FOOTNOTES

a/

Of the 295 federally funded community mental health centers surveyed in 1972, 270 (92 percent) completed an Inventory form. Of these 270 inventories, 208 were judged reliable and usable. Tables 16 and 17 present the number and percent distribution of responding community mental health centers by data collected and selected center characteristics.

b/ The center characteristics, by which the data are grouped and analyzed are defined as follows:

(1)

(2)

(3)

Affluence of Catchment Area. The designation of a catchment area
as an urban or rural poverty area is based on the following pro-
cedure:

Catchment areas have been designated as poverty or nonpoverty
areas pursuant to section 410 of the Community Mental Health Centers
Act, and 42 CFR Part 54, Subpart B, of the implementing regulations.
Center location refers to the immediate environs of the center
and is not intended to be descriptive of the catchment area. The
four categories for classifying the location of centers are inner-
city, urban, suburban, and rural.

Years in Operation. The "under 3 years" category includes all centers
becoming operational, (that is, providing all 5 essential services),
on or after January 1969 and in operation for at least 2 or more
months of 1971. All centers becoming operational prior to January
1969 are included in the "3 year and over" category.

(4) Ownership of the center refers to the agency or organization which controls or has ultimate responsibility for the center. Ownership is classified as either public or nonpublic. A public agency or organization is defined as one which is operated either singly or jointly by a State, county, city, township, district or other governmental subdivision. Nonpublic ownership refers to control by a private nonprofit board or corporation.

(5)

The 10 administrative regions are composed of the following States:
Region I: Connecticut, Maine, Massachusetts, New Hampshire,
Rhode Island and Vermont

New Jersey, New York and Puerto Rico

Delaware, District of Columbia, Maryland, Pennsylvania,
Virginia, and West Virginia

Region II:

Region III:

Region IV:

North Carolina, South Carolina, and Tennessee

Alabama, Florida, Georgia, Kentucky, Mississippi,

Region

V: Illinois, Indiana, Michigan, Minnesota,
Ohio and Wisconsin

Region VI: Arkansas, Louisiana, New Mexico, Oklahoma,
and Texas

Region VII: Iowa, Kansas, Missouri, and Nebraska

Region VIII: Colorado, Montana, North Dakota,
South Dakota, Utah, and Wyoming

Region

IX: Arizona, California, Hawaii, and Nevada

Region X: Alaska, Idaho, Oregon, and Washington.

c/ An episode of outpatient care refers to treatment in the outpatient service which is begun by an admission directly to the outpatient service or by transfer to the outpatient service from another community mental health center treatment modality and terminated by discharge from the center or by transfer to another center treatment modality. The number of outpatient care episodes is a duplicated count of outpatients for the reporting period.

d/ A treatment session is the unit of service received by a client in the
outpatient service. It may be provided on a one-to-one basis (individual
session) or shared with other participating, unrelated individuals (group
session) or with one or more family members living in the same household
(family session).

e/ Center staff includes full-time employees working 35 or more hours a week; part-time employees working less than 35 hours a week; trainees or persons in the center who receive a supervised work-learning experience as an integral part of a training program; and volunteers working regularly scheduled hours.

£/ To adjust for the unequal number of hours worked by staff in differing statuses, the number of staff is converted into full-time equivalents (FTE'8). For any discipline, the number of staff is obtained by dividing by 40, the total number of hours worked by all staff in that discipline.

g/ Psychiatrists, psychologists, social workers, and registered nurses comprise the core of mental health professionals; subprofessionals include mental health workers with less than a B.A. degree.

TABLE 2..

UTILIZATION INDICES, OUTPATIENT SERVICES OF FEDERALLY FUNDED COMMUNITY MENTAL HEALTH CENTERS, BY CENTER LOCATION AND NUMBER OF YEARS IN OPERATION: UNITED STATES, 1971