People Served in Community Mental Health Programs and Employment

Data Note #43, 2013

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By Stephanie Wallace and Frank A. Smith.

Data Source: FY2002–-2011 Center for Mental Health Services (CMHS) Uniform Reporting System (URS)

The Substance Abuse & Mental Health Services Administration Center for Mental Health Services (CMHS) provides guidance and technical assistance to decision makers at all levels of government on the design, structure, content, and use of mental health information systems. The goal is to improve the quality of mental health programs and service delivery. CMHS operates the only program in the nation that focuses on the development of data standards that provide the basis for uniform, comparable, high-quality statistics on mental health services. This makes it a model in the health care statistics field. Data is stored in the Uniform Reporting System Output Tables.

State mental health agencies provide a wide range of supports, including rehabilitation services and vocational and pre-vocational training, as well as supported and competitive employment supports. This Data Note explores how states vary in number and percentage of individuals who are employed among those served in Community Mental Health Programs (CMHPs), i.e., programs with all services provided in the community, rather than in an inpatient setting. It also explores national trends that occurred from 2002 to 2011.

"Employed" is defined as competitively employed1 (full- or part-time) at the last CMHP assessment available during the reporting year. Figure 1 shows an overall downward trend in employment for individuals served in CMHPs from 2002 to 2011. Despite a peak of 23% in 2008, the percentage of individuals served in CMHPs who are employed has since declined to 19.6% in 2011.

The number and percentage of individuals in CMHPs who were employed in each state is presented in Table 1. In 2011, the percentage employed varied from 6.9% in Maine to 43.9% in Wyoming. The wide range in number and percentage of individuals employed is not necessarily indicative of success or failure when making comparisons among states. Factors such as the percentage of people served in CMHPs for whom employment status is known can affect the numbers and percentages reported. These differences suggest a need for further research to identify the factors responsible for such wide variation, and to determine successful strategies for gaining employment outcomes for people served in CMHPs.

Figure 1. Percentage of people served who are employed (number of states = 40) Figure 1. Percentage of people served who are employed (number of states = 40)

Raw Data in google spreadsheet

Table 1. Number of People in CMHPs Who were Served and Employed by State in 2011

State

Number of people served by CMHPs*

(A) Number of people employed

(B)Percentage of people served who are employed (B/A)

AK

--

--

--

AL

75,276

8,176

10.9

AR

40,639

8,474

20.9

AZ

101,212

16,686

16.5

CA

--

--

--

CO

55,180

12,164

22.0

CT

43,543

8,779

20.2

DC

--

--

--

DE

3,576

756

21.1

FL

183,325

28,554

15.6

GA

--

--

--

HI

5,545

577

10.4

IA

21,386

6,600

30.9

ID

6,121

1,192

19.5

IL

94,819

18,092

19.1

IN

60,957

11,744

19.3

KS

36,840

10,771

29.2

KY

90,805

14,630

16.1

LA

35,069

3,802

10.8

MA

--

--

--

MD

74,410

12,479

16.8

ME

10,455

726

6.9

MI

62,528

19,623

31.4

MN

15,684

2,354

15.0

MO

22,704

2,465

10.9

MS

--

--

--

MT

3,700

539

14.6

NC

162,513

27,659

17.0

ND

--

--

--

NE

18,053

5,156

28.6

NH

26,146

8,542

32.7

NJ

266,556

75,012

28.1

NM

9,743

2,298

23.6

NV

19,893

3,270

16.4

NY

423,953

96,639

22.8

OH

68,867

10,582

15.4

OK

48,144

9,200

19.1

OR

--

--

--

PA

--

--

--

RI

18,701

3,482

18.6

SC

45,580

5,681

12.5

SD

--

--

--

TN

--

--

--

TX

171,905

23,774

13.8

UT

29,368

5,878

20.0

VA

68,911

12,879

18.7

VT

10,029

2,208

22.0

WA

72,244

6,596

9.1

WI

11,917

2,907

24.4

WV

--

--

--

WY

12,343

5,419

43.9

All states with data (n = 40)

2,528,640

496,365

19.6

*This column includes only people for whom employment status was known at the time of data collection.

Suggested Citation

Wallace, S., & Smith, F. A. (2013). People served in community mental health programs and employment. Data Note Series, Data Note 43. Boston, MA: University of Massachusetts Boston, Institute for Community Inclusion.

Acknowledgments

This is a publication of StateData.info, funded in part by the Administration on Intellectual and Developmental Disabilities, U.S. Department of Health and Human Services (#90DN0295).

1Competitive employment is defined as a community job that any person can apply for, in integrated settings (and in regular contact with workers without disabilities), that pays at least minimum wage.

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