DEMONSTRATED PLANNING FOR AND DELIVERY OF EFFECTIVE AND SUFFICIENT CONSUMER SERVICES

COMMUNITY SERVICE REVIEWS OF ADULTS

REQUIREMENTS OF THE EXIT CRITERIA ORDER

Exit Criterion #3 requires that DMH conduct annual consumer reviews of adults (age 18 and over), using a stratified random sample of individuals who have received services within the DMH system with a sample size sufficient to provide statistical levels of confidence. The annual reviews collect data through a combination of consumer and family interviews, record review, staff interviews, caregiver interviews and document reviews.  The annual reviews are conducted by an independent review team.  

The Exit Criteria Order requires that the annual consumer review of adults cover seven (7) domains:

• Community Living
• Health
• Meaningful Activity (work, education, etc.)
• Social Network
• Income Assessment and Planning
• Treatment and Support Services; and
• Service System Capacity

The Court Required Performance Level is an aggregate score of 80% for positive system performance for the adults who are sampled and reviewed.

IMPLEMENTATION ACTIVITIES

To begin the process of meeting the requirements of the Exit Criteria Order, the Dixon Court Monitor retained Human Systems and Outcomes, Inc. (HSO) to assist in developing the adult review protocol. HSO is an organization with extensive experience in qualitative child service review processes used in monitoring services in class action litigation in numerous states across the country. Representatives from the provider community and DMH worked with HSO to develop the adult review protocol. 

The Adult Review Protocol [PDF] was developed, tested, revised, and then used to create a baseline for subsequent measurement of progress. The adult review protocol is scored using a Roll-Up Sheet [PDF] that evaluates the following three main areas:

• Consumer Status (overall consumer status)
• Recent Progress
• Current Practice Performance (overall system performance)

Since the initial review, the design of the sampling process, training of reviewers, supervision of data collection, and analysis of data for the adult community service reviews have been conducted by HSO, under contract with the Dixon Court Monitor. HSO was contracted by the Dixon Court Monitor and worked as staff to the monitor in conducting the reviews. Logistical preparation and organization of the on-site case review activities was completed by Consumer Action Network (CAN).