全球智库信息集成服务系统

Over the five-year period, there were cost savings of $82.9 million associated with the FSP outcomes

• Those savings represent a 24 percent reduction in non-FSP government spending.
• For the five outcomes studied, non-FSP government spending on the 24,282 FSP beneficiaries was reduced from $345 million to $262 million.
• The largest cost savings came from reductions in criminal justice detention ($63.1 million in savings). This was followed by savings for behavioral health inpatient stays ($14.2 million, or 18 percent) and homelessness ($2.6 million, or 4 percent).
• When comparing cost savings by group (children, transition-age youth, and adults), the largest cost savings in relative terms came from transition-age youth (30 percent) and in absolute terms from adults ($51.6 million).
• Cost savings were observed across four of the five outcomes examined. The exception was connection to outpatient primary care, where there was a 16 percent increase in spending; however, this increase likely mitigated the risk — and associated costs — of inpatient care for physical health conditions.

The average annual FSP program expenditure for 2012–2016 was $13,807 per client

• The total expenditures for the first year of enrollment for the 24,282 enrollees were $335.3 million.
• The estimates of costs and savings are intentionally conservative but indicate that at least 24.7 percent of the expenditures for clients' first year in FSP programs was offset by savings, without accounting for indirect financial benefits, other potential financial benefits not associated with the five outcomes, or any nonfinancial benefits associated with improved health, housing, and employment among beneficiaries.

Los Angeles County used some of its Mental Health Services Act funds to greatly expand access to Full Service Partnership (FSP) programs. These programs, for individuals with serious mental illness, use a team approach to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to move toward recovery and resilience for target populations. For this report, the authors estimated annual government spending associated with five outcome areas targeted by FSPs: homelessness, criminal justice detention, behavioral health inpatient stays, connection to outpatient primary care, and employment. The focus is on government cost savings from these outcomes over a five-year period (2012–2016), comparing spending during the 12 months prior to individuals' enrollment in FSPs with the 12 months after FSP enrollment.

There is evidence that the investment Los Angeles County has made in its FSP programs has yielded positive outcomes and resulted in a substantial decrease in spending on criminal justice detention and more-moderate decreases in spending on behavioral health inpatient stays and on clients who are homeless. There are also nonfinancial benefits, such as improved mental health and quality of life, that could not be incorporated into the financial analysis.

• Chapter One

  Background

• Chapter Two

  Methods

• Chapter Three

  Results: Outcomes and Costs of Full Service Partnerships

• Chapter Four

  Discussion, Conclusions, and Recommendations