Consent Decree - Progress Report November 2014

The DHHS Office of Substance Abuse and Mental Health Services is required to report to the Court quarterly regarding compliance and progress toward meeting specific standards as delineated in the Bates v. DHHS Consent Decree Settlement Agreement, the Consent Decree Plan of October 2006, and the Compliance Standards approved October 29, 2007. The following documents are submitted as the Quarterly Progress Report for the first quarter of state fiscal year 2015, covering July-September 2014.

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Full version of November 2014 Progress Report (PDF - 7.22MB)


Executive Summary
Section 1A

Microsoft Word | Adobe PDF


Cover Letter, Quarterly Report
November 1, 2013
Section 1

Microsoft Word  | Adobe PDF

Letter to Dan Wathen, Court Master, submitting the Quarterly Report pursuant to paragraph 280 of the Settlement Agreement for the quarter ending September 30, 2014.
2 Report on Compliance Plan Standards: Community
Section 2

Microsoft Word | Adobe PDF

Lists and updates the information pertaining to standards approved in October 2007 for evaluating and measuring DHHS compliance with the terms and principles of the Settlement Agreement.

Performance Indicators and Quality Improvement Standards

3 Performance and Quality Improvement Standards
Section 3

Adobe PDF

Details the status of the Department's compliance with 34 specific performance and quality improvement standards (many are multi-part) required by the Consent Decree October 2006 Plan for this reporting quarter. Reporting includes the baseline, current level, performance standard, and compliance standard for each, including graphs.
4 Public Education - Standard 34.1
Section 4

Microsoft Excel | Adobe PDF

Amplifies Standard 34.1 of the Performance and Quality Improvement Standards above, detailing the mental health workshops, forums, and presentations made, including levels of participation.
5 Performance Quality and Improvement Standards, Appendix: Adult Mental Health Data Sources
Section 5

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Consent Decree Performance and Quality Improvement Standard 5
Section 5A

Adobe PDF

Lists and describes of all the data sources used for measuring and reporting the Departments compliance on the Performance and Quality Improvement Standards.


Aggregate report of assignment time to service and completion time of Individual Support Plans (ISPs).  Data gathered from Contact for Service Notifications, Prior Authorizations, and Continued Stay Requests via APS Care Connections.

Community Report Attachments

6 Cover: Unmet Needs and Quality Improvement Initiative
Section 6

Microsoft Word | Adobe PDF

Provides a brief introduction to the unmet needs report as well as some definitions of the data, initial findings and next steps. Also includes needs data from other sources such as the APS Healthcare Contact for Service Notification Process.

Unmet Needs by CSN

Section 7 Adobe PDF

Quarterly report drawn from the Enterprise Information System (EIS) by CSN (based on client zip code), from resource need data entered by community support case managers (CI, ACT, CRS and ICM) concerning consumers (class members and non-class members) who indicate a need for a resource that is not immediately available. Providers are required to enter the information electronically upon enrollment of a client in Community Support Services and update the information from their clients' Individual Service Plans (ISPs) every 90 days via an RDS (Resource Data Summary) entered as a component of prior authorization and continuing stay requests made to APS Healthcare via their online system, CareConnections.
8 BRAP Waitlist Monitoring Report,
Section 8

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Describes status of the DHHS Bridging Rental Assistance Program's (BRAP) waitlist, focusing on the numbers served over time by priority status.

Class Member Treatment Planning Review
Section 9

Adobe PDF

Aggregate report of document reviews completed on a random sample of class member ISPs by Consent Decree Coordinators following a standardized protocol.

Community Hospital Utilization Review Class Members
Section 10

Adobe PDF

Aggregate report of Utilization Review (UR) of all persons with MaineCare or without insurance coverage admitted into emergency involuntary, community hospital based beds. UR data is reported one quarter behind to allow sufficient time for reviews and data entry to be completed.

Community Hospital Utilization Review Performance Standard 18-1, 2, 3 by Hospital: Class Members
Section 11  

Adobe PDF

Report drawn from UR data that details, by hospital, the percentage of ISPs obtained, ISPs consistent with the hospital treatment and discharge plan and case manager involvement in hospital treatment and discharge planning. UR data is reported one quarter behind to allow sufficient time for reviews and data entry to be completed.
12 DHHS Integrated Child/Adult Quarterly Crisis Report
Section 12

Adobe PDF

Aggregate quarterly report of crisis data submitted by crisis providers to the Office of Quality Improvement on a monthly basis.

Quarterly Reports

13 Riverview Psychiatric Center Performance Improvement Report 
Section 13

Microsoft Word | Adobe PDF

Reports on Riverviews compliance with specific indicators re: performance and quality, recording findings, problem, status, and actions for the specified quarter.

APS Healthcare Reports


APS Healthcare Reports
Section 14

Members on MaineCare Waitlist for Community Integration (PDF)

For members on the Community Integration waitlist who were authorized for this service, how long they waited.  These reports count the number of days from the date the CFSN was opened to the date the service was authorized. The reports are run 2 quarters ago so nearly everyone who was entered on the waitlist will have started the service.