9 30 2010 Diversion Update V4
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Diversion Initiatives. Efforts to address mental illness, substance abuse and homelessness- Addressing the Challenge September 30, 2010
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![[object Object],[object Object],Leon Evans President and Chief Executive Officer The Center for Health Care Services Mental Health and Substance Abuse Authority Bexar County San Antonio, Texas [email_address] Diversion Initiatives](https://image.slidesharecdn.com/9302010diversionupdatev4-100930142521-phpapp01/85/9-30-2010-Diversion-Update-V4-1-320.jpg)
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This document discusses the implementation of Crisis Intervention Team (CIT) training for corrections officers at the Cook County Jail in Chicago, Illinois. It notes that US jails and prisons now house more mentally ill individuals than psychiatric facilities. Specifically, the Cook County Jail holds over 10,000 inmates daily, including a large population with mental illnesses and substance abuse issues. The document outlines how CIT training for corrections officers was introduced to improve safety, identify inmates in crisis, and reduce violence through de-escalation techniques rather than forced cell extractions. It also emphasizes collaboration between corrections and mental health professionals to best serve this inmate population.
Buffalo Veterans Court
The document discusses Buffalo's Veterans Treatment Court, which diverts eligible veteran defendants with substance abuse or mental health issues charged with non-violent offenses to a specialized criminal court docket. The court provides treatment, services, and support to help veterans turn their lives around. Key components include veteran health professionals, veteran peer mentors, and a therapeutic environment adapted from drug and mental health treatment courts. The goal is to reduce inappropriate veteran behavior and help them lead productive lives.
It All Begins in the Jail
Presented by: Denise Curiel, Criminal Justice Liaison for Community Partnership of Southern Arizona
Diana Carino, Criminal Justice Assistant for Community Partnership of Southern Arizona
Introduction to Jail Diversion
The document discusses jail diversion programs that aim to divert individuals with mental illness from incarceration and instead provide community-based treatment services. It provides an overview of the problem of high rates of mental illness in jails, and describes the comprehensive diversion model implemented in Bexar County, Texas. This model involves collaboration between multiple agencies and has intervention points at various stages of the criminal justice system. It also outlines the benefits of diversion programs, such as reduced costs, fewer mentally ill individuals in jails, and increased public safety.
2015 MH Guide Hogg Foundation
The document provides an overview of the Hogg Foundation for Mental Health, which aims to promote mental health in Texas. It acknowledges the graduate research assistants and policy fellow who helped update the guide. The foundation was established in 1940 by the children of former Texas governor James S. Hogg and has since awarded millions of dollars in grants to improve mental health services in the state. The guide is intended to help understand mental health systems and services in Texas.
HawaiI - Mental Health Treatment - Honolulu Civil Beat Crisis Criticism - The...
HawaiI - Mental Health Treatment - Honolulu Civil Beat Crisis Criticism - The...Clifton M. Hasegawa & Associates, LLC
AWAKEN THE GREATNESS WITHIN
Always look at the solution, not the problem
Learn to focus on what will give results
We cannot solve our problems with the same thinking that created them
Sometimes the easiest way to solve a problem is to stop participating in the problem
08 07 2008 Tnc E Ds Summary
This document discusses various community collaborations and initiatives around behavioral health, criminal justice, veterans services, and children's services in Bexar County, Texas. It mentions collaborations between law enforcement, mental health providers, hospitals, courts, schools, and other groups. The goals are to divert people from jail into treatment, share data and coordinate emergency response, and increase capacity for mental health and substance abuse services.
Read Individuals with Serious Mental Illness in the Criminal Just.docx
Read "Individuals with Serious Mental Illness in the Criminal Justice System: The Case of Richard P." located in this week's Electronic Reserve Readings.
Review UOP's Sample PowerPoint Presentation to guide you in creating an effective presentation.
As a Team, create a visually engaging 10- to 12-slide Microsoft® PowerPoint® presentation to describe the role of communication skills in handling the case.
Include speaker notes with each slide of your presentation that provides information on the topics below. Each topic should have at least two corresponding slides.
· Describe how you could use different communication models to assist in communicating with this offender.
· Describe how interpersonal communication skills and motivational interviewing could be used with this offender.
· Describe how you would take this offender's culture and mental capacity into consideration when communicating with him.
· Describe how the use of jargon may affect communicating with this offender.
Include a minimum of three reputable sources.
Format any citations in your presentation consistent with APA guidelines.
Click the Assignment Files tab to submit your assignment.
Individuals With Serious Mental Illness in the Criminal Justice System The Case of Richard P. Arthur J. Lurigio Loyola University Chicago, Illinois John Fallon Thresholds This paper presents a case study that illuminates the clinical and practical challenges that accompany the treatment of people with serious mental illness (SMI) and criminal involvement. We discuss the historical conditions that led to the influx of a large number of people with SMI into the criminal justice system. We discuss the case history of Richard P., which illustrates the use of Assertive Community Treatment (ACT) to care for criminally involved people with SMI. We focus on the ACT model that was employed by Thresholds to treat Richard P. It was known as the Thresholds Jail Program. We track his progress in the program and explicate the case management considerations that are most salient in treating offenders with SMI. Keywords: criminalization, mental illness, crime, deinstitutionalization, mental health services, probation, ACT 1 Theoretical and Research Basis Fundamental changes in mental health policies and laws have brought criminal justice professionals into contact with the seriously mentally ill at every stage of the justice process: police arrest people with serious mental illness (SMI) because few other options are readily available to handle their disruptive public behaviors; jail and prison administrators strain to attend to the care and safety of the mentally ill; judges grapple with limited sentencing alternatives for individuals with SMI who fall outside of specific forensic categories (e.g., guilty but mentally ill); and probation and parole officers scramble to obtain scarce community services and treatments for people with SMI and attempt to fit them into standard correctional programs or monito.
New Asylums
This document discusses the issue of mentally ill patients being incarcerated in prisons rather than receiving treatment. It notes that around 16% of incarcerated individuals have a mental illness or history of hospitalization. Due to lack of psychiatric hospital beds, jails and prisons have become de facto psychiatric facilities. However, prisons do not provide adequate mental healthcare. Mentally ill inmates suffer harm from living in the same conditions as other prisoners. When released, inmates often do not receive continued treatment or support. Past proposals aimed to treat inmates while incarcerated, but more psychiatric facilities are ultimately needed to properly help the mentally ill.
Oregon : Integrating Health Services for People with Mental Illness or Substa...
The document discusses Oregon's efforts to integrate health services for people with mental illness or substance use disorders. It outlines Oregon's current complicated system and the need for reform. Two demonstration sites were selected in Central Oregon and Northeast Oregon to test integrated models of care. The demonstrations aim to improve population health, increase access to services, and reduce costs through more coordinated, outcome-based approaches.
The Arizona Crisis Now Model: AHCCCS Outcomes
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
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Mh group letter on hr 5040
This letter supports HR 5040, which would extend financial incentives for adopting electronic health records (EHRs) to behavioral health providers. The incentives were established under the American Recovery and Reinvestment Act but excluded important parts of the healthcare system like mental health and substance abuse treatment facilities. Extending these incentives is critical because people with mental illness often have poorer health outcomes due to a lack of care coordination. Widespread adoption of EHRs enabled by this bill could help coordinate care across mental health, primary care, and specialty providers, improving patient health and safety. The organizations signing the letter urge the Congressmen to pass this bill.
1 day agoJessica Dunne RE Discussion - Week 10COLLAPSET.docx
1 day ago
Jessica Dunne
RE: Discussion - Week 10
COLLAPSE
Top of Form
NURS 6050C: Policy and Advocacy for Improving Population Health
INITIAL POST
Resource Allocation for an Aging Population
Technological advances in medicine and preventative care means that Americans are living longer lives than ever before. Hayutin, Deitz, and Mitchell (2010) assert that by the year 2030 Americans over the age of 65 will account for 20% of the population. There will soon be more elderly Americans than children, and the number of working adults is expected to decrease concurrently. This shift in the population will yield significant economic, political and social challenges. Healthcare needs are also changing. Death and disability rates are declining, yet the incidence of chronic illness within the elderly population continues to rise (Hayutin, Deitz, & Mitchell, 2010). Crippen and Barnato (2011) contend that 20% of the population assume 80% of all healthcare-related costs. As much as 75% of these costs are attributable to chronic diseases (Crippen & Barnato, 2011). Revenues for healthcare are projected to decrease while expenditures are expected to increase. Healthcare providers, policymakers, and industry experts need to work towards solutions that will optimize healthcare dollars and create sustainability for future generations.
Ethical Considerations
The dynamics of healthcare are complicated; financial resources seem insignificant when making life and death decisions. Nonetheless, resources are finite, and therefore, distribution and allocation of funds must be ethical. According to Craig (2010), the theory of distributive justice requires that people with the same health needs have equitable access to all available resources. However, distributive justice also requires that the associated costs also be shared equitably. Fairness is another ethical principle that should be applied in the allocation of healthcare resources. Policies that are fair must be transparent, understandable, and there must be regulatory process to address complaints and resolve conflicts. The idea that healthcare is a human right is outlined in the declaration of independence which guarantees citizens the right to life, liberty, and the pursuit of happiness. The need of the patient should also be considered. A burn patient needs plastic surgery more than a patient that wants rhinoplasty (Craig, 2010).
Nurses provide the best possible care to every single patient regardless of gender, ethnicity, sexual orientation, ability to pay, or age. The American Nurses Association (2012) provides ethical guidelines for nurses to employ in their practice. Provisions one, two, and three promote the principle of beneficence, and the obligation nurses have to advocate for the best interests of their patients. Provisions seven, eight, and nine focus on providing social justice for clients through practice and policy (American Nurses Association, 2012). Nurses should also promote aut.
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2018 09-26 Texas Legislature County Affairs Testimony Rep Coleman
Invited testimony for the 86th Texas Legislative Session on Interim Charge #3: Study how counties identify defendants' and inmates' behavioral health needs and deferral opportunities to appropriate rehabilitative and transition services. Consider models for ensuring defendants and inmates with mental illness receive appropriate services upon release from the criminal justice system.
Testimony reviews the Bexar County Texas Model for Behavioral and Criminal Justice Improvement by (in order) Mr. Kenny Wilson, Haven for Hope; Mr. Mike Lozito Judicial Services Director, Bexar County; Mr. David Pan, CHCS Community Initiatives Liasion and Mr. Gilbert Gonzales, Bexar County Mental Health Department Director.
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2011 technology and telemedicine plus nacbhdd newsletter for november 2011
This document summarizes an article from the November 2011 newsletter of the National Association of County Behavioral Health and Developmental Disability Directors. The article discusses the history and increasing use of telemedicine and how it can improve access to healthcare, quality of care, reduce costs and isolation of professionals. Key benefits mentioned are improved access to underserved areas, improved quality through collaboration, reduced costs from less travel, and reduced isolation for professionals. The document also announces an opportunity for counties to apply for grants through HHS's Health Care Innovation Challenge to fund innovative healthcare projects using telemedicine and targeting mental health and substance abuse disorders.
2011 7-17 na co information sharing portland or
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.
Bexar county efforts transformamtion grant 10.18.10
The document describes several programs that provide mental health services to children:
1) Children's Crisis Intervention Training provides intensive mental health crisis intervention training to school police and administrators to help them respond to student mental health crises. It has successfully trained over 75 officers and 25 staff.
2) The Youth Empowerment Services waiver provides home and community-based services to 300 children with severe emotional disturbances to prevent institutionalization. It uses the wraparound process and cultural competency training.
3) Bexar CARES coordinates access to mental health resources for at-risk youth through the wraparound process, training, and family/youth involvement to reduce out-of-home placements. It
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
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- 5. The Case of Million Dollar Murray MILLION-DOLLAR MURRAY by MALCOLM GLADWELL The New Yorker Magazine, Issue of 2006-02-13 and 20, Posted 2006-02-06 News Release Emergency Departments See Dramatic Increase in People with Mental Illness Seeking Care Emergency Physicians Cite State Health Care Budget Cuts at Root of Problem American Psychiatric Association Hillarie Turner, 703-907-8536 June 2, 2004 hturner@psych.org Release No. 04-30 Sharon Reis 202-745-5103 “ in one study, it had been concluded that one homeless person can cost the City and County about $200,000 in one year”. Philip F. Mangano, Executive Director of the United States Interagency Council on Homelessness (USICH), May 1, 2007. “ It cost us one million dollars not to do something about Murray,”
- 6. The Problem gets worse: Poor and or reduced funding Scant, limited and rationed services Reduction of State Hospital treatment beds The Problem
- 8. Collaboration: It’s an unnatural act between… … two or more unconsenting adults .
- 15. Show me the DATA !!!
- 17. Emergency Room utilization has dropped 40% since the inception of the Crisis Care Center. 40% of (7619 total seen at CCC) 3048 Persons diverted from the ER (in 2006 first year) X $1545 Cost Savings relative to ER Utilization $4,709,160 Source: University Health System Emergency Room Utilization (Medical Clearance) What Works
- 18. Combined CCC and Restoration Documented and Immediate Cost Avoidance $6,668,693 $5,174,599 $1,494,094 Total $385,522 $385,522 K. 0 Reduction in Jail Time for Competency Restoration on Bond and on Return $137,898 $137,898 J. 0 Reduction in Wait Time in Jail for Outpatient Competence/Wait Time for Restoration compared to Inpatient $255,055 $255,055 I. 0 Reduction in Competency Restoration Wait Time in Jail for Hosp Admission 5/08-3/09 $579,509 $371,350 H. $208,159 G. Mentally Ill Diverted from Magistration Facility $1,096,500 $774,000 F. $322,500 E. Mentally Ill Diverted from UHS ER Cost $1,795,200 $1,267,200 D. $528,000 C. Injured Prisoner Diverted from UHS ER $2,419,009 $1,983,574 B. $435,435 A. Public Inebriates Diverted from Detention Facility Direct Cost Avoidance Bexar County City of San Antonio Cost Category
- 20. The Center for Health Care Services Leon Evans, President/CEO The Center for Health Care Services Mental Health Authority 210 731-1300 www.chcsbc.org [email_address]