Transcript Department of State Health Services (DSHS) House Human Services Committee August 8, 2006 Mission and Responsibilities Mission • Promote optimal health for individuals and communities • Provide effective health,

Department of
State Health Services
(DSHS)
House Human Services Committee
August 8, 2006
Mission and
Responsibilities
Mission
• Promote optimal health for individuals and
communities
• Provide effective health, mental health and
substance abuse services
Principles
• Sound Mind ~ Sound Body
• Prevention First
• Partnerships
• Community Focus
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Current Initiatives
Selected current initiatives include:
• Resiliency and Disease Management
(RDM)
• Crisis Services Redesign
• State Mental Health Hospital Capacity
• Mental Health Transformation
• Access to Recovery
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Resiliency & Disease
Management (RDM)
• Evidence-based
• Intended to better match services to Mental Health
consumers’ needs, and to use limited resources most
effectively by providing the right service to the right
person in the right amount to have the best
outcomes.
• Includes medication management, case
management, skills training, family training, supports
and partners, psychosocial rehabilitation, individual
and group counseling, supported employment,
supported housing, and Assertive Community
Treatment (ACT)
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Resiliency & Disease
Management (RDM)
• Outcomes for Adults in FY 2005:
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78% with improved or stabilized functioning
88% with improved or stabilized risk of harm
82% with improved or stabilized housing
86% with improved or stabilized employment
91% with improved or stabilized criminal justice
involvement
 97% of adults avoided spending time in crisis (i.e.,
avoided being placed in 23-hour observation in a
hospital setting, crisis counseling, etc.).
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Resiliency & Disease
Management (RDM)
• Outcomes for children in FY 2005:
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80% with improved or stabilized functioning
92% with improved or stabilized risk of harm
92% with improved or stabilized school behavior
84% with improved or stabilized severe
aggressive behavior
 89% who avoided re-arrest
 98% of children avoided spending time in crisis
(i.e., avoided being placed in 23-hour observation
in a hospital setting, crisis counseling, etc.).
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Crisis Services Redesign
• Crises do occur—but we should do all we can to avoid them.
• February 2006, DSHS established the Crisis Services Redesign
Committee to develop recommendations for a comprehensive
array of crisis services.
• Members of the committee include medical experts, citizen
stakeholder groups, law enforcement representatives, county
probate court judge representation, and county representatives,
as well as individuals from professional organizations and
provider groups.
• A redesign of crisis services will build on, and is a part of, the
service improvements made by the evidence-based Resiliency
and Disease Management program.
• A thorough review of the current crisis system was conducted,
including holding public hearings around the state, reviewing
current research and consultation with experts.
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Crisis Services Redesign
• Initial conclusions for recommended services include:
• 24-hour hotline
• Mobile outreach
• 23 to 48-hour hold capacity
• On-call psychiatric services
• Crisis residential services
• Respite
• In-home crisis resolution services
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State Mental Health
Hospital Capacity
• In February 2006, the LBB approved $13.4 million in
additional expenditures for state mental health
hospital capacity. These funds were transferred from
DSHS’ FY07 appropriations to FY06.
• As a result, statewide hospital system capacity was
increased by 96 forensic commitment beds and 144
civil commitment beds.
• This increase in state hospital capacity has greatly
enhanced our ability to meet the needs of local
communities.
• We continue to plan for long-term, community-based
solutions to address the hospital capacity issue, such
as redesigned crisis services.
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Mental Health
Transformation
• Overarching goal is to improve the mental health of all Texans
and meet the President’s New Freedom Commission goals,
including ensuring consumer-driven services, eliminating of
disparities, and using technology to increase access to mental
health care
• Participants on the Transformation Working Group include:
• The Governor’s Office; Department of State Health Services;
Texas Health and Human Services Commission; Department
of Family and Protective Services; Criminal Justice
Department; Juvenile Probation Commission; Texas Youth
Commission; Service Consumers and Family Members;
Texas Education Agency; Department of Aging and Disability
Services; Workforce Commission; Veteran’s Administration;
Department of Assistive and Rehabilitative Services.
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Mental Health
Transformation
• The 2 primary areas of focus:
• Developing and supporting local behavioral health
collaboratives
• Using cutting edge technology to change work
processes across agencies
• Improvement of the system will be targeted to the
following principles:
• Apply evidence to health care delivery
• Use information technology
• Encourage continuous improvement
• Prepare the workforce
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Access to Recovery
(ATR)
• Access to Recovery supports clients by providing needed
substance abuse treatment or recovery support services to
successfully complete their drug court program
• Drug courts offer a cost-effective alternative to incarceration by
providing community-based treatment as a condition of
probation
• Cost effectiveness of the ATR drug court program in Texas is
reflected by preliminary data, which indicates that participating
ATR clients are experiencing the following successful outcomes:
• 92% Abstinent
• 59% Employed or in School
• 91% No Further Arrests
• 99% Not Homeless
• 87% Socially Connected
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Looking Ahead
As demand for mental health and substance
abuse services continues, DSHS’ focus is on:
• Making the most out of cross-agency partnerships
• Making better use of information technology and
evidence-based practices
• Keeping individuals out of crisis
• Reducing demand for hospital services
• Maintaining quality hospital services
• Analyzing the impact of behavioral health issues on
other systems
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