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MHSC Program
Evaluation Mental Health Service Corps
Dana Collins, Social Work Intern
Jessica Neufeld, MPH
Virna Little, PsyD, LCSW-r, MBA, CCM, SAP
Background & Rationale & Goals
• The Mental Health Service Corps (MHSC) is a program aimed to promote and protect the wellbeing of all New Yorkers.
• A program evaluation was conducted by the Institute for Family Health to identify the impact of MHSC’s social workers on their assigned client base, centers, providers, and the utilization of MHSC in community health centers.
• The goal of this evaluation was to determine the impact of MHSC in an FQHC placement.
Project Details
Setting: Walton Family Health Center, Urban Horizons Family Health Center, Stevenson Family Health Center, Sidney Hillman/Phillips Family Practice, Family Health Center of Harlem (one MHSC social worker was placed in each of these sites)
Method: Continuous Quality Improvement Project (CQI)
Timeline: September 2016 – January 2017
Subjects: Four social workers from the MHSC program and their patients
Methods
The MHSC social workers and their patients were examined based on factors such as patient demographics, patients clinical outcomes, types of appointments/outreach, and social worker capacity and productivity.
Programs & Tools Used
• EPIC ▫ Database of all patients that includes all interactions between the Institute and patients,
current and past conditions, treatment plans • Productivity & Capacity Data Book (2016)
▫ Monthly report about productivity and capacity for each mental health clinician ▫ Used to compare the MHSC social workers with the IFH social workers and staff
• Patients Health Questionnaire (PHQ-9) ▫ A multipurpose instrument for screening, diagnosing, monitoring and measuring the
severity of depression ▫ Done multiple times (every visit), which can reflect if the patient is improving in regards
to their depression due to their treatment plan ▫ Used to examine the changes in PHQ-9 scores since the MHSC social workers started
working with their patients • Columbia-Suicide Severity Rating Scale (CSSRS)
▫ A suicide risk assessment that helps identify whether someone is at risk for suicide, assess the severity and immediacy of that risk, and gauge the level of support that the person needs
▫ Used to record the number of CSSRS and safety plans were conducted since the MHSC social workers started
• MHSC SW & IFH Staff Survey ▫ To explore the relationship between IFH staff and MHSC social workers
IFH Regional Performance Measures (NYC)
0
500
1000
1500
2000
2500
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
110%
120%
130%
140%
150%
Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16
Pe
rce
nta
ges
for
vari
ou
s p
erf
orm
ance
me
asu
res
Performance by month
Productivity [ActualVisits Completed /Visit Projection]
Capacity [Visit TimeSpent / Availability]
AppointmentConversion Rate[Actual VisitsCompleted/IntendedVisits]Availability [Hours]
Actual VisitsCompleted
0% 0%
47%
36%
82%
64%
84%
62%
30%
2%
40%
33%
44%
36%
50%
40%
0% 0%
26% 21%
55%
48%
76%
68%
0% 0% 0% 0% 0% 0%
88% 91%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Productivity Capacity Productivity Capacity Productivity Capacity Productivity Capacity
September October November December
Pr
od
uc
tiv
ity
an
d C
ap
ac
ity
Le
ve
ls (
%)
SW 1 SW 2 SW 3 SW 4
MHSC Productivity & Capacity
Capacity Level
Types of Visits/Encounters
199
108
107
110
236
34
139
85
69
29
402
47
180
104
85
37
180
25
1
3
20
6
45
2
0 50 100 150 200 250 300 350 400 450
In Person/Completed Visit
Canceled
No show
Non-Visit
Telephone
Email/Letter
Ty
pe
s o
f V
isit
s/E
nc
ou
nte
rs
SW 1 SW 2 SW 4 SW 4
Most Common Items on Patient
Problem List
Depression, 35%
Suicidal Ideation, 15%
Generalized Anxiety
Disorder/Anxiety, 15%
Substance Abuse, 6%
Adjustment Disorder, 5%
Post-Traumatic Stress Disorder, 4%
Pre-Diabete
s, 3%
Type 2 Diabetes
, 3%
Insomnia, 3% Suicide
Attempt, 3% Other, 12%
Depression Suicidal IdeationGeneralized Anxiety Disorder/Anxiety Substance AbuseAdjustment Disorder Post-Traumatic Stress DisorderPre-Diabetes Type 2 DiabetesInsomnia Suicide Attempt
*The conditions shown here are only based on the total number of patients from all four of the MHSC social workers
Depression Metric
October November December January
SW 1 12 11 12 12
SW 2 8 7 7 7
SW 3 12 12 13 14
SW 4 0 0 16 14
12 11 12 12
8
7 7 7
12 12
13
14
0 0
16
14
0
2
4
6
8
10
12
14
16
18
Av
er
ag
e L
as
t P
HQ
-9 S
co
re
P
er
Mo
nth
Depression Scores Per Month
Safety Plan and C-SSRS Rates
Safety Plan C-SSRS Total Patients
SW 1 17 9 18
SW 2 12 6 16
SW 3 15 11 18
SW 4 9 4 9
Note: This table only includes patients who had suicide on their problem list.
Discussion
• MHSC social workers met with a variety of clients, though most came with a history of depression
• Productivity and capacity varied among the MHSC social workers and slowly improved over time
• Safety plan and C-SSRs need to be addressed and conducted more with clients
Limitations
• Data for this evaluation was very preliminary; the MSHC social workers had been working with IFH for roughly 5 months at the time of this evaluation was done
• Sample size is very small; there were only four MHSC social workers examined for this program evaluation
• Also, one of the MHSC social workers was on leave for a few months and had only returned for one month (her data was included in this evaluation)
Recommendations
• To conduct monthly program evaluations examining the same variables and characteristics past evaluations have looked at
• To continually meet with the MHSC team to discuss gaps and how to improve collaboration between MHSC and IFH
Contact Information
• Dana Collins Social Work Intern
Psychosocial Services
• Jessica Neufeld, MPH
Special Projects Coordinator
Psychosocial Services
• Virna Little, PsyD, LCSW-r, MBA, CCM, SAP
Senior Vice President Psychosocial Services/Community Affairs
