The document discusses how information sharing can divert people with mental illness from the local mental health system. It describes how collaboration between law enforcement, mental health providers, and other groups through a crisis care center reduced wait times. Specifically, wait times for medical clearance at the crisis care center were reduced to 45 minutes from over 9 hours. It also shows cost savings of over $15 million over two years from diverting public inebriates, injured prisoners, and mentally ill people from detention facilities, emergency rooms, and jails.

1. 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

3. Collaboration: It’s an unnatural act between… … two or more unconsenting adults .

5. Show me the DATA !!!

7. 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

9. The Center for Health Care Services Leon Evans, President/CEO The Center for Health Care Services Mental Health Authority 210 731-1300 [email_address]