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1THE MENTAL HEALTHEMERGENCY CENTER(MHEC)INFORMATIONAL OVERVIEWANDPROTOCOL TRAININGGUIDE
8/3/20162The MHEC is located at 105 Mayo Place, Lufkin
8/3/20163The MHEC is : A 24/7 Short-Term Crisis Facility Has Unlocked Voluntary Unit Has Locked, Secure UnitOur goals are to free up lawenforcement so they may return topatrol as quickly as possible, and avoidunnecessary visits to hospitalEmergency Rooms!
8/3/20164MHEC Residential Unit
8/3/20165MHEC Patient Room
8/3/20166Who can refer to the MHEC:The following people within our 12-countyservice area: Law Enforcement Hospitals Judges Other Burke Center Programs (Not the general public)
8/3/20167Limitations of the MHEC: No seclusion room or restraints (state law) Persons must be fully ambulatory Persons must be able to provide for ownself-care (bathing, toileting, etc.) withoutassistance No face-to-face doctor services which limitsthe type of medical problems that can besafely treated
8/3/2016No Doctors on the MHEC Campus - Allconsultations with doctors are done via teleconferencing with physicians located in Houston8
8/3/20169Who the MHEC Serves: Persons 18 years and older Persons who are not currently violentor have been violent within the last 24hours Persons who have a mental illnessand are experiencing a mental healthcrisis
8/3/201610Clients NOT Appropriate forthe MHEC: Persons whose primary problem is substancerelated Persons with Alzheimer’s or Dementia Persons with suspected or confirmed delirium Persons who are determined during the phonetriage to have a high probability of serious medicalproblems Persons who are currently violent and likely torequire seclusion or restraint
8/3/201611ProtocolforMental HealthEmergencies
8/3/201612ProtocolforLaw Enforcement
8/3/201613Call the MHEC staff beforetransporting client to a hospitalor the MHEC!When face-to-face with someone, call theMHEC, and a nurse will assist to determine ifmedical clearance is needed or if the client isappropriate for immediate transport to theMHEC.
148/3/2016Triage with the MHECAfter triaging on the phone with the MHEC, one of thefollowing will happen: 1. You will bring client directly to the MHECor 2. You will take the client to your local EmergencyDepartment for a medical Clearanceor 3. You will arrange for a Burke Center assessment ofthe client at your agency’s facility
8/3/201615Assessments via TeleconferencingLaw Enforcement: If during the course of the phone triagewith the MHEC, it is determined that the person in crisisdoes not need medical clearance, but a mental healthassessment is desired, you may take the client back toyour facility to have the assessment done viateleconferencing.Your agency should have acomputer(s) with the Clearseateleconferencing softwareavailable 24/7. Please makesure you know where it is located,and how to use it.
8/3/201616If Accepted to the MHEC:Upon arrival at the MHEC, the nursewill begin triaging with the client within15 minutes.The officer must remain with the clientuntil he/she is accepted for admissionto the MHEC.
8/3/201617Medical ClearanceRequest:In the case of a request for a medicalclearance, the reason for the requestwill be explained to the officer by theMHEC staff.
8/3/2016If Denied Admission tothe MHEC:If the client is not accepted by theMHEC, the officer who brought theclient will be responsible for thedisposition of the client (see link toTexas Mental Health Code - Sec.573.024).18
8/3/201619Front Door of the MHEC
8/3/201620Press Call Button ( If no one responds, callthe MHEC on your cell phone: 866-729-7731)
8/3/201621The entry hall and admissions area are small, narrowspaces, so we may have to stagger admissions ifseveral are expected at the same time.
8/3/201622Officer Hospitality Room: Soft drinksavailable; Table for paper work; Gun lockers
8/3/201623Law to Law Hand-offs: Law Enforcement for our 12-county service area will not berequired to transport a client on involuntary hold further thanthe MHEC. Clients who have been accepted by a psychiatric hospitalmay be brought to the MHEC, then taken to the psychiatrichospital by a contract transport. Call MHEC staff as soon aspossible to discuss contract transport arrangements. When there is an approved contract transport, the originalofficer must stay with the client at the MHEC until thetransport officer arrives and assumes responsibility for theclient.
248/3/2016ProtocolForHospitals
8/3/201625 If a medical clearance has been requested by MHEC tolaw enforcement following a phone triage, MHEC staff willcall the hospital with a report explaining the reason for therequest for medical clearance. When a client presents to your ED, do the following:As soon as ED staff determine that there is a mentalhealth emergency, contact the MHEC to either make areferral to MHEC or to request a Burke Centerassessment.The assessment may be done by an evaluator coming toyour facility, or by teleconferencing if your hospital hasthe Clearsea software available.
8/3/201626Assessments via Teleconferencing Hospitals: If a mental health assessment is requested fora person already at your hospital, it will often be muchmore expedient to do the assessment viateleconferencing. A computer(s) in your emergency department should havethe Clearsea Teleconferencing software available 24/7. Contact the MHEC to request the assessment at866-729-7731 Yellow laminated instructions forusing the Mirial Clearsea softwareshould be posted by the computer.It is quick and easy!
8/3/201627 When ED staff believe that medical clearance has beencompleted, call MHEC staff to refer the client foradmission. If MHEC staff determine the client may be appropriate foradmission, ED staff will be requested to fax the medicalrecords. Please see the link to the MHEC Medical ExclusionaryForm. Note that the documents that should to be faxed tothe MHEC include: 1.) Physicians notes; 2.) H&P; 3.)Any Labs or X-rays; 4.) FACE sheet; 5.) Vital Signsrecords; 6.) the Completed Exclusionary Form signedby the physician. Please call MHEC staff to confirm that your fax wasreceived. At that time, MHEC will give you a generalestimate of when to expect a decision for admission.
8/3/201628MHEC will contact you once acceptance or denial has beendetermined. If accepted, MHEC staff may ask for anEstimated Time of Arrival, and the method of transport tothe MHEC.If denied admission to the MHEC: If the client has insurance – the hospital will findplacement at this point (see link of listing of PsychiatricHospitals). If you have difficulty locating a private facility,contact the MHEC for possible assistance. If the client does not have insurance – MHEC will initiatethe process for finding placement in an indigent bed. Youwill be hearing from Gale Culpepper to update you onwhere she is in the process of finding a bed. Once a bedhas been found, you will be notified along with instructionsand information for the disposition of the patient.
8/3/201629MHEC Phone Number:936-674-3500 Or Toll free 866-729-7731Please put this number in your phone. This number is onlyfor Law Enforcement and Hospitals.The Public should call the Mental Health Crisis Helpline at800-392-8343 to get directions on what to do in the case ofa mental health emergency.If you have questions about protocol or procedures,contact the MHEC Crisis Communications Director, TomCarrington, at (936) 674-3500.
8/3/201630For Judges and MagistratesPlease see links to resources and tools for you to use atyour discretion. These include:1. Texas Mental Health Code2. Mental Health Warrant Application Form3. Mental Health Warrant Information Sheet4. Mental Health Warrant FormIf you have questions about protocol or procedures,contact the MHEC Crisis Coordinator, Tom Carrington, at936-674-3500 or (toll free) 866-729-7731.
1. Texas Mental Health Code 2. Mental Health Warrant Application Form 3. Mental Health Warrant Information Sheet 4. Mental Health Warrant Form If you have questions about protocol or procedures, contact the MHEC Crisis Coordinator, Tom Carrington, at 936-674-3500 or (toll free) 866-729-7731. 8/3/2016 30
