CSA Data Set
Locality Profile : Culpeper   FIPS: 47
All Children
F04-QTR1 as of 09/30/2003

General Information
1 Child Count 62  Children
2 Child's Date of Birth Avg Date:  05/31/1990 Avg Age: 13 Years 4 Months
3 Gender
M - Male 37 60%
F - Female 25 40%
4 Race
1 - White 41 66%
2 - African-American or Black 21 34%
3 - Asian 0 0%
4 - American Indian or Alaskan Native 0 0%
5 - Native American/Other Pacific Islander 0 0%
6 - Unable to Determine 0 0%
5 Ethnic Group—Hispanic
Yes 1 2%
No 61 98%
6 Referral Source
1 - DSS (Dept of Social Services) 41 66%
2 - Education 10 16%
3 - Juvenile Justice 8 13%
4 - CSB (Community Services Board) 3 5%
5 - Family 0 0%
6 - Health Department 0 0%
7 - Interagency Team/Office 0 0%
8 - Other 0 0%
7 Date Open to CSA?
 Avg Date:  01/15/2002
8 Date Discharged from CSA?
Active 47 76%
Discharged 15 24%
9 Date Last FAPT/Multi-Disciplinary Team? Avg Date:  04/12/2003
10 Date Last Utilization Review on Child? Avg Date:  04/12/2003


Medicaid—Mental Health —Other
    Count %
    Yes No N/A Yes No N/A
11 Is Child Case Assessed for Parental Co-Payment? (Excluding FC & IEP Cases) 0 0 62 0%* 0%* 100%**
12 Is Child Case (If in FC) Referred to Support Enforcement? 35 24 3 59%* 41%* 5%**
13 Does Child have a DSM IV Mental Health Diagnosis? 49 13 0 79% 21% 0%
14 Does Child take Prescription Medications for a Mental Health Problem? 31 31 0 50% 50% 0%
15 Is Child Screened for Medicaid Eligibility? 58 4 0 94% 6% 0%
16 Is Child Medicaid Enrolled? 44 18 0 71% 29% 0%
17 Is Child Screened for Title IV-E Eligibility? 61 1 0 98% 2% 0%
18 Is Child Placed in Medicaid Certified Facility? 4 4 54 50%* 50%* 87%**
19 Out of State Residential Placement? 0 62 0 0% 100% 0%
* Percentages for children that meet criteria only.   ** Percentage of children that do not meet criteria.

Mitigating Circumstances & Related
    Count %
    Yes No Yes No
MITG1 Are there Mitigating Circumstances? 0 62 0% 100%
MITG2 Placement Safety 0 62 0% 100%
MITG3 Community Safety
 0 62 0% 100%
MITG4 Community Capacity for WRAP 0 62 0% 100%
MITG5 Legal Constraints 0 62 0% 100%
MITG6 Community Resources 0 62 0% 100%
MITG7 Ineffectiveness of Current Treatment 0 62 0% 100%
MITG8 Child/Family not Cooperating with Treatment 0 62 0% 100%
MITG9 Family Preference for Treatment 0 62 0% 100%
MITG10 Resources of the Caregiver 0 62 0% 100%

 

Primary Mandate Type 1 2 3 4 Totals
RFC 6 0 0 0 6
RFC-NC 0 0 0 0 0
RFC-IV-E 2 0 0 0 2
TFC 4 0 0 0 4
FFC 15 0 0 0 15
FFC-IV-E 3 0 0 0 3
TFC-IV-E 8 1 0 0 9
TFC-NC 1 0 0 0 1
FCP 19 0 0 0 19
FCP -IV-E 1 0 0 0 1
SPED-Residential 0 0 0 0 0
SPED-Non Residential/Day 1 0 0 0 1
SPED-Non Residential/Other 2 2 0 0 4
Non Mandated 0 0 0 0 0
Totals 62 3 0 0 65


Reason for Service Primary Secondary Tertiary Total
Special Education 1 0 0 1
Property Destruction 2 0 0 2
Emotional Issues 17 3 2 22
Sexual Offender 1 1 0 2
Sexual Abuse Victim 7 3 2 12
Neglect 11 11 2 24
Physical Abuse 4 4 3 11
Runaway 0 0 1 1
Illegal Activity 1 1 1 3
Substance Abuse 0 0 0 0
Behavioral Issues 3 5 5 13
Court Involvement 5 7 1 13
Mental Issues 0 5 1 6
Truancy 4 3 1 6
Physical Aggression 0 0 2 2
Homicidal 0 0 0 0
Suicidal 0 0 0 0
Caregiver Absent 3 3 0 6
Disordered Thinking 0 0 0 0
Self-Mutilation 0 0 0 0
Caregiver Incapacity 3 10 9 22
Totals 62 56 30 148


SPED Disability Related—SPED Mandate Types ONLY
    Yes No
SPED1 Autism 0 62
SPED2 Deaf-Blindness 0 62
SPED3 Developmental Delay 2 60
SPED4 Emotional Disturbance 5 57
SPED5 Hearing Impairment/Deaf 0 62
SPED6 Learning Disability 3 59
SPED7 Mental Retardation 1 61
SPED8 Multiple Disabilities 0 62
SPED9 Orthopedic Impairment 0 62
SPED10 Other Health Impairment 0 62
SPED11 Severe Disabilities 0 62
SPED12 Traumatic Brain Injury 0 62



Mandatory Uniform Assessment Instrument (MUAI)
27 Most Recent MUAI Assessment Date? Avg Date:  08/03/2003
28 Scale used on this Most Recent MUAI Assessment.
8 - MUAI 50 81%
8 - PECUAI 5 8%
NA 7 11%


Mandatory Uniform Assessment Instrument (MUAI)—Most Recent
MI2 MUAI Scale MUAI
MI3 MUAI Score—School/Work Role 16-30
MI4 MUAI Score—Home Role 17-30
MI5 MUAI Score—Community Role 11-30
MI6 MUAI Score—Behavior Towards Others 14-30
MI7 MUAI Score—Moods/Emotions 11-30
MI8 MUAI Score—Self Harmful Behavior 1-30
MI9 MUAI Score—Substance Abuse 2-30
MI10 MUAI Score—Thinking 3-30
  MUAI Score—Total 76-240
MI11 MUAI—Caregiver—Family Social Support 17-30


Mandatory Uniform Assessment Instrument (PECUAI)—Most Recent
PI2 MUAI Scale PECUAI
PI3 MUAI Score—School/Daycare 18-30
PI4 MUAI Score—Home Role 20-30
PI5 MUAI Score—Community Role 4-30
PI6 MUAI Score—Behavior Towards Others 12-30
PI7 MUAI Score—Moods/Emotions 12-30
PI8 MUAI Score—Self Harmful Behavior 0-30
PI9 MUAI Score—Thinking 2-30
  MUAI Score—Total 68-210

Service/Placement Type      1.08 Types/Child # %
Community Based Interventions 28 42%
Therapeutic Foster Home 13 19%
Residential Treatment Facility 7 10%
Foster Care Maintenance & Other Services 2 3%
SPED Day Placement 1 1%
Group Home 1 1%
Family Foster Care Maintenance Only 13 19%
SPED Other Day Services 2 3%
Specialized Foster Home 0 0%
Independent Living 0 0%
Psychiatric Hospital 0 0%
Totals 67 100%