Spreadsheet: f278a315-73e4-40ab-b1e5-cafccfe61889
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4
 | SFY 2011 | SFY 2012
Service Category | (Question 1) | (Question 2) | (Question 3) | (Question 4)
 | Offered Service | Plan to: | Medicaid Consumer Usage: | Non-Medicaid Consumer Usage:
 | Yes/No/Don’t Know | Introduce (Intro) | Increase (I) | Increase (I)
 | Specify the answer for each category | Eliminate (E) | Decrease (D) | Decrease (D)
 |  | Increase (I) | No Change (NC) | No Change (NC)
 |  | Decrease (D) | Don’t Know (DK | Don’t Know (DK
 |  | No Change (NC) | Specify the answer for each category | Specify the answer for each category
 |  | Don’t Know (DK
 |  | Specify the answer for each category
Pharmacological Mgt. | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
(Medication/Somatic)
Mental Health | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Assessment
(non-physician)
Psychiatric Diagnostic | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Interview (Physician)
BH Counseling and | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Therapy (Ind.)
BH Counseling and | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Therapy (Grp.)
Crisis Resources & Coordination
24/7 Hotline | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
24/7 Warmline | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
 | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Police Coordination/CIT
Disaster preparedness | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
School Response | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
 | SFY 2011 | SFY 2012
Service Category | (Question 1) | (Question 2) | (Question 3) | (Question 4)
 | Offered Service | Plan to: | Medicaid Consumer Usage: | Non-Medicaid Consumer Usage:
 | Yes/No/Don’t Know | Introduce (Intro) | Increase (I) | Increase (I)
 | Specify the answer for each category | Eliminate (E) | Decrease (D) | Decrease (D)
 |  | Increase (I) | No Change (NC) | No Change (NC)
 |  | Decrease (D) | Don’t Know (DK | Don’t Know (DK
 |  | No Change (NC) | Specify the answer for each category | Specify the answer for each category
 |  | Don’t Know (DK
 |  | Specify the answer for each category
Respite Beds  for Adults | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Respite Beds for Children & Adolescents (C&A) | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Crisis Face-to-Face Capacity for Adult Consumers
24/7 On-Call Psychiatric | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Consultation
24/7 On-Call Staffing by | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Clinical Supervisors
24/7 On-Call Staffing by Case Managers | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Mobile Response Team | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Crisis Central Location Capacity for Adult Consumers
Crisis Care Facility | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Hospital Emergency | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Department
Hospital contract for | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Crisis Observation Beds
Transportation Service to | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Hospital or Crisis Care
Facility
Crisis Face-to-Face Capacity for C&A Consumers
24/7 On-Call Psychiatric | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Consultation
 | SFY 2011 | SFY 2012
Service Category | (Question 1) | (Question 2) | (Question 3) | (Question 4)
 | Offered Service | Plan to: | Medicaid Consumer Usage: | Non-Medicaid Consumer Usage:
 | Yes/No/Don’t Know | Introduce (Intro) | Increase (I) | Increase (I)
 | Specify the answer for each category | Eliminate (E) | Decrease (D) | Decrease (D)
 |  | Increase (I) | No Change (NC) | No Change (NC)
 |  | Decrease (D) | Don’t Know (DK | Don’t Know (DK
 |  | No Change (NC) | Specify the answer for each category | Specify the answer for each category
 |  | Don’t Know (DK
 |  | Specify the answer for each category
24/7 On-Call Staffing by | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Clinical Supervisors
24/7 On-Call Staffing by Case Managers | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Mobile Response Team | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Crisis Central Location Capacity for C&A Consumers
Crisis Care Facility | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Hospital Emergency Department | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Hospital Contract for Crisis Observation Beds | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Transportation Service to Hospital or Crisis Care Facility | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Partial Hospitalization, | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
less than 24 hr.
[NAME] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Supportive Treatment
(Ind.)
[NAME] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Supportive Treatment
(Grp.)
Assertive Community | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Treatment (Clinical
Activities)
Assertive Community | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Treatment (Non-Clinical
Activities)
Intensive Home Based | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Treatment (Clinical
Activities)
 | SFY 2011 | SFY 2012
Service Category | (Question 1) | (Question 2) | (Question 3) | (Question 4)
 | Offered Service | Plan to: | Medicaid Consumer Usage: | Non-Medicaid Consumer Usage:
 | Yes/No/Don’t Know | Introduce (Intro) | Increase (I) | Increase (I)
 | Specify the answer for each category | Eliminate (E) | Decrease (D) | Decrease (D)
 |  | Increase (I) | No Change (NC) | No Change (NC)
 |  | Decrease (D) | Don’t Know (DK | Don’t Know (DK
 |  | No Change (NC) | Specify the answer for each category | Specify the answer for each category
 |  | Don’t Know (DK
 |  | Specify the answer for each category
Intensive Home Based | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Treatment (Non- Clinical
Activities)
Behavioral Health Hotline | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Service
Other [NAME], not | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
otherwise specified
(healthcare services)
Other [NAME], | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
(non-healthcare services)
Self-Help/Peer Svcs. | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
(Peer Support)
Adjunctive Therapy | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Adult Education | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Consultation | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Consumer Operated | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Service
Employment | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
(Employment/Vocational)
Information and Referral | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Mental Health Education | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Occupational Therapy | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Service
Prevention | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
School Psychology | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Social & Recreational | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Service
Community Residence | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Crisis Care/Bed Adult  [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
 | SFY 2011 | SFY 2012
Service Category | (Question 1) | (Question 2) | (Question 3) | (Question 4)
 | Offered Service | Plan to: | Medicaid Consumer Usage: | Non-Medicaid Consumer Usage:
 | Yes/No/Don’t Know | Introduce (Intro) | Increase (I) | Increase (I)
 | Specify the answer for each category | Eliminate (E) | Decrease (D) | Decrease (D)
 |  | Increase (I) | No Change (NC) | No Change (NC)
 |  | Decrease (D) | Don’t Know (DK | Don’t Know (DK
 |  | No Change (NC) | Specify the answer for each category | Specify the answer for each category
 |  | Don’t Know (DK
 |  | Specify the answer for each category
Crisis Care/Bed Youth [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Foster Care Adult | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Foster Care Youth [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Residential Care Adult (ODMH Licensed) [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Residential Care Adult (ODH Licensed) [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Residential Care Youth [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Respite Care/Bed Adult [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Respite Care/Bed Youth [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Permanent Supportive Housing (Subsidized) Adult [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Independent Community Housing  Adult (Rent or Home Ownership) [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Temporary Housing Adult [see service definition below] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Forensic Service | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
[NAME] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Service Adult (Private hospital only)
[NAME] | Yes    No     DK | [NAME]   E   I   D   NC   DK | I    D    NC    DK | I    D    NC    DK
Service Youth (Private hospital only)