Addressing the Challenge
•Download as PPT, PDF•
1 like•408 views
This document discusses efforts to address mental illness, substance abuse, and homelessness in Bexar County, Texas. It outlines collaborative initiatives between various community agencies and stakeholders to divert individuals from the criminal justice system into treatment services through programs like the Crisis Care Center. Data is presented showing improvements in wait times and reductions in emergency room utilization and associated cost savings since implementing these diversion and jail diversion programs.
Report
Share
Report
Share
![[object Object],[object Object],[object Object],[object Object],Gilbert Gonzales Director, Communications and Diversion Initiatives The Center for Health Care Services Mental Health and Substance Abuse Authority Bexar County San Antonio, Texas http://www.diversioninitiatives.net What’s In It For Me ?](https://image.slidesharecdn.com/10-06-2010texashomelessconfcorpus-101008004407-phpapp01/85/Addressing-the-Challenge-1-320.jpg)
Recommended
9 30 2010 Diversion Update V4
Diversion Initiatives. Efforts to address mental illness, substance abuse and homelessness- Addressing the Challenge September 30, 2010
4.8 Liv Jenssen A
The Transition Services Unit (TSU) of the Multnomah County Department of Community Justice provides services to help offenders transition from incarceration back into the community. TSU focuses on offenders with special needs like mental, physical, or developmental disabilities. Services include locating housing, setting up medical/mental health appointments, obtaining benefits, employment supports, and case coordination. Data shows TSU clients are less likely to abscond and more likely to find stable housing, jobs, education and benefits compared to similar high-risk offenders without TSU assistance.
Community substance abuse program
The document discusses the impacts of the war on drugs and mass incarceration in the United States since the 1960s. It notes that incarceration rates dramatically increased from 1990 to 1999 while substance use rates did not decrease. Additionally, it states that individuals of color and those of lower socioeconomic status are disproportionately arrested and imprisoned. The document advocates for providing substance abuse treatment, mental health services, education and vocational training to incarcerated individuals to help break the cycles of addiction and recidivism.
Hpact resident lecture
This document discusses homelessness and housing programs. It notes that in 2010 over 400,000 individuals experienced homelessness in the US, with 10% experiencing chronic homelessness. It then describes the Housing First model, which places individuals in permanent housing first before requiring treatment compliance, unlike transitional housing models. The document outlines several housing programs through the VA and HUD. It also reviews research showing the health impacts of homelessness, including increased mortality, hospitalizations, and costs.
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.
Manitowoc County Crisis
The document summarizes crisis intervention services in Manitowoc County, Wisconsin. It provides an overview of the county and cities served, crisis services provided after hours including mental health and substance abuse interventions, typical call statistics showing an increase in calls from 2003-2008 with mental health and child protection being most common, and additional responsibilities like monthly partnership meetings to coordinate emergency services across organizations.
The Medical Reserve Corps (MRC) Role in a Disaster
Speaker: Dave Nichols, Volunteer Manager & Workforce Manager, Public Health of Seattle & King
County
The MRC is a relative newcomer to the disaster response world. It is another tool in your emergency
management toolkit; but only if you know about it and how it works during a medical emergency or
disaster. This presentation has been designed to introduce, inform, and answer questions about the
Medical Reserve Corps program and how it fits into the disaster. I will also offer some ways that you
can involve them in your exercises to help them learn your area and your operation.
Lilly Bloomington Illinois Dec 2009
The document discusses the fragmentation and costs of the mental health system in the US. It notes that mental illnesses lead to unnecessary disability, unemployment, homelessness, school failure and incarceration. The annual economic cost of mental illness in the US is estimated to be $79 billion. About 20% of jail populations have a serious mental illness. There is a lack of coordinated services across systems like law enforcement, treatment, housing, etc. This leads to poor outcomes for those with mental illnesses.
Recommended
9 30 2010 Diversion Update V4
Diversion Initiatives. Efforts to address mental illness, substance abuse and homelessness- Addressing the Challenge September 30, 2010
4.8 Liv Jenssen A
The Transition Services Unit (TSU) of the Multnomah County Department of Community Justice provides services to help offenders transition from incarceration back into the community. TSU focuses on offenders with special needs like mental, physical, or developmental disabilities. Services include locating housing, setting up medical/mental health appointments, obtaining benefits, employment supports, and case coordination. Data shows TSU clients are less likely to abscond and more likely to find stable housing, jobs, education and benefits compared to similar high-risk offenders without TSU assistance.
Community substance abuse program
The document discusses the impacts of the war on drugs and mass incarceration in the United States since the 1960s. It notes that incarceration rates dramatically increased from 1990 to 1999 while substance use rates did not decrease. Additionally, it states that individuals of color and those of lower socioeconomic status are disproportionately arrested and imprisoned. The document advocates for providing substance abuse treatment, mental health services, education and vocational training to incarcerated individuals to help break the cycles of addiction and recidivism.
Hpact resident lecture
This document discusses homelessness and housing programs. It notes that in 2010 over 400,000 individuals experienced homelessness in the US, with 10% experiencing chronic homelessness. It then describes the Housing First model, which places individuals in permanent housing first before requiring treatment compliance, unlike transitional housing models. The document outlines several housing programs through the VA and HUD. It also reviews research showing the health impacts of homelessness, including increased mortality, hospitalizations, and costs.
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.
Manitowoc County Crisis
The document summarizes crisis intervention services in Manitowoc County, Wisconsin. It provides an overview of the county and cities served, crisis services provided after hours including mental health and substance abuse interventions, typical call statistics showing an increase in calls from 2003-2008 with mental health and child protection being most common, and additional responsibilities like monthly partnership meetings to coordinate emergency services across organizations.
The Medical Reserve Corps (MRC) Role in a Disaster
Speaker: Dave Nichols, Volunteer Manager & Workforce Manager, Public Health of Seattle & King
County
The MRC is a relative newcomer to the disaster response world. It is another tool in your emergency
management toolkit; but only if you know about it and how it works during a medical emergency or
disaster. This presentation has been designed to introduce, inform, and answer questions about the
Medical Reserve Corps program and how it fits into the disaster. I will also offer some ways that you
can involve them in your exercises to help them learn your area and your operation.
Lilly Bloomington Illinois Dec 2009
The document discusses the fragmentation and costs of the mental health system in the US. It notes that mental illnesses lead to unnecessary disability, unemployment, homelessness, school failure and incarceration. The annual economic cost of mental illness in the US is estimated to be $79 billion. About 20% of jail populations have a serious mental illness. There is a lack of coordinated services across systems like law enforcement, treatment, housing, etc. This leads to poor outcomes for those with mental illnesses.
Mental health service system
This document discusses mental health services and PTSD among veterans. It covers several topics:
1) Post-traumatic stress disorder (PTSD) rates and symptoms among veterans from different eras. Rates of PTSD are high and symptoms include flashbacks, nightmares, and suicidal ideation.
2) Legislation and policies aimed at improving access to mental healthcare for veterans, such as the Clay Hunt Act which requires annual evaluations of VA mental health programs and increased collaboration with outside organizations.
3) Questions around adequate funding for veteran mental healthcare, as funding amounts are unclear and appear insufficient to meet the high need for treatment.
Healing the health care dr. shriniwas kashalikar
The document discusses issues with the current Indian public health care system and proposes solutions. The main issues are: 1) Free medical care leads to overuse of services and corruption. 2) Economic dependence on government funding leads to inadequate facilities and corruption. 3) Sectarian approaches to health care make people dependent on doctors.
The proposed solutions are: 1) Replace free care with a payment system to encourage responsibility and generate revenue. 2) Make hospitals self-sufficient through income-generating projects. 3) Move to a holistic health care model instead of sectarian approaches.
NC SBIRT Progress
Greg Jacobs, Tribal Administrator, described a series of Talking Circles held by various North Carolina tribes as momentous occasions marking a beginning of healing. The Talking Circles focused on behavioral health issues and included drumming, prayer, and presentations on substance abuse screening and resources. NC SBIRT trainings were also provided for tribal and local healthcare providers.
JN_THESIS_Final
This document summarizes a paper that argues rape should be recognized as a health issue to allow survivors to be compensated through health insurance rather than having to file a police report. It discusses the long-term physical and mental health consequences survivors face, issues with the criminal justice system, and complex victim compensation systems. The document outlines the history of rape reform legislation in the US and examines research on survivors' interactions with legal, medical, and social agencies. It concludes that due to the ineffectiveness of the criminal justice system and immediate medical needs, health insurance coverage for injuries from rape would better assist survivors' healing process.
Health Opportunity Mapping_KC_2-29
This report analyzes emergency room (ER) usage data in Kansas City to identify "hot spots" of high ER use. The analysis found that 10 zip codes accounted for 38% of all ER admissions. These hot spots had higher rates of poverty, non-white populations, and preventable health conditions like asthma and influenza. They also had fewer primary care physicians and residents who were more likely to rely on Medicaid or uninsured care. The report concludes that over-reliance on the ER in these communities signals a failure of the healthcare system to provide adequate access to preventative primary care for low-income, minority populations.
CommonHealth Newsletter - Spring 2011
Spring 2011 issue of "CommonHealth," the biannual newsletter of the Universal Health Care Education Fund (UHCEF) and Mass-Care.
2017 Ottawa County Department of Public Health Annual Report
2017 Ottawa County Department of Public Health Annual ReportOttawa County Department of Public Health
Our annual reports are more than just numbers. They tell a story. Stories about the people who are a part of public health and the lives we touch.Hill briefing 9 22-10 rosenberg comments
Linda Rosenberg, President and CEO of the National Council for Community Behavioral Healthcare, discusses the increased demand community mental health centers will face under healthcare reform and the Affordable Care Act. An estimated 1.5 million new patients will enter treatment, increasing caseloads by over 20%. However, cuts to public mental health services have also occurred. She asks Congress to support the Community Mental Health and Addiction Safety Net Equity Act to provide reimbursement parity for community behavioral health centers. She also asks Congress to ensure people with mental illness can benefit from provisions in the Affordable Care Act, including its Health Home State Option, and receive equal access to health information technology.
Stress and ailing health care dr. shriniwas kashalikar
Can NAMASMARAN empower us to comprehend and practice Total Stress Management (SUPERLIVING) a part of which is; HEALING THE STRESSFULLY DISEASED HEALTH CARE?
FinalArticle
The special master appointed by the court to investigate conditions for mentally ill inmates in California prisons has found inadequate treatment and staffing shortages. Only one of six facilities reviewed was found to meet patients' needs. The special master's proposed reforms are intended to limit the use of isolation and pepper spraying of mentally ill inmates and improve treatment, which could help reduce the state's high recidivism rate of 65% within three years of release. The state legislature is also considering bills to improve mental health treatment during and after incarceration to lower recidivism.
Emma Romberg Policy Brief (Final 2-22)
The document discusses challenges faced by the transgender population in accessing quality healthcare. It notes that transgender individuals experience higher rates of poor health outcomes like HIV infection and suicide attempts compared to the general population. Access to healthcare is difficult due to provider discrimination, lack of provider experience, and insurance policies that deny coverage for transition-related care. While recent policies like the ACA have increased coverage, more needs to be done to improve the standard of care for transgender individuals and ensure access to necessary medical services. Recommendations include increasing provider education, creating more transgender-friendly healthcare environments, and implementing policies to establish a comprehensive standard of care.
2011 State of the Safety Net Report
The document summarizes key findings from a report on America's nonprofit community clinics, free clinics, and community health centers from 2006 to 2009. It finds that the total number of patients receiving services continues to rise, with a larger increase from 2008 to 2009 than previous years. The number of uninsured patients also continues to rise. While the proportion of uninsured patients decreased slightly, the proportion of Medicaid patients increased. Rates of chronic diseases like diabetes, hypertension, and asthma are increasing among patients at these safety net facilities.
Cleveland Local Conversation on Health Disparities
This is the overview of the findings from the Local Conversation of Health Disparities held in Cleveland, Ohio on October 7, 2008
Memo 2
Lester Julian McRae completed a 48-hour internship with the American Red Cross updating their healthcare facility contact list and requesting donations of durable medical equipment. Tasks included calling 12 counties in North Jersey to update facility information and request donations, as well as sending welcome letters. The main challenge was that most facilities did not have equipment to donate. Supervisor Michael Prasad met with Lester weekly and advised on contacting administrators and first aid councils.
9-20-2016OklahomaCityPresentationMBL
This document discusses harm reduction strategies and syringe exchange programs (SEPs). It provides evidence that SEPs are effective in preventing HIV and hepatitis C by allowing for safe disposal of used needles and connecting injection drug users to medical care. The document reviews how SEPs make communities safer by reducing improperly discarded syringes, protect first responders from needlestick injuries, and do not increase crime rates. SEPs are also cost-effective by saving millions in avoided healthcare costs from prevented infections. The discussion aims to increase support for SEPs by addressing common myths and concerns.
State of the safety net 2014
Nonprofit community health centers and clinics that provide preventive and primary healthcare services for 24 million people – or one in 13 persons in the U.S. – report that the first year of the Affordable Care Act’s implementation had uneven effects, particularly between facilities in Medicaid expansion and non-expansion states.
The findings were released today by Direct Relief in The State of the Safety Net 2014, an annual report that examines issues and trends within the extensive network of nonprofit, community-based health centers and clinics, which are the principal point of access to healthcare and the medical home for persons with low incomes, without health insurance, and among the country’s most vulnerable. Such facilities include Federally Qualified Health Centers (FQHCs), nonprofit community-based health clinics, and free and charitable clinics.
Healthcare Reform and Homelessness
The document discusses homelessness and health care in Multnomah County, Oregon. It notes that homelessness remains a major public health challenge, leaving those without housing vulnerable to disease and health issues. The expansion of Medicaid under the Affordable Care Act in 2014 has the potential to significantly improve access to health care for the homeless population in Multnomah County. The document analyzes data on homelessness in the county, health outcomes for the homeless, the health care system prior to reform, implementation of the ACA, and initial outreach efforts to the homeless. It concludes with recommendations for maximizing health benefits for the homeless under health care reform.
VS-November-2015
- Physicians are typically early adopters of new technologies that can help treat patients, but many are opposing the implementation of Meaningful Use Stage 3 due to high costs and requirements that are driving some physicians out of practice.
- Over 100 physicians attended an AMA town hall meeting to discuss delays to Meaningful Use Stage 3, as only 12% of eligible physicians and 38% of hospitals can meet Stage 2 requirements.
- The U.S. Attorney General spoke at an MMS opioid summit, emphasizing the need for collaboration between law enforcement and healthcare to tackle the opioid epidemic. Hundreds of physicians and experts attended the event.
TNP_PressRelease_2015_final
Texas lawmakers have filed bills (SB 751 and HB 1885) to improve access to primary care by granting full practice authority to advanced practice registered nurses (APRNs) like nurse practitioners (NPs). Currently, Texas APRNs needlessly require physician supervision for many elements of care. The bills aim to eliminate outdated supervision requirements, improve the primary care workforce shortage, and increase access to care, especially in rural areas. Passing this legislation would help address health disparities by utilizing the growing number of APRNs in Texas to better meet patient needs.
San Juan County Health Project
San Juan County has an aging population, with over 21% of residents over 65 years old. This elderly population faces challenges in accessing healthcare due to the rural and isolated nature of the county, which comprises several islands. Smoking rates are increasing and now affect 15% of adults, contributing to rising rates of lung cancer and other tobacco-related illnesses. Interventions are needed to promote smoking cessation among the elderly, including no-cost nicotine replacement therapy and counseling delivered by healthcare providers, with follow-up by telephone. Applying the Chronic Care Model and involving both healthcare and community organizations could help create a comprehensive system to support smoking cessation.
7 22 2010 Efforts To Address Mh Sa And Homelessness A One Stop Approach
Efforts to Address Mental Illness, Substance Abuse and Homelessness: A One Stop Approach. July 22, 2010.
Community Care Based Services
1) Community-based mental healthcare services are more effective than institutional care by allowing for greater family involvement, being less restrictive, and producing better outcomes at a lower cost.
2) Integrating community-based services helps with early detection and treatment of mental health issues while reducing hospitalization needs and helping patients live successfully in their communities.
3) Studies show that average monthly spending per person for home and community-based services is much lower than for institutional care like nursing homes.
More Related Content
What's hot
Mental health service system
This document discusses mental health services and PTSD among veterans. It covers several topics:
1) Post-traumatic stress disorder (PTSD) rates and symptoms among veterans from different eras. Rates of PTSD are high and symptoms include flashbacks, nightmares, and suicidal ideation.
2) Legislation and policies aimed at improving access to mental healthcare for veterans, such as the Clay Hunt Act which requires annual evaluations of VA mental health programs and increased collaboration with outside organizations.
3) Questions around adequate funding for veteran mental healthcare, as funding amounts are unclear and appear insufficient to meet the high need for treatment.
Healing the health care dr. shriniwas kashalikar
The document discusses issues with the current Indian public health care system and proposes solutions. The main issues are: 1) Free medical care leads to overuse of services and corruption. 2) Economic dependence on government funding leads to inadequate facilities and corruption. 3) Sectarian approaches to health care make people dependent on doctors.
The proposed solutions are: 1) Replace free care with a payment system to encourage responsibility and generate revenue. 2) Make hospitals self-sufficient through income-generating projects. 3) Move to a holistic health care model instead of sectarian approaches.
NC SBIRT Progress
Greg Jacobs, Tribal Administrator, described a series of Talking Circles held by various North Carolina tribes as momentous occasions marking a beginning of healing. The Talking Circles focused on behavioral health issues and included drumming, prayer, and presentations on substance abuse screening and resources. NC SBIRT trainings were also provided for tribal and local healthcare providers.
JN_THESIS_Final
This document summarizes a paper that argues rape should be recognized as a health issue to allow survivors to be compensated through health insurance rather than having to file a police report. It discusses the long-term physical and mental health consequences survivors face, issues with the criminal justice system, and complex victim compensation systems. The document outlines the history of rape reform legislation in the US and examines research on survivors' interactions with legal, medical, and social agencies. It concludes that due to the ineffectiveness of the criminal justice system and immediate medical needs, health insurance coverage for injuries from rape would better assist survivors' healing process.
Health Opportunity Mapping_KC_2-29
This report analyzes emergency room (ER) usage data in Kansas City to identify "hot spots" of high ER use. The analysis found that 10 zip codes accounted for 38% of all ER admissions. These hot spots had higher rates of poverty, non-white populations, and preventable health conditions like asthma and influenza. They also had fewer primary care physicians and residents who were more likely to rely on Medicaid or uninsured care. The report concludes that over-reliance on the ER in these communities signals a failure of the healthcare system to provide adequate access to preventative primary care for low-income, minority populations.
CommonHealth Newsletter - Spring 2011
Spring 2011 issue of "CommonHealth," the biannual newsletter of the Universal Health Care Education Fund (UHCEF) and Mass-Care.
2017 Ottawa County Department of Public Health Annual Report
2017 Ottawa County Department of Public Health Annual ReportOttawa County Department of Public Health
Our annual reports are more than just numbers. They tell a story. Stories about the people who are a part of public health and the lives we touch.Hill briefing 9 22-10 rosenberg comments
Linda Rosenberg, President and CEO of the National Council for Community Behavioral Healthcare, discusses the increased demand community mental health centers will face under healthcare reform and the Affordable Care Act. An estimated 1.5 million new patients will enter treatment, increasing caseloads by over 20%. However, cuts to public mental health services have also occurred. She asks Congress to support the Community Mental Health and Addiction Safety Net Equity Act to provide reimbursement parity for community behavioral health centers. She also asks Congress to ensure people with mental illness can benefit from provisions in the Affordable Care Act, including its Health Home State Option, and receive equal access to health information technology.
Stress and ailing health care dr. shriniwas kashalikar
Can NAMASMARAN empower us to comprehend and practice Total Stress Management (SUPERLIVING) a part of which is; HEALING THE STRESSFULLY DISEASED HEALTH CARE?
FinalArticle
The special master appointed by the court to investigate conditions for mentally ill inmates in California prisons has found inadequate treatment and staffing shortages. Only one of six facilities reviewed was found to meet patients' needs. The special master's proposed reforms are intended to limit the use of isolation and pepper spraying of mentally ill inmates and improve treatment, which could help reduce the state's high recidivism rate of 65% within three years of release. The state legislature is also considering bills to improve mental health treatment during and after incarceration to lower recidivism.
Emma Romberg Policy Brief (Final 2-22)
The document discusses challenges faced by the transgender population in accessing quality healthcare. It notes that transgender individuals experience higher rates of poor health outcomes like HIV infection and suicide attempts compared to the general population. Access to healthcare is difficult due to provider discrimination, lack of provider experience, and insurance policies that deny coverage for transition-related care. While recent policies like the ACA have increased coverage, more needs to be done to improve the standard of care for transgender individuals and ensure access to necessary medical services. Recommendations include increasing provider education, creating more transgender-friendly healthcare environments, and implementing policies to establish a comprehensive standard of care.
2011 State of the Safety Net Report
The document summarizes key findings from a report on America's nonprofit community clinics, free clinics, and community health centers from 2006 to 2009. It finds that the total number of patients receiving services continues to rise, with a larger increase from 2008 to 2009 than previous years. The number of uninsured patients also continues to rise. While the proportion of uninsured patients decreased slightly, the proportion of Medicaid patients increased. Rates of chronic diseases like diabetes, hypertension, and asthma are increasing among patients at these safety net facilities.
Cleveland Local Conversation on Health Disparities
This is the overview of the findings from the Local Conversation of Health Disparities held in Cleveland, Ohio on October 7, 2008
Memo 2
Lester Julian McRae completed a 48-hour internship with the American Red Cross updating their healthcare facility contact list and requesting donations of durable medical equipment. Tasks included calling 12 counties in North Jersey to update facility information and request donations, as well as sending welcome letters. The main challenge was that most facilities did not have equipment to donate. Supervisor Michael Prasad met with Lester weekly and advised on contacting administrators and first aid councils.
9-20-2016OklahomaCityPresentationMBL
This document discusses harm reduction strategies and syringe exchange programs (SEPs). It provides evidence that SEPs are effective in preventing HIV and hepatitis C by allowing for safe disposal of used needles and connecting injection drug users to medical care. The document reviews how SEPs make communities safer by reducing improperly discarded syringes, protect first responders from needlestick injuries, and do not increase crime rates. SEPs are also cost-effective by saving millions in avoided healthcare costs from prevented infections. The discussion aims to increase support for SEPs by addressing common myths and concerns.
State of the safety net 2014
Nonprofit community health centers and clinics that provide preventive and primary healthcare services for 24 million people – or one in 13 persons in the U.S. – report that the first year of the Affordable Care Act’s implementation had uneven effects, particularly between facilities in Medicaid expansion and non-expansion states.
The findings were released today by Direct Relief in The State of the Safety Net 2014, an annual report that examines issues and trends within the extensive network of nonprofit, community-based health centers and clinics, which are the principal point of access to healthcare and the medical home for persons with low incomes, without health insurance, and among the country’s most vulnerable. Such facilities include Federally Qualified Health Centers (FQHCs), nonprofit community-based health clinics, and free and charitable clinics.
Healthcare Reform and Homelessness
The document discusses homelessness and health care in Multnomah County, Oregon. It notes that homelessness remains a major public health challenge, leaving those without housing vulnerable to disease and health issues. The expansion of Medicaid under the Affordable Care Act in 2014 has the potential to significantly improve access to health care for the homeless population in Multnomah County. The document analyzes data on homelessness in the county, health outcomes for the homeless, the health care system prior to reform, implementation of the ACA, and initial outreach efforts to the homeless. It concludes with recommendations for maximizing health benefits for the homeless under health care reform.
VS-November-2015
- Physicians are typically early adopters of new technologies that can help treat patients, but many are opposing the implementation of Meaningful Use Stage 3 due to high costs and requirements that are driving some physicians out of practice.
- Over 100 physicians attended an AMA town hall meeting to discuss delays to Meaningful Use Stage 3, as only 12% of eligible physicians and 38% of hospitals can meet Stage 2 requirements.
- The U.S. Attorney General spoke at an MMS opioid summit, emphasizing the need for collaboration between law enforcement and healthcare to tackle the opioid epidemic. Hundreds of physicians and experts attended the event.
TNP_PressRelease_2015_final
Texas lawmakers have filed bills (SB 751 and HB 1885) to improve access to primary care by granting full practice authority to advanced practice registered nurses (APRNs) like nurse practitioners (NPs). Currently, Texas APRNs needlessly require physician supervision for many elements of care. The bills aim to eliminate outdated supervision requirements, improve the primary care workforce shortage, and increase access to care, especially in rural areas. Passing this legislation would help address health disparities by utilizing the growing number of APRNs in Texas to better meet patient needs.
San Juan County Health Project
San Juan County has an aging population, with over 21% of residents over 65 years old. This elderly population faces challenges in accessing healthcare due to the rural and isolated nature of the county, which comprises several islands. Smoking rates are increasing and now affect 15% of adults, contributing to rising rates of lung cancer and other tobacco-related illnesses. Interventions are needed to promote smoking cessation among the elderly, including no-cost nicotine replacement therapy and counseling delivered by healthcare providers, with follow-up by telephone. Applying the Chronic Care Model and involving both healthcare and community organizations could help create a comprehensive system to support smoking cessation.
What's hot (20)
2017 Ottawa County Department of Public Health Annual Report
2017 Ottawa County Department of Public Health Annual Report
Stress and ailing health care dr. shriniwas kashalikar
Stress and ailing health care dr. shriniwas kashalikar
Cleveland Local Conversation on Health Disparities
Cleveland Local Conversation on Health Disparities
Similar to Addressing the Challenge
7 22 2010 Efforts To Address Mh Sa And Homelessness A One Stop Approach
Efforts to Address Mental Illness, Substance Abuse and Homelessness: A One Stop Approach. July 22, 2010.
Community Care Based Services
1) Community-based mental healthcare services are more effective than institutional care by allowing for greater family involvement, being less restrictive, and producing better outcomes at a lower cost.
2) Integrating community-based services helps with early detection and treatment of mental health issues while reducing hospitalization needs and helping patients live successfully in their communities.
3) Studies show that average monthly spending per person for home and community-based services is much lower than for institutional care like nursing homes.
2011 9-22_LeonEvans_presentation_Lilly-Community_Conversationsv3_final
The document discusses improving mental health and criminal justice outcomes through community-based solutions. It notes that the current mental health system is fragmented and fails to address the needs of those with severe mental illness, leading to unnecessary costs. The Bexar County, Texas model created a county-wide jail diversion program through collaboration between law enforcement, courts, treatment providers, and other stakeholders. Key outcomes included reduced incarceration and revocation rates, lower healthcare costs, and over 800 empty jail beds.
Probation Parole Appa Jan Feb2010
This document summarizes a presentation about integrating mental health and substance abuse services in Bexar County, Texas. It describes the development of collaborative diversion initiatives between local law enforcement, hospitals, courts, and mental health agencies. These initiatives include a crisis care center, jail diversion programs, veterans services, and specialty courts to help treat and rehabilitate individuals with mental illnesses or substance abuse issues in the community instead of incarcerating them. The presentation provides data showing these collaborative efforts have significantly reduced wait times for individuals in crisis and saved millions of dollars in healthcare costs.
Probation Parole Appa Jan Feb2010
The document describes the therapeutic justice model used in Bexar County, Texas to integrate treatment services and the criminal justice system. It discusses collaborations between various agencies to provide alternatives to incarceration like crisis centers, courts focused on treatment, and programs for veterans. Data is presented showing improvements in wait times and outcomes from these diversion and treatment initiatives.
Taap Conference Therapeutic Jurisprudence Models In San Antonio Texas Final
This presentation will discuss the origin of the Therapeutic Jurisprudence from Mental Health Law and its evolution to include addiction and dual diagnosis youths and adults involved in the criminal justice system. A national movement of Drug Courts, which execute therapeutic justice strategies to motivate high recidivist populations toward treatment in lieu of incarceration, is occurring across the US.
01 21 2010 Na Co Justice Pulblic Safety2
The document summarizes initiatives in Bexar County, Texas to better integrate mental health and substance abuse services with law enforcement, courts, and corrections to improve outcomes for those with mental illnesses and substance abuse issues in the criminal justice system. It describes the development of programs like the Crisis Care Center, Restoration Center, veterans services, and specialty courts. Key programs introduced include jail diversion, outpatient competency restoration, and forensic outpatient commitments to provide alternatives to incarceration.
NACo Jan 2010 Justice and Public Safety Conference
The document summarizes initiatives in Bexar County, Texas to better integrate mental health and substance abuse services with law enforcement and the criminal justice system. It describes the development of programs like the Crisis Care Center to provide rapid psychiatric screening, various diversion and treatment programs as alternatives to incarceration, initiatives to improve services for veterans, and the establishment of collaborative partnerships between multiple organizations. The goal has been to create a coordinated "system of care" to improve outcomes for individuals living with mental illness or substance abuse issues who come into contact with law enforcement or the criminal justice system.
Law Enforcement Summit 6 24 2009
This document summarizes a systems approach to crisis care developed in Bexar County, Texas. It involves extensive collaboration between law enforcement, mental health providers, courts, hospitals, and other community partners. The approach includes co-response teams of mental health professionals and law enforcement, crisis intervention training for officers, jail diversion programs, and a crisis care center that provides rapid medical and psychiatric evaluation to reduce wait times. The initiatives aim to improve outcomes for those in mental health crisis and reduce incarceration through comprehensive community collaboration.
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.
Telepsychiatry
Telepsychiatey , telemedicine , appears to be a big part of the solution in psychiatry services in the future.
No Good Deed: Improving Mental Health Crisis Response to Law Enforcement
The document summarizes a conference on improving mental health crisis response to law enforcement. It discusses the challenges law enforcement faces in dealing with individuals experiencing mental health crises. It outlines models discussed at the conference to improve coordination between law enforcement, mental health services, and other groups to help divert people with mental illnesses from the criminal justice system to treatment when appropriate.
Health Care Continuity in Jail, Prison and Community
Health Care Continuity in Jail, Prison and Community Thomas.Lincoln@bhs.org
Hampden County Correctional Center Baystate Brightwood Health Center Springfield, MA 2006
2017 Ottawa County Department of Public Health Annual Report
2017 Ottawa County Department of Public Health Annual ReportOttawa County Department of Public Health
Our annual reports are more than just numbers. They tell a story. Stories about the people who are a part of public health and the lives we touch.What do medical examiner investigators and tattoo artists have to do with pub...
What do medical examiner investigators and tattoo artists have to do with pub...Ottawa County Department of Public Health
The Ottawa County Department of Public Health administers the county's Medical Examiner Program. The program investigates all sudden, unexpected, accidental, and violent deaths as required by Michigan law. It consists of a medical examiner, forensic pathologists, medical examiner investigators, and a medical examiner specialist. The report provides first-hand perspectives from a medical examiner investigator and outlines the roles of all personnel involved in investigating deaths and determining causes.MH CIT International San Antonio 2010
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.
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.
Na Co Florida Lee County Estero V4
The document discusses implementing a public health approach to address drug abuse, mental illness, homelessness, and incarceration of those with mental illnesses or substance abuse issues. It notes the high economic and social costs of the current fragmented system and lack of treatment. Over 20% of jail and prison populations have a mental illness or were incarcerated due to lack of treatment options. The document calls for a national strategy with coordinated services across housing, employment, treatment, law enforcement, and other areas to improve outcomes and reduce costs to taxpayers.
Informative Speech Template OutlineI. Introduction (Approximately .docx
Informative Speech Template Outline
I. Introduction (Approximately 30 sec-1min.)
A. Attention Getter
B. Background and Audience Relevance
C. Speaker Credibility
D. Thesis
E. Preview of Main Points
Transition to first main point
II. Body (Approximately 2-3 min)
A. Main Point 1:
1. Sub point 1
2. Sub point 2
Transition (signpost, summary, preview)
B. Main Point 2
1. Sub point 1
2. Sub point 2
Transition and signal closing
III. Conclusion (Approximately 30 seconds-1 minute)
A. Restate Thesis
B. Review Main Points
C. Memorable Closer
Selling Organs for Transplantation
LEWIS BURROWS, M . D .
Abstract
The need for transplant organs has far outstripped the supply of available cadaveric organs. Hundreds
of people on waiting lists, who could be saved by transplantation, die each year. This severe shortage
has justified the extension of transplantation to the use of living donors, but there are still not enough
organs to meet the need. This paper discusses the justification for changing policies in order to encour-
age organ donation. It presents reasons for allowing payments to be made to families that donate
cadaveric organs. It also presents reasons for allowing payments to be made to living donors, and
guidelines for how an ideal policy could be structured.
Key Words: Selling, payment, organs, transplant, financial remuneration, presumed consent, altruism,
ethics.
LIVING DONOR ORGAN TRANSPLANTATION is the
only field of medicine in which two individuals
are intimately involved: the donor and the re-
cipient. It is also the only field of medicine in
which altruistic giving of oneself is the basis of
the medical practice. I have been asked to ad-
dress a very specific aspect of this process, that
is, living organ donation for financial remuner-
ation. No other subject in the transplant experi-
ence is as controversial. Many of those in-
volved in the field—surgeons, physicians, so-
cial scientists, ethicists, and theologians—have
expressed an opinion on this issue.
As a result of impressive gains in this field,
organ recipients now have a significant chance
for both long-term survival and a reasonable
quality of life. These successes have led nearly
80,000 individuals to opt for transplantation as
a form of therapy. Unfortunately, the number of
organs available has lagged far behind the de-
mand. Every year thousands die while waiting
for the gift of life that an organ transplant could
provide.
In the case of cadaveric giving, the family
of the brain-dead person is asked to donate.
Address all correspondence to Lewis Burrows, M.D., 201 East
17th Street, Apt. 27H, New York, NY 10003; email: Rock-
[email protected]
Adapted from a presentation at the Issues in Medical Ethics
2001 Conference on "Medicine, Money, and Morals" at the
Mount Sinai School of Medicine, New York, NY on November 2,
2001, and updated as of Eebruary 2004.
There is a serious shortfall in cadaveric organ
donations, with only 40-60% of U.S. families
consenting to organ recov.
2013 10-15 cit international conf hartford conn
This document summarizes the role of CIT (Crisis Intervention Team) training and jail diversion programs in San Antonio, Texas. It outlines how the program identifies and intervenes with mentally ill individuals at the earliest point of detention to divert them to treatment rather than incarceration. Key elements include law enforcement and first responder training, centralized intake and coordination of services, data tracking, and stakeholder collaboration. The program has expanded services over time and data shows reductions in jail populations, emergency room visits, and costs since implementation began in 2002.
Similar to Addressing the Challenge (20)
7 22 2010 Efforts To Address Mh Sa And Homelessness A One Stop Approach
7 22 2010 Efforts To Address Mh Sa And Homelessness A One Stop Approach
2011 9-22_LeonEvans_presentation_Lilly-Community_Conversationsv3_final
2011 9-22_LeonEvans_presentation_Lilly-Community_Conversationsv3_final
Taap Conference Therapeutic Jurisprudence Models In San Antonio Texas Final
Taap Conference Therapeutic Jurisprudence Models In San Antonio Texas Final
NACo Jan 2010 Justice and Public Safety Conference
NACo Jan 2010 Justice and Public Safety Conference
No Good Deed: Improving Mental Health Crisis Response to Law Enforcement
No Good Deed: Improving Mental Health Crisis Response to Law Enforcement
Health Care Continuity in Jail, Prison and Community
Health Care Continuity in Jail, Prison and Community
2017 Ottawa County Department of Public Health Annual Report
2017 Ottawa County Department of Public Health Annual Report
What do medical examiner investigators and tattoo artists have to do with pub...
What do medical examiner investigators and tattoo artists have to do with pub...
Informative Speech Template OutlineI. Introduction (Approximately .docx
Informative Speech Template OutlineI. Introduction (Approximately .docx
More from Gilbert Gonzales
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.
Latino Behavioral Health Institute Conference 2012
Presentation made during the 2012 Latino Behavioral Health Institute Conference in Los Angeles, California.
Enlightened Alternatives: How CIT and Diversion Are Cutting Recidivism and Sa...
Powerpoint showing how CIT and Diversion programs can reduce recidivism and strengthen the public safety net.
NACo Conference Pittsburg PA Veterans Coming Home
Presentation given at the NACo Conference in Pittsburg Pa - Strengthening the Public Safety Net for Veterans and their families.
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
Nlf Developing Integrated Response Veterans June 2 2009
Developing an Integrated
Response to
Justice-Involved Combat
Veterans with Mental Illness
and
Co-Occurring Disorders
Texas Mh Transformation November302009
Children's Health Funders Consortium presentation on the development on the Bexar County Judges Diversion Initiative using social media.
More from Gilbert Gonzales (10)
2018 09-26 Texas Legislature County Affairs Testimony Rep Coleman
2018 09-26 Texas Legislature County Affairs Testimony Rep Coleman
Latino Behavioral Health Institute Conference 2012
Latino Behavioral Health Institute Conference 2012
Enlightened Alternatives: How CIT and Diversion Are Cutting Recidivism and Sa...
Enlightened Alternatives: How CIT and Diversion Are Cutting Recidivism and Sa...
2011 technology and telemedicine plus nacbhdd newsletter for november 2011
2011 technology and telemedicine plus nacbhdd newsletter for november 2011
Bexar county efforts transformamtion grant 10.18.10
Bexar county efforts transformamtion grant 10.18.10
Nlf Developing Integrated Response Veterans June 2 2009
Nlf Developing Integrated Response Veterans June 2 2009
Recently uploaded
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Top-Vitamin-Supplement-Brands-in-India List
Swisschem Dermacare provides the Top 10 Vitamin Supplement Brands in India. To know more about us give us call at our official number
Cell Therapy Expansion and Challenges in Autoimmune Disease
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.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
A Classical Text Review on Basavarajeeyam
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Recently uploaded (20)
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Addressing the Challenge
- 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. Cheer up, things gets worse: Poor and or reduced funding Scant, limited and rationed services Reduction of State Hospital treatment beds
- 8. Collaboration: It’s an unnatural act between… … two or more unconsenting adults .
- 9. Why can’t we all just get along ? Can we ? It’s impossible…
- 10. A mouse, a cat and a dog. http://www.youtube.com/watch?v=D85yrIgA4Nk
- 16. Show me the DATA !!!
- 18. 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
- 19. 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
- 21. What can you do ? Connect, Progress, Relate http://www.youtube.com/watch?v=lFZ0z5Fm-Ng
- 22. 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 http://diversioninitiaives.net [email_address]