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Indiana is implementing common assessment tools to support decisions and monitor progress in several public service systems. In July 2008, behavioral health providers which contract with the Division of Mental Health and Addiction (DMHA) and state hospitals began using the Child and Adolescent Needs and Strengths (CANS). A year later, the Adult Needs and Strengths Assessment (ANSA) was implemented in the public behavioral health system. During 2008, child residential providers began using the CANS. Indiana’s Department of Child Services is piloting the CANS during the fall of 2009 with statewide implementation planned for early 2010. Local and regional use of the CANS has also developed for probation, a school system and other child service agencies.
The Data Assessment Registry for Mental Health and Addiction (DARMHA) was developed to support the use of information about the strengths and needs of individuals to help make decisions, to monitor progress and to improve quality. DARMHA merges the second version of this technology [Indiana Behavioral Health Assessment System (IBHAS)] with DMHA’s Community Service Data System (used to collect required block grant data and to allocate funding) creating an integrated system of information that includes assessment, demographic, diagnostic and service information. Using CANS and ANSA assessment information, DARMHA calculates algorithms or decision model thresholds to inform intensity of care decisions, and produces individualized and aggregate reports regarding needs and strengths, outcomes, and trends.