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Senate Criminal Justice Committee


Growth in Forensic Patients. Total Forensic Patients as a percent in Texas Mental Health Facilities ... was increased by 96 forensic commitment beds and 144 ... – PowerPoint PPT presentation

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Title: Senate Criminal Justice Committee

Senate Criminal Justice Committee
  • Interim Charge 1
  • June 21, 2006

Public Mental Health System in Texas
  • DSHS mental health services are only part of the
    public mental health system in Texas.
  • Law enforcement, education, Medicaid, CHIP, the
    criminal justice system, hospitals and other
    entities all play major roles in treating Texans
    with mental illnesses.

State Mental Health Hospitals
  • 10 Mental Health facilities provide inpatient
    hospitalization for persons with severe mental
    illness who need intensive treatment
  • North Texas State HospitalVernon campus, serves
    as the statewide maximum-security unit
  • The Waco Center for Youth is the only
    state-operated residential treatment facility in
    Texas for youths
  • All facilities are JCAHO Accredited

State Mental Health Hospital Capacity
Population Growth Compared to Funded State
Hospital Beds
Funding for State Mental Hospital Beds has
declined while the Texas population has grown
Growth in Forensic Patients
Total Forensic Patients as a percent in Texas
Mental Health Facilities
State Mental Health Hospital Daily Census for
State Mental Health Hospital Capacity
  • In February 2006, the LBB approved 13.4 million
    in additional expenditures for state mental
    health hospital capacity. These funds were
    transferred from DSHS FY07 appropriations to
  • As a result, statewide hospital system capacity
    was increased by 96 forensic commitment beds and
    144 civil commitment beds.
  • This increase in state hospital capacity has
    greatly enhanced our ability to meet the needs of
    local communities.
  • We continue to plan for long-term,
    community-based solutions to address the hospital
    capacity issue.

Individuals with Criminal Justice Involvement
Experienced Positive Clinical Outcomes at DSHS
Community Mental Health Centers, All of which
Implemented Jail Diversion during FY2005
Crisis Services Redesign
  • Crises do occurbut we should do all we can to
    avoid them.
  • February 2006, DSHS established the Crisis
    Services Redesign Committee to develop
    recommendations for a comprehensive array of
    crisis services.
  • Members of the committee include medical experts,
    citizen stakeholder groups, law enforcement
    representatives, county probate court judge
    representation, and county representatives, as
    well as individuals from professional
    organizations and provider groups.
  • A redesign of crisis services will build on, and
    is a part of, the service improvements made by
    the evidence-based Resiliency and Disease
    Management program.
  • A thorough review of the current crisis system
    was conducted, including holding public hearings
    around the state, reviewing current research and
    consultation with experts.

Crisis Services Redesign (cont.)
  • The committee plans to finalize its
    recommendations in June for an evidence-based
    crisis services model that will increase access
    to appropriate and cost-effective services.
  • Initial conclusions for recommended services
  • 24-hour hotline
  • Mobile outreach
  • 23-hour hold capacity
  • On-call psychiatric services
  • Crisis residential services
  • Respite
  • In-home crisis resolution services
  • The committee will also put forth recommendations
    regarding DSHS staff support, coordination and
    training to local professionals (e.g., law
    enforcement crisis intervention training).

Behavioral Health Issues Impact Other Systems
  • 75 of children placed in foster care have
    parents with behavioral health problems
  • 75 of kids in the juvenile justice system have
    behavioral health problems
  • 30 of kids in the juvenile justice system will
    end up in the adult justice system
  • 46 of all ER visits have behavioral health
    issues as a basic or contributing factor
  • 30 of all truancy is related to behavioral
    health problems

Mental Health Transformation
  • Overarching goal is to improve the mental health
    of all Texans and meet the Presidents New
    Freedom Commission goals
  • New Freedom Commission Goals are shared by those
    participating on the Transformation Working
  • The Governors Office Department of State Health
    Services Texas Health and Human Services
    Commission Department of Family and Protective
    Services Criminal Justice Department Juvenile
    Probation Commission Texas Youth Commission
    Consumers Family Members Texas Education
    Agency Aging and Disability Services Workforce
    Commission Veterans Administration etc.