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Mental Health: Crisis Intervention


Mental Health: Crisis Intervention Challenges and Solutions In West Texas August 9, 2007 Challenges in 2007 Untreated mental illness is a public safety issue ... – PowerPoint PPT presentation

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Title: Mental Health: Crisis Intervention

Mental Health Crisis Intervention
  • Challenges and Solutions
  • In
  • West Texas
  • August 9, 2007

Challenges in 2007 Untreated mental illness is a
public safety issue
  • The crisis response system is in crisis!
  • More individuals with mental illness now reside
    in jail prison than anywhere else so
    fundamentally, do we believe in care or
  • And if we determine to provide care, does the
    mental health system need reform or resources?

West Texas Challenges
  • Public Hearing February 23, 2006
  • Big Spring State Hospital
  • DSHS Crisis Services Redesign Committee
  • 1. Distance
  • 2. Transportation
  • 3. Lack of professionals
  • 4. Population-based resource shifting (equity)
  • If not to jail, then where?
  • (5 of 21 listed challenges)

Show Me the Money! Safety and Savings for all
  • Cost / Benefit Analysis
  • The daily average cost for outpatient mental
    health care is 11 per day.
  • The daily average cost to house a state prisoner
    is 40 per day.
  • The daily average cost to house a local jail
    inmate is 35-50 per day.
  • So, significant cost savings result from reduced
    incarceration days.

The Texas Solution!
  • The 80th Legislature understood the challenges,
    listened to informed opinions, and ACTED!
  • When the dust settled, 82.1 million NEW general
    revenue dollars were invested in community-based,
    mental health crisis redesign strategies.
  • Appropriations (Rider 69)

The Texas Solution!
  • 32 will be used to improve equity among LMHAs
    that have below average per capita funding
  • 36 will be divided proportionally among all
  • 30 will be offered through a competitive process
    (with a 25 local match requirement) for the
    development of Psychiatric Emergency Hub Sites
    and/or Outpatient Competency Restoration Services
    SB 867 Duncan.

The Texas Solution!
  • 27.3 million will be allocated in FY 08
    contracts will be sent to LMHAs in September,
    return of the crisis plans in October, and the
    new local crisis services begin in December.
  • 54.7 million will be allocated in FY 09.
  • It is expected that the new funds will be used to
    improve the current crisis services and not
    replace the current services.

The Texas Solution!
  • The Department of State Health Services
  • expectation for the use of new funding
  • Must implement hotline services certified by
    the American Association of Suicidology mobile
    outreach teams.
  • Optional Enhanced Crisis Services up to 48 hour
    psychiatric emergency services, 16 bed crisis
    stabilization unit, crisis outpatient services,
    crisis residential or respite services, in-home
    crisis resolution, transportation, or CIT/MH

The Texas Solution!
  • So what about those already involved in the
    criminal justice system?
  • The 80th Legislature hit another homerun!

The Texas Solution!
  • Funding was increased for the Texas Department of
    Criminal Justice
  • TCOOMMI (Texas Correctional Office on
    Offenders with Medical and Mental Impairments)
    was given an additional 10 million to provide
    mental health services, medications, and
    continuity of care to juvenile and adult
    offenders with mental impairments.

The West Texas Solution!
  • Next steps for our West Texas communities?
  • As time allows, go to
    /mhsacsr.pdf to review the complete Crisis
    Services Redesign Report, completed in September
  • Be sure that your local MHA (community center)
    knows you want to be involved in planning how the
    new dollars are spent.

The West Texas Solution!
  • Be expectant for us to invest 82 million
    dollars, expect results! We can do better
  • The Concho Valley experience indicates that
    positive results (not perfect results) can

The West Texas Solution!
  • Concho Valley Mental Health Crisis Services
  • Long-standing collaborative partnership (7 years)
  • Award-winning Mental Health Deputy Unit under the
    leadership of Constables Smith and Hester
  • Successful pre-booking diversion strategies
  • Jail/CARE data cross-matching, screening
  • 15-bed Crisis Respite Services
  • Local Crisis inpatient Services up to 72 hours
    via contracts with River Crest and Shannon

The West Texas Solution
  • Concho Valley MH Crisis Services (continued)
  • Valued State Hospital services
  • Seasoned Continuity of Care Services
  • Community Supervision for both adult and juvenile
    special needs offenders in conjunction with CSCD
    probation officers
  • Special law enforcement training sessions

The West Texas Solution!
  • For more information on Jail Diversion strategies
    designed to slow or reverse the growing trend of
    the incarceration of our friends and neighbors
    with mental illness, please contact Mr. Lynn
    Rutland or any of the community center CEOs
    located throughout the West Texas region.
  • Mr. Rutland can be contacted at or by calling 325-658-7750.

The West Texas Solution!
  • May none of our family friends know what the
    inside of jail looks like
  • simply because of their illness.

  • Lynn Rutland