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Texas Behavioral Health Landscape – December 2014Page 1Meadows Mental Health Policy InstituteTexas Behavioral Health Landscape – December eriodically.TexasBehavioralHealthNeeds sertooneinthree. reemotionaldisturbance”forchildren- yimpairstheirabilitytobeself- rorresultedinpsychiatrichospitalization.- smaybeinjeopardy. llionadultsand500,000children.- ubstanceusedisorders.- otal)havesomelevelofco- searesevere.- ED.- ederalPovertyLevelasacut- ‐off):Meadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page l(FPL).o 8hadincomesbelow200%ofFPL.- ders.Intermsofseverity(thesegroupsarenon- ‐overlapping):- havesevereSUDs),- 6.3%to8.2%haveseriousconditions(MH/SUD/co- e),- 7.0%to13.5%havemoderateconditions(MH/SUD/co- ‐occurring),and- 10.8%to13.8%havemildconditions(MH/SUD/co- - .6%.- eportingclosefriendsorfamilywithcancer(73%to76%).- butitdoesnothappeninisolation,astheremustbealong- ovidingeffectivebehavioralhealthcareservices.- theU.S.duetomentalillnessisestimatedat 193.2billion.- lyandlesseffective.- d:o nestimated1.2millioninTexas.o ing202,000Texans,haveschizophreniainagivenyear.o 2.6%oftheadultpopulation.o (OCD).o Meadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page 3 o cted.o eaffected.Otherindicatorsofneed:- severementallyillness.- dofhomicide.- o althneed.o esandongoingcare.o rticularlywhenuntreatedorwithco- naljusticesystemandhealthsystems.o ospitals.o deMHandSUDservicestoincarceratedadults.§ TDCJ)showsthattheDepartmentspentinexcessof entifiedover 370millionincosts.§ calImpairmentsisaprogramwithinTDCJthatspends asincreasednearly50%(from 14.2millioninFY2011).Meadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page HarrisCountyjail,withacostof spent essinHarrisCountyin2013wasestimatedatover 49million.§ sin2013wasestimatedatover 19,000peopleinCountyFiscalYear(CFY)2009atacostof nganaverageof395bedsperdayatanannualcostof 7.1million.DallasCountyprobationspentanadditional rdertreatmentandassessmentservices.o hanninemillionindividualsfromjail).- ChildrenwithMentalHealthNeeds:o edthementalhealthtreatmentforwhichtheyqualified.o disorder.o gcauseofdeathforthosebetweentheagesof15and24.o eedforout- ‐of- ‐homeplacementsandhospital- rriers).§ Meadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page - aconsequenceofadversechildhoodexperiences.- sandactive- - thatofsub- oplegetphysicalandmentalhealthcareinthesameplace.o althneeds:§ Ratesofrespiratorydiseasearefivetimeshigher,§ sdiseasesare3.4timeshigher,and§ Ratesofstrokeamongpeopleunderage50ishigher.o m.oMeadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page 6LevelofNeedCurrentlyMet Peopleserved:- edjustunderone- ‐thirdofadultsandjustoverone- fadultsand42,086or26.9%ofchildrenwereservedinDSHS- ‐fundedcommunitymentalhealthservicesinFY2013).- DSHS- nditisnotclearthatservicesgotothosemostinneed).o o esentingthehighestproportionofthesereferrals.- etodecision- states.- sserved:o TheTexaslegislatureappropriatedanadditional ceabuseservicesforFY14- ‐15.Thisrepresentsa16.3%increaseovertheFY12- ‐13.o 2014- althWaitingListfunds( urge/Underservedfunds( easedpublicawarenessandpopulationgrowth.§ 4inFebruary2013to7inAugust2014.Meadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page sisnotentirelyclear.§ uded:§ SubstanceAbuseCapacityExpansionfunds( 83fromayearprior.§ SubstanceAbuseTreatmentRateIncreasefunds( eincreasehasbeenfullyimplemented§ ectiveServices(DFPS)Clients( cializedservicestofathers.§ OxfordHouseExpansionfunds( 1.1millionforthebiennium),providingfundstostart- onstate- ‐purchasedhospitalbedswasup43%( e- vementneeds(only 30millionof uded:§ VictoryFieldconstruction( 4millionforthebiennium),§ PsychiatricResidencystipends( 2millionforthebiennium),§ PsychiatricNursingAssistantspayincrease( 14.7millionforthebiennium),and§ StateHospitalPatientSafetyprograms( 1.3millionforthebiennium).Othernewfundsincluded:§ ResidentialTreatmentCenter(RTC)Projectfunding( eivetreatmentandavoidparentalrelinquishment.§ ooooMeadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page 8MentalHealthFirstAidfunding( rventionforbehavioralhealthissues.§ YESWaiverExpansionfunds( Hidalgo,andWillacycounties.§ (1)HarrisCountyPsychiatricCenteraddedbeds( sionProgramhasimplemented( 10millionforthebiennium);andthe(3)Jail- ‐BasedCompetencyRestorationpilotbegun( 3millionforthebiennium).§ VeteransMentalHealthProgramexpanded( 4millionforthebiennium).§ HealthCommunityCollaborativeProjects( tieswereawardedfunds,matchedbyprivatedollars.§ APublicAwarenessCampaignwasimplemented( 1.6millionforthebiennium).§ SupportiveHousingfunds( erityasfollows:- eivedtreatment(63percentinspecialtycaresettings),- ngs),- nd- two- formationtostakeholdersinmid- ‐February,2014.Stakeholdersusedthisdraft§ Meadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page 9 ber1,2014.- ratleastonesite- unties.- ns(ratioof4,000:1).- hworkforceshortages.- d46countiesdidnothaveasinglelicensedsocialworker.- doctor.- only5.3%areAfricanAmerican,and9.7%areHispanic.- .Evidence- ‐basedPractices:Therearehundredsofevidence- SAMHSA)throughtheNationalRegistryforEvidence- lti- ncludesmany“promising”approaches).- ice.Thisprocessissometimescalled“usingMeadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page 10practice- efeatureofcontinuousqualityimprovement.- ings.This“efficacy- theexistingresearchevidence.- ttheU.S.upwardsof - equalityofhealthcareformentalandsubstance- sPress.Meadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page 11 - ompiledananalysisregardingthecross- eandimmigrantcommunities.- llyappropriatecare.Themostwell- plications.Peer- alillnesstoimprovetheirhealthandwellness,liveself- motingself- ‐directedcareforpeoplewithSPMI,peer- ntsofchildrenwithSED,andyouth),andrecovery- ohaveseriousemotionaldisorders(SED),Meadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page 12 andpoorly- ‐integratedsystem.- ategeneral(59%),federal(25%),andlocal(16%)funds.- TARprogramservesbothMedicaid- llasareaandmanageutilization.- :o suranceProgram(CHIP).o chincludesmentalhealthandsubstanceuseservices.o videslong- ithintellectual/developmentaldisabilities.o ndvocationalservicesforpeoplewithdisabilities.o ntalhealthservicestoyouth.o havemadeitmoredifficulttoprovidetheseservices.o eoplewithseriousmentalillnesseshaveaccess.o ogramsandservicesformentalhealthproblems.Meadows Mental Health Policy Institute
Texas Behavioral Health Landscape – December 2014Page 13 Hospital/AcuteCareCapacity:- Thecurrentcapacityofthestate- ties(seemapbelow),withapprox
Texas Behavioral Health Landscape - December 2014 Page 4 ! Meadows Mental Health Policy Institute ! ! !! ived!psychotropic!
