How Information Sharing Can Divert People With Mental Illness from Your Local Mental Health System NACo Annual Conference - Portland OR. July 18, 2011 Gilbert Gonzales Director, Communications and Diversion Initiatives The Center for Health Care Services Bexar County Mental Health Authority San Antonio, Texas www.chcsbc.org ; [email_address] Diversion Blog: http://www.diversioninitiatives.net
Collaboration: It’s an unnatural act between… … two or more unconsenting adults .
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>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
<ul><li>Then (prior to Sept 2005) </li></ul><ul><li>Wait times for Medical </li></ul><ul><li>Clearance/ Screening at </li></ul><ul><li>UHS ER - 9 hours, 18 min. </li></ul><ul><li>Wait times for Medical </li></ul><ul><li>Clearance/ Screening and Psychiatric Evaluation was between 12 and 14 hours. </li></ul><ul><li>Now </li></ul><ul><li>The wait time for Medical Clearance/ Screening at the Crisis Care Center is 45 minutes. </li></ul><ul><li>Wait time for Medical Clearance/Screening and Psychiatric Evaluation is 60-65 minutes. </li></ul>Impact on WAIT TIME for LAW ENFORCEMENT
RESULTS OF EFFORTS TO ADDRESS MENTAL ILLNESS, SUBSTANCE ABUSE AND HOMELESSNESS IN SAN ANTONIO & BEXAR COUNTY Documented and Immediate Cost Avoidance, Two Year Analysis Year One April 16, 2008 – March 31, 2009 Year Two April 16, 2009 – March31, 2010 Cost Category City of San Antonio Bexar County Direct Cost Avoidance Public Inebriates Diverted from Detention Facility $435,435 $925,015 A. $1,983,574 $2,818,755* B. $2,419,009 $3,743,770 Injured Prisoner Diverted from UHS ER $528,000 $435,000 C. $1,267,200 $1,044,000 D. $1,795,200 $1,479,000 Mentally Ill Diverted from UHS ER Cost $322,500 $283,500 E. $774,000 $676,000 F. $1,096,500 $959,500 Mentally Ill Diverted from Magistration Facility $208,159 $179,833 G. $371,350 $322,300 H. $579,509 $502,133 Reduction in Competency Restoration Wait Time in Jail for Hosp Admission 0 $255,055 $1,020,000 I. $255,055 $1,020,000 Reduction in Wait Time in Jail for Outpatient Competence/Wait Time for Restoration compared to Inpatient 0 $137,898 $900,000 J. $137,898 $900,000 Reduction in Jail Time for Competency Restoration on Bond and on Return 0 $385,522 $221,000 K. $385,522 $221,000 Total Year 1 Total Year 2 TWO YEAR TOTALS $1,494,094 $1,823,348 $3,317,442 $5,174,599 $7,002,055 $12,176,654 $6,668,693 $8,825,403 $15,494,096
Haven for Hope Homeless Facility CNN Video Clip <ul><li>http://www.diversioninitiatives.net/2010/07/haven-for-hope-cnn-video-just-before.html </li></ul>“ Texas officials hope a massive new facility will keep the homeless out of jail, emergency rooms and re-integrated into society”.
The Center for Health Care Services Leon Evans, President/CEO The Center for Health Care Services Mental Health Authority 210 731-1300 [email_address]