PENNSYLVANIA STATE HOSPITAL SYSTEM …...Chart 1 Hospital System Census & Staff 1997-2012 - All Levels of Care 4 2 Length-Of-Stay by Facility and Level-of-Care on June 30, 2012 5 3

PENNSYLVANIA STATE HOSPITAL SYSTEM LENGTH-OF-STAY, DEMOGRAPHICS & DIAGNOSES REPORT FOR JUNE 30, 2012

Prepared by John A. Deegan, M.S. Chief Performance Improvement Executive Wernersville State Hospital July 2012

Background

The information contained in this report is taken from the statewide Patient Census Information System (PCIS). PCIS is a Mapper-based database application that is a repository of information about past and present consumers of service in the State Hospital system. The medical records staff at each of the hospitals and the restoration center is continually updating this system as new information becomes available. The PCIS database collects highly sensitive information on any person served in the hospital system including home addresses, marital status, service area and all diagnostic data.

The creation of a monthly Episode database is an automated process produced by the Department of Public Welfare Office of Information Services and the Bureau of Applications Development staff that generates a monthly report within PCIS. The generated report can then be exported out of PCIS to a text file, downloaded and imported into Microsoft Access. Data quality checks on the information are done during each step of the process.

This monthly Episode file, that contains the original, monthly data for all OMHSAS facilities, is the basis for the information contained in this report. This data is refreshed monthly, usually by the tenth, for the prior month’s diagnostic and demographic history.

Purpose

The purpose of this report is to provide the reader with an overview of lengths-of-stays, demographic and diagnosis information, as it exists on the last day of the month for all State Hospitals. There is no personal or protected patient information in this report as it contains only counts by hospital and type of care. It is issued every six months and prior year reports are stored in the State Hospital Document Library that is located on the Harrisburg server.

Acknowledgements

Much work went into creating a user-friendly way of retrieving data and running reports using PCIS data. I want to acknowledge the medical records staff at each facility for their continuing efforts to assure that reliable data are entered into the PCIS system. I also want to recognize the work of DPW Bureau of Applications Development staff for their work on creating the conversion file for the Episode file system. Finally, I want to thank William Steinmetz for creating the report functions that enabled all of the information contained in this report to be presented in a manageable and useable form.

Table Table of Contents /Table Description Page 1 Facility Census by Level-of-Care and Month for FY Year 2011-12 4

Chart 1 Hospital System Census & Staff 1997-2012 - All Levels of Care 4

2 Length-Of-Stay by Facility and Level-of-Care on June 30, 2012 5

3 Length-Of-Stay for People with an Axis I Diagnosis of Schizophrenia & Related Psychotic Disorders on June 30, 2012

5

4 Number of Admissions by Facility, All Levels of Care for FY 2011-12 6

5 Number of Discharges by Facility, All Levels of Care for FY 2011-12 6

6 Length of Stay for People Discharged During FY 2011-12 6

7 Race and Gender of People Discharged During FY 2011-12 6

8 County of Origin for People Discharged During FY 2011-12 7

9 County of Origin for People Admitted During FY 2011-12 8

10 Age of People Served by the Hospital System on June 30, 2012 9

11 Gender of People Served by the Hospital System on June 30, 2012 9

12 Race/Ethnic Origin of People Served by the Hospital System on June 30, 2012 9

13 County of Origin for People Served by the Hospital System on June 30, 2012 10

14 Axis I Dx of People Served by the State Hospital System on June 30, 2012 11

15 People with a Dx of Intellectual Disability Served by the Hospital System on June 30, 2012 11

16 Substance Use Dx of People Served by the State Hospital System on June 30, 2012 12

17 Medical Diagnoses of People Served by the State Hospital System on June 30, 2012 13

18 Categories Related to Criminal History Served in the Civil Hospitals on June 30, 2012 13

19 Commitment Code/Status of People Served in the Hospital System on June 30, 2012 14

20 Veteran Status of People Served by the State Hospital System on June 30, 2012 15

Chart 2 Average LOS (Mean) in Days of People Served in the Hospital System on June 30, 2012 15

21 Consumers in Civil Section with 2 or More Years LOS (Hospital*County) of People Served in the Hospital System on June 30, 2012

16

Table 1 FY 2011-2012 Facility End-of-Month Census

Page 4

Civil Forensic LTC Act-21 System

Month CLA DAN NOR TOR WAR WER Total NOR TOR Total SMRC TOR Total

Jul-11 221 160 227 181 166 267 1222 127 73 200 133 27 1582

Aug-11 220 162 224 179 165 265 1215 128 64 192 137 29 1573

Sep-11 217 171 227 177 165 262 1219 126 67 193 138 30 1580

Oct-11 219 172 224 179 164 266 1224 128 78 206 136 31 1597

Nov-11 218 175 221 179 160 270 1223 124 85 209 132 32 1596

Dec-11 219 172 219 177 163 270 1220 127 76 203 132 35 1590

Jan-12 218 168 216 198 170 268 1238 123 76 199 133 31 1601

Feb-12 218 170 208 199 173 267 1235 125 85 210 134 31 1610

Mar-12 217 171 206 200 169 270 1233 129 79 208 137 31 1609

Apr-12 218 172 198 203 168 269 1228 128 82 210 141 31 1610

May-12 218 173 190 200 175 266 1222 127 88 215 141 33 1611

Jun-12 217 170 172 197 172 265 1193 131 94 225 140 34 1592

Chart 1 Hospital System Census & Staff 1997-2012 - All Levels of Care

6,6786,421

6,0795,920

5,692

5,356

5,032 5,066 5,017 4,994

4,550

3,799 3,8213,637 3,586 3,474

3,884

3,3603,205

2,9282,692

2,377 2,309 2,285 2,2842,023 1,946

1,764 1,7721,609 1,590 1,592

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Jun‐12

Acutal N

umber

Filled Complement Census‐All Levels of Care

Note: The 3,475 complement number in the above chart includes fulltime workers at the six civil hospitals, two forensic centers, the Act-21 program at Torrance and South Mountain on June 30, 2012. Data Point: Since 1997 the number of people served in the hospital system, all levels of care, has declined by 60%. During this same span the number of fulltime staff working in the state hospitals has decreased 48%

Table 2 Length of Residence for People Served in the State Hospital System on June 30, 2012

Civil Forensic LTC Act 21 System

Total %Criteria CLA DAN NOR TOR WAR WER Total NOR TOR Total SMRC TOR

< 6 months 35 34 4 52 47 35 207 58 58 116 14 8 345 21.7% < 12 months 60 61 13 73 72 57 336 89 62 151 33 10 530 33.3% <2 Years 81 80 37 109 93 93 493 109 71 180 52 12 737 46.3% >2 Years 136 90 135 88 79 172 700 19 5 24 80 23 827 51.9% >5 Years 87 58 78 47 40 88 398 9 0 9 43 9 459 28.8% >10 Years 49 20 49 29 22 36 205 6 0 6 19 0 230 14.4% >15 Years 29 16 27 19 17 29 137 6 0 6 10 0 153 9.6% >20 Years 17 10 20 8 14 17 86 2 0 2 6 0 94 5.9% >25 Years 9 8 9 5 9 10 50 1 0 1 4 0 55 3.5% >30 Years 6 3 6 4 4 6 29 0 0 0 2 0 31 1.9% >40 Years 3 1 4 2 1 4 15 0 0 0 1 0 16 1.0% >50 Years 1 1 2 2 6 0 0 0 0 0 6 0.4% % 2+ Year LOS 63% 53% 78% 45% 46% 65% 59% 15% 5% 11% 57% 68% 52%

Table 3 Length Of Residence for People with an Axis I Diagnosis of Schizophrenia & Related Psychotic Disorders for All Levels of Care on June 30, 2012

Civil Forensic LTC Act 21 Sys.

Criteria Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

On 6/30/2012 217 170 172 197 172 265 1193 131 94 225 140 34 1592 < 6 months 21 23 4 32 27 24 131 53 50 73 7 0 211

< 12 months 42 40 12 48 42 41 225 71 54 107 12 0 344

<2 Years 59 54 33 75 56 63 340 88 59 130 25 0 495 <3 Years 77 66 50 89 70 115 467 95 60 141 32 0 640

<4 Years 86 76 59 102 79 124 526 98 64 144 40 0 710 <5 Years 96 81 77 105 88 132 579 98 64 146 42 0 767

<10 Years 124 116 104 114 104 179 741 103 64 149 55 0 945

<15 Years 141 119 122 122 109 185 798 103 64 149 58 0 1005 <20 Years 151 125 128 130 111 195 840 107 64 153 61

38

0

0

1054

639 >2 Years 108 81 113 62 66 146 576 21 5 25 >5 Years 71 54 69 32 34 77 337 11 0 9 21 0 367

>10 Years 43 19 42 23 18 30 175 6 0 6 8 0 189

>15 Years 26 16 24 15 13 24 118 6 0 6 5 0 129 >20 Years 16 10 18 7 11 14 76 2 0 2 2 0 80

>25 Years 9 8 8 5 9 10 49 1 0 1 1 0 51 >30 Years 6 3 6 4 4 6 29 0 0 0 0 0 29

>40 Years 3 1 4 2 1 4 15 0 0 0 0 0 15

>50 Years 1 1 2 2 6 0 0 0 0 0 6

Data Point - On June 30, 2012, people with an Axis 1diagnosis of Schizophrenia and related psychotic disorders accounted for 73% of those served in the hospital system.

Defining Length-of-Stay (LOS) - For the purpose of this report, hospital length-of-stay is expressed in the amount of time a person is continually served, without separation, within a specific OMHSAS facility. The database expresses length-of-stay in days, which is then auto calculated to years for this report. It should also be noted that when a facility is closed or a person was transferred, his/her admission date was reset to the date of the transfer to the new facility.

Page 5

Table 4 Number of Admissions by Facility FY 2011-12


Admissions Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

FY 2011-12 84 97 17 108 111 69 486 145 286 431 39 8 964

Table 5 Number of Discharges by Facility FY 2011-12

Act-Civil Forensic LTC 21 System

Discharges Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

Total Discharges FY 2011-12 86 92 74 119 105 68 544 130 272 402 33 1 980

Deceased 3 1 9 5 0 7 25 0 1 1 25 1 52

Discharged 83 91 65 114 105 61 519 130 271 401 8 0 928

Note: “Discharges” includes people who may have been transferred from one facility or level of care to another.

Table 6 Length-of-Stay for People Discharged During FY 2011-12


Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

FY 2011-12 86 92 74 119 105 68 554 130 272 402 33 1 980 < 6 months 32 41 4 39 51 6 173 62 248 294 3 0 718

< 12 months 53 66 11 75 74 21 300 103 265 347 9 0 921 <2 Years 64 85 23 90 95 36 393 116 270 361 14 0 1038

>2 Years 22 7 51 29 10 32 151 14 2 16 19 0 188 19%% over 2 Years LOS 26% 8% 69% 24% 10% 47% 27% 11% 1% 4% 58% 0%

>5 Years 4 6 14 6 1 5 36 0 0 0 0 1 37 >10 Years 1 2 4 3 1 1 12 0 0 0 0 1 13 >15 Years 1 2 3 2 1 1 10 0 0 0 0 1 11 >20 Years 0 2 2 2 0 1 7 0 0 0 0 1 8 >25 Years 0 2 0 2 0 1 5 0 0 0 0 0 5 >30 Years 0 2 0 2 0 0 4 0 0 0 0 0 4 >40 Years 0 1 0 0 0 0 1 0 0 0 0 0 1

Table 7 Race & Gender of People Discharged During FY 2011-12

Race & Gender Civil Forensic LTC Act 21 System


FY 2011-12 86 92 74 119 105 68 544 130 272 402 33 1 980 Amer Indian/Alaskan 0 0 0 0 2 0 2 0 0 0 0 0 0

Asian/Pacific Islander 0 0 1 1 0 1 3 2 1 3 0 0 6 Black/African Amer 3 10 27 10 8 8 66 64 103 167 6 0 239

Hispanic 2 2 2 1 2 2 11 10 13 23 3 0 37 White 81 80 44 107 93 46 451 54 154 208 24 1 684

Other/Not Identified 0 0 0 0 0 1 1 0 1 1 0 0 2

Men 41 49 51 67 60 45 313 105 227 332 20 1 666 Women 45 43 23 52 45 23 231 25 45 70 13 0 314

Page 6

Page 7

Table 8 County of Origin For People Discharged During FY 2011-12


County CLA DAN NOR TOR WAR WER Total NOR TOR Total SMO TOR Total Adams 0 3 3 3

134 107 4

29 168

237

332 6 3

21

7 0

17 1 4

7 12 21 47 4

32 12 12 0 1

6 1 1

34

31 7

26 40 19

4 283 7

35

2 1013 121

61 3 1

31 3

9 1 2 2 1

10 102 4

47

1 30

Allegheny 1 6 7 126 126 1 Armstrong 7 7 3 3Beaver 0 7 7 Bedford 3 3 1 1 Berks 14 14 10 3 13 2 Blair 13 13 3 3Bradford 5 5 3 3 Bucks 15 1 16 4 3 7Butler 5 5 2 2 Cambria 29 29 4 4Cameron 1 1 1 1 Carbon 3 1 4 1 1 1 Centre 3 3 0 Chester 2 2 11 8 19 Clarion 7 7 0 Clearfield 0 0 Clearfield 16 1 17 0 Clinton 1 1 0 Colombia 4 4 0 Crawford 5 5 2 2 Cumberland 3 3 6 6 3 Dauphin 8 8 10 10 3 Delaware 18 18 28 28 1 Elk 4 4 0 Erie 18 18 14 14 Fayette Franklin Greene Huntington

Indiana Jefferson Juniata Lackawanna

Lancaster Lebanon Lehigh Luzerne Lycoming

McKean Mercer

27

1 32

4

1

16

1 5

5

1

1

1

1

1

4 26

15 6 9

6 5 0 0

6 0 1 27

16 6 10 33 16

4 27

5

9

5 1

5 3

1

1

1

5

10 4 3

1

5 3 0 1

0 1 0 6

14 0

15 5 3

0 1

1 4

1

1 1 1 2

Mifflin 1 1 2 1 1 Monroe 6 6 1 1 Montgomery 18 18 12 5 17 Montour 1 1 2 0 Northampton 4 4 4 2 6Northumberland 13 13 0 Out Of State 4 1 1 2 3 11 1 1Perry 1 1 0 Philadelphia 19 1 20 36 36 5 Pike 2 2 1 1 Potter 0 1 1 Schuylkill 28 2 30 0 1 Snyder 3 3 0 Somerset 5 5 1 1 3 Sulivan 0 1 1 Susquehanna 2 2 0 Tioga 1 1 1 1 Union 1 1 0 Venango 10 10 0 Warren 8 8 2 2Washington 1 1 1 1 Wayne 3 3 0 1 Westmoreland 37 37 10 10 Wyoming 1 1 0 York 1 12 13 1 14 15 2 Totals 86 92 74 119 105 68 544 130 272 402 33 1 980

Table 9 County of Origin for People Admitted During FY 2011-12

FY 2011-12 Civil Forensic LTC Act 21 System

County CLA DAN NOR TOR WAR WER Total NOR TOR Total SMRC TOR Total

Adams 0 4 4 1 5 Allegheny 2 2 132 132 134 Armstrong 6 6 4 4 10Beaver 0 6 6 6 Bedford 3 3 1 1 4 Berks 20 20 7 3 10 3 33 Blair 0 3 3 3 Bradford 3 3 4 4 7 Bucks 1 3 4 6 6 12 16 Butler 7 7 2 2 9 Cambria 27 27 3 3 30Cameron 1 1 0 1 Carbon 2 2 1 1 3 Centre 5 5 3 3 8 Chester 9 9 5 11 16 1 26 Clarion 9 9 0 9 Clearfield 2 17 19 0 19Clinton 0 0 0 Colombia 3 3 0 1 4 Crawford 8 8 1 1 9 Cumberland 2 2 7 7 9 Dauphin 20 20 11 11 4 35 Delaware 4 4 27 27 3 1 35 Elk 4 4 1 1 5 Erie 23 23 13 13 36 Fayette 8 8 5 5 13Forest 0 0 1 1 Franklin 4 1 5 0 6 11 Green 0 0 0 Huntington 1 1 1 1 1 3 Indiana 10 10 0 10Jefferson 0 1 1 1 Juniata 2 2 0 2 Lackawanna 25 1 26 2 1 3 1 30 Lancaster 13 13 8 8 16 1 30 Lebanon 6 6 1 1 2 9 Lehigh 1 12 13 2 8 10 1 24 Luzerne 31 1 32 4 4 2 38 Lycoming 12 12 3 3 1 16 McKean 7 7 0 7 Mercer 29 29 2 2 31Mifflin 0 0 0 Monroe 9 9 1 1 10Montgomery 3 3 11 4 15 1 19 Montour 1 1 0 1 Northampton 0 3 2 5 5 Northumberland 16 16 0 1 17 Out Of State 1 1 3 5 0 5 Perry 0 0 0 Philadelphia 7 7 68 68 2 77 Pike 3 3 0 3 Potter 1 1 1 1 2 Schuylkill 23 23 0 1 24 Snyder 4 4 0 4 Somerset 3 3 1 1 2 6 Sullivan 0 1 1 1 Susquehanna 3 3 2 2 5 Tioga 1 1 0 1 Union 1 1 0 1 Venango 5 5 0 5 Warren 6 6 3 3 9 Washington 0 1 1 1 Wayne 1 1 1 1 1 1 4 Westmoreland 33 33 11 11 1 45 Wyoming 3 3 13 13 16 York 13 13 1 1 7 21

Totals 84 97 17 108 111 69 486 145 286 431 39 8 964

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Table 10 Age of People Served by the Hospital System on June 30, 2012


On 6/30/12 Cla Dan Nor Tor War Wer Total Nor Tor Total SM RC Tor Total

Census 217 170 172 197 172 265 1193 131 94 225 140 34 1592

<21 1 3 1 2 2 2 11 2 3 5 0 4 20

>21 216 167 171 195 170 263 1182 129 91 220 140 30 1572

20-29 23 17 22 29 21 22 134 27 23 50 0 34 218

30-39 30 23 25 24 27 31 160 33 14 47 3 210

40-49 32 23 27 36 31 40 189 33 19 52 8 249

50-59 59 51 48 69 50 103 380 23 22 45 32 457

60-69 53 37 30 35 30 51 236 13 10 23 41 300

70-79 15 15 14 1 9 16 70 1 3 4 32 106

80-89 4 3 6 1 3 2 19 1 1 2 20 41

90-99 1 1 0 4 5

65+ 39 34 30 15 25 36 179 7 10 17 77 273

% Age 65+ 18% 20% 17% 8% 15% 14% 15% 5% 11% 8% 55% 0% 17%

Table 11 Gender of People Served by the Hospital System on June 30, 2012

Act-Civil Forensic LTC 21 System

On 6/30/12 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

Census 217 170 172 197 172 265 1193 131 94 225 140 34 1592

Men 134 90 116 114 100 149 703 109 76 185 84 34 1006

Women 83 80 56 83 72 116 490 22 18 40 56 0 586

% Men 62% 53% 67% 58% 58% 56% 59% 83% 81% 82% 60% 100% 63%

% Women 38% 47% 33% 42% 42% 44% 41% 17% 19% 18% 40% 0% 37%

Table 12 Race/Ethnic Origin of People Served by the Hospital System on June 30, 2012


Racial Distribution Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

6/30/12 Census 217 170 172 197 172 265 1193 131 94 225 140 34 1592

American Indian/Alaskan 0 0 1 0 1 1 3 0 0 0 0 0 3

Asian/Pacific Islander 2 0 2 2 1 5 12 1 0 1 1 1 15

Black/African American 11 17 70 22 16 20 156 79 32 111 25 1 293

Hispanic 3 3 6 1 2 24 39 8 2 10 8 1 58

White 201 150 93 171 150 215 980 43 59 102 106 31 1219

Other/Not Identified 0 0 0 1 2 0 3 0 1 1 0 0 4

% Non White 7% 12% 46% 13% 13% 19% 18% 67% 37% 55% 24% 9% 23%

Page 9

Table 13 County of Origion for People Served on June 30, 2012



Adams 0 2 2 1 3

Allegheny 16 16 38 38 1 1 56

Armstrong 11 11 1 1 12

Beaver 0 4 4 4

Bedford 3 3 0 3

Berks 62 62 4 4 8 1 75

Blair 19 19 2 2 21

Bradford 7 7 1 1 8

Bucks 1 29 30 9 3 12 1 43

Butler 15 15 0 1 16

Cambria 20 20 1 1 21

Cameron 1 1 0 1

Carbon 2 2 4 0 4

Centre 8 8 3 3 11

Chester 13 2 15 3 3 6 3 24

Clarion 6 6 0 6

Clearfield 1 21 22 1 1 23

Clinton 1 1 0 1

Colombia 9 1 10 0 1 11

Crawford 12 12 0 12

Cumberland 9 9 2 2 8 19

Dauphin 36 1 37 4 4 13 54

Delaware 23 23 20 20 11 2 56

Elk 4 4 1 1 5

Erie 50 50 4 4 1 3 58

Fayette 16 16 1 1 17

Forest 0 0 1 1

Franklin 6 1 7 0 11 18

Fulton 1 1 0 1

Greene 1 1 0 1

Huntington 5 5 0 1 1 7

Indiana 17 17 0 17

Jefferson 0 1 1 1 2

Juniata 1 1 0 1

Lackawanna 69 1 70 0 1 2 73

Lancaster 61 61 2 3 5 4 2 72

Lawrence 0 0 0

Lebanon 31 31 2 1 3 6 5 45

Lehigh 1 1 51 53 1 1 7 2 63

Luzerne 104 1 2 1 108 1 1 2 1 111

Lycoming 21 21 1 1 6 28

M cKean 12 12 0 12

M ercer 40 40 1 1 41

Mifflin 6 6 0 1 7

M onroe 6 6 0 6

M ontgomery 37 37 8 1 9 4 50

M ontour 3 3 0 1 4

Northampton 6 6 1 1 2 5 13

Northumberland 19 19 0 1 20

Out Of State 1 2 1 4 0 1 5

Perry 0 0 1 1 2

Philadelphia 67 67 77 77 9 153

Pike 4 4 0 1 5

Potter 4 4 0 4

Schuylkill 36 36 0 1 1 38

Snyder 5 5 0 5

Somerset 4 4 0 12 16

Sullivan 0 0 1 1

Susquehanna 3 3 2 2 5

Tioga 8 8 0 8

Union 0 0 0

Venago 10 10 0 1 11

Warren 11 11 3 3 2 16

Washington 2 2 1 1 3

Wayne 8 8 1 1 3 2 14

Westmoreland 66 66 4 4 1 71

Wyoming 4 4 0 4

York 2 1 48 51 5 5 16 2 74

Totals 217 170 172 197 172 265 1193 131 94 225 140 34 1592

Page 10

Table 14 Axis I Diagnosis of People Served by the State Hospital System on June 30, 2012



Additional Codes Focus of Treatment 1 1 1 1 2 10 13

Adjustment Disorders 1 1 2 2 1 3 1 6

Anxiety Disorders 2 4 1 1 8 1 1 2 11

Any M edical Diagnosis 0 0 2

Delirium, Dementia and Amnestic 3 3 1 1 5 12 25 2 2 44 71

Diseases of the Nervous System & Sense Organs 1 1 0 1

Early Onset Disorders 1 1 1 1 2 6 0 6

Factitious Disorders 0 0 0

Impulse Control Disorders Not Classified 11 2 5 4 10 32 2 2 1 35

M ental Disorders/General M edical Cond 1 1 2 4 1 1 1 6

M ood Disorders 31 28 20 42 37 29 187 14 24 38 11 5 241

Neurotic Disorders not inlcuded above 0 0

Other Conditions/Focus of Clinical Attention 0 0 0

Other Psychosis 1 1 2 2 1 3 4 9

Personality Disorders 1 1 2 0 1 3

Schizophrenia/Psychotic Disorders 167 135 146 137 122 209 916 109 64 173 63 1152

Sexual and Other Gender Identify Disorders 1 4 5 0 27 32

Substance-Related Disorders 1 1

Symptoms, Signs and Ill-Defined Symptoms 1 1 0 1 2

Total 217 170 172 197 172 265 1193 131 94 225 140 34 1592

% with Schizophrenia/Psychotic Disorders 77% 79% 85% 70% 71% 79% 77% 83% 68% 77% 45% 72%

Table 15 People with a Diagnosis of ID/DD Served by the Hospital System on June 30, 2012



6/30/2012 5 3 19 4 1 15 47 6 6 12 14 4 77

12/31/2011 8 3 24 8 2 20 65 8 6 14 14 3 96

12/31/2010 10 2 23 13 4 25 77 6 9 15 17 2 111

12/31/2009 13 0 23 15 8 24 83 11 3 14 15 2 114

6/30/2009 18 8 20 18 12 24 100 12 4 16 14 2 132

12/31/2008 23 10 21 16 18 23 111 13 4 17 14 1 143

6/30/2008 27 9 19 14 16 22 107 13 13 10 2 132

12/31/2007 28 11 18 15 15 19 106 11 11 9 1 127

6/30/2007 28 12 20 17 19 18 114 10 10 11 1 136

12/31/2006 27 11 16 15 15 22 106 9 9 11 126

6/30/2006 27 11 17 16 15 24 110 6 6 11 127

12/31/2005 26 15 17 16 17 29 120 4 4 9 133

6/30/2005 29 15 18 14 18 22 116 7 7 11 134

12/31/2004 27 15 18 12 20 18 110 6 6 11 127

Percentage of People with MR/DD Dx on 6/30/2012



Dx MR/DD 2% 2% 11% 2% 1% 6% 4% 5% 6% 5% 10% 12% 5%

Page 11

Table 16 Substance Use Diagnosis of People Served on June 30, 2012


Diag # DSM IV Description Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total 291.2 Alcoholic Dementia Oth 1 1 0 4 5

291.81 Alcohol Withdrawal 0 0 0 292.84 Drug Induced Depressive Syndrom 0 0 0 292.89 Drug M ental Disorder Nec 0 0 0 292.9 Drug Induced M ental Disorder Unspec 0 0 0

303.90 Oth/unspec Alcohol Dep Unspec 4 5 5 1 10 25 3 5 8 1 34 303.92 Alchol Dep Nec/Nos-Episod 1 1 1 303.93 Alcohol Dep Oth In Remiss 1 2 9 2 2 16 5 5 6 1 28 304.00 Opioid Dependence Unspec 1 1 2 0 2 304.03 Opioid Dependence Remiss 1 1 2 0 1 3 304.10 Barbiturate Depend Unspec 1 1 2 0 2 304.13 Barbiturate Depend Remiss 0 0 0 304.20 Cocaine Depend Unspec 1 2 3 6 2 1 3 9 304.23 Cocaine Depend Remiss 1 3 4 0 1 5 304.30 Cannabis Depend Unspec 1 4 3 8 2 2 10 304.33 Cannabis Depend Remiss 2 1 3 1 1 1 2 7 304.40 Amphetamine Depend Unspec 0 0 0 304.50 Hallucinogen Dep Unspec 1 1 2 0 2 304.53 Hallucinogen Dep Remiss 1 1 0 1 304.60 Drug Depend Oth Unspec 0 0 0 304.70 Opioid/Other Dep-Unspec 1 1 1 1 1 3 304.73 Opioid/Other Dep-Remission 0 4 4 1 5 304.80 Combination Drug Dep Oth, Unspe 6 2 1 15 24 11 11 35 304.83 Comb Drug Dep Oth, Remiss 2 2 4 1 2 11 5 5 1 17 304.90 Unspec Drug Depend Unspec 1 1 2 1 1 3 304.93 Drug Depend Unspec Remiss 3 3 1 1 4 305.00 Alcohol Abuse Unspec 13 22 13 17 26 27 118 11 10 21 2 1 142 305.01 Alcohol Abuse Continuous 1 1 2 0 2 305.02 Alcohol Abuse Episodic 1 3 4 0 4 305.03 Alcohol Abuse Remiss 3 2 9 4 12 30 7 7 6 1 44 305.1 Tobacco Use Disorder 46 21 30 75 48 114 334 1 1 7 4 346

305.20 Cannabis Abuse Unspec 5 11 9 18 12 55 8 10 18 2 75 305.22 Cannabis Abuse Episodic 0 0 0 305.23 Cannabis Abuse Remiss 3 2 5 10 9 9 1 20 305.30 Hallucinogen Abuse Unspec 3 1 4 1 1 5 305.33 Hallucinogen Abuse Remiss 1 2 3 0 1 4 305.40 Barbiturate Abuse Unspec 1 1 2 0 2 305.50 Opioid Abuse Unspec 1 1 2 4 0 1 5 305.53 Opioid Abuse Remiss 1 1 2 0 1 3 305.60 Cocaine Abuse Unspec 1 3 2 3 8 4 21 2 4 6 1 28 305.62 Cocaine Abuse Episodic 0 0 0 305.63 Cocaine Abuse Remiss 1 1 2 4 8 3 3 1 12 305.70 Amphetamine Abuse Unspec 2 2 4 1 1 5 305.73 Amphetamine Abuse Remiss 1 1 0 1 305.80 Antidepress Abuse-Unspec 0 0 0 305.90 Drug Abuse Oth Unspec 1 7 23 11 9 36 87 20 3 23 3 1 114 305.91 Drug Abuse Oth Continuous 0 0 0 305.92 Drug Abuse Oth Episodic 0 0 0 305.93 Drug Abuse Oth In Remiss 1 12 5 5 23 3 3 2 28 V11.30 Hx Of Alcoholism 2 2 0 4 6 V15.82 History Of Tobacco Use 1 3

Totals 88 83 77 182 131 268 829 59 76 135 46 16 1026

% With Tabacco Use Disorder 52% 25% 39% 41% 37% 43% 40% 0% 1% 1% 15% 25% 34%

Page 12

Table 17 Medical Diagnoses of People Served on June 30, 2012


M edical Diagnosis by M ajor Group Cla Dan Nor Tor War Wer Total Nor Tor Total SM RC Tor Total

Any Medical Diagnosis 4 128 14 1 126 127 131 1 132 10 269

Complications of Pregnancy, Childbirth & Puerperiu 1 2 3 0 3

Conditions Originating in the Perinatal Period 1 1 1 3 0 3

Congenital Anomalies 5 4 6 3 8 5 31 2 2 1 1 35

Delirium, Dementia and Amnestic 1 3 1 5 1 1 1 7

Diabetes 37 33 33 49 37 70 259 12 15 27 48 334

Diseases of the Blood and Blood Forming Organs 10 17 27 10 19 36 119 1 4 5 31 1 156

Diseases of the Circulatory System 90 97 106 88 85 129 595 32 40 72 147 5 819

Diseases of the Disgestive System 52 100 144 112 197 188 793 18 25 43 119 16 971

Diseases of the Genitourinary System 7 19 7 19 9 35 96 2 6 8 32 1 137

Diseases of the M usculoskeletal System and Connect 17 66 48 52 57 96 336 16 12 28 98 3 465

Diseases of the Nervous System and Sense Organs 30 85 58 60 27 135 395 7 21 28 81 5 509

Diseases of the Respiratory System 59 50 49 44 54 64 320 12 14 26 36 17 399

Diseases of the Skin and Subcutaneous Tissue 5 17 15 13 38 42 130 6 4 10 14 10 164

Early Onset Disorders 1 2 1 4 1 1 1 6

Eating Disorders 124 119 58 69 33 145 548 26 8 34 26 19 627

Endocrine Nutritional, Metabolic, Immunity 250 298 141 232 201 408 1530 49 48 97 122 23 1772

Fractures 1 2 2 1 1 7 2 2 1 10

Infectious and Parasitic Diseases 9 14 9 5 6 19 62 4 3 7 20 2 91

Injuries and Poisonings 4 11 4 3 31 11 64 1 5 6 10 1 81

NeoPlasams (growths) 2 7 2 4 2 11 28 1 1 2 14 1 45

Other Conditions/Focus of Clinical Attention 5 1 2 1 1 10 1 1 6 1 18

Substance-Related Disorders 3 6 9 0 4 13

Symptoms, Signs and Ill-Defined Symptoms 41 58 47 33 67 109 355 22 17 39 77 5 476

Percentage of People Served with Diabetes 17% 19% 15% 28% 23% 26% 21% 9% 20% 13% 36% 0% 21%

Table 18 Categories Related to Criminal History Served in the Civil Hospitals on June 30, 2012

Civil Hospitals Only On 6/30/2012 Cla Dan Nor Tor War Wer Total

Found "guilty but mentally ill" 11 2 73 4 3 13 106 Found "not guilty by reason of insanity" 2 3 1 11 17

Incompetent to stand trail 1 1 3 3 13 21 No criminal justice involvement 205 167 94 187 168 228 1049

Total 217 170 172 197 172 265 1193

Page 13

Table 19 Commitment Status/Code of People Served in the SMH System on June 30, 2012


PCIS Commitment Type as of 6/30/2012 Sec Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

2300 Voluntary admission of an Adult 201 63 1 5 3 1 73 0 73

2400 Conver vol from Invol (302,303, 304, 305) 201 1 14 6 2 10 33 0 33

3400 Involuntary emerg commit/invol in SM H 304 1

3500 Invol commit of voluntary in SMH 304 1 1 0 1

3600 Invol commit/not voluntary SMH inpatient 304 1 1 0 1

3700 Invol commit/not SMH inpatient 304 10 8 3 15 21 3 60 2 2 62

3800 Involuntary not guilty by reason of insanity NGRI 304 3 1 5 9 0 9

3900 Invol criminal commit incompetent to stand trial 304 1 2 6 9 2 2 11

4000 Extended involuntary commitment 305 141 158 83 169 147 222 920 2 2 922

4100 Extended involuntary commitment/Guilt/M ental/Ill 305 5 1 5 11 2 2 13

4200 Extended involuntary commitment/Incompetent 305 13 3 1 4 21 3 5 8 29

7000 Invol 60 days incompetent trial/not mentally ill 402 22 22 102 47 149 171

7500 Invol/convicted/ examination 405 1 1 6 3 9 10

7501 Invol/convicted/guilty but mentally ill 405 1 1 0

8000 Invol emerg commit/person charged/convicted 302 0 0 0

8200 Invol criminal commit/charged/convicted 304 1 1 2 7 18 25 27

8300 Extended involuntary charged/convicted 305 3 20 6 29 5 19 24 53

9000 Psych obs 60 days not yet sentenced 1403 2

0000 SMRC ICF 0 0 139 139

0001 SMRC SNF 0 0 1 1

9900 SRTU Act21 0 0 34 34

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Table 20 Veteran Status of People Served in the Hospital System on June 30, 2012

Civil

On 6/30/2012 Cla Dan Nor Tor War Wer Total Nor

Forensic

Tor Total

LTC

SMRC

Act-21

Tor

System

Total

43

13

11

5

11

1

84

Army 2 7 6 5 4 5 29 3 5 8 6 0

Navy 2 1 1 1 2 5 12 1 0 1 0 0

Air Force 1 1 0 0 3 3 8 0 1 1 2 0

National Guard 0 0 0 0 2 1 3 0 0 0 2 0

Marines 0 1 3 0 0 3 7 2 0 2 2 0

Coast Guard 0 1 0 0 0 0 1 0

Total Military 5 11 10 6 11 17 60 6

0 0

6 12

0

12

0

0

Chart 2 Average LOS (Mean) in Days of People Served in the Hospital System on June 30, 2012

2433

1861

3075

658

1738 1656

162

1241

1729

2027

Average LOS (Mean) in DaysOn June 30, 2012

Table 21 Consumers in Civil Section with 2 or More Years LOS (Hospital*County) of People Served in the Hospital System on June 30, 2012

County CLA DAN NOR TOR WAR WER Total County CLA DAN NOR TOR WAR WER Total Allegheny 13 13 Lancaster 42 42 Armstrong 5 5 Lebanon

Lehigh Luzerne Lycoming McKean Mercer Mifflin Montgomery Montour Northampton d Out Of State Philadelphia Pike Potter Schuylkill Snyder Somerset Susquehanna Tioga Venango Warren Washington Wayne Westmoreland York

1 66

2

1 6

6

1 10

5

2

7

22 1

1

1

30

1 53

1

2

2

2

31

6 15

2

5 7

22 32

4

32

22 34 67 10 6

15 5

30 2 4 7 3

53 2 2

22 1 2 1 6 5 7 2 6

31 34

Bedford 2 2 Berks 37 37 Blair 8 8 Bradford 4 4 Bucks 22 22 Butler 7 7 Cambria 4 4 Cameron 1 1 Carbon 2 2 Centre 3 3 Chester 13 13 Clarion 1 1 Clearfield 1 6 7 Colombia 5 5 Crawford 5 5 Cumberland 8 8 Dauphin 16 1 17 Delaware 14 14 Elk 2 2 Erie 28 28 Fayette 6 6 Franklin 4 4 Fulton 1 1 Greene 1 1 Huntington 4 4 Indiana 5 5 Totals 136 90 135 88 79 172 1 Lackawanna 50 50

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PENNSYLVANIA STATE HOSPITAL SYSTEM …...Chart 1 Hospital System Census & Staff 1997-2012 - All Levels of Care 4 2 Length-Of-Stay by Facility and Level-of-Care on June 30, 2012 5 3

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