What Are We?

1. Behavioral Health Center of Nueces County Annual Presentation to Nueces County Commissioner’s Court January 2013

2. What Are We? • Unit of Local Government • Established in 1967 • Designated Local Mental Health Authority by Texas Dept. State Health Services • Designated Local Authority for services to persons with intellectual disabilities by Texas Dept. Aging and Disability Services • Sponsored by Nueces County Commissioner’s Court in collaboration with City of Corpus Christi • Governed by 9 Member Board of Trustees • Planning & Network Advisory Committee • Foundation Board of Directors

3. FY 2013 • $17 million budget • 286 employees • 45 revenue sources-local, state, federal • Nueces County Hospital District: $969,129 • City of Corpus Christi: $54,000 • 9 buildings around Nueces County

4. 10,000 Persons Served • Adults with mental illness = 5,672 • Children with emotional/behavioral issues = 1,042 • Persons with intellectual disabilities = 1,763 • Infants/toddlers with developmental delays = 1,563

5. Return on Investment • Average community mental health service $12/day vs. average Emergency Room visit $986 • Average cost of jailing a person with serious mental illness $137 per day vs. $45 & a longer length of stay of 80 days • Crisis Respite bed cost $100/day vs. Hospital bed cost $640 • Competency Restoration Program on outpatient basis = $140 vs. in an inpatient State Hospital setting = $401 • Every 14 minutes, a person dies by suicide; 38,000 per year; 3rd leading cause of death in 15-24 year olds • Persons with mental illness die 20 years before those without a diagnosis • Recent tragedy in Connecticut highlights need for early identification of persons with mental health issues and secure appropriate treatment and services

6. 2012 Highlights • Trauma Informed Care Seminar sponsored by Foundation; over 100 attendees • Outpatient Competency Restoration Seminar • Accreditation by The Joint Commission • Doubled capacity to 16 beds in Crisis Respite Home • “Suicide Safe Center” designation • Best of the Best Award

7. Current Issues 1115 Medicaid Transformation Waiver Projects: • Integrated Health Care • Wellness Promotion using Social Media with Kids • Peer-Run Day Activity Center • Crisis intervention services for persons with intellectual disabilities • Partners include Charlie’s Place, Christus Spohn, Corpus Christi Medical Center, Driscoll Children’s Hospital, TAMU-CC Health Science Center & College of Nursing • Center funds projects up front; earn incentive payments for meeting outcome measures • Committed to $1m for intergovernmental transfers per year, with amount increasing each year to $2m in year 5.

8. Utilization of State Hospital Bed Allocation 29 beds per day allocated by The Dept. of State Health Services to hospitalize persons at state hospitals, primarily San Antonio State Hospital. 34 beds used per day, 80% of whom are coming from the Nueces County jail. Our utilization of persons coming from jail is the highest in the state. Held harmless for using more than allocation in FY 13, but could be penalized $50 per day for each day over the allocation effective Sept 1, 2013—based on current utilization = $120,000.

9. Outpatient Competency Restoration (OCR) Program Referrals & Admissions

10. Current Issues, cont. Rider 71 Study of Public Mental Health System Potential reduced state funding Recruit & Maintain Competent Professional Workforce Assessment of buildings Legislative session January Seminar February 18-19 for attorneys, includes mental health items

11. Save the Date April 18, 2013 Hollywood Nights: Red Carpet Event, an Evening with Patty Duke

12. THANK YOU HAPPY NEW YEAR!!!