SAMHSA Uniform Reporting System (URS)
Three Year Trend Summary: DC vs US (Draft)
Each year, DBH submits key agency measures to SAMHSA. These data are then compared to the national data. As an agency, these comparisons provide some indication of how the agency is performing. This brief highlights service access and utilization, as it relates to clients receiving Medicaid funding and penetration rates; housing and homelessness, and client satisfaction with services. Further, these data examine changes over a three-year period.
Based on Figure 1, DC has a much higher rate of clients receiving Medicaid funding than the national rate (e.g., xx% and xx % in 2019). Similarity, DC has higher penetration rates...
According to Figure 3, in the US, approximately 84% of clients were living in a private residence. However, in DC, there were roughly 67% of clients living in a private residence. Although there has been a steady increase each year, DC remains behind the national average. Conversely, in the US, the national rate for homelessness is 4.5% (see Figure 4); however, in DC the rate of homelessness is almost 4 times that rate (20.7).
In comparison to DC, the national rates for adult consumer satisfaction with services are higher for all key measures (see Figure 5), Notably, the measures with the largest difference were access to services, outcomes from services, and overall satisfaction with care. More specifically, while the US rates have remained roughly steady or unchanged over the past 3 years, DC has seen an increase in consumer satisfaction over the same time period. For child/family consumer satisfaction, the DC and US rate comparisons are mixed (see Figure 6). For example, the rates of consumers satisfied with participation in treatment planning and the cultural sensitivity of providers were mostly comparable. However, the US rates were higher for access to services, outcomes from services, and overall satisfaction with care.
Next Steps. As DBH continues to learn more about access to services, housing, and consumer satisfaction, supplemental data, such as consumer feedback, could help to provide direction for improvement in these key areas. While the agency has a system in place to collect general feedback, it would be helpful to focus the feedback on these areas with an accompanying strategic plan. It will also be imperative to identify system gaps and barriers as they relate to partnerships with other community and stakeholder groups. DBH can then use this information to plan for quality and process improvements.
https://dbh.dc.gov ◆ 64 New York Ave, NE Washington, DC 20002 ◆ (202) 673-2200 ◆ dbh@dc.gov