Addressing the Challenge

[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 ?

Connection Progress Relationship CPR

An Ounce of Prevention Taxpayer Costs Avoided through Preventing Crime ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source: Dr. Victoria Reinhardt, An Ounce of Prevention presentation To NACo, July 2008

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,”

Cheer up, things gets worse: Poor and or reduced funding Scant, limited and rationed services Reduction of State Hospital treatment beds

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Why ?

Collaboration: It’s an unnatural act between… … two or more unconsenting adults .

Why can’t we all just get along ? Can we ? It’s impossible…

A mouse, a cat and a dog. http://www.youtube.com/watch?v=D85yrIgA4Nk

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Stakeholder Collaboration via:

Law Enforcement Detention/Jail CIT Judicial/Courts Magistrate, County, District Mental Health Public and Private Providers Crisis Care Center Jail Diversion Psychiatric and Medical Clearance Specialty Offender Services Community Dynamic Crisis Jail Diversion Information Exchange Police, Sheriff Probation, Parole Civil and Criminal Treatment Continuity of Care County City-wide Emergency Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],System County City-wide Entry Points System Level

Children Adult ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Criminal Justice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Safety Net

Therapeutic Justice Partnerships with Bexar County Community Supervision and Corrections Dept. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Impact on WAIT TIME for LAW ENFORCEMENT

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

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

Haven for Hope Homeless Facility ,[object Object]

What can you do ? Connect, Progress, Relate http://www.youtube.com/watch?v=lFZ0z5Fm-Ng

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]

Addressing the Challenge

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