Behavioral Health Center Behavioral Health Center of Nueces County of Nueces County

Annual Presentation to Annual Presentation to Nueces County Commissioner’s Court Nueces County Commissioner’s Court

January 2013January 2013

What Are We? What Are We? Unit of Local GovernmentUnit of Local Government Established in 1967Established in 1967 Designated Local Mental Health Authority by Texas Dept. State Designated Local Mental Health Authority by Texas Dept. State

Health ServicesHealth Services Designated Local Authority for services to persons with Designated Local Authority for services to persons with

intellectual disabilities by Texas Dept. Aging and Disability intellectual disabilities by Texas Dept. Aging and Disability ServicesServices

Sponsored by Nueces County Commissioner’s Court in Sponsored by Nueces County Commissioner’s Court in collaboration with City of Corpus Christi collaboration with City of Corpus Christi

Governed by 9 Member Board of Trustees Governed by 9 Member Board of Trustees Planning & Network Advisory Committee Planning & Network Advisory Committee Foundation Board of Directors Foundation Board of Directors

FY 2013FY 2013

$17 million budget$17 million budget 286 employees286 employees 45 revenue sources-local, state, federal45 revenue sources-local, state, federal Nueces County Hospital District: $969,129Nueces County Hospital District: $969,129 City of Corpus Christi: $54,000City of Corpus Christi: $54,000 9 buildings around Nueces County 9 buildings around Nueces County

10,000 Persons Served 10,000 Persons Served Adults with mental illness = 5,672Adults with mental illness = 5,672

Children with emotional/behavioral issues = 1,042Children with emotional/behavioral issues = 1,042

Persons with intellectual disabilities = 1,763Persons with intellectual disabilities = 1,763

Infants/toddlers with developmental delays = 1,563Infants/toddlers with developmental delays = 1,563

Return on InvestmentReturn on Investment Average community mental health service $12/day vs. average Average community mental health service $12/day vs. average

Emergency Room visit $986 Emergency Room visit $986 Average cost of jailing a person with serious mental illness $137 per day Average cost of jailing a person with serious mental illness $137 per day

vs. $45 vs. $45 && a longer length of stay of 80 days a longer length of stay of 80 days Crisis Respite bed cost $100/day vs. Hospital bed cost $640Crisis Respite bed cost $100/day vs. Hospital bed cost $640 Competency Restoration Program on Competency Restoration Program on outpatient outpatient basis = $140 vs. in an basis = $140 vs. in an

inpatient State Hospital setting = $401 inpatient State Hospital setting = $401 Every 14 minutes, a person dies by suicide; 38,000 per year; 3Every 14 minutes, a person dies by suicide; 38,000 per year; 3 rdrd leading leading

cause of death in 15-24 year oldscause of death in 15-24 year olds Persons with mental illness die 20 years before those without a diagnosisPersons with mental illness die 20 years before those without a diagnosis Recent tragedy in Connecticut highlights need for early identification of Recent tragedy in Connecticut highlights need for early identification of

persons with mental health issues and secure appropriate treatment and persons with mental health issues and secure appropriate treatment and services services

2012 Highlights 2012 Highlights

Trauma Informed Care Seminar sponsored by Trauma Informed Care Seminar sponsored by Foundation; over 100 attendees Foundation; over 100 attendees

Outpatient Competency Restoration Seminar Outpatient Competency Restoration Seminar Accreditation by The Joint CommissionAccreditation by The Joint Commission Doubled capacity to 16 beds in Crisis Respite Doubled capacity to 16 beds in Crisis Respite

Home Home ““Suicide Safe Center” designationSuicide Safe Center” designation Best of the Best AwardBest of the Best Award

Current IssuesCurrent Issues

1115 Medicaid Transformation Waiver 1115 Medicaid Transformation Waiver

Projects:Projects: Integrated Health Care Integrated Health Care

Wellness Promotion using Social Media with Kids Wellness Promotion using Social Media with Kids Peer-Run Day Activity CenterPeer-Run Day Activity Center

Crisis intervention services for persons with intellectual disabilities Crisis intervention services for persons with intellectual disabilities

Partners include Charlie’s Place, Christus Spohn, Corpus Christi Medical Partners include Charlie’s Place, Christus Spohn, Corpus Christi Medical Center, Driscoll Children’s Hospital, TAMU-CC Health Science Center & Center, Driscoll Children’s Hospital, TAMU-CC Health Science Center & College of NursingCollege of Nursing

Center funds projects up front; earn incentive payments for meeting Center funds projects up front; earn incentive payments for meeting outcome measuresoutcome measures

Committed to $1m for intergovernmental transfers per year, with amount Committed to $1m for intergovernmental transfers per year, with amount increasing each year to $2m in year 5. increasing each year to $2m in year 5.

Utilization of State Hospital Bed AllocationUtilization of State Hospital Bed Allocation

29 beds per day allocated by The Dept. of State Health 29 beds per day allocated by The Dept. of State Health Services to hospitalize persons at state hospitals, primarily Services to hospitalize persons at state hospitals, primarily San Antonio State Hospital.San Antonio State Hospital.

34 beds used per day, 80% of whom are coming from the 34 beds used per day, 80% of whom are coming from the Nueces County jail. Our utilization of persons coming from Nueces County jail. Our utilization of persons coming from jail is the highest in the state.jail is the highest in the state.

Held harmless for using more than allocation in FY 13, but Held harmless for using more than allocation in FY 13, but could be penalized $50 per day for each day over the could be penalized $50 per day for each day over the allocation effective Sept 1, 2013—based on current allocation effective Sept 1, 2013—based on current utilization = $120,000. utilization = $120,000.

Outpatient Competency Restoration (OCR) Outpatient Competency Restoration (OCR) Program Referrals & Admissions Program Referrals & Admissions

Current Issues, cont. Current Issues, cont.

Rider 71 Study of Public Mental Health SystemRider 71 Study of Public Mental Health System

Potential reduced state fundingPotential reduced state funding

Recruit & Maintain Competent Professional WorkforceRecruit & Maintain Competent Professional Workforce

Assessment of buildings Assessment of buildings

Legislative session January Legislative session January

Seminar February 18-19 for attorneys, includes mental health Seminar February 18-19 for attorneys, includes mental health items items

Save the Date Save the Date

April 18, 2013April 18, 2013

Hollywood Nights: Red Carpet Event, anHollywood Nights: Red Carpet Event, an

Evening with Patty DukeEvening with Patty Duke

THANK YOUTHANK YOU

HAPPY NEW YEAR!!!HAPPY NEW YEAR!!!