This document discusses behavioral health indicators in Travis County and initiatives to address criminal justice and mental health issues. It outlines the formation of a Mayor's Mental Health Task Force in response to a tragic incident and their efforts to establish collaboration between mental health organizations. Initiatives described include Crisis Intervention Teams to respond to mental health calls, specialized court programs, and a community competency restoration project. Data is presented on the success of this project and homelessness rates. The document advocates using community indicators to drive social change and outlines proposed indicators to track, such as rates of individuals with mental illness in jail and psychiatric hospital readmissions. Contact information is provided for following up on these efforts.

1. Travis County Behavioral Health Indicators ProjectSusan Stone, J.D, M.D.Jim Van Norman, M.D.Abraham Minjarez, LPC, MBATara Powell, MPH, MSW

2. Texas Service System Perspective

3. BACKGROUNDTragic IncidentCommunity ResponseMayor’s Mental Health Task Force Monitoring Committee

4. Community “Collaboration”Mental Health Coordination CommitteeHealthy People 2000Community Action NetworkIntegral Care CommitteePsychiatric Stakeholder’s CommitteeMayor’s Mental Health Task Force Monitoring CommitteeCrisis Implementation Committee

6. Travis County Criminal Justice/Mental Health InitiativesCIT

7. Community Court

8. RERT

9. Project Recovery

10. Mental Health Public Defenders OfficeTravis County Criminal Justice/Mental Health InitiativesCriminal Defense WheelSpecialist ProsecutorsSpecialized DocketsVeteran’s CourtCommunity Restoration of Competency

11. Community Competency Restoration ProjectTotal Served: 65Felony: 25Misdemeanor: 40Total Restored: 38 (58%)Average days to restoreFelony 44 daysMisdemeanor 40 days

12. Community Competency Restoration ProjectHomelessness Data38% homeless prior to admission into program50% of misdemeanants homeless20% of felons homelessPrevious HospitalizationsTotal # of previous hospitalizations prior to CCRP: 144

13. Using Community Indicators for Social ChangeResults Based Accountability: What works?

14. Building consensus around indicators

15. Blended funding

16. ATCIC

17. St. David’s Foundation

18. Hogg Foundation for Mental Health

19. City of Austin

20. Travis County

21. Bazelon Center for Mental Health LawAdvisory Committee:MMHTFMC% individuals in Travis County jail with SPMIReadmission to public psychiatric hospital within 30 days of discharge% of individuals reporting to various settings with behavioral health needs who self report housing instability% of ED admissions with primary substance useRate of Disciplinary Referrals within AISDIndicator Improvement Initiative Executive CommitteeGenevieve Hearon, ATCIC BOTDr. Philip Huang, City of AustinBecky Pastner, St. David's FoundationJudge Sam Biscoe, Travis CountyDavid Evans, ATCICSherri Fleming, Travis CountyLynda Frost, Hogg FoundationSteering Committees

22. Criminal Justice IndicatorData Analysis—Trends and Trajectories

23. Hypotheses—Building the Story

24. Root Cause Analysis

25. No Cost/Low Cost Solutions

26. Policy Solutions

27. Funding StrategiesSummary of CIT Data

28. EDP Voluntary, Intervention & POEC’sPOEC’s

29. EDP Voluntary-Emotionally Disturbed person voluntarily committed

30. EDP Intervention-Emotionally disturbed person who received a CIT interventionCompleted and Attempted Suicides

31. Crisis Intervention Team # of Cases

32. ROOT CAUSE ANALYSISCASE EXAMPLE

33. Turning the CurveDifferent ways to address 911 callsTransportation issuesHousing, housing, housingUse of incentivesPeer supportEnforcement of ACTSSI Issues

34. Contact InformationSusan A. Stone, J.D., M.D.Mayor’s Mental Health Task Forcesstonejdmd@attglobal.net512-360-3557