbrook, IL 60062

Nexus / Indian Oaks Academy 101 N Bramble Street Manteno, IL 60950

Children’s Home & Aid Rice Children’s Center 1101 Washington Street Evanston, IL 60202

Nexus / Onarga Academy 110 N Locust Street Onarga, IL 60955

Children’s Home Association of Illinois

2130 N Knoxville Ave Peoria, IL 61603

Northern Illinois Academy (Parent Company Sequel Schools)

1150 N River Road Des Plaines, IL 60016

Clinicare (3 locations in Wisconsin) 1. Eau Claire Academy

550 N Dewey Street Eau Claire, WI 54703

2. Milwaukee Academy 9501 Watertown Plank Road Wauwatosa, WI 53213

3. Wyalusing Academy 941 N 2500 East Rd Prairie du Chien, WI 53821

Phoenix Care Systems, Inc. (2 locations)

1. Willowglen Academy-Indiana 308 E 21st Ave Gary, IN 46407

2. Willowglen Academy-Wisconsin 3903 W Lisbon Ave Milwaukee, WI, 53208

Cunningham Children’s Home 1301 N Cunningham Ave Urbana, IL 61802

Oconomowoc Developmental Training Ctr 36100 Genesee Lake Road Oconomowoc, WI 53066

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Kemmerer Village 941 N 2500 East Road Assumption, IL 62510

United Methodist Children’s Home 2023 Richview Rd.

Mt. Vernon, IL 62864 Riveredge Hospital

8311 West Roosevelt Road Forest Park, IL 60130

Woodridge of Missouri (dba Piney Ridge) 1000 Hospital Rd

Waynesville, MO 65583 Sonia Shankman Orthogenic School

1365 E 60th Street Chicago, IL 60637

Thresholds 4219 N Lincoln Avenue

Chicago, IL 60618

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