Nlf Developing Integrated Response Veterans June 2 2009


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Developing an Integrated
Response to
Justice-Involved Combat
Veterans with Mental Illness
Co-Occurring Disorders

Published in: Health & Medicine
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Nlf Developing Integrated Response Veterans June 2 2009

  1. 1. Developing an Integrated Response to Justice-Involved Combat Veterans with Mental Illness and Co-Occurring Disorders Gilberto Rendon Gonzales The Center for Health Care Services Bexar County Mental Health Authority [email_address]
  2. 2. Communicate - Connect - Collaborate
  3. 3. Veteran’s Services <ul><li>Multiple Collaboratives/Initiatives for Veterans based in Bexar County </li></ul><ul><ul><ul><li>GI Forum </li></ul></ul></ul><ul><ul><ul><li>The San Antonio Veteran's Affairs Commission </li></ul></ul></ul><ul><ul><ul><li>The Military Coordinating Council for Behavioral Health </li></ul></ul></ul><ul><ul><ul><li>The Bexar County Veterans Service Office </li></ul></ul></ul><ul><ul><ul><li>Texas Resources for Iraq-Afghanistan Deployment, United Way </li></ul></ul></ul><ul><ul><ul><li>The Bexar County Veterans Service Office </li></ul></ul></ul><ul><ul><ul><li>Family Strong Advocacy </li></ul></ul></ul>
  4. 4. Veteran’s Centers Department Of Defense Veterans Administration Veterans Health Affairs Veterans Benefit Administration Community Partners National Guard Military Bases Lackland Randoph Brooks Ft. Sam Veterans Hospitals Audie Murphy Wilford Hall Brookes Army Med Armed Services Silos/Centers of Service Texas Veteran’s Commission GI Forum VFW American Legion SA Veteran’s Affairs Commission Family Strong Military Coordinating Council for Behavioral Health United Way of SA Bexar County Veterans Services Texas Youth Suicide Prevention Community Faith Based Services CHCS Crisis and Restoration Centers Full Time and Part Time Active Duty Veterans Disabled American Veterans Texas Veteran’s Land Board
  5. 5. Communicate - Connect - Collaborate
  6. 6. NATIONAL COUNCIL MAGAZINE • JULY 2008 Known as Military City USA, San Antonio is home to approximately 150,000 veterans, nearly 30 percent of whom are retirees. The city houses three active military bases: Lackland Air Force Base, Randolph Air Force Base, and Fort Sam Houston. Two former bases, Brooks City Base and Kelly USA, also provide military contracting supports and local city commerce. San Antonio’s veterans are served by three military hospitals—Brooke Army Medical Center, Wilford Hall Medical Center, and Audie L. Murphy Memorial Veterans Hospital. Texas Fosters Partnerships for Care For CHCS, opportunities to provide mental healthcare to veterans and their families resulted from strategic partnerships with local military hospitals and other community agencies. CHCS identifies behavioral health services the military is providing to veterans and families in its facilities and helps to supplement these services and adapt them to the community setting.
  7. 7. The Transformation Team Transformational Collaborative VA County Judge UT Consumers Family Private Hospitals Adult Probation Juvenile Justice SASH MH County Clerk MH District Attorney Courts NAMI UHS METRO HEALTH CHCS SHERIFF SAPD DSHS EMS Mag Pre Trial Criminal Justice
  8. 8. Collaboration: It’s an unnatural act between… … two or more unconsenting adults . This slide proudly stolen from Dee Wilson
  9. 9. Law Enforcement Detention/Jail CIT Judicial/Courts Magistrate, County, District Mental Health Public and Private Providers Crisis Care Center Jail Diversion Psychiatric and Medical Clearance Specialty Offender Services Community Dynamic Crisis Jail Diversion Information Exchange Police, Sheriff Probation, Parole Civil and Criminal Treatment Continuity of Care County City-wide Emergency Services <ul><li>Data exchange through </li></ul><ul><li>Community Collaborative </li></ul><ul><li>Crisis Care Center </li></ul><ul><li>Restoration Center </li></ul><ul><li>CIT/DMOT </li></ul><ul><li>Jail and Juvenile Detention </li></ul><ul><li>Statewide CARE Match </li></ul>System County City-wide Entry Points System Level
  10. 10. The Vet, Spouse, Family Vocational Services Employment Law Enforcement Treatment Housing Medical Jails Homeless Services <ul><li>Early Identification </li></ul><ul><li>Access </li></ul><ul><li>Treatment </li></ul><ul><li>Consumer </li></ul><ul><li>Navigators </li></ul>
  11. 12. Public Safety Triage Facility Restoration Center Grand Opening April 15 th , 2008 <ul><li>Detox Facility </li></ul><ul><li>Community Court </li></ul><ul><li>Outpatient Substance </li></ul><ul><li>Abuse Services </li></ul>
  12. 13. Haven for Hope <ul><li>To increase the community capacity for mental health, substance abuse and detoxification services </li></ul>The Community Wide Initiative Haven for Hope and CHCS collaboration Goal:
  13. 14. GI Forum 100/200 Bed Residential 900
  14. 15. Show Me The Money <ul><li>Bexar County provides $34,000 for CIT Training support </li></ul><ul><li>Bexar County provides $1.5 million for MH Court with an additional $750,000 for Substance Abuse, adds line item to County budget </li></ul><ul><li>City of San Antonio provides $1.0 million for Substance Abuse Services </li></ul><ul><li>Hospital District provides $1.6 million match, $500K for Dextox Beds, and $250K for Outpatient Substance Abuse Treatment </li></ul>
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